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STUDI KASUS PEMENUHAN KEBUTUHAN OKSIGENASI DENGAN TEKNIK RELAKSASI NAFAS DALAM PADA PASIEN CONGESTIVE HEART FAILURE DI RUMAH SAKIT TK II PUTRI HIJAU MEDAN TAHUN 2016 Purba, Lermiana; Susyanti, Deni; Pamungkas, Pamungkas
Jurnal Riset Hesti Medan Vol 1, No 2 (2016)
Publisher : Akademi Keperawatan Kesdam I/Bukit Barisan Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (454.991 KB) | DOI: 10.34008/jurhesti.v1i2.75

Abstract

Congestive heart failure is the incapacity of heart to pump adequate blood in fulfilling the need for oxygen ad nutrients which causes cardiac output to decrease which brings about pain in chest. Pain management can be done by using pharmacological and non-pharmacological therapies. Deep breath relaxation therapy is done in the non-pharmacological nursing pain management. It will increase the supply of oxygen to tissues so that pain will decrease. The research used descriptive method with case study design which was aimed to find out the description of the need for oxygen in congestive heart failure patients. The nursing approach consisted of nursing analysis, diagnosis, intervention, implementation, and evaluation in 2 clients with the same case. The result showed that in case I there was no more pain in chest in the third day of nursing, while in case II complaint about short of breath could be handled in the third day of nursing since the client felt relaxed. The conclusion was that the need for oxygen could be handled by using deep breath relaxation technique. It is recommended that the clients and their families comply with doing deep breath relaxation technique. 
Determinant of Primary Preventive Behaviour Cervical Cancer in an Adolescent Girl Muh Zul Azhri Rustam; Dwi Helynarti Syurandhari; Deni Susyanti; Irma Handayani; Fitriani Pramita Gurning; Muchti Yuda Pratama
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 4 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i4.17044

Abstract

Cervical cancer is caused by infection with the human papilloma virus which can infect the genitals, anus,throat, mouth and cells on the surface of the skin. Cervical cancer is often late so that it can cause death,so efforts are needed to reduce the risk factors for cervical cancer, namely through primary preventionefforts. The purpose of this study was to determine the relationship between primary factors and cervicalcancer prevention behavior in adolescent girls. The sample in this study were 77 young women who weretaken by technique purposive sampling. The research design used was an observational analysis using across sectional approach and analyzed using chi-square. The results of this study illustrate that there is arelationship between knowledge, attitudes and social support with cervical cancer prevention behavior inadolescent girls. So we need efforts to reduce cervical cancer risk factors, namely through primary preventionefforts, by increasing outreach activities in the community to carry out a healthy lifestyle.
PENINGKATAN PERILAKU KOMSUMSI PUTIH TELUR MELALUI EDUKASI SEBAGAI UPAYA MEMPERCEPAT PROSES PENYEMBUHAN LUKA PASCA SIRKUMSISI Kipa Jundapri; Suharto Suharto; Deni Susyanti; Desman Samuel Simatupang; Diga Prasetia Hermawan; Doni Hariansyah; Hakim Sadli; Heri Chandra; Muhammad Hasan Ansyari Ritonga; Yuda Anggara
JMM (Jurnal Masyarakat Mandiri) Vol 5, No 2 (2021): April
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (361.579 KB)

