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<![CDATA[HUBUNGAN PENGETAHUAN TENTANG ULKUS DIABETIKUM DENGAN TINDAKAN PENCEGAHAN PADA PENDERITA DIABETES MELITUS ]]>
<![CDATA[Marbun, Agnes Silvina]]>;
<![CDATA[Aryani, Novita]]>;
<![CDATA[Sinurat, Lasma Rina Efrina]]>
<![CDATA[ JURNAL HEALTH REPRODUCTIVE Vol 6 No 2 (2021): Jurnal Health Reproductive ]]>
Publisher : <![CDATA[UNIVERSITAS SARI MUTIARA INDONESIA ]]>
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DOI: 10.51544/jrh.v6i2.2551
<![CDATA[Diabetes Mellitus is a long-term disease characterized by abnormal blood glucose levels. DM can cause several complications, one of which is Diabetic neuropathy which contributes to the occurrence of wounds, causing dry skin, anhidrosis; which makes it easier for the skin to become damaged and wounds that are difficult to heal and can cause infections that contribute to gangrene. To overcome this problem, people with diabetes mellitus must have knowledge about diabetic wounds which include early detection and prevention of diabetic foot wounds. This type of research is analytic with a cross sectional study design with the aim of knowing the relationship between knowledge about diabetic wounds and wound prevention measures in patients with diabetes mellitus at Puskesmas Kenangan. The population in this study were all DM patients who were treated at the Puskesmas Kenangan who had not experienced gangrene complications as many as 25 people with a sample of 25 people, the sample was taken by total sampling. The results of the study. Knowledge of the majority of diabetic wounds was less as many as 15 people (60%) and the majority of wound prevention measures were bad as many as 19 people (76%). The conclusion is that there is a relationship between the knowledge of people with diabetes mellitus about diabetic wounds and wound prevention measures, indicated by the P value = 0.000 (p <0.05), meaning that there is a relationship between the respondent's knowledge and wound prevention measures. To add insight and knowledge about diabetic wounds and how to prevent injuries, it is recommended for DM patients to take part in counseling about diabetic wounds held both at the puskesmas and other health facilities. It is recommended for nurses to provide health education to DM patients in order to increase knowledge about diabetic wounds by attaching posters of wound prevention measures.]]>
<![CDATA[INDEKS MASSA TUBUH DAN KADAR KOLESTEROL DENGAN TEKANAN DARAH DI PUSKESMAS DARUSSALAM ]]>
<![CDATA[Sinurat, Lasma Rina Efrina]]>;
<![CDATA[Marbun, Agnes Silvina]]>;
<![CDATA[Syapitri, Henny]]>
<![CDATA[ Jurnal Online Keperawatan Indonesia Vol 6 No 2 (2023): Jurnal Online Keperawatan Indonesia ]]>
Publisher : <![CDATA[UNIVERSITAS SARI MUTIARA INDONESIA ]]>
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DOI: 10.51544/keperawatan.v6i2.4665
<![CDATA[Hypertension is still one of the highest causes of death in the world. Factors that cause an increase in blood pressure include high blood cholesterol levels. The aim of this study was to determine the relationship between body mass index and total cholesterol levels with blood pressure (BP) in hypertensive patients at the Darussalam Community Health Center. This type of research uses observational analytics with a cross sectional approach. The research population was 90 people and the sample was 47 people using accidental sampling. Data collection tools use medical record data and observation sheets. The results of research on the characteristics of respondents showed that the majority of respondents' BMI was stage 1 obesity (36.2%), cholesterol levels (53.2%), and the majority of patients' systolic BP were stage I hypertension (48.9%), while the majority of patients' diastolic BP was normal. (36.2%). In the Sperm Rank test, a relationship was found between BMI and BP where the p value