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HUBUNGAN SELF CARE DENGAN KONSEP DIRI PASIEN GAGAL GINJAL KRONIK DI UNIT HEMODIALISA RS ROYAL PRIMA MEDAN Laia, Sekawan; Daya, Saprianto; Nehe, Sona Kristian; Zurni, nn; Sunarti, nn
JURNAL KEPERAWATAN Vol 9, No 2 (2019): Juli 2019
Publisher : STIKES Hang Tuah Tanjungpinang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (254.093 KB)

Abstract

Chronic kidney failure or Chronic Kidney Disease (CKD) is an irreversible progressive decline in kidney function, so the kidneys are unable to maintain the metabolic balance, fluid, and electrolytes that cause changes in uremia. Cronic kidney disease was also a spectrum of process of different pathopysiology and related to kidney disfunction a progressive decrease in glomerular filtration rate. This study aims to determine the relationship between self-consept of self care patient and chronic renal failure at hemodialysis unit in the Royal Prima Hospital in 2019. This study used cross sectional design. The population was 99 respondents and the study sample was 30 respondents. Sampling in this study is accidental sampling. The data is processed based on the Chi-square statistical test. Based on the results of this study, there was a relationship between self care and the self-concept of patients with chronic renal failure in the hemodialysis unit of Royal Prima Medan Hospital in 2019, where X2 counted: 5.662 with a p value: 0.017 <0.05. The conclusion is that there is a relationship between self care and the self-concept of patients with chronic kidney failure in the hemodialysis unit of the Royal Prima Medan Hospital in 2019 ABSTRAKGagal ginjal kronik atau Chronic Kidney Disease (CKD) merupakan penurunan fungsi ginjal progresif yang irreversible, sehingga ginjal tidak mampu mempertahankan keseimbangan metabolik, cairan, dan elektrolit yang menyebabkan terjadinya uremia. Penyakit ginjal kronik juga adalah suatu spektrum proses-proses patofisiologi yang berbeda-beda serta berkaitan kelainan fungsi ginjal dan penurunan progresif laju filtrasi glomerulus. Penelitian ini bertujuan untuk mengetahui hubungan self care dengan konsep diri pasien gagal ginjal kronik di unit hemodialisa RS Royal Prima Medan Tahun 2019. Penelitian ini menggunakan desain Cross Sectoinal. Populasi sebanyak 99 responden dan sampel penelitian sebanyak 30 responden. Pengambilan sampel dalam penelitian ini adalah accidental sampling. Data yang diolah berdasarkan uji statistic Chi-square. Berdasarkan hasil penelitian ini menunjukan adanya hubungan self care dengan konsep diri pasien gagal ginjal kronik di unit hemodialisa RS Royal Prima Medan Tahun 2019, dimana X2 hitung : 5.662 dengan nilai p : 0,017 < 0,05. Kesimpulan adalah ada hubungan self care dengan konsep diri pasien gagal ginjal kronik di unit hemodialisa RS Royal Prima Medan Tahun 2019.
PENINGKATAN KUALITAS HIDUP PENDERITA GAGAL GINJAL KRONIK YANG MENJALANI TERAPI HEMODIALISA MELALUI MIND BODY INTERVENTION DI UNIT HEMODIALISA RSU ROYAL PRIMA MEDAN TAHUN 2019 Sitorus, Frisnayanti; Sunarti, Sunarti; Buulolo, Fanolonama; Manao, Lukmadil Dakhi Rafael Rianto; Harita, Sanohu Saro
Jurnal Ilmiah PANNMED (Pharmacist, Analyst, Nurse, Nutrition, Midwivery, Environment, Dentist) Vol 13 No 3 (2019): Jurnal Ilmiah PANNMED Periode Januari-April 2019
Publisher : Poltekkes Kemenkes Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (108.979 KB) | DOI: 10.36911/pannmed.v13i3.587

Abstract

Chronic kidney failure is a terminal disease, it can be characterized by a decrease in glomerular filtrationrate and accompanied by urine sediment abnormalities, so patients must undergo renal replacementtherapy such as dialysis (hemodialysis. People with chronic renal failure should undergo lifelonghemodialysis therapy resulting in decreased CRF quality of life, then a complementary treatment was used,namely mind body intervention through prayer spiritual healing therapy to improve health status.The aimof this study was to analyze the improvement in quality of life of patients with chronic renal failureundergoing hemodialysis therapy through mind body intervention. one-group pre post test design, thenumber of samples was 20 respondents using purposive sampling technique.The results showed that therewas an increase in the quality of life of GGK patients through mind body intervention with value of p value=0,000 through the Wilcoxon rank test. Based on the results of the research obtained, it is expected thatpatients with CRF can make mind body intervention as non-pharmacological management to improvequality of life.
DAYA HAMBAT DAUN MANUKAN (Rhinacanthus nasutus (L) Kurz) TERHADAP BAKTERI STAPHYLOCOCCUS AUREUS SECARA IN VITRO Sunarti Sunarti; Debora Paninsari
BIOLINK (Jurnal Biologi Lingkungan Industri Kesehatan) Vol 6, No 2 (2020): Februari
Publisher : Universitas Medan Area

