Jurnal Keperawatan Abdurrab

FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KUALITAS HIDUP PASIEN PENYAKIT KRONIS DI PEKANBARU

ratih ayuningtiyas — 2024-12-23

Abstract

A chronic disease is a long-lasting condition requiring continuous medical care and restricting daily functioning. Two chronic diseases that are experiencing a growing prevalence are hypertension and type 2 diabetes mellitus. As the prevalence of chronic diseases increases, addressing the corresponding increase in quality of life is imperative. Various aspects, including knowledge, self-efficacy, family support, and medication adherence, influence the quality of life. The objective of this study was to establish the correlation between knowledge, self-efficacy, family support, and medication adherence with the quality of life of individuals with chronic diseases in Pekanbaru. This study utilizes an observational analytical strategy incorporating a cross-sectional approach and a correlational analytical methodology. The study was carried out in 15 sub-districts of Pekanbaru utilizing the Accidental Sampling method. The findings of the Spearman Rank test on 247 patients revealed a significant association between self-efficacy, family support, and adherence to medicine with the quality of life of chronic disease patients in Pekanbaru. The p-values for these relationships were 0.000, 0.010, and 0.000, respectively. However, there is no significant correlation between knowledge and the quality of life of chronic patients, as indicated by a p-value of 0.599. This study's findings suggest a significant relationship between self-efficacy, family support, and medication adherence and the quality of life of those with chronic conditions.

Keywords: family support, knowledge, medication adherence, quality of life of chronic disease patients, self-efficacy

Abstrak

Penyakit kronis adalah kondisi jangka panjang yang membutuhkan perawatan medis yang berkelanjutan dan membatasi fungsi sehari-hari. Dua penyakit kronis yang mengalami prevalensi yang meningkat adalah hipertensi dan diabetes melitus tipe 2. Oleh karena prevalensi penyakit kronis meningkat, sangat penting untuk juga menangani peningkatan kualitas hidup yang sesuai. Kualitas hidup dipengaruhi oleh berbagai aspek, termasuk pengetahuan, efisiensi diri, dukungan keluarga, dan kepatuhan obat. Tujuan dari studi ini adalah untuk mengetahui hubungan antara pengetahuan, self-efficacy, dukungan keluarga, dan kepatuhan minum obat dengan kualitas hidup pasien dengan penyakit kronis di Pekanbaru. Penelitian ini menggunakan desain analitis observasional dengan pendekatan cross-sectional dan desain analitik korelasi. Penelitian dilakukan di 15 kecamatan di Pekanbaru dengan menggunakan metode sampel acak. Hasil dari dari tes Spearman Rank pada 247 pasien diketahui terdapat hubungan yang signifikan antara self-efficacy, dukungan keluarga, dan kepatuhan minum obat dengan kualitas hidup pasien penyakit kronis di Kota Pekanbaru dengan p-value 0.000, 0.010 dan 0.000. Namun, tidak ada korelasi yang signifikan antara pengetahuan dengan kualitas hidup pasien kronis, dengan p value 0,599. Kesimpulan dari penelitian ini menunjukkan bahwa ada hubungan yang signifikan antara efisiensi diri, dukungan keluarga, dan kepatuhan obat dan kualitas hidup pasien dengan penyakit kronis.

Kata Kunci: dukungan keluarga, kepatuhan minum obat, kualitas hidup pasien kronis, pengetahuan, self-efficacy

