Karokaro, Tati Murni
Fakultas Keperawatan Dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

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HUBUNGAN LAMA DUDUK DAN SIKAP DUDUK DENGAN KELUHAN NYERI PUNGGUNG BAWAH (LOW BACK PAIN) PADA PEKERJA PEMOTONG IKAN Rahmad Gurusinga; Tati Murni KaroKaro; Kardina Hayati; Sarmana .; Bunga Br Saragih
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.v4i1.835

Abstract

Low back pain (LBP) is a very common world health problem, which causes activity restrictions and also absenteeism from work. Low back pain can reduce human productivity, 50-80% of workers worldwide have experienced low back pain where almost a third of their age have experienced some type of low back pain which is the second disease after the flu. The purpose of this study was to determine the relationship between sitting and sitting posture with complaints of low back pain among fish cutter workers at UD. Dumbo Jaya Group, Kota Galuh Village, Perbaungan District, Serdang Bedagai Regency. The research method uses an analytical survey with a cross sectional design. The number of samples as many as 31 fish cutter workers, data collection using questionnaires and data analysis using the chi-square test with a significant level of 95% or p?? (0.05). The results showed that there was a significant relationship between length of sitting and complaints of low back pain in fish cutter workers P = 0.013 < = 0.05 and there was a significant relationship between sitting posture and complaints of low back pain in fish cutter workers P = 0.039 < = 0.05. It is recommended for fish cutter workers to be able to arrange rest hours and a good sitting posture so that lower back pain does not occur.
DIFFERENCES OF PAIN IN LUMBAL HERNIA NUCLEUS PULPOSUS (HNP) PATIENTS AFTER TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION (TENS) WITH MC TRAINING. KENZIE AT CLINIC dr. HERMANSAFAR BUKIT TINGGI Kardina Hayati; Ramdanil Arifin; Pitriani .; Tati Murni Karokaro
JURNAL KESMAS DAN GIZI (JKG) Vol. 5 No. 1 (2022): 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.v5i1.1256

Abstract

Hernia Nukleus Pulposus (HNP) merupakan salah satu penyakit yang sering menyebabkan rasa sakit pada ruas-ruas tulang belakang. Hernia nucleus pulposus (HNP) diakibatkan oleh penekanan atau pecahnya bantalan lunak diantara ruas-ruas tulang belakang sehingga terjadi penyempitan dan terjepitnya akar saraf yang melalui tulang belakang. Perlakuan Transcutaneous Electrical Nerve Stimulation (TENS) dengan latihan Mc. Kenzie merupkan upaya untuk mengurangi tingkat nyeri yang dirasakan pada kasus Hernia Nucleus Pulposus Lumbal (HNP). Jenis penelitian ini adalah Quasi Eksperiment dengan metode two group pretest and posttest. Penelitian ini dilakukan di Klinik dr. Herman Safar Bukittinggi. Teknik pengambilan sampel menggunakan purposive sampling dengan sampel dalam penelitian berjumlah 20 pasien. Hasil Penelitian ini menunjukkan bahwa rata-rata tingkat nyeri sebelum dan sesudah intervensi mengalami perubahan. Hasil analisis statistik penelitian ini didapatkan hasil dengan P-Value = 0.000 (p<0.05), yang berarti adanya perbedaan nyeri pada penderita Hernia Nucleus Pulposus (HNP) lumbal setelah diberikan Transcutaneous Electrical Nerve Stimulation (TENS) dengan latihan Mc. Kenzie. Dapat disimpulkan bahwa pemberian Transcutaneous Electrical Nerve Stimulation (TENS) dengan latihan Mc. Kenzie dapat mengurangi nyeri pada kasus nucleus pulposus (HNP) lumbal di Klinik dr. Herman Safat Bukittinggi. Pengembangan penelitian selanjutnya dapat lebih diperdalam pada kasus Hernia Nucleus Pulposus (HNP) dengan menggunakan intervensi yang lain dalam menurunkan nyeri.
Latihan Theraband dan Senam Tera Indonesia Pada Wanita Menopause Miftahul Zannah; Tati Murni Karokaro; Armansyah Berampu
Jurnal Masyarakat Madani Indonesia Vol. 2 No. 1 (2023): Februari
Publisher : Alesha Media Digital

