Jurnal Keperawatan Flora

Faktor-Faktor Yang Berhubungan Dengan Terjadinya ISPA Pada Balita Di Wilayah Kerja Puskesmas Rambung Binjai

2025-06-04T03:08:20+00:00

Indonesia always ranks first in the cause of ISPA deaths among infants and toddlers. Apart from that, ISPA is also often on the list of the 10 most common diseases in hospitals and health centers. Many factors cause ISPA such as nutritional status, immunization status, maternal knowledge and child care. The aim of this research is to determine the factors associated with the occurrence of ISPA in toddlers. This research is an analytical survey research with a cross sectional approach. The research was conducted in the working area of the Rambung Binjai Community Health Center. The research time was in January 2018. The research population was 1,047 people and the sample was 112 people. Data analysis was carried out univariate and bivariate using the chi-square test with a confidence level of 95%. Based on the research results, it shows that the factors associated with the occurrence of ISPA in toddlers in the Rambung Binjai Community Health Center working area in 2023 are nutritional status (p=0.000), immunization status (p=0.004), knowledge (p=0.002), and child care. (p=0.007). It is recommended that health workers, especially nurses, provide health counseling or education to the public, especially mothers who have toddlers, about ISPA and how to prevent it so that mothers are well informed.

Keywords: , , , , ,

Hubungan Penerapan Metode Tim Dengan Kinerja Perawat Pelaksana Di Ruang Rawat Inap RSU Bandung Medan

2025-06-04T03:03:03+00:00

The team method is a method of providing nursing care, in which a professional nurse leads a group of nursing staff in providing nursing care to a group of clients through cooperative and collaborative efforts (Douglas, 2011). The team model is based on the belief that each member of the group has a contribution in planning and providing nursing care so that the nurse's motivation and sense of responsibility arises so that the quality of nursing care is expected to increase. The aim of this research is to determine the relationship between the application of the team method and the performance of implementing nurses in the Inpatient Room at RSU Bandung in 2023. This research method is descriptive with a cross sectional study design using primary data. The population in this study were all nurses in the Bandung RSU Inpatient Installation, the sampling technique was by Proportional Stratified Random Sampling with a sample size of 54 respondents. The results of research on 54 respondents, the majority of whom had poor performance, were 40 respondents (78.5%), the majority of respondents were not good at implementing the team method, 37 respondents (92.5%). The results of the study concluded that there was a relationship between the application of the team method and the performance of implementing nurses in the Inpatient Room at RSU Bandung with a p-value (Continuity Correction) of 0.000 (p<0.05). Researchers suggest to implementing nurses to provide education to health workers to improve the quality of nursing care for patients through the application of quality team methods by continuing higher level education to increase knowledge about nursing care.

Keywords: ,

Pengaruh Kompres Dingin terhadap Intensitas Nyeri Luka Perineum pada Pasien Post Partum di RSIA Stella Maris Medan

2025-06-04T02:58:14+00:00

Applying a cold compress is thought to reduce the intensity of perineal wound pain. The aim of this study was to determine the effect of cold compresses on the intensity of perineal wound pain in post partum patients. This research is a quasi experimental design research. The study population was all 103 post partum mothers who experienced perineal wounds. The sample obtained was 50 people. Data analysis was carried out univariately and bivariately using the paired sample t-test at a confidence level of 95% (α=0.05). Based on the research results, it shows that the intensity of perineal wound pain in post partum patients before being given a cold compress (Pretest) obtained an average value (mean) of 6.72. The intensity of perineal wound pain in post partum patients after being given a cold compress (Posttest) obtained an average value (mean) of 4.10. There is a difference in the frequency of perineal wound pain in post partum patients before and after being given a cold compress at the Stella Maris Mother and Child Hospital in Medan. Obtained a significant p-value = 0.000 < 0.05. The conclusion of this study is that there is an effect of cold compresses on the intensity of perineal wound pain. It is recommended that nurses at RSIA Stella Maris Medan routinely give cold compresses to post-partum mothers who experience perineal wounds so that the intensity of the pain felt by the patient can decrease and make the mother feel comfortable or.

