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PENGARUH SENAM KAKI TERHADAP PENURUNAN NEUROPATI PADA PASIEN DENGAN LUKA KAKI DIABETIK DI ASRI WOUND CARE MEDAN Simbolon, Pomarida; Sembiring, Erika Emnina; Lase, Elisa
Jurnal Ilmiah Keperawatan Vol 1 No 2 (2018): JURNAL MUTIARA NERS
Publisher : Program Studi Ners UNIVERSITAS SARI MUTIARA INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (194.808 KB)

Abstract

Diabetes Mellitus is a degenerative disease with an increasing number of patients characterized by an increase in blood sugar (hyperglycemia) resulting from impaired insulin secretion, insulin performance, or both. Diabetes mellitus can result in acute and vascular metabolic disorders that can cause damage to the nervous system (neuropathy). Neuropathy is characterized by reduced loss of sensation in the leg area. Neuropathy requires pharmacologicaltreatment with the provision of drugs  and non pharmacological treatment is by exercise such as foot exercise. Foot exercise aim to smooth the blood circulation in the legs, strengthen the leg muscles, and prevent further complications.The purpose of this study was to analyze the effect of foot exercise on the reduction of neuropathy in patients with diabetic foot ulcer in Asri Wound Care Medan. Neuropathy was assessed using an observation sheet of neuropathy disabilithy score (NDS).The research used one group pre-post test design with sampling technique using purposive sampling. The population in this study were diabetic foot ulcer patients who had neuropathy in ASRI Wound Care Clinic amounting to 41 people. The number of samples in this study were 10 people. The results show the mean difference before and after intervention where the mean pre-intervention is 6.70 and post intervention 1.40. To test the effect of foot exercise on the decrease of neuropathy in patients with diabetic foot ulcer was used  Wilcoxon Sign Rank Test where obtained p value = 0.004 where p<0.05 this means that there is influence of foot exercise on decreasing neuropathy in patients with diabetic foot ulcer. The results of this study can be used as input for ASRI Wound Care Clinic, especially to nurses in order to apply foot exercises to patients with diabetes mellitus to prevent neuropathy, besides foot exercises can also be applied to patients with diabetic foot ulcer that have neuropathy to help reduce or even eliminate neuropathy.
PENGARUH SENAM KAKI TERHADAP PENURUNAN NEUROPATI PADA PASIEN DENGAN LUKA KAKI DIABETIK DI ASRI WOUND CARE MEDAN Pomarida Simbolon; Erika Emnina Sembiring; Elisa Lase
Jurnal Ilmiah Keperawatan Vol 1 No 2 (2018): JURNAL MUTIARA NERS
Publisher : Program Studi Ners UNIVERSITAS SARI MUTIARA INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (194.808 KB)

Abstract

Diabetes Mellitus is a degenerative disease with an increasing number of patients characterized by an increase in blood sugar (hyperglycemia) resulting from impaired insulin secretion, insulin performance, or both. Diabetes mellitus can result in acute and vascular metabolic disorders that can cause damage to the nervous system (neuropathy). Neuropathy is characterized by reduced loss of sensation in the leg area. Neuropathy requires pharmacologicaltreatment with the provision of drugs and non pharmacological treatment is by exercise such as foot exercise. Foot exercise aim to smooth the blood circulation in the legs, strengthen the leg muscles, and prevent further complications.The purpose of this study was to analyze the effect of foot exercise on the reduction of neuropathy in patients with diabetic foot ulcer in Asri Wound Care Medan. Neuropathy was assessed using an observation sheet of neuropathy disabilithy score (NDS).The research used one group pre-post test design with sampling technique using purposive sampling. The population in this study were diabetic foot ulcer patients who had neuropathy in ASRI Wound Care Clinic amounting to 41 people. The number of samples in this study were 10 people. The results show the mean difference before and after intervention where the mean pre-intervention is 6.70 and post intervention 1.40. To test the effect of foot exercise on the decrease of neuropathy in patients with diabetic foot ulcer was used Wilcoxon Sign Rank Test where obtained p value = 0.004 where p<0.05 this means that there is influence of foot exercise on decreasing neuropathy in patients with diabetic foot ulcer. The results of this study can be used as input for ASRI Wound Care Clinic, especially to nurses in order to apply foot exercises to patients with diabetes mellitus to prevent neuropathy, besides foot exercises can also be applied to patients with diabetic foot ulcer that have neuropathy to help reduce or even eliminate neuropathy.
Pengembangan Konten Edukatif untuk Sosialisasi Pencegahan COVID-19 pada Anak di Pasar Bersehati Kota Manado Lenny Gannika; Erika Emnina Sembiring
Abdimas Universal Vol. 3 No. 2 (2021): Oktober
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat Universitas Balikpapan (LPPM UNIBA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36277/abdimasuniversal.v3i2.165

