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IMPLEMENTASI LATIHAN FLEKSI WILLIAM PADA GAMBARAN KARAKTERISTIK NYERI PUNGGUNG BAWAH LANSIA DENGAN  RHEMATOID  ARTHRITIS  (RA)  DI  UPT  PELAYANAN SOSIAL  LANJUT USIA BINJAI Daulay, Amanda Ulfa Hawari; Pratama, Muchti Yuda; Olivia, Nina
SINERGI : Jurnal Riset Ilmiah Vol. 2 No. 12 (2025): SINERGI : Jurnal Riset Ilmiah, Desember 2025
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/sinergi.v2i12.1991

Abstract

Rheumatoid Arthritis (RA) in the elderly is a chronic systemic autoimmune disease that causes inflammation of connective tissue, primarily in the joints. Common complaints among patients include lower back pain and mobility disorders. William's flexion exercise is a stretching technique targeting body muscles to promote relaxation, increase range of motion, provide comfort, and help prevent injuries. This study aims to describe the implementation of William's flexion exercise for reducing lower back pain in elderly patients with RA. The research method used is descriptive, presented in the form of a scientific paper with a nursing care approach, starting from assessment, diagnosis, intervention, implementation, and evaluation. The nursing care plan instrument was based on the Indonesian Nursing Intervention Standards (SIKI, 2018). This study involved two elderly RApatients who experienced mild to severe lower back pain. William's flexion exercise was implemented for 30 minutes over six days. The results showed a reduction in lower back pain, from moderate to mild pain levels. In conclusion, the implementation of William's flexion therapy demonstrated a decrease in the painscale among elderly patients with RA. It is recommended that this intervention be developed into a Standard Operating Procedure (SOP) for managing lower back pain in elderly RA patients in geriatric care units.
IMPLEMENTASI ELDERLY FITNESS EXERCISE DENGAN NYERI   SENDI  OSTEOARTHRITIS  (OA)  DI  UPT  PELAYANAN SOSIAL LANJUT USIA BINJAI Sitompul, Desi; Pratama, Muchti Yuda; Olivia, Nina
SINERGI : Jurnal Riset Ilmiah Vol. 2 No. 12 (2025): SINERGI : Jurnal Riset Ilmiah, Desember 2025
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/sinergi.v2i12.1992

Abstract

Joint pain caused by osteoarthritis (OA) is a common health condition among the elderly, often resulting in decreased mobility and reduced quality of life. This condition leads to limitations in daily activities and increases the risk of complications due to prolonged immobility. One of the non-pharmacological interventions that can be applied is Elderly Fitness Exercise, which aims to improve physical fitness, reduce pain, and maintain joint flexibility. This study aims to describe the implementation of Elderly Fitness Exercise in elderly individuals with osteoarthritic joint pain. The research employed a case study design using the nursing care process approach, which includes assessment, diagnosis, planning, implementation, and evaluation. The subjects were two elderly individuals with knee osteoarthritis experiencing moderate pain. Data were collected through interviews, observation, physical examination, as well as documentation using pain assessment scales and fitness evaluation sheets. The intervention was conducted over six consecutive days in February 2025. The findings indicate a reduction in pain levels, improvement in mobility, and increased joint flexibility following the consistent implementation of the exercise. This study concludes that Elderly Fitness Exercise is an easily applicable intervention to relieve joint pain and help improve physical fitness in elderly individuals with OA
IMPLEMENTASI RANGE OF MOTION (ROM) AKTIF PADA LANSIA DENGAN RHEMATOID ARTRITIS (RA) YANG MENGALAMI NYERI SENDI EKSTREMITAS BAWAH DI UPT PELAYANAN SOSIAL LANJUT USIA BINJAI Winda Wulandari Sembiring; Muchti Yuda Pratama; Nina Olivia
EMPIRIS : Jurnal Sains, Teknologi dan Kesehatan Vol. 2 No. 4 (2025): EMPIRIS : Jurnal Sains, Teknologi dan Kesehatan, Desember 2025
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/empiris.v2i4.2100

