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PENGARUH TEKNIK GENGGAM JARI (Finger Hold) TERHADAP PENURUNAN INTENSITAS NYERI OPERASI POST SC (Sectio Caesarea) DI RSU SEMBIRING TAHUN 2024” manik, maria hermita; rosaulina, meta
Jurnal Penelitian Keperawatan Medik Vol 7 No 1 (2024): Jurnal Penelitian Keperawatan Medik
Publisher : Fakultas Keperawatan Institut Kesehatan Deli Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpkm.v7i2.2054

Since SC is only performed when a delivery trial has failed, the fetus must be born through an incision on both the uterine and abdominal walls. This puts the fetus and the mother at risk. The pain caused by SC is at the incision site, it can be pelvic pain— acute pain. Hence it should also be addressed immediately as it will lead to more complications if not acted upon in time. Instead of medication, physiotherapy involves use of hand held tools in curbing health issues affecting one's physical, psychological, cognitive well-being and needs individuals with physical disabilities would require for socialization. The autonomic nervous system, which regulates automatic bodily activities including blood flow, is stimulated by pressing certain areas as part of this therapy & interfere with transmission of pain signals along with inducing psychological effects aimed at reducing pain experienced during SC. The study seeks to eval_uate the impact of finger-hold technique in reducing the intensity of post-SC pain. This research was undertaken at Sembiring General Hospital in April-May 2024.”

Penerapan Pemberian Asi Eksklusif dan MP-ASI Pada Pertumbuhan Balita di Desa Sidomulyo Kecamatan Biru-Biru Kabupaten Deli Serdang manik, maria hermita; Samura, Maximilianus Dasril; Rosaulina, Meta; Hasian, Muhammad Tsawaby
Jurnal Pengabdian Masyarakat Putri Hijau Vol 5 No 1 (2024): Jurnal Pengabdian Masyarakat Putri Hijau (JPMPH)
Publisher : INSTITUT KESEHATAN DELI HUSADA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpmph.v5i1.2182

The growth and development of babies is mainly influenced by the nutrients contained in breast milk, which include proteins, carbohydrates, minerals and vitamins which are important for health and growth. Entering the age of 6-24 months, toddlers' energy needs increase and require additional nutritional support through providing appropriate complementary foods (MP-ASI) to encourage optimal growth and development. The purpose of this public work is to secure exceptional breastfeeding and MP-ASI education in the growth of babies in the village of Sidomulyo and Deliserdang regency. This counseling is given to Mothers with children aged 0 to 5 years. Thirty-two mothers and toddlers participated in this outreach activity. It is hoped that this counseling can provide parents with an understanding of the importance of exclusive breastfeeding and how to provide MPASI appropriately to prevent the risk of malnutrition and stunting.

Penyuluhan Brain Gym Pada Penderita Pasca Stroke Iskemik di Desa Candirejo manik, maria hermita; Alwi, Fahrizal; Rosaulina, Meta; Marlina, Siti; Hasian, Muhammad Tsawaby; Tarigan, Beti Susanti
Jurnal Pengabdian Masyarakat Putri Hijau Vol 5 No 3 (2025): Jurnal Pengabdian Masyarakat Putri Hijau (JPMPH)
Publisher : INSTITUT KESEHATAN DELI HUSADA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpmph.v5i3.2483

Ischemic stroke is one of the main causes of disability in the elderly group which has an impact on decreased motor and cognitive function. The post-stroke recovery process requires non-pharmacological interventions that can be done independently at home with family support. Brain Gym or brain gymnastics is a simple method that has been proven to stimulate the integration of brain and body functions, as well as improve balance, coordination, and concentration. This community service activity aims to improve the knowledge and skills of post-ischemic stroke sufferers and their families in implementing Brain Gym as part of independent rehabilitation efforts. The implementation method includes providing education through interactive lectures, demonstrations of Brain Gym movements, and direct practice sessions guided by the implementation team. The activity was carried out in Candirejo Village, Semarang Regency, involving 25 participants consisting of stroke survivors, family members, and health cadres. The eval_uation was carried out using a pre-test and post-test which showed an increase in participants' knowledge scores by 35%. The results of the activity showed that Brain Gym counseling was effective in increasing participants' understanding and motivation to do routine exercises at home. This activity is expected to support the rehabilitation process and improve the quality of life of post-stroke sufferers in a sustainable manner.

