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EFEKTIVITAS PERAN PERAWAT TERHADAP PELAKSANAAN PROMKES PADA PENDERITA HIPERTENSI DI WILAYAH KERJA PUSKESMAS TANDANG BUHIT KECAMATAN BALIGE KABUPATEN TOBA SAMOSIR TAHUN 2017
Tiarnida Nababan
Jurnal Keperawatan Priority Vol. 1 No. 1 (2018)
Publisher : Universitas Prima Indonesia
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Health promotion can affect a person in having knowledge and motivation about health sciences, including healthy and regular way of life. The role of nurse who have obtained information or knowledge through health education can also have positive values, attitudes and motivations in implementing matters relating to the maintenance, rescue and treatment of hypertensive disease. The purpose of this study was to determine the effectiveness of the role of nurses in conducting health promotion on the people with hypertension in the work area of Tandang Buhit Health Unit of Balige District, Toba Samosir Regeancy in 2017. This type of research is an analytic survey with cross sectional design. The population in this research is all patients hypertension in Puskesmas Tandang Buhit Unit of Balige District as many as 42 people. The sampling technique in this research is determined by total sampling technique as many 42 people. The result of chi square test based on the degree of significance was (α) = 0,05 and df = 1 and the calculation result showed that X2 count 9,732 > X2 table 3,841. It can be conclude Ho was rejected. Ha was accepted. The conclusion from the research stated that there is a correlation between mother’s knowledge that the relation of effectiveness of the role of nurses in conducting health promotion on the people with hypertension in the work area of Tandang Buhit Health Unit of Balige District, Toba Samosir Regeancy in 2017. It is expected for nurse to apply education to hypertension patients with better so symptom and prevention of hypertension event can applied properly.
HUBUNGAN PENGETAHUAN IBU TENTANG DETEKSI DINI KANKER SERVIKS DENGAN PEMERIKSAAN PAP SMEAR DIPOLI OBGYN RSUP.H. ADAM MALIK MEDAN
Tiarnida Nababan
Jurnal Keperawatan Priority Vol. 1 No. 2 (2018)
Publisher : Universitas Prima Indonesia
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Cervical cancer is one of the main causes of cancer death in women around the world today. Among gynecologic malignant tumors, cancer of the uterine cervix is still ranked first in Indonesia and is a cause of death for Indonesian women. Cervical cancer is caused by infection with the HPV virus (Human Pappiloma Virus). The onset of this cancer occurs because most women do not want to do an early detection check with pap smears. Women do not want to be examined because of ignorance, fear, shame and economic factors. This is generally due to the low level of knowledge of the Indonesian population who do not understand the importance of pap smears. Pap smear examination is an attempt to take fluid from the vagina to see cell abnormalities around the cervix. Through pap smear examination, the precancerous stage until the cancer can be detected so as to allow treatment quickly and precisely. This study aims to determine the relationship of maternal knowledge about early detection of cervical cancer with pap smear examination in Obgyn Poly Hospital H. Adam Medan Hospital. This type of research is descriptive correlative with cross sectional approach. The population of the study were 71 mothers who visited poly obgyn as many as 71 mothers and a total sample of 60 mothers were taken by purposive sampling. Data collection was done using questionnaires and observations, then the research data was analyzed by chi-square statistical test value p = 0.05. Based on the results of data analysis it is known that there is a relationship between maternal knowledge about early detection of cervical cancer with pap smear examination and p value = 0.000 <0.05. Therefore, it is recommended for mothers who have not done pap smears to find information about pap smears from the media that have been provided from the government and actively participate in counseling especially about women's reproductive health.
PENGARUH ROM PADA PASIEN STROKE ISKEMIK TERHADAP PENINGKATAN KEKUATAN OTOT DI RSU. ROYAL PRIMA MEDAN TAHUN 2018
Tiarnida Nababan
Jurnal Keperawatan Priority Vol. 2 No. 1 (2019)
Publisher : Universitas Prima Indonesia
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Range of Motion is one part of rehabilitation that has a large role to restore the ability of the patient to move back, meet their daily needs, until returning to work. The effect of ROM on Ischemic Stroke Patients on Muscle Strength Enhancement Royal Prima Hospital in 2018. This is a descriptive analytic research with case control design where both variables were tested simulataneously to determine the relationship between the two using test data analysis Wilcoxon. This research was conducted on 6-11 June 2018, using primary data. The population in this study were all who did ROM exercises who experienced an ischemic stroke at the RSU. Royal Prima Medan and the patients were treated with saturated sampling technique. the number of samples in this study were 5 people. There is a significant relation between ROM and muscle power on ischemic stroke patients at Royal Prima Hospital Medan in 2018 with a p-value of 0.059. The study concludes that there is an effect of ROM on increasing muscle strength of stroke patients at Royal Prima hospital Medan in 2018. The major problem of the problem of the disease is that it causes physical disability if not treated quickly and the disease can change lifestyle well by doing physical exercise regularly.