Abstract

Rheumatoid arthritis (RA)is an autoimmune disease that causes inflammation ana pain in the joints, particularly in the lower extremities. Active range of motion (ROM)is a physiotherapy intervention that can help improve mobiliry and reduce joint pain. ROM movements can enhance blood circulation to the joint capsule and increase joint flexibility, thereby reducing or even eliminating pain and improving physical mobility. This study aims to implement active ROM exercises in elderly individuals experiencing joint pain in the lower extremities. The research employed a descriptive method in the form of a scientific care approach, starting a from evaluation. The mild 10 ROM paper using nursing assessment, diagnosis,intervention .implementation,to subjects were two elderly individuals experiencing moderate joint pain in the lower extremities.Active exercises were implemented for 15 minutes, twice a day,over a period of 6 days. The results showed a reduction in pain scale from moderate to mild after administering ROM exercises to both subjects for 6 days. The implementation ofROM exercises should be carried out continuously.along with the development of standard operating procedures for ROM exercises in RA patients experiencing lower extremity joint pain.
IMPLEMENTASI 12 BALANCE EXERCISE UNTUK MEMPERTAHANKAN KESEIMBANGAN POSTURAL PADA LANSIA DENGAN PENYAKIT RHEUMATOIDARTHRITIS (RA) DI UPT PELAYANAN SOSIAL LANJUT USIA BINJAI Elvinna, Yulvi; Olivia, Nina; Pratama, Muchti Yuda
SINERGI : Jurnal Riset Ilmiah Vol. 2 No. 12 (2025): SINERGI : Jurnal Riset Ilmiah, Desember 2025
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/sinergi.v2i12.2058

Abstract

ABSTRACT Rheumatoid Arthritis (RA) is a chronic autoimmune disease that causes joint inflammation and is commonly experienced by the elderly. This condition affects body balance and increases the risk of falls. One non-pharmacological method to improve postural balance is the application of the 12 Balance Exercise. This exercise aims to strengthen the lower extremity muscles and enhance the function of the vestibular system. This study used a descriptive case study method with a nursing care approach. starting from assessment. nursing diagnosis, implementation, and evaluation. involving two elderly patients with RA who had postural balance disturbances. The intervention applied was the 12 Balance Exercise for two weeks with a frequency of three times per week. Each session lasted 15 minutes and was evaluated using the Berg Balance Scale (BBS). After six intervention sessions, the results showed an improvement in postural balance scores in both patients, shifting from a moderate fall-risk category to a low fall-risk category. The patients demonstrated better ability to stand and walk without assistance. This study concludes that the application of the 12 Balance Exercise is effective in improving postural balance among elderly patients with RA and reducing the risk of falls. The implementation of the 12 Balance Exercise can be used as part of nursing interventions and a standard approach for elderly individuals with balance disorders due to RA in geriatrie care units ABSTRAK Rheumatoid Arthritis (RA) adalah penyakit autoimun kronis yang menyebabkan peradangan pada sendi dan sering dialami oleh lansia. Kondisi ini dapat mengganggu keseimbangan postural dan meningkatkan resiko jatuh. Salah satu metode non-farmakologis untuk meningkatkan keseimbangan postural adalah dengan penerapan 12 Balance Exercise. Latihan ini bertujuan memperkuat otot ekstremits bawah dan sistem vestibular. Metode penelitian ini merupakan studi kasus deskriptif pada dua lansia penderita RA dengan gangguan keseimbangan postural di UPT pelayanan Sosial Lanjut Usia Binjai. Intervensi yang diberikan adalah 12 Balance Exercise selama dua minggu dengan frekuensi tiga kali perminggu. Setiap sesi latihan dilakukan selama 15 menit dan dinilai dengan menggunakan Berg Balance Scale (BBS). Hasil penelitian ini setelah dilakukan intervensi selama dua minggu, terjadi peningkatan skor keseimbangan postural pada kedua pasien, dari kategori resiko jatuh sedang menjadi resiko jatuh rendah. Pasien menunjukan kemampuan yang lebih baik dalam berdiri dan berjalan tanpa bantuan. Kesimpulan dari penerapan 12 Balance Exercise efektif dalam menngkatkan keseimbangan postural pada lansia dengan RA serta menurunkan resiko jatuh. Saran penelitian ini latihan 12 Balance Exercise dapat dijadikan sebagai bagian dari intervensi keperawatan standar untuk lansia dengan gangguan keseimbangan akibat RA di unit pelayanan lanjut usia. 
IMPLEMENTASI   EDUKASI   TERHADAP  SELF EFFICACY PADA LANSIA YANG MENGALAMI NYERI RHEUMATOID ARTRITHIS (RA) DI UPT PELAYANAAN SOSIAL LANJUT USIA Nikmah, Villa Edilla Alfiatun; Pratama, Muchti Yuda; Olivia, Nina
SINERGI : Jurnal Riset Ilmiah Vol. 3 No. 2 (2026): SINERGI : Jurnal Riset Ilmiah, February 2026
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/sinergi.v3i2.2384

