I Care Jurnal Keperawatan STIKes Panti Rapih

Gambaran Self-Management Pada Pasien Diabetes Melitus Tipe 2 Di Poli PenyakiT Dalam Rumah Sakit Santa Elisabeth Bantul

Susan Permata Sari — 2024-10-31

Latar Belakang: Diabetes melitus tipe 2 adalah suatu gangguan metabolik yang terjadi akibat hiperglikemia. Hal ini dapat menyebabkan berbagai komplikasi bahkan kematian. Oleh karena itu, sangat krusial bagi individu yang menderita diabetes melitus tipe 2 untuk menerapkan kontrol dan self-management yang efektif.

Tujuan: Penelitian ini bertujuan mengetahui gambaran self-management diabetes melitus tipe 2 di poli penyakit dalam rumah sakit Santa Elisabeth Bantul.

Metode: Metode penelitian ini merupakan studi deskriptif kuantitatif dengan survei sederhana. Instrumen yang digunakan untuk mengukur self-management diabetes adalah kuesioner DSMQ (Diabetes Self-Management Quisionaire). Jumlah sampel pada penelitian ini adalah 73 pasien diabetes yang sesuai dengan kriteria inklusi dan eksklusi.

Hasil: Hasil dari penelitian ini menunjukan bahwa karakteristik responden adalah lansia (72,6%), berjenis kelamin perempuan (56,2%), berpendidikan SMP/SMA (43.8%), tidak merokok (75.3%), indek massa tubuh normal (60.3%), riwayat keluarga dengan diabetes (52,1%), memiliki kemampuan self-management yang cukup (53,4%) dan baik (46,6%), dengan rata-rata sub skala manajemen glukosa (7,20), kontrol diet (5,17), aktivitas fisik (5,63), dan layanan kesehatan (6,30).

Simpulan: Berdasarkan penelitian ini, dapat disimpulkan bahwa mayoritas responden memiliki self-management yang cukup. Hasil penelitian ini diharapkan dapat menjadi pedoman dalam mengambil keputusan terkait tindakan keperawatan bagi individu dengan diabetes.

Massage Effleurage Menggunakan VCO (Virgin Coconut Oil) Pada Pasien Dengan CVA (Cerebro Vaskuler Accident) Dengan Resiko Gangguan Integritas Kulit

Tri Wahyuni Ismoyowati — 2024-10-31

Background: Weakness in limbs/immobilization in stroke patients with prolonged bed rest poses a risk of skin integrity issues, such as pressure ulcers or decubitus. One intervention that can be performed is skin integrity care using effleurage massage techniques with Virgin Coconut Oil (VCO). Objective: To analyze the intervention of skin integrity care with effleurage massage using VCO on patients with Hemorrhagic Stroke (CVA) at the Bethesda Hospital Yogyakarta in 2023, who are at risk of skin integrity disturbances. Case Management: Patient Ms. Ng, 91 years old, with Hemorrhagic Stroke, was found to have less elastic, wrinkled skin, with redness in bony areas (both heels), sacrum, and back (due to pressure), and scaly, dry, and peeling soles. The patient was immobilized/bedridden. The nursing problem identified was the risk of impaired skin integrity. The nursing plan provided was effleurage massage using VCO. Discussion: After administering skin integrity care with effleurage massage using VCO, as measured by the Braden Scale, the skin integrity score decreased from 9 (high risk) to 14 (moderate risk). Conclusion: The effleurage massage technique with VCO is effective in reducing the risk of impaired skin integrity. Recommendation: This research is expected to provide additional references and knowledge for nursing care of patients with Hemorrhagic Stroke and issues related to skin integrity risk, particularly with the intervention of effleurage massage using VCO.

Keywords: VCO (Virgin Coconut Oil) - Effleurage Massage - Risk of Impaired Skin Integrity - CVA (Cerebrovascular Accident)

Hubungan Lama Hemodialisis Dengan Kualitas Hidup Pasien Chronic Kidney Disease (CKD) Yang Menjalani Hemodialisis Di Rumah Sakit Panti Rapih Yogyakarta

Angelina Nindi Cahyani — 2024-10-31

Hemodialysis is a therapeutic method used to remove waste products in the form of substances dissolved in the blood from the body through a filtering process. Based on national data, around 713,783 people and 2,850 are undergoing hemodialysis. The prevalence of hemodialysis in the world increases by 8% every year. Riskesdas data for 2013-2018, there was an increase of 0.18% of the Indonesian population suffering from Chronic Kidney Disease (CKD). From 2007 to 2018 there were 132,142 active mental patients on hemodialysis therapy in Indonesia. In 2018 the number of hemodialysis patients in DIY was 2,730 patients. One of the problems that occurs in hemodialysis patients is a decrease in quality of life. Quality of life has many factors that influence it, one of which is the duration of hemodialysis. The longer a person undergoes hemodialysis, the worse their quality of life will be. The aim of this study was to analyze the relationship between the duration of hemodialysis and the quality of life of Chronic Kidney Disease (CKD) patients at Panti Rapih Hospital Yogyakarta. The research was conducted with 99 respondents using a non-random convenience sampling method, data collection using a demographic data questionnaire and KDQOL SF version 1.3. The results of the gamma statistical test, obtained a p-value of 0.869 (>0.05). The duration of hemodialysis is not related to quality of life because there are other factors that influence the respondent's quality of life.