HUBUNGAN KADAR ASAM URAT DENGAN KEPARAHAN PENYAKIT PARKINSON

Elvina Zuhir — 2024-12-23

Abstract

In recent centuries, there has been an increase in life expectancy, whereas, in developed countries, the average life span is longer than in previous generations. This longer lifespan has also led to a rise in cases of chronic neurological diseases, such as Parkinson's disease. Parkinson's disease is the second most common neurodegenerative disorder after Alzheimer's disease. Its prevalence is 0.5 to 1 % after age 65 and 1 to 3 % after age 80; the disease is rare in individuals younger than 50. A decrease in dopamine levels in Parkinson's Disease produces symptoms such as bradykinesia, stiffness, tremor at rest, and postural imbalance, which become noticeable when 70-80% of dopamine-producing neurons are lost. Intracellular dopamine metabolism is susceptible to free radical production, exposing dopaminergic cells to a greater risk of oxidative stress toxicity. Urate, or uric acid, as a purine metabolite, is a powerful natural antioxidant that plays an essential role in eliminating free radicals. The study was conducted on 21 patients with Parkinson's at Bangkinang Hospital in 2023. Data collection is done by conducting a physical examination to determine the severity of Parkinson's disease and then analyzing uric acid levels. From the results of Spearmanâ€™s analysis, a p-value of 0.872 was obtained, which showed no relationship between uric acid levels and the severity of Parkinson's disease.

Keywords: Parkinson's disease, uric acid, disease severity

Abstrak

Dalam beberapa abad terakhir, telah terjadi peningkatan harapan hidup, sedangkan, di negara maju, rentang hidup rata-rata lebih lama daripada generasi sebelumnya. Umur yang lebih panjang ini juga menyebabkan peningkatan kasus penyakit neurologis kronis, seperti penyakit Parkinson. Penyakit Parkinson adalah gangguan neurodegeneratif paling umum kedua setelah penyakit Alzheimer. Prevalensinya adalah 0,5 hingga 1% setelah usia 65 dan 1 hingga 3% setelah usia 80; Penyakit ini jarang terjadi pada individu yang lebih muda dari 50 tahun. Penurunan kadar dopamin pada penyakit Parkinson menghasilkan gejala seperti bradikinesia, kekakuan, tremor saat istirahat, dan ketidakseimbangan postural, yang menjadi nyata ketika 70-80% neuron penghasil dopamin hilang. Metabolisme dopamin intraseluler rentan terhadap produksi radikal bebas, mengekspos sel-sel dopaminergik untuk risiko yang lebih besar toksisitas stres oksidatif. Urat, atau asam urat, sebagai metabolit purin, adalah antioksidan alami yang kuat yang memainkan peran penting dalam menghilangkan radikal bebas. Penelitian dilakukan pada 21 pasien Parkinson di Rumah Sakit Bangkinang pada tahun 2023. Pengumpulan data dilakukan dengan melakukan pemeriksaan fisik untuk mengetahui tingkat keparahan penyakit Parkinson kemudian menganalisis kadar asam urat. Dari hasil analisis Spearman, diperoleh p-value sebesar 0,872 yang menunjukkan tidak ada hubungan antara kadar asam urat dengan tingkat keparahan penyakit Parkinson.

Kata kunci: Penyakit Parkinson, asam urat, keparahan penyakit

IDENTIFIKASI KUALITAS UDARA DI JALAN JENDRAL AHMAD YANI TANJUNG ENIM KABUPATEN MUARA ENIM

Nurhasana Sinaga — 2024-12-23

Air polluted by fine particles, such as PM_2.5 and PM₁₀, significantly affects human health, especially in areas with dense transportation and industrial activities. This study aims to identify air quality on Jalan Jenderal Ahmad Yani, Tanjung Enim, Lawang Kidul District, Muara Enim Regency, in 2024. The method used is a quantitative approach with a cross-sectional design. Measurements were taken at three locations in the morning, afternoon, and evening, using the inScienPro DAZ-400 tool to measure PM_2.5, PM₁₀, temperature, humidity, and wind speed. The results showed that the concentrations of PM_2.5 and PM₁₀ exceeded the air quality standards, especially at night, with the highest PM_2.5 concentration at 12433 Âµg/mÂ³ and PM₁₀ at 12433 Âµg/mÂ³. The conclusion of this study is that the air quality in the area is heavily polluted due to heavy vehicle activities, especially coal trucks. It is recommended that the local government consider restricting heavy vehicle traffic during peak hours and regularly monitor air quality to protect public health.

