Merdawati, Leni
Andalas University

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Self-Care Behaviour Practices and Associated Factors Among Adult Hypertensive Patient in Padang Reni Prima Gusty; Leni Merdawati
Jurnal Keperawatan Vol. 11 No. 1 (2020): Januari
Publisher : University of Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (311.208 KB) | DOI: 10.22219/jk.v11i1.10281

Abstract

Introduction: Hypertension self-care practice is essential for blood pressure control and reduction of hypertension complications. An Assessment of an individual hypertension self-care behavior may provide clinicians and practitioners with important information regarding how to control hypertension. Objective: The purpose of this study was to assess Hypertension self-care practice and associated factors among patients in public health facilities in Padang. Method: In this cross-sectional study design with proportional random sampling. 260 hypertensive patients. Self-care activities were measured using hypertension self-care activity level effects (H-Scale). Results: The mean age was 60 years old, women (65.8%), unemployed (88.1%), senior high school (47.7%), duration had hypertension for 5-10 years (49.6%). 67.3% normal body mass index, 83.5% nonsmoking, 72.3% had’ not central obesity. There were four components of self-care that had a low level. They were physical activity adherence, using a low salt diet, weight management, and medication adherence. 100% abstinence from alcohol, 73.8% nonsmoking. The results of Chi-square indicated that BMI (p=0.002), central obesity (p = 0,000) were  significantly associated with treatment adherence; there were also a significant association between education (p=0.005), BMI (p=0.002) and central obesity (p=0,000) with diet adherence; the age (p = 0.008), education (p = 0.014) and central obesity (p = 0,000) with adherence to physical activity; sex (p = 0,000), work (p=0,000) and education (p=0.025) with nonsmoking. Discussion: It is crucial to implement a well- designed program to improve hypertension self-care behaviors.
Adaptation of Patient's Colorectal Cancer to Stoma in Padang City Fira Firdausia; Avit Suchitra; Leni Merdawati
Jurnal Keperawatan Vol. 12 No. 2 (2021): July
Publisher : University of Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (326.766 KB) | DOI: 10.22219/jk.v12i2.15241

Abstract

Introduction: Colorectal cancer patients have a variety of impacts after the colostomy such as skin irritation, problems with odors, and fears of pouch leaks that will affect daily life. Patients must be able to adapt to new situations due to ostomy so that they can undergo daily activities as usual. This study aims to explore the experience of colorectal cancer patients' adaptation to the ostomy. Materials and Methods: Research was conducted with a qualitative design grounded theory approach with semi-structured interviews on six participants (one man and five women) who were taken purposively with criteria to have an ostomy for more than 4 months at the General Hospital in Padang. After the data is collected, then the data were analyzed using grounded theory by doing open coding, axial coding, and selective coding and determining the core categories. Results: The research obtained the core category of patient’s adaptation to ostomy based on Roy's adaptation theory with two selective codings, among others, the impact of ostomy as a stimulus in patients and coping mechanisms carried out including social support from family, friends, health workers, and ostomates who help patients overcome psychosocial impacts. Conclusion: This study shows the process of ostomate adaptation to the impact of ostomy with various strategies as well as the presence of social support.
SELF-AWARENESS PADA KELUARGA RESIKO TINGGI DIABETES MELLITUS DI TAMPAT DURIAN KURANJI : STUDI KASUS Leni Lelen Rozani; Hema Malini; Leni Merdawati
Jurnal Kesehatan Mesencephalon Vol 5, No 2 (2019): Jurnal Kesehatan Mesencephalon - Oktober 2019
Publisher : Sekolah Tinggi Ilmu Kesehatan Kepanjen

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (226.199 KB) | DOI: 10.36053/mesencephalon.v5i2.117

