JURNAL KEPERAWATAN

IMPLEMENTASI ASUHAN KEPERAWATAN PEKA BUDAYA PADA KLIEN HIV DAN AIDS DI ERA PANDEMI COVID-19

Maria Syelvrida Tumina — 2024-09-03

Introduction: The Covid-19 pandemic has impacted on the management of HIV and AIDS infections. The most sensed impactis related to the distribution and adequacy of ARVs. Factors that contribute to HIV care and services include access restrictions which result in ARV limitations that affect the physical and psychological health of patients. Assessment data found that patients and families were generally concerned about how to maintain medication adherence, hence becomes important in order to suppress infections and improve the patient's quality of life. Objectives: The purpose of this paper is to know the implementation of culturally sensitive nursing care to increase compliance during the Covid-19 pandemic. Method: The method used is a literature review taken from an online database which is limited to 2020-2021. The search resulted in obtaining 10 articles and further screening was carried out and 2 articles were found as main journals. Results: Culturally sensitive assessments can help plan interventions involving families and collaboration between professions. Implementation carried out includes preventing the spread of opportunistic infections, educating patients and families, compliance with taking medication, avoiding risky behavior and motivating patients to increase their knowledge. Conclusion: The role of nurses in providing culturally sensitive nursing care can help maintain care for patients living with HIV and AIDS, especially in the era of the Covid-19 pandemic, as an effort to maintain biological, psychological, social and spiritual health.

Keywords: ARVs, adherence, Covid-19 pandemic, cultural sensitivity

FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEIKUTSERTAAN IBU BALITA DALAM PEMBERIAN IMUNISASI BOOSTER DPT DAN CAMPAK DI POSYANDU BUKIT SERUNI WILAYAH KERJA PUSKESMAS LEPO-LEPO

I Wayan Romantika — 2024-09-03

Background: Immunisation is one of the government's steps in preventing certain diseases. After getting complete basic immunisation, it is still continued with booster immunisation to increase the immunity of toddlers. The success of the immunisation program is influenced by several factors such as education, parental employment, family support and the role of medical personnel. Objective: This study aims to determine the factors associated with the participation of mothers of toddlers in giving DPT and measles booster immunisation aged 18-24 months. Methode: The research design used in this study was cross sectional with a sample size of 47 respondents. Result: The results showed that there was no relationship between maternal age and maternal participation in DPT booster immunisation and measles aged 18-24 months (ρ value = 0.792), maternal knowledge (ρ value = 0.001) which means there is a relationship between knowledge and participation in booster immunisation and maternal employment (ρ value = 0.01), meaning there is a relationship between employment and participation in DPT booster immunisation and measles aged 18-24 months at BLUD UPTD Puskesmas Lepo-Lepo. Conclusion: The conclusion in this study is that employment status and knowledge are factors associated with maternal participation in booster immunisation. It is recommended that parties increase socialisation about the importance of DPT and measles booster immunisation

Keywords: diphtheria; pertussis; tetanus; immunization; employment

HUBUNGAN TINGKAT PENGETAHUAN DAN SIKAP DENGAN TINDAKAN PENCEGAHAN INFEKSI SALURAN PERNAPASAN AKUT PADA LANSIA DI KECAMATAN WANEA KOTA MANADO

Meira Sambeka — 2024-09-03

Background: Acute respiratory infections are the leading cause of infectious diseases and the most important cause of death in the world, most deaths occur in the elderly so that this disease requires preventive measures to avoid disease. Objective: of knowing the relationship between knowledge level and attitude with preventive measures for acute respiratory infections in the elderly in Wanea District, Manado City. Method: uses a type of quantitative research with a correlation analytic research method using a cross sectional study approach, with a sample size of 100 respondents. Results: of the study using the Kolmogorov-Smirnov test with the result of p=0.992 for the relationship between the level of knowledge and the prevention of acute respiratory infections and using the fisher test with the result of p=0.061 for the relationship between attitudes and the prevention of acute respiratory infections. Conclusion: there is no significant relationship between the level of knowledge and the prevention of acute respiratory infections and there is no significant relationship between attitudes and the prevention of acute respiratory infections.

