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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.

Factors Influencing Early Ambulation in Patients Post Operative for Lower Extremity Fractures Karokaro, Tati Murni; Diki Muliani; Nadya Ulfa Kesumawardani
JURNAL KESMAS DAN GIZI (JKG) Vol. 6 No. 2 (2024): 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.v6i2.2046

Patah tulang atau fraktur merupakan hilangnya kontinuitas tulang yang terjadi akibat cedera langsung ataupun tidak langsung. Salah satu perawatan patah tulang adalah dengan melakukan operasi. Ambulasi dini merupakan salah satu asuhan keperawatan pasca operasi fraktur. Untuk menghindari komplikasi setelah operasi, ambulasi dini sangat penting. Tujuan dari penelitian ini adalah untuk mengetahui faktor-faktor yang mempengaruhi kemampuan pasien untuk berjalan setelah menjalani operasi fraktur ekstremitas bawah. Jenis penelitian yang digunakan adalah penelitian kolerasi dengan metode pendekatan cross-sectional dengan jumlah responden sebanyak 28 orang dan pengumpulan data menggunakan lembar cheklis, lembar kuesioner, dan lembar observasi. Variabel bebas adalah hemoglobin, nyeri, pengetahuan, emosi, dan dukungan keluarga sedangkan variabel terikatnya adalah ambulasi dini pasien post operasi fraktur ekstremitas bawah. Uji yang digunakan dalam analisa multivariat adalah uji regresi logistik. Penelitian ini menunjukkan hemoglobin (p = 0,014), nyeri (p = 0,013), pengetahuan (p = 0,013), emosi (p = 0,488), dan dukungan kelurga (p = 0,009), dari hasil uji regresi logistik, untuk pasien yang telah menjalani operasi fraktur ekstremitas bawah, dua faktor yang paling signifikan adalah nyeri terhadap ambulasi dini, dengan nilai p=0,018, dan hemoglobin terhadap ambulasi dini, dengan nilai p=0,019. Kesimpulan: Ada dua faktor yang berpengaruh signifikan yaitu faktor hemoglobin dan faktor nyeri, dan disarankan kepada perawat agar terlebih dahulu melaksanakan pengkajian sebelum melakukan ambulasi dini.

Factors Influencing Early Ambulation in Patients Post Operative for Lower Extremity Fractures Karokaro, Tati Murni; Diki Muliani; Nadya Ulfa Kesumawardani
JURNAL KESMAS DAN GIZI (JKG) Vol. 6 No. 2 (2024): 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.v6i2.2046

Patah tulang atau fraktur merupakan hilangnya kontinuitas tulang yang terjadi akibat cedera langsung ataupun tidak langsung. Salah satu perawatan patah tulang adalah dengan melakukan operasi. Ambulasi dini merupakan salah satu asuhan keperawatan pasca operasi fraktur. Untuk menghindari komplikasi setelah operasi, ambulasi dini sangat penting. Tujuan dari penelitian ini adalah untuk mengetahui faktor-faktor yang mempengaruhi kemampuan pasien untuk berjalan setelah menjalani operasi fraktur ekstremitas bawah. Jenis penelitian yang digunakan adalah penelitian kolerasi dengan metode pendekatan cross-sectional dengan jumlah responden sebanyak 28 orang dan pengumpulan data menggunakan lembar cheklis, lembar kuesioner, dan lembar observasi. Variabel bebas adalah hemoglobin, nyeri, pengetahuan, emosi, dan dukungan keluarga sedangkan variabel terikatnya adalah ambulasi dini pasien post operasi fraktur ekstremitas bawah. Uji yang digunakan dalam analisa multivariat adalah uji regresi logistik. Penelitian ini menunjukkan hemoglobin (p = 0,014), nyeri (p = 0,013), pengetahuan (p = 0,013), emosi (p = 0,488), dan dukungan kelurga (p = 0,009), dari hasil uji regresi logistik, untuk pasien yang telah menjalani operasi fraktur ekstremitas bawah, dua faktor yang paling signifikan adalah nyeri terhadap ambulasi dini, dengan nilai p=0,018, dan hemoglobin terhadap ambulasi dini, dengan nilai p=0,019. Kesimpulan: Ada dua faktor yang berpengaruh signifikan yaitu faktor hemoglobin dan faktor nyeri, dan disarankan kepada perawat agar terlebih dahulu melaksanakan pengkajian sebelum melakukan ambulasi dini.

