Lasalle Health Journal

MOTIVASI DAN BEBAN KERJA PERAWAT BERKAITAN DENGAN PENERAPAN KOMUNIKASI TERAPEUTIK PADA PASIEN GANGGUAN JIWA

Felani Felisia Dalope, Julianus Ake, Syenshie Virgini Wetik — Thu, 30 May 2024 00:00:00 +0800

Introduction: The application of therapeutic communication in nursing services is crucial as it significantly impacts the patient's recovery process. Ineffective communication can lead to inappropriate treatment or recovery, and treatment planning may not be suitable for patients with mental health issues. Several factors can contribute to nurses having ineffective communication, including high workloads and decreased work motivation. Objective: This study investigates the correlation between nurse workload and their motivation with the implementation of therapeutic communication for patients with mental disorders. Method: A quantitative study using a cross-sectional design with a population of 150 nurses at RSJ Prof. Dr. V. L. Ratumbuysang in Manado and a sample size of n=60. Results were analyzed using chi-square and Fisher's exact test. Results: There is a significant relationship between nurse motivation and the implementation of therapeutic communication for patients with mental disorders, with a p-value of 0.032 < 0.05. However, there is no significant relationship between nurse workload and the implementation of therapeutic communication for patients with mental disorders, with a p-value of 1.000 > 0.05. Conclusion: The variable of motivation affects the implementation of therapeutic communication for patients with mental disorders, whereas the variable of workload does not.

ASUHAN KEPERAWATAN GERONTIK PADA LANSIA POST-STROKE DENGAN MASALAH RISIKO JATUH: STUDI KASUS

Junytha R Rondonuwu, Lieke Momongan, Niken Gahunting — Thu, 30 May 2024 00:00:00 +0800

Introduction: Post-stroke is a phase experienced by patients after passing the critical phase of a stroke. Dangerous conditions that need to be monitored include the risk of falling because it can cause more dangerous impacts, namely a decline in function and physiological conditions that occur in the elderly phase. Nurses play an important role in providing nursing care to the elderly with post-stroke. Objective: This study aims to describe the application of gerontic nursing care for post-stroke patients at the "Damai" Ranomuut Nursing Home in Manado City. Method: A descriptive study using a case study method, referring to SDKI, SIKI, and SLKI. The subjects were 2 elderly post-stroke patients with the nursing problem of fall risk. Results: After providing nursing care for three consecutive days, the problem is partially resolved, namely a safe environment and being able to move around with assistance, although there is still a risk of falling. Interventions that still need to be continued gradually and have been taught to the caretakers of the orphanage include assisting respondents in carrying out independent activities and moving around without maximum assistance. Conclusion: The results of this study are expected to provide an overview of the implementation of nursing care for post-stroke elderly which is still not optimal for 3 days so that more time is needed and the implementation of other alternative collaborative actions/therapies based on evidence-based which must be taught to caregivers in nursing homes so that they can care for patients well.

SENAM ERGONOMIK UNTUK EFIKASI DIRI DAN ASAM URAT PENDERITA GOUT ARTRITIS

Gift Nissi Anggoronggang, Natalia Elisa Rakinaung, Cindi T M Oroh — Thu, 30 May 2024 00:00:00 +0800

Introduction: Non-infectious degenerative diseases such as gout arthritis usually last a long time and are often found in young people and the elderly. Self-efficacy can be defined as belief in one’s ability to perform a task with the desired result. Ergonomic exercise is given 3 times a week to patients with gout arthritis as a non-pharmacological therapy to reduce uric acid levels. Objective: To determine the effectiveness of ergonomic exercise on Self-efficacy and uric acid levels in gout arthritis sufferers in Tateli Tiga Village, Mandolang District, Minahasa District. Method: This study used a quasy experiment with a one group pretest-posttest design. The population of gout arthritis sufferers at the Tateli Health Center and the people of Tateli Tiga Village, Mandolang District, Minahasa Regency is 68 people. The sampling technique used is total sampling. Analysis using the Wilcoxon test. Results: The result of the analysis using the Wilcoxon test on uric acid levels before and after the intervention obtained a p-value of 0,000 (<0,05), and for Self-efficacy the results obtained a p-value of 0,000 (<0,05). Conclusions: There is a difference between ergonomic exercise on Self-efficacy and uric acid levels in gout arthritis sufferers before and after being given ergonomic exercise.