Keywords: ,

Hubungan Perilaku Dengan Kejadian Ispa Pada Balita Di Wilayah Kerja Puskesmas Desa Lalang Medan

2025-06-04T03:21:38+00:00

in this world. ISPA causes nearly 4 million people to die every year. ARI is an infection caused by microorganisms including common cold, pharyngitis (inflammation of the throat), laryngitis, and uncomplicated influenza. Community behavior influences health status, especially the risk of ARI events. This type of research uses a descriptive correlation method using a cross sectional design where the researcher wants to know the relationship between behavior and the incidence of ISPA in the work area of the Lalang Village Health Center, Medan City. The population in this study was all mothers who had 44 toddlers. The sampling technique in this study was total sampling, namely taking samples from the entire population. Statistical tests using the Chi-square test obtained a value of p=0.002 (p<0.05), so it was concluded that there was a significant relationship between knowledge about ISPA and the incidence of ISPA in toddlers. p value=0.064 (p<0.05), it is concluded that there is no significant relationship between attitudes about ISPA and the incidence of ISPA in toddlers. p value = 0.001 (p <0.05), it is concluded that there is a significant relationship between actions and the incidence of ISPA in toddlers. It is recommended for respondents to keep the environment clean to avoid ISPA, especially in toddlers.

Keywords: , ,

Hubungan Gaya Hidup Dengan Kejadian Penyakit Jantung Koroner Di RSUP H. Adam Malik Medan

2025-06-04T02:51:20+00:00

Coronary heart disease (CHD) is a term that refers to heart disease caused by decreased blood supply to the heart muscle. A decrease in blood supply to the heart muscle causes an imbalance between oxygen supply and demand. The general aim of the research is to analyze the relationship between patient lifestyle and the incidence of coronary heart disease at H. Adam Malik Hospital, Medan. This type of research is analytical research with a cross sectional research design to analyze the relationship between lifestyle and coronary heart disease at H. Adam Hospital. Malik Medan, sampling was carried out by purposive sampling, totaling 38 people. The research results showed that the relationship between smoking lifestyle and the incidence of coronary heart disease was significant with a p-value of 0.032. The relationship between alcohol lifestyle and the incidence of coronary heart disease is significant with a p-value of 0.022. The relationship between an exercise lifestyle and the incidence of coronary heart disease is significant with a p-value of 0.000. The relationship between physical activity lifestyle and the incidence of coronary heart disease is not significant with a p-value of 0.15 where the p-value is below 0.05. The relationship between an obese lifestyle and the incidence of coronary heart disease is significant with a p-value of 0.041. Create an outreach program in hospitals about preventing coronary heart disease on a regular basis every week so that it can improve patient health so that heart disease can be reduced and prevented.

Pengaruh Terapi Benson Terhadap Skor Pengkajian Luka Maceration Undermining Necrotik Geanulation Symptoms (Mungs) Pada Pasien Ulkus Diabetes Mellitus Di RSUD dr. Pirngadi Medan

2025-06-04T03:10:57+00:00

The World Health Organization (WHO) prevalence of diabetes mellitus ulcers at the age of 18 years reaches 8.5%, where the highest rate is in Southeast Asia. This study aims to determine the effect of Benson therapy on maceration undermining necrotic geanulation symptoms (MUNGS) wound assessment scores in patients with diabetes mellitus ulcers at RSUD.dr. Pirngadi Medan uses quantitative research with a pre-experimental design. The sample in this study was diabetic ulcer patients with a total of 30 respondents and the sample was taken using purposive sampling. Data were collected using the MUNGS wound assessment score and Benson therapy SOP. The research results showed that the majority of pretest MUNGS wound assessment scores in diabetic ulcer patients were in the moderate category (6-10) as many as 23 people (76.7%) and posttest MUNGS wound assessment scores in diabetic ulcer patients where the majority were in the mild level (0-5) as many as 16 people (53.3%). The results of the Wilxocon statistical test obtained a value of ρ= 0.000, so p value < α (0.000 < 0.05), which means that there is an effect of Benson therapy on the wound assessment score of maceration undermining necrotic geanulation symptoms (MUNGS) in patients with diabetes mellitus ulcers at RSUD.dr. Pirngadi Medan. For further research, it is recommended to analyze the factors that influence Benson therapy on maceration undermining necrotic geanulation symptoms (MUNGS) wound assessment scores in patients with diabetes mellitus ulcers.