PENGARUH TINDAKAN KEMOTERAPI TERHADAP TINGKAT STRES PADA PASIEN KANKER DI RUMAH SAKIT UMUM SEMBIRING DELI TUA TAHUN 2025 Rosaulina, Meta; Hasian, Muhammad Tsawaby
Jurnal Penelitian Keperawatan Medik Vol 7 No 2 (2025): Jurnal Penelitian Keperawatan Medik
Publisher : Fakultas Keperawatan Institut Kesehatan Deli Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpkm.v7i2.2370

Kanker termasuk salah satu penyakit paling mematikan di dunia, dengan jumlah kematian akibat kanker meningkat setiap tahunnya. Sebagian besar penyintas kanker menjalani perawatan kemoterapi. Durasi kemoterapi yang panjang berdampak signifikan pada kesejahteraan mental pasien. Kondisi yang paling umum adalah stres, yang sering kali berasal dari kekhawatiran tentang pemulihan kanker. Pasien kanker yang menjalani kemoterapi umumnya mengalami stres, yang terwujud dalam bentuk perasaan sedih, pesimisme, putus asa, dianggap tidak mampu, rendah diri terhadap orang lain, memburuknya kondisi emosional, dan rasa tidak berdaya. Penelitian ini dimaksudkan dalam mengeval_uasi dampak kemoterapi terhadap peningkatan tingkat stres di antara pasien kanker di Sembiring Stylish Health Center Deli Tua pada tahun 2024. Penelitian ini menggunakan pendekatan kuasi-eksperimental, dengan 36 sampel yang dipilih melalui purposive sampling. Data dikumpulkan menggunakan kuesioner dan lembar observasi. Pada tahun 2024, kemoterapi memiliki dampak sangat besar pada tingkat stres pasien kanker di Sembiring Preferred Medical Institution Deli Tua, sebagaimana dibuktikan oleh analisis bivariat yang menghasilkan nilai p bernilai 0,000, yang kurang dari 0,05. Penelitian tersebut menyimpulkan kemoterapi menghasilkan dampak yang bervariasi terhadap tingkat stres, tergantung pada penerimaan pasien terhadap penyakitnya dan pemahaman mereka terhadap pengobatan kanker melalui kemoterapi.

The Effectiveness of Psychological Dhikr Therapy in Improving the Quality of Life of Cancer Patients Undergoing Chemotherapy Syahri, Alfi; Marlina, Siti; Rosaulina, Meta; Manik, Maria Hermita; Harigustian, Yayang; Pasambo, Yourisna; Putra, Komang Ardidhana Nugraha
Jurnal Ilmiah Perawat Manado (Juiperdo) Vol 12 No 2 (2024): DESEMBER
Publisher : POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN MANADO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47718/jpd.v12i2.2524

Introduction: Cancer is a chronic disease with increasing prevalence globally, including in Indonesia, and has a significant impact on patients' quality of life. This impact includes not only physical, but also emotional and spiritual aspects, especially for patients undergoing chemotherapy, who often face physical side effects such as fatigue, pain, and psychological disorders such as anxiety and depression. Objective: This study aims to analyze the effectiveness of dhikr therapy in improving the quality of life of cancer patients during chemotherapy. Methods: The study used a quasi-experimental approach with a one-group pre-post test design. The sample consisted of 37 adult cancer patients undergoing chemotherapy at Sembiring General Hospital, selected by purposive sampling technique. Dhikr intervention was conducted for 4 weeks, with data collected using the WHOQOL-BREF questionnaire to measure quality of life, as well as dhikr activity logs. Data analysis used paired t-test to evaluate changes before and after the intervention. Results: This study showed a significant improvement in patients' quality of life after dhikr therapy. The mean change score reached -9.184 with a standard deviation of 4.373, and a p-value of 0.000 (p < 0.05), indicating that this difference was statistically significant. Conclusion: Dhikr therapy is effective in improving the quality of life of cancer patients, especially in the physical, emotional, and spiritual dimensions.

