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All Journal Jurnal Pendidikan dan Pembelajaran Khatulistiwa (JPPK) Jurnal Riset Hesti Medan Akper Kesdam I/BB Medan Al-Asalmiya Nursing: Journal of Nursing Sciences Jurnal Kesehatan Tambusai Excellent Midwifery Journal SENTRI: Jurnal Riset Ilmiah Jurnal KeFis : Jurnal Kesehatan dan Fisioterapi Jurnal Riset Ilmiah Indonesian Journal of Community Empowerment Jurnal Pengabdian Masyarakat Jurnal Sains, Teknologi dan Kesehatan Sevaka: Hasil Kegiatan Layanan Masyarakat Jurnal Praba: Jurnal Rumpun Kesehatan Umum Jurnal Keperawatan Dan Kesehatan Holistik (JKKH)
Erita Gustina
Akademi Keperawatan Kesdam 1/ Bukit Barisan Medan
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Edukasi Pertolongan Gawat Darurat Cedera Ekstremitas Atas Dengan Teknik Balut Bidai Terhadap Pengetahuan Remaja Di MA Al-Ittihadiyah Pangkalan Masyhur Medan Huwaina Af’idah; Erita Gustina; Endang Roswati Simamora; Erica L. Nababan; Halasan L. Simamora
Sevaka : Hasil Kegiatan Layanan Masyarakat Vol. 3 No. 2 (2025): Mei : Sevaka : Hasil Kegiatan Layanan Masyarakat 
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/sevaka.v3i2.465

Abstract

The increase in mortality rates, caused by traffic accidents, usually occurs partly because Indonesians do not know how to provide proper first aid when victims are found (Ferianto, 2023). Injuries to the musculoskeletal system must be treated quickly and appropriately, because if it is too late, it will cause the condition of the injury to worsen and cause bleeding. The purpose of this study was to determine the effect of education on emergency assistance for upper extremity injuries with splinting techniques on adolescent knowledge. This research method uses a quantitative design using pretest and posttest questionnaires. The administration of pre-test and post-test questionnaires is according to the number of participants who participated in the education. The number of samples obtained in this study was 40 people with the target of MA adolescents with an age range of 15-17 years. This study was conducted on July 25, 2025, at MA Al-Ittihadiyah Pangkalan Masyhur Medan. The results of this study showed a significant difference between the level of knowledge before (pre-test) and after (post-test). Conclusion: The results of this study indicate that there is an effect of emergency aid education for upper extremity injuries using splinting techniques on the knowledge of adolescents at MA Al-Ittihadiyah Pangkalan Masyhur Medan.
IMPLEMENTASI MASSAGE  EFFLEURAGE  UNTUK MENURUNKAN SKALA NYERI PUNGGUNG PADA IBU HAMIL TRIMESTER III DI POLI OBGYN RUMAH SAKIT TK II PUTRI HIJAU MEDAN Gustina, Erita; Atsnia, Atsnia; Af’idah, Huwaina
SINERGI : Jurnal Riset Ilmiah Vol. 2 No. 8 (2025): SINERGI : Jurnal Riset Ilmiah, Agustus 2025
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/sinergi.v2i8.1651

Abstract

Pregnancy causes various physiological changes, including in the musculoskeletal system, which often trigger complaints of back pain, particularly in the third trimester. This pain can interfere with the comfort and quality of life of pregnant women. One non-pharmacological intervention that can be used to reduce pain is effleurage massage therapy. This study aims to implement the therapy to reduce the back pain scale in third-trimester pregnant women at the Obstetrics and Gynecology Clinic of Tk II Putri Hijau Hospital, Medan. The research method used is a descriptive case study on two patients, using a maternity nursing care approach from assessment to evaluation. Inclusion criteria included third-trimester pregnant women (28–40 weeks) who are primigravida, experiencing back pain, and not having any comorbidities or obstetric complications. The intervention was carried out for three consecutive days, each session lasting 15 minutes, with evaluation using the Numeric Rating Scale (NRS). The results showed a decrease in pain levels from moderate (6 and 5) to mild (2 and 1). In conclusion, effleurage massage is effective in reducing back pain in third-trimester pregnant women. This study is expected to serve as a reference for future research to further explore the effectiveness of this therapy more broadly and measurably.
PENERAPAN  TERAPI  AFIRMASI  POSITIF  PADA  PASIEN DENGAN  HARGA  DIRI  RENDAH  DI RUMAH  SAKIT JIWA Prof. DR. MUHAMMAD ILDREM MEDAN Ginting, Iir tirana a.; Gustina, Erita; Pangaribuan, Resmi
EMPIRIS : Jurnal Sains, Teknologi dan Kesehatan Vol. 2 No. 3 (2025): EMPIRIS : Jurnal Sains, Teknologi dan Kesehatan, September 2025
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/empiris.v2i3.1771