Keywords: Hemodialysis, Quality of Life, Duration of Hemodialysis

Kualitas Tidur dan Aktivitas Fisik Berkontribusi dengan Tekanan Darah pada Lansia Hipertensi di Dusun Ngepos, Kecamatan Srumbung

Genduk Ita Ariyani — 2024-10-31

This study aims to evaluate the relationship between sleep quality and physical activity patterns with blood pressure in elderly hypertensive patients in Ngepos Hamlet. Hypertension is one of the global targets for reducing the prevalence of non-communicable diseases, with the aim of reducing the incidence by 33% between 2010 and 2030. Sleep quality is measured based on quantitative and qualitative aspects, while physical activity is assessed from the intensity of body movements that require energy. The results showed that most elderly hypertensive patients in Ngepos Hamlet had poor sleep quality (98.1%), while only 1.9% had good sleep quality. Most elderly people do heavy physical activity (66.7%), followed by moderate activity (31.4%), and light activity (2%). The gamma correlation test showed that there was no significant relationship between sleep quality and blood pressure (p = 0.306) and between physical activity patterns and blood pressure (p = 0.291) in elderly hypertensive patients. Therefore, it is recommended that elderly people routinely check their blood pressure, participate in integrated health post-activities, maintain sleep quality, and do physical activity according to their abilities.

Hubungan Lama Menjalani Hemodialisa Dengan Tingkat Depresi Pasien Gagal Ginjal Kronik (GGK) di Ruang Hemodialisa Rumah Sakit Panti Rapih Yogyakarta

Prabawati — 2024-10-31

Latar belakang: Gagal Ginjal Kronik (GGK) memberikan dampak perubahan berbagai aspek kehidupan bagi pasien yang sedang menjalani hemodialisa yaitu depresi. Depresi yang merupakan reaksi psikologis berupa gangguan suasana hati karena menghadapi penyakit yang dialami oleh pasien Gagal Ginjal Kronik (GGK) yang sedang menjalani hemodialisa.

Tujuan: Penelitian ini bertujuan untuk mengetahui hubungan lama menjalani hemodialisa dengan tingkat depresi pasien Gagal Ginjal Kronik (GGK).

Metode: Penelitian ini merupakan penelitian kuantitatif, dengan metode deskriptif korelasional. Proses pengambilan sampel dengan cross sectional dan teknik sampling yang digunakan dalam penelitian ini adalah sampling insidental. Sampel penelitian ini 99 responden. Instrumen yang digunakan adalah BDI-II.

Hasil: Hasil penelitian menunjukkan bahwa sebagaian besar pasien menjalani hemodialisa >3 tahun (45,5%) dan sebagian besar tidak mengalami depresi (50,5%). Selanjutnya berdasarkan uji korelasi Gamma didapatkan bahwa tidak ada hubungan yang signifikan secara statistik lama menjalani hemodialisa dengan tingkat depresi pasien Gagal Ginjal Kronik (GGK) di Ruang Hemodialisa Rumah Sakit Panti Rapih Yogyakarta dengan p-value 0,076 (p value >0,05).

Kesimpulan: Penelitian ini menunjukan bahwa lama hemodialisa tidak berperan dalam fenomena depresi pada pasien yang menjalani hemodislisis. Semakin lama pasien menjalani hemodialisa maka tingkat depresi akan menurun karena pasien sudah menerima keadaannya. Meskipun tidak ada hubungan yang signifikan, namun kondisi depresi meskipun ringan tetap dialami oleh pasien hemodialisa. Maka tenaga kesehatan di ruang hemodialisa tetap harus mendampingi pasien agar mampu beradaptasi dengan proses terapi yang dijalani.

Kata kunci: Hemodialisa, Depresi, Gagal Ginjal Kronik

Hubungan Toxic Parents Dengan Perilaku Seks Pra Nikah

Elisabeth Isti Daryati — 2024-10-31

Toxic parents are behavior of parents who treat children poorly and disrespectfully and cause feelings of guilt, fear and feelings of over obedience to children. Prolonged toxic attitudes will form a pattern that has a negative impact such as premarital sex behavior. Lack of parental attention and lots of rules and orders towards children increase the chances of sexual behavior. This study aims to determine the relationship of toxic parents with premarital sex behavior in adolescents. This research uses quantitative research with a correlative descriptive design through a cross-sectional approach. The survey was conducted in 71 respondents. The questionnaire research instrument was used. 70,4% teens ever dated, 66,2% engaging in sexting and sexual fantasies, 47,7% toxic parents dominant. Data analysis used the Kendall’s Tau-C test. The results showed that there was no toxic parent relationship to premarital sex behavior in adolescents (p value of 0.213). The conclusion is that premarital sexual behavior in teenagers can occur due to other factors besides parenting patterns, such as the role of peers, exposure to pornographic media, and teenagers' knowledge.