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31289/biolink.v6i2.2731

Abstract

The use of antimicrobial such as antibiotics  against infectious diseases with no control is quite common in Indonesia. This leads to increase morbidity and incidence of drug resistance. Staphylococcus aureus is a pathogenic bacteria, particularly infects the skin. The resistance it difficult to determine which antimicrobials were suitable for therapy. Manukan leaves have an active substance Rhinacanthin can be used as an anti-bacterial. The aim of this study was to determine the inhibition of ethanol extract of manukan leaves (Rhinacanthus nasutus (L) Kurz) against gram-positive bacteria (Staphylococcus aureus) in vitro with the extract concentration of 15,  30, and 60% as a control. This study was a true experiment through the in vitro test with the Kirby Bauer method. The results showed that the average diameter of the inhibition zone was at an extract concentration of 15, 30, and 60% are 9.97 mm, 10.95mm, and 13.18 mm. The Kruskal-Wallis test results showed a significant difference between the four treatment groups (p= 0.010). The Mann-Whitney test showed significant differences in the inhibition zone between control and  treatment at 15, 30 and 60% (p= 0.037). In conclusion leave ethanol extract of manukan has antimicrobial activitiy in inhibiting staphylococcus aureus.
Rebusan Daun Kelor Berpengaruh terhadap Tekanan Darah Penderita Hipertensi Destini Zebua; Sunarti Sunarti; Andriani Harahap; Fitria Ningsih; Ardedi Putra H.I.J Zalukhu; Masrini Masrini
Jurnal Penelitian Perawat Profesional Vol 3 No 2 (2021): Mei 2021, Jurnal Penelitian Perawat Profesional
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jppp.v3i2.470

Abstract

Hipertensi adalah peningkatan tekanan darah yang di tunjukan nilai sistolik dan diastolik diatas normal, upaya penanggulangan hipertensi dapat dapat dilakukan secara non-farmakologis seperti menggunakan rebusan daun kelor yang mudah ditemukan di daerah beriklim tropis seperti Indonesia tanaman ini berperan sebagai anti kolesterol, anti bakteri, anti radang, anti tumor, menurunkan kadar gula, serta menurunkan tekanan darah. Tujuan penelitian ini adalah Untuk mengetahui pengaruh rebusan daun kelor terhadap tekanan darah penderita hipertensi. Jenis penelitian menngunakan metode pre-experimental untuk melihat nilai tekanan darah sebelum dan sesudah intervensi. Lokasi penelitian dilakukan di Panti Jompo Guna Budi Bakti Medan yang direncanakan pada bulan Januari 2021. Jumlah populasi 25 orang dan jumlah sampel 25 orang dengan teknik pengambilan sampel yaitu total sampling. Hasil penelitian dengan uji Wilcoxon dengan nilai p = 0,000 < 0,05 artinya ada pengaruh rebusan daun kelor terhadap penurunan tekanan darah.
EKSTRAK RIMPANG KUNYIT (Curcuma longa Linn) MENURUNKAN PENYAKIT PERLEMAKAN HATI NON-ALKOHOLIK Karmila Kaban; sunarti sunarti
BIOLINK (Jurnal Biologi Lingkungan Industri Kesehatan) Vol 5, No 2 (2019): Februari
Publisher : Universitas Medan Area

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31289/biolink.v5i2.1800

Abstract

The use of recycled frying oil or deep frying oil (DFO) lead to increase in free fatty acid, trans fatty acid and free radical compound. It can cause non-alcoholic fatty liver disease (NAFLD). a chronic liver disease cause the risk for cirrhosis and heart cancer. However, there is no medicine for preventing the disease. The present study was conducted to investigate the turmeric reduces steatosis hepatocyte of male Wistar rat NAFLD model. The study used experimental randomize post-test only control group design. The 24 samples consist of four treatment groups. Group I (control): normal diet + DFO (10 μl/g/day on 6 times heating), Group II, III and IV: normal diet + DFO (10 μl/g/day on 6 times heating)+ turmeric Extract (100, 200, and 400 mg/kg/day) by given for 30 days through oral induction. The results of Kruskal-Wallis test showed a significant difference between the four treatment groups (P= 0.019) .The results of Mann-Whitney test showed significant difference in steatosis hepatocyte between the control group (P1) and treatment group(P3) the dose of 200 mg/kg BW. This suggests that a dose of 200 mg/kg BW is an effective dose in decreasing hepatocyte steatosis.
NARATIVE REVIEW: POTENSI INULIN UMBI DAHLIA SEBAGAI ANTI DIABETES Sunarti Sunarti; Chrismis Novalinda Ginting; Sahna Ferdinand Ginting
Jurnal Keperawatan Priority Vol. 5 No. 1 (2022)
Publisher : Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jukep.v5i1.2134