Abstract

Low self-esteem is a feeling of shame or inferiority that is usually caused by negative judgments from oneself or others. Complications in patients with low self-esteem include social isolation, even violent behavior. One intervention that can be done for patients with low self-esteem is the application of positive affirmation therapy. Positive affirmations are utterances of sentences that can strengthen positive beliefs in a person. This research method is a descriptive study with a case study type of research. The subjects used were 2 patients with nursing problems of the application of positive affirmation therapy in patients with low self-esteem at Prof. DR. Muhammad Ildrem Mental Hospital Medan. The results of the study from the two respondents during the psychiatric nursing care with the application of positive affirmation therapy in patients with low self-esteem for 3 days with 6 meetings were obtained, both respondents were able to carry out SP 1 to SP 4 to control their lack of confidence. The conclusion of the assessment to evaluation in carrying out nursing care for patients with low self-esteem successfully controlled their lack of confidence with the application of positive affirmation therapy SP 1 to SP 4. The suggestion of this study is expected to be a reference in conducting further research on psychiatric nursing cases with low self-esteem using positive affirmation therapy.
Implementasi Teknik Pernafasan Pursed Lips Breathing Dengan Teknik Tripoid Position Untuk Meningkatkan Saturasi Oksigen Pada Pasien Ppok Di Rumah Sakit TK II Putri Hijau Medan Azmi Ihsan; Huwaina Af’idah; Erita Gustina
Jurnal Praba : Jurnal Rumpun Kesehatan Umum Vol. 3 No. 3 (2025): September : Jurnal Praba : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/praba.v3i3.532

Abstract

Chronic Obstructive Pulmonary Disease (COPD) is one of the leading causes of morbidity and mortality worldwide. One of the most common symptoms in COPD patients is shortness of breath. If this symptom persists, it can worsen the patient's condition, starting with decreased oxygen saturation (SpO2) and increased respiratory rate (RR), potentially leading to death depending on its severity. Therefore, management is required both pharmacologically and non-pharmacologically. Techniques such as pursed-lips breathing (PLB) and the tripod position have been proven to help improve breathing in COPD patients. This study aimed to implement PLB combined with the tripod position to improve oxygen saturation in COPD patients. The research employed a descriptive design using a case study approach on two patients hospitalized at TK II Putri Hijau Hospital Medan. The intervention was carried out over three days, three times per day, for 15-30 minutes each session. The results showed that on the first day, both cases had an oxygen saturation of 95%; on the second day, it increased to 97%; and on the third day, it further increased to 99%. Both patients demonstrated reduced use of accessory respiratory muscles, more effective respiratory rates, and improved oxygen saturation. These findings indicate that the combination of pursed-lips breathing and the tripod position effectively improves oxygen saturation in COPD patients. This study also suggests that these techniques can serve as recommended non-invasive nursing interventions in healthcare settings.
Implementasi Terapi Guided Imagery Untuk Penurunan Skala Nyeri Post Sectio Caesarea Di Rumah Sakit TK.II Putri Hijau Medan Aisyah Nurhidayah; Huwaina Af’idah; Erita Gustina
Jurnal Praba : Jurnal Rumpun Kesehatan Umum Vol. 3 No. 3 (2025): September : Jurnal Praba : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/praba.v3i3.553

