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IMPLEMENTASI RENTANG GERAK DENGAN PENINGKATAN KEKUATAN OTOT PASCA STROKE ISKEMIK DI RUMAH SAKIT TK II PUTRI HIJAU MEDAN simorangkir, Nadya; Fentiana, Nina; Ariyanti, Ika
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.v2i12.2021

Abstract

ABSTRACT Ischemic stroke is one of the most common types of stroke and can lead to impaired motor function, particularly muscle weakness and limited range of motion in the extremities. Range of motion (ROM) exercises and muscle strengthening play an important role in restoring motor function. This study aimed to examine the implementation of range-of-motion exercises to improve muscle strength in post- ischemic stroke patients at TK II Putri Hijau Hospital Medan. This research employed a descriptive method with a case study approach, following nursing care stages including assessment, nursing diagnosis, intervention, implementation, evaluation, and the use of a muscle strength assessment sheet. The results showed an improvement in muscle strength in both patients: the first patient's muscle strength increased from grade 2 to grade 3, while the second patient's muscle strength increased from grade 1 to grade 2. The study concludes that implementing range-of-motion exercises effectively improves muscle strength in post-ischemic stroke patients. It is recommended that these exercises be performed independently by patients and considered as part of nursing interventions for ischemic stroke care. ABSTRAK Stroke iskemik merupakan salah satu jenis stroke yang paling umum terjadi dan dapat menyebabkan gangguan fungsi motorik,terutama kelemahan otot dan keterbatasan rentang gerak pada ektremitas.pada latihan rentang gerak (ROM) dan penguatan otot berperan penting dalam pemulihan fungsi motoric.Tujuan penelitian ini untuk mengetahui implementasi rentang gerak dengan peningkatan kekuatan otot pasca stroke iskemik di Rumah Sakit TK II Putri Hijau Medan. metode yang digunakan dalam penelitian ini menggunakan metode deskriptif dengan pendekatan metode studi kasus melalui tahapan asuhan keperawatan yang mencakup pengkajian, diagnosa ,intervensi,implementasi,dan evaluasi keperawatan,dan lembar pemeriksaan kekuatan otot. Hasil penelitain ini menunjukkan adanya peningkatan kekuatan otot pada kedua pasien: kekuatan otot pada pasien pertama dari 2 meningkat menjadi 3 sedangkan kekuatan otot pasien kedua dari 1 meningkat menjadi 2.Kesimpulan dari penelitian implementasi rentang gerak dengan peningkatan kekuatan otot pasca stroke iskemik efektif dalam meningkatkan kekuatan otot pada pasien stroke iskemik.saran latihan rentang gerak diharapkan dapat diterapkan secara mandiri oleh pasien dan juga dapat dijadikan bagian dari intervensi keperawatan pada pasien stroke iskemik
IMPLEMENTASI TERAPI GENGGAM BOLA UNTUK MENGATASI HAMBATANMOBILITAS FISIK PADA PASIEN STROKE ISKEMIK DI RUMAH SAKITTK II PUTRI HIJAU MEDAN Halawa, Agnes Monika; Ariyanti, Ika; Fentina, 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.v2i12.2031

Abstract

ABSTRACT Ischemic stroke is the third leading cause of death worldwide,both in developed and developing countries,after coronary heart disease and cancer.It is also a medical emergency requiring immediate intervention to minimize brain damage and prevent death or disability.This study aims to describe the implementation ofball-grip therapy in overcoming physical mobility impairment in ischemic stroke patients. This research used a descriptive case study design,with data collected through observation sheets and blood pressure assessment forms.The results showed an improvement in upper extremity muscle strength in both patients:in the first patient,muscle strength increased from grade I to grade 3,and in the second patient,muscle strength also increased from grade I to grade 3.It can be concluded that ball-grip therapy is effective in addressing physical mobility impairment in ischemic stroke patients.This therapy is recommended as a complementary treatment for ischemic stroke patients, both in hospital settings and at home. Ischemic stroke,ball-grip therapy,physical mobility,muscle strength, case study. ABSTRAK Stroke iskemik merupakan penyakit klinis yang menjadi penyebab kematian nomor tiga di dunia baik dinegara maju maupun dinegara berkembang, setelah penyakit jantung koroner dan kanker. Stroke iskemik juga kondisi darurat medis yang memerlukan penanganan segera untuk meminimalkan kerusakan otak dan mencegah kematian atau kecacatan. Penelitian ini bertujuan untuk mengetahui gambaran implementasi terapi genggam bola dalam mengatasi hambatan mobilitas fisik pada pasien stroke iskemik. Metode penelitian ini merupakan deskriptif dengan jenis penelitian studi kasus. Dilakukan dengan mengumpulkan data menggunakan lembar observasi dan lembar pemeriksaan tekanandarah. Hasil penelitian ini menunjukkan adanya peningkatan kekuatan otot ekstremitas atas pada kedua pasien: pasien pertama kekuatan otot dari 1 meningkat menjadi 3 sedangkan kekuatan otot pasien kedua dari 1 meningkat menjadi 3, Dapat disimpulkan bahwa terapi genggam bola efektif dalam mengatasihambatan mobilitas fisik pada pasien stroke iskemik. Saran diharapkandapat menjadi terapi pendamping bagi penderita stroke iskemik yang dirawat dirumah sakit maupun di rumah. Kata Kunci: Stroke iskemik, terapi genggam bola, mobilitasfisik, kekuatan otot, studi kasus.
IMPLEMENTASI CONTRAST BATH UNTUK MENURUNKAN OEDEMA KAKI PADA PASIEN CONGESTIVE HEART FAILURE (CHF) DI RUMAH SAKIT TK II PUTRI HIJAU MEDAN Qalbi, Miranda Fauza; Ariyanti, Ika; Fentiana, 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.v2i12.2039

