Intervensi Keperawatan pada Pasien Terkonfirmasi COVID-19 dengan Komorbid DM Tipe 2 dan Hipertensi: Studi Kasus

Comorbidities in COVID-19 patients with the highest percentage are hypertension and diabetes mellitus. Patients with comorbid hypertension and DM have high morbidity and mortality. This study aims to determine the interventions in COVID-19 patients with comorbid DM and hypertension. The method used is a case study with data collection through patient and family interviews, medical record studies and direct observation or through CCTV. The studies showed that the patient was diagnosed with severe COVID-19 by oxygen therapy (NRM 15 L/min), treating COVID-19 and managing comorbid hypertension and DM with medication and monitoring and reducing anxiety. During treatment, the patient was desaturated, blood pressure and blood sugar level had not been controlled, and the anxiety was quite high. It can be said that interventions that can be given to COVID-19 patients with comorbid hypertension and DM are oxygen therapy, medication, anxiety reduction, and comorbid management. Comorbid hypertension and DM were controlled with medication and regular monitoring. the patient's blood pressure and blood sugar level had not been controlled, it is possible that the patient's anxiety is still experienced. So that as health workers in providing care are expected to pay attention to the biopsychosociospiritual aspects so that the patient's problems are resolved.

Pleuroskopi Sebagai Tindakan Diagnostik pada Paru

Pleuroscopy, also known as medical thoracoscopy, is a minimally invasive procedure that is used to examine and biopsy the pleural cavity as well as to perform therapeutic interventions. This procedure has a near-perfect diagnostic accuracy in malignant pleural effusions and tuberculosis. With a mortality rate of 0.1%, the complication rate is low (2% - 5%) and usually mild (subcutaneous emphysema, bleeding, infection). Objective : Increase knowledge of pleuroscopy as a diagnostic and therapeutic tool in lung disease. Method : This paper is based on a review of the literature on pleuroscopy. Conclusion : Pleuroscopy is a minimally invasive procedure that can be used to examine and biopsy the pleural cavity, as well as for therapeutic intervention. Complications are uncommon and usually minor. Sugestion : Other articles are required to increase knowledge about pleuroscopy in order to obtain more knowledge.

Latihan Range of Motion Terhadap Rentang Gerak Sendi Ekstremitas Atas Pasien Stroke di RSUD M.Natsir

Stroke patients who experience hemiparese who do not receive proper treatment can cause complications of functional disorders, impaired mobilization, disruption of daily activities and incurable disabilities. The purpose of this study was to determine the effect of passive Range Of Motion (ROM) exercise on increasing the range of motion of stroke patients in the Neurology Room at RSUD M.Natsir.This research design is quasi experimental with the design used is one group pretest - postest design.In this study, passive Range Of Motion (ROM) was performed on the upper extremities of stroke patients for five days, twice a day.The number of respondents in 30 stroke patients who experienced hemiparese,The data was collected by direct measurement using a measuring instrument for the degree of motion of the joints, namely the goniometer, and data analysis was carried out using the t dependent test (normally distributed data).The results showed a significant difference in the range of motion of the upper limb joints before and after passive ROM exercises. The conclusion that ROM exercises affect the range of motion of the upper limb joints in stroke patients.Passive ROM can be an alternative to increase the range of motion of the joints in the upper and lower extremities in stroke patients.

Hubungan Durasi Kerja dan Postur Tubuh dengan Keluhan Low Back Pain (Lbp) Penjahit di Nagari Simpang Kapuak Kabupaten Lima Puluh Kota

Low Back Pain (LBP) is pain in the waist or lower spine that can be felt up to the buttocks and thighs. Many workers experience illness. Results The study was conducted on 9,482 workers in 12 regencies and cities in Indonesia, the disease experienced by workers was Musculoskeletal Disorder as much as 16% including Low Back Pain. This study aims to determine the relationship between work duration and work posture with complaints of Low Back Pain at Nagari Simpang Kapuak tailors, Lima Puluh Kota Regency. This research is quantitative with a cross sectional approach. Collecting data through a census of 43 tailors with interviews and questionnaires. Data analysis with univariate, bivariate and Chi-Square statistical test. The results of the study found that 58.1% of tailors experienced severe complaints of low back pain. 72.1% are classified as risky age, 74.1% are female, 58.1% have a BMI at risk, 67.4% work with risky work duration, 69.8% work with risky work postures. There is a relationship between age (p = 0.017), BMI (p = 0.013), work duration (p = 0.002), and body posture (p = 0.006) with complaints of Low Back Pain. To reduce the risk of Low Back Pain, tailors should relax and rest by stretching muscles, exercising based on the age of the worker, consuming foods that contain calcium, working with a balanced working time and doing an ergonomic work system.

