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IMPLEMENTASI TERAPI BERMAIN MEWARNAI PADA ANAK DHF (DENGUE HEMORAGIC FEVER) YANG MENGALAMI KECEMASAN DI RUMAH SAKIT TK II PUTRI HIJAU MEDAN Putri Khairani; Purwaningsih Purwaningsih; Nisrina Nisrina
EMPIRIS : Jurnal Sains, Teknologi dan Kesehatan Vol. 2 No. 4 (2025): EMPIRIS : Jurnal Sains, Teknologi dan Kesehatan, Desember 2025
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/empiris.v2i4.2076

Abstract

Dengue Hemorrhagic Fever (DHF) is an acute illness caused by a viral infection transmitted by Aedes aegypti mosquitoes. It affects all age groups and is characterized by high fever lasting 4-7 days, bleeding manifestations, and thrombocytopenia. Children with DHF often exhibit signs of anxiety such as crying, fear, anger, and refusal to eat during hospitalization. One intervention that can be used to reduce anxiety is play therapy. This study aims to describe the implementation of coloring play therapy in children with DHF who experience anxiety during hospitalization at RS TK II Putri Hijau Medan. This research employed a descriptive case study method involving two children who experienced severe anxiety based on the Faces Anxiety Scale (FIS) with a score of 5. The intervention consisted of coloring play therapy administered over three consecutive days, with each session lasting 15-30 minutes. The results showed a reduction in anxiety levels in both clients. Client I showed a decrease from FIS scale 5 (severe anxiety) to FIS scale 2 (no anxiety), while Client II showed a decrease from FIS scale 5 (severe anxiety) to FIS scale 1 (very calm). These findings indicate that coloring play therapy is effective in reducing hospitalization-related anxiety in children with DHF. It is recommended that this therapy be routinely applied to children experiencing mild to severe anxiety, both in hospital and home settings.
Edukasi Pencegahan Anemia Pada Remaja Putri Untuk Mendukung Kesehatan Reproduksi di Masa Mendatang di SMA Swasta Al Washliyah 3 Medan Nisrina Nisrina; Nina Olivia; Purwaningsih Purwaningsih; Nadya Putri Wulandari; Annisa Rahma
Jurnal Masyarakat Madani Indonesia Vol. 5 No. 3 (2026): Agustus
Publisher : Alesha Media Digital

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59025/b6vzfx09

Abstract

Anemia pada remaja putri merupakan masalah kesehatan masyarakat yang masih memerlukan penanganan serius di Indonesia. Data Riset Kesehatan Dasar (Riskesdas) menunjukkan prevalensi anemia pada usia 15–24 tahun mencapai 32%, sementara World Health Organization (WHO) melaporkan sekitar 30% wanita usia 15–49 tahun di dunia mengalami anemia. Dampak anemia tidak hanya memengaruhi konsentrasi belajar dan produktivitas, tetapi juga berimplikasi serius terhadap kesehatan reproduksi di masa mendatang. Kegiatan Pengabdian Kepada Masyarakat (PKM) ini bertujuan untuk meningkatkan pengetahuan remaja putri mengenai pencegahan anemia sebagai upaya mendukung kesehatan reproduksi di SMA Swasta Al Washliyah 3 Medan. Metode yang digunakan adalah ceramah interaktif dan diskusi kelompok dengan evaluasi menggunakan pretest dan posttest kepada 30 siswi yang dipilih secara purposif. Materi edukasi mencakup pengertian, penyebab, tanda dan gejala, dampak terhadap kesehatan reproduksi, pencegahan anemia, pentingnya konsumsi tablet tambah darah, serta pola makan bergizi seimbang. Hasil kegiatan menunjukkan peningkatan pengetahuan yang signifikan, dengan rata-rata nilai pretest 71,03% meningkat menjadi 88,23% pada posttest, sehingga terjadi peningkatan sebesar 17,2%. Distribusi nilai menunjukkan pergeseran dari kategori sedang ke kategori tinggi setelah intervensi edukasi. Kegiatan ini dinilai efektif dalam meningkatkan pemahaman peserta mengenai anemia dan upaya pencegahannya. Edukasi kesehatan secara terstruktur dan partisipatif terbukti efektif sebagai strategi intervensi promotif pada kelompok remaja putri
The Implementation Of A Patient Safety Culture Is Crucial In Preventing Adverse Events In Healthcare Settings Huwaina Af’idah; Nisrina Nisrina
International Journal of Medicine and Health Vol. 3 No. 2 (2024): June : International Journal of Medicine and Health (IJMH)
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijmh.v3i2.3760