Keywords: Acute Respiratory Tract Infection; Attitude; Elderly; Knowledge Level; Preventive Measures for Acute Respiratory Tract Infection.

FAKTOR EKONOMI DAN IMPLEMENTASI TUGAS KESEHATAN KELUARGA PADA PENDERITA HIPERTENSI

Murni Hartatai Hia — 2024-09-03

Background: Hypertension is often referred to as the "silent killer" because people with hypertension often do not feel signs and symptoms. In 2022, the incidence of hypertension at the Jalan Kutai Health Center, Bencongan Indah Village, was 2,854 people. The process of monitoring, maintaining, and preventing complications of hypertension requires the role and support of the family to carry out family health tasks. Objective: This study aimed to identify the correlation between economic factors and family health tasks for people with hypertension in Bencongan Indah Village. Methods: This study used a quantitative descriptive research method with a cross-sectional approach and bivariate data analysis. Samples were selected using the purposive sampling method, with a total of 114 participants calculated using the Lemeshow formula. The research instrument was a modified questionnaire with 25 questions that had been tested for validity and reliability. Results: The study found that the ability of families to recognize health problems was still low (58.8%), the ability of families to decide on appropriate health measures was high (71.1%), the ability of families to care for sick family members was high (58.8%), the ability of families to modify the environment was still low (57%), and the ability of families to utilize health facilities was high (52.6%). There was no relationship between economic factors, as described by monthly family income, and family health tasks (p-value > 0.05). Conclusion: It is expected that families will be able to recognize the health problems of sick family members and make changes or modifications to their environment to support the care of family members who face health problems

HUBUNGAN KECERDASAN EMOSIONAL DENGAN TINGKAT KEPATUHAN PROTOKOL KESEHATAN REMAJA SELAMA PANDEMI COVID-19 DI SMK N 1 SIAU TIMUR

Sarah Sakendatu — 2024-09-06

Background: The results of the initial data survey conducted at SMK N 1 Siau Timur found that some students still did not comply with health protocols properly. Emotional condition is an internal factor that can affect a person's compliance so adolescents must have high emotional intelligence to overcome non-compliance in the application of health protocols.

Objective: to investigate the relationship of emotional intelligence with the level of compliance with teen health protocols during the COVID-19 pandemic in SMK N 1 East Siau.

Methods: Using a quantitative approach, cross-sectional research design, sample 186, using the TEIQue-SF questionnaire and the Health Protocol Compliance Level questionnaire, data processing was carried out through statistical analysis with the help of the SPSS program.

Results: Most of adolescents have emotional intelligence in the medium category as many as 126 people (67.7%). The level of compliance with health protocols, most of the adolescents did not comply, as many as 112 people (60.2%).

Conclusions: There is a relationship between emotional intelligence and the level of compliance with adolescent health protocols during the COVID-19 pandemic.

HUBUNGAN KECERDASAN EMOSIONAL IBU DENGAN PERKEMBANGAN ANAK USIA 1-3 TAHUN DI PUSKESMAS BALAM MEDAN

Lindawati Simorangkir — 2024-09-03

Background: Development is the increasing ability of a child where in this case toddlers need special needs. Objective: The purpose of this study is to determine the relationship between Mother's Emotional Intelligence and the Development of Children Aged 1-3 Years at Balam Health Center Medan. Method: This type of research is quantitative with a cross-sectional research design. Population are 60 respondents. The sampling technique uses total sampling. The instrument used is a questionnaire. Result: show that the mother's emotional intelligence was good (46.7%), the mother's emotional intelligence is sufficient (53.3%) and the criteria for normal in children (91.7%) and the criteria for suspect in children (8.3%). Data analysis used univariate and bivariate with the Spearman rank test. Conclusion: The Spearman rank statistical test (rho) obtained the value of r = (-.282) and p value = 0.029 (p <0.05) which means that there is a significant relationship between Mother's Emotional Intelligence and the Development of Children Aged 1-3 Years at Balam Health Center Medan. It is hoped that mothers will understand emotional intelligence better in all existing factors.