Abstract

The pain sensation in Rheumatoid Arthritis (RA) leads to decreased self-efficacy, namely an individual's belief in their ability to perform activities. One of the non- pharmacological methods to address this pain problem is through education on warm compress therapy. This therapy provides a warming sensation that can enhance comfort and reduce pain. The objective of this study is to describe the implementation of warm compress education on self-efficacy in elderly patients with RA. This research employed a descriptive design with a nursing care approach, encompassing the stages of assessment, diagnosis, intervention, implementation, and evaluation. The study involved two elderly respondents experiencing moderate pain intensity and self-efficacy scores below 30 in RA. Warm compress therapy was administered for 20 minutes, twice a week. To assess self-efficacy, the Patient Self-Efficacy Questionnaire (PSEQ) was used. The findings indicated an increase in self-efficacy from below 30 to above 60, as well as improvement in respondents' ability to perform daily activities. In addition, joint pain intensity decreased from a moderate level to a mild level. This study is expected to serve as a reference for patients to implement the therapy and as a source for developing Standard Operating Procedures (SOP) for pain management in RA patients at elderly care facilities.
IMPLEMENTASI RANGE OF MOTION (ROM) EXERCISE DINI PADA PASIEN POST ORIF FRAKTUR CRURIS TERHADAP KEMAMPUAN KEKUATAN OTOT DI RUMAH SAKIT TK II PUTRI HIJAU MEDAN Aptria, Lenny; Olivia, Nina; Pratama, Muchti Yuda
SINERGI : Jurnal Riset Ilmiah Vol. 3 No. 2 (2026): SINERGI : Jurnal Riset Ilmiah, February 2026
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/sinergi.v3i2.2385

Abstract

Open Reduction Internal Fixation (ORIF) procedures in patients with fractures often result in pain, which leads to limited mobility and decreased muscle strength. These issues can prolong the bone healing process. Early implementation of Range of Motion (ROM) exercises can improve muscle strength, maintain joint flexibility, enhance blood circulation, and accelerate wound healing. This study aims to describe the implementation of early ROM exercises in post-ORIF patients with cruris fractures and their effect on muscle strength. The research method used was a case study design with a nursing care approach, starting from assessment, diagnosis, intervention, implementation, and evaluation, involving two post-ORIF cruris fracture patients. The instrument used was a Manual Muscle Testing (MMT) observation sheet, with data collected through interviews, observation, physical examination, and nursing documentation. The study was conducted in February 2025 over three days, and data were analyzed narratively. The results showed improvements in muscle strength, reduction of pain, and increased joint flexibility through ROM exercises. The study concludes that early ROM exercises demonstrate an increase in muscle strength and a reduction in pain level.
PENDIDIKAN KESEHATAN DAN KETERAMPILAN KADER KESEHATAN  MENCEGAH STUNTING DALAM 1000 HPK Olivia, Nina; Nisrina, Nisrina; Pratama, Muchti Yuda; Simamora, Endang R.; Siburian, Citra
BESIRU : Jurnal Pengabdian Masyarakat Vol. 3 No. 2 (2026): BESIRU : Jurnal Pengabdian Masyarakat, Februari 2026
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/besiru.v3i2.2400