STRATEGI KOPING DAN SELF-CARE TERHADAP KUALITAS HIDUP PENDERITA TUBERKULOSIS PARU

Jenori Juliet Debora Barbie Mangelep, Wahyuny Langelo, Cyntia Theresia Lumintang — Thu, 30 May 2024 00:00:00 +0800

Introduction: Pulmonary Tuberculosis (Pulmonary TB) is a disease that is transmitted from one person to another through direct contact with dust particles containing tuberculosis bacteria. A good coping strategy is needed for every pulmonary TB sufferer to undergo treatment in order to recover from the disease. Apart from the need to use good coping strategies, increasing Self-Care also has a big influence on the quality of life of pulmonary TB sufferers. Objective: This study aims to determine whether there is a relationship between coping strategies and Self-Care on the quality of life of pulmonary TB sufferers in the working area of the West Bitung Community Health Center. Method: This type of research uses non-experimental quantitative research with a correlation design. The research location was carried out in the working area of the West Bitung Community Health Center. The population in this study were pulmonary tuberculosis sufferers in the West Bitung Health Center Working Area with a sample size of 53 respondents suffering from pulmonary tuberculosis, the sample size of which was carried out using a non-probability sampling technique, namely purposive sampling. Results: It is known that pulmonary TB sufferers in the West Bitung Community Health Center work area have adaptive coping strategies and good Self-Care but have a poor quality of life. It can be concluded that the research hypothesis H0 is accepted and Ha is rejected. Conclusions: There is no relationship between coping strategies and Self-Care on the quality of life of pulmonary TB sufferers in the Bitung Community Health Center working area.

EDUKASI KESEHATAN TENTANG DAMPAK NEGATIF BULLYING DENGAN METODE EMO DEMO

Glorya Injilika Sallo, Natalia Rakinaung, Martinus Geneo — Thu, 30 May 2024 00:00:00 +0800

Introduction: The negative impact of bullying can cause a child to become depressed, lack of confidence, feelings of sadness, grief and distress as well as feel stupid and worthless so that their confidence is reduced and make them anxious in socializing with others. Objective: This study aims to determine the level of knowledge and attitudes of students in the prevention of bullying behavior in elementary school children. Method: The pre-experiment research design, using one group pre-post-test, uses a mix questionnaire instrument namely knowledge, attitude and behavior. The intervention provided was counseling using teaching aids. The population is elementary school children at SD XI Kristen Tandu in grades 4-6, Lolak District, Bolaang Mongondow Regency. The respondents totaled 25 people using the total sampling technique. The statistical test used was the paired t-test with a significant p-value of <0.05. Results: Through the Wilcoxon test, bullying knowledge showed p-value = 0.000. Bullying attitude shows p-value = 0.000. Bullying behavior shows p-value = 0.000. Conclusion: Health education about bullying in elementary school age children using the emo demo method is significantly effective in increasing the knowledge of elementary school children about the negative impact of bullying. The results of this study can add to the insight of teachers, parents and nurses about health education methods for elementary school age children, especially related to the negative impact of bullying behavior

PENGETAHUAN MEMPENGARUHI PERILAKU SEKSUAL PRANIKAH REMAJA

Filia V. Tiwatu, Natalia Rakinaung, Mentari S. J. Leong — Thu, 30 May 2024 00:00:00 +0800

Premarital sexual behavior among adolescents is an increasingly complex issue and needs serious attention. Along with the development of the era and changes in social values, adolescent sexual behavior is increasingly diverse. Factors that can influence adolescent sexual behavior are their level of knowledge about sexuality. Previous studies have shown that there is a relationship between knowledge about sexuality and adolescent sexual behavior, but the findings are still diverse. One key aspect in adolescent development is sexual knowledge and behavior. In the era of globalization and advances in information technology, adolescents have increasingly easy access to various information, including about sexuality. Adequate sexual knowledge is very important to help adolescents make responsible decisions regarding their reproductive and sexual health. Objective: to determine the effect of knowledge on adolescent premarital sexual behavior. Method: This study uses quantitative descriptive with an analytical observational approach. The population is all students in grades 10, 11, 12 of SMK Negeri 1 Tondano and the sample in this study is 251 students. Sampling using the purposive sampling method. Results: The results of the analysis using the Spearman rank test with p 0.001 so that knowledge has a significant relationship with premarital sexual behavior. Conclusion: knowledge influences premarital sexual behavior in adolescents.

