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Differences in Giving of Mc Kenzie Exercise and Core Stability Exercise toward Functional Activity of Patients with Lower Back Pain in GrandMed Hospital Lubuk Pakam Tati Murni Karokaro; Melisa Queen Hutabarat
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol 1 No 1 (2018): Jurnal Keperawatan & Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

In fulfillment of these needs sometimes human forget to maintain their health, good attitude so that the position in work is not ergonomic which can lead to problems when carrying out activities. Lower back pain is a clinical symptom that is characterized by pain or a discomfort feeling in lower back area. In the United States, the incidence of lower back pain region in the past one year is 15% -20%. This study aims to see whether there were differences in giving of Mc Kenzie and Core Stability Exercise toward Functional Activity of Patients with Lower Back Pain. This study is quasi experiment with a sample of patients with lower back pain, with purposive sampling technique. The results obtained are p-value ? <(0,000 <0,05), it means that there is a difference in giving of Mc Kenzie Exercise toward the increase of Functional Activity of Patients with Lower Back Pain, that uses body movements that is directed to extension, to provide strengthening and reflecting on the extensor and flexor muscles of the lumbar joint, while the Core Stability Exercise has the ability to regulate the position and movement in the central region of the body, and it can be concluded that there is differences in Giving of Mc Kenzie Exercise toward the increase of Functional Activity of Patients with Lower Back Pain. It is recommended for patients who experience lower back pain so that keep always repeat the exercises that suggested by physiotherapist, for further research so that choose more samples.

PENGARUH TEKNIK RELAKSASI OTOT PROGRESIF TERHADAP PENURUNAN KADAR GULA DARAH PADA PASIEN DIABETES MELLITUS TIPE 2 DI RUMAH SAKIT GRANDMED LUBUK PAKAM Tati Murni Karokaro; Muhammad Riduan
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol 1 No 2 (2019): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

The prevalence of diabetes occuring in 2015 is 9,3% and is expected to increase annualy. Type 2 diabetes mellitus occurs because insulin resistance, which glucose fails to enter the cell, usually occurs in the age above 30 years. One of the modalitas therapy that can be done is progressive muscle relaxation. The purpose of the study was to the identify the effect of progressive muscle relaxation therapy on the decrease in blood sugar levels in patients with type 2 diabetes mellitus at hospital GRANDMED Lubuk Pakam. This research method used pre-experimental design with one group pretest-posttest. A sample size of 10 respondents selected by sampling technique of non-probability sampling type consecutive sampling. The result of paired hypothesis test of t-test sample at significance level 95%obtained p Value < Î±, that is 0,001 indicates that there is influence of progressive muscle relaxation therapy to decrease blood glucose level in type 2 diabetes mellitus patient. Conclusion obtained there is significant difference between blood glucose levels before and after progressive muscle relaxation therapy. It is sugessted that health care institutions need to implement new policies related to the application of progressive muscle relaxation therapy.