Abstract

The occurrence of patient accidents is like an iceberg phenomenon. Medical errors remain a global issue in the healthcare sector. The culture of safety aims to create safer patient care, considering that Adverse Events can not only increase healthcare service costs but also bring hospitals into a blaming area. This study aims to describe the patient safety culture at Melati Perbaungan General Hospital. This descriptive study observes the implementation of patient safety culture in preventing adverse events in the inpatient department at Melati Perbaungan General Hospital using a total sampling technique with criteria including human resources in the inpatient department, such as executors, responsible persons, and department heads, totaling 65 people. The measurement of patient safety culture uses the Hospital Survey on Patient Safety Culture (HSPSC) questionnaire with 12 dimensions of patient safety culture. The results show that the majority of respondents' characteristics in terms of age and length of work greatly support the creation of a patient safety culture, as most staff are in their productive age (31-40 years) and have an optimal working period (1-5 years) in performing their duties. The implementation of the patient safety culture by staff at Melati Perbaungan General Hospital is in the Positive Response category at 77.9%. This indicates that the patient safety culture has been well implemented.
PENERAPAN PENDIDIKAN KESEHATAN UNTUK MENINGKATKAN PEMBERIAN ASI EKSSKLUSIF DI PUSKESMAS MEDAN DELI Ameilia Putri; Nisrina Nisrina; Purwaningsih Purwaningsih
JURNAL ILMIAH PENELITIAN MAHASISWA Vol 4 No 3 (2026): JUNI
Publisher : Kampus Akademik Publiser

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61722/jipm.v4i3.2588

Abstract

Air susu ibu (ASI) merupakan makanan terbaik bagi bayi Karena kandungan nutrisinya memenuhi kebutuhan tumbuh kembang bayi. Tingkat pengethuan keluarga sangat mempengaruhi komitmennya dalam memberikan asi eksklusif. Penelitian ini menggunakan metode deskriptif dengan desain studi kasus yang dilakukan pada dua keluarga yang memiliki bayi berusia 0-12 bulan. Intervensi untk meningkatkan pengetahuan keluarga mengenai asi eksklusif adalah melalui pendidikan kesehatan tentang teknik menyusui yang benar. Setelah penerapannya, terjadi peningkatan tingkat pengetahuan keluarga yang ditunjukkan dengan peningkatan dari 50% menjad 85% pada kedua subjek. Kesimpulan dan rekomendasi penelitian ini menujukkan bahwa keterlibatan aktif keluarga dan pendidikan kesehatan secara teratur efektif meningkatkan pengetahuan keluarga tentang asi esklusif. Kelurga disarankan untuk aktif mencari informasi pentingnya pemberian asi eksklusif untuk mendorong dan mendukung ibu dalam memberikan asi eksklusif pada enam bulan pertama kehidupan bayi.
CERDAS GIZI DI USIA ANAK SEKOLAH: PROGRAM EDUKASI DAN PENDIDIKAN KESEHATAN STATUS GIZI SEBAGAI UPAYA PENINGKATAN KESEHATAN SISWA Muchti Yuda Pratama; Purwaningsih Purwaningsih; Nisrina Nisrina; Evamona Evamona; Roudatul Hasana
MAJU : Indonesian Journal of Community Empowerment Vol. 3 No. 4 (2026): MAJU : Indonesian Journal of Community Empowerment, Juli 2026
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/maju.v3i4.2828

