MELAKSANAKAN PENYULUHAN PERAWATAN PALIATIF PENCEGAHAN DIABETES MELITUS (DM) DI KELURAHAN BAGAN DELI, KECAMATAN MEDAN BELAWAN

Every diabetes mellitus patient needs to receive minimal information that is given after the diagnosis is made, including basic knowledge about diabetes mellitus, self-monitoring, causes of high blood glucose levels, oral hypoglycemia drugs, meal planning, foot care, physical activity, arrangements when sick, and complications. In its implementation, the delivery of this information needs to be done in stages. It should be avoided too little or too much information in a short time. In conveying information, the factor that needs to be considered is the condition of the patient with diabetes mellitus, both physical condition in this case the severity of the disease and psychological condition. The goal of health education for diabetes mellitus patients is to increase their knowledge because knowledge is the starting point for changing their attitude and lifestyle. In the end, the goal of education is to change the behavior of diabetes mellitus patients and increase adherence which in turn improves quality of life, so that good cooperation is needed between health workers and diabetes mellitus patients and their families so that diabetes treatment can be successful (Basuki, 2005)

MELAKSANAKAN PELATIHAN PERAWATAN PALIATIF TENTANG PENCEGAHAN DIABETES MELITUS (DM) DI KELURAHAN BAGAN DELI, KECAMATAN MEDAN BELAWAN

Diabetes Mellitus (DM) is a group of metabolic diseases characterized by hyperglycemia resulting from defects in insulin secretion, insulin action or both. Foot exercise is an activity or exercise performed by patients with diabetes mellitus to prevent injuries and help improve blood circulation in the legs. Foot exercises can help improve blood circulation and strengthen the small muscles of the feet and prevent foot deformities. Besides that, it can increase the strength of the calf muscles, thigh muscles and overcome the limitations of joint movement. A diabetic sufferer will be at risk of experiencing a foot injury by 15-20 % with a recurrence rate of 50-70 % within 5 years, where 85 % of patients who experience a foot injury will undergo an amputation. So far, diabetes mellitus patients rarely do foot exercises, because the family is busy at work, they are not used to doing sports or perhaps the facilities are inadequate. A person with diabetes mellitus must always pay attetion to and maintain foot hygiene, train them well even though complications have not occurred. If it is not treated or therapy such as foot exercises is carried out, it is feared that one day the patient’s feet will experience circulatory disorders and nerve damage which causes reduced sensitivity to pain, so that the patients is easily injured without him knowing it. Blood glucose levels are always high and pain is almost not felt, so a small wound that does not get attention will quickly become a big wound

PENGARUH PENGETAHUAN, SIKAP DAN DUKUNGAN KELUARGA TERHADAP DIET HIPERTENSI DI DESA HULU KECAMATAN PANCUR BATU TAHUN 2016

Hypertension is a major risk factor causes of death. Hulu village is a village that has the highest number of hypertensive patients in Puskesmas Pancur Batu, Deli Serdang regency. Patients with hypertension in 2014, totalling 44, 2015, amounted to 56 people and in 2016 amounted to 108 people. This study aimed to analyze the influence of knowledge, attitude and family support for the implementation of hypertension diet in the village of Batu Pancur Hulu subdistrict. The study was a cross-sectional study with an explanatory approach. This study was conducted between April and June 2016. The population in the study were all patients with hypertension in the village of Batu Pancur Hulu subdistrict totalled 108 people and the entire population sampled. The data were obtained by questionnaire interviews, analyzed by multiple logistic regression at α = 0.05. The results showed that statistically the knowledge of (diet hypertension, food intake hypertension) and attitudes toward (diet hypertension, dietary diet hypertension) and family support include (support hope, real support, information support, emotional support) a significant effect on the implementation of the diet hypertension in the village of Hulu subdistrict Pancur Stone. Variables knowledge greater impact on the implementation of hypertension diet.ABSTRAKHipertensi merupakan faktor risiko utama penyebab kematian. Desa Hulu adalah desa yang memiliki jumlah penderita hipertensi tertinggi di Puskesmas Pancur Batu, Kabupaten Deli Serdang. Penderita hipertensi pada tahun 2014, berjumlah 44, 2015, berjumlah 56 orang dan pada tahun 2016 berjumlah 108 orang. Tujuan penelitian ini untuk menganalisis pengaruh pengetahuan, sikap dan dukungan keluarga terhadap pelaksanaan diet hipertensi di desa kecamatan Batu Pancur Hulu. Penelitian ini merupakan penelitian cross-sectional dengan pendekatan explanatory. Penelitian ini dilakukan antara bulan April dan Juni 2016 dengan populasi dalam penelitian ini adalah semua pasien hipertensi di desa kecamatan Batu Pancur Hulu berjumlah 108 orang dan seluruh populasi dijadikan sampel. Data diperoleh dengan wawancara kuesioner, dianalisis dengan regresi logistik ganda pada α = 0,05. Hasil penelitian menunjukkan bahwa secara statistik pengetahuan (hipertensi diet, hipertensi asupan makanan) dan sikap terhadap (hipertensi diet, diet hipertensi diet) dan dukungan keluarga meliputi (dukungan harapan, dukungan nyata, dukungan informasi, dukungan emosional) pengaruh yang signifikan terhadap pelaksanaan dari diet hipertensi di desa Hulu kecamatan Batu Pancur. Pengaruh variabel pengetahuan lebih besar pada pelaksanaan diet hipertensi