Abstract

The children at the Bersehati Public Market in Manado City were found selling during the COVID-19 Pandemic to help their parents but they found difficult to implement health protocols. Therefore, it is very important to provide health education to children about COVID-19 prevention. This community partnership program (PKM) was carried out at Bersehati Public Market in Manado and in collaboration with the Manado City Women's Empowerment and Child Protection Service and the Manado Dinding Community which aims to provide and increase children's knowledge about COVID-19 prevention through educational content. Dissemination of COVID-19 prevention is carried out through watching educational videos, health promotion using posters, drawing & coloring. The distribution of medical masks, hand sanitizer and writing utensils to children was also carried out at this event. This PKM activity was attended by 43 children, 4 representatives of the child protection service, 10 Volunteers of Manado Dinding Community, 6 students and 2 Lecturers of the Nursing Science Program at Sam Ratulangi University Manado. This activity begins with a pre-test and ends with a post-test. The results of the pre test showed that the average correct answer was 59.43% and the wrong answer was 40.57%. While the post test results show an average of 98.67% correct answers and only 1.34% were still wrong. The conclusion of this activity is that there is an increase in children's knowledge at the Bersehati Public Market in Manado City after being given health education through educational content.
Pengetahuan dan Sikap Berhubungan dengan Resiko Tertular Covid-19 pada Masyarakat Sulawesi Utara Erika Emnina Sembiring; Maria Lupita Nena Meo
Ners Jurnal Keperawatan Vol 16, No 2 (2020)
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.16.2.75-82.2020

Abstract

Coronavirus Disease 2019 (Covid-19) menjadi pandemi di seluruh dunia termasuk di Indonesia. Penularan Covid-19 di Indonesia berlangsung sangat cepat dan mengenai 34 provinsi, bahkan banyak provinsi yang menjadi zona merah. Sulawesi utara sendiri termasuk kedalam provinsi dengan penularan Covid-19 yang sangat cepat. Pengetahuan dan  sikap masyarakat dalam menghadapi pandemi Covid-19 sangatlah penting untuk dapat mengurangi resiko tertular antara sesama masyarakat. Tujuan penelitian ini adalah untuk mengetahui hubungan pengetahuan dan sikap dengan resiko tertular Covid-19 pada masyarakat Sulawesi Utara. Metode penelitian ini adalah deskriptif korelasi dengan pendekatan cross sectional, jumlah sampel 400 orang yang dipilih dengan menggunakan metode consecutive sampling. Pengumpulan data menggunakan kuesioner google form dan dianalisa menggunakan uji Fisher’s Exact Test. Hasil penelitian menunjukan bahwa ada hubungan pengetahuan dan sikap dengan resiko tertular Covid-19 pada masyarakat Sulawesi Utara dengan nilai p (0,000). Pengetahuan yang baik dan sikap yang positif dari masyarakat dalam menghadapi pandemi Covid-19 dapat membuat masyarakat melakukan tindakan nyata untuk mengurangi resiko tertular Covid-19.
Hubungan Tingkat Pendidikan dengan Perilaku Pencegahan Coronavirus Disease (COVID-19) pada Masyarakat Sulawesi Utara Lenny Gannika; Erika Emnina Sembiring
Ners Jurnal Keperawatan Vol 16, No 2 (2020)
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.16.2.83-89.2020