Abstract

Abstrak: Kegiatan Pengabdian kepada Masyarakat (PKM) dilakukan dengan memberikan edukasi kepada para orang tua dari anak-anak yang mengikuti kegiatan sirkumsisi di Lingkungan Batang Kuis Deliserdang. Tujuan dari kegiatan ini adalah untuk memberikan edukasi kepada masyarakat untuk mempercepat proses penyembuhan luka dengan mudah dan tidak memerlukan banyak biaya yaitu dengan mengkomsumsi putih telur. Metode yang dilakukan adalah melakukan penyuluhan kepada orangtua dan anak untuk mengkomsumsi putih telur agar mempercepat proses penyembuhan luka. Kegiatan ini dilakukan oleh tim pengabdian dosen dan mahasiswa Akademi Keperawatan Kesdam I/Bukit Barisan Medan bekerjasama dengan Yayasan Sekolah Dasar Bintang Deliserdang. Kegiatan ini meliputi beberapa tahapan yaitu pengumpulan data, identifikasi masalah, analisa kebutuhan, penyusunan materi dan bahan edukasi, pelaksanaan kegiatan dan dokumentasi kegiatan. Dari hasil penilaian yang telah dilakukan, diperoleh tingkat pemahaman peserta terhadap materi edukasi yang diberikan berdasarkan penilaian pre-test dan post-test serta indicator proses penyembuhan luka yang baik. Hasil penilaian menunjukkan bahwa terjadi peningkatan pemahaman terhadap materi sebesar 45,5 % sedangkan setelah mengikuti kegiatan pemahaman peserta meningkat hingga 94,7%. Sedangkan hasil dari proses penyembuhan luka, didapatkna proses luka mengalami granulasi dengan baik yaitu pada hari ke-3 hingga ke-7 pasca dilakukan sirkumsisi. Abstract:  Community Service Activities (PKM) are carried out by providing education to parents of children who had circumcision at Batang Kuis  Deliserdang. The method used to provide counseling with parents and childrens to consume egg whites to accelerate the wound healing process. This activity was carried out by a team of lecturers and students at Akademi Keperawatan Kesdam I/ Bukit Barisan Medan in collaboration with Yayasan Islamic School of Bintang Deliserdang. This activity includes several stages, there are; data collection, identification problems, analysis, preparation of educational materials, implementation of activities and documentation of activities. From the results of the activities, it was obtained the level of understanding of the participants towards the educational material provided based on pre-test and post-test assessments as well as indicators of good wound healing processes. The results of understanding comsumed egg whites showed that pretest was 45.5% and post test increased to 94.7%. While the results of the wound healing process, it was found that the wound healing  on the 3rd to 7th day after the circumcision have well granulated. 
Pemenuhan Kebutuhan Pendidikan Kesehatan terhadap Kepatuhan Minum Obat pada Pasien Tuberculosis Paru di Rumah Sakit Putri Hijau Medan Deni Susyanti; Syaiful Syaiful; Ratih Krisna Murti; Muchti Yuda Pratama
Jurnal Riset Hesti Medan Vol 6, No 1 (2021)
Publisher : Akademi Keperawatan Kesdam I/Bukit Barisan Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34008/jurhesti.v6i1.231

Abstract

Pulmonary tuberculosis is a disease caused by Mycobacterium Tuberculosis bacteria which attacks a person’s respiratory system. This disease can spread through the air when an infected person coughing or sneezing secretes the droplet or saliva splash. These are what can cause a contagious infection adherence in pulmonary tuberculosis will cause the patient become MDR-TB. The health education provided to the pulmonary tuberculosis patient to increase their knowledge. This research used descriptive case study method, including Assessment, Diagnosis, Intervention, Implementation an Evaluation at 2 Pulmonary Tuberculosis patient at Putri Hijau Hospital. The research found that both pulmonary tuberculosis patient have different result after treated by health education treatment for 4 days, the first patient could overcome the lack of medication adherence while the second patient only could overcome certain of it.
PERILAKU SEKSUALITAS REMAJA DI LINGKUNGAN KELURAHAN BINJAI KECAMATAN MEDAN DENAI KODYA MEDAN PROPINSI SUMATERA UTARA Deni Susyanti
Jurnal Riset Hesti Medan Vol 1, No 1 (2016)
Publisher : Akademi Keperawatan Kesdam I/Bukit Barisan Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (251.906 KB) | DOI: 10.34008/jurhesti.v1i1.3

Abstract

Masalah seks di kalangan remaja merupakan permasalahan bersama di dalam kehidupan masyarakat, karena erat kaitannya dengan adat istiadat dan moralitas yang merupakan ukuran baik dan buruk di dalam kehidupan masyarakat. Usia remaja merupakan masa dimana terjadi perkembangan hormone seksual yang akan memberikan pengalaman-pengalaman baru bagi remaja itu sendiri. Pengalaman baru ini akan menimbulkan rasa ketertarikan dengan lawan jenis yang akhirnya mendorong remaja berkeinginan melakukan hubungan seksual pra nikah. Hal ini juga di pengaruhi oleh rasa ingin tahu tentang seks yang menurut remaja hanya sebatas pada organ seks dan mencoba mencari cara untuk memenuhi hasratnya misalnya masturbasi, bercumbu dan bersenggama. Hanya beberapa remaja yang berharap pengetahuan tentang seks di pelajari dari orang tua.      Penelitian ini bersifat deskriptif kualitatif dimana menggambarkan perilaku seksualitas remaja di lingkungan VI Kelurahan Binjai Kecamatan Medan Denai dengan jumlah sample yang di ambil adalah 67 orang remaja. Pengolahan data dilakukan dengan menggunakan teknik penentuan skala likert yang mempunyai 2 kategori yaitu kriteria baik dan kriteria kurang baik. Hasil dari penelitian ini adalah dimana tingkat pengetahuan, sikap dan tindakan seksualitas remaja di Lingkungan VI Kelurahan Binjai Kecamatan Medan Denai termasuk kedalam kriteria baik dengan jumlah 52 orang (77,61%) sedangkan yang termasuk kriteria kurang baik hanya berjumlah 15 orang (22,38%). Sehingga jelaslah masih tingginya kesadaran dan baiknya perilaku remaja di lingkungan VI Kelurahan Binjai Kecamatan Medan Denai. Yang paling dominan pada hasil penelitian ini adalah telah didapatnya penerangan/ pengetahuan tentang seks kepada remaja yang menjawab ya sebanyak 67 orang (100 %). Dan juga dalam berhubungan seks sebellum nikah serta hubungan kelamin/ intim dengan pacar, kedua hal ini sangatlah tidak disetujui oleh remaja digambarkan dengan hasil penelitian yang menyatakan 67 orang (100%) juga.Kata kunci : Perilaku, Seksualitas, Remaja
PENGALAMAN PERAWAT MELAKUKAN LATIHAN AKTIFITAS FISIK PADA PASIEN CONGESTIVE HEART FAILURE Deni Susyanti; Mompang Tua Parlagutan; Muchti Yuda Pratama
Jurnal Riset Hesti Medan Vol 3, No 1 (2018)
Publisher : Akademi Keperawatan Kesdam I/Bukit Barisan Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (482.291 KB) | DOI: 10.34008/jurhesti.v3i1.22