Effect Of Level 1 Progressive Mobilization On Oxygen Saturation In Patients With Decreased Consciousness Karokaro, Tati Murni; Abdi Lestari Sitepu
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 7 No. 1 (2024): 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.v7i1.2282

Background: Patients in the intensive care unit are individuals who are in critical condition due to failure of function of one or more organs, with hemodynamic instability. They require special care and intensive monitoring, in the hope that their condition can improve through appropriate medical action (Setiyawan, 2016). The incidence of stroke is increasing every year, there are 11 million stroke cases in the world, especially in low-income countries, especially in South Asian states and it causes 4 million deaths every year, around 30% of them in Southeastern countries. In addition, stroke is one of the leading causes of death and disability in adults in the United States. Every year, nearly 795,000 people in the country experience a stroke, either new or recurrent, and this causes approximately 130,000 deaths annually. (WHO, 2016). Research Objective: To understand the effect of level 1 progressive mobilization on changes in oxygen saturation in patients with decreased consciousness. Methodology: This research uses quantitative methods. The approach is quasi-experimental with a utilitarian design, where the intervention is applied to one group, then observations are made on the independent variables. Research Results and Discussion: Before progressive mobilization measures were carried out, the level 1 oxygen saturation value in patients with impaired consciousness at Grandmed Lubuk Pakam Hospital, of the 24 respondents, 2 respondents had oxygen saturation of 92% (8.3%), 4 respondents 93% (16, 7%), 7 respondents 94% (29.2%), 7 respondents 95% (29.2%), 3 respondents 96% (12.5%) and 7 respondents had oxygen saturation 98% (4.2%) . Conclusion: The average O2 saturation value in patients with decreased consciousness before doing level 1 progressive exercise was 93.33, whereas after it increased it was 95.67.

The Effect of Modern Dressing Moist Wound Healing Technique on the Wound Healing Process in Diabetic Ulcer Patients Karokaro, Tati Murni; Abdi Lestari Sitepu; Fredy Kalvind Tarigan; Dray Kelvin Pandiangan
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 7 No. 2 (2025): 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.v7i2.2646

Background: The main goal in treating diabetic ulcers is to achieve optimal wound healing. So far, many people assume that wounds can heal quickly due to the drying process. However, in fact, a balanced moist environment in the wound actually supports the growth of new cells. Therefore, a wound care method based on the principle of moisture, or known as moist wound healing, is the main key in modern dressing. Moist wound healing is maintaining a moist wound environment using a moisture-retaining dressing. Objective: The aim is to determine the effect of modern moist wound healing dressing on the wound healing process in diabetic ulcers in the inpatient room 4 in front of Grandmed Hospital Lubuk Pakam. Method: The research design used was a Quasy Experiment using a Pretest posttest One Group Design research design with 37 patients as respondents using the Slovin formula. Results: The average value of diabetic ulcer condition in patients before and after Modern Dressing with Moist Wound Healing technique was obtained, namely 601 with a Standard Deviation of 1,163, with the results of the simple Paired T-Test obtained ? 0.05) obtained P value 004 where P value 0.05, then there is an average difference. This means that there is a difference in wound condition in diabetic ulcer patients before and after modern dressing with moist wound healing technique. Conclusion: The modern dressing technique with the principle of moist wound healing aims to maintain wound moisture in the ulcer healing process. Increased exudate production is a natural part of the inflammatory phase in the wound healing process. Based on the results of the research observation, it shows that before Modern Dressing with Moist Wound Healing Technique was carried out, the Mean value was obtained on the sixth day of treatment of 40.30 with a Standard Deviation of 3.302. Meanwhile, after the Modern Dressing Moist Wound Healing technique was carried out, the Mean value obtained on the sixth day of treatment was 31.90 with a Standard Deviation of 2.601, so it is recommended that nurses use the Modern Dressing Moist Healing technique for the wound healing process when treating wounds.