was 0.001 and the R value was 0.451, meaning there was a moderate correlation where the better the BMI, the more controlled the BP of hypertensive patients. Apart from that, there is also a relationship between total cholesterol levels and BP where the p value is 0.001 and the R value is 0.472, meaning that there is a moderate correlation where the better the cholesterol levels, the more controlled the BP of hypertensive patients. Thus, it is hoped that respondents will control their body weight and total cholesterol levels to avoid an increase in blood pressure in hypertensive patients.]]>
<![CDATA[REBUSAN LIDAH BUAYA TERHADAP KADAR GLUKOSA DARAH PADA PASIEN DIABETES MELITUS TIPE II ]]>
<![CDATA[Syapitri, Henny]]>;
<![CDATA[Marbun, Agnes Silvina]]>;
<![CDATA[Siregar, Laura Mariati]]>;
<![CDATA[Efrina Sinurat, Lasma Rina]]>;
<![CDATA[Berampu, Rani Mukherzi]]>
<![CDATA[ Jurnal Online Keperawatan Indonesia Vol 7 No 1 (2024): Jurnal Online Keperawatan Indonesia ]]>
Publisher : <![CDATA[UNIVERSITAS SARI MUTIARA INDONESIA ]]>
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DOI: 10.51544/keperawatan.v7i1.5322
<![CDATA[Diabetes Mellitus (DM) is a chronic condition characterized by a chronic increase in blood glucose concentration accompanied by various metabolic abnormalities due to hormonal disorders, which causes various chronic complications. Diabetes mellitus is caused by the pancreas failing to produce insulin or insulin resistance occurs. Based on data from the World Health Organization (WHO), DM is a serious threat to human health in the 21st century. The number of DM sufferers reached 422 million people in the world in 2018. Most of these sufferers are in developing countries. This type of research uses a pre-experiment using a one group pretest-posttest design. This study only used one intervention group and there was no comparison (control) group. This research was used to see the effect of giving boiled aloe vera water on blood sugar levels before and after the intervention. The population of this study was all 76 Type II Diabetes Mellitus sufferers who came for treatment at the Pratama Ridho Clinic from January 2024 to July 2024. The sample for this research consisted of 43 respondents. The research method used was the wilcoxon test with a p value (0.05). The research results showed that there was an effect after giving aloe vera decoction at the Pratama Ridho Clinic in 2024 with a value of 0.016.]]>
<![CDATA[Edukasi Kesehatan Dan Praktik Pertolongan Pertama Siswa Yang Mengalami Syncope Pada Siswa Sekolah Dasar ]]>
<![CDATA[Amila, Amila]]>;
<![CDATA[Marbun, Agnes Silvina]]>;
<![CDATA[Sembiring, Evarina]]>
<![CDATA[ KOMUNITA: Jurnal Pengabdian dan Pemberdayaan Masyarakat Vol 2 No 1 (2023): Februari ]]>
Publisher : <![CDATA[PELITA NUSA TENGGARA ]]>
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DOI: 10.60004/komunita.v2i1.42
<![CDATA[Syncope (fainting) is a state of unscioousness in a person. Complete loss of conciousness Syncope (fainting) is a state of unconsciousness in a person. Complete loss of consciousness, in which both the person's hearing, sight and feeling stop completely. Elementary school children are an appropriate period to teach how to perform first aid to someone who has syncope, so that they can provide first aid if they see friends or family experiencing syncope. The purpose of this community service is to improve first aid efforts for students who have fainted with training targets aimed at teachers and students. The activity method is carried out by lectures and training in first aid practices for syncope. Evaluation by giving a questionnaire during the pretest and posttest. The results of this activity showed that the majority of knowledge about first aid who experienced syncope before being given education was lacking as much as 88%. After being given education, the majority of knowledge about first aid who experienced syncope was good as much as 64%. The school hopes that the activities that have been carried out will be sustainable, especially education and training for students and teachers regarding the importance of breakfast and choosing a nutritional menu for students in order to reduce the incidence of fainting.]]>