PENGARUH TERAPI RELAKSASI BENSON PADA PENURUNAN KADAR GULA DARAH PADA PENDERITA DIABETES MELLITUS TIPE 2 DI PUSKESMAS DELI TUA TAHUN 2025 Hasian, Muhammad Tsawaby; Rosaulina, Meta
Deli Medical and Health Science Journal Vol 3 No 1 (2025): Deli Medical And Health Science Journal (JDMHC)
Publisher : Fakultas Kedokteran, Institut Kesehatan Deli Husada Deli Tua

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jdmhc.v3i1.2763

Relaxation therapy is among the non-pharmacological methods that has been proven effective in addressing various health problems, including type 2 diabetes mellitus. One approach that can be applied is Benson relaxation therapy, which combines deep breathing techniques and positive suggestions to help reduce stress. This research aims to examine the effect of Benson relaxation therapy on lowering blood sugar levels in patients with type 2 diabetes mellitus. The methodology employed in this study was a quasi-experimental design with a one-group pre-post test approach. The total sample size for this study comprised 37 respondents, selected through purposive sampling techniques. The instrument utilized was an observation sheet, and testing was carried out with the Wilcoxon test. The findings indicated a significant decrease in blood sugar levels after the application of Benson relaxation therapy for 2 weeks (p<0.05) in type II diabetes mellitus patients at the Deli Tua Health Center. This decrease is due to the effect of therapy in reducing stress, that contributes significantly to the regulation of stress hormones and glucose metabolism. In conclusion, Benson relaxation therapy is effective as an additional therapy to help lower blood glucose levels in individuals with type 2 diabetes mellitus.

Tera Gymnastics for the Elderly: Community Empowerment in Controlling Hypertension Through Routine Physical Activity in Dusun III, Sidodadi Village, Biru-Biru District, Deli Serdang Regency Rosaulina, Meta; Manik, Maria Hermita; Sinambela, Megawati; Hasian, Muhammad Tsawaby; Siregar, Ripai
Jurnal Pengabdian Masyarakat Putri Hijau Vol 6 No 1 (2025): Jurnal Pengabdian Masyarakat Putri Hijau (JPMPH)
Publisher : INSTITUT KESEHATAN DELI HUSADA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpmph.v6i1.2805

Hypertension is a chronic medical condition in which blood pressure in the arteries increases persistently above normal values, namely ≥140 mmHg for systolic pressure and/or ≥90 mmHg for diastolic pressure. Hypertension is defined as a persistent increase in blood pressure that can be caused by various factors such as age, unhealthy lifestyle, stress, and lack of physical activity. This condition is generally found in the elderly group, due to changes in the function of aging organs and blood vessels. Indonesian Tera Gymnastics is a form of breathing exercise and slow movements, similar to Tai Chi, aimed at improving physical health and relaxation. For people with hypertension, this exercise helps lower blood pressure by improving heart function, breathing, and relaxation. The partners of this community service activity are villagers in Dusun III, Sidodadi Village, Biru-Biru District, Deli Serdang Regency. The method of this community service is counseling and Tera gymnastics. The results of the community service carried out through Tera gymnastics The results of blood pressure measurements carried out before and after the implementation of Tera gymnastics showed a tendency to decrease blood pressure.

PENGARUH ERGONOMICS EXERCISES TERHADAP PENURUNAN TEKANAN DARAH PADA LANSIA DI UPT PUSKESMAS DELI TUA TAHUN 2025 Meta Rosaulina; Siti Marlina; Fahrizal Alwi
HEALTH CARE: JURNAL KESEHATAN Vol 14 No 2 (2025): Health Care : Jurnal Kesehatan
Publisher : IKES Payung Negeri Pekanbaru

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36763/hymc8r90

Hyperrternsion is ar problerm in ther erlderrly bercaruser it carn ber ar risk farctor for stroker arnd herarrt diserarser. Blood prerssurer in ther erlderrly with hyperrternsion ternds to ber unstarbler duer to larck of arctivity in ther erlderrly, irrergularr diert arnd irrergularr merdicartion. Hyperrternsion plarys arn importarnt roler in ther inciderncer of herarrt diserarser arnd stroker, wherrer this diserarser is ther numberr oner caruser of derarth arnd disarbility in ther world. Therrer arrer two trerartmernts thart carn ber givern to partiernts with hyperrternsion, narmerly pharrmarcologicarl arnd non-pharrmarcologicarl trerartmernt. Oner of ther non-pharrmarcologicarl therrarpiers carn ber doner by doing physicarl erxerrciser, oner of which is errgonomic erxerrciser. Ther purposer of this study wars to derterrminer ther erfferct of errgonomic erxerrciser on rerducing blood prerssurer in ther erlderrly who sufferr from hyperrternsion. Ther prer-erxperrimerntarl rerserarrch dersign userd ar oner group prerterst-postterst dersign. Ther numberr of sarmplers in this study arrer 43 rerspondernts using proportionarl sarmpling terchniquer. This errgonomic erxerrciser interrverntion wars givern for 2 wererks. Ther rersults of ther Wilxocon startisticarl terst in this study showerd thart therrer wars ar dercrerarser in blood prerssurer with ar significarnt varluer of systolic p varluer = 0.000 (p < 0.05) arnd diarstolic p varluer = 0.000 (p < 0.05). Barserd on ther rerserarrch findings, therrer is arn erfferct of errgonomic erxerrciser on rerducing blood prerssurer in ther erlderrly who sufferr from hyperrternsion. Ther arpplicartion of errgonomic erxerrciser is provern to ber arbler to rerducer blood prerssurer so thart it carn ber userful arnd arpplierd to ther erlderrly with hyperrternsion ars ar non- pharrmarcologicarl therrarpy.