PENGARUH TINDAKAN PENGHISAPAN LENDIR (SUCTION) ENDOTRACHEAL TUBE (ETT) TERHADAP KADAR SATURASI O2 PADA PASIEN GAGAL NAPAS DI RUANG ICU Tati Murni Karokaro; Lia Hasrawi
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol 2 No 1 (2019): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Kegagalan pada saluran napas merupakan penyakit yang ditemukan pada PPOK, dimana salah satu penyebab terjadinya gagal napas adalah adanya sumbatan pada jalan napas termasuk sumbatan karena pemasangan Endotrakeal Tube (ETT). Pengobatan yang dilakukan pada pasien yang mengalami kegagalan pada pernapasan dapat berhasil apabila pada saat pengkajian sudah mendapatkan data yang barkaitan dengan gagal napas, dan hal ini akan dapat dilakukan dengan baik apabila pemahaman akan petugas baik. Tujuan dari penelitian ini adalah untuk menganalisis apakah ada pengaruh sebelum dan sesudah dilakukan tindakan penghisapan lendir (suction) endotracheal tube ( ETT ) terhadap perubahan kadar saturasi O2 pada pasien yang mengalami gagal napas. Penelitian dilaksanakan di Rumah Sakit Grandmed Lubuk Pakam dengan jumlah sampel 22, dan menggunakan uji Wilcoxon, menggunakan desain penelitian kuantitatif dengan rancangan adalah Quasi Experiment (experimen semu) dengan one group pretest-posttest, yaitu sebelum di lakukan tindakan periksa dulu kadar saturasi O2 dan sesudah dilakukan tindakan observasi kembali kadar saturasi O2. Teknik pengumpulan data dilakukan dengan teknik accidental sampling dimana hanya pasien yang bertemu dengan peneliti yang menjadi sampel penelitian, menggunakan Intrument lembar observasi. Hasil dari penelitian ini terdapat perbedaan yang signifikan dimana sebelum dan sesudah di lakukan tindakan kadar saturasi oksigen (p < 0.000) yang artinya Ada pengaruh tindakan pengisapan lendir sebelum dan sesudah terhadap kadar saturasi O2 (p < 0.005), sehingga Ha diterima. Disarankan pada peneliti selanjutnya agar meneliti lebih lanjut desain yang berbeda dan sampel yang lebih banyak.

FAKTOR â€“ FAKTOR YANG BERHUBUNGAN DENGAN WAKTU TANGGAP (RESPONSE TIME) PASIEN DI INSTALASI GAWAT DARURAT RUMAH SAKIT GRANDMED Tati Murni Karokaro; Kardina Hayati; Sari Desi Esta Ulina Sitepu; Abdy Lestari Sitepu
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol 2 No 2 (2020): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Rumah Sakit merupakan organisasi sosial kesehatan yang fungsi sebagai pelayanan memberikan pelayanan kepada pasien, dimana bagian utama terdepan rumah sakit adalah Instalasi Gawat Darurat (IGD) yang merupakan tempat pertama pasien di tangani berdasarkan kegawatdaruratan. Waktu tanggap dapat dihitung berdasarkan menit, namun waktu tanggap dapat dipengaruhi beberapa factor yaitu: 1) jumlah tenaga yang tersedia di IGD, 2) sarana dan prasarana, 3) pendidikan, dan factor lain yang mendukung. Dikatakan tepat waktu apabila waktu tanggap yang diperlukan dalam memberikan respon tidak melebihi waktu rata-rata atau standar yang sudah di tentukan. Penelitian ini dilaksanakan di IGD dengan jumlah sampel 30 responden, menggunakan Uji Chi-Square. desain yang digunakan adalah observasi analitik dengan pendekatan cross sectional. Teknik pengumpulan data dengan total sampling dengan menggunakan lembar kuesioner dan observasi. Hasil penelitian berdasarkan Karakteristik Responden berdasarkan umur mayoritas usia 20 â€“ 25 tahun yaitu 66,7 %, jenis kelamin mayoritas perempuan yaitu 73,3%, pendidikan Sarjana Keperawatan 83,3%, maka dapat di simpulkan ada hubungan beban kerja perawat dengan waktu tanggap pasien di IGD dengan nilai signifikan 0,002. Dari penelitian tersebut di sarankan untukmpeneliti selanjutnya menambah subjek penelitian, teknik pengambilan sampel yang digunakan, dengan menggunakan metode yang bersifat studi kasus (case control).

