Melva Manurung
Akper Yayasan Tenaga Pembangunan Arjuna Laguboti

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FAKTOR-FAKTOR YANG MEMPENGARUHI TINGKAT KECEMASAN PASIEN HEMODIALISA DI RSU HKBP BALIGE KABUPATEN TOBA SAMOSIR TAHUN 2018 Melva Manurung
Jurnal Keperawatan Priority Vol. 1 No. 2 (2018)
Publisher : Universitas Prima Indonesia

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Abstract

The process of hemodialysis in the hospital can cause anxiety and physical disturbing the neurological system such as weakness, fatigue, anxiety, decreased concentration. Some of the factors that affect the anxiety of hemodialysis patients are age, sex, education level, treatment experience, length of therapy, financing, family motivation. This study aims to analyze the factors that affect the anxiety level of hemodialysis patients in HKBP Balige Hospital. The design used in this study is descriptive "cross sectional", which became the population in this study was a patient with renal failure who underwent hemodialysis at HKBP Balige Hospital. The sample of this research is 22 hemodialysis patients by doing purposive sampling. The instrument used in the demographic data questionnaire, this section consists of the Spielberger et al. (1983) State Trait Anxiety Inventory (STAI) and Atrait and family motivation questionnaires. Test the hypothesis by using Spearman correlation. Based on data analysis, obtained before the Hemodialisa (State Anxiety Inventory), the anxiety of patients experienced moderate anxiety as many as 12 people (54.5%) and heavy ansietas as many as 10 people (45.5%). At the time of hemodialysis (Trait Anxiety Inventory) patients experienced moderate anxiety as many as 14 people (63.6%), heavy anxiety as many as 8 people (36.4%). Based on the results of statistical tests it is known that there is no effect of age on patient anxiety before and during hemodialysis. There was no influence of sex on patient anxiety before and during hemodialysis. There was no effect of patient education level with patient's anxiety before and during hemodialysis. There was no effect of patient treatment experience with patient anxiety before and during hemodialysis. There was a long-standing effect of patient therapy with anxiety before the hemodialysis patient and no long-term therapy effects on patient anxiety during hemodialysis. There was no effect of patient treatment financing with patient anxiety before and during hemodialysis. There was no influence of family motivation of patients with patient anxiety before and during hemodialysis at HKBP Balige Hospital. It is expected that the hospital will improve the nursing service especially in the hemodialysis room, through providing holistic bio-psycho-social nursing care in patients with kidney failure so as to reduce anxiety, increase the life expectancy of patients with renal failure who undergo hemodialysis. The hospital needs to improve the human resources, especially the nurse of hemodialysis through continuing education, the latest training on nursing science and the training of nurse competence improvement.
TINGKAT KECEMASAN DAN TINGKAT PENGETAHUAN REMAJA PUTRI TENTANG DISMONOREA DI YAYASAN PARULIAN 4 PORSEA KABUPATEN TOBA SAMOSIR TAHUN 2018 Melva Manurung
Jurnal Keperawatan Priority Vol. 2 No. 1 (2019)
Publisher : Universitas Prima Indonesia

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Abstract

Menstruation is the discharge of blood from the uterus caused by the release of the endometrium, the output consists of endometrial and stirmal cells. The old blood cells and other gland secretions averaged about 5 days. At the beginning of menstrual levels of extrogen and progesterone, LH decreases or is in the lowest levels during the cycle and the levels of FSH (Foullicle stimulating hoemone) just begin to increase. Sometimes menstruation with pain is termed dismonorrhea. Dismonorrhea is a painful menstrual period, dismonorrhea is usually isolated or is part of menstrual syndrome that is related during menstruation caused by uterine muscle spasms and cause pain at the time of menstruation. This study was conducted to identify the level of anxiety and the level of knowledge of young teenagers about dismonorrhoea in the Yayasan Parulian 4 Porsea of Toba Samosir Regency. By using descriptive design, 46 samples were collected using cluster sampling, data collection was conducted on May-June 2018. After analyzing the data, it is found that the respondents have good knowledge (n = 41: 89,1%) from the good knowledge expected to be the basis for the application of nursing care and improvement and health degree. Anxiety assessment categories are mild, moderate, and severe anxiety. After the research, it was found that the respondents had mild anxiety (n = 42: 91.3%). With mild anxiety is expected to reduce anxiety, worry in the face of dismonorrhoea.
PENGARUH TEKNIK RELAKSASI BENSON TERHADAP PENURUNAN SKALA NYERI POST APPENDIXTOMY DI RSU D PORSEA Melva Manurung
Jurnal Keperawatan Priority Vol. 2 No. 2 (2019)
Publisher : Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jukep.v2i2.541

Abstract

Benson relaxation is the development of a respiratory relaxation response method involving patient confidence factors that can create an internal environment so as to help patients achieve health and wellbeing conditions. The purpose of this study was to analyze the Effect of Benson Relaxation Technique on the decrease of Post Appendixtomy pain scale at Porsea Hospital Year 2019. The research design used was quasi experimental research with a static group comparison design (posttest only control group design). The population of stroke patients in Porsea Hospital with a sample of 18 respondents. The gauge uses a research guide for Benson Relaxation on the post-Appendixtomy pain scale reduction at Porsea Hospital. Data were analyzed by t test. The result of t test analysis of control group pre experiment and pre experiment group of intervention obtained value p = 0.003, there is difference of decrease of pain scale post Appendixtomy after Benson relaxation. The result of t-test post experiment of control group and post experiment of intervention group obtained p value = 0.000, there is difference of difference of decrease of pain scale post Appendixtomy after Benson relaxation. Benson relaxation is one way to reduce pain by involving patient confidence factors that can create an internal environment so as to help patients achieve health and wellbeing conditions. Nurses in the role of nursing careers especially in decreasing the scale of pain, more sensitive to special populations ie individuals with various diseases that cause pain
PENGETAHUAN IBU HAMIL TENTANG BAHAYA MEROKOK TERHADAP KEHAMILAN DAN JANIN Melva Manurung
Jurnal Keperawatan Priority Vol. 3 No. 1 (2020)
Publisher : Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jukep.v3i1.800

Abstract

Smoking during pregnancy can endanger pregnancy and the fetus, especially the health of pregnant women and fetal development in the womb. One of the complications of pregnancy that causes fetal death is due to oxygenation disorders. In Indonesia, more than half of households have at least one smoker, and almost all smokers’ smokes at home. The cause of neonatal death is fetal death in utero, asphyxia or respiratory problems due to smoking and premature. This study aims to determine the knowledge of pregnant women about the dangers of smoking to pregnancy and the fetus in Gasaribu Village, Laguboti, Toba Samosir Regency. This research was conducted in September-October 2019 using adescriptive research design. The number of samples was in this study were 40 pregnant women. Sampling is done by using saturated sampling. The results showed that good knowledge of 16 people (40%) was enough 22 people (55%) and less 2 people (5%). The results of this study are expected to be used as additional material in adding knowledge and information to increase real health education (real) to the public about the dangers of smoking to pregnancy and the fetus.