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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

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.

PENYULUHAN PENGATURAN NUTRISI TERHADAP KADAR GULA DARAH PASIEN DIABETES MELITUS Pratiwi Christa Simarmata; Sari Desi Esta Ulina Sitepu; Abdi Lestari Sitepu; Tati Murni Karo-karo; Hariati .
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

Abstrak Diabetes melitus (DM) adalah penyakit metabolik yang ditandai dengan peningkatan kadar gula dalam darah. Kelainan sekresi insulin, kerja insulin, atau keduanya merupakan penyebab meningkatnya kadar glukosa dalam darah. Penatalaksanaan diabetes melitus harus ditangani dengan baik, untuk menghindari terjadinya komplikasi . Penatalaksanaan lima pilar pengendalian diabetes melitus diterapkan untuk mencegah komplikasi dan meningkatkan kualitas hidup penderita diabetes. Penderita diabetes memiliki lima pilar yang harus ditaati. Pilar pada penderita DM salah satunya penatalaksaan nutrisi. Pengaturan nutrisi yang dapat diajarkan pada penderita DM dengan mengontrol diet 3J meliputi jumlah, jadwal dan jenis. Tujuan pengabdian masyarakat untuk memberikan pendidikan kesehatan kepada pasien DM tentang penatalaksaan nutrisi dalam menjaga kestabilan nilai KGD. Metode kegiatan yang digunakan pada pengabdian masyarakat ini di mulai dari penyampaian materi terkait pengertian, tanda gejala, komplikasi dan penanganannya khususnya pemenuhan nutrisi pasien DM, pengecekan nilai glukosa darah dan evaluasi hasil pelaksanaannya. Adapun hasil pengabdian masyarakat ini penderita DM dapat memenuhi manajemen nutrisinya sendiri sehingga KGD stabil dan kualitas hidup lebih terjaga. Abstract Diabetes mellitus (DM) is a metabolic disease characterized by an increase in blood sugar levels. Abnormalities in insulin secretion, insulin action, or both are causes of elevated blood glucose levels. Management of diabetes mellitus must be handled properly, to avoid complications. The management of the five pillars of diabetes mellitus control is applied to prevent complications and improve the quality of life of diabetics. Diabetics have five pillars that must be adhered to. One of the pillars of DM patients is nutritional management. Nutritional settings that can be taught to DM sufferers by controlling the 3J diet include the amount, schedule and type. The purpose of community service is to provide health education to DM patients about nutrition management in maintaining the stability of KGD values. The method of activity used in this community service starts from delivering material related to understanding, signs, symptoms, complications and their handling, especially the fulfillment of nutrition for DM patients, checking blood glucose values and evaluating the results of its implementation. As for the results of this community service, DM sufferers can fulfill their own nutritional management so that KGD is stable and quality of life is better maintained.

THE EFFECT OF THE COMBINATION OF SEMI FOWLER POSITION AND RIGHT LATERAL ON HEMODYNAMIC CHANGES IN HEART FAILURE PATIENTS IN THE CVCU ROOM GRANDMED HOSPITAL LUBUK PAKAM Kardina Hayati; Tati Murni Karokaro; Fazar Witama
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.v5i2.1644

The results of a survey of the world community and in Indonesia, the most common disease and the most common cause of death is heart disease. Data from the World Health Organization (WHO) shows the prevalence that males experience more heart disease than females. Systemic and pulmonary disorders often occur because blood flow fails to enter the tissues due to failure of the heart pump, which affects the patient's hemodynamics. Changes in position have an impact on changes in central venous pressure values. The purpose of this study was to determine whether or not there was an effect of giving a combination of semi-Fowler's position with right lateral to changes in hemodynamic status of heart failure patients. Quasi experiment with one group pre test and post test method was used in this study. There were 10 respondents who were sampled using the quota sampling technique. This research was conducted at GrandMed Lubuk Pakam Hospital. The measuring instrument used in this study is an observation sheet. Data analysis was performed using paired simple T test. The results of this study obtained a p value = 0.001, this indicates that there is an effect of giving a combination of semi-Fowler's position with right lateral to changes in hemodynamic status in heart failure patients. Semi-Fowler's and lateral position actions help reduce oxygen consumption and increase maximum lung expansion and overcome damage to gas exchange so that it can reduce tightness and affect hemodynamic status. It is expected that nurses will provide education to patients so they want to change the semi-fowler's position with a right lateral combination in order to improve the patient's hemodynamic quality.