PENGARUH MEKANISME KOPING TERHADAP KECEMASAN PASIEN KANKER PAYUDARA DI RUMAH SAKIT GRANDMED LUBUK PAKAM TAHUN 2020 Tati Murni Karokaro; Winardi Silaen; Abdi Lestari Sitepu; Dian Anggriyanti
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol 3 No 1 (2020): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkf.v3i1.484

The success of the mechanism of coping in patients with cancer is breast does not only depend on the detection since the early , but also of understanding will be the mechanism causes . One of the conditions that can cause anxiety is the process of carrying out chemotherapy treatment . The purpose of this study was to determine the effect of the mechanism coping against the anxiety of cancer breast at home Sick Grandmed Lubuk Pakam . Type penel itian is using methods quasy Experiment with using the design study One-group pretest-posttest design. The determination of the samples is done by way of purposive sampling, with the number of samples seban yak 30 people . Analysis of the data is done by using a test Paired Sample T Test with a confidence interval of 95% and the value of Î± = 0.05. The results were obtained from studies have demonstrated the presence of changes in the level of anxiety of patients before and after a given application of the mechanism of coping with value p-value = 0.001 (Î±> 0.05). Conclusion , there is the influence of the mechanisms of coping against the anxiety of patients kankker breasts were conducted in accordance with the standard, For Institutions Health need for supervision and counseling to the public that the importance of maintaining health , especially in patients with cancer of breast in Rs. Grand Lubuk Pakam

PENGARUH INISIASI MENYUSU DINI (IMD) TERHADAP JUMLAH DARAH KALA IV PERSALINAN Irma Nurianti; Tati Murni Karo Karo; Sri Melda Bangun; Sri Yana
JURNAL KEBIDANAN KESTRA (JKK) Vol 2 No 2 (2020): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Early Breastfeeding Initiation (EBI) or the onset of early breastfeeding is to give newborns the opportunity to suckle themselves on their mothers in the first hour of birth, Early Breastfeeding Initiation (EBI) is related to the production of the hormone oxytocin, which helps the uterus contract so that it does not can immediately reduce bleeding in the mother. The Early Breastfeeding Initiation (EBI) itself is still low in Indonesia, North Sumatra contributes to the low rate of EBI implementation at 24%, according to the Director General of Family Health of the Ministry of Health Eni Gustina. The biggest cause of maternal mortality in Indonesia during 2010-2013 was bleeding 30.3 %. The purpose of this study was to determine whether there was an effect of early breastfeeding initiation (EBI) on the amount of bleeding period IV in the midwife clinic Suherni Amd. Keb Kec Beringin kab Deli Serdang in 2019. This type of research is pre-experiment with the design of static group comparison, with a population of 28 post partum mothers. Sampling is done by "purposive sampling", the sample size in this study amounted to 20 mothers then divided into 2 groups where 10 mothers as the experimental group and 10 mothers as the control group. Data collection is recorded on the observation sheet, data analysis is done by univariate and bivariate with t-independent test. The results of the analysis showed that there was an effect of Early Breastfeeding Initiation (EBI) on the amount of Bleeding Period IV in the Midwife Clinic Suherni Amd. Keb Kec Beringin Kab Deli Serdang in 2019 with a value of p 0,000. It is expected that the number of mothers who breastfeed in the first minute to one hour of birth can increase, because EBI provides many benefits for babies and mothers. If immediately breastfeeding after giving birth can reduce maternal mortality.

The Effect Of Giving Edamame Beans On Breast Milk Production In Post Partum Mothers At The Tanjung Midwife Clinic In East Kisaran City District Kardina Hayati; Tati Murni Karo Karo; Rahmad Gurusinga; Widya .; Latifatul Robbaniyah
JURNAL KEBIDANAN KESTRA (JKK) Vol 4 No 1 (2021): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkk.v4i1.813