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Abstract : Type 2 Diabetes Mellitus disease is a disease with the greatest number of sufferers of all kinds of Diabetes Mellitus. Diabetes Mellitus disease can be prevented by modifying lifestyle. This study explores self-awareness of a group of high risk of Diabetes Mellitus. This case study uses descriptive qualitative research methods. Data were obtained by interviewing three participants who were at high risk and had family histories suffer from Diabetes Mellitus. The results of the interviews were analyzed using the Corbin and Strauss method where there were three stages of analysis, open coding, axial coding and selective coding. The results showed, a pattern that similar to all participants which is knowledge, attitudes and behaviors of Diabetes Mellitus that were not good in the community. The result reviewed using Johari Window theory. The lack of self-awareness of high risk Diabetes Mellitus community is because they are individuals who are in the  hidden area. This individuals are difficult to care, share, open or accept the opinions of others. They solve problems based on their own thoughts and desires, therefore only themselves know about their health problems.Keywords : Diabetes Mellitus type 2, High risk of Diabetes Mellitus,Self-Awareness,Risk Factors,Case Study Abstrak : Penyakit Diabetes Mellitus tipe 2 merupakan penyakit dengan jumlah penderita terbayak dari semua Diabetes Mellitus. Penyakit Diabetes Mellitus tipe 2 ini dapat dicegah dengan melakukan modifikasi gaya dan pola hidup. Penelitian ini bertujuan mengeksplorasi self-awareness kelompok resiko tinggi Diabetes Mellitus. Penelitian ini menggunakan metode penelitian kualitatif deskriptif dengan pendekatan studi kasus. Data didapatkan dengan mewawancarai tiga orang partisipan yang beresiko tinggi dan mempunyai riwayat keluarga dengan penyakit Diabetes Mellitus. Hasil wawancara dianalisis dengan menggunakan metode Corbin dan Strauss dimana analisis ini ada tiga tahap yaitu open coding, axial coding dan selective coding. Hasil penelitian menunjukkan, terdapat sebuah pola yang sama dari semua partisipan resiko tinggi yaitu kurangnya pengetahuan, sikap dan perilaku pencegahan Diabetes Mellitus yang belum baik dimasyarakat. Kurangnya self-awareness masyarakat resiko tinggi Diabetes Mellitus disebabkan oleh partisipan resiko tinggi merupakan individu-individu dengan hidden area. Individu-individu ini sulit untuk peduli, berbagi, terbuka atau menerima masukan orang lain. Mereka menyelesaikan masalah berdasarkan pemikiran dan sesuai kehendaknya sendiri, oleh karenanya hanya diri mereka sendiri yang mengetahui masalah kesehatannya.Kata kunci :  Diabetes Mellitus tipe-2, Resiko tinggi Diabetes Mellitus,Self-Awareness
Gambaran Keakuratan Dokumentasi Asuhan Keperawatan Marisih Damanik; Rahmi Fahmy; Leni Merdawati
Jurnal Kesehatan Andalas Vol 8, No 4 (2019): Online December 2019
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v8i4.1131

Abstract

AbstrakDokumentasi asuhan keperawatan harus dilakukan dengan lengkap dan akurat karena merupakan pertahanan diri perawat terhadap tuntutan juga sebagai bukti bahwa asuhan keperawatan benar telah dilakukan. Tujuan: Mengidentifikasi keakuratan dokumentasi asuhan keperawatan di Instalasi Rawat Inap salah satu rumah sakit di Sumatera Barat. Metode: Desain penelitian ini adalah deskriptif kuantitatif dengan observasi terhadap dokumen rekam medis. Sampel adalah 305 dokumen dengan teknik proportional random sampling. Instrumen yang digunakan adalah D-Cath Instrument. Hasil: Keakuratan pengkajian keperawatan sebagian lengkap (76,7%), keakuratan diagnosis keperawatan hanya mengandung masalah keperawatan saja (957%), keakuratan intervensi keperawatan tidak ada tindakan/aktifitas keperawatan (81,3%), keakuratan catatan perkembangan dan evaluasi sebagian lengkap (63,9%) dan legibility/keterbacaan kualitas baik (69,2%). Simpulan: Keakuratan dokumentasi asuhan keperawatan masih kurang, untuk itu masih perlu ditingkatkan lagi melalui pelatihan. 
Hubungan Pengetahuan Plebitis dengan Keterampilan Tenaga Kesehatan dalam Menerapkan Problem Solving for Better Health pada Plebitis di Rumah Sakit X Yuhelma Yuhelma; Yulastri Arif; Leni Merdawati
Jurnal Kesehatan Andalas Vol 8, No 4 (2019): Online December 2019
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v8i4.1145

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AbstrakProblem Solving for Better Health (PSBH) diterapkan di Rumah Sakit X (RS X) untuk mengatasi masalah plebitis di ruang IGD, ruang Interne, dan ruang Paru-Syaraf sebagai ruang pilot project. Penerapan PSBH belum optimal, karena masih ada tenaga kesehatan yang tidak mampu menghasilkan Plan of Action (PoA) untuk mengatasi masalah phlebitis. Ada juga yang sudah menghasilkan PoA, namun belum maksimal dalam implementasinya. Kondisi seperti ini mengakibatkan belum ada penurunan angka plebitis secara signifikan. Tujuan: Menentukan hubungan pengetahuan plebitis dengan keterampilan tenaga kesehatan dalam menerapkan PSBH pada plebitis. Metode: Desain penelitian ini adalah analitik dengan pendekatan cross sectional. Jumlah sampel yang digunakan sebanyak 31 orang dengan teknik purposive sampling. Uji statistik menggunakan Chi-square test. Hasil: Karakteristik tenaga kesehatan di RS X hampir keseluruhan berusia dewasa 83,3%, sebagian besar perempuan 74,2%, berpendidikan profesional 61,3%, dan lama kerja ≥5 tahun 74,2%, ada hubungan yang bermakna antara pengetahuan phlebitis dengan keterampilan PSBH pada plebitis dengan nilai p< 0,05. Simpulan: ada hubungan yang signifikan antara pengetahuan plebitis dengan keterampilan tenaga kesehatan dalam menerapkan PSBH pada plebitis. 
KNOWLEDGE, ATTITUDES AND PRACTICES RELATED TO PREVENTING THE TRANSMISSION OF COVID 19 AMONG SOCIAL MEDIA USERS IN INDONESIA Boby Febri Krisdianto; Leni Merdawati; Mulyanti Roberto Muliantino; Hema Malini; Feri Fernandes; Hastoro Dwinantoaji; Januar Ramadhan; Taufik Febriyanto; Pardomuan Robinson Sihombing
UNEJ e-Proceeding 2020: Proceeding of The 4th International AgroNursing Conference
Publisher : UPT Penerbitan Universitas Jember