Hubungan Dukungan Keluarga Dengan Kepatuhan Minum Obat Penderita Hipertensi di Kalurahan Margorejo Tempel Sleman Yogyakarta

Ariadne Eka Haris Novianti — 2024-10-31

Background: Hypertension is a non-communicable, deadly disease whose treatment and care requires a lifetime. The goal of treatment and care is to control hypertension to prevent complications. There are still many hypertension sufferers who do not take hypertension medication regularly, resulting in uncontrolled blood pressure. One of the things that influences the fulfillment of medication for hypertension sufferers is family support. Family support includes esteem support, emotional support, instrumental support, and informational support.

Objective: This study aims to determine the relationship between family support and medication adherence among hypertension sufferers in Margorejo District.

Method: The research method used in this research is descriptive correlation with a cross sectional approach. The population in this study was 340 hypertensive patients in Margorejo Tempel Village, Sleman Yogyakarta and samples were taken of 5-6 people using proportional random sampling techniques. The research instrument used two questionnaires, namely the family support questionnaire and the medication adherence questionnaire. Data collection method using survey method.

Results: The results showed that 51.9% of respondents had a low level of family support and 61% of respondents showed that they had low medication adherence. Chi-square test results showed a significant relationship between family support and medication adherence (p-value 0.032:, odds ratio: 2.783).

Conclusion: There is a significant relationship between the level of family support and adherence to taking medication in hypertension sufferers in Margorejo Tempel Sleman Village.

Key words: hypertension, support, family, adherence, medication

Tingkat Pengetahuan Diet Dash (Dietary Approaches To stop Hypertension) Pada Lansia Hipertensi Di Puskesmas Kasihan I Bantul

Margaretha Kurniastuti — 2024-10-31

Latar Belakang : Hipertensi merupakan kondisi peningkatan tekanan darah sistolik ≤140 mmHg dan tekanan darah diastolik ≥90 mmHg. Pola makan rendah garam diperlukan untuk mengendalikan tekanan darah. Pola makan DASH merupakan pola makan sayur dan buah yang tinggi serat (30 gram/hari), mineral kalium, magnesium, dan kalsium serta asupan garam dibatasi.

Tujuan : Tujuan penelitian ini adalah untuk mengetahui tingkat pengetahuan lansia tentang diet DASH di Puskesmas Kasihan I Bantul.

Metode : Penelitian ini menggunakan metode penelitian survei kuantitatif dengan teknik pengambilan sampel aksidental dengan jumlah responden sebanyak 85 orang.

Hasil: Hasil analisis menyatakan bahwa sebagian besar tingkat pengetahuan responden berada pada kategori baik (74,12%), sebagian besar berada pada kategori umur 60-69 tahun (74,12%), lebih dari separuh responden berjenis kelamin perempuan (58%), kurang dari separuh responden berpendidikan SD (49,41%), dan sebagian besar memiliki pekerjaan buruh/tani (36,48%).

Kesimpulan : Tingkat pengetahuan tentang Diet DASH di Puskesmas Kasihan 1 Bantul Yogyakarta tergolong baik.

Saran : dapat menjadi sumber program penyuluhan pendidikan kepada pasien yang belum mengetahui dan mematuhi diet DASH pada pasien hipertensi.

Revalensi Malnutrisi Pada Lanjut Usia Berdasarkan Mini Nutrisional Assesment-Short Form (MNA-SF)

Dwi Purwantini — 2024-10-31

Malnutrition is a clinical condition resulting from an imbalance between the need, intake, and utilization of nutrients, resulting in increased morbidity and mortality rates, as well as decreased quality of life. Malnutrition is common in the elderly. The purpose of this study was to determine the prevalence of malnutrition in the elderly based on the Mini Nutritional Assessment-Short Form (MNA-SF) at the Surabaya Elderly Posyandu. The research design was a descriptive study using a questionnaire as a data collection tool. The target population in this study was the elderly aged ≥60 years at the Surabaya Elderly Posyandu, totaling 61 elderly. The sampling technique was total sampling. Data were collected by filling out the Mini Nutritional Assessment-Short Form (MNA-SF) questionnaire. The results of the study showed that the nutritional status of the elderly based on the MNA-SF was 46 elderly (75.4%) with normal nutritional status, 14 elderly (23%) with nutritional status at risk of malnutrition and 1 elderly (1.6%) with malnutrition nutritional status