Faktor Risiko Kejadian Diare pada Anak Usia 6-24 bulan di Kota Jambi

Diarrhea is a major cause of child morbidity and mortality in developing countries, including Indonesia. This study aimed to determine the risk factors for diarrhea in children aged 6-24 months. This study used a case-control design with 48 cases and 48 controls. Cases were children aged 6-24 months who had experienced diarrhea with the ICD code A.09 recorded in the register book from October 2019 to March 2020. The control samples were children aged 6-24 months who did not suffer from diarrhea with age (range ±3 months), gender, and domiciled in the same village as the case. Samples were taken using the total sampling method. Data collection used interview and direct observation techniques in July 2020. Data analysis was carried out univariate and bivariate using the chi-square test. The results of the study showed the relationship between exclusive breastfeeding (p= 0.000 OR=4.8 95% CI: 2.04-11.53), use of milk bottles (p=0.000 OR=6.3 95%CI 2.5-15.7), and CTPS habits (p = 0.000 OR = 4.8 95% CI 2.0-11.5) with the incidence of diarrhea in children. Family latrines (p=0.168 OR=4.3 95%CI 0.4-39.7), and drinking water sources (p=1,000 OR=1.0 95%CI 0.1-16.4) were not factors diarrhea risk. Health workers should educate the importance of the habit of washing hands with soap and washing bottles. Parents should give exclusive breastfeeding, clean regularly, and pay attention to how to store milk bottles before use.

Hubungan Persepsi Tentang Peran Orang Tua Dengan Perilaku Seksual Remaja di SMP Kabupaten Pasaman

Parents as the first and foremost educators in the family have a very complex role. Lack of parental role can make adolescents fall into risky sexual behavior (RSB). RSB will have a negative impact on adolescents such as physical, psychological and social impacts. The purpose of this study was to examine the relationship between perceptions of the parents role and adolescent sexual behavior in the Pasaman District Junior High School. This type of research is an analytic survey with a cross sectional design. The study was carried out from January to March 2020 at 36 schools spread across 12 sub-districts taken by stratifield random sampling of 324 students. The instrument uses a standardized questionnaire that is valid and reliable. Data analysis with chi square with 95% confidence interval and p value < 0.05. In the study, it was found that the RSB of adolescents was 58,44% and the negative perception of the parents role was 53,2%. There is a relationship between perceptions of the parents role with RSB in adolescents (p value 0.001). Adolescents who have a negative perception of the parents role tend to have risky sexual behavior. It is recommended to the BKKBN to improve the BKR program to provide educational materials that are tailored to the educational level of parents. Creating a family empowerment program by integrating sexual education in the family

Peran Ninik Mamak Dalam Pencegahan dan Pengurangan Resiko Penyakit HIV/AIDS pada Remaja di Kota Solok 2019

To inhibit the increase and spread of HIV-AIDS, it is necessary to partnership between civil society, people with HIV-AIDS, government and the role of community leaders. In Minangkabau Ninik Mamak is obliged to educate nephews in the field of religion, customary values, culture in community life to be able to live harmoniously. Data from the Solok City Health Office with HIV-AIDS in 2019 amounted to 54 cases and 30 of them died. The purpose of this study is to find out how Ninik Mamak's role in the application of indigenous and cultural values to the prevention and reduction of the risk of HIV-AIDS disease in adolescents in solok city. This research uses qualitative methodology with a case study approach, data collected through in-depth interviews. The results of the study of most ninik mamak have not played a role in maximally applying and instilling the values of Indigenous and Cultural Minangkabau to the youth nephew about the prevention and reduction of the risk of HIV-AIDS disease. Ninik Mamak as an informal leader who has a close relationship with the nephew must provide motivation, direction, guidance, and teaching wisely and wisely to the nephew to do it in everyday life. Suggestions that Ninik Mamak increase its role and function to instill indigenous values and Minangkabau culture in the daily life of youth nephews as an awareness effort in the prevention and reduction of the risk of HIV-AIDS disease.