During breastfeeding, mothers are recommended to increase their intake of energy, protein, calcium, iron, folic acid, and other vitamins and minerals to meet the nutritional needs of breastfeeding. In order for mothers to produce 1 liter of breast milk, additional food is needed. Edamame plant is a local food ingredient that has potential for nutrition for nursing mothers, because it contains phytosterol compounds that function to increase and facilitate breast milk production (lactagogum effect). This study aims to see whether there is an effect of giving edamame nuts to breast milk production in postpartum mothers at the Midwife Clinic Putri Tanjung, Kota Kisaran Timur District in 2021. This type of research is a Quasy Experiment Design using the one Group Pretest-Postest Design, with a total sample of 8 person. Data collection uses primary data and secondary data. The data analysis technique is using the Wilcoxon test. Based on the Wilcoxon test, the results showed that post-partum mothers gave edamame nuts pre-test and post-test with a sample of 8 respondents having a P-value (0.008) < 0.05 then H0 was rejected. test and post-test on the administration of edamame nuts on breast milk production in postpartum mothers at the Tanjung Putri Midwife Clinic, East Kisaran City District in 2021. It is recommended for health workers to provide information about giving edamame nuts as an alternative to increase breast milk production for postpartum mothers.

Effectiveness Of Giving Biscuits To Increase Body Mass Index (Bmi) And Interpretation Of Fetal Weight In Pregnant Women Chronic Energy Deficiency Damayanti .; Sri Julia Ningsih; Tati Murni Karo Karo; Siti Sarah Bintang
JURNAL KEBIDANAN KESTRA (JKK) Vol. 4 No. 2 (2022): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkk.v4i2.987

Supplemental Feeding (PMT) is a program launched by the government to improve the nutrition of pregnant women. The prevalence of pregnant women with chronic energy deficiency problems in developing countries ranges from 15-47% with a BMI of <18.5. The country with the highest prevalence is Bangladesh at 47%. While Indonesia became the fourth largest after India with a prevalence of 35.5%. The purpose of this study is to find out the effect of PMT biscuits on the increase in the body index of pregnant women and the interpretation of fetal weight in pregnant women with chronic energy deficiencies in the working area of Puskemas Sei Suka district Sei Suka Batu Baru District in 2021. The design of this research is quantitative with an experimental quasi approach. The population in this study is all pregnant women with chronic energy deficiency Sampling techniques use consecutive sampling where the sample is taken if it meets the criteria. Data analysis using Paired Sample T Test analysis The results of the study obtained a significant influence on the administration of PMT biscuits on the increase in BMI of pregnant women with a value of p = 0.001 and interpretation of fetal weight (IFW) p = 0.0001 had a significant influence (p < 0.05). From the results of research, the provision of PMT in pregnant women can increase for the mother and the fetus through the interpretation of fetal weight but must be with close supervision, this is due to the attitude of mothers who do not consider the important pattern of weight gain of pregnant women but also there is a sense of boredom in the taste. In the results of the study it can be concluded that the administration of PMT biscuits can improve the welfare of the mother and fetus.

RELATIONSHIP OF NURSE SERVICE QUALITY WITH PATIENT SATISFACTION IN IN PATIENTROOMS GRANDMED HOSPITAL Tati Murni Karokaro; Rawaty Sitorus; Peni Rio Ginting; Abdi Lestari Sitepu; Safril Matua Harahap
JURNAL KESMAS DAN GIZI (JKG) Vol. 3 No. 2 (2021): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkg.v3i2.608

Hospital is a health service that has permanent facilities and infrastructure consisting of professional medical personnel to provide health services, continuous nursing care, and diagnose and provide disease treatment to patients in need. The hospital must fulfill superior facilities, have professional human resources, all of which are part of influencing services to provide satisfaction to patients. This study aims to determine the relationship between the quality of nurse services and patient satisfaction in the inpatient room of the GrandMed Hospital, using a descriptive survey research type. The sample of this study was 27 patients in the Ns 4D room using a questionnaire instrument. The sampling technique used was purposive sampling. The results of the research obtained are those who have good quality nurse service 16 people (59.3%) and bad service quality 11 people (40.7%), 17 people who are satisfied (63.0%) and dissatisfied as many 10 people (37.0%), so that the results of the chi square statistical test obtained p value = 0.021, which means that there is a relationship between the quality of nurse services and satisfaction in the 4D patient room of Grandmed Hospital. From the results of this study, the advice that I can give is that nurse can apply the results of this research and make it into consideration for improving nursing services at the hospital not only in the 4D patient room but to all inpatient rooms at GrangMed Hospital. This research can be examined again with a larger number of samples and a larger number of rooms or hospitals in order to see more broadly about the effect of nursing services on patient satisfaction.