Abstract

Inulin is a type of polysaccharide that is commonly found in nature derived from the dahlia tuber plant, and other plants such as chicory, Jerusalem artichoke, Yaco´n potato and asparagus. Inulin is widely used in industry and pharmaceuticals. In the industrial world, inulin is used as a source of natural sweetener, enhances the taste of food, ferments, and is a low-fiber food source. While in the pharmaceutical world, inulin can be used in several studies, one of which is as an anti-diabetic. This study aims to determine the potential of dahlia tuber inulin as an anti-diabetic. The type of research is a narrative review. Search data using three databases, namely Elsevier (SCOPUS), Pubmed and Google Scholar with a limitation of the last 10 years of articles with the keyword "inulin for diabetes", with the PRISMA method. The results showed that inulin works on glucose absorption in the intestine, lowers blood sugar levels, lowers hemoglobin A1c, increases circulating GLP-1, reduces hyperglycemia, reduces insulin resistance (IR) and hyperlipidemia, reduces oxidative stress, increases insulin and leptin levels, facilitates glucose transport of GLUT4 by activating the PI3K/Akt pathway, is anti-inflammatory, and is involved in the expression of several anti-hyperglycemic genes. The conclusion is that dahlia tuber inulin has an anti-diabetic effect.
PENGARUH TERAPI MASSAGE PUNGGUNG TERHADAP PENINGKATAN KUALITAS TIDUR PADA LANSIA DI PANTI JOMPO YAYASAN GUNA BUDI BAKTI MEDAN TAHUN 2020 Hajrah Ainun; Gregorius Benard Ndruru; Krisna Yuliriska Baeha; Sunarti
Jurnal Ilmiah Keperawatan IMELDA Vol. 6 No. 2 (2020): Jurnal Ilmiah Keperawatan IMELDA
Publisher : Program Studi S1/DIII-Keperawatan Universitas Imelda Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jikeperawatan.v6i2.388

Abstract

Tidur merupakan suatu kegiatan otak secara relatif tanpa sadar dapat menimbulkan situasi yang penuh dengan ketenangan dan tanpa adanya kegiatan sehingga terjadinya urutan siklus berulang-ulang dan memiliki fase yang berbeda- beda, tidur juga memiliki dua tahapan yaitu nonrapid eye movement (NREM) dan rapid eye movement (REM), kualitas tidur yang efektif kurang lebih 6 jam perhari. Kualitas tidur merupakan suatu pertahanan maupun kemampuan seseorang untuk memepertahankan kondisi tidurnya agar mempunyai kualitas kebutuhan tidur yang dapat disesuaikan dengan tidur yang diperlukan. Pada lansia umumnya memiliki kualitas tidur sudah menurun, maka digunakan pengobatan komplementer yaitu massage punggung untuk meningkatkan derajat kesehatan yaitu meningkatkan kualitas tidur. Tujuan penelitian ini untuk menganalisis peningkatan kualitas tidur lansia yang mengalami insomnia atau kesulitan tidur di Panti Jompo Yayasan Guna Budi Bakti Medan Tahun 2020, jenis penelitian adalah pre-eksperiment dengan rancangan one group pretest-posttest design, jumlah sampel sebanyak 20 responden dengan menggunakan teknik non- probability sampling yaitu teknik purposive sampling. Hasil penelitian menunjukkan bahwa da peningkatan kualitas tidur atau menurunnya tingkat insomnia pada lansia melalui massage punggung dengan nilai p value = 0,000 melalui uji wilcoxon rank test. Berdasarkan hasil penelitian, diharapkan lansia yang mengalami insomnia dapat menjadikan massage punggung sebagai penatalaksanaan non farmakologi untuk meningkatkan kualitas tidur.
Pengalaman dan Motivasi Berhubungan dengan Tingkat Kinerja Perawat selama Masa Pandemi Covid-19 Maisarah Siahaan; Popi Marlina Waruwu; Epi Yanto Laila; Herna Erly Yanti Lase; Sunarti Sunarti
Jurnal Penelitian Perawat Profesional Vol 4 No 3 (2022): Agustus 2022, Jurnal Penelitian Perawat Profesional
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jppp.v4i3.971