Abstract

School-age children represent an important phase in the human life cycle, characterized by rapid growth and development, both physically, psychologically, and socially. During this phase, nutritional needs increase significantly to support optimal growth. However, various nutritional problems are still frequently found among elementary school children, such as undernutrition, overnutrition (overweight and obesity), and micronutrient deficiencies such as anemia. In Indonesia, nutritional problems among elementary school-age children remain an important public health issue. Unbalanced dietary patterns, the habit of skipping breakfast, consumption of fast food, and low nutritional literacy are the main factors influencing the nutritional status of elementary school children. The purpose of this activity, as an effort to improve the health of elementary school-age children, is expected to increase the knowledge of students at SD Negeri 060801 Medan. The activity was carried out on June 29, 2026, from 09.00 to 12.00 WIB (Western Indonesia Time), at SD Negeri 060801 Medan. The methods used included lectures, discussions, and questionnaire administration. Based on the pretest questionnaire results, the participants' level of knowledge was categorized as good for 11 people (36.6%), sufficient for 12 people (40.0%), and poor for 7 people (23.3%). Meanwhile, based on the posttest questionnaire results, the participants' level of knowledge was categorized as good for 20 people (63.3%), sufficient for 7 people (23.3%), and poor for 3 people (10%).
PENDIDIKAN KESEHATAN DAN KETERAMPILAN KADER KESEHATAN  MENCEGAH STUNTING DALAM 1000 HPK Nina Olivia; Nisrina Nisrina; Muchti Yuda Pratama; Endang R. Simamora; Citra Siburian
BESIRU : Jurnal Pengabdian Masyarakat Vol. 3 No. 2 (2026): BESIRU : Jurnal Pengabdian Masyarakat, Februari 2026
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/besiru.v3i2.2400