The Effect of Open Corner Care Towards Reducing The Risk of Infection in Newborn Babies at Grandmed Lubuk Pakam Hospital In 2020 Karokaro, Tati Murni
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 5, No 1: June 2020
Publisher : Universitas Aisyah Pringsewu

The purpose of this study was to determine the reduction in the risk of infection before and after open umbilical cord care for newborns at Grandmed Lubuk Pakam Hospital in 2020. This research method was quantitative with a pre-experimental research design in the form of an experimental design, namely one group pretest-posttest design, this research was conducted at Grandmed Lubuk Pakam Hospital. The results of this study are: most of the respondents before the open umbilical cord care was performed and after the open umbilical cord treatment was carried out in respondents with the risk of infection being no infection as many as 21 respondents or 70% and infection as many as 9 . By using the Wilcoxon test, the result is p-value = 0.000 with a value of = 0.05. Because the value of p = 0.000 less than 0.05, Ha is accepted, that is, there is an effect of open umbilical cord care on reducing the risk of infection in newborns at Grandmed Lubuk Pakam Hospital.

Increasing Public Knowledge About Hypertension as an Effort to Prevent Hypertension Complications (Stroke) Angriawan; Wati, Indah; Zuidah; Karokaro, Tati Murni; Simarmata, Juni Mariati
JURNAL PENGMAS KESTRA (JPK) Vol. 4 No. 1 (2024): 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 | DOI: 10.35451/jpk.v4i1.2168

Hypertension is a health disorder that causes an increase in blood pressure. Hypertension can cause serious complications in the form of stroke. These significant complications can be life threatening and even death. Stroke is a global health problem with more than 15 million people annually experiencing this condition worldwide. This study was conducted on 30 individuals who visited the Pagar Jati Community Health Center, using the accidental sampling method, to explore the contribution of community participation in increasing awareness about hypertension and promoting preventive behavior. Through outreach activities and public campaigns, community participation has succeeded in increasing understanding of the importance of regular health check-ups by checking blood pressure and consuming foods with balanced nutrition, including low salt, thereby preventing hypertension. Evaluating the effectiveness of the community service program using a questionnaire showed an increase from 70% at the pretest stage to 93% at the posttest stage. This reflects a significant increase in awareness, knowledge and preventive measures against complications of hypertension, such as stroke, in the community areas served by health community center (Puskesmas) Pagar Jati. Collaboration between health workers, local government, educational institutions and the community is the key to the success of this program. Although challenges remain such as limited access and inequality of information, community service has proven to be an effective tool in strengthening the community response to hypertension and advancing overall community health.

Increasing Public Knowledge About Hypertension as an Effort to Prevent Hypertension Complications (Stroke) Angriawan; Wati, Indah; Zuidah; Karokaro, Tati Murni; Simarmata, Juni Mariati
JURNAL PENGMAS KESTRA (JPK) Vol. 4 No. 1 (2024): 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 | DOI: 10.35451/jpk.v4i1.2168

Hypertension is a health disorder that causes an increase in blood pressure. Hypertension can cause serious complications in the form of stroke. These significant complications can be life threatening and even death. Stroke is a global health problem with more than 15 million people annually experiencing this condition worldwide. This study was conducted on 30 individuals who visited the Pagar Jati Community Health Center, using the accidental sampling method, to explore the contribution of community participation in increasing awareness about hypertension and promoting preventive behavior. Through outreach activities and public campaigns, community participation has succeeded in increasing understanding of the importance of regular health check-ups by checking blood pressure and consuming foods with balanced nutrition, including low salt, thereby preventing hypertension. Evaluating the effectiveness of the community service program using a questionnaire showed an increase from 70% at the pretest stage to 93% at the posttest stage. This reflects a significant increase in awareness, knowledge and preventive measures against complications of hypertension, such as stroke, in the community areas served by health community center (Puskesmas) Pagar Jati. Collaboration between health workers, local government, educational institutions and the community is the key to the success of this program. Although challenges remain such as limited access and inequality of information, community service has proven to be an effective tool in strengthening the community response to hypertension and advancing overall community health.

Efektivitas Ketersediaan Layanan Fisioterapi di Puskesmas Bukit Indah Kecamatan Muara Papalik Kabupaten Tanjung Jabung Barat Provinsi Jambi Ucu Suherman; Felix Kasim; Tati Murni Karokaro
Jurnal Akademika Baiturrahim Jambi Vol. 12 No. 2 (2023): September
Publisher : Universitas Baiturrahim

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36565/jab.v12i2.748

Availability of physiotherapy services at puskesmas to facilitate access to physiotherapy services for people who are indicated to need general physiotherapy services by prioritizing maintenance through promotive and preventive approaches. This study describes the problems related to the Effectiveness of the Availability of Physiotherapy services at the Bukit Indah Health Center, Muara Papalik District, Tanjung Jabung Barat Regency in terms of Input, Process and Output. This study uses a qualitative descriptive approach, an attempt to present facts about the effectiveness of the availability of physiotherapy services at the puskesmas. The data source for this research is primary data and secondary data. Data collection techniques in the form of observation, interviews, analysis techniques used. The results of the study show effectiveness in terms of input, human resources are in accordance with standards, room facilities, tools and funds are not yet available, patients who require physiotherapy services are included in the top 10 diseases at the puskesmas. In terms of the physiotherapist process, they have been involved in running the service program but are still integrated with other programs. In terms of output, the availability of physiotherapy services at the Bukit Indah Health Center has been felt by the community in the work area of the Health Center, but the types of services still need to be improved. The results of this study can be transferred to health centers that have the same characteristics.

