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EFFECT OF LAUGHTER THERAPY ON DEPRESSION LEVEL IN ELDERLY IN A NURSING HOME, NORTH SUMATRA, INDONESIA Rinco Siregar; Rumondang Gultom
Belitung Nursing Journal Vol. 5 No. 6 (2019): November - December
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (14.374 KB) | DOI: 10.33546/bnj.830

Abstract

Background: Depression level among elderly remains high in Indonesia. One of efforts to decrease depression is laughter therapy, which is assumed able to lower depression. Objective: This study aimed to examine the effect of laughter therapy on depression level in elderly at Nursing Home of Binjai Integrated Social Service Unit for the Elderly, North Sumatra, Indonesia. Methods: This was a quasi-experimental study with pretest posttest with control group design. Forty-two participants were selected using a purposive sampling, with twenty-one participants were randomly assigned in each group. An experimental group received one-hour laughter therapy for 3 times a week in 4 weeks, and a control group received usual care. Depression was measured using Geriatric Depression Scale-15. Data were collected from April to June 2018. Independent and dependent t-test were used for data analysis. Results: Findings revealed that the level of depression in elderly significantly decreased in the experimental group (p<.05), but there was no significant change of it in the control group (p=.648). Between the two groups, there was a significant difference in depression level in elderly (p<.05). Conclusion: Laughter therapy could reduce depression among elderly. Therefore, this therapy can be used as one of interventions in nursing practice, especially at nursing homes.
PENGARUH REBUSAN DAUN BINAHONG (ANREDERA CARDIFOLIA) TERHADAP KADAR GULA DARAH PADA LANSIA DM TIPE II DI PUSKESMAS KOTA DATAR Flora Sijabat; Rinco Siregar; Marthalena Simamora
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 6 No. 1 (2022): April 2022
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v6i1.3465

Abstract

Diabetes mellitus (DM) is a metabolic disease that occurs due to damage to insulin secretion and insulin action which can be measured by looking at blood glucose levels. Binahong leaves contain saponins which have insulin-like activity, can inhibit lipolysis, and increase glucose uptake by adipose cells. This study aims to determine the effect of binahong leaf decoction on blood sugar levels in the elderly with type II diabetes mellitus at Kota Datar Public Health Center. Hamparan Perak Sub distict. This study is a quasi-experimental study with a pre and post test only one group design on 22 elderly people at Kota Datar Public Health Center, Hamparan Perak Sub Distict with binahong leaf decoction and the intervention is carried out for 14 days. The paired-test method is used to analyze the different tests for the effect of binahong leaf decoction on blood sugar levels in the elderly before and after the intervention. The results show that the average blood sugar level of the elderly with type II diabetes before being given binahong leaf decoction iss 182.41 mg / dl with an SD value of 31,304, and the lowest blood sugar level is 89 mg / dl and the highest is 201 mg / dl. The average of blood sugar level in the elderly with type II diabetes mellitus after being given binahong leaf decoction is 151.82 with SD value of 31.304, and the lowest blood sugar level is 89 mg / dl and the highest is 201 mg / dl. There is a significant difference in blood sugar levels in the elderly with type II diabetes mellitus at Kota Datar Public Health Center, Hamparan Perak Sub distict with P value = 0.001 (α <0.05). There is a decrease in blood sugar levels in the elderly with type II diabetes. It is Concluded that giving binahong leaf stew can reduce blood sugar levels in the elderly with type II diabetes mellitus at Kota Datar Community Health Center, Hamparan Perak Sub distict.
PENGARUH EDUKASI DENGAN METODE WHATSAPP TERHADAP PENGETAHUAN LANSIA Flora Sijabat; Rinco Siregar; Antonij Sitanggang
Jurnal Keperawatan Widya Gantari Indonesia Vol 6 No 3 (2022): JURNAL KEPERAWATAN WIDYA GANTARI INDONESIA (JKWGI)
Publisher : Fakultas Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52020/.v6i3.4348