The Effect of Modern Dressing Moist Wound Healing Technique on the Wound Healing Process in Diabetic Ulcer Patients Karokaro, Tati Murni; Abdi Lestari Sitepu; Fredy Kalvind Tarigan; Dray Kelvin Pandiangan
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 7 No. 2 (2025): 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.v7i2.2646

Background: The main goal in treating diabetic ulcers is to achieve optimal wound healing. So far, many people assume that wounds can heal quickly due to the drying process. However, in fact, a balanced moist environment in the wound actually supports the growth of new cells. Therefore, a wound care method based on the principle of moisture, or known as moist wound healing, is the main key in modern dressing. Moist wound healing is maintaining a moist wound environment using a moisture-retaining dressing. Objective: The aim is to determine the effect of modern moist wound healing dressing on the wound healing process in diabetic ulcers in the inpatient room 4 in front of Grandmed Hospital Lubuk Pakam. Method: The research design used was a Quasy Experiment using a Pretest posttest One Group Design research design with 37 patients as respondents using the Slovin formula. Results: The average value of diabetic ulcer condition in patients before and after Modern Dressing with Moist Wound Healing technique was obtained, namely 601 with a Standard Deviation of 1,163, with the results of the simple Paired T-Test obtained ? 0.05) obtained P value 004 where P value 0.05, then there is an average difference. This means that there is a difference in wound condition in diabetic ulcer patients before and after modern dressing with moist wound healing technique. Conclusion: The modern dressing technique with the principle of moist wound healing aims to maintain wound moisture in the ulcer healing process. Increased exudate production is a natural part of the inflammatory phase in the wound healing process. Based on the results of the research observation, it shows that before Modern Dressing with Moist Wound Healing Technique was carried out, the Mean value was obtained on the sixth day of treatment of 40.30 with a Standard Deviation of 3.302. Meanwhile, after the Modern Dressing Moist Wound Healing technique was carried out, the Mean value obtained on the sixth day of treatment was 31.90 with a Standard Deviation of 2.601, so it is recommended that nurses use the Modern Dressing Moist Healing technique for the wound healing process when treating wounds.

Seminar and Education on The Evaluation of Antibiotic Use in Acute Respiratory Infection Patients in The Inpatient Room of Granmed Hospital Lubuk Pakam Purba, Novandi; Br. Turnip, Nur Ulina M; Situmorang, Novidawati; Alfrisa, Bagus; Karokaro, Tati Murni
JURNAL PENGMAS KESTRA (JPK) Vol. 5 No. 1 (2025): 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/k3egnx02

Acute Respiratory Infection is one of the main causes of death in children in developing countries. ISPA is a disease of the upper or lower respiratory tract that usually infects and can cause various diseases ranging from asymptomatic or mild to severe inflammation. Lethality depends on environmental factors and predisposing factors. Acute Respiratory Infection is still often a major health problem because it is the main cause of death and disease in the world. Upper respiratory tract infection is a cause of death and morbidity in infants and children in Indonesia. The types of antibiotics that are often consumed to treat acute respiratory infections are penicillins and cephalosporins, such as amoxicillin, ceftriaxone, and cefotaxime. The method used for this dedication is the open and community training method or the online lecture method. The purpose of this community service is to provide information about the use of antibiotics to ARI patients at Grandmed Hospital. The activity was carried out in the form of online discussions via zoom with several patients and people who suffer from ISPA. The results obtained in this study were more male patients with ISPA than women. This condition is associated with high physical activity in boys and can quickly worsen physical conditions, including the immune system. In this study, patients were given a questionnaire to ensure that the information conveyed by the presenting team was properly conveyed and understood. In this activity, patients must understand the evaluation of the use of antibiotics in ARI so that in the future patients who suffer from it will get clear information.