<![CDATA[PROFILE OF ULCUS DECUBITUS PATIENTS WHICH ARE ON BED REST AT HOSPITAL IN THE CITY OF MEDAN ]]>
<![CDATA[Syapitri, Henny]]>;
<![CDATA[Sinurat, Lasma Rina Efrina]]>;
<![CDATA[Marbun, Agnes Silvina]]>
<![CDATA[ Jurnal Ilmiah Keperawatan Vol 7 No 2 (2024): Jurnal Mutiara Ners ]]>
Publisher : <![CDATA[Program Studi Ners UNIVERSITAS SARI MUTIARA INDONESIA ]]>
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DOI: 10.51544/jmn.v7i2.5214
<![CDATA[A study shows pressure ulcers are a secondary affliction that is experienced by many hospitalized patients, especially the patients with chronic diseases and patients who are very weak. However, the most frequently reported risk factors are older age, stay longer in the ICU, cardiovascular disease history, diabetes and stroke. This study aims to identify the profile of ulcers decubitus sufferers at Adam Malik General Hospital Medan and Hermina General Hospital Medan. The research method uses a quantitative descriptive approach. Data was collected using observation sheets and medical records. Sampling was done by chance with a total of 104 samples. Analysis of the data used is univariate analysis. Based on the results of the study, it wasfound that the average age of decubitus patiens was 55 years. The majority of decubitus patients are female is 55.8%. The patient’s average weight is 77 kg, average height is 161 cm, and the average body mass index is 24.8 (overweight). Based on the ulcer grade the majority is grade 2 with a percentage of 57, the average length of patient stay is 7 days. The diagnoses that led to 104 patients on bed rest varied widely. Most diagnoses were stroke (neurological disease) with a total of 48.1%.]]>
<![CDATA[PENGETAHUAN DAN SIKAP DENGAN TINDAKAN PERAWAT TENTANG PATIENT SAFETY ]]>
<![CDATA[Pardede, Jek Amidos]]>;
<![CDATA[Marbun, Agnes Silvina]]>;
<![CDATA[Zikri, Muhammad]]>
<![CDATA[ Jurnal Keperawatan Priority Vol. 3 No. 2 (2020) ]]>
Publisher : <![CDATA[Universitas Prima Indonesia ]]>
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DOI: 10.34012/jukep.v3i2.953
<![CDATA[Patient Safety is the avoidance, prevention, and repair of unexpected events or overcome injuries from the health care process. Lack of understanding about patient safety can lead to patient safety events due to a lack of knowledge and attitudes of nurses with nurses' actions about patient safety. Knowledge and attitude are needed to improve patient safety and improve the quality of hospital services. This study aims to determine the relationship between nurses' knowledge and attitudes with actions about patient safety in the Datu Beru Takengon Regional General Hospital. The design of this research is the descriptive correlation with the cross-sectional approach. The study population was implementing nurses, amounting to 273 people and the sample in this study amounted to 67 people using Simple Random Sampling sampling techniques. The statistical test used by Spearman-rho. The results obtained there is a relationship of knowledge with the actions of nurses about patient safety where the value (p = 0.033; p <0.05), with a value of r = 0.261 which means that the strength of the relationship is weak and there is a relationship between attitude and nurses' actions about patient safety where the value of p = 0.047; p <0.05 with a value of r = 0.243 which means the strength of the relationship is weak. In conclusion, there is a significant relationship between the knowledge and actions of nurses and there is a significant relationship between attitudes and actions of nurses about patient safety.]]>
