Jurnal Keperawatan Priority

Relationship between Family System Support and Diet Compliance in Diabetes Mellitus Patients

Donny Hendra, Ifon Driposwana Putra, Sri Marcelina, Asnil Adli Simamora — Wed, 01 Jan 2025 00:00:00 +0000

The diabetes diet is carried out to regulate eating patterns according to the portions determined for DM sufferers. by maintaining the 3Js, namely the number, type, and schedule of the DM diet. The research aims to determine the relationship between Family System Support and Diet Compliance in Diabetes Mellitus Patients. This type of research has a quantitative and descriptive design. The research population was 228 diabetes mellitus patients, and the sample was 39 people, using an accidental sampling technique. The research instrument is a questionnaire, and computerized data processing using SPSS, with univariate and bivariate data analysis. The research results showed that the majority of respondents in the Family Support System group were 39 people lacking (56.5%) and respondents in the non-compliant group were 44 people (63.8%). The results of the chi-square test showed that there was a relationship between family support system and dietary compliance in diabetes mellitus patients with p.value = 0.015 < 0.05. It is hoped that the health center will provide education and information to DM patients by making leaflets and posters about DM, especially DM treatment to control blood glucose levels and prevent complications and always socialize something new to treat DM by continuing to update knowledge about DM in particular.

The Effect of Range of Motion (ROM) Exercises on the Occurrence of Neuropathy and Angiopathy

Harry Permana Wibowo, Basri Basri — Fri, 03 Jan 2025 00:00:00 +0000

Ankle ROM training involves two movements: dorsiflexion and plantarflexion, which enhances calf muscle strength and pumping, facilitating venous return and reducing oxygen and nutrient diffusion, thus promoting overall health. This study provides active lower ROM intervention to diabetes mellitus patients twice a day for 6 consecutive days simultaneously. This type of research uses quasi-experimental research using two groups pretest-posttest, namely an experimental design where there are control and intervention groups. The samples in this study were 35, of which 17 samples were for the intervention group and 18 samples were for the control group. The research found that ankle ROM exercises significantly improved the DNE score and ABI value in both the intervention and control groups, with a statistical test result of p = 0.000 in the DNE score. It can be believed that there is a significant difference between the DNE scores of the intervention group, and the control group after doing ankle ROM exercises (p = 0.000), then H0 was rejected or there was an effect of ROM exercises on reducing the risk of neuropathy. Meanwhile, the ABI value showed a statistical test result of p = 0.002 and it can be believed that there is a significant difference between the ABI values of the intervention group and the control group after ankle ROM exercises (p = 0.002), so H0 is rejected or there is an effect of ROM exercises on reducing the risk of Angiopathy.

The Relationship between Family Support and Emotional Mental Disorders in Adolescents

Yeni Devita, Nadia Okviani, Emulyani Emulyani, Fitry Erlin — Wed, 01 Jan 2025 00:00:00 +0000

Adolescent emotional disorders are behaviors that are not in accordance with their age stages. The number of problems and deviant behaviors in adolescence shows that adolescents are a risk group for emotional mental disorders. The purpose of the study was to determine the relationship between family social support and emotional mental disorders in adolescents. This type of quantitative research has a cross-sectional design. The research sample is 288 respondents. The sampling technique uses stratified random sampling. Data collection was carried out using a social support questionnaire and a Strenght and Difficulties Questionnaire (SDQ) questionnaire. The data was analyzed by the Chi square test. The results of the univariate analysis related to the characteristics of the respondents were almost all (94.8%) of the respondents were at the age of 12-15 years (early adolescence) as many as 273 people, and more than half (68.1%) of the respondents were female as many as 196 people. In terms of the frequency distribution of family support, half of the respondents did not get family support as many as 146 respondents (50.7%). Frequency distribution of the frequency of adolescent emotional mental disorders almost half of the respondents had emotional disorders in the borderline range as many as 123 respondents (42.7%). The results of the statistical test obtained p-value = 0.00 < 0.05 so that it can be concluded that there is a relationship between family support and adolescent mental disorders. There needs to be high family social support to prevent mental disorders in adolescents.

Health Literacy and Early Detection Skills of Dengue Hemorrhagic Fever in Adolescents

Ilham Syarochman Putra, Dewi Hartinah, Muhamad Jauhar — Wed, 01 Jan 2025 00:00:00 +0000

Dengue hemorrhagic fever (DHF) is a significant public health problem in Indonesia, especially in tropical areas such as Jepara Regency. The increase in DHF cases in adolescents is caused by low health literacy and a lack of confidence in early detection skills that play an important role in preventing DHF. The impact is the occurrence of complications to the economic impact of the community in the treatment phase. This study aims to analyze the relationship between health literacy with early detection skills for DHF in adolescents. This study aims to analyze the relationship between health literacy and health beliefs with early detection skills of DHF in adolescent groups at SMAN 1 Tahunan, Jepara Regency. This study used a correlational analytical design with a cross-sectional approach. Independent variables are health literacy Dependent variables are early detection skills of DHF. This study was conducted in November at SMAN 1 Tahunan, the number of samples was 93 students selected using purposive sampling techniques. The research instrument used health literacy instruments (HLS-12Q),), and early detection behavioral skills of DHF. Data analysis was carried out using the chi-square test. The results of the study showed that there was a significant relationship between health literacy and early detection skills of DHF with a p-value = 0.000, health literacy is related to early detection skills. With this, schools and health centers can collaborate in improve health literacy, skills and early detection of DHF.