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (876.984 KB) | DOI: 10.59025/js.v2i1.77

Abstract

Wanita yang menopause cenderung mengalami penyakit degeneratif. Penyakit degeneratif pada menopause yang sering terjadi adalah osteoarthritis. Keluhan yang terjadi seiring dengan kurangnya konsumsi kalsium dan asupan vitamin D untuk menjaga kepadatan tulang dan dapat diberikan pada gangguan nyeri osteoarthritis hingga terjadi penurunan kualitas hidup pada penderita osteoarthritis. Tindakan fisioterapi yang dapat diberikan pada penderita osteoarthritis adalah latihan theraband dan senam tera Indonesia. Intervensi tersebut digunakan untuk mengurangi nyeri osteoarthritis pada wanita pasca menopause. Kegiatan PKM ini dilakukan pada wanita menopause yang diberikan pendampingan latihan untuk mengurangi nyeri osteoarthritis. Jumlah wanita yang ikut dalam kegiatan PKM ini adalah 18 orang dengan 2 orang narasumber dan 1 orang mahasiswa sebagai fasilitator latihan. Dari hasil latihan TheraBand dan Senam Tera Indonesia dapat mengurangi nyeri Osteoarthritis pada wanita pasca menopause.
THE EFFECT OF MODERN DRESSING TREATMENT ON WOUND HEALING PROCESS OF DIABETES MELLITUS Tati Murni Karokaro; Ribka Erika
JURNAL KESMAS DAN GIZI (JKG) Vol. 5 No. 2 (2023): 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.v5i2.1663

Abstract

Diabetes mellitus merupakan gangguan metabolik kronis progresif disertai dengan tanda dan gejala glukosa dan metabolisme lemak yang mengalami komplikasi kronis hingga mengakibatkan konstriksi pembuluh darah. Penelitian ini dilakukan untuk mengetahui pengaruh modern dressing terhadap skor penyembuhan luka diabetes melitus. Metode penelitian yaitu pre-eksperimen, pre-test dan post-test design. Penderita Diabetes Melitus yang diberikan perlakuan yaitu 25 responden dengan instrument evaluasi penelitian menggunakan lembar observasi. Subjek dalam penelitiian ini lebih banyak perempuan (60%) pad usia 30-65 tahun (60%), tingkat pendidikan menengah pertama (66%), pekerja swasta (24%), menderita diabetes 1-3 tahun (80%). Analisis statistic yang dilakukan yaitu paired sampel t-test didapatkan hasil penelitian dengan perbedaan signifikan p-value = 0,000 (<0,005) dengan rerata skor penyembuhan luka diabetes mellitus pre dan post diberikan intervensi teknik modern dressing. Penelitian ini menemukan penyembuhan luka diabetes mellitus dengan metode Modern dressing. Intervensi ini dapat direkomendasikan untuk penderita diabetes mellitus. Saran yang disampaikan kepada perawat adalah agar perawat mengaplikasikan dan menggunakan tehnik perawatan modern dressing agar proses penyembuhan mellitus lebih cepat.
PENGARUH LATIHAN FISIK TERSTRUKTUR TERHADAP PENURUNAN KADAR KOLESTROL PADA PASIEN HIPERTENSI DI RS GRANDMED LUBUK PAKAM Miftahul Zannah; Tati Murni Karo-karo; Ida Yolanda; Rosita Ginting; Abdi Lestari Sitepu
JURNAL PENGMAS KESTRA (JPK) Vol 1 No 1 (2021): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (550.059 KB) | DOI: 10.35451/jpk.v1i1.704