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

Abstract

Background: Several countries have implemented health protocols in order to prevent the spread of covid-19. One of the promotional media used by the government is social media. The effectiveness of this prevention is very much dependent on community cooperation. Knowledge, attitudes and practices of the community in preventing Covid 19 have an important role in the new normal era. Purpose The purpose of this study is to describe the trust of the Indonesian people to information on the prevention of Covid 19 on social media and public knowledge, attitudes and practices regarding prevention of the spread of COVID-19. Methods This research is a cross sectional online survey. The survey instrument consisted of respondent characteristics consisting of 5 demographic characteristics items and 5 social media use characteristics items, 13 items of trust in social media, 18 items of knowledge, 6 items of attitude and 12 items of practice. The research, which was conducted from 1 September 2020 to 25 September 2020, received 1129 responses. The questionnaire items were modified from the published paper. This research was tested statistically descriptively. Results: Most of the Indonesian people have high trust in Covid 19 prevention information on social media (mean 2.56 and standard deviation 0.55), good knowledge (mean 2.78 with standard deviation 0.60), good affective (mean 2.58 with standard deviation 0.70), good practices (mean 2.42 with a standard deviation of 0.70) regarding Covid-19 prevention. The social media trend chosen by the Indonesian people is Instagram (33.2%) Conclusion. The findings reported in this study are important because they are useful for increasing awareness of institutional and government leaders about the trust in information on social media, knowledge, attitudes, and practices of the prevention of COVID-19 in the Indonesian community. Keywords: Social media; Trustworthiness; COVID-19; Knowledge; Attitude; Practice
Pengaruh Latihan Yoga Terhadap Kadar Gula Darah Pasien Diabetes Melitus Tipe 2 Leni Merdawati; Reni Primagusty; Esi Afriyanti; Rika Fatmadona
Ners Jurnal Keperawatan Vol 14, No 1 (2018)
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (591.862 KB) | DOI: 10.25077/njk.14.1.19-30.2018

Abstract

Federasi Diabetes Internasional menyatakan bahwa lebih dari 371 juta orang di dunia yang berusia 20-79 tahun menderita diabetes melitus (DM). Sementara Indonesia adalah negara ke-7 dengan prevalensi diabetes tertinggi di dunia. Diabetes mellitus telah menjadi epidemi yang meluas, terutama karena meningkatnya prevalensi dan kejadian diabetes tipe 2. Diabetes melitus dapat meningkatkan morbiditas dan mortalitas yang terkait dengan penyakit kardiovaskular, kebutaan, gangguan ginjal, gangguan neurologis dan amputasi. Aktivitas fisik seperti yoga adalah salah satu elemen kunci dalam pencegahan dan manajemen diabetes tipe 2, Tujuan dari penelitian ini adalah untuk mengidentifikasi efektivitas latihan Yoga pada penurunan kadar gula darah pada pasien DM Tipe 2. Penelitian ini menggunakan pendekatan eksperimental dengan desain pre dan post test kelompok yang tidak sebanding. Subyek penelitian terdiri dari 40 pasien sebagai kelompok eksperimen dan 40 pasien sebagai kelompok kontrol. Semua pasien dalam kelompok eksperimen dipandu oleh ahli yoga untuk latihan reguler dengan pengawasan selama 3 hari. Hasil penelitian menunjukkan rata-rata kadar glukosa darah pada kelompok eksperimen adalah 217,05 mg / dl dengan standar deviasi 56,735 mg / dl, sedangkan pada kelompok kontrol adalah 256,85 mg / dl dengan deviasi standart 34,04 mg / dl. Ada perbedaan glukosa darah yang sangat signifikan antara kelompok eksperimen dan kelompok kontrol (p = 0,000). Latihan yoga efektif dalam mengurangi kadar glukosa darah pada pasien DM tipe 2 dan disarankan sebagai salah satu pengobatan untuk perawatan promotif.