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Edukasi Kesehatan pada Keluarga tentang Enchepalitis Autoimun pada Anak Simamora, Marthalena; Pardede, Jek Amidos; Damanik, Ranikawati
Jurnal Peduli Masyarakat Vol 2 No 2 (2020): Jurnal Peduli Masyarakat, Juni 2020
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jpm.v2i2.117

Enchephalitis autoimun merupakan suatu kondisi dimana kekebalan tubuh salah menyerang sel-sel otak yang sehat dan menyebabkan peradangan otak. Encephalitis autoimun dikenal dengan sebutan encephalitis anti reseptor NMDA. Gejala dari encephalitis anti reseptor antara lain halusinasi, psikosis, perubahan kepribadian, dan iritabilitas, sehingga masyarakat yang tidak mengenal penyakit ini sering menganggap penyakit ini dengan gangguan jiwa. Prognosis dari encephalitis anti reseptor NMDA bergantung pada seberapa cepat diagnosis dan terapi diberikan. Diperlukan pengetahuan yang cukup terutama pada gejala dan terapi pada encephalitis anti reseptor NMDA agar pasien bisa memperoleh penanganan yang tepat sasaran. Pengabdian kepada Masyarakat ini bertujuan mengedukasi keluarga di RSUP H. Adam Malik Medan tentang encephalitis Autoimun dan bagaimana perawatan pada anak dengan encephalitis autoimun. Hasil pengabdian kepada masyarakat adalah terjadi peningkatan pengetahuan peserta yang memahami tentang encephalitis autoimun dan bagaiman perawatan pada anak dengan encephalitis autoimun. Kesimpulan edukasi kesehatan telah meningkatkan pengetahuan keluarga dalam merawat anak dengan diagnosis encephalitis autoimun. Kata kunci: encephalitis autoimun; pendidikan kesehatan HEALTH EDUCATION IN THE FAMILY ABOUT AUTOIMMUNE ENCEPHALITIS IN CHILDREN ABSTRACT Autoimmune encephalitis is a condition in which the body's immune system attacks healthy brain cells and causes inflammation of the brain. Autoimmune encephalitis is known as anti-NMDA receptor encephalitis. Symptoms of anti-receptor encephalitis include hallucinations, psychosis, personality changes, and irritability, so people who are not familiar with this disease often assume this disease with mental disorders. The prognosis of NMDA anti-receptor encephalitis depends on how quickly the diagnosis and treatment is given. Sufficient knowledge is needed, especially on symptoms and therapy in NMDA anti-receptor encephalitis so patients can get the right treatment. Community Service aims to educate families at H. Adam Malik General Hospital Medan about Autoimmune encephalitis and how to care for children with autoimmune encephalitis. The result of community service is an increase in the knowledge of participants who understand about autoimmune encephalitis and how to care for children with autoimmune encephalitis. Conclusion Health education can increase family knowledge in caring for children with a diagnosis of autoimmune encephalitis. Keywords: autoimmune encephalitis; health education

Pengaruh Self-Efficacy Enhancing Intervention Program (SEEIP) Secara Online Terhadap Self-Efficacy Dalam Manajemen Diri Penderita Diabetes Mellitus Tipe II Di Puskesmas Juli I Siregar, Rinco; Gultom, Rumondang; Simamora, Marthalena; Pardede, Jek Amidos; Utari, Dwi
Jurnal Keperawatan Muhammadiyah Vol 6, No 2 (2021): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v6i2.7747

Objective: The objectiveÂ of this study was to determine the effect of Self-Efficacy Enhancing Intervention Program (SEEIP) with online method on Self-Efficacy in Self-Management in Type 2 Diabetes Mellitus (T2DM) at Juli I Public Health CentreMethods: This study was a pre-experimental pre-test and post-test with only one group design. The population wasT2DM at Juli I Public Health Center in 2020. The sample size was 22 participants, selected by purposive sampling technique. Diabetes Management Self-Efficacy Scale (DMSES) was used to measure the Self-Efficacy in Self- Management of T2DM patients. Data were analyzed using paired t-testResults:Â The results of the study showed that the means score of Self- Management of T2DM before receiving SEEIP was 39,00 (SD: 15,455) and 90,23 (SD: 7,571)after receiving the SEEIP. Paired t-test showed that there was a significant difference on Self- Efficacy in Self-Management in T2DM at Juli I Public Health Centre in 2020Conclusion: Â SEEIP could improve self-efficacy in self-management for Type 2 diabetes mellitus at Juli I Public Health Centre.