Abstract

Stunting merupakan masalah gizi kronis yang berdampak pada kualitas kesehatan, pendidikan, dan produktivitas sumber daya manusia serta berkontribusi terhadap masalah sosial ekonomi masyarakat. Periode 1000 hari pertama kehidupan (HPK) merupakan masa kritis yang sangat menentukan pertumbuhan dan perkembangan anak, sehingga pencegahan stunting perlu dilakukan secara optimal melalui pemberdayaan posyandu dan kader kesehatan. Kegiatan PKM ini bertujuan meningkatkan pengetahuan dan keterampilan kader kesehatan dalam pencegahan stunting pada 1000 HPK. Kegiatan dilaksanakan di Desa Jaharun, Galang, Kabupaten Deli Serdang melalui metode pendidikan kesehatan dan keterampilan. Tahap pelaksanaan meliputi persiapan, pelaksanaan, serta evaluasi dan monitoring. Intervensi berupa edukasi tentang stunting, prakonsepsi, dan 1000 HPK, serta pelatihan pengukuran lingkar lengan atas (LILA), BB, dan TB. Evaluasi dilakukan menggunakan pre-test dan post-test serta observasi. Hasil menunjukkan peningkatan pengetahuan kader dari 30% menjadi 100% kategori baik, serta seluruh kader mampu melakukan pengukuran dengan benar. Kegiatan ini efektif meningkatkan kapasitas kader dalam pencegahan stunting berbasis komunitas.
ASUHAN   KEPERAWATAN   PADA   PASIEN   DENGAN GANGGUAN  SISTEM  KARDIOVASKULAR : HIPERTENSI DI RUMAH SAKIT TK II PUTRI HIJAU MEDAN Meilani Dwi Sasmita; Pratama, Muchti Yuda; Jundapri, Kipa
EMPIRIS : Jurnal Sains, Teknologi dan Kesehatan Vol. 1 No. 4 (2024): EMPIRIS : Jurnal Sains, Teknologi dan Kesehatan, Desember 2024
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/89rrgj70

Abstract

  Hipertensi merupakan kondisi tubuh yang ditandai dengan tekanan darah sistolik lebih dari 140 mmhg dan tekanan diastolik lebih dari 90 mmhg dengan dua kali pengukuran atau lebih. Penanganan pada pasien hipertensi jika tidak tepat akan menyebabkan komplikasi. Tujuan penelitian ini adalah memberikan asuhan keperawatan pada pasien dengan gangguan sistem kardiovaskular: hipertensi. Metode penelitian: penelitian deskriptif, dengan pendekatan asuhan keperawatan medikal bedah meliputi pengkajian, menentukan diagnosa keperawatan, melakukan intervensi dan implementasi seperti: melakukan pengukuran tekanan darah, mencatat kualitas denyut nadi sentral dan perifer, mengauskultasi tonus jantung dan suara napas, mengamati warna kulit, kelembapan, suhu, dan waktu pengisian kapiler, mencatat adanya edema, memberikan lingkungan yang tenang, nyaman, mempertahankan pembatasan aktivitas, membantu melakukan perawatan diri sesuai kebutuhan, menganjurkan teknik relaksasai, guided imagery dan distraksi, dan kolaborasi dengan dokter pemberian obat hipertensi, serta melakukan evaluasi tindakan keperawatan yang telah dilakukan. Hasil penelitian: setelah dilakukan implementasi keperawatan selama 6 hari pada kasus 1 dan 2 dinyatakan berhasil mengatasi masalah resiko perfusi serebral tidak efektif dengan menunjukkan hasil sakit kepala sudah mulai tidak terasa lagi, dan tekanan darah normal. Kesimpulan: tindakan asuhan keperawatan pada pasien dengan gangguan sistem kardiovaskuler: hipertensi sangatlah efektif dilakukan. Saran diharapkan dapat memberikan perawatan
IMPLEMENTASI PERAWATAN LUKA UNTUK PENCEGAHAN INFEKSI PADA PASIEN DIABETES MELLITUS TIPE II  DI RUMAH SAKIT TK II PUTRI HIJAU MEDAN Nurhaminda; Pratama, Muchti Yuda; Jundapri, Kipa
EMPIRIS : Jurnal Sains, Teknologi dan Kesehatan Vol. 1 No. 4 (2024): EMPIRIS : Jurnal Sains, Teknologi dan Kesehatan, Desember 2024
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/74pwvn79