Abstract

Whatsapp merupakan salah satu metode edukasi yang dapat diberikan kepada masyarakat dalam peningkatan pengetahuan dan sikap tentang pengelolaan diet mulai dari jadwal makan, jenis makanan, jumlah makanan penderita Diabetes Mellitus Tipe 2. Kurangnya pengetahuan, merupakan salah satu faktor yang mempengaruhi seseorang tidak patuh terhadap diet diabetes mellitus. Tujuan penelitian untuk mengetahui pengaruh edukasi dengan metode whatsapp terhadap pengetahuan lansia.  Jenis penelitian yaitu Pre experimental  dengan pretest-posttestonly one design. Populasi dalam penelitian adalah lansia yang mengalami diabetes mellitus tipe 2. Pengambilan sampel menggunakan teknik purposiv sampling dan menggunakan rumus tabel Cohen’s d, One Sample design berjumlah 22 orang. Hasil penelitian bahwa pengetahuan sebelum intervensi adalah 11.95 dan pengetahuan sesudah treatment sebesar 18.18. Uji statistik yang digunakan adalah Uji Wilcoxon dengan α = 0.05 dan CI = 95 %, menunjukkan bahwa ada perbedaan nilai sebelum dan sesudah diberikan pendidikan kesehatan. Dapat disimpulkan bahwa ada pengaruh pendidikan kesehatan menggunakan metode whatsapp terhadap pengetahuan tentang pengelolaan diet DM tipe 2 pada lansia di Puskesmas Kute Panang Aceh Tengah. dengan p = 0.000. Peneliti menyimpulkan sangatlah efektif edukasi Kesehatan dengan metode whatsapp kepada responden yang menderita DM tipe II. Disarankan kepada manajemen Puskesmas agar memberikan pendidikan kesehatan tentang pengelolaan diet diabetes mellitus tipe 2 pada penderita diabetes melitus tipe 2 menggunakan metode whatsapp.
PENGARUH TERAPI RELAKSASI OTOT PROGRESIF TERHADAP INSOMNIA PADA LANSIA Flora Sijabat; Julia Siahaan; Rinco Siregar; Lis Herley Tinambunan; Arsite Sitanggang
Jurnal Reproductive Health Vol 5 No 2 (2020): Jurnal Health Reproductive
Publisher : UNIVERSITAS SARI MUTIARA INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51544/jrh.v5i2.1710

Abstract

Tingginya masalah tidur yang terjadi pada lansia memerlukan penanganan yang sesuai untuk meningkatkan pemenuhan kebutuhan tidur. Peningkatan pemenuhan kebutuhan tidur dapat dilakukan dengan mengajarkan cara-cara yang dapat menstimulus dan memotivasi tidur. Salah satu cara yang bisa dilakukan adalah relaksasi otot progresif suatu bentuk teknik yang melibatkan pergerakan anggota badan. Tujuan penelitian ini untuk mengetahui pengaruh terapi relaksasi otot progresif terhadap insomnia pada lansia. Desain penelitian yang digunakan adalah quasi-eksperiment dengan rancangan pre test-post test one grup only design. Pengambilan sampel yang digunakan dalam penelitian ini adalah non probability sampling dengan teknik purposive sampling. Populasi dalam penelitian ini adalah seluruh lansia yang mengalami insomnia di UPT Pelayanan Sosial Lanjut Usia Dinas Sosial Binjai Provinsi Sumatera Utara. Pengambilan sampel menggunakan cohend’s table dengan settingan power 0,80 dimana alpha 0,05 maka jumlah sampel 26 orang. Hasil penelitian didapatkan insomnia sebelum diberikan terapi relaksasi otot progresif memiliki nilai rata-rata 2.58, sedangkan pada insomnia setelah diberikan terapi relaksasi otot progresif didapatkan nilai rata-rata menjadi 1,71. Hasil penelitian ini menggunakan uji Wilcoxon matched-pairs signed rank test, dan mendapatkan p value = 0,000 (p<0,05). Menunjukkan adanya pengaruh terapi relaksasi relaksasi otot progresif terhadap insomnia pada lansia di UPT Pelayanan Sosial Lanjut Usia Dinas Sosial Binjai Sumatera Utara. Sehingga diharapkan kepada lembaga di UPT. Pelayanan Sosial Lanjut Usia Dinas Sosial Binjai Sumatera Utara untuk menerapkan terapi relaksasi otot progresif pada lansia yang mengalami insomnia
FAKTOR RISIKO INFEKSI NOSOKOMIAL PADA PERAWAT DI RUANG RAWAT INAP RSUD KOTA PINANG KABUPATEN LABUHAN BATU SELATAN TAHUN 2020 Antonij Edimarta, Frida Saragih, Yunida Tourisna Oktavia Simanjuntak, Rinco Siregar
JURNAL PIONIR Vol 7, No 1 (2021): Januari
Publisher : Universitas Asahan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36294/pionir.v7i1.2800