Abstract

Latar Belakang :  Pandemi Corona Virus Disease (COVID-19) yang terjadi dunia termasuk di Indonesia telah menyebabkan munculnya kebiasaan-kebiasaan baru masyarakat. Peningkatan kasus terkonfirmasi positif yang semakin hari semakin meningkat tanpa memandang latar belakang termasuk tingkat pendidikan seseorang membuat masyarakat harus sadar tentang pentingnya melakukan pencegahan penyakit COVID-19 ini. Tujuan : mengetahui hubungan antara tingkat pendidikan dan perilaku pencegahan COVID-19 pada masyarakat Sulawesi Utara. Metode : Penelitian ini merupakan penelitian kuantitatif dengan pendekatan cross sectional. Jumlah sampel sebanyak 390 responden. Penelitian dilakukan dengan mengisi kuesioner secara online melalui https://bit.ly/3gOVe5h . Analisa data menggunakan uji pearson chi square. Hasil uji menunjukkan nilai P=0,000  < 0.05 yang artinya  ada hubungan antara tingkat pendidikan dengan perilaku pencegahan COVID-19 pada masyarakat Sulawesi Utara. Kesimpulan: semakin tinggi tingkat pendidikan seseorang, maka semakin baik pula perilaku pencegahan COVID-19. Kata Kunci : Tingkat Pendidikan, Perilaku Pencegahan COVID-19  
Pemberdayaan Kader dalam Memberikan Edukasi Model Precede-Proceed pada Pasien Hipertensi di Wilayah Kerja Puskesmas Wenang Ferlan Ansye Pondaag; Erika Emnina Sembiring
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 5, No 6 (2022): Volume 5 No 6 Juni 2022
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v5i6.5508

Abstract

ABSTRAK Hipertensi merupakan penyakit kronis yang membutuhkan pengelolaan yang baik seperti mengontrol tekanan darah secara rutin, patuh minum obat anti hipertensi, dan menerapkan gaya hidup sehat. Agar manajemen perilaku pasien hipertensi dapat optimal, mereka butuh informasi yang tepat dan dukungan dari keluarga, lingkungan sekitar dan petugas kesehatan. Model edukasi PRECEDE-PROCEED merupakan model edukasi yang efektif sebagai bentuk promosi kesehatan karena melibatkan partisipasi masyarakat yang bertujuan untuk mengubah perilaku masyarakat dalam upaya meningkatkan derajat kesehehatan. Tujuan kegiatan ini adalah untuk meningkatkan peran serta kader kesehatan dalam memberikan edukasi model PRECEDE=PROCEED pada pasien hipertensi di Wilayah Kerja Puskesmas Wenang. Peserta dari kegiatan ini terdiri dari 11 orang kader kesehatan dari Kelurahan Tikala Kumaraka dan Kelurahan Teling Bawah yang termasuk dalam wilayah kerja Puskesmas Wenang. Kegiatan yang dilakukan adalah pelatihan kader kesehatan, pengukuran tekanan darah dan roleplay pemberian edukasi pada pasien hipertensi. Kegiatan ini terlaksana dengan baik dan mendapat respon yang positif dari para peserta dan mitra. Pemerintah Kelurahan Tikala Kumaraka dan Kelurahan Teling Bawah serta Puskesmas Wenang sangat mendukung kegiatan ini dan berharap para kader dapat berpartisipasi aktif untuk memberikan edukasi sehingga dapat mengendalikan dan mengontrol penyakit hipertensi di masyarakat. Kata Kunci: Pemberdayaan kader, hipertensi, PRECEDE-PROCEED  ABSTRACT Hypertension is a chronic disease that requires good management such as controlling blood pressure regularly, obediently taking anti-hypertensive drugs, and implementing a healthy lifestyle. In order for the behavior management of hypertensive patients to be optimal, they need the right information and support from family, the surrounding environment and health workers. PRECEDE-PROCEED education model is an effective educational model as a form of health promotion because it involves community participation that aims to change people's behavior in an effort to improve health. The purpose of this activity is to increase the role of village health worker in providing PRECEDE-PROCEED model education in hypertensive patients in the Puskesmas Wenang work area. Participants of this activity consisted of 11 village health worker from Tikala Kumaraka Village and Teling Bawah Village which is the work area of Puskesmas Wenang. Activities carried out are village health worker training, blood pressure measurement and roleplay providing education to hypertensive patients. This activity was carried out well and received a positive response from participants and partners. The Government of Tikala Kumaraka Village and Teling Bawah Village and Puskesmas Wenang strongly support this activity and hope that village health worker can actively participate to provide education so as to control hypertension in the community. Keywords: Empowerment of Village Health Worker, Hypertension, PRECEDE-PROCEED
DUKUNGAN KELUARGA PASIEN KANKER PAYUDARA DI RSUP PROF.DR.R.D KANDOU ERIKA EMNINA SEMBIRING; FERLAN ANSYE PONDAAG; ADRIANI NATALIA M
Jurnal Ners Vol. 6 No. 2 (2022): OKTOBER 2022
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v6i2.6145