Socialization of Educational Prevention of Demensional Diseases in The Elderly at The Karang Anyar Health Center, Sidodadi Ramunia Lubuk Pakam Village 2024 Kesumawardani, Nadya Ulfa; Karokaro, Tati Murni; Syatria Wati; Alfrisa, Bagus; Hayati, Kardina
JURNAL PENGMAS KESTRA (JPK) Vol. 4 No. 2 (2024): 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 | DOI: 10.35451/jpk.v4i2.2395

Dementia is a syndrome of cognitive decline in which the repetitive processing of information from long-term memory occurs. When individuals reach the age of 60 years and over they are categorized as elderly, one of the many problems in the elderly that often arises is dementia/memory decline which will then have a negative impact on cognitive function. Community service is key in efforts to spread knowledge about dementia. This Community Service was carried out for the elderly at the Karang Anyar Community Health Center, Sidodadi Ramunia Lubuk Pakam Village, as many as 50 people. This activity will play a role in raising awareness of the elderly about the need to know knowledge about treating dementia by doing brain exercises that are practiced at the Karang Anyar Community Health Center. This activity is held through counseling and public campaigns, where PkM will be able to increase understanding of the benefits of doing brain exercises for the elderly. Evaluation of this activity is carried out through a review activity by asking the elderly questions regarding the meaning, signs and symptoms as well as treatment for dementia patients. The results of this PkM show that there has been a significant increase in knowledge and efforts to treat dementia at the Karang Anyar Community Health Center in Sidodadi Ramunia Village, Lubuk Pakam.

Socialization of Educational Prevention of Demensional Diseases in The Elderly at The Karang Anyar Health Center, Sidodadi Ramunia Lubuk Pakam Village 2024 Kesumawardani, Nadya Ulfa; Karokaro, Tati Murni; Syatria Wati; Alfrisa, Bagus; Hayati, Kardina
JURNAL PENGMAS KESTRA (JPK) Vol. 4 No. 2 (2024): 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 | DOI: 10.35451/jpk.v4i2.2395

Dementia is a syndrome of cognitive decline in which the repetitive processing of information from long-term memory occurs. When individuals reach the age of 60 years and over they are categorized as elderly, one of the many problems in the elderly that often arises is dementia/memory decline which will then have a negative impact on cognitive function. Community service is key in efforts to spread knowledge about dementia. This Community Service was carried out for the elderly at the Karang Anyar Community Health Center, Sidodadi Ramunia Lubuk Pakam Village, as many as 50 people. This activity will play a role in raising awareness of the elderly about the need to know knowledge about treating dementia by doing brain exercises that are practiced at the Karang Anyar Community Health Center. This activity is held through counseling and public campaigns, where PkM will be able to increase understanding of the benefits of doing brain exercises for the elderly. Evaluation of this activity is carried out through a review activity by asking the elderly questions regarding the meaning, signs and symptoms as well as treatment for dementia patients. The results of this PkM show that there has been a significant increase in knowledge and efforts to treat dementia at the Karang Anyar Community Health Center in Sidodadi Ramunia Village, Lubuk Pakam.

THE EFFECT OF FOOT MASSAGE AND PROGRESSIVE MUSCLE RELAXATION ON SLEEP QUALITY IN CONGESTIVE HEART FAILURE (CHF) PATIENTS AT GRANDMED LUBUK PAKAM HOSPITAL Karokaro, Tati Murni; Kardina Hayati; Tania Diah Masitah
JURNAL KESMAS DAN GIZI (JKG) Vol. 6 No. 1 (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.v6i1.1905

Cardiovascular disease, also known as heart disease, generally refers to conditions involving narrowing or blockage of blood vessels that can lead to heart attack, chest pain (angina), or stroke. Other heart conditions that affect the muscles, valves, or rhythm of the heart are also considered forms of heart disease. Rest and sleep are a major part of physical and mental health. Every individual who is in the hospital will have poor quality sleep if the results are compared to people who sleep at home. This study aims to determine whether there is an effect of foot massage and progressive muscle relaxation on sleep quality in congestive heart failure (CHF) patients in the CVCU ward of Grandmed Lubuk Pakam Hospital. This research uses a semi-experimental (semi-trial) type of research with a one-group pre-trial study design, the intervention carried out using this method uses two groups. The first group consisted of CHF patients with decreased sleep quality and foot massage. The second group consisted of CHF patients with a gradual decrease in sleep quality and muscle relaxation. Based on the Wilcoxon test above, the test results with p-value are obtained:0.004 means p < 0.05 so it can be concluded that progressive foot and muscle massage has a significant effect on the sleep quality of congestive heart attack (CHF) patients at GrandMed Lubuk Pacam Hospital. It is recommended that patients who experience sleep disorders, especially CHF patients, massage their feet before going to bed.

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