MELAKSANAKAN PEMBERDAYAAN PERAWATAN PALIATIF PARA KADER TENTANG PENCEGAHAN DIABETES MELITUS (DM) DI KELURAHAN BAGAN DELI, KECAMATAN MEDAN BELAWAN

Paliatif care aims to reduce patient suffering, improve their quality of life, and provide support to their families. So, the main goal of palliative care is not to cure the disease, but rather to improve the quality of life and what is handled in palliative care is not only for the patient, but also for this family. Consent from the patient and/or family is absolutely necessary before treatment begins. Palliative care is carried out through inpatient care, outpatient care, and home visits/care. Patient can choose where to do the treatment. For example, if a patient in a terminal condition wants to be given care at home, this palliative care can be done through home care

Relationship between Compliance in Implementing Patient Admission SOPs and Nurse Performance in Inpatient Rooms

Implementing nursing care SOP in the inpatient room is essential in achieving a superior and quality hospital. The service's success can be the basis for developing a health strategy depending on the participation of nurses to increase compliance because, until now, nursing care has been provided in the presence of nurses, especially in patient management (patient admission SOP). This study aimed to determine the relationship between nurse compliance in implementing patient admission SOPs and nurse performance in the inpatient room of RSU DR. GL Tanjung Morawa Medan. This research method uses descriptive correlation and a cross-sectional design—data collection through questionnaires. The population is 30 people. The sampling technique is Total Sampling. The data analysis used is Univariate and Bivariate, obtained in the frequency distribution table, and Bivariate analysis using the Chi-Square test. The results showed that most nurses complied with implementing SOPs as much as 66.7%, and the majority of nurse performance was classified as 50%. The chi-square test results showed a p-value of 0.02; there was a significant relationship between nurse compliance in implementing patient admission SOPs and nurse performance in the inpatient room of DR. GL Tobing Tanjung Morawa Hospital

Aktivitas fisik dan psikologis pada pasien chronic kidney disease yang menjalani hemodialisis: A literature review