ANKLE BRACHIAL INDEX DAN SENSITIFITAS KAKI PADA PASIEN DM TIPE II Galvani Volta Simanjuntak; Janno Sinaga; Marthalena Simamora
Jurnal Ilmiah Keperawatan Vol 3 No 2 (2020): JURNAL MUTIARA NERS
Publisher : Program Studi Ners UNIVERSITAS SARI MUTIARA INDONESIA

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

Ankle brachial Index (ABI) is an examination to determine of vascularization in the lower leg in T2DM patients. Vascular disorders in the lower legcan predicted nerve function problem in the legs (peripheral diabetic neuropathy). The purpose study was to exploration the ankle brachial index in T2DM patiens and its correlation with foot sensory. This study was an observational analytic with cross sectional design with population was type II DM patients in diabetic clinic Sari Mutiara Hospital. The number of samples was 65 respondents taken by accidental sampling with inclusion criteria did not have diabetic ulcers, heart or kidney disease and exclusion criteria were ABI values> 1.3. Conclusion: The lower of ABI values indicate a problem of foot sensory in T2DM patients.It is recommended for T2DM patients to routinely to assest of ABI and leg sensitivity and control glikemic levels.

PENGARUH JUS SEMANGKA TERHADAP MAP (MEAN ARTERI PRESSURE) PADA LANSIA PENDERITA HIPERTENSI DI WILAYAH KERJA PUSKESMAS BINJAI ESTATE Lasma Rina Efrina Sinurat; Marthalena Simamora
Indonesian Trust Health Journal Vol 2 No 1 (2019): Indonesian Trust Health Journal
Publisher : STIKes Murni Teguh

Changes in modern lifestyles, such as smoking, drinking alcohol, unbalanced eating patterns and lack of physical activity can trigger an increased incidence of hypertension. One of the hypertension therapies that utilize herbal plants is watermelon. The study aims to determine the effect of watermelon juice on Mean Arterial Pressure (MAP) in elderly people with hypertension in the Binjai Estate Health Center. This type of research is quasy-experimental one group pre-post test. The population used was all elderly with hypertension as many as 76 people. The samples in this study were 28 people using purposive sampling technique. Data analysis uses paired T-test (T-Dependent). The results showed that there was an influence of giving watermelon juice to Mean Arterial Pressure (MAP) in elderly patients with hypertension with a p-value of 0,000 with a MAP value before being given watermelon juice therapy 119.304 mmHg and the value of MAP after watermelon juice therapy was 103.039 mmHg. It is recommended that patients be expected to continue to consume watermelon juice more routinely for 7 days weighing 250 grams / day, but need to control blood pressure so that hypotension does not occur suddenly and need to improve good lifestyle. Perubahan gaya hidup modern, seperti merokok, minuman alkohol, pola makan yang tidak seimbang dan kurangnya aktivitas fisik dapat memicu meningkatnya angka kejadian penyakit hipertensi. Salah satu terapi hipertensi yang memanfaatkan tanaman herbal yaitu semangka. Penelitian bertujuan untuk mengetahui pengaruh pemberian jus semangka terhadap Mean Arteri Pressure (MAP) pada lansia penderita hipertensi di Wilayah Kerja Puskesmas Binjai Estate. Jenis penelitian quasy-eksperiment one group pre–post test. Populasi yang digunakan adalah seluruh lansia penderita hipertensi sebanyak 76 orang. Sampel dalam penelitian ini sebanyak 28 orang dengan menggunakan teknik purposive sampling. Analisa data menggunakan uji paired T-test (T-Dependent). Hasil penelitian menunjukkan bahwa ada pengaruh pemberian jus semangka terhadap Mean Arteri Pressure (MAP) pada lansia penderita hipertensi dengan nilai p-value 0,000 dengan nilai MAP sebelum diberikan terapi jus semangka 119,304 mmHg dan nilai MAP sesudah diberikan terapi jus semangka 103,039 mmHg. Disarankan bagi pasien diharapkan dapat melanjutkan untuk mengkonsumsi jus semangka lebih rutin selama 7 hari dengan berat 250 gram/hari, akan tetapi perlu mengontrol tekanan darah agar tidak terjadi hipotensi secara mendadak dan perlu memperbaiki pola hidup yang baik.