Abstract

ABSTRAK Infeksi nosokomial merupakan infeksi yang terjadi di rumah sakit atau fasilitas pelayanan kesehatan setelah pasien dirawat 2x24 jam, yang sebelumnya, pasien tidak memiliki gejala penyakit tersebut dan tidak dalam masa inkubasi.pasien, petugas kesehatan, pengunjung dan penunggu pasien merupakan kelompok yang paling berisiko terkena infeksi nosokomial, karena infeksi ini dapat menular dari pasien ke petugas kesehatan, dari pasien ke pengunjung atau keluarga ataupun dari petugas ke pasien Faktor yang berhubungan dengan infeksi nosokomial adalah tindankan invasif dan pemasangan infus, ruangan terlalu penuh, penyalahgunaan antibiotik, prosedur sterilisasi yang tidak tepat dan ketidaktaatan terhadap peraturan pengendalian infeksi oleh perawat. penelitian ini bertujuan untuk mengetahui pengetahuan, sikap, tindakan serta lingkungan perawat tentang faktor risiko infeksi nosokomial di ruang rawat inap RSUD Kota Pinang. Jenis penelitian ini adalah kuantitatif dengan pendekatan deskriptif observasional. Pada penelitian ini terdapat 36 populasi dengan 36 sampel, dimana sampel ditarik dengan total sampling. Dari hasil penelitian diketahui bahwa dari 26 responden terdapat 16 responden (61,5%) responden yang memiliki pengetahuan kurang baik dan 10 responden terda entrasi : Keselamatan dan Kesehatan Kerja Judul : Faktor  Risiko Infeksi Nosokomial pada Perawat di Ruang Rawat Inap RSUD Kota Pinang Kabupaten Labuhan Batu Selatan Tahun 2020. Infeksi nosokomial merupakan infeksi yang terjadi di rumah sakit atau fasilitas pelayanan kesehatan setelah pasien dirawat 2x24 jam, yang sebelumnya, pasien tidak memiliki gejala penyakit tersebut dan tidak dalam masa inkubasi.Pasien, petugas kesehatan, pengunjung dan penunggu pasien merupakan kelompok yang paling berisiko terkena infeksi nosokomial, karena infeksi ini dapat menular dari pasien ke petugas kesehatan, dari pasien ke pengunjung atau keluarga pat 9(90,0%)  responden dengan sikap positif 6(50.0%) responden dengan sikap negatif, 19 (79,2%) responden dengan tindakan positif dan 8 (10,8%) responden dengan tindakan negatif serta untuk variabel lingkungan kerja perawat dapat dikatakan baik, meskipun masih ada beberapa hal yang harus diperbaiki. Keyword: Risiko, Infeksi Nosokomial, Perawat
THE EFFECT OF EXERCISE CONSULTATION PROGRAM ON EXERCISE BEHAVIORAL CHANGES IN PATIENTS OF TYPE 2 DM WITH OVERWEIGHT : TRANSTHEORETICAL MODEL APPROACH Rinco Siregar; Karnirius Harefa; Eva Kartika Hasibuan
INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC) Vol 1, No 1 (2016): INJEC
Publisher : Asosiasi Institusi Pendidikan Ners Indonesia (AIPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24990/injec.v1i1.97