Background: Chronic kidney disease (CKD) is a condition in which kidney function gradually declines or is even lost completely. This decline in kidney function can lead to fluid and metabolic waste accumulation in the body, which, if not properly managed, can progress to end-stage kidney failure, requiring renal replacement therapy in the form of dialysis or a kidney transplant. For patients with chronic kidney disease (CKD), the presence of caregivers and family members is the most important source of support. Purpose: To determine the physical and psychological impact of CKD on patients undergoing hemodialysis. Method: This literature review utilized databases such as PubMed, Google Scholar, and Science Direct and included articles published between 2020 and 2024. Inclusion criteria included studies discussing physical activity, quality of life, and psychological aspects in CKD patients undergoing hemodialysis. Studies not available in English or Indonesian, as well as studies not relevant to the topic, were assessed in this review. The search yielded 14 articles, which were selected through keyword selection. Results: Physical activity is an important treatment and prevention measure for chronic kidney disease. The concept of "exercise as medicine" emphasizes that exercise not only helps improve physical function and muscle strength but also provides positive benefits in slowing the progression of chronic diseases. Conclusion: Physical activity such as aerobic exercise, resistance training, and other light exercise can reduce levels of depression and anxiety, improve sleep quality, and enhance perceived quality of life. Suggestion: More longitudinal studies and randomized controlled trials (RCTs) are needed in Indonesia or other developing countries to assess the effectiveness of physical activity-based programs on the psychological aspects of CKD patients.   Keywords: Chronic Kidney Disease; Hemodialysis; Psychological; Physical Activity.   Pendahuluan: Gagal ginjal kronis adalah suatu kondisi ketika fungsi ginjal secara bertahap menurun atau bahkan hilang sepenuhnya. Turunnya fungsi ginjal dapat menyebabkan penumpukan cairan dan sisa metabolisme dalam tubuh yang apabila tidak ditangani dengan baik akan berkembang menjadi gagal ginjal stadium akhir, membutuhkan terapi pengganti ginjal berupa dialisis atau transplantasi ginjal. Bagi pasien gagal ginjal kronis, kehadiran perawat dan keluarga merupakan sumber dukungan yang paling utama. Tujuan: Untuk mengetahui aktivitas fisik  dan psikologis pada pasien chronic kidney disease yang menjalani hemodialisis. Metode: Penelitian literature review menggunakan database dari pubmed, google scholar dan science direct, artikel diterbitkan antara 2020-2024. Kriteria inklusi yang digunakan mencakup studi yang membahas aktivitas fisik, kualitas hidup, dan aspek psikologis pada pasien PGK yang menjalani hemodialisis. Studi yang tidak tersedia dalam bahasa Inggris atau Indonesia, serta yang tidak relevan dengan topik, dikecualikan dari review ini. Pencarian yang diperoleh dari seleksi penilaian dan kata kunci sebanyak 14 artikel. Hasil: Aktivitas fisik merupakan pengobatan dan tindakan pencegahan yang penting untuk penyakit. Konsep “olahraga sebagai obat” menekankan bahwa olahraga tidak hanya membantu meningkatkan fungsi fisik dan kekuatan otot, tetapi juga memberikan manfaat positif untuk memperlambat perkembangan penyakit kronis. Simpulan: Aktivitas fisik seperti latihan aerobik, resistensi, dan latihan ringan lainnya mampu menurunkan tingkat depresi dan kecemasan, meningkatkan kualitas tidur serta persepsi kualitas hidup. Saran: Diperlukan lebih banyak studi longitudinal dan uji coba terkontrol secara acak (RCT) di Indonesia atau negara berkembang lainnya untuk menilai efektivitas program berbasis aktivitas fisik pada aspek psikologis pasien CKD.   Kata Kunci: Aktivitas Fisik; Chronic Kidney Disease; Hemodialisis; Psikologis

PENGARUH SENAM KAKI TERHADAP SENSITIVITAS KAKI PADA PENDERITA DIABETES MELLITUS TIPE II

Diabetes Melitus merupakan penyakit kronis dengan hyperglikemia dan intoleransi glukosa yang  terjadi karena kelenjar pancreas  yang tidak memproduksi insulin secara adekwat yang diakibatkan tubuh tidak dapat  menggunakan insulin yang diproduksi secara efektif. Penelitian ini menggunakan desain quasi experimental dengan dibagi dua kelompok yaitu kelompok control dan kelompok perlakuan, Metode Uji statistic dengan uji Wilcoxon Rank Test. Latihan senam kaki dengan pasien Diabetes Melitus terdapat perubahan  sensitivitas yang  significan. Nilai sensitivitas kaki sebelum dilakukan terapi senam kaki diabetik dalam kategori sensitivitas kaki sedang yaitu sebanyak 7 responden (38,8%) dan setelah senam kaki didapatkan paling banyak dalam kategori sensitivitas kaki baik yaitu sebanyak 12 responden (66,7 %). Latar belakang: Penyakit Diabetes Melitus merupakan penyakit kronis yang dapat mengakibatkan komplikasi seperti Neuropati DM yang berefek kepada kerusakan sel saraf sensorik dan terganggaunya sensitivitas pada kaki. Tujuan: untuk mengetahui pengaruh senam kaki terhadap sensitivitas kaki pada penderita diabetes mellitus tipe 2. Metode: Quasy experimental dengan dua kelompok kontrol dan perlakuan, dengan uji statistikWilcoxon Rank Test. Hasil: terdapat pengaruh senam kaki terhadap sensitivitas kaki sebesar 66,7%. Kesimpulan: Penelitian ini dapat dikembangkan dan dilakukan edukasi serta praktik senam kaki kepada penderita diabetes mellitus tipe 2 untuk meningkatkan sensitivitas kaki penderita