Keywords: Relationship; Mother's emotional intelligence; Child Development

HUBUNGAN TINGKAT PENGETAHUAN TENTANG DIET PURIN DENGAN KADAR ASAM URAT PADA PRIA KAUM BAPA GEREJA DI DESA KUWIL

Ean Julia Tumbel — 2024-09-03

Background Increased levels of uric acid in the blood are often known as hyperuricemia. Limiting the consumption of foods and drinks that contain purines, is determined by the level of knowledge of a person related to the purine diet. The aim This study aims to determine the relationship between the level of knowledge about the purine diet and uric acid levels in Men of the Church in Kuwil Village. The method With a cross sectional research design and using a questionnaire on the level of knowledge of the purine diet and examination of uric acid levels using the Autocheck examination tool. The research sample consisted of 40 respondents who were obtained using the accident sampling technique and bivariate analysis using chi square test. The results The study showed 62.5% of respondents had a low level of knowledge related to the purine diet and 57.5% of respondents experienced an increase in uric acid levels. The results of the chi square test obtained P-value = 0.000 (< = 0.05). The conclusion Results of this study indicate that there is a relationship between the level of knowledge about the purine diet and uric acid levels in Men of the Church in Kuwil Village.

Keywords: Knowledge; Purine Diet; Uric Acid.

GAMBARAN FAKTOR RESIKO TERJADINYA HIPERTENSI DI WILAYAH KOTA GORONTALO

Sri Yuningsi Lamangida — 2024-09-03

Background: Hypertension is a cardiovascular disease and is the most prevalent health issue in society. It is often referred to as "The Silent Killer" because it frequently occurs without noticeable symptoms. The exact causes of hypertension remain uncertain to date. However, there are two risk factors contributing to hypertension: non-modifiable and modifiable risk factors. Objective: This research aims to provide an overview of the risk factors for hypertension in the Gorontalo city area. Method: This study utilizes a descriptive research approach with a sample size of 110 respondents selected through non-probability sampling, specifically purposive sampling. Results: The majority of hypertensive patients are aged 56-65 years (44.5%), female (62.7%), with a family history of hypertension (82.7%), non-smokers (55.5%), classified as obese (53.6%), and not engaging in physical activity (70.9%). Conclusion: Based on the research findings, it can be concluded that factors such as age, gender, family history, obesity, and physical activity play a role in the occurrence of hypertension in the Gorontalo city area.

Keywords: Hypertension; Age; Gender; Family History; Obesity.

KEBUTUHAN SPIRITUALITAS LANSIA DENGAN PENYAKIT KRONIS YANG HIDUP SENDIRI DI WILAYAH KERJA DINAS KESEHATAN KABUPATEN MOJOKERTO

Arief Andriyanto — 2024-09-03

Background: Spirituality helps elderly people adapt to changes within themselves. The process of healing chronic diseases in the elderly requires good spirituality. However, in reality, there are still many elderly people who have low spirituality. Objective: This research aims to describe the spiritual needs of elderly people with chronic illnesses who live alone in the Mojokerto District Health Service Work Area. Method: Observational descriptive research design. The sample consisted of 210 elderly people who were taken by purposive sampling in the Mojokerto Regency Health Service Work Area. The spiritual needs questionnaire instrument adopted by researchers from Ummah (2017) to identify spiritual needs consists of 25 questions. Results: The results of the study showed that the spiritual needs of elderly people with chronic illnesses were on average in the sufficient category. Conclusion: Respondents who have spiritual needs are good because they are good at connecting with other people, nature/the environment, and God. Health workers at Posyandu activities provide information about the importance of spirituality and how to increase spirituality in the elderly by participating in religious activities already carried out by the elderly in their daily lives.