Abstract

Diabetes melitus tipe II (DM) atau sering disebut penyakit kencing manis adalah penyakit kronis yang terjadi karena pankreas tidak mampu menghasilkan cukup insulin atau karena tubuh tidak dapat secara efektif menggunakan insulin yang dihasilkan oleh pankreas. Tujuan penelitian ini adalah melakukan implementasi perawatan luka untuk mencegan infeksi pada klien diabetes melitus tipe II. Metode penelitian ini adalah desain studi kasus dengan pendekatan asuhan keperawatan medikal bedah yang terdiri dari: pengkajian, diagnosa keperawatan yaitu resiko infeksi berhubungan dengan penyakit kronis (diabetes melitus), menentukan intervensi dan implementasi yaitu perawatan luka, setra melakukan evaluasi. Hasil penelitian diperoleh bahwa implementasi luka dapat mencegah infeksi dengan hasil pada kasus 1 yaitu sebelum implementasi kedalaman luka yaitu 1 cm dan lebar 4 cm setelah implementasi kedalaman luka menjadi 1 cm dan lebar menjadi 3 cm, sedangkan pasien 2, sebelum diberikan implementasi perawatan luka dengan kedalaman 2 cm dan lebar 6 cm dan setelah dilakukan implementasi kedalaman luka menjadi 2 cm dan lebar menjadi 6 cm. Kesimpulan dan saran penelitian ini diharapkan implementasi perawatan luka dapat mencegah terjadinya infeksi pada pasien diebetes melitus tipe II..
Co-Authors Ade Saputra Nasution Adi Antoni Afina Muharani Syaftriani Af’idah, Huwaina Alfi, Alfi Syahri Anita Sari Harianja Aptria, Lenny Auliani, Febi Dania, Ira Aini Daulay, Amanda Ulfa Hawari Deni Susyanti Devy, Sisca Doni Hariansyah Dwi Helynarti Syurandhari Eliska Eliska Elvinna, Yulvi Emdat Suprayitno Emdat Suprayitno Erita Gustina Fakhrurradhi Luthf Fakhrurradhi Luthfi Fitriani Pramita Gurning Fitriani, Arifah Devi Fitriani, Enny Gunawan, Roni Harahap, Desi Marwiyah Harianja, Anita Sari Hasanah, Putri Heryn Tywa Novelin Tambunan Ida Yustina Indis Via Annisa Irma Handayani Khairani, Ade Irma Kipa Jundapri Lermiana Br. Purba Meilani Dwi Sasmita Mompang Tua Parlagutan Mompang Tua Parlagutan Nanda Novziransyah Nikmah, Villa Edilla Alfiatun Nina Olivia Nina Olivia Nisrina Nisrina Nita Mayrani Siregar Nurhaminda Nurmaini Nurmaini Oklara Kristina Hutasoit Pebrianthy, Lola Putri Hasanah Putri Hasanah Putri Hasanah Ragayasa, Adivtian Rahayu, Anisyah Ratih Krisna Murti Resmi Pangaribuan Rezi Wahyuda Rustam, Muh Zul Azhri Setiawan, Igo Siburian, Citra Silla Syahfitri Simamora, Endang R. Simamora, Endang Roswati Simanjuntak, Tiara Hartati Siregar, Dian Maya Sari Siregar, Nita Mayrani Sitompul, Desi Suharto Suharto Suharto Suharto Surya Akbar Suvi Novida Syahfitri, Silla Syaiful Syaiful Sylvina Rahmawati Tiara Hartati Simanjuntak Veronica, Sinta Virginia Syafrinanda Winda Wulandari Sembiring Wulandari, Dwi Pasma Setyo Wulandari, Sephia Ayang Zulkarnain Zulkarnain