EFEKTIVITAS KOMPRES SERAI DAN JAHE HANGAT TERHADAP NYERI ARTHRITIS GOUT PADA LANSIA

Awaluddin Awaluddin — 2024-12-23

Gout arthritis is a musculoskeletal disease that causes joint pain. There are many therapies available to relieve pain in patients with gout arthritis. One of them is a warm compress of lemongrass and ginger which aims to stimulate the surface of the skin to relieve pain. The purpose of this study was to determine the effectiveness of warm lemongrass and warm ginger compresses on gout arthritis pain in the elderly. The research design used is quantitative research with a quasi-experimental method with a pre-test post-test design research design. This research was carried out on May 04 â€“ 11, 2024. The population in this study is gout arthritis patients in the working area of the Simpang Tiga Health Center, as many as 140 people and a sample of 36 people divided into 2 groups of 18 people with warm lemongrass compress intervention and 18 people with warm ginger compress intervention. The number of samples is determined using Federer's formula. The sampling technique uses purposive sampling. The data collection tool uses observation sheets and interviews. From the results of this study, it can be interpreted that there is a difference between the two intervention groups, namely warm ginger compresses are more effective in reducing pain than warm lemongrass compresses. It is recommended for the Simpang Tiga Health Center to be a source of information about herbal/complementary medicines for people with gout arthritis and its treatment so that the public can know about herbal medicines that are beneficial to health.

PENGARUH SENAM OTAK TERHADAP TINGKAT KONSENTRASI BELAJAR SISWA

Fauziah Ramadani — 2024-12-27

ABSTRACT

Difficulty concentrating is experienced by many adolescents, especially in the learning process. Brain exercise is a series of simple movements designed to stimulate the optimization of the work of the brain. The purpose of this study was to determine the effect of brain exercise on the level of learning concentration of class XE3 students at SMAN 2 Payakumbuh City. The population in this study is class XE3 at SMAN 2 Kota Payakumbuh with 36 students. The sample used it 15 respondents with a sampling technique of purposive sampling. This study uses a pre experimental design with One Group Pre and Post Test Design, which uses a treatment group and without using a control group. The results were found that the mean pre test (4.93) and post test (10.40) experienced an increase in concentration with a value of P=0,000. The results showed that there were differences in the level of concentration before being given brain exercise and after being given brain exercise. Thus the brain gymnastics can be used as a method to increase student concentration in learning so that the goal of learning can be achieved.

GAMBARAN BURNOUT PADA PERAWAT PELAKSANA DI RUMAH SAKIT

Raja Fitrina Lestari — 2024-12-27

Perawat adalah pekerjaan yang memainkan peran penting dalam penyediaan layanan kesehatan. Tuntutan dan tanggung jawab perawat dalam memberikan pelayanan kesehatan sangat berat, perawat menjadi tulang punggung dalam kesembuhan pasien yang menyebabkan perawat menjadi mudah stres. Seorang perawat harus beradaptasi dengan tuntutan dan tekanan pekerjaan dalam waktu yang panjang dan menyebabkan suatu kondisi yang disebut dengan burnout syndrome. Burnout merupakan kondisi seseorang yang merasa terkuras habis, kehilangan energi psikis maupun fisik dan biasanya ditunjukkan dalam bentuk kelelahan fisik, mental, dan emosional yang tidak berhenti. Beberapa faktor yang dapat menyebabkan burnout pada perawat adalah beban kerja yang tinggi, kurangnya dukungan dari atasan dan rekan kerja, jam kerja yang panjang, kurangnya waktu istirahat, paparan terhadap situasi yang penuh stres. Hal ini dapat mempengaruhi kualitas dan keamanan pasien, sehingga bisa mempengaruhi asuhan keperawatan. Penelitian ini bertujuan untuk mengetahui gambaran burnout pada perawat pelaksana. Penelitian ini menggunakan jenis penelitian metode kuantitatif dan desain deskriptif. Populasi penelitian ini yaitu 61 responden dan sampel sebanyak 59 responden. Teknik sampel yang digunakan penelitian ini adalah Total Sampling yaitu teknik penentuan sampel dimana semua anggota populasi digunakan menjadi sampel. Analisis yang digunakan adalah analisis univariat. Hasil penelitian ini menunjukkan bahwa karakteristik responden berdasarkan usia mayoritas 31-40 tahun sebanyak 38 (64,4%) responden, jenis kelamin terbanyak perempuan 51 (86,4%) responden, mayoritas pendidikan yaitu ners 33 (55,9%) responden, status pernikahan mayoritas yaitu menikah 52 (88,1%) responden, dan mayoritas lama bekerja yaitu >10 tahun 32 (54,2%) responden. Peneliti dapat merekomendasikan penelitian menggunakan kualitatif, dan menggunakan mixed method untuk memberikan pemahaman yang lebih komprehensif dan mendalam mengenai topik yang diteliti.