Abstract

The purpose of this quasi- experimental study was to determine the effect of exercise consultation program based on Transtheoretical Model (TTM) approach on exercise behavioral change, blood glucose and body mass index (BMI)  in patients of T2DM with overweight. The two comparison groups, quasi-experimental study were purposively designed for pre-test/post-test procedures; 61 patients of T2DM allocated into the experimental (31 patients) and the control (30 patients) groups. While the experimental group received the exercise consultation for 12 weeks, the control group received routine care. Comparative assessments on differences in exercise behavioral changes, blood glucose and BMI were examined both within and between groups using Chi-Square test and t-test. After receiving exercise consultation program, 54.8 % of participants of the experimental group had progressed to the action stage of change of TTM, while the majority of the participants in the control group (43.3%) remained in the same stages of TTM, and only 3.3 % of the participants had progressed to the maintenance stage. This proportion of exercise behavior change between the groups was significantly statistical different (Chi-Square = 000, p <0.05). Blood glucose significantly decreased in the experimental group (p < .05), but there was no significant difference in the control group.No significant difference of mean scores of BMI of participants between the experimental group and the control group post-intervention of exercise consultation program (p > .05). In conclusion, the exercise consultation program could promote the exercise behaviors. This also improves health outcome on blood glucose among patients of T2DM who.Keywords: transtheoretical model; physical exercise; type 2 diabetes
THE VARK LEARNING STYLE OF NURSING AND MIDWIFERY STUDENTS Janno Sinaga; Rinco Siregar; Amila Amila; Rinawati Sembiring
INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC) Vol 2, No 2 (2015): INJEC
Publisher : Asosiasi Institusi Pendidikan Ners Indonesia (AIPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (232.896 KB) | DOI: 10.24990/injec.v2i2.27

Abstract

Introduction. VARK is very important to facilitate the development of nursing and midwifery students, helping translate theory into practice, and making what is learned in the classroom a reality. It is important to assess the learning style ofstudents to cater for differing learning needs. The aim of the study were: 1) to identify learning style nursing and midwifery students, and 2) the differences of learning style between nursing and midwifery students. Method. A descriptive crosssectional study was performed by using VARK questionnaire version 7.8. A total of 241 students including 125 nursing and 116 midwifery students were participated in this study that selected using stratifi ed random sampling techniques. Data analysis used Chi square test and One Way ANOVA (α=0.05). Result. The study showed that 61.7% and 67.8% nursing and midwifery students in the fi rst year; 70.8% and 63.3% in the second-year were used multimodal learning preferences, respectively. There was no signifi cantly differences learning preferences between the fi rst and the second-year as well as between nursing and midwifery students (p>0.05). Discussion. The nursing and midwifery students have varies on the learning preferences however the majority of the students used multimodal. Therefore, an active learning method was recommended. Keywords: Learning style, Nursing and midwifery students, VARK
The Effect of Exercise Consultation Program On Physical Activity Level in Elderly People at Darussalam Community Health Center, North Sumatra Rinco Siregar; Rumondang Gultom; Frida Liharis Saragih
Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan Vol 8 No 3 (2020): Jurnal Dunia Keperawatan
Publisher : School of Nursing, Faculty of Medicine, Lambung Mangkurat University.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (344.659 KB)

Abstract

Background : It is importan to promote physical activity for elderly people, but to improve level of physicalactivity of elderly people is a challange for health workers. Purpose : The purpose of this quasi- experimentalstudy was to determine the effect of exercise consultation program by using Transtheoretical Model (TTM)approach on physical activity level in elderly people at Darussalam’ s Community Health Center. Researchmethod :The two comparison groups for this study were purposively designed for pre-test/post-test procedures;sixty elderly people at Darussalam’s Community Health Center with randomly allocated into the experimental(30 people) and the control (30 people) groups. While the experimental group received the exercise consultationfor 8 weeks, the control group received routine care. Physical Activity Scale for Elderly (PASE) was use toassess the the physical activity of elderly. Comparative assessments on differences in level of physical activityboth within group using Wilcoxson macthed-pairs and between group using Mann Withney U Test. Results :The results of this study found that after receiving exercise consultation program, level of physical activity inelderly people significantly increased in the experimental group (P < 0.05), but there was no significantdifference in the control group. Between groups, level of physical activity significantly increased afterreceiving the exercise consultation while no change was found among those who did not (P <0.05).Conclusion: The exercise consultation program by using TTM approach could increase level of physicalactivity of elderly people.
Improving the Family Caregiver’s Knowledge about Diet Diabetes Management through WhatsApp online Health Educations Rinco Siregar; Agnes Silvina Marbun; Lasma Rina Sinurat
ARTERI : Jurnal Ilmu Kesehatan Vol 4 No 3 (2023): Mei
Publisher : Puslitbang Sinergis Asa Professional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37148/arteri.v4i3.271