Abstract

BSTRACT One of the most common cardiovascular diseases with high morbidity andmortality rates is Congestive Heart Failure (CHF). Patients with CHF frequentlyexperience lower limb edema, which can cause significant discomfort. This study aimed to evaluate the implementation of contrast bath therapy in reducing pedal edema among CHF patients at TKII Putri Hijau Hospital, Medan. This research employed a descriptive case study approach using nursing care stages, including assessment, diagnosis, intervention, implementation, and evaluation, supported by observation sheets and physical examinations. The study involved two respondents at TK I/ Putri Hijau Hospital, Medan. The findings showed that after three days of intervention, edema was reduced: in Case I, pitting edema decreased from grade 2+ (4 mm) to grade I+ (1 mm), andin Case Il, from grade +2 (5 mm) to grade I+ (2 mm) following the application of contrast bath therapy. In conclusion, complementary therapy using contrast bath is effective in reducing pedal edema in CHF patients. It is recommended that contrast bath therapy be considered as an adjunct intervention in the managementof edema among CHF patients. ABSTRAK Salah satu penyakit kardiovaskular yang paling umum dengan tingkat morbiditas dan mortalitas yang tinggi adalah Congestive Heart Failure (CHF). Pasien dengan CHF sering mengalami oedema tungkai, yang dapat menyebabkan ketidaknyamanan. Tujuan untuk mengetahui implementasi contrast bath dalam menurunkan oedema kaki pada pasien CHF di Rumah Sakit TK II Putri Hijau Medan. Metode penelitian ini menggunakan deskriptif dengan pendekatan metode studi kasus dengan tahapan asuhan keperawatan yang mencakup pengkajian, diagnosa, intervensi, implementasi, dan evaluasi serta lembar observasi dan pemeriksaan fisik. Penelitian ini dilakukan dengan dua responden di Rumah Sakit TK II Putri Hijau Medan. Hasil penelitian diperoleh setelah dilakukan 3 hari penelitian didapatkan oedema berkurang, pitting oedema pada kasus I dari derajat 2+ 4mm turun menjadi 1+ 1mm, dan pada kasus 2 yaitu derajat 2+ 5mm turun menjadi derajat 1+ 2mm setelah diberikan contrast bath. Kesimpulan terapi komplementer contrast bath efektif menurunkan oedema kaki pada pasien CHF. Saran diharapkan terapi komplementer contrast bath dapat dijadikan sebagai intervensi pendamping dalam manajemen oedema pada pasien CHF.
Cyber Threat Analysis to Personal Data in the Digital Era A. Hamdani; Bilqis Sofia; Farah Salsabilla Aulia Rahmah; Ika Ariyanti
Journal of Artificial Intelligence and Engineering Applications (JAIEA) Vol. 5 No. 2 (2026): February 2026
Publisher : Yayasan Kita Menulis

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59934/jaiea.v5i2.2017

Abstract

The development of information technology provides convenience in daily life, but at the same time increases the risk of cyber threats to users' personal data. This study aims to analyze the level of user vulnerability to digital threats and the factors that influence personal data security, including the role of digital literacy and user behavior. The method used is descriptive qualitative, collecting data through a literature review, structured observation of digital device usage patterns, and semi-structured interviews with a number of selected users. The results show that weak password management practices, the tendency to share personal information, and low awareness of suspicious links or applications are the main causes of data vulnerability. The level of attention to vulnerability evaluation, security awareness, and security audits remains low, even though users are aware of potential threats. These findings confirm that digital literacy and user behavior play a crucial role in reducing risks. Therefore, improving cybersecurity education, implementing safe digital practices, and conducting regular security audits and evaluations are necessary to effectively protect personal data and build a safer digital culture.
EDUKASI PERTOLONGAN PERTAMA PADA KEGAWATDARURATAN CEDERA OLAHRAGA UNTUK MENINGKATKAN KESIAPSIAGAANSISWA SEKOLAH DASAR DI MEDAN Handerman Vitu; Ika Ariyanti; Ahmad Wildan Afifi; Erita Gustina; Jessika Caroline; Launa Kasri Br Ketaren
MAJU : Indonesian Journal of Community Empowerment Vol. 3 No. 4 (2026): MAJU : Indonesian Journal of Community Empowerment, Juli 2026
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/maju.v3i4.2844