PENGARUH TEKNIK BACK MASSAGE (MASASE PUNGGUNG) TERHADAP PENURUNAN INTENSITAS NYERI PADA PASIEN POST OPERASI APPENDIKSITIS DI RSU ROYAL PRIMA MEDAN 2018
Tiarnida Nababan;
Karmila Kaban
Jurnal Keperawatan Priority Vol. 2 No. 2 (2019)
Publisher : Universitas Prima Indonesia
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DOI: 10.34012/jukep.v2i2.548
Pain is an unpleasant sensory and emotional experience due to actual and potential tissue damage. One of the non-pharmacological therapies to deal with pain is the back massage technique. The technique can reduce the intensity of pain in postoperative appendicitis patients so that the therapy can provide comfort for the patient. This study aims to explore the effect of back massage technique on reducing pain intensity in patients with postoperative appendicitis. This type of research is pre-experimental using a one-group pre-post design test. The research population included 13 patients postoperative appendicitis at Royal Prima Hospital Medan in 2018. The research samples were drawn by using the Accidental Sampling technique. The research was conducted on March 2018 at Royal Prima hospital Medan. The research data were analyzed using Wilcoxon Test with a significant value of α = 0.05. The patient experienced pain before back massage was provided and after the administration of back massage technique, patient experiencing mild pain was 60% and 40% experienced moderate pain. The results of bivariate analysis showed that p-value = 0.034. This showed that there was a difference between the intensity of pain before and after the back massage technique was performed in patients with postoperative appendicitis. From the results of the above research, it is suggested that the implementation of back massage techniques has an effect on the decrease in pain intensity in patients with postoperative appendicitis. This back massage technique can be applied at hospitals as a measure of pain management which is an independent action of the nurse to handle the patient's pain.
HUBUNGAN TINGKAT STRES TERHADAP PENINGKATAN KADAR GULA DARAH PADA PASIEN DM TIPE II DI RSU. ROYAL PRIMA MEDAN
Tiarnida Nababan;
Karmila Br Kaban;
Eva Latifah Nurhayati
Jurnal Keperawatan Priority Vol. 3 No. 1 (2020)
Publisher : Universitas Prima Indonesia
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DOI: 10.34012/jukep.v3i1.809
Diabetes mellitus is the result of the interaction of genetic factors and environmental exposure. Genetic factors will determine the individuals susceptible to DM.Uncontrolled diabetes and over time cause serious damage to many systems of the body, especially the nerves and blood vessels. By 2014, 8.5% of adults 18 years and over have diabetes. By 2015, diabetes is a direct cause of 1.6 million deaths and by 2012 high blood glucose is the cause of 2.2 million other deaths. This study aims to determine the relationship of stress levels to elevated blood sugar levels in patients with type II DM in Royal Prima Hospytal Medan. The research design used is correlation (Correlation Study) with Cross Sectional approach. The sample of this research is patient of DM type II disease with sample number 67 respondent using chi-square statistic test. Based on chi-square statistic test can be obtained result of 0,04 that is <0,05 means smaller than value α = 0,05. Thus drawn conclusion there is a relationship of stress level to increase blood sugar levels in DM tipe II patients in Royal Prima Hospytal Medan. From the results of the study concluded that there is a relationship level of stress to elevated blood sugar levels in patients DM tipe II. Suggested to Royal Prima Hospytal Medan recommends that patients keep control of stress on natural problems and diseases in order not to lead to other forms of disease.
PEMASANGAN KATETER DENGAN KEJADIAN INFEKSI SALURAN KEMIH PADA PASIEN DI RUANG RAWAT INAP
Tiarnida Nababan
Jurnal Keperawatan Priority Vol. 3 No. 2 (2020)
Publisher : Universitas Prima Indonesia
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DOI: 10.34012/jukep.v3i2.961
Urinary tract infection (UTI) is a result of the development of microorganisms in the urinary tract, which in normal conditions do not contain bacteria, viruses, or other microorganisms. Urinary tract infections are also infections that occupy the second position that most often attacks the body after respiratory infections. The objective of the study was to identify the relationship between catheter placement and the incidence of urinary tract infections at Royal Prima hospital Medan. This is a correlation study (correlation study) on the patients suffering from urinary tract infections. The sampling technique used was a saturated sampling technique. Analysis research data using the Spearmen test. Based on the results of the study, it was found that the majority of catheter installation was in the category of good were 78%, and in the category of not good 22%, and 78% suffered from do not experience urinary tract infections, and 22% infection urinary tract. The results of the study of the Spearmen test showed that p-value = 0.00. It was found that there was a relationship between catheter insertion and the incidence of urinary tract infections in the inpatient room. The local nurses are suggested to improve the aseptic technique of care performed when catheterization is performed so that the incidence of urinary tract infections due to catheter installation can be avoided.