Abstract

Information about diet management of Type 2 Diabetes Mellitus (T2DM) is very important for family caregivers caring for elderly with T2DM. Family caregivers should have a good knowledge of how to manage dietary restriction for elderly with T2DM. The purpose of the study was to determine the effect of the online health education about diet diabetes management through WhatsApp media on family caregiver’s knowledge at Rantang Public Health Center (PHC), Medan. The research design used in this study was a quasi-experimental study pretest and posttest only one group. The samples were twenty-two family caregivers caring for elderly with T2DM at home and were selected using a purposive sampling. Online Health Education about diet diabetes management of elderly with T2DM through WhatsApp was delivered to family caregiver for four weeks. Family caregiver’s knowledge was measured by Knowledge of Diabetic Diet Questionnaire (KDDQ-I). The results of this study found that the mean score of knowledge before receiving the online health education was 11.95, and after receiving the online health education the mean score of knowledge was 18.18. The Wilcoxon test found a difference in mean score of knowledge before and after receiving online health education through WhatsApp (P < 0.05). The family caregiver’s knowledge was increasing 6.23 points through WhatsApp online education. It can be concluded that using WhatsApp media for health education is proven to increase family caregivers' knowledge about DM dietary management. WhatsApp can be used by health workers as a media for health education.
KUALITAS HIDUP LANSIA DIABETES MELLITUS DIHUBUNGKAN DENGAN TINGKAT KECEMASAN DAN DUKUNGAN SOSIAL PADA NEW ERA PANDEMI COVID-19 Rinco Siregar; Rumondang Gultom; Siska Evi Simanjuntak; Ubay Anwairi
Jurnal Ilmiah Keperawatan IMELDA Vol. 9 No. 2 (2023): Jurnal Ilmiah Keperawatan IMELDA
Publisher : Program Studi S1/DIII-Keperawatan Universitas Imelda Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jikeperawatan.v9i2.1286

Abstract

Pada masa pandemi Coronavirus disease-19 (COVID-19) terutama pada lansia dengan Diabetes Mellitus (DM) sering mengalami kecemasan yang berdampak terhadap kualitas hidupnya, selain itu, penyakit DM itu sendiri juga berdampak terhadap kualitas hidup lansianya. Penelitian ini bertujuan untuk mengetahui hubungan tingkat kecemasan dan dukungan sosial keluarga dengan kualitas hidup lansia penderita DM di era new normal pandemi COVID-19 di Kabupaten Langkat Sumatera Utara. Jenis penelitian ini yang digunakan adalah deskriptif korelasidengan rancangan cross-sectional. Populasi dalam penelitian ini adalah seluruh lansia yang mengalami DM dan tinggal bersama dengan keluarganya sebanyak 240 lansia. Sampel dalam penelitian diseleksi dengan tehknik purposive sampling ini sebanyak 140 orang. Alat yang digunakan adalah Zung Self-Rating Anxiety Scale (ZSRAS/ZSAS) untuk mengukur kecemasan lansia, Multidimensional Scale of Perceived Social Support (MSPSS) digunakan untuk mengukur dukungan sosial yang diperoleh lansia, dan Older People’s Quality of Life Brief Questionnaire (OPQoL-Brief) untuk mengukur kualitas hidup lansia. Hasil uji Spearmen Rank Test menunjukkan ada hubungan negative antara tingkat kecemasan dengan kualitas hidup lasia penderita DM (P=000; < 0.05; r: -0.331), ada hubungan dukungan sosial dengan kualitas hidup lansia penderita DM (P=0.001; < 0.05; r: 0.647). Dapat disimpulkan bahwa lansia penderita DM yang mengalami kecemasan sedang, dan yang memperoleh dukungan sosial yang tinggi, memiliki kualitas hidup yang baik. Disarankan agar petugas kesehatan memberikan intervensi untuk menurunkan tingkat kecemasan dan meningkatkan dukungan sosial pada lansia.