<![CDATA[PENATALAKSANAAN DIABETES SELF MANAGEMENT EDUCATION (DSME) PADA PASIEN DIABETES MELITUS TIPE 2 ]]>
<![CDATA[Marbun, Agnes Silvina]]>;
<![CDATA[Siregar, Rinco]]>;
<![CDATA[Martina, Siska Evi]]>;
<![CDATA[Safitri, Salma]]>;
<![CDATA[Ziliwu, Bakhtiar Agus]]>;
<![CDATA[Simanjuntak, Juliana]]>
<![CDATA[ Jurnal Abdimas Mutiara Vol. 2 No. 2 (2021): JURNAL ABDIMAS MUTIARA ]]>
Publisher : <![CDATA[Universitas Sari Mutiara Indonesia ]]>
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<![CDATA[Diabetes mellitus (DM) yang biasa juga disebut dengan penyakit kencing manis dan merupakan penyakit tidak menular, hal ini terjadi oleh karena peningkatan kadar gula dalam darah. Prevalensi angka kejadian DM setiap tahunnya di Indonesia mengalami peningkatan. Hal ini dikarenakan penderita DM yang belum memahami cara mempertahankan dan menjaga kesehatannya, sehingga diperlukan penanganan secara klinis dengan prosedur yang tepat untuk mengurangi risiko multi faktorial hiperglikemia. Dalam hal ini untuk mendukung manajemen diri pasien dalam mempertahakan status kesehatannya dengan cara menerapkan metode Diabetes Self Management Education (DSME). Proses ini dimana penderita DM diberikan pengetahuan tentang pelaksanaan cara yang tepat dalam melakuakn perawatan secara mandiri sehingga dapat mempertahankan kontrol gula darah, mencegah komplikasi, dan meningkatkan kualitas hidup penderita DM. Kegiatan pengabdian masyarakat dihadiri oleh 25 orang peserta. Pemberian edukasi DSME sangat diterima oleh masyarakat dibuktikan dengan peserta sangat antusias mengikuti kegiatan serta mampu menjelaskan semua yang berhubungan dengan DSME.]]>
<![CDATA[PENCEGAHAN RESIKO CEDERA KEPALA ]]>
<![CDATA[Marbun, Agnes Silvina]]>;
<![CDATA[Evi, Siska]]>;
<![CDATA[Bengi, Nanda Simah]]>;
<![CDATA[Telambanua, Swasti]]>;
<![CDATA[Hafizuddin, Hafizuddin]]>
<![CDATA[ Jurnal Abdimas Mutiara Vol. 2 No. 1 (2021): JURNAL ABDIMAS MUTIARA ]]>
Publisher : <![CDATA[Universitas Sari Mutiara Indonesia ]]>
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<![CDATA[Cedera kepala merupakan masalah pada struktur kepala akibat mengalami benturan yang berpotensi menimbulkan gangguan pada fungsi otak. Cedera kepala cenderung mengalami masalah yang komplit karena akan terjadi masalah pada otak dan saraf. Masalah ini dapat berupa luka ringan, memar di kulit kepala, bengkak, perdarahan, patah tulang tengkorak, atau gegar otak. Penyebab kematian atau kecacatan yang dapat terjadi apabila cedera kepala tidak mendapatkan pertolongan yang benar pada saat kegawatdaruratan. Melihat besarnya dampak yang dapat diakibatkan dari cedera kepala perlu adanya pencegahan dan sistem pendukung yang intensif, sehingga diharapkan masalah yang ada dapat teratasi dan komplikasi yang mungkin terjadi dapat dihindari secara dini, serta tindakan pencegahan yang komprehensif. Pencegahan yang dilakukan untuk mengurangi resiko cedera kepala di dalam masyarakat adalah dengan menggunakan alat pengaman saat berolahraga, selalu menggunakan alat keselamatan seperti helm atau pelindung kepala apabila bekerja di lingkungan yang berisiko menimbulkan cedera kepala. Memasang pegangan besi di kamar mandi dan di samping tangga untuk mengurangi risiko terpeleset Memastikan lantai selalu kering dan tidak licin. Memasang penerangan yang baik di seluruh bagian rumah. Memeriksa kondisi mata secara rutin, terutama jika mengalami gejala gangguan penglihatan, seperti buram atau penglihatan berbayang. Pada kegiatan pengabdian masyarakat ini, telah dilakukan penjelasan tentang pencegahan resiko cedera kepala pada 20 orang dan peserta mampu menjelaskan tentang pencegahan resiko cedera kepala.]]>
<![CDATA[PELAKSANAAN EMPAT PILAR PADA PENDERITA DIABETES MELITUS ]]>
<![CDATA[Marbun, Agnes Silvina]]>;
<![CDATA[Brahmana, Netti]]>;
<![CDATA[Parida Sipayung, Normi]]>;