Keywords: Chronic Disease; Elderly; Spirituality needs

HUBUNGAN PENGETAHUAN TENTANG PERTOLONGAN PERTAMA PADA KECELAKAAN DENGAN MOTIVASI MENOLONG PADA PENGEMUDI OJEK ONLINE DI KOTA MANADO

Sharon Langi — 2024-09-03

Background: The incidence that becomes a health problem and becomes the highest number of accidents is traffic accidents. It is proven that almost 90% of victims died or were disabled as a result of this event. Drivers as first responders must have good first aid knowledge in accidents and motivation for accident victims to mitigate these losses. Objective: this study was to identify the relationship between knowledge about accident first aid and motivation to help online motorcycle taxi drivers in Manado City.Method: This research is a quantitative research, using a correlative descriptive design with a cross-sectional approach. The sample used as many as 100 online drivers using accidental sampling. Relationship analysis using spearman rho test. Results: this study found a link between knowledge of first aid and motivation to help, being in the strength of a strong relationship.Conclusion:Researchers expect online motorcycle taxi drivers to be more active in seeking information about first aid in order to increase knowledge and recommend attending first aid training so as to increase motivation to help.

Keywords: Motivation to Help; First Aid Knowledge In Accidents; Online Ojek Driver

HUBUNGAN TINGKAT PENGETAHUAN IBU USIA DINI DENGAN KEJADIAN STUNTING DI WILAYAH KERJA PUSKESMAS TILANGO

Sukamsi Tomayahu — 2024-09-03

Background : Stunting is a condition where a child experience growth disorders and the child’s height does not match his age. Early marriage is a legal marriage by someone who does not have the preparation and maturnity, causing several risk and major impacts, especially on health. Objective : This research aims to determine the relationship betwen young mothers’ knowledge level and the incidence of stunting in the working area of the Tilango Public Health Center working area. Methods This research is quantitative research with cross-sectional data. The sample includes mothers aged 10-20 years in the working area of the Tilango Public Health Center, totaling 35 respondets determined using the total sampling. Results : The study result showed that most mothers’ knowledge level is less knowledge, with 21 respondents (60%). Meanwhile, the incidence of stunting in the Short category was 18 respondents (51,4%). The statucal test result showed a p-value = 0,000 (p-value < 0,05). Conclusion : The conclusion is to determine the relationship between the young mothers’ knowledge level and the incidence of stunting in the Tilango Public Healt Center working area.

Keywords: Knowledge; Mother; Stunting; Young

FAKTOR-FAKTOR YANG MEMPENGARUHI RISIKO OBESITAS PADA REMAJA DI PANTI ASUHAN DARUN NAJAH SLEMAN YOGYAKARTA

Novi Istanti — 2024-09-03

Background :Obesity is excess body fat that accumulates and is stored in fatty tissue, causing weight gain. Factors causing obesity in adolescents are genetics, physical activity, lifestyle, health, psychology, poor diet, nutritional intake, duration and quality of sleep, as well as sedentary life style. Objective: to analyze the risk of obesity in adolescents based on physical activity, sleep quality and eating patterns. Method: Quantitative research with a cross sectional approach. The population was 38 teenagers with a sample size of 30t eenagers. Results: Based on the results of the Kendal Tau test, it was found that there was a significant relationship between physical activity, sleep quality and diet (carbohydrate intake and fat intake) with the risk of obesity (p<0.05). Multivariate analysis results showed that’sleep quality factors significantly influenced the risk of obesity (p<0.05). Conclusion: Sleep quality, physical activity, diet (carbohydrate intake and fatintake) are related to the risk of obesity and there are sleep quality factors that influencethe risk of obesity in adolescents (p<0.05).

