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Siti Zahara Nasution
Program Studi Magister Ilmu Keperawatan, Fakultas Keperawatan, Universitas Sumatera Utara
Health Professions Nursing Public Health

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Efektivitas mobilisasi dini terhadap nyeri punggung pada pasien pasca prosedur percutaneous coronary intervention Santi Ranti Lina Sihombing; Dudut Tanjung; Siti Saidah Nasution; Tasrif Hamdi; Siti Zahara Nasution
Hik Vol. 20 No. 6 (2026): Volume 20 Nomor 6
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v20i6.3403

Abstract

Background: Back pain caused by prolonged bed rest is a common complication following Percutaneous Coronary Intervention (PCI) via femoral access, which can decrease patient comfort and delay recovery. Purpose: To determine the effectiveness of early mobilization in reducing back pain among post-PCI patiens. Method: This study employed a randomized controlled trial (RCT) design with a pretest-posttest control group approach and was conducted from March to April 2026 at Murni Teguh Hospital in Medan. The sampling technique used was random sampling, with a sample size of 66 participants divided into an intervention group and a control group. The independent variable in this study was early mobilization, while the dependent variable was the level of back pain. Data analysis included univariate analysis in the form of frequency distributions and bivariate analysis using the Wilcoxon Signed-Rank Test, the Mann-Whitney Test, and multiple linear regression. Results: The median pain score in the intervention group decreased from 6 to 0, whereas the control group remained at a median score ogf 6. There was a statiscally significant difference in pain reduction between the two groups (p=0.000) with a large effect size (r=0.800). Multivariate analysis identified early mobilization as the most influential factor associated with back pain reduction. Conclusion: Early mobilization is an effective and safe evidance-based nursing intervention for reducing back pain in post-PCI patients.   Keywords: Back Pain; Cardiovascular; Early mobilization; Percutaneous Coronary Intervention (PCI).
Hubungan dukungan keluarga dengan motivasi menjalani pengobatan pada pasien stroke Sondang Marisi Widyawati Sagala; Siti Zahara Nasution; Jenny Marlindawani Purba; Kiking Ritarwan; Evi Karota
Hik Vol. 20 No. 6 (2026): Volume 20 Nomor 6
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v20i6.3422

Abstract

Background: Stroke is one of the leading causes of disability and mortality worldwide, requiring long-term treatment. Patient motivation is an important factor in the success of treatment and recovery processes. Family support may play a significant role in maintaining patients' motivation during treatment. Purpose: To analyze the relationship between family support and motivation to undergo treatment among stroke patients. Method: This study employed a cross-sectional design with a total sample of 85 respondents selected through consecutive sampling. The study was conducted at the Neurology Outpatient Clinic of Dr. Pirngadi Regional General Hospital, Medan, from February 9 to March 26, 2026. Data were collected using questionnaires and analyzed using the Spearman correlation test and multiple linear regression analysis. Results: This study showed a significant relationship between family support and motivation to undergo treatment (r=0.488; p=0.000). In the multivariate analysis, instrumental support (β=0.325; p=0.007) and appraisal support (β=0.319; p=0.049) showed significant relationships, whereas emotional support (β=0.073; p=0.650) and informational support (β=-0.176; p=0.291) were not statistically significant. Conclusion: Family support is associated with motivation to undergo treatment among stroke patients, with instrumental support being the most dominant dimension. Suggestion: Structured family-based nursing interventions are therefore necessary to support treatment motivation among stroke patients.   Keywords: Family Support; Stroke; Treatment Motivation.
Pengaruh contrast bath terhadap nyeri pada pasien diabetic neuropathy Shela Ajeng Prasiska; Diah Arruum; Dudut Tanjung; Siti Zahara Nasution; Mula Tarigan
Hik Vol. 20 No. 4 (2026): Volume 20 Nomor 4
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v20i4.3492

Abstract

Background: Diabetic neuropathy is a chronic complication of diabetes mellitus that often causes neuropathic pain, impacting participants' quality of life. Pain management requires not only pharmacological therapy but also effective, safe, and easy-to-implement non-pharmacological interventions, one of which is contrast bath therapy. Purpose: To analyze the effect of contrast bath therapy on pain reduction in patients with diabetic neuropathy. Method: This study used a quasi-experimental design with a non-equivalent pretest-posttest control group design. The study sample consisted of 66 participants, 33 in the intervention group and 33 in the control group. This study was conducted at the Bhayangkara Hospital Class II Medan from September 2025 to April 2026. The intervention group received contrast bath therapy, a foot immersion technique involving warm water at 30°C for 3 minutes, followed by cold water immersion at 8–10°C for 1 minute. This was done in 5 cycles, with a total time of approximately 20 minutes. The control group received a 10-minute immersion in fresh water at 25°C. Pain was measured using the 4-question neuropathy instrument (DN4). Data analysis was performed using paired t-tests and independent t-tests. Results: This study showed a significant reduction in pain in the intervention group after contrast bath therapy (p < 0.05). The control group also showed significant changes, but the degree of change was smaller than the intervention group. Conclusion: Contrast bath therapy is effective in reducing neuropathic pain in patients with diabetic neuropathy. This therapy can be recommended as a simple, safe, and economical non-pharmacological nursing intervention to help improve the quality of life of patients with diabetic neuropathy. Suggestion: Future studies should involve a larger sample size and be conducted in different hospitals or healthcare facilities. Furthermore, intervention models that combine contrast baths with educational programs, physical exercise, or other self-management approaches should be developed.   Keywords: Contrast Bath; Diabetic Neuropathy Patients; Pain.
Hubungan paparan media sosial dan peran orang tua dengan kemampuan literasi aktif tentang kesehatan reproduksi pada remaja Andelia Fitranie; Siti Zahara Nasution; Arlinda Sari Wahyuni; Evi Karota Bukit
Hik Vol. 20 No. 7 (2026): Volume 20 Nomor 7
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v20i7.3744

Abstract

Background: Adolescents often encounter various reproductive health challenges due to their limited ability to access, understand, evaluate, and appropriately utilize health-related information. In the digital era, social media has become a prominent source of health information, while parents continue to play a crucial role in shaping adolescents’ understanding and behaviors related to reproductive health. Purpose: To analyze the relationship between social media exposure and parental role with active reproductive health literacy among adolescents. Method: A quantitative study with a cross-sectional design was conducted using proportional random sampling involving 112 students. Data were collected through questionnaires developed based on the Health Belief Model (HBM) to assess social media exposure, parental role, and active reproductive health literacy. Data were analyzed using descriptive statistics and Spearman Rank correlation tests. Results: Most respondents demonstrated high levels of social media exposure (95.5%), strong parental involvement (89.3%), and good active reproductive health literacy (94.6%). The findings revealed a significant positive relationship between social media exposure and active reproductive health literacy (p<0.001; r=0.339). A significant positive relationship was also identified between parental role and active reproductive health literacy (p<0.001; r=0.433). Conclusion: Social media exposure and parental role were positively and significantly associated with active reproductive health literacy among adolescents. The relationship between parental role and active reproductive health literacy was stronger than that between social media exposure and active reproductive health literacy.   Keywords: Active Literacy; Adolescents; Parental Role; Reproductive Health; Social Media.
Co-Authors Andelia Fitranie Arlinda Sari Wahyuni Diah Arruum Dudut Tanjung Evi Karota Evi Karota Bukit Jenny Marlindawani Purba Kiking Ritarwan Mula Tarigan Santi Ranti Lina Sihombing Shela Ajeng Prasiska Siti Saidah Nasution Sondang Marisi Widyawati Sagala Tasrif Hamdi