Abstract

Hypertension and elevated cholesterol are two continuous conditions. Cholesterol level in the body is one of the most important factors to determine a person's risk of suffering from heart artery disease. Therefor it is necessary to provide Structured Physical Exercise in the form of regular exercise, in addition to reducing stress, it can also lose weight, burn more fat in the blood, and strengthen the heart muscle. To be able to do light exercise, you don't need to come to a special training ground, because the best program is one that you enjoy and can take place regularly. Methods: This study used a quantitative experimental method using post-test design with a control group (pretest-posttest with control group) with a sample size of 15 people. Sampling was used with purposive sampling technique using the Isac and Mikael formulas, the study was used in April 2021. Results: From the research results found in the experimental group the p value was 0.000 ≤ 0.05 and in the control group the p value was 0.001 ≤ 0.05. So it can be concluded that the experimental group gives a better effect than the control group on hypertension patients at Grandmed Lubuk Pakam Hospital in 2021. Therefor it is hoped that nurses at Grandmed Lubuk Pakam Hospital can improve services in non-pharmacological fields, especially for hypertension patients who suffering from hypercholesterolemia which can be overcome by giving intervention in the form of structured physical exercise.
IMPLEMENTASI PERILAKU CARING PERAWAT PELAKSANA TERHADAP KEPUASAN PASIEN DI RUANG RAWAT INAP RUMAH SAKIT GRANDMED LUBUK PAKAM Rahmad Gurusinga; Tati Murni Karo-karo; Arfah May Syara; Syatriawati Suhaimi; Sari Desi Esta Ulina Sitepu; Anita Sri Gandaria Purba; Sarmana Sarmana
JURNAL PENGMAS KESTRA (JPK) Vol 1 No 1 (2021): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (271.778 KB) | DOI: 10.35451/jpk.v1i1.744

Abstract

A hospital is said to be successful in providing health services if it is supported by several factors, one of which is quality nursing services. service quality. One form of nursing service that can be applied is the caring behavior of nurses because nurses are the people who interact with patients the most. This paper aims to provide the Implementation of Caring Behavior for Implementing Nurses on Patient Satisfaction in the Inpatient Room at Grandmed Lubuk Pakam Hospital. The method of implementing activities using questionnaires that are targeted in PKM activities are implementing nurses and inpatients. From the results of the activities carried out there was an increase in patient satisfaction up to 64.3%. With this PKM activity, it is hoped that it can improve the quality of health services at Grandmed Hospital and can further increase the satisfaction of visiting patients.
PENGARUH RENDAM KAKI MENGGUNAKAN AIR HANGAT TERHADAP KECEMASAN PADA PASIEN HIPERTENSI Dian Anggri Yanti; Tati Murni Karo-karo; Anita Sri Gandaria Purba; Junita Ika Susanti Br Ginting; Raisha Octavariny; Nurul Fernanda Williani
JURNAL PENGMAS KESTRA (JPK) Vol 1 No 1 (2021): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (271.453 KB) | DOI: 10.35451/jpk.v1i1.757

Abstract

Hypertension is a condition of a person who has an increase in blood pressure above normal. Anxiety is an emotional response to a subjective assessment with a state of anxiety, worry, fear and increased emotions. Soak the feet using warm water. for the body to oxygenate body tissues for anxiety. Aim; To find out the effect of foot baths using warm water on anxiety in hypertensive patients at the Grandmed Hospital in 2020. Method; This research is an experimental research that is pre experimental design using one group prepost by using a comparison group (control) with a sample of 42 respondents while the research instrument uses a questionnaire sheet and observation sheet, using an anxiety measurement tool (HARS). Data analysis used bivariate analysis namely Paired Sample T-Test. Results; Bivariate test results with Paired Sample T-Test Test prove that there is an effect of foot bath action using warm water to reduce anxiety before and after the action is carried out proven by the value of p = 0,000 <0.05. Conclusion; there is an effect of soaking the feet using warm water on anxiety in hypertensive patient.
PENYULUHAN TEKNIK RELAKSASI OTOT PROGRESIF UNTUK MENURUNKAN KADAR GULA DARAH PADA PASIEN DIABETES MELLITUS TIPE 2 DI RUMAH SAKIT GRANDMED Sari Desi Esta Ulina Sitepu; Tati Murni Karo-karo; Pratiwi Christa Simarmata; Amriani Eva Perawati Silalahi; Kardina Hayati; Selamat Tuahta Sipayung
JURNAL PENGMAS KESTRA (JPK) Vol 1 No 1 (2021): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (398.052 KB) | DOI: 10.35451/jpk.v1i1.760

