<p>Schizophrenia is a severe mental disorder that is chronic, reality disorders, cognitive dysfunction, and difficulty in doing activities. Violent behavior is a form of aggressive behavior that causes suffering or hurts others, has an angry response, is expressed by threatening, injuring oneself and others, and can damage the environment. The study aims to determine the relationship of burden with a family coping when treating schizophrenic patients who experience violent behavior in the Prof.Dr.M.Ildrem mental hospital Medan. Descriptive correlation research design with a cross-sectional approach. The entire population of schizophrenic patients who treat family members with violent behavior who undergo outpatient as many as 384 people. Samples totaling 79 people with a sampling technique is a consecutive sampling. The results obtained that the objective burden of the majority family is 74,7% and the subjective burden of the majority family is 60,8%, coping of the adaptive majority family is 97,5%. It is known that there is a strong relationship between burden and family coping when treating patients with schizophrenia who experience violent behavior (p-value=0,000; p-value<0,01) with an objective load value of the correlation coefficient (r)=0,522. And the subjective load coefficient correlation coefficient (r)=0,525. Families are expected to reduce objective and subjective burdens when treating schizophrenic patients who experience violent behavior by increasing adaptive family coping so that the burden in the family is lighter and able to care for family members better.</p>
Introduction: Triage is an important link in treating critical patients, but during the COVID-19 pandemic, triage is not only to select and sort patients from emergency status, but to avoid a surge in patients from the limited hospital capacity and medical personnel. The experience of emergency room nurses is needed to formulate a nursing service strategy. The purpose of this study was to explore the experience of nurses in carrying out management of triage (client priority classification system based on the severity of the client's condition or the emergency that requires immediate action) in the Emergency Room (ER) during COVID-19 pandemic in Medan. Methods: The type of research used in this studied was qualitative research with a phenomenological approach. Sampling used purposive sampling technique with the number of participants as many as 10 people. Data collection was done through in- depth interviews. The process of data analysis in this studied used Colaizzi's approach of content analysis. Results: The results of the study found four main themes that describe the experience of nurses in carrying out triage management during the COVID-19 pandemic. The themes that emerged as a result of the research were: 1) Triage management during Covid pandemic, 2) Individual perceptions of infection/contagion Triage, 3) The burden of the triage nurses' during Covid pandemic, and 4) Nurses’ gratitude. Conclusion: The experience of nurses in conducting triage management during the COVID-19 pandemic was focused on initial screening, namely the assessment of acute respiratory infections (ARI), contact history and a history of indications for COVID-19. Then secondary triage was sorting patients based on emergency conditions. The use of personal protective equipment still did not meet the standards, the workload of nurses was high and there was gratitude by them for being at the forefront of handling COVID-19.
Posyandu services were stopped during the Covid-19 pandemic, posyandu services were carried out independently with the implementation model being handed over to each region according to the conditions or covid zone of each region. The implementation of the posyandu must strictly comply with established health protocols to minimize the risk of Covid-19 transmission. The initial survey conducted found that mothers were still worried about bringing their children to the posyandu. In addition, it was also found that at the time of implementing the posyandu there were still mothers who had not complied with the health protocols. This research is a descriptive study which aims to see the knowledge of mothers about the prevention of Covid-19 infection at the posyandu in Desa Kwala Bingei in 2020. The population of this study is all mothers who have toddlers and carry out posyandu with a total sample of 37 people. The results of the study found that the majority of respondents had less knowledge (65%) about the prevention of Covid-19 infection at the time of implementing the posyandu. From the results of this study, an activity in the form of health education to groups of mothers who have toddlers is needed which is related to increasing knowledge in preventing Covid-19 infection during the posyandu period, thereby reducing maternal anxiety of carrying posyandu children and posyandu activities to continue running smoothly according to health protocols.
Diabetes melitus merupakan penyakit degeneratif yang dapat mengakibatkan kematian. Pengobatan pada penderita diabetes melitus adalah untuk mengendalikan kadar gula darah dan meningkatkan kualitas hidup penderita, Salah satu caranya dengan pengaturan diet. Tujuan penelitian ini untuk mengetahui hubungan kepatuhan diet dengan kualitas hidup pada penderita diabetes melitus di Puskesmas Lut Tawar Kecamatan Lut Tawar Kabupaten Aceh Tengah. Jenis penelitian ini adalah penelitian kuantitatif yang menggunakan metode deskriptif korelasi dengan pendekatan cross sectional. Populasi penelitian ini pasien yang berobat rutin di Puskesmas Lut Tawar sebanyak 53 orang. Sampel penelitian ini seluruh pasien yang rutin berobat di Puskesmas Lut Tawar dengan teknik pengambilan sampel menggunakan total sampling. Dari Hasil uji statistik menunjukkan kepatuhan diet mayoritas tidak patuh (71,7%), kualitas hidup pasien diabetes melitus mayoritas kurang baik (64,2%), hal ini berarti ada hubungan kepatuhan diet dengan kualitas hidup pada penderita diabetes melitus di Puskesmas lut tawar kecamatan lut tawar kabupaten aceh tengah dengan nilai p=0,003(p<0,05). Kepatuhan diet yang di jalankan oleh pasien diabetes melitus merupakan salah satu cara untuk meningkatkan kualitas hidup pasien diabetes melitus. Penelitian ini merekomendasikan kepada penderita diabetes melitus mematuhi program diet yang telah di anjurkan oleh dokter untuk mencapai kualitas hidup yang lebih baik.
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