Effectiveness Of Family-Centered Care-Based Supportive Educative Nursing Intervention (SENI) On Increasing Progressive Muscle Mobilization In Stroke Patients At Sembiring Deli Tua General Hospital In 2026 Meta Rosaulina; MARIA HERMITA MANIK; HELFRINA RAJAGUKGUK
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 8 No. 2 (2026): 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/za1kjy15

Stroke is a leading cause of disability and often results in motor function impairment, particularly a decrease in muscle mobilization ability. Stroke patient rehabilitation requires structured nursing interventions and active family involvement. Supportive Educative Nursing Intervention (SENI) based on Family-Centered Care is a nursing approach that emphasizes education, support, and family participation in the recovery process. This study used a quantitative research design with a quasi-experimental approach using a one-group pretest–posttest design. The independent variable was Supportive Educative Nursing Intervention (SENI) based on Family-Centered Care, while the dependent variable was progressive muscle mobilization in stroke patients. The sample consisted of 30 stroke patients undergoing rehabilitation at Sembiring general hospital Deli Tua in 2026 , selected using a purposive sampling technique. Data were collected using a progressive muscle mobilization observation sheet. The intervention was delivered through structured education, family assistance, and progressive muscle mobilization exercises in accordance with standard operating procedures (SOPs). Data were analyzed using univariate and bivariate analysis with the Wilcoxon Signed Rank Test. The results showed an improvement in progressive muscle mobilization ability after the intervention. Statistical analysis revealed a p-value of 0.000 (p < 0.05), indicating a significant effect of Supportive Educative Nursing Intervention based on Family-Centered Care on the improvement of progressive muscle mobilization in stroke patients. In conclusion, Supportive Educative Nursing Intervention (SENI) based on Family-Centered Care is quantitatively effective in improving progressive muscle mobilization in stroke patients and is recommended for implementation in rehabilitative nursing practice.

Tera Gymnastics for the Elderly: Community Empowerment in Controlling Hypertension Through Routine Physical Activity in Dusun III, Sidodadi Village, Biru-Biru District, Deli Serdang Regency Meta Rosaulina; Maria Hermita Manik; Megawati Sinambela; Muhammad Tsawaby Hasian; Ripai Siregar
Jurnal Pengabdian Masyarakat Putri Hijau Vol. 6 No. 1 (2025): Jurnal Pengabdian Masyarakat Putri Hijau (JPMPH)
Publisher : INSTITUT KESEHATAN DELI HUSADA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpmph.v6i1.2805

Hypertension is a chronic medical condition in which blood pressure in the arteries increases persistently above normal values, namely ≥140 mmHg for systolic pressure and/or ≥90 mmHg for diastolic pressure. Hypertension is defined as a persistent increase in blood pressure that can be caused by various factors such as age, unhealthy lifestyle, stress, and lack of physical activity. This condition is generally found in the elderly group, due to changes in the function of aging organs and blood vessels. Indonesian Tera Gymnastics is a form of breathing exercise and slow movements, similar to Tai Chi, aimed at improving physical health and relaxation. For people with hypertension, this exercise helps lower blood pressure by improving heart function, breathing, and relaxation. The partners of this community service activity are villagers in Dusun III, Sidodadi Village, Biru-Biru District, Deli Serdang Regency. The method of this community service is counseling and Tera gymnastics. The results of the community service carried out through Tera gymnastics The results of blood pressure measurements carried out before and after the implementation of Tera gymnastics showed a tendency to decrease blood pressure.

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