Dominant Factors Barriers to Hypertension Diet Management in Hypertension Sufferers

Dela Amanda Nisdayanti, Diana Tri Lestari, Ashri Maulida Rahmawati — Fri, 03 Jan 2025 00:00:00 +0000

Hypertension is a serious problem because it causes high morbidity and mortality. One indicator of successful management is diet management. Diet management is often an obstacle for hypertension sufferers. This study aimed to determine the dominant factors that inhibit hypertension diet management in hypertension sufferers in the working area of the Juwana Health Center. This research method used a correlation study with a cross-sectional design. The number of samples in this study was 65 respondents, using a total sampling technique with the inclusion criteria of hypertensive patients who were routinely checked on prolongs, hypertensive patients who implemented hypertension diet management, and hypertensive patients without comorbidities. The instruments used in this research are HKT (Hypertension Knowledge Test), FFQ (Food Frequency Questionnaire), FFS (Family Support Scale), PSS (Perceived Stress Scale), and HSMBQ (Hypertension Self Management Behavior Questionnaire). Data analysis used chi-square and simple logistic regression. The results of data analysis show that hypertension diet management is affected by knowledge (p: 0.003, OR: 2.764), dietary habits (p: 0.001, OR: 7.986), income (p: 0.004, OR: 2.098), family support (p: 0.001, OR: 9.986), and stress (p: 0.001, OR: 3.874). The most dominant factors are family support (p: 0.001, OR: 9.986, 95% CI: 0.653 < OR < 23.98). Family support is the most dominant factor affecting hypertension diet management. Positive system support is necessary for the patient's success in controlling blood pressure. Conclusion: There are factors that affected diet management of the hypertension: knowledge, dietary patterns, income, family support, and stress, with the dominant factor being family support.

Descriptive of Critical Thinking in Nursing Care of Nurses: A Survey Study

Diah Arruum, Dewi Elizadiani Suza, Nur Asiah, Nunung Febriany Sitepu — Thu, 16 Jan 2025 00:00:00 +0000

Nurses are responsible for providing nursing care to patients while being treated in the hospital. Providing nursing care to patients requires critical thinking skills for nurses to be able to achieve various problem-solving and decision-making in care so that the needs and treatment process of patients can be met. Critical thinking in nursing care begins with the assessment to the evaluation of nursing care for patients. However, obstacles in critical thinking in nursing care are still a concern for nurses. This study aims to descriptive of critical thingking in nursing care of nurses. This study is a descriptive survey study with a cross-sectional design. This study involved 69 nurses. This study was conducted in September-December 2019 in Medan. The sample was selected using the purposive sampling method, and data were collected through a questionnaire developed by the researcher related to critical thinking in nursing care. The output of data analysis uses frequency distribution. The results obtained were that the age range of nurses was 20-30 years with female gender, educated as professional nurses, and the longest work period was 1-4 years; the majority of career levels were level I. The critical thinking ability of nurses in the capable category was 92.7%. The majority of nurses have good critical thinking knowledge in nursing care for patients. Nurses who have good nursing care reflect good competence and performance. Nursing managers need to motivate and monitor nurses continuously in nursing care to patients because critical thinking affects the caring behavior of nurses. Nurses who have good critical thinking can improve performance in providing nursing care.

Nursing Care for Avascular Necrosis Patients After Total Hip Replacement Surgery: Case Report

Dudut Tanjung, Nafi Yannis, Edianto Edianto, Dina Afriani — Wed, 01 Jan 2025 00:00:00 +0000

Avascular Necrosis (ANV) is a pathological condition caused by impaired blood supply to the subchondral femur bone, causing necrosis and deformity of bone tissue. This condition causes severe pain, joint stiffness, and impaired physical mobility. Chronic avascular necrosis requires surgery to stabilize physical function. Total Hip Replacement surgery is one of the surgical options to relieve pain and restore joint function in patients with avascular necrosis. Nursing care for ANV patients is very important in managing pain, preventing complications, and promoting recovery. Through comprehensive nursing care, nurses have a significant impact on the physical and emotional health of patients, helping them live healthier and more functional lives. This article aims to implement nursing care for avascular necrosis patients undergoing surgery at Haji Adam Malik General Hospital, Medan. This study is a case report of a 63-year-old patient who had suffered from avascular necrosis for 10 years and underwent Total Hip Replacement surgery. Assessment data were collected through physical examination and supplemented with laboratory and radiology results. The postoperative diagnoses that are the priority in this patient are acute pain, impaired physical mobility, impaired skin integrity, and self-care deficit. Nurses focus on the criteria for treatment outcomes in reducing pain levels, increasing joint range of motion and physical mobility, improving skin integrity, and improving self-care. The intervention results are pain control that allows earlier mobilization and can be a reference for professional nurses in improving the quality of service, especially for avascular necrosis patients undergoing Total Hip Replacement (THR) surgery.