FAKTOR-FAKTOR YANG MEMPENGARUHI PERILAKU MASYARAKAT TERHADAP KEPATUHAN PENGGUNAAN APD (ALAT PELINDUNG DIRI) PADA MASA PANDEMI COVID-19 DI DESA SUKA MAJU Tati Murni Karokaro; Ade Muliani; Rahmad Gurusinga; Kardina Hayati; Mila Gustia
JURNAL KESMAS DAN GIZI (JKG) Vol. 4 No. 1 (2021): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkg.v4i1.790

December 2019 saw the discovery of a new virus in Wuhan, China, namely Corona Virus Diseases (COVID-19). This is the latest epidemic to hit the world. Covid-19 belongs to the same coronavirus family as the cause of SARS and MERS, but the death rate for SARS and MERS is higher than Covid-19 and Covid-19 has a wider and faster spread. The way to protect yourself from exposure to Covid-19 is to reduce risks such as washing your hands in running water; looking for information related to COVID-19 from valid sources, knowing what to do if you are sick. PSBB is regulated by the Regulation of the Minister of Health (RI No. 9 of 2020 concerning Guidelines for Large-Scale Social Restrictions in the context of accelerating the handling of Corona Virus Disease 2019 (Covid-19) to prevent the possible spread of the virus. Good behavior can be an effort to prevent the transmission of Covid-19 Health behavior is influenced by many factors, including knowledge, perceptions, emotions, motivation, and the environment. The purpose of this study is determine the factors that influence community behavior towards the use of personal protective equipment during the Covid-19 period in Suka Maju Village, Kec. Singingi Downstream, Kab. Kuantan Singingi, Prov. Riau. This study is an analytic observation, using a cross sectional, with a sample of 100 respondents using inclusion criteria, using a closed questionnaire. Based on this study, it was found that respondents who were obedient to the use of PPE were influenced by their good response to predisposing factors 74 respondents (93.7%). In enabling factor, respondents were obedient 22 respondents (95.7%). On the reinforcing factor, respondents who obeyed 28 respondents (93.3%).

Co-Authors Abdi Lestari Sitepu Abdi Lestari Sitepu Abdy Lestari Sitepu Ade Muliani Amriani Eva Perawati Silalahi Anita Sri Gandaria Purba Anita Sri Gandaria Purba Arfah May Syara Arfah May Syara Armansyah Berampu Bunga Br Saragih Damayanti . Dian Anggriyanti Fazar Witama Hariati Hariati Ida Yolanda Irma Nurianti Junita Ika Susanti Br Ginting Kardina Hayati Kardina Hayati Latifatul Robbaniyah Lia Hasrawi Melisa Queen Hutabarat Miftahul Zannah Mila Gustia Muhammad Riduan Nurhapni Pulungan Nurul Fernanda Williani Peni Rio Ginting Pratiwi Christa Simarmata Rahmad Gurusinga Raisha Octavariny Ramdanil Arifin Rawaty Sitorus Ribka Erika Rosita Ginting Safril Matua Harahap Sari Desi Esta Ulina Sitepu Sari Desi Esta Ulina Sitepu Sari Desi Esta Ulina Sitepu Sarmana . Sarmana Sarmana Selamat Tuahta Sipayung Siti Sarah Bintang Sri Julia Ningsih Sri Melda Bangun Sri Yana Syatriawati Suhaimi Syatriawati Syatriawati Widya . Winardi Silaen

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