TINGKAT STRES DENGAN KEJADIAN INSOMNIA PADA MAHASISWA SKRIPSI

Santa A Batmomolin, Vonny H. Rumampuk Rumampuk, Angela Laka — Thu, 30 May 2024 00:00:00 +0800

Background: Insomnia is a sleep disorder that is usually experienced by students because of pressure so that the quality and quantity of sleep is disturbed. Insomnia can occur when a person experiences stres due to pressure and insomnia is usually experienced by final year students who are writing a thesis. This sleep problem is accompanied by complaints of difficulty falling asleep at night and difficulty maintaining sleep. Aim: This study was to determine the relationship between stres levels and the incidence of insomnia that occurred in students who were writing a thesis. Method: This type of research is quantitative research using a cross-sectional approach. The population of this study was 8th semester students who were writing their theses totaling 108 respondents and the sampling technique was a total sampling of 108 respondents, with the instrument used being a questionnaire. The statistical test used was the Chi-Square test. Outcome: The significance value shows that there is a relationship between stress levels and the incidence of insomnia in students who are writing their theses. Conclusion: There is a significant correlation between stres levels and the incidence of insomnia in students who are writing a thesis.

BEBAN KERJA DAN SIKAP PERAWAT TERHADAP PELAKSANAAN KOMUNIKASI TERAPEUTIK

Natalia Rakinaung, Angela Laka, Treyse Talumepa — Thu, 30 May 2024 00:00:00 +0800

Background: Nurses are human resources that have a major impact on hospital services. One of the implementations of good nursing care is the application of therapeutic communication, so that they can adapt to the problems they face and can take appropriate action for their health. Objective: This study aims to analyze the relationship between workload and attitudes towards the implementation of therapeutic communication for nurses in hospitals. Method: This study uses a descriptive quantitative design with a cross-sectional approach. The population consisted of 31 nurses in the inpatient ward, and the sampling technique was total sampling with 31 respondents, with instruments using 3 questionnaires, namely the workload questionnaire, attitude questionnaire and therapeutic communication questionnaire. Results: Shows that workload is related to the implementation of therapeutic communication for nurses and attitudes are related to the implementation of therapeutic communication for nurses. Conclusion: There is a relationship between workload and attitudes of nurses with the implementation of therapeutic communication for nurses in hospitals.

EDUKASI KESEHATAN DENGAN METODE VIDEO INTERAKTIF TENTANG STIGMA PENDERITA TB PARU TERHADAP PENGETAHUAN DAN SIKAP MASYARAKAT

Christina S. M Lukas, Natalia Rakinaung, Martinus Geneo — Thu, 30 May 2024 00:00:00 +0800

Introduction: Stigma is an emotional response that arises from individuals or groups when they give unfair values to others. The impact of the stigma given can make a TB patient isolate themselves because they feel ashamed of their illness so that their treatment is hampered until the recovery process. Health education can be done to increase knowledge and positive attitudes about TB and as one of the interventions in controlling TB Stigma. Objective: To determine the effectiveness of health education with the Interactive Video method about the stigma of TB patients on the knowledge and attitudes of the community in Madidir Ure Village, Bitung City. Method: Pre-experimental method with the one group pre-post-test design. This research design is an experimental design that will be intervened only in one group without a control group. The population in this study were 109 people in Madidir Ure Village, Bitung City and the sampling in this study used purposive sampling for that the number of respondents obtained was 52 respondents with the number of respondents obtained calculated using the Slovin formula. Paired t-statistical test with a significant value of p <0.05. Results: The significance value of knowledge about the stigma of pulmonary TB patients before and after the intervention showed a p value of 0.000 (p <0.05). The significance value of attitudes about the stigma of pulmonary TB patients before and after the intervention showed a p value of 0.000 (p <0.05). Conclusion: There are differences in the level of knowledge and attitudes of the community before and after being given health education in the form of interactive videos about the stigma of pulmonary TB patients in Environment IV, Madidir Ure Village, Bitung City

EDUKASI PENERAPAN 5M DI MASA PANDEMI COVID-19 MELALUI METODE AUDIOVISUAL

Shelly Maya Saroinsong, Natalia Elisa Rakinaung, Martinus Geneo — Thu, 30 May 2024 00:00:00 +0800

Introduction: The COVID-19 outbreak has made health problems around the world very serious. This virus really affects everyone's lives, from health, work, relationships with other people, trust, to school. Objective: This research aims to analyze the effectiveness of providing health education about the 5Ms during the Covid-19 pandemic using audiovisual methods for junior high school students. Negeri 8 Manado. Method: this research is quantitative research using a Quasi Experimental research method with a one group research design, namely pre-test and post-test. The target population for this research was school age students at SMP N 8 Manado, total 217 students. The sampling process in this research used purposive sampling with a total sample of 142 people. For bivariate analysis use the Wilcoxon test. Results: Wilcoxon test results show that there is a significant difference in the level of knowledge and readiness of respondents before and after being given health education (p-value < α 0.05). Conclusion: So, through the results of the analysis, it can be concluded that providing health education regarding the implementation of 5M during the Covid-19 pandemic has an effective impact on improving the knowledge and attitudes of school-age children.