Abstract

Covid-19 ialah penyakit dimana mengganggu sistem pernapasan pada manusia yang baru dikenal masyarakat, dan menghebohkan dunia karena banyak menimbulkan kematian. Dampak dari Covid-19 terutama bagi masyarakat tanpa terkecuali, para petugas medis khususnya para perawat. Tuntutan kerja perawat terus naik sebab lonjakan orang teinfeksi virus Covid-19. Tujuan penelitian agar tau pengalaman perawat terhadap kinerja dan motivasi terhadap tingkat kinerja perawat selama masa pendemi Covid-19. Jenis penelitian kuantitatif menggunakan desain penelitian analitik kolerasi serta memakai pendekatan cross sectional study. Lokasi penelitian ini dilaksanakan di RSU. Royal Prima Medan dimana dilaksanakan bulan Maret 2022. Jumlah populasi 44 orang serta sampel 44 orang. Teknik pengumpulan data ialah lembar kuesioner. Hasl penelitian ini menjelaskan terdapat korelasi dari pengalaman serta kinerja perawat p=0,032 dan nilai (OR)=1.833 dan terdapat hubungan antara motivasi serta kinerja perawat nilai p =0,025 serta nilai (OR)=2, 636. Kesimpulan dalam penelitian ialah terdapat hubungan dimana baik antara pengalaman, motivasi serta kinerja perawat.
Efektivitas Active Assistive Range of Motion (Aarom) terhadap Kekuatan Otot Ektremitas Atas pada Pasien Stroke Non Hemoragik Muhammad Arman Azizi; Magdalena Christy Yolanda Manik; Natania Filiska Hulu; Okviyanti Telaumbanua; Sunarti Sunarti
Jurnal Penelitian Perawat Profesional Vol 4 No 3 (2022): Agustus 2022, Jurnal Penelitian Perawat Profesional
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jppp.v4i3.1003

Abstract

Stroke terbagi menjadi dua jenis yaitu stroke non hemoragik atau iskemik dan stroke hemoragik. Stroke non hemoragik terjadi Ketika gumpalan darah ataupun partikel lain menghalangi pembuluh darah ke otak, Sebagian besar stroke (87%) adalah stroke non hemoragik. Stroke biasanya diderita oleh pasien dengan kelompok umur 55-64 tahun, 65-74 tahun, dan 75 tahun keatas. Pasien dengan penyakit stroke mengalami banyak gangguan yang terutama merupakan gangguan mobilitas, pasien sulit berjalan sebab mengalami gangguan pada kekuatan otot serta kemampuan tubuh buat menjaga keseimbangan. Latihan terapi merupakan satu dari beberapa cara untuk mempercepat pasien sembuh dari cedera dan penyakit stroke. Studi kasus ini bertujuan untuk memberikan terapi olahraga pada pasien stroke non hemoragik. Penelitian ini merupakan penelitian kuantitatif dengan menggunakan bentuk desain penelitian pre eksperimental dan menggunakan one group pretest-posttest pada desain yang dimana kelompok subjek atau responden diobservasi terlebih dahulu sebelum dilakukan intervensi. Responden diberikan latihan selama 6 hari. Pengaruh efektivitas latihan AAROM dapat dilihat dari hasil uji wilcoxon yang dimana diperoleh nilai -value .002 kecil nilainya daripada 0.05 yang dimana Ho ditolak dan Ha diterima. Pengaruh latihan AAROM terhadap pasien stroke non hemoragik pada kekuatan otot ekstremitas atas mengalami adanya peningkatan kekuatan motoric otot ekstremitas atas.
Effect of Nurse Therapeutic Communication on Patient Satisfaction Mahyana Mahyana; Efridariani Sari Gulo; Erwasan Laia; Reli Sugianto; Sunarti Sunarti
Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Vol 10 No 3 (2020): Juli 2020
Publisher : LPPM STIKES KENDAL

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Therapeutic communication is important for nurses in nursing care. Good communication can foster trust between nurses and patients and can increase patient satisfaction and quality of care. The purpose of this study was to determine the effect of therapeutic communication on patient satisfaction. Correlation research with cross-sectional design. The sample consisted of 65 patients. Therapeutic communication questionnaire instrument and patient satisfaction with the validity 0,80 and 0,87 dand reliability test with cronbachapha 0,79 and 0,86. Data analysis using Pearson correlation. The results were obtained for the effect of therapeutic communication on patient satisfaction p = 0.00 (p <0.05).