PELATIHAN PENCEGAHAN DAN PENGENDALIAN INFEKSI DASAR DI RSUD KOTA MEDAN

Healthcare Associated Infections (HAIs) are infections that occur in healthcare settings. HAIs or infections occur between 48 hours to 72 hours after hospital admission or after hospital discharge within 30 days. The incidence of infections continues to increase between 4.8%-21%. The increasing incidence of infection indicates a decrease in the quality of hospital services. The chain of infection transmission can occur through infectious agents, reservoirs, ports of exit, transmission, ports of entry, and the host. The purpose of training is to increase the knowledge of healthcare workers, develop skills, and attitudes so that work can be completed properly, quickly, accurately, and rationally, create a willingness to cooperate with other employees and leaders. The targets of basic infection prevention and control training activities in hospitals are environmental health workers, nurses, pharmacists, analysts, radiologists, and funeral directors. The total participants were 55 people, the activity was held November 25-26, 2022, in meeting room two. The results of the pretest and posttest were the lowest score for the pretest 40 and the highest score of of 95, with an average score of 68. The results of the posttest were the lowest score 60 and the highest score 100 with an average score of 91. The results of the activity show that the participants' understanding has increased where the results of the pretest and posttest have increased, so that through training participants can do their job well and can work together with IPCN and leaders

Analysis Of Family Support And Diet Compliance In Hypertension Patients

&lt;div&gt;&lt;table cellspacing="0" cellpadding="0" align="left"&gt;&lt;tbody&gt;&lt;tr&gt;&lt;td align="left" valign="top"&gt;&lt;p&gt;Hypertension is a disease that suffered by many people in the world, including in Indonesia. Patients with hypertension must make a diet to consume foods that can increase the sufferer's blood pressure. A hypertension diet is one of the important factors in maintaining the health of hypertension sufferers to prevent disease complications. This study aimed to analysis family support, and compliance with hypertension diet in hypertensive sufferers.&lt;/p&gt;&lt;p&gt;This study used a cross-sectional design conducted in the Hulu Village of Pancur Batu Public Health Center, Deli Serdang Regency. The sample size in this study was the entire population, namely hypertension sufferers. Sample (saturated sample), so that the total sample is 108 people. This study will conduct a Prevalent Rate (PR) analysis to see the risk of dietary adherence in hypertensive patients.&lt;/p&gt;&lt;p&gt;This study showed family support in the category of bad as many as 85 people (78.7%), the implementation of hypertension diet in the non-compliant category as many as 76 people (70.4%) and adhered to the implementation of hypertension diet as many as 32 people (29.6%). of avoided foodstuffs (hypertension triggers) it is known that for this type of foods high in cholesterol is (a) grilled/boiled meat, which is as much as 76 people (70.4%), (b) meat or chicken skin, which is as much as 55 people (50.9%), and (c) chicken yolks, which is as many as 67 people (62.0%). The type of food high in Sodium is; chips, which is as many as 55 people (50.9%).&lt;/p&gt;&lt;p&gt;Pancur Batu Public Health office, seeks to increase counselling about hypertension diet, namely recommended foodstuffs, restricted foodstuffs, avoided foodstuffs and carried out continuously in place and the right time. Families to increase knowledge about the primary prevention of hypertensive diseases so that they can conduct prevention independently and provide motivation (support) to hypertension sufferers to implement the hypertensive diet&lt;/p&gt;&lt;p&gt; &lt;/p&gt;&lt;/td&gt;&lt;/tr&gt;&lt;/tbody&gt;&lt;/table&gt;&lt;/div&gt;</jats:p