Keywords: Eating patterns; Physical activity; Sleep quality; Teenagers

GAMBARAN PERILAKU PENCEGAHAN PENULARAN TUBERKULOSIS DI SATU RUKUN TETANGGA INDONESIA BAGIAN BARAT

Julia Margareth Meo — 2024-09-03

Introduction : Tuberculosis is an infectious disease caused by the bacteria Mycobacterium tuberculosis. tuberculosis bacteria can be spread through the air when a person with tuberculosis coughs, sneezes or talks and can be transmitted to other people directly or indirectly. Prevention of tuberculosis consists of implementing cough and sneeze etiquette behavior, wearing a mask, disposing of sputum in a special place, separating personal equipment from people with tuberculosis, maintaining the cleanliness of the home and surrounding environment, eating nutritious food, eating a healthy diet, maintaining proper housing density, seek treatment when symptomatic, wash hands and do not smoke. Objective: This study aims to determine the behavior of the community in an effort to prevent the transmission of tuberculosis in a neighborhood of Curug Kulon village, namely RT 001 / RW 07 Candu village. Methods: This type of research uses a descriptive quantitative design with a cross sectional approach. The number of samples in this study the instrument used was a questionnaire consisting of 14 questions. Data analysis using Microsoft Excel. The research was conducted in March 2024. Result: The results stated that the behavior of preventing Tuberculosis transmission in residents of RT 001 / RW 07 Curug Kulon village 55.22% had good behavior, 44.03% had sufficient behavior and 0.75% had poor behavior. Conclusion: The research results show that the majority of residents' behavior towards preventing tuberculosis transmission is in the good category. Therefore, Curug Kulon residents are expected to always implement behavior to prevent the transmission of tuberculosis.

Keywords: Mycobacterium Tuberculosis;Prevention;Behaviour

e-DSMES DALAM MENINGKATKAN MANAJEMEN PERAWATAN DIRI PENDERITA DIABETES MELITUS DI MASA PANDEMI COVID-19

Juwita Moreen Toar — 2024-09-10

Abstract

Background: The COVID-19 pandemic has impacted access to healthcare services and accelerated the adoption of technology in managing chronic diseases such as diabetes mellitus. Diabetes Self-Management Education and Support (DSMES) utilizing technology has become increasingly important in the context of social restrictions and changes in healthcare access, providing knowledge and support to individuals with diabetes to manage their condition independently. Self-care capabilities can optimize metabolic control, prevent complications, and improve the quality of life for diabetes patients. Education for diabetes patients during the COVID-19 pandemic is essential so that an effective educational model intervention strategy is needed.Objective: This study aims to determine the effect of electronic Diabetes Self-Management Education and Support (e-DSMES) on the self-care abilities of individuals with type 2 diabetes mellitus during the COVID-19 pandemic. Methods: The research design used was a pre-experimental design with a one-group pre-post test and the sampling technique is simple random sampling. A total of 20 individuals with type 2 diabetes mellitus enrolled in Prolanis at the Wenang Community Health Center in Manado participated in the e-DSMES program for 4 weeks. Data were collected using the Diabetes Self-Management Questionnaire (DSMQ) to measure respondents' self-care abilities. Results: Data analysis using a paired t-test showed a significant difference in the average self-care management scores before and after the implementation of e-DSMES (p < 0.05 and CI does not include zero).Conclusion: The implementation of e-DSMES can be an effective strategy in improving health outcomes for individuals with diabetes during the pandemic and other social restriction situations.

Keywords: diabetes education program; telehealth; diabetes; selfcare management; covid 19

A Potret Motivasi Belajar dan Indeks Prestasi Kumulatif Mahasiswa Angkatan 2023 Fakultas Kedokteran Universitas Sam Ratulangi

Siemona Lydia_Eunike Berhimpon — 2024-08-30

Abstract

Background: Self-motivation plays an important role in the learning process and can affect the ups and downs of students academic achievements. Objective: This study aims to describe and describe the current conditions related to the motivation and academic achievements achieved by students of the Faculty of Medicine Class of 2023. Method: The data was sourced from the results of the Motivated Strategies for Learning Questionnaire (MSLQ) questionnaire and the report on the study results of PSPD, PSPDG, and PSIK students in semesters 1 and 2, which were then analyzed descriptively. Results: Students with high and moderate motivation obtained a GPA in the category with honors, in PSPD 86.8%, PSPDG 100%, and PSIK 98%. The majority of PSPD, PSPDG and PSIK students are female with high motivation and are currently obtaining a GPA in the category with honors, respectively 59.4%, 93.1% and 83.3%. PSPD, PSPDG and PSIK students aged 17-18 years have high motivation and are currently obtaining category GPA with honors of 83.3%, 79.3%, 93.13% respectively. PSPDG and PSIK students who came from North Sulawesi with moderate and high motivation obtained GPA scores with honors of 58.6% and 84.3% respectively, while PSPD students who came from outside North Sulawesi were 60.4%. Conclusion: study showed that PSPD, PSPDG, and PSIK students had high and moderate motivation, were female, and obtained a GPA in the category with honors. Then, PSPDG and PSIK students from North Sulawesi with medium and high motivation get GPA scores with honors, while PSPD students from outside North Sulawesi.