Pengaruh Dukungan Emosional Keluarga terhadap Kejadian Depresi Pada Remaja: Keperawatan Keluarga, Depresi, Remaja Karokaro, Tati Murni; Aprizal, Aprizal; Yanis, Amel; Hardisman, Hardisman
Jurnal Kesehatan Komunitas Vol 11 No 2 (2025): Jurnal Kesehatan Komunitas
Publisher : LPPM Hang Tuah Pekanbaru

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25311/keskom.Vol11.Iss2.2220

Depression in adolescents is a significant mental health problem. One factor that can influence the incidence of depression in adolescents is family emotional support. This study aims to examine the effect of family emotional support on depression in adolescents. The purpose of this study was to analyze the effect of family emotional support on the incidence of depression in adolescents and to evaluate the level of emotional support provided by families to adolescents. This study used a cross-sectional design with questionnaires distributed to 202 adolescents aged 15-21 years. Data were analyzed descriptively and with statistical regression tests to assess the relationship between family emotional support and the incidence of depression. As many as 78.7% of adolescents felt comfortable with family emotional support, but 32.18% reported that their families often did not ask about their condition. Overall emotional support reached 67.3%. The study also found that female adolescents were more susceptible to depression although age, gender, and education factors did not show a significant relationship. Family emotional support plays an important role in reducing the impact of depression in adolescents. Although overall emotional support is good, many adolescents feel they are not getting enough attention from their families. Family emotional support has an effect on preventing depression in adolescents. Families need to pay more attention to the emotional needs of adolescents and improve counseling services to help parents understand their children's emotional conditions.

Pengaruh Dukungan Emosional Keluarga terhadap Kejadian Depresi Pada Remaja: Keperawatan Keluarga, Depresi, Remaja Karokaro, Tati Murni; Aprizal, Aprizal; Yanis, Amel; Hardisman, Hardisman
Jurnal Kesehatan Komunitas Vol 11 No 2 (2025): Jurnal Kesehatan Komunitas
Publisher : LPPM Hang Tuah Pekanbaru

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25311/keskom.Vol11.Iss2.2220

Depression in adolescents is a significant mental health problem. One factor that can influence the incidence of depression in adolescents is family emotional support. This study aims to examine the effect of family emotional support on depression in adolescents. The purpose of this study was to analyze the effect of family emotional support on the incidence of depression in adolescents and to evaluate the level of emotional support provided by families to adolescents. This study used a cross-sectional design with questionnaires distributed to 202 adolescents aged 15-21 years. Data were analyzed descriptively and with statistical regression tests to assess the relationship between family emotional support and the incidence of depression. As many as 78.7% of adolescents felt comfortable with family emotional support, but 32.18% reported that their families often did not ask about their condition. Overall emotional support reached 67.3%. The study also found that female adolescents were more susceptible to depression although age, gender, and education factors did not show a significant relationship. Family emotional support plays an important role in reducing the impact of depression in adolescents. Although overall emotional support is good, many adolescents feel they are not getting enough attention from their families. Family emotional support has an effect on preventing depression in adolescents. Families need to pay more attention to the emotional needs of adolescents and improve counseling services to help parents understand their children's emotional conditions.

The Relationship Between Nurse Response Time In Treating Open Fractur Patients And The Risk Of Hypovolemic Shock In The Emergency Room Of Grandmed Hospital Lubuk Pakam Karokaro, Tati Murni; Insani Alja , Amy Vivi
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 8 No. 1 (2025): 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/kxsgpw35

Introduction:Open fractures are bone injuries involving skin disruption, leading to direct bone exposure and a high risk of contamination. Emergency care reports indicate that around 50% of trauma patients die en route to the hospital, 35% due to severe injuries. Timely nursing response is crucial in early emergency management, especially in open fractures. This study aimed to assess the association between nurses' response time and the risk of hypovolemic shock in patients with open fractures. Methods:A descriptive correlational study was conducted from September to October 2024 at the Emergency Department of Grandmed Hospital, Lubuk Pakam. Thirty-one nurses were selected using total sampling. Data were obtained through structured observations of eligible nurses. Results: Delayed response was observed in 32.3% of nurses, with hypovolemic shock occurring in 32.3% of patients. Fisher’s Exact Test revealed a significant association between nursing response time and hypovolemic shock risk (p = 0.040). Discussion: Delayed nursing interventions were significantly linked to increased hypovolemic shock risk. The findings underscore the need for effective leadership and prompt nursing action to prevent complications.

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