Efektifitas Pemberian Bueger Allen Exercise Dan Senam Kaki Terhadap Skor Ankle Brachial Index (ABI) Pada Pasien Diabetes Melitus Tipe II

riamah riamah — 2024-12-27

One of the pillars in the management of diabetes mellitus is physical exercise. One of the physical exercises is the buerger allen exercise. Buerger allen exercise is one of the methods used to reduce the Ankle Brachial Index (ABI). The purpose of this study was to determine the effect of giving buerger allen exercise on Ankle Brachial Index (ABI) scores in type II diabetes mellitus patients at the Pandau Jaya Health Center. The research used in this study was pre-experimental, using the one group pre-test post-test method with paired T test. Data collection was carried out using observation sheets. The sample was determined by purposive sampling method of 20 respondents without a control group. Analysis was performed by univariate analysis and bivariate analysis using paired sample T test. The statistical test results obtained a p-value of 0.000 (P-value <0.005), so it can be concluded that there is an effect of giving buerger allen exercise on the Ankle Brachial Index (ABI) score in type II diabetes mellitus patients at the Pandau Jaya Health Center. It is suggested that the public can apply the Buerger Allen Exercise as one of the methods used to increase the Ankle Brachialindex Value

ESENSI LAPORAN NERACA KEUANGAN DALAM PENGAMBILAN KEPUTUSAN ORGANISASI RUMAH SAKIT

sri wahyuni — 2024-12-27

The balance sheet plays a crucial role in the strategic decision-making of hospitals by assessing financial health and operational sustainability. This article explores how the main elements of the balance sheet working capital, operating costs, cash flow, and capital structure can significantly impact managerial effectiveness and hospital profitability. Optimal management of working capital, for instance, can improve cost efficiency by ensuring that the hospital has sufficient funds for operational needs without compromising financial stability. On the other hand, analyzing operating costs is essential, especially in crisis situations like a pandemic, when hospitals face greater cost challenges. Cash flow becomes a key element for maintaining liquidity, ensuring that the hospital can meet its financial obligations on time and avoid liquidity issues that could disrupt daily operations. Additionally, a balanced capital structure helps support the financial stability of the hospital, minimizes risks, and strengthens its ability to invest in improving health services and facilities. A thorough understanding of each component of the balance sheet forms the foundation for strategic and efficient decision-making, ultimately focusing on growth, sustainability, and the enhancement of healthcare quality.

HUBUNGAN FAKTOR PERILAKU TERHADAP KUNJUNGAN BALITA KE POSYANDU DI PUSKESMAS TANDUN KABUPATEN ROKAN HULU

Yeyen Gumayesty — 2024-12-27

Abstract

A visit for a toddler to the posyandu is a visit made by the mother with the benefit of monitoring the growth and development of the toddler and to determine the child's nutritional status by measuring their weight every month so that they can detect the child's health status early. The number of toddlers weighed in 2021 in Riau Province decreased by 38.7% and in 2022 the number of toddlers weighed increased significantly by 60%, while the percentage of toddlers weighed in Rokan Hulu district in 2023 was 68%. This has not yet reached the national target of 80%. The aim of this research is to determine the relationship between behavioral factors and visits by toddlers to posyandu in the Tandun Community Health Center Working Area, Rokan Hulu Regency in 2024. The research method uses quantitative research with a cross sectional design. The research population was 579 toddlers with a research sample of 168 people. Data collection used questionnaires and direct interviews. Data analysis uses univariate and bivariate analysis. The research results showed that 90 respondents (53.6%) had incomplete visits for toddlers. Variables related to toddler visits were knowledge (P-value 0.001 and POR 10.269), distance to posyandu (P-value 0.001 and POR 5.207) and family support (P-value 0.001 and POR 2.886) while variables that were not related were immunization status toddler. It is recommended that the Community Health Center educate the public regarding visits to posyandu and map the posyandu schedule so that it can be reached by mothers with toddlers.