Abstract

Labor is the process of expelling the products of conception, namely the fetus and placenta, after reaching full term and being viable in the womb. There are two types of delivery: normal delivery and caesarean section (SC). Caesarean section (SC) is a surgical procedure performed through an incision in the uterine wall to deliver the fetus. Caesarean delivery is indicate in cases of cephalopelvic disproportion, breech or transverse fetal position, fetal weight exceeding 4,000 grams, or maternal health conditions that may endanger the mother and fetus. One of the common complications following caesarean delivery is pain. Pain is an unpleasant sensory and emotional experience associated with actual or potential tissue damage. An intervention that can be applied to reduce post SC pain is Guided Imagery Therapy. Guided imagery therapy is a non-pharmacological intervention aimed at reducing and controlling pain by creating pleasant and relacing thoughts, focusing on breathing, and visualizing positive scenarios. This study employed a descriptive case study design using the nursing process from assessment to evaluation. The study was conducted on two patients with moderate pain (pain scale 4-6) after SC at TK II Putri Hijau Hosiptal Medan. The results showed that after the application of guided imagery therapy for three days with a duration of 40 minutes per session, pain levels decreased to mild (pain scale 1-3). In ptient I, pain decreased from a score of 5 to 3, an in patient 2, from a score of 6 to 3. In conclusion, guided imagery therapy was successfully applied in reducing post -SC pain levels and can serve as a reference for further research on pain reduction following caesarean section.
Upaya mengontrol perilaku agresif pada perilaku Kekerasan dengan pemberian rational emotive behavior therapy Siregar, Hanna Maria; Gustina, Erita; Pangaribuan, Resmi
Jurnal Keperawatan Dan Kesehatan Holistik Vol. 1 No. 2 (2025): Jurnal Keperawatan & Kesehatan Holistik - Juli
Publisher : LPPM AKPER GITA MATURA ABADI KISARAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.65386/jkkh.v1i2.32

Abstract

Mental disorders are complex conditions consisting of a variety of problems and symptoms that can cause significant changes in an individual's thinking, emotions and behavior. Aggressive behavior in violent behavior is a mental disorder that can trigger physical danger to oneself and others, accompanied by uncontrolled emotional outbursts, a tendency to display insulting attitudes, be quick to anger and have irrational beliefs. Rational Emotive Behavior Therapy (REBT) is a method for understanding and overcoming emotional and behavioral problems, eliminating illogical thoughts in order to become rational. The main goal of rational emotional behavioral therapy (REBT) is to eliminate emotional disorders that can be self-destructive. This research method uses a descriptive method with a case study, involving 2 patients who experienced problems causing aggressive behavior and violent behavior at the Prof. Mental Hospital. DR. Muhammad Ilrem Medan. The research results of the two respondents while undergoing Rational Emotive Behavior Therapy (REBT) for 3 days with 6 meetings showed that both respondents succeeded in controlling their emotions and reducing violent behavior after being given therapy from SP 1 to SP 5. In conclusion, giving Rational Emotive Behavior Therapy (REBT) can control the patient's emotional violent behavior. It is hoped that this research suggestion can be used as a reference for further research in psychiatric nursing, especially for efforts to control aggressive behavior and violent behavior by providing rational emotive behavior therapy (REBT).
ASUHAN KEPERAWATAN DEFISIT PERAWATAN DIRI PADA PASIEN ISOLASI SOSIAL DI RUMAH SAKIT JIWA PROF. DR. M. ILDREM MEDAN Simanjuntak, Tiara Hartati; Gustina, Erita; Pratama, Muchti Yuda; Olivia, Nina
SENTRI: Jurnal Riset Ilmiah Vol. 3 No. 1 (2024): SENTRI : Jurnal Riset Ilmiah, Januari 2024
Publisher : LPPM Institut Pendidikan Nusantara Global