KHASIAT MADU DALAM MENURUNKAN MUKOSITIS AKIBAT KEMOTERAPI Marthalena Simamora; Dewi Prabawati; Wilhelmus Hari Susilo
Idea Nursing Journal Vol 7, No 3 (2016): Idea Nursing Journal
Publisher : Fakultas Keperawatan-Universitas Syiah Kuala

ABSTRAKMukositis merupakan peradangan pada mukosa dan submukosa mulut yang terjadi akibat efek samping kemoterapi. Salah satu tindakan yang direkomendasikan untuk mencegah dan menurunkan derajat mukositis adalah melakukan perawatan mulut menggunakan madu. Penelitian ini bertujuan menganalisis khasiat madu dalam menurunkan mukositis pada pasien kanker akibat kemoterapi. Penelitian ini merupakan kuasi eksperimen non equivalent control group pretest-post test, sampel sebanyak 98 responden diambil dengan tehnik total sampling. Pengumpulan data menggunakan lembar observasi derajat mukositis dan instrument Assesment Guide yang yang direkomendasikan oleh United Kingdom Cancer Care Study Group (UKCCSG). Analisis data dengan regresi logistic ordinal diperoleh hasil bahwa perawatan mulut menggunakan madu bermanfaat menurunkan mukositis akibat kemoterapi pada pasien kanker (kelompok intervensi) (p=0.000). Perawatan mulut menggunakan madu bersama-sama dengan variabel usia, jenis kelamin, status gizi, jenis kanker dan jenis kemoterapi secara simultan berkontribusi terhadap penurunan derajat mukositis sebesar 77,9% pada hari ketiga dan 81% pada hari ke enam. Disarankan kepada pasien kanker agar mengaplikasikan perawatan mulut menggunakan madu selama terapi kemoterapi untuk mencegah dan menurunkan derajat mukositis.Kata kunci: kemoterapi, madu, mukositis. ABSTRACTMucositis is the respond of inflammation and ulceration on the mucous membrane in the mouth and sub mucosa that happened because the side effect of chemotherapy. One of the suggested actions to prevent and decrease the degree of mucositis is by starting oral care using honey. This research’s purpose is to find out the effectiveness of the honey in decrease the degree of mucositis on cancer patients undergo are doing the chemotherapy in a general hospital in Medan. This research is a quasi experiment with designed of non-equivalent control group pre test-post test. Sampling method with total sampling technique is consist of 2 groups; an intervention group who get the oral care using honey (76 correspondent), and a group who get oral care using chlorhexidine 0.2% (22 correspondent). Regression of ordinal logistic are used to analyze the data. The result of the analysis shows that the oral care using honey is effective to decrease the degree of mucositis on cancer patients (P=0.000). The oral care using honey statistically effective to decrease the degree of mucositis, so it is recommemded to the hospitals to implement the oral care using honey in their standard of nursing treatment towards cancer patient who are doing chemotherapy.Key words: honey, chemotherapy, mucositis.

PENGARUH LATIHAN RELAKSASI OTOT PROGRESIF TERHADAP KADAR GULA DARAH DAN ANKLE BRACHIAL INDEX PADA PASIEN DIABETES MELITUS TIPE II” Galfani Volta Simajuntak; Marthalena Simamora
Idea Nursing Journal Vol 8, No 1 (2017): Idea Nursing Journal
Publisher : Fakultas Keperawatan-Universitas Syiah Kuala