Pengaruh Terapi Musik Keroncong Terhadap Insomnia pada Menopause di Wilayah Kerja Puskesmas Kota Tengah Kota Gorontalo

Insomnia is more common in menopausal women. In menopausal women, 50 % of the most common is hard to be in a state of sleep and wake up too early. Non-pharmacological therapy can be done using keroncong music. In essence, keroncong music can break through a person's state of consciousness and can cause psycho-physiological responses. As this process continues, it will follow the remaining state of consciousness, increasing the sensory phase, so that it can dream and sleep normally. This study aimed to analyze the effect of keroncong music on the level of insomnia in menopause in the working area of Kota Tengah public health center, Gorontalo city. This research used a pre-experimentaal design with pretest posttest group to analyze the effeect of keroncong music therapy on insomnia. The sample in this study were 60 menopausal women. The results of statistical tests using the Nonparametric Wilcoxon sample, obtained α = 0.05 with a value of ρ = 0.002 (ρ <α). It means that there was an effect of keroncong music therapy on insomnia in menopausal women. The conclusion is was an effect of keroncong music therapy on insomnia in menopausal women. it is hoped that with this research, keroncong music can be used as an alternative method that is easy, safe, and without risk to treat insomnia in menopausal women so that it can be applied in everyday life.

Pengaruh Luas Penampang Wadah Terhadap Besarnya Reduksi Volume Sampah Organik Rumah Tangga Menggunakan Larva Lalat Bsf (Black Soldier Fly)

This research is Quasi experimental with the Post Only Group Design method. This study uses the amount of maggot and organic waste with a ratio of 1: 2, with 1/2 kg of maggot against 1 kg of garbage, with a volume of 6000 cm3 containers and a variation of the cross sectional variation of 20x20 cm2 with a height of 15 cm, the cross section area of ​​30x20 cm2 with a height of 10 cm and 10 cm and the cross section area of 30x40 cm2 with a height of 5 cm. Based on the results of the research that has been made, the waste reduction by BSF larvae, the cross-sectional area of ​​20x20 cm was 516.7 gr, the cross-sectional area of ​​30x20 cm was 555.6 gr, while the cross-section area of ​​30x40 cm was 644.4 gr. The highest reduction is obtained from the cross-sectional area of ​​30x40 cm. Based on the results of the normality test it obtained the value of P-Value> α (0.05). This indicates that the data is distributed normally by looking at the variant difference test, obtained a value of p-value 0.049 (<α). Then it can be concluded that there is an influence between cross-sectional area and waste reduction by BSF larvae. The wider cross-section of the garbage container, the easier BSF larvae reduce organic waste.

Hubungan Pengetahuan dan Stigma pada Keluarga dengan Beban Keluarga Dalam Merawat Pasien Skizofrenia di Wilayah Kerja Puskesmas Nanggalo Padang

Families have a heavy burden in caring for ODS. Heavy load perceived by the family due to the level of family knowledge and family stigma. This study aims to determine the relationship knowledge and stigma on families with family burdens in caring schizophrenia patient in the working area of ​​Puskesmas Nanggalo Padang. Types of research this is correlation with the approach cross sectional. The population in this study is a family who cares for ODS in the working area of ​​Puskemas Nanggalo Padang and a sample of 87 people taken withPurposive Sampling. Data collection using a questionnaire Family Interview Scale / Stigma Items, questionnaire knowledge, and a questionnaire Zarit Burden Interview (ZBI). Research result It was found that more than half (59.8%) of the families experienced a heavy burden, more than half (57.5%) of families have a lower or higher level of knowledge half (52.9%) of families experienced high stigma. There is a relationship meaning between the stigma in the family and the family burden (p =0,000). There is no significant relationship between the level of family knowledge with family burden (p =0.110). It is expected that health workers, especially nurses soul in society to provide health education to the community regarding Schizophrenia. So that society no longer gives stigma to families who will make the family embarrassed in caring for ODS.