Abstract

Kanker payudara merupakan penyakit keganasan dengan jumlah kasus paling tinggi dibandingkan dengan jenis kanker lainnya. Dalam menjalani perawatan dan pengobatan pasien kanker payudara sangat membutuhkan dukungan dari keluarga seperti pasangan, anak-anak dan orang tua. Dukungan yang diberikan keluarga membuat pasien kanker payudara memiliki semangat dan motivasi yang tinggi untuk sembuh. Penelitian ini bertujuan untuk mengetahui dukungan keluarga pasien kanker payudara. Desain penelitian ini adalah penelitian deskriptif dengan pendekatan cross sectional. Teknik pengambilan sampel yaitu consecutive sampling dengan jumlah sampel sebanyak 62 orang yang merupakan pasien kanker payudara yang menjalani perawatan di RSUP Prof. DR. R.D Kandou. Alat ukur yang digunakan dalam penelitian ini adalah kuesioner dengan teknik analisa data univariat. Hasil penelitian didapatkan data bahwa mayoritas pasien kanker payudara mendapatkan dukungan keluarga dalam kategori baik yaitu 61 orang (98.4%). Diharapkan kepada tenaga kesehatan secara khusus perawat untuk tetap melibatkan keluarga dalam pemberian asuhan keperawatan, sehingga pasien kanker payudara lebih semangat, memiliki kepercayaan diri dan meningkatkan motivasi untuk sembuh.
Depresi pada Pasien Kanker Payudara Paska Mastektomi: Literature Review Erika Emnina Sembiring
Jurnal Lentera - Penelitian dan Pengabdian Masyarakat Vol 3 No 2 (2022): Jurnal Lentera - Penelitian dan Pengabdian Masyarakat
Publisher : Yayasan Bina Lentera Insan