ABSTRAKDiabetes mellitus (DM) merupakan suatu penyakit yang ditandai dengan hiperglikemia yang menyebabkan banyak komplikasi. Salah satunya adalah penyakit arteri perifer (PAP). PAP menyebabkan penurunan aliran darah terutama di ekstremitas bawah yang ditandai dengan ankle brachial index (ABI) yang rendah. PAP merupakan salah satu faktor resiko amputasi pada pasien DM. Relaksasi Otot progresif merupakan latihan yang dapat memperlancar aliran darah. Tujuan penelitian ini adalah untuk menganalisis pengaruh latihan relaksasi otot progresif terhadap kadar gula darah dan nilai ABI pada pasien DM tipe II. Metode penelitian ini adalah quasy eksperiment dengan pendekatan one group pre-post test. Sampel dalam penelitian ini sebanyak 30 orang yang diambil dengan teknik purposive sampling. Latihan relaksasi otot progresif dilakukan 3 kali sehari selama 1 minggu. Data dianalisis dengan uji t-dependent dengan α=0,05. Hasil penelitian menunjukkan bahwa ada perbedaan signifikan kadar gula darah sebelum dan setelah dilakukan intervensi (pvalue 0,001). Namun, tidak ada perbedaan signifikan nilai ABI sebelum dan setelah intervensi (0,997). Hal ini menunjukkan bahwa relaksasi otot progresif efektif dalam menurunkan kadar gula darah, namun tidak dapat meningkatkan nilai ABI. Oleh karena itu, diharapkan pasien DM tipe 2 dapat melakukan latihan relaksasi otot progresif secara rutin untuk membantu mengontrol kadar gula darah.Kata kunci: Ankle brachial index, gula darah, relaksasi otot progresif.ABSTRACTDiabetes mellitus (DM) is a disease characterized by hyperglycemia which normally leads to complications. One of which is peripheral artery disease (PAD). PAD decreases blood flow, particularly in extremities which is indicated by low ankle brachial index (ABI). PAD is a factor causing amputation in patients with DM. Furthermore, progressive muscle relaxation is a training which may increase blood flow. This study aimed to investigate the effect of progressive muscle relaxation training on blood sugar level and ABI value in patients with type 2 DM. Quasi experimental design using one group pre-post test was employed in this study. By using purposive sampling technique, 30 participants were selected as samples in the present study. Progressive muscle relaxation training was carried out 3 times a day for one week. The data was analysed by performing t-test analysis. The result showed that there was a significant difference of blood sugar level, before and after the intervension carried out (p value=0.001). However, there was no significant difference of ABI value, before and after the intervention (p value=0.997). It may indicate that progressive muscle relaxation training is effective to reduce blood sugar level, yet, not effective to increase ABI value. Based on this result, it is expected that patients with type 2 DM can carry out progressive muscle relaxation regularly to help control their blood sugar level. Keyword: Ankle brachial index, blood sugar, progressive muscle relaxation

Terapi Bermain Lilin dan Musik terhadap Kecemasan Anak Akibat Hospitalisasi Marthalena Simamora; Adventy Riang Bevy Gulo; Jek Amidos Pardede; Raisya Aulia Putri
Jurnal Keperawatan Jiwa (JKJ): Persatuan Perawat Nasional Indonesia Vol 10, No 1 (2022): Februari 2022
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/jkj.10.1.2022.211-216

Rawat inap (hospitalisasi) merupakan situasi krisis yang dihadapi anak ketika anak dirawat di rumah sakit untuk memulihkan kesehatan anak dengan menjalani berbagai jenis perawatan seperti pemeriksaan kesehatan, pemasangan infus dan pemberian obat sampai anak dikatakan sembuh dan diperbolehkan pulang, hal ini dapat mengakibatkan ketakutan dan kecemasan bagi anak serta mempengaruhi perubahan psikologis anak. Terapi bermain lilin adalah jenis permainan keterampilan bermain yang cocok untuk anak usia pra sekolah dan dapat memberikan kesempatan anak untuk berkreasi dengan imajinasinya sendiri, yang tujuannya untuk mengalihkan perhatian anak pada permainan sehingga anak tidak fokus. terlalu banyak pada kondisinya. Penelitian ini bertujuan untuk mengetahui pengaruh permainan lilin dan terapi musik terhadap kecemasan anak prasekolah yang menjalani rawat inap di RSUP H. Adam Malik Medan. Penelitian ini menggunakan eksperimen semu dengan pendekatan one group pre and post test design. Populasi dalam penelitian ini adalah anak usia pra sekolah pada bulan Januari-Maret 2019 dengan rata-rata 69 pasien setiap bulannya dengan sampel yang diambil sebanyak 19 responden. penelitian ini menggunakan Paired t-test. Hasil penelitian ini didapatkan tingkat kecemasan anak sebelum intervensi sebesar 39,32 dan setelah intervensi sebesar 34,37 yang menunjukkan bahwa terjadi penurunan tingkat kecemasan anak pra sekolah setelah diberikan intervensi dengan nilai p = 0,000 (p<0,05). Ada pengaruh yang signifikan bermain lilin dan terapi musik terhadap kecemasan anak menjalani rawat inap di RSUP H. Adam Malik Medan.