Keywords: Motivation, Grade Point Average, Gender, Age, Origin

Abstrak

Latar Belakang: Motivasi diri berperan penting dalam proses pembelajaran dan dapat mempengaruhi

naik turunnya indeks prestasi kumulatif (IPK) mahasiswa. Tujuan: Penelitian ini bertujuan untuk menggambarkan dan menguraikan kondisi terkini terkait motivasi dan prestasi akademik yang diraih oleh mahasiswa Fakultas Kedokteran Angkatan 2023. Metode: Data bersumber dari hasil kuesioner Motivated Strategies for Learning Questionnaire (MSLQ) dan laporan hasil studi mahasiswa PSPD, PSPDG, dan PSIK semester 1 dan 2, yang kemudian dianalisis secara deskriptif.

Hasil: Mahasiswa dengan motivasi tinggi dan sedang dominan memperoleh IPK kategori dengan pujian, pada PSPD 86,8%, PSPDG 100%, dan PSIK 98%. Mahasiswa PSPD, PSPDG, dan PSIK mayoritas berjenis kelamin perempuan dengan motivasi tinggi dan sedang memperoleh IPK kategori dengan pujian, masing-masing sebesar 59,4%, 93,1% dan 83,3%. Mahasiswa PSPD, PSPDG, dan PSIK berusia 17-18 tahun memiliki motivasi tinggi dan sedang memperoleh IPK kategori dengan pujian masing-masing sebesar 83,3%, 79,3%, 93,13%. Mahasiswa PSPDG dan PSIK yang berasal dari Sulut dengan motivasi sedang dan tinggi memperoleh nilai IPK dengan pujian masing-masing sebesar 58,6% dan 84,3%, sedangkan mahasiswa PSPD yang berasal dari luar Sulut sebesar 60,4%

Simpulan: Penelitian menunjukan mahasiswa PSPD, PSPDG, dan PSIK memiliki motivasi tinggi dan sedang dominan, berjenis kelamin perempuan, dan memperoleh IPK kategori dengan pujian. Kemudian, mahasiswa PSPDG dan PSIK asal Sulut dengan motivasi sedang dan tinggi cenderung meraih IPK dengan kategori “dengan pujian,” dengan begitu pula mahasiswa PSPD yang berasal dari luar Sulut.

Kata kunci: Motivasi; Indeks Prestasi Kumulatif, Jenis Kelamin, Usia, Asal

ANALISIS PENGARUH KARIES GIGI TERHADAP KEJADIAN BARODONTOLGIA PADA KOMUNITAS PENYELAM DI KOTA MANADO

Ni Wayan Mariati — 2024-11-19

Background: Indonesia has underwater beauty that attract tourists, both domestic and foreign tourists. Dental caries is the most prevalent oral disease. Barodontalgia is dental pain that occurs due to barometric pressure changes in divers under certain conditions and is most commonly found in people with dental caries. Objective: This study aims to determine the effect of dental caries on the incidence of barodontalgia in the diving dcommunity in Manado. Methods: This type of research uses quantitative research with a cross-sectional research design. Sampling using purposive sampling of the diving community at the Dragonet diving center Malalayang, Manado City and the Youth Center Quay, Wenang District, Manado City from April to May 2024 with 31 divers as research subjects. Results: The results showed that DMF-T was included in the moderate criteria, with a total value of 125 and an average value of the entire population of 4.03. The results of Chi-Square statistical test showed a significance value (p = 0.695). Conclusion: The conclusion of this study is that the subjects' DMF-T is included in the moderate criteria and there is no significant relationship between the level of knowledge about barodontalgia and DMF-T.

Keywords: Barontalgia; Caries; DMF-T; Drivers