<![CDATA[Sinaga, Ceria]]>;
<![CDATA[Uli Marbun, Kesia Lina]]>;
<![CDATA[Halianja, Rahul]]>
<![CDATA[ Jurnal Abdimas Mutiara Vol. 3 No. 1 (2022): JURNAL ABDIMAS MUTIARA (In Press) ]]>
Publisher : <![CDATA[Universitas Sari Mutiara Indonesia ]]>
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<![CDATA[Diabetes melitus (DM) merupakan suatu kelompok penyakit metabolik dengan karakteristik hiperglikemia yang terjadi karena kelainan sekresi insulin, kerja insulin atau kedua-duanya dan merupakan penyakit menahun yang akan disandang seumur hidup. DM termasuk dalam masalah kesehatan yang belum dapat disembuhkan, hal yang mungkin dapat dilakukan oleh penderita DM adalah mengontrol dan mengendalikan penyakitnya agar dapat mempertahankan kualitas hidup. Hal yang perlu dilakukan pada penderita DM agar tetap hidup sehat yaitu mengetahui pengolahan kadar gula darah melalui pelaksanaan empat pilar. Pengolahan empat pilar yang harus diketahui penderita DM adalah edukasi, nutrisi, aktifitas fisik dan farmakologi. Pilar pertama edukasi yang memiliki peranan penting agar penderita DM mempunyai pengetahuan dan keterampilan sehingga dapat merawat diabetes secara mandiri, pilar kedua perencanaan makan atau diet yaitu makanan seimbang sesuai dengan kebutuhan kalori, pilar ketiga olahraga dengan berolahraga tubuh menggunakan sebagian glukosa darah sehingga dapat menurunkan kadar glukosa darah agar kembali normal, dan pilar yang keempat obat jika diperlukan apabila makanan dan olahraga tidak dapat membuat glukosa darah turun, obat oral diabetes bukan hormon insulin, obat ini membantu penyandang diabetes menggunakan insulinnya sendiri dengan lebih baik dan menurunkan pelepasan glukosa oleh hati sehingga kadar glukosa darah terkontrol. Kegiatan pengabdian masyarakat dilakukan dengan memberikan pendidikan kesehatan tentang pelaksanaan empat pilar pada penderita diabetes melitus dengan peserta sebanyak 20 orang. Diharapkan dapat meningkatkan sikap tentang kepedulian penderita DM terhadap penyakitnya, sehingga penderita DM diharapkan proaktif untuk memelihara dan meningkatkan kesehatannya.]]>
<![CDATA[Senam Kaki Diabetik Terhadap Sirkulasi Darah ]]>
<![CDATA[Marbun, Agnes Silvina]]>;
<![CDATA[Ariyani, Novita]]>;
<![CDATA[Sipayung, Normi Parida]]>;
<![CDATA[Ginting, Azwara Andika]]>;
<![CDATA[Sinaga, Aan Sanita]]>;
<![CDATA[Sinaga, Wina]]>
<![CDATA[ Jurnal Abdimas Mutiara Vol. 3 No. 2 (2022): JURNAL ABDIMAS MUTIARA (IN PRESS) ]]>
Publisher : <![CDATA[Universitas Sari Mutiara Indonesia ]]>
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<![CDATA[Senam kaki diabetik dapat membantu memperbaiki peredaran darah yang terganggu dan memperkuat otot-otot kecil kaki pada pasien diabetes dengan neuropati. Selain itu dapat memperkuat otot betis dan otot paha, mengatasi keterbatasan gerak sendi dan mencegah terjadinya deformitas. Keterbatasan jumlah insulin pada penderita diabetes melitus mengakibatkan kadar gula dalam darah meningkat hal ini menyebabkan rusaknya pembuluh darah, saraf dan struktur internal lainya. Sehingga pasokan darah ke kaki semakin terhambat, akibatnya pasien diabetes melitus akan mengalami gangguan sirkulasi darah pada kakinya. Pada kegiatan pengabdian masyarakat ini, telah dilakukan senam kaki diabetik pada 19 orang dan hasil menunjukkan bahwa sebelum dilakukan senam kaki memiliki nilai rata-rata sirkulasi darah kaki 2,16 dengan nilai (SD sama dengan 0,602), dan setelah dilakukan senam kaki nilai rata-rata sirkulasi darah kaki meningkat menjadi 2,68 (SD sama dengan 0,478). Berdasarkan uji wilxocon sign rank test dengan taraf kesalahan alpha = 0,05 diperoleh nilai sirkulasi darah kaki p sama dengan 0,002 (p < alpha). Saran untuk praktek keperawatan diharapkan perawat hendaknya membuat prosedur tetap senam kaki diabetik dan sebaiknya menggunakan alat yang lebih akurat untuk mengukur sirkulasi darah kaki seperti Dopller HI-doop.]]>