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55681/sentri.v3i1.1975

Abstract

Isolasi sosial adalah kesendirian yang dialami oleh individu dan dianggap timbul karena orang lain serta sebagai suatu keadaan negatif atau mengancam. Defisit perawatan diri merupakan suatu keadaan dimana seseorang mengalami hambatan ataupun gangguan dalam kemampuan untuk melakukan atau menyelesaikan aktivitas perawatan diri, seperti mandi, berpakaian, makan, dan eliminasi untuk dirinya sendiri. Tujuan penelitian adalah untuk melakukan asuhan keperawatan pada pasien isolasi sosial dengan masalah keperawatan defisit perawatan diri. Metode penelitian ini adalah deskriptif dengan jenis pendekatan pada Studi Kasus berupa Asuhan Keperawatan yang dilaksanakan dalam tiga hari di Rumah Sakit Jiwa Prof. Dr.M.Ildrem Medan, menggunakan dua orang pasien isolasi sosial menarik diri “defisit perawatan diri”. Instrumen penelitian yang digunakan peneliti adalah lembar format pengkajian keperawatan Jiwa, pemeriksaan fisik, dan lembar observasi penilaian kemampuan perawatan diri pasien menggunakan Index katz.  Pengumpulan data pengkajian dilakukan secara auto dan allo anamnesa. Diagnosis Keperawatan merupakan analisis terhadap semua data yang diperoleh, Intervensi Keperawatan Peneliti menyusun rencana tindakan keperawatan untuk mengontrol defisit  perawatan diri meliputi : mandi, berpakaian, makan dan eleminasi. Implementasi Keperawatan Peneliti melakukan rencana tindakan yang telah disusun, pada Evaluasi keperawatan peneliti melakukan penilaian dari hasil yang telah di laksanakan dalam mengatasi masalah yang terjadi. Hasil Penelitian adalah tingkat kemandirian pasien dalam melaksanakan perawatan diri meningkat setelah dilakukan asuhan keperawatan. Peneliti dapat mengambil Kesimpulan Asuhan keperawatan yang dilakukan perawat dapat meningkatkan ketergantungan pada pasien isolasi sosial dengan masalah defisit perawatan diri.
KOMUNIKASI TERAPEUTIK ASUHAN KEPERAWATAN JIWA PADA PASIEN SKIZOFRENIA DENGAN GANGGUAN HALUSINASI PENDENGARAN DI RUMAH SAKIT JIWA PROF. Dr. M. ILDREM MEDAN Ralini, Lika; Gustina, Erita; Yuda, Muchti
SENTRI: Jurnal Riset Ilmiah Vol. 3 No. 2 (2024): SENTRI : Jurnal Riset Ilmiah, February 2024
Publisher : LPPM Institut Pendidikan Nusantara Global

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55681/sentri.v3i2.2300

Abstract

Skizofrenia merupakan sekelompok reaksi psikotik yang mempengaruhi berbagai area fungsi individu, termasuk berpikir, berkomunikasi, merasakan dan menunjukkan emosi serta ganguan otak yang ditandai dengan pikiran kacau, waham, halusinasi, dan perilaku aneh. Halusinasi pendengaran adalah mendengar suara atau bunyi yang berkisar dari suara sederhana sampai suara berbicara mengenai klien sehingga klien berespon terhadap suara bunyi tersebut. Tujuan Penelitian ini memberikan asuhan keperawatan jiwa pada pasien gangguan halusinasi pendengaran. Metode Penelitian ini adalah penelitian studi kasus dengan metode deskriptif. Hasil Penelitian Hasil dari evaluasi di hari ke tujuh menunjukkan bahwa masalah gangguan halusinasi pendengaran dapat tertasi. Kesimpulan dari intervensi yang dilakukan dengan melakukan strategi pelaksanaan 1 sampai 4 dapat dikatakan efektif untuk mengurangi atau bahkan menghilangkan gangguan halusinasi pendengaran pada pasien jiwa.
PENGABDIAN KEPADA MASYARAKAT TERAPI AKTIVITAS KELOMPOK STIMULASI PERSEPSI SENSORI PADA PASIEN HALUSINASI PENDENGARAN DI RUMAH SAKIT JIWA PROF.DR.MUHAMMAD ILDREM MEDAN Gustina, Erita; Purwaningsih, Purwaningsih; Khairani, Ade Irma
BESIRU : Jurnal Pengabdian Masyarakat Vol. 2 No. 2 (2025): BESIRU : Jurnal Pengabdian Masyarakat, Februari 2025
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/besiru.v2i2.934

Abstract

Auditory hallucinations are a condition where an individual experiences changes in the pattern and amount of stimuli internally and externally around them with reduction, exaggeration and distortion. Hallucinations are also sensory perception disorders which can be characterized by symptoms such as laughing and smiling alone, lack of concentration, movements or activities following the hallucinations. Lack of interaction with other people or the surrounding environment, and also acting like he is listening to something. Nursing actions for patients with hallucinations consist of 4 implementation strategies, namely rebuking hallucinations, conversing with other people, being able to schedule daily activities, and taking medication regularly. The aim of this community service is to provide Sensory Stimulation Group Activity Therapy to Auditory Hallucination patients at the Prof. Dr. Muhammad Ildrem Mental Hospital in Medan. This research used a total sample demonstration technique, and the sample consisted of 18 people. The results of group activity therapy activities regarding stimulation of sensory perception, auditory hallucinations by demonstration, were obtained, namely that after carrying out knowledge group activity therapy, the client's understanding was good, namely 78% and sufficient understanding, namely 22%. Therefore, it is hoped that Group Activity Therapy (TAK) is very effective in patients with auditory hallucinations.
PENDIDIKAN KESEHATAN KELUARGA TENTANG PERAWATAN BALITA DENGAN INFEKSI SALURAN NAFAS ATAS (ISPA) DI PUSKESMAS MEDAN DELI Pangaribuan, Resmi; Panjaitan, Renarti; Gustina, Erita
Jurnal Kesehatan Tambusai Vol. 5 No. 3 (2024): SEPTEMBER 2024
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v5i3.32212