Abstract

Stunting merupakan masalah gizi kronis yang berdampak pada kualitas kesehatan, pendidikan, dan produktivitas sumber daya manusia serta berkontribusi terhadap masalah sosial ekonomi masyarakat. Periode 1000 hari pertama kehidupan (HPK) merupakan masa kritis yang sangat menentukan pertumbuhan dan perkembangan anak, sehingga pencegahan stunting perlu dilakukan secara optimal melalui pemberdayaan posyandu dan kader kesehatan. Kegiatan PKM ini bertujuan meningkatkan pengetahuan dan keterampilan kader kesehatan dalam pencegahan stunting pada 1000 HPK. Kegiatan dilaksanakan di Desa Jaharun, Galang, Kabupaten Deli Serdang melalui metode pendidikan kesehatan dan keterampilan. Tahap pelaksanaan meliputi persiapan, pelaksanaan, serta evaluasi dan monitoring. Intervensi berupa edukasi tentang stunting, prakonsepsi, dan 1000 HPK, serta pelatihan pengukuran lingkar lengan atas (LILA), BB, dan TB. Evaluasi dilakukan menggunakan pre-test dan post-test serta observasi. Hasil menunjukkan peningkatan pengetahuan kader dari 30% menjadi 100% kategori baik, serta seluruh kader mampu melakukan pengukuran dengan benar. Kegiatan ini efektif meningkatkan kapasitas kader dalam pencegahan stunting berbasis komunitas.
PENDIDIKAN KESEHATAN TENTANG KEGAWATDARURATAN PREEKLAMSIA PADA IBU HAMIL TRIMESTER III DI KLINIK FATIMAH ALI MEDAN Purwaningsih; Nisrina; Purwaningsih Purwaningsih; Nina Fentiana; Arni Juwita; Nisrina Nisrina; Gita Agnes
J-ABDI: Jurnal Pengabdian kepada Masyarakat Vol. 5 No. 9 (2026): Februari 2026
Publisher : Bajang Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Pregnancy is a physiological stage that causes significant changes in various body systems, potentially affecting the health conditions of both mother and fetus. During pregnancy, women often experience a variety of changes including physical symptoms, body image changes, concerns about fetal well-being, adjustments to lifestyle changes, emotional disorders, as well as anxiety related to pregnancy, labor, and birth. Preeclampsia is a condition of increased blood pressure found in pregnant women. This condition is one form of pregnancy emergency that risks not only to the mother and the fetus if it does not get proper treatment. Preeclampsia is an increase in blood pressure that only arises after pregnancy reaches 20 weeks, and accompanied by the rapid increase in maternal weight due to swelling and in laboratory examination found protein in urine (proteinuria). The earliest symptoms often found in pregnant women with preeclampsia are the occurrence of drastic weight gain at a rapid time, which causes the occurrence of odem on the face and extemity. Edema that is common in pregnant women is considered common and common, but this should be considered as a sign of pre-eclampsion, so that it is necessary to provide health education to pregnant women to always check their pregnancy to the nearest health care. This community devotion aims to improve the knowledge of pregnant women to understand early about the health of preeclampsi emergency and signs of preeclampsi symptoms and prevention so that pregnant women expect to understand early in pregnancy. The method used in devotion to this community is to provide health education about preeclampsi emergencies in pregnant women trimester III at Fatimah Ali Medan clinic
PENDIDIKAN KESEHATAN TENTANG KEGAWATDARURATAN PREEKLAMSIA PADA IBU HAMIL TRIMESTER III DI KLINIK FATIMAH ALI MEDAN Purwaningsih; Nisrina; Purwaningsih Purwaningsih; Nina Fentiana; Arni Juwita; Nisrina Nisrina; Gita Agnes
J-ABDI: Jurnal Pengabdian kepada Masyarakat Vol. 5 No. 9 (2026): Februari 2026
Publisher : Bajang Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Pregnancy is a physiological stage that causes significant changes in various body systems, potentially affecting the health conditions of both mother and fetus. During pregnancy, women often experience a variety of changes including physical symptoms, body image changes, concerns about fetal well-being, adjustments to lifestyle changes, emotional disorders, as well as anxiety related to pregnancy, labor, and birth. Preeclampsia is a condition of increased blood pressure found in pregnant women. This condition is one form of pregnancy emergency that risks not only to the mother and the fetus if it does not get proper treatment. Preeclampsia is an increase in blood pressure that only arises after pregnancy reaches 20 weeks, and accompanied by the rapid increase in maternal weight due to swelling and in laboratory examination found protein in urine (proteinuria). The earliest symptoms often found in pregnant women with preeclampsia are the occurrence of drastic weight gain at a rapid time, which causes the occurrence of odem on the face and extemity. Edema that is common in pregnant women is considered common and common, but this should be considered as a sign of pre-eclampsion, so that it is necessary to provide health education to pregnant women to always check their pregnancy to the nearest health care. This community devotion aims to improve the knowledge of pregnant women to understand early about the health of preeclampsi emergency and signs of preeclampsi symptoms and prevention so that pregnant women expect to understand early in pregnancy. The method used in devotion to this community is to provide health education about preeclampsi emergencies in pregnant women trimester III at Fatimah Ali Medan clinic
PENERAPAN TEKNIK RELAKSASI BENSON UNTUK MENURUNKAN NYERI PADA KLIEN POST SECTIO CAESAREA DI RUMAH SAKIT TK II PUTRI HIJAU MEDAN Cindy Natasya; Purwaningsih Purwaningsih; Nisrina Nisrina
SINERGI : Jurnal Riset Ilmiah Vol. 2 No. 11 (2025): SINERGI : Jurnal Riset Ilmiah, November 2025
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/sinergi.v2i11.1971