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

Abstract

Mastektomi merupakan prosedur yang paling sering digunakan untuk penatalaksanaan kanker payudara dengan atau tanpa rekonstruksi dan pembedahan yang dikombinasi dengan terapi radiasi. Wanita yang mengalami mastektomi akan kehilangan payudara yang merupakan simbol seksualitas wanita. Mastektomi mengubah citra tubuh dan fungsi psikoseksual wanita sehingga memiliki kecenderungan tinggi untuk mengalami depresi, cemas bahkan bunuh diri. Metode yang digunakan dalam penyusunan penelitian ini yaitu Literature Review dengan menganalisis sejumlah artikel penelitian yang dipublikasi melalui ProQuest, EBSCHO, CINALH, dan Springerlink dari tahun 2005 – 2020. Dan hasil akhir mengidentifikasi 32 artikel penelitian yang terkait. Berdasarkan hasil pencarian di peroleh 32 artikel penelitian dan hanya 7 artikel yang memenuhi kriteria inklusi. Instrumen penelitian yang paling banyak digunakan yaitu Center For Epidemiological Studies Depression Scale (CES- D) dan Beck Depresion Scale (BDS). Pasien kanker payudara paska mastektomi mengalami depresi dengan tingkat yang bervariasi. Ada beberapa faktor yang menyebakan pasien mastektomi mengalami depresi seperti tidak siap kehilangan organ seksualitasnya, merasa tidak percaya diri, tidak puas melihat luka bekas operasi, merasa tidak menarik secara seksual, kurangnya dukungan dari pasangan dan takut akan perceraian. Penilaian depresi pada pasien kanker payudara paska mastektomi sangat penting dilakukan, dan pemilihan instrumen yang tepat akan mempengaruhi hasil penilaian depresi paska mastektomi yang lebih objektif. Depresi paska mastektomi harus diatasi dengan memberikan intervensi keperawatan yang tepat seperti perawat memberikan dukungan kepada pasien, melibatkan pasangan dan keluarga dalam merawat pasien serta perawat memberikan informasi kesehatan yang dibutuhkan oleh pasien.
PENERIMAAN DIRI PASIEN KANKER PAYUDARA: LITERATURE REVIEW Erika Emnina Sembiring; Adriani Natalia M
JURNAL ILMIAH OBSGIN : Jurnal Ilmiah Ilmu Kebidanan & Kandungan P-ISSN : 1979-3340 e-ISSN : 2685-7987 Vol 15 No 1 (2023): MARET
Publisher : NHM PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36089/job.v15i1.1083

Abstract

Breast cancer is a malignancy with a high number of cases compared to other types of cancer in women. Breast cancer and its treatment therapy have psychological impacts such as stress, anxiety, low self-esteem, disturbed body image, and unpreparedness to accept the disease conditions experienced. Low self-acceptance makes breast cancer patients not enthusiastic about living life, care and treatment and have low motivation to recover. The purpose of this study was to determine the level of self-acceptance of breast cancer patients. The method used in this study is Literature Review by analyzing research articles published through PubMed, ScienceDirect. The search results obtained 37 articles and only 6 articles that met the criteria for analysis. The majority of research results show self-acceptance of breast cancer patients in the medium and low categories, and the instrument most widely used to assess self-acceptance is the Acceptance of Illness questionnaire. Self-acceptance assessment is very important to do to prevent bad psychological impact on breast cancer patients. Good self-acceptance can increase enthusiasm and motivation to recover as well as the quality of life of breast cancer patients.
Edukasi Pencegahan dan Pertolongan Pertama Demam Berdarah Dengue di Rumah Erika Emnina Sembiring
Jurnal Lentera - Penelitian dan Pengabdian Masyarakat Vol 4 No 1 (2023): Jurnal Lentera - Penelitian dan Pengabdian Masyarakat
Publisher : Yayasan Bina Lentera Insan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57207/lentera.v4i1.41

Abstract

Dengue fever is a disease caused by the dengue virus where it is transmitted through the bite of the Aedes aegypti mosquito which can attack both children and adults. Aedes aegypti mosquitoes are found in tropical areas with high rainfall, this is because these mosquitoes breed very easily in areas that are stagnant water. Dengue fever has signs and symptoms such as fever, bleeding under the skin, heartburn and can even cause dengue shock syndrome and death in sufferers. This can be caused by a lack of knowledge about prevention of Aedes aegypti mosquito breeding and management of dengue fever. The purpose of this community service activity is to provide information about the prevention of dengue fever and the management of dengue fever in families of dengue fever patients who are treated in the Pediatric Intensive Care Unit (PICU) room of Prof. Dr. R.D. Kandou hospital. The method used is face-to-face health counseling, lectures, questions and answers and discussions about dengue fever, prevention and management of dengue fever. Counseling using leaflets distributed to the patient's family. Before and after counseling the patient's family was given a questionnaire to assess the family's knowledge of the material presented. This community service activity went well, the patient's family was very enthusiastic and they are committed to implementing dengue fever prevention measures so that the current incident does not happen again.