Abstract

Infeksi saluran nafas atas (ISPA) merupakan salah satu penyakit infeksi yang menyerang saluran pernapasan mulai dari hidung (saluran atas) hingga alveoli (saluran bawah) termasuk jaringan adneksinya seperti sinus, rongga telinga tengah dan pleura. Berdasarkan data dari Dinkes Sumut (2019) menyatakan bahwa jumlah kasus Infeksi Saluran nafas Atas (ISPA) di Kota Medan mencapai belasan ribu tiap bulannya, tercatat bulan Desember 2019 kasus  ISPA mencapai 13.175. Tujuan penelitian ini adalah untuk mengetahui pengetahuan keluarga dengan menambah pendidikan kesehatan keluarga tentang perawatan balita dengan infeksi saluran nafas atas (ISPA) di Puskesmas Medan Deli.  Penelitian ini merupakan penelitian deskriptif dengan jenis penelitian studi kasus. Studi kasus pada penelitian ini menerapkan proses asuhan keperawatan keluarga yang meliputi pengkajian, diagnosa keperawatan, intervensi  implementasi dan evaluasi tindakan keperawatan. Instrumen Penelitian yaitu kuesioner diambil dari penelitian sebelumnya oleh Pawiliyah (2020). Hasil penelitian ini menerangkan bahwasanya dengan dilakukannya proses keperawatan pada kedua kasus keluarga Tn . Z dan keluarga Tn. A dengan pendidikan kesehatan menggunakan media   promosi kesehatan leafleat. Topik   pertolongan Infeksi saluran pernafasan atas pada anak dilaksakan selama empat hari durasi 40 menit pada tiap keluarga, pelaksanaan dapat meningkatkan pengetahuan keluarga. Hal ini terbukti dengan keluarga mampu menjelaskan tentang pertolongan Infeksi saluran pernafasan atas pada anak di keluarga. Kesimpulan penelitian  ini yaitu pengetahuan merupakan faktor yang berkaitan dengan pemanfaatan promosi kesehatan masyarakat di Puskesmas Medan Deli.
Co-Authors Ade Irma Khairani - Ahmad Wildan Afifi Ainayya Afninda Utami Aisyah Nurhidayah Alfi Syahra Amelia Kartika Putri Arwanda, Elsa Atsnia, Atsnia Auliani, Febi Azmi Ihsan Baharuddin Siregar Chairreza Rachman Deni Susyanti Devi Naomi Endang Roswati Simamora Erica L. Nababan Ginting, Iir tirana a. Halasan L. Simamora Halasan Leonardus Simamora Handerman Vitu Handerman Vitu Gea Huwaina Af'idah Ika Ariyanti Indis Via Annisa Jessika Caroline Josia Edyanta Purba Juwita, Arni Kayla Azuri Faradiba Kipa Jundapri Kristina Putri Silalahi, Mentiara Launa Kasri Br Ketaren Lika Ralini M. Chiar . M. Reza Pahlevi Mentiara Kristina Putri Silalahi Muchti Yuda Pratama Nababan, Erica Lasmauli Nina Fentiana Nina Olivia Nisrina Nisrina Nita Mayrani Siregar Nita Mayrani Siregar Nurleli Nurleli Panjaitan, Renarti Paulina Taurista Pakpahan Purba, Josia Edyanta Purwaningsih - Purwaningsih Purwaningsih Ralini, Lika Rawati, Siti Resmi Pangaribuan Rezi Wahyuda Roida Kharlina Simangunsong Sentia Putri Br. Tarigan Silla Syahfitri Simanjuntak, Tiara Hartati Siregar, Hanna Maria Siregar, Nita Mayrani Suvi Novida Syahfitri, Silla Tajri Arrizqa Br Barus Tiara Hartati Simanjuntak Wahyudi . Wandari, Ayu