PENGARUH MUSIK INSTRUMENTAL TERHADAP KUALITAS HIDUP PADA PASIEN GAGAL GINJAL KRONIK YANG MENJALANI HEMODIALISA
Tiarnida Nababan
Jurnal Keperawatan Priority Vol. 4 No. 1 (2021)
Publisher : Universitas Prima Indonesia
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DOI: 10.34012/jukep.v4i1.1508
Chronic renal failure or late-stage renal disease is a progressive and irreversible disorder of renal function (the body fails in maintaining metabolism and balance of fluids and electrolytes), thereby causing uremia (retention of urea and other nitrogen waste in the blood). Treatment of kidney failure disease can be done by pharmacological and non-pharmacological means. Non-pharmacological treatment can be in the form of the provision of instrumental music. This study aims to find out the influence of instrumental music on quality of life in chronic kidney failure patients undergoing hemodialysis at the Royal Prima Hospital Medan. This type of research is pre-experimental research with a one-group pre-post-test design with the provision of instrumental music for 20 minutes. The population is 66 people and sampled as many as 20 people with accidental sampling techniques. The analysis used in using Wilcoxon test. Based on the calculation of the Wilcoxon signed-rank test, obtained Z= - 3,938 with (p=0.000) < 0.05, so it can be concluded that there is an instrumental music influence on the quality of life in chronic renal failure patients undergoing hemodialysis at Royal Prima Medan Hospital in 2018. It is recommended that instrumental music can be applied as an alternative therapy to improve the quality of life.
HUBUNGAN PENGETAHUAN DENGAN MOTIVASI PADA PASIEN HEMODIALISA
Tiarnida Nababan
Jurnal Keperawatan Priority Vol. 4 No. 2 (2021)
Publisher : Universitas Prima Indonesia
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DOI: 10.34012/jukep.v4i2.1784
Hemodialysis is a method of dialysis therapy that is used to removes fluids and waste products from the body when acutely or progressively the kidneys are unable to carry out the process. The purpose of this study was to explain the relationship between knowledge and motivation in patients undergoing hemodialysis at the RSU. Royal Prima Medan. This research is a correlation with a cross-sectional approach. The population is 63 people, the sampling technique is the total sampling technique, so the sample is 63 respondents. The data of analysis using chi-square test. Based on the results obtained significant value (2-sided) of 0.026, Ha is accepted, meaning there is a relationship between knowledge and motivation in hemodialysis patients. The results of the study on respondents' knowledge obtained that the majority had good knowledge as many as 8 people (12.7%), 26 people (41.3%), and 29 people (46%). This study concludes that there is a significant relationship between knowledge and motivation in hemodialysis patients.
EFEKTIVITAS TERAPI NAFAS DALAM TERHADAP PENURUNAN TEKANAN DARAH PADA PENDERITA HIPERTENSI
Tiarnida Nababan
Jurnal Keperawatan Priority Vol. 5 No. 1 (2022)
Publisher : Universitas Prima Indonesia
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DOI: 10.34012/jukep.v5i1.2186
Deep breathing relaxation therapy can reduce blood pressure both systolic and diastolic pressure. Relaxation therapy diaphragm breathing techniques are very well done every day by people with high blood pressure to help relax blood vessel muscles so that the elasticity of the arteries that help lower blood pressure can be maintained. The purpose of this study is to investigate the effectiveness of breath therapy in reducing blood pressure in hypertensive patients at Royal Prima Hospital Medan. This is a quasi-expression research with cross sectional research design. The research populations were the average number of hypertensive patients at Royal Prima Hospital Medan in consisting of 73 people. The 22 samples were drawn using the accidental sampling technique. The results of the study on blood pressure variables before respiratory therapy showed that 15 people (68.2%) had normal blood pressure. Variable blood pressure after therapy breath in revealed that 15 people (68.2%) in normal condition were of 1 people (4.5%) and on weight was 6 people (27.3%). The results of the t test Test with a correlation of 0.001 or 0.1% with a significance value of 0.1% <5%, means that there is effects of deep breath therapy on decreasing blood pressure in patients with hypertension. The respondents are expected to apply breath therapy in well and regularly every day so that there is a drop in blood pressure to the normal level in hypertensive patients.