Verbals Bullying Related to Self-Esteem on Adolescents Jek Amidos Pardede; Akhyarul Huda; Masri Saragih; Marthalena Simamora
JENDELA NURSING JOURNAL Vol 5, No 1 (2021): JUNE 2021
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jnj.v5i1.6903

Background: Bullying is a problem of global concern that can have serious / negative effects on the mental health and well-being of adolescents. Bullying that often occurs is verbal bullying which can affect self-esteem. Purpose: to determine the relationship between bullying and self-esteem on adolescents. Methods: the design of this research is descriptive correlation with cross sectional approach. The population of the study were 83 students of class X Senior High School who experienced bullying and the sample of this study was the entire population with the sampling technique using total sampling. The data collection tool used a questionnaire that had been tested for validity and reliability, the statistical test used was the chi-square test with p 0.05. Results: the study showed that the majority of verbal bullying was moderate as much as 43.4% and the majority of the majority were low self-esteem as much as 46.6% with p = 0.004.Conclusion: there is a significant relationship between verbal bullying and self-esteem.

Tipe Kepribadian Berhubungan dengan Perilaku Caring Perawat Jek Amidos Pardede; Masri Saragih; Marthalena Simamora
Jurnal Keperawatan Silampari Vol 3 No 2 (2020): Jurnal Keperawatan Silampari
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

The purpose of this study was to determine the relationship between personality types and nurses' caring behavior at the Porsea Regional Hospital. The research design used is correlation analytic with the cross-sectional approach. This study's results are introverted personality types with good caring majority behavior, 62.2%, and extrovert personality types with good caring majority behavior 94.3%. Statistical test results showed a significant relationship between personality types and nurses caring action at the Porsea Regional Hospital (p = 0.010; p <0.05). In conclusion, the majority of nurse personality types have an extroverted personality, and the majority of nurse caring behavior has good caring practice. There is a relationship between personality type and caring nurse behavior. Keywords: Nurse, Caring Behavior, Personality Type

Edukasi Kesehatan pada Keluarga tentang Enchepalitis Autoimun pada Anak Marthalena Simamora; Jek Amidos Pardede; Ranikawati Damanik
Jurnal Peduli Masyarakat Vol 2 No 2 (2020): Jurnal Peduli Masyarakat, Juni 2020
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jpm.v2i2.117

Enchephalitis autoimun merupakan suatu kondisi dimana kekebalan tubuh salah menyerang sel-sel otak yang sehat dan menyebabkan peradangan otak. Encephalitis autoimun dikenal dengan sebutan encephalitis anti reseptor NMDA. Gejala dari encephalitis anti reseptor antara lain halusinasi, psikosis, perubahan kepribadian, dan iritabilitas, sehingga masyarakat yang tidak mengenal penyakit ini sering menganggap penyakit ini dengan gangguan jiwa. Prognosis dari encephalitis anti reseptor NMDA bergantung pada seberapa cepat diagnosis dan terapi diberikan. Diperlukan pengetahuan yang cukup terutama pada gejala dan terapi pada encephalitis anti reseptor NMDA agar pasien bisa memperoleh penanganan yang tepat sasaran. Pengabdian kepada Masyarakat ini bertujuan mengedukasi keluarga di RSUP H. Adam Malik Medan tentang encephalitis Autoimun dan bagaimana perawatan pada anak dengan encephalitis autoimun. Hasil pengabdian kepada masyarakat adalah terjadi peningkatan pengetahuan peserta yang memahami tentang encephalitis autoimun dan bagaiman perawatan pada anak dengan encephalitis autoimun. Kesimpulan edukasi kesehatan telah meningkatkan pengetahuan keluarga dalam merawat anak dengan diagnosis encephalitis autoimun. Kata kunci: encephalitis autoimun; pendidikan kesehatan HEALTH EDUCATION IN THE FAMILY ABOUT AUTOIMMUNE ENCEPHALITIS IN CHILDREN ABSTRACT Autoimmune encephalitis is a condition in which the body's immune system attacks healthy brain cells and causes inflammation of the brain. Autoimmune encephalitis is known as anti-NMDA receptor encephalitis. Symptoms of anti-receptor encephalitis include hallucinations, psychosis, personality changes, and irritability, so people who are not familiar with this disease often assume this disease with mental disorders. The prognosis of NMDA anti-receptor encephalitis depends on how quickly the diagnosis and treatment is given. Sufficient knowledge is needed, especially on symptoms and therapy in NMDA anti-receptor encephalitis so patients can get the right treatment. Community Service aims to educate families at H. Adam Malik General Hospital Medan about Autoimmune encephalitis and how to care for children with autoimmune encephalitis. The result of community service is an increase in the knowledge of participants who understand about autoimmune encephalitis and how to care for children with autoimmune encephalitis. Conclusion Health education can increase family knowledge in caring for children with a diagnosis of autoimmune encephalitis. Keywords: autoimmune encephalitis; health education

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