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People with congestive heart failure (CHF) need a comprehensive rehabilitative program to restore physical abilities post-attacks and prevent re-attacks. Physical exercise in congestive heart failure (CHF) patients is aimed at optimizing the physical capacity of the body, providing counseling to patients and families in preventing worsening and helping patients to return to physical activity as before congestive heart failure (CHF). This study aims to explore in depth the experience of nurses doing physical exercise exercises in congetive heart failure patients. The research design used is descriptive phenomenology. Participants in this study amounted to 6 participants selected by purposive sampling technique. The data collected were in-depth interviews completed with field notes and then made in verbatim and analyzed using Colaizzi's approach. The research results found four themes, namely: the implementation of physical exercise exercise congestive heart failure patient is not optimal; increased knowledge of nurses and patients; the need for support from the hospital; and expectations for the exercise of physical activity. The results showed that things that could affect physical exercise activity in congestive heart failure patients were standard operating procedures, nurse knowledge, hospital support; and expectations for the exercise of physical activity. This study provides an understanding of the nurse's understanding of physical activity exercises so that nurses are able to provide appropriate nursing care.Keywords: experience, physical activity exercise, congetive heart failure
STUDI KASUS PEMENUHAN KEBUTUHAN NUTRISI PADA PASIEN PPOK DI RUMAH SAKIT TINGKAT II PUTRI HIJAU MEDAN TAHUN 2017 Lermiana Purba; Deni Susyanti; Lilis Savanna Siahaan
Jurnal Riset Hesti Medan Vol 2, No 1 (2017)
Publisher : Akademi Keperawatan Kesdam I/Bukit Barisan Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (302.117 KB) | DOI: 10.34008/jurhesti.v2i1.52

Abstract

Background of  Chronic Pulmonary Obstruction Disease (COPD) is identified by productive coughing, dyspnea, and obstruction in the respiratory tract. It is the combination of emphysema, chronic bronchiolitis, and asthma. One of the symptom of COPD is the decrease in bodyweight. The research used descriptive method with 2 COPD patients at Putri Hijau Level II Hospital Medan. The result of the analysis on the 2 patients showed that their need for nutrition was fulfilled but in different time, the need for nutrition in patient 1 was fulfilled in the 2nd day while in patient 2 it was fulfilled in the 3nd day due to the difference in their age. The conclusion was that the need for nutrition in COPD patients was different because of the difference in age. It is recommended that COPD patients always pay attention to the program in fulfilling their need for nutrition.Keywords: Nutrition, Chronic Obstruction Pulmonary Desease, Chronic
STUDI KASUS PEMENUHAN BERSIHAN JALAN NAFAS PADA PASIEN TB PARU DI RUMAH SAKIT TK II PUTRI HIJAU MEDAN TAHUN 2018 Deni Susyanti; Mompang Tua Parlagutan; Susiana Marbun
Jurnal Riset Hesti Medan Vol 4, No 1 (2019)
Publisher : Akademi Keperawatan Kesdam I/Bukit Barisan Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (456.623 KB) | DOI: 10.34008/jurhesti.v4i1.59