Abstract

  ABSTRACT Cesarean section is a surgical procedure performed to deliver a baby through an incision in the abdominal wall and uterus. This procedure often causes acute postoperative pain, which can hinder mobility, disrupt sleep patterns, and increase anxiety. One non-pharmacological therapy that can be used to help reduce pain is Benson relaxation therapy, which combines deep breathing techniques with elements ofspiritual belief to promote calmness and reduce pain perception. This study aimed to determine the effectiveness of Benson relaxation therapy in reducing pain levels in post-cesarean section patients at TK Il Putri Hijau Hospital Medan. The inclusion criteria were post-cesarean section clients who were willing to participate as respondents. This research was a descriptive case study conducted on two post-cesarean section patients treated in the Maternity Ward of TK 11 Putri Hijau Hospital Medan. The Benson relaxation therapy intervention was administered for three consecutive days, with each session lasting approximately 15 minutes. Pain levels were measured using the Numeric Rating Scale (MRS) before and after the intervention. Following the Benson relaxation therapy, a reduction in pain levels was observed in both patients. The first patient experienced a decrease from a pain score of 5 to 3, while the second patient's pain score decreased from 6 to 2. Additionally, the patients reported feeling more comfortable and being able to perform light activities more easily. Benson relaxation therapy proved effective in helping reduce acute pain in post-cesarean section patients. This intervention can be implemented as part of non-pharmacological nursing care to enhance comfort and accelerate the recovery process after surgery.,   ABSTRAK Sectio caesarea merupakan prosedur pembedahan yang dilakukan untuk melahirkan bayi melalui sayatan pada dinding abdomen dan uterus. Prosedur ini sering menimbulkan nyeri akut pascaoperasi yang dapat menghambat mobilisasi, mengganggu pola tidur, hingga meningkatkan kecemasan. Salah satu terapi non farmakologis yang dapat digunakan untuk membantu mengurangi nyeri adalah terapi relaksasi Benson, yaitu kombinasi antara teknik pernapasan dalam dengan elemen keyakinan spiritual yang bertujuan menciptakan ketenangan dan mengurangi persepsi nyeri. Penelitian Mengetahui efektivitas terapi relaksasi Benson dalam menurunkan tingkat nyeri pada pasien Post sectio caesarea di Rumah Sakit TK II Putri Hijau Medan. Kriteria Inklusi Klien Post sectio caesarea yang bersedia menjadi responden. Penelitian ini adalah studi kasus deskriptif yang dilakukan pada dua orang pasien Post sectio caesarea yang dirawat di Ruang Kebidanan Rumah Sakit TK II Putri Hijau Medan. Intervensi terapi relaksasi Benson diberikan selama 3 hari berturut-turut dengan durasi ±15 menit setiap sesi. Skala nyeri diukur menggunakan Numeric Rating Scale (NRS) sebelum dan sesudah intervensi dilakukan. Setelah diberikan terapi relaksasi Benson, terjadi penurunan tingkat nyeri pada kedua pasien. Pasien pertama mengalami penurunan dari skala nyeri 5 menjadi 3, sedangkan pasien kedua dari skala nyeri 6 menjadi 2. Selain itu, pasien melaporkan rasa lebih nyaman dan mampu beraktivitas ringan dengan lebih baik. Terapi relaksasi Benson terbukti efektif dalam membantu menurunkan nyeri akut pada pasien post sectio caesarea. Intervensi ini dapat diterapkan sebagai bagian dari tindakan keperawatan non-farmakologis untuk meningkatkan kenyamanan dan mempercepat proses pemulihan pasien pascaoperasi.    
IMPLEMENTASI TERAPI MUSIK KLASIK UNTUK MENURUNKAN  KECEMASAN PADA IBU HAMIL TRIMESTER III DI KLINIK BIDAN AIDA NOSPITA S.KEB DELI SERDANG Annisa Rahma Amelia; Purwaningsih Purwaningsih; Nisrina Nisrina
SINERGI : Jurnal Riset Ilmiah Vol. 3 No. 8 (2026): SINERGI : Jurnal Riset Ilmiah, Agustus 2026
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/sinergi.v3i8.2895

Abstract

The third trimester of pregnancy is a period that often causes anxiety among pregnant women due to the approaching labor process. Untreated anxiety may adversely affect the mother's physical and psychological condition and may also pose risks to fetal health. One of the non-pharmacological interventions that can be used to help reduce anxiety is classical music therapy, which provides relaxation and a calming effect. This study aimed to provide nursing care by implementing classical music therapy to reduce anxiety levels among women in the third trimester of pregnancy. This study employed a descriptive method using a case study design with a nursing process approach, including assessment, nursing diagnosis, intervention planning, implementation of classical music therapy, and evaluation. The intervention was conducted on two pregnant women experiencing anxiety. The findings showed that after receiving classical music therapy for three consecutive days, both participants experienced a reduction in anxiety levels. In Case 1, the anxiety score decreased from 5 before the intervention to 2 after the intervention. In Case 2, the anxiety score decreased from 5 before the intervention to 1 after the intervention. The study concludes that classical music therapy is an effective non-pharmacological intervention for reducing anxiety among women in the third trimester of pregnancy. It is recommended that this therapy be incorporated as a complementary intervention in nursing care for pregnant women approaching childbirth.