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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.

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 Influence of Inpatient Service Quality on Patients' Decisions to Go Home at Their Own Request (Paps) at The Mayjen H.A Thalib Regional Hospital, Sungai Penuh City Putri, Puji Audina; Romauli Anna Teresia Marbun; Tati Murni Karokaro
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 1 (2025): 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: 10.35451/3nn67r29

"Discharge at Own Request (PAPS)" is one of the indicators used to assess the quality of inpatient care services. Based on direct interviews with several PAPS patients in the inpatient ward of a particular regional public hospital (RSUD), several factors were identified as triggers for their decision to leave, including the waiting time for treatment and the condition of the treatment room and walls, which appeared uncomfortable—especially for patients who did not yet have a BPJS National Health Insurance) card.The high incidence of patients discharging themselves at their own request (PAPS) has an impact on the hospital, including a potential decrease in service efficiency, as indicated by a reduction in the length of stay (LOS). This study aims to identify and analyze the influence of inpatient service quality on the decision of patients to discharge themselves at their own request (PAPS) at RSUD Mayjen H.A. Thalib, Sungai Penuh City, in 2025.This is a quantitative study using a cross-sectional study design. The research was conducted at RSUD Mayjen H.A. Thalib, Sungai Penuh City, from November 2024 to April 2025. The sample consisted of 125 patients hospitalized in the inpatient ward of RSUD Mayjen H.A. Thalib, Sungai Penuh City. The sampling technique used was accidental sampling.The research findings indicate a correlation between patient satisfaction—based on the aspects of tangibles, reliability, Responsiveness , assurance, and empathy—and the decision to discharge themselves at their own request (PAPS) at RSUD Mayjen H.A. Thalib, Sungai Penuh City, in 2025. Therefore, it is recommended that regular training be provided to all medical personnel and hospital staff to enhance their competence and ability to deliver optimal healthcare services.

Analysis of Challenges and Barriers in the Implementation of Standard Inpatient Wards at Hospital Putra Harahap, Bahdi Mandala; Balqis Wasliati; Tati Murni Karo Karo
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 1 (2025): 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/pwyksc03

Background: RSU Wira Husada Kisaran faces challenges in implementing the Standard Inpatient Class (KRIS) in accordance with the applicable regulations. Despite planning efforts, obstacles such as the absence of a formal organizational structure, uneven distribution of medical personnel, and limited funding continue to hinder KRIS implementation. Research Objective: This study aims to analyze the current implementation of KRIS at RSU Wira Husada Kisaran, identify the existing obstacles, and explore policy alternatives to improve the incident reporting system for patient safety and the overall KRIS implementation.Research Method: This research employs a qualitative approach with Grounded Theory to uncover the factors that hinder KRIS implementation. Data was collected through interviews with hospital management, medical staff, and nursing personnel. To develop alternative policies, the study used the Analytical Hierarchy Process (AHP). Results: The results show that while the hospital has developed a KRIS plan, challenges such as uneven distribution of nurses, slow funding management, and the absence of a specific SOP for KRIS persist. The facilities and infrastructure meet most standards; however, maintenance and facility improvements still need to be enhanced. Conclusion:RSU Wira Husada Kisaran has taken steps to overcome these obstacles. However, strengthening the formal organizational structure, maintenance systems, and transparency in financial management are still necessary to improve the effectiveness of KRIS.

The analysis of the factors influencing the awareness of post-operative neurosurgery patients in the ICU of a hospital N.C Sitanggang, Margaretha; Karnirius Harefa; Tati Murni Karo Karo
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 1 (2025): 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/xmqpxm81

Background: The Intensive Care Unit (ICU) plays a crucial role in the care of post-surgical neurosurgery patients, as patients with critical conditions require close monitoring. The changes in the consciousness level of post-neurosurgery patients are influenced by various factors, including age, gender, Glasgow Coma Scale (GCS), family support, and teamwork among medical staff. Objective: This study aims to analyze the factors influencing the changes in the consciousness level of post-neurosurgery patients in the ICU of Grandmed Lubuk Pakam Hospital in 2024. Research Method: This study uses a cross-sectional design with primary data collection through observation and direct measurement. The sample consists of 40 post-surgical neurosurgery patients treated in the ICU of Grandmed Lubuk Pakam Hospital. Data were analyzed using univariate, bivariate, and multivariate analysis, employing chi-square tests and logistic regression. Results: The results show that factors such as age, gender, GCS, family support, and teamwork significantly influence the consciousness level of patients. The GCS factor (?8) has the most dominant effect, with an Odds Ratio (Exp(B)) = 5.523, indicating that patients with a low GCS have 5 times the risk of experiencing a decrease in consciousness compared to patients with a higher GCS. Conclusion: Factors such as age, gender, GCS, family support, and teamwork influence the changes in the consciousness level of post-neurosurgery patients. Monitoring GCS and strengthening teamwork, along with family support, can accelerate the recovery of patients' consciousness.

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