Keywords: Posyandu visits, Knowledge, Distance, Family Support, Toddler Immunization Status

Abstrak

Kunjungan balita ke posyandu merupakan kunjungan yang dilakukan oleh ibu dengan manfaat untuk memantau tumbuh kembang balita dan untuk mengetahui status gizi anak dengan menimbang berat badan setiap bulan sehingga secara dini dapat mendeteksi status kesehatan anak. Jumlah balita ditimbang tahun 2021 di Provinsi Riau mengalami penurunan sebesar 38,7% dan pada tahun 2022 jumlah balita ditimbang naik secara signifikan sebesar 60% sedangkan persentase balita ditimbang di kabupaten Rokan Hulu tahun 2023 sebesar 68%. Hal ini belum mencapai target nasional yaitu 80%. Tujuan penelitian ini untuk mengetahui hubungan faktor perilaku terhadap kunjungan balita ke posyandu di Wilayah Kerja Puskesmas Tandun Kabupaten Rokan Hulu tahun 2024. Metode penelitian menggunakan jenis penelitian kuantitatif dengan desain cross sectional. Populasi penelitian adalah balita sebanyak 579 orang dengan sampel penelitian sebanyak 168 orang. Pengumpulan data menggunakan kuesioner dan wawancara langsung. Analisis data menggunakan analisis univariat dan bivariat. Hasil penelitian didapatkan kunjungan balita yang tidak rutin sebanyak 90 responden (53,6%). Variabel berhubungan dengan kunjungan balita yaitu pengetahuan (P-value 0,001 dan POR 10,269), jarak ke posyandu (P-value 0,001 dan POR 5,207), dan dukungan keluarga (P-value 0,001 dan POR 2,886) sedangkan variabel yang tidak berhubungan adalah status imunisasi balita. Disarankan pada Puskesmas untuk melakukan edukasi kepada masyarakat terkait kunjungan ke posyandu dan melakukan pemetaan jadwal posyandu agar dapat dijangkau ibu yang memiliki balita.

Kata kunci: Kunjungan Posyandu, Pengetahuan, Jarak, Dukungan Keluarga, Status Imunisasi Balita

THE EFFECTIVENESS OF PANDAN LEAVES BOILD ON THE PAIN LEVEL OF PATIENTS WITH HERNIA NUCLEUS PULPOSUS (HNP) DISEASE AT POLYCLINIC OF PMC HOSPITAL

dwi elka fitri — 2025-01-02

Background: Hernia Nucleus Pulposus (HNP) suffered by most mature and elderly women in Indonesia. One effect of this disease is physical mobility disorder due to recurring pain. The average of HNP patient depends on he chemical analgesic drugs, which are feared impacting other organs when it consumes every day. Pandan leave is one easy loacal indonesian plants to find and own the analgetic effect to help reduce the pain.

Methods: This research was a Quasy Experimental Research using The non-equivalent group design. The sample of this research in amount of 30 people, using purposive sampling technique. In implementing this research, pre-test and post-test were conducted to measure the level of pain by the respondent before and after the treatment, then intervention of pandan leaves decoction were given 1x a day and given in 3 days in experimental group, then in control group to reduce the pain researcher train them the deep breath technique and imagery guidance. Analysis test comparing the average pain level using Wilcoxon and Mann-Whitney.

Results: The result of this study obtained Pvalue of experimental group are : 0,001, and Pvalue of control group are: 0,18. Then man-whitney test were conducted and obtained pvalue: 0,0001.

Conclusion: From the result of this research, it can be concluded that pandan leaves decoction is effective in reducing the pain of HNP patient. With this study, it is hoped that the nurses in community can socialize this pandan leaves decoction to HNP patient.