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The prevalence of diabetes that occurred in 2015 was 9.3% and is expected to continue to increase every year. Type 2 diabetes mellitus occurs due to insulin resistance, namely glucose that fails to enter the body, usually occurs at the age of over 30 years. One form of therapy that can be done is progressive muscle relaxation. The purpose of this community service is to find out the benefits of progressive muscle relaxation techniques on reducing blood sugar levels in patients with type 2 diabetes mellitus at Grandmed Lubuk Pakam Hospital. The method used in this community service is a quasi-experimental using observation sheets. The application of muscle relaxation techniques was carried out on 10 patients with type 2 diabetes mellitus. The community service procedure started from an explanation of progressive muscle relaxation techniques and procedures, implementation and observations (observations), then the results were recorded in the observation sheet. The application of progressive muscle relaxation techniques in patients with type 2 diabetes mellitus accompanied by insulin injection has been shown to reduce blood sugar levels. The application of progressive muscle relaxation techniques can be used as an intervention in lowering blood sugar levels in patients with type 2 diabetes mellitus.
PEMBERIAN STRETCHING ABDOMINAL DAN REFLEXOLOGY TERHADAP NYERI DISMENORE PRIMER PADA ANAK SMA PEMBANGUNAN NASIONAL PAGAR MERBAU Tati Murni Karokaro; Miftahul Zannah; Nurhapni Pulungan
JURNAL PENGMAS KESTRA (JPK) Vol 1 No 2 (2021): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (381.573 KB) | DOI: 10.35451/jpk.v1i2.880

Abstract

Primary dysmenorrhea is pain during menstruation without any abnormalities in the genital organs, pain is felt before or on the first day of menstruation and lasts for several hours. To find out the effect of giving stretching abdominal and reflexology on primary dysmenorrhea pain in Senior high school students of SMA Pembangunan Nasional Pagar Merbau 2021. Research design is quasi-experiment. The population in this study were students of class XI SMA Pembangunan Nasional in Pagar Merbau. From January to June there were 30 students. Data were analyzed using the Wilcoxon test. The results obtained are the mean before intervention 2.86 and the mean after intervention 1.12, while the standard deviation after intervention 0.145. The results of the Wilcoxon statistical test with sig (2-tailed) p = 0.000 which means ≤ 0.05, which means that there is an effect of abdominal stretching and reflexology on the level of primary dysmenorrhea pain in high school teenage students. Stretching abdominal and reflexology given before menstruation twice a week for 3 weeks. There is a significant effect on the level of primary dysmenorrhea pain in grade XI students at SMA Pembangunan Nasional Pagar Merbau. Therefore, it is desirable for those who experience primary dysmenorrhea during menstruation to undertake non-pharmacological treatment which has been proven to reduce menstrual pain.
PENYULUHAN TENTANG SANITASI LINGKUNGAN DAN PERSONAL HYGIENE UNTUK PENCEGAHAN DIARE PADA BALITA Rahmad Gurusinga; Tati Murni Karo-karo; Arfah May Syara; Syatriawati Suhaimi; Sari Desi Esta Ulina Sitepu; Anita Sri Gandaria Purba
JURNAL PENGMAS KESTRA (JPK) Vol 1 No 2 (2021): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (267.307 KB) | DOI: 10.35451/jpk.v1i2.921

Abstract

Diare merupakan salah satu penyebab kesakitan dan kematian pada balita di Negara berkembang. Di Indonesia penyakit diare merupakan salah satu masalah kesehatan masyarakat karena penyakit diare termasuk dalam 10 penyakit yang sering menimbulkan tingginya angka kesakitan dan angka kematian. Tujuan pengabdian masyarakat ini adalah untuk menambah pengetahuan ataupun informasi pada ibu2 yang memiliki balita khususnya tentang sanitasi lingkungan dan persola hygiene untuk pencegahan diare pada balita. Metode pelaksanaan pengabdian masyarakat dengan menggunakan kuisioner tentang sanitasi lingkungan dan personal hygiene. Dari hasil pengabdian masyarakat sebelum dilakukan penyuluha mayoritas ibu-ibu yang memiliki balita berpengetahuan kurang dan setelah dilakukan penyuluhan mayoritas berpengetahuan baik. Melalui kegiatan ini diharapkan ibu-ibu dapat menerapkan sanitasi lingkungan dan personal hygiene dengan baik agar tidak terkena diare.