Keywords: , , ,

Hubungan Peran Caregiver Dengan Pemenuhan Kebutuhan Dasar Pada Lansia Yang Demensia di Puskesmas Darusalam

2025-06-04T02:45:58+00:00

The elderly are those who live more than half of their life and are over 59 years old. Caregivers are individuals who help care for and provide comfort to the elderly to improve the health status of the elderly, help the elderly accept their condition, and help the elderly face death by being treated humanely until death comes. Dementia (senility) is a cognitive decline that is so severe that it interferes with daily life activities and social activities. The purpose of this writing is to find out the relationship between the role of caregivers and the fulfillment of basic needs in the elderly with dementia at the Meurebo Health Center. The design of this study is an analytical survey with a cross sectional study approach, which emphasizes the measurement/observation time only once at a time. The population in this study is all elderly people with dementia who go to the Meurebo Health Center for treatment as many as 150 people. The sample of this study was taken as many as 39 people. The results of the study on 39 respondents found that most of the caregiver roles were not good, as many as 24 people (61.5%) and a small part were good, as many as 15 people (38.5%). Most of the basic needs were not met as many as 26 people (66.7%). There is a relationship between the role of caregivers and the fulfillment of basic needs in the elderly with dementia Fisher' Exact Test=0.000 (p<0.05). The researcher suggested to the Meurebo Health Center to hold a socialization or workshop on the Role of Caregivers with the Fulfillment of Basic Needs in the Elderly with Dementia.

Hubungan Tingkat Pengetahuan Ibu Post Partum Dengan Perawatan Tali Pusat Di Kelurahan Sei Sikambing B Diwilayah Kerja Puskesmas Desa Lalang

2025-06-04T03:05:45+00:00

Based on WHO data in 2015, neonatal deaths due to tetanus neonatorum for countries in Southeast Asia were 581 babies. Neonatal tetanus cases in Indonesia in 2014 were 84 babies from 15 provinces with a mortality rate of 54 babies. This study aims to determine the relationship between the level of knowledge of post partum mothers and umbilical cord care in Sei Sikambing B Village in the Lalang Village Community Health Center Working Area. The research method uses descriptive correlation with a cross-sectional approach. The sample in this study was postpartum mothers with a total of 58 respondents and the sample was taken using purposive sampling. The research results showed that some of the knowledge of postpartum mothers was in the poor category, as many as 25 people (43.1%), and the majority of postpartum mother respondents at the Lalang Village Community Health Center did not carry out umbilical cord care, namely 32 people (55.2%). The results of the Spearman Rho correlation test obtained a value of ρ= 0.000 with a coefficient value of 0.803, so p value < α (0.000 < 0.05). From the research results, it can be concluded that there is a relationship between the level of knowledge of post partum mothers and umbilical cord care in Sei Sikambing B Village in the Lalang Village Community Health Center Working Area. For further research, it is recommended to analyze the factors that influence post partum mothers' knowledge of umbilical cord care.

Keywords: , ,

Faktor Faktor Yang Mempengaruhi Lamanya Penyembuhan Luka Pada Pasien Ulkus Diabetikum Di RSUD Dr. RM Pratomo Bagansiapiapi

2025-06-04T03:00:42+00:00

Wounds are disorders of skin integrity caused by many things, including friction, pressure, temperature, infection and others (Arisanty, 2012). The incidence of injuries is increasing every year, both acute and chronic wounds. Wound care with the "wet to dry" method is still widely used in hospitals. This method uses wet gauze to cover the wound and then let it dry on the wound, and once dry the scar or dead tissue can be peeled off. This research is a quantitative descriptive study with a cross sectional approach using the chi-square test. The sample taken in this study were 30 respondents with a total sampling technique of sampling. The results of the analysis showed that the respondents who had less knowledge with less wound care were 19 people (63.3%), sufficient knowledge with sufficient wound care were 4 people (13.3%). The results of the chi-square statistical test obtained a p-value of 0.028. This means that there is a significant relationship between Nurse Knowledge and Wound Care Using the Moist Wound Healing Method at Medica Medan Inpatient Pratama Clinic. It is hoped that nurses will increase their knowledge in wound care using the moist wound healing method, so that the patient's needs can be met properly.