Abstract

Background of pulmonary tuberculosis is an infective disease caused by a microbacterium tuberculosis basil which is one of the breathing diseases under parts most tuberculosis bacilli enter the lung tissue through airbone infection and then undergo a process known as the primary focus of ghon. The main symptoms of pulmonary tuberculosis are coughing for two weeks or more, cough accompanied by phlegm, sputum mixed with blood, difficulty breathing, weakness, loss of appetite, weight loss. One of the signs and symptoms of tuberculosis are coughing accompanied by phlegm and will lead to the ineffectiveness of the respiratory tract hygiene is not effective. Effective coughing is a nursing activity to clear secretions in the airway, which serves to improve secretion mobilization and prevent high risk of retention of secretions. After being given an effective cough action within 1 x 24 hours, the patient is expected to experience an increase in airway clearance in pulmonary TB patients at the Second Putri Hijau Hospital in Medan. The design of this study was a descriptive study with 2 pulmonary TB patients at the Second Putri Hijau Hospital in Medan. The results obtained from the two respondents in patients with pulmonary TB that fulfillment of airway clearance is met, but the time is different because the age is different from the two respondents. From the above studies it can be concluded that teaching coughs can effectively increase secretion mobilization. The advice from researchers is to always pay attention to the treatment program by always monitoring and evaluating the actions of teaching effective cough to patients with pulmonary TB.Keywords: pulmonary tuberculosis, respiratory hygiene,  effective cough
THE DEVELOPMENT OF PHYSICAL ACTIVITY PROTOCOL IN PATIENTS WITH CONGESTIVE HEART FAILURE IN THE HOSPITAL INPATIENT WARDS Deni Susyanti; Dewi Elizadiani Suza; Yesi Ariani
Belitung Nursing Journal Vol. 4 No. 5 (2018): September - October
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (335.186 KB) | DOI: 10.33546/bnj.505

Abstract

Background: Patients with congestive heart failure need a comprehensive rehabilitative program to restore post-attack physical ability and prevent re-attacks, therefore, it is necessary to develop physical activity protocols for these patients. Objective: This study aims to develop physical activity protocols for patients with congestive heart failure in the inpatient wards of the Level II Putri Hijau Hospital, Indonesia. Methods: This was an action research with 3 cycles consisting of four stages, namely: (1) reconnaissance, (2) planning, (3) action and observation, and (4) reflection. Data were collected quantitatively and qualitatively. Qualitative data were collected using in-depth interview, focus group discussion, and self-report, while quantitative data were collected using nursing knowledge questionnaire to 35 nurses selected using total sampling, and self-efficacy questionnaire about physical activity exercise to 9 patients with congestive heart failure selected using accidental sampling. Qualitative data were analyzed using content analysis, while quantitative data using descriptive statistical test. Results: Findings showed the completed compilation of physical activity protocols for patients with congestive heart failure. The results of observation showed a decrease in blood pressure of patients with congestive heart failure on the average of 3.12 mmHg after given physical activity protocol by nurses. Conclusion: The physical activity protocols for patients with congestive heart failure have been developed, and it has an impact on the increase of nurses' knowledge concerning physical activity exercise for CHF patients as well as the improvement of patients' self-efficacy or self-confidence in doing the physical activities.
PENDIDIKAN KESEHATAN TENTANG PENGOBATAN PADA PASIEN TUBERCULOSIS PARU DI RUMAH SAKIT TK II PUTRI HIJAU MEDAN TAHUN 2021 enny fitriani; Doni Hariansyah; Deni Susyanti; Muchti Yuda Pratama
Journal of Indah Science and Clinic Vol. 2 No. 3 (2021)
Publisher : LPPM STIKes Indah Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52622/jisk.v2i3.37

Abstract

Background: Tuberculosis is direct infectious disease caused by mycobacterium tuberculosis which transmitted through the air (droplet nuclei) when a patient with tuberculosis cough and the saliva droplets that containing the bacteria were inhaled by another person while breathing. The period of treatments for pulmonary tuberculosis required complete adherence. Irregular treatment is caused by the habit that the patient already felt healthy and does not spend the drugs completely and also the side effects of the drugs that make the patient unable to stand it then stop taking the drugs.There were some reasons that lead to the resistance pulmonary tuberculosis bacteria to OAT or MDR-TB. The knowledge management for uneducated patients is needed by providing health education about the treatment of tuberculosis.Methods: The study used descriptive study by involving nursing process which include of assessment, diagnosis,intervention, implementation and evaluation on two patients with pulmonary tuberculosis at TK II Putri Hijau Hospital Medan. Results: It was obtained that the lack of knowledge problem could be resolved in patient I while in patient II the problem was partially resolved.