Keywords: , ,

Pengaruh Ulkus Diabetik Terhadap Tingkat Kecemasan Pada Pasien Diabetes Melitus Tipe II Di Asri Wound Care Centre Medan

2025-06-04T02:55:35+00:00

Diabetes Mellitus is a health problem that occurs almost in all walks of life in the world. One of the common complications of diabetes mellitus is the occurrence of diabetic ulcers, complications of diabetic ulcers is a disturbing situation and can trigger excessive anxiety due to a sudden change in life that indicates some negative psychological reactions such as anger, feeling of no use, experiencing physical disturbances in everyday life, pain, risk of amputation, and appearance disorders. The purpose of this study was to determine the extent of the influence of diabetic ulcers on the level of anxiety in patients with type II diabetes mellitus in Asri Wound Care Center Medan. The sample in this study were 40 respondents with diabetic ulcers. The instrument used is an anxiety questionnaire and an observation sheet of diabetic ulcer wounds BWAT Scale (Bates-Jansen Wound Assessment Tool). The results of the study were analyzed by correlating between anxiety level and diabetic ulcer in Asri Wound Care Center Medan was 0,024, p Value <α (0,024 <0,05). This means that there is influence between diabetic ulcers with anxiety levels in patients with type II diabetes mellitus in Asri Wound Care Center Medan. It is expected that nursing practice can be used as a reference by nurses in giving nursing care about the influence of diabetic ulcers on anxiety level in patients with type II diabetes mellitus.

Hubungan Pola Asuh Orang Tua Dengan Tingkat Keberhasilan Toilet Training Pada Anak Pra Sekolah Di Tk Yayasan Pendidikan Islam Almunawaroh Murad Medan Sunggal

2025-06-04T03:13:50+00:00

Children are the human resources of a nation. Children must live in prosperity in order to grow and develop optimally to carry out development tasks in the future. Growth and development is a continuous process from conception to maturity, which is influenced by congenital and environmental factors. The aim of this research is to determine the relationship between parenting styles and the success rate of toilet training in preschool children at the Almunawaroh Murad Islamic Education Foundation Kindergarten, Medan Sunggal. This type of research is descriptive correlation. Total sampling technique, the number of samples in this study was 50 people. Based on the results of statistical tests using the Spearman Rank (Rho) test, it shows that there is a relationship between parenting patterns and the success of toilet training in pre-school children at the Almunawaroh Murad Islamic Education Foundation Kindergarten, Medan Sunggal, where P value = 0.03 (P < 0, 05) The results of the analysis also show a correlation (r) of 0.302, meaning there is a weak relationship between parenting patterns and the success of toilet training in pre-school children. It is recommended that the Community Health Center should as often as possible hold outreach related to child rearing patterns to the community in order to increase parents' understanding in caring for and educating children.

Faktor-Faktor Yang Mempengaruhi Pengendalian Kenaikan Kadar Gula Darah Pada Pasien Diabetes Melitus Di Rumah Sakit Umum Dr. Pirngadi Medan

2025-06-04T02:48:33+00:00

Diabetes mellitus is a group of metabolic disorders characterized by increased blood glucose levels (hyperglycemia) due to defects in insulin secretion, insulin action, or both. There are two factors related to controlling blood glucose levels, namely internal factors (illness and stress, obesity, food/food intake, treatment either with tablets or insulin) and external factors (education, knowledge, closeness and exposure to sources of information). This research aims to determine what factors make blood sugar levels controlled in diabetes mellitus patients at the Dr. General Hospital. Pirngadi in 2023. This research uses a descriptive analytical research design with a cross-sectional approach, and uses a research questionnaire and sampling using a total sampling technique with a sample size of 43 people. The results of the study showed that there were factors that controlled blood sugar levels, only exposure to information had no effect on controlling blood sugar levels with p = 0.583, greater than α (0.05). It is recommended that factors that influence the control of blood sugar levels are very important for patients suffering from diabetes mellitus to pay attention to in order to maintain stable blood sugar levels within normal limits.