Abstract

Elementary school students are at risk of sports-related injuries during physical education, extracurricular activities, and play, while their knowledge of appropriate first aid remains limited. This community service program aimed to improve students' preparedness in providing basic first aid for sports injuries at SD Negeri 060801 Medan. The program was conducted through health education using lectures, interactive discussions, demonstrations, and simulation of first aid procedures for common sports injuries. Educational media and simple first aid equipment were utilized to facilitate students' understanding and active participation. The evaluation results showed an improvement in students' knowledge and preparedness to recognize sports injuries, perform appropriate initial responses, and seek assistance from teachers or health personnel when necessary. The program also increased students' awareness of the importance of safe behavior during sports activities. This educational intervention is expected to support the development of a safer and more prepared school environment in managing sports-related emergencies.
PENGARUH JALAN KAKI TERHADAP KETIDAKSTABILAN GLUKOSA DARAH PADA PASIEN DIABETES MELLITUS TIPE 2 Nina Fentiana; Ika Ariyanti; Erita Gustina; Handerman Vitu Gea; Kayla Azuri Faradiba
EMPIRIS : Jurnal Sains, Teknologi dan Kesehatan Vol. 3 No. 1 (2026): EMPIRIS : Jurnal Sains, Teknologi dan Kesehatan, Maret 2026
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/empiris.v3i1.2464

Abstract

Diabetes mellitus is a chronic non-communicable disease whose incidence continues to increase globally. This disease occurs due to insufficient insulin production or insulin does not work effectively, making blood glucose levels difficult to control. The purpose of this study was to determine whether physical walking can stabilize blood glucose in type II diabetes mellitus patients at Putri Hijau Class II Hospital, Medan. This study used a quasi-experimental study with a control group. The sampling technique used was a purposive sampling technique so that the number of samples obtained according to the inclusion criteria was 40 participants who were divided into two groups: 20 participants in the intervention group and 20 participants in the control group. Based on the Wilcoxon test, there was a significant effect p <0.000. The results of the study showed that physical activity intervention walking can stabilize blood sugar levels in type II diabetes mellitus patients. It can be concluded that doing walking regularly can stabilize blood glucose. Suggestions are expected for type II diabetes mellitus patients to apply walking as a non-pharmacological therapy. It is hoped that it can be a complementary therapy for type II diabetes mellitus sufferers who are treated in hospital or at home
Implementasi Senam Kaki Diabetik Terhadap Gambaran Karakteristik Kadar Gula Darah Sewaktu Pada Pasien Diabetes Mellitus Tipe Ii Di Rumah Sakit TK II Putri Hijau Medan Wiwin Sinaga; Ika Ariyanti; Nina Fentiana
Sinergi : Jurnal Ilmiah Multidisiplin Vol. 2 No. 1 (2026): Sinergi: Jurnal Ilmiah Multidisiplin
Publisher : PT. AHLAL PUBLISHER NUSANTARA

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Diabetes Mellitus type II merupakan penyakit kronis yang menimbulkan komplikasi jika kadar gula darah tidak dikendalikan. Tujuan penelitian ini untuk mengetahui gambaran implementasi senam kaki diabetik terhadap kadar gula darah sewaktu pada pasien Diabetes Mellitus type II. Penelitian ini menggunakan metode deskriptif dengan pendekatan metode studi kasus melalui tahapan asuhan keperawatan yang mencakup pengkajian, diagnosa, intervensi, implementasi, evaluasi serta lembar observasi dan pemeriksaan kadar gula darah. Penelitian dilakukan dengan dua responden di Rumah Sakit TK II Putri Hijau Medan. Hasil dari penelitian ini menunjukkan adanya penurunan kadar gula darah pada kedua pasien: pasien pertama dari 245 mg/dL menjadi 185mg/dL sedangkan pasien kedua dari 230mg/dL menjadi 170mg/dL. Kesimpulan dari penelitian Implementasi Senam kaki diabetik efektif dalam membantu mengendalikan kadar gula darah sewaktu pada pasien Diabetes Mellitus type II. Saran Latihan senam kaki diabetik diharapkan dapat diterapkan secara mandiri oleh pasien dan juga dapat dijadikan bagian dari Intervensi keperawatan pada pasien Diabetes Mellitus type II. Kata kunci: Diabetes Mellitus Type II, Senam Kaki Diabetik, Kadar Gula Darah Sewaktu Abstract Type II Diabetes Mellitus is a chronic disease that can lead to complications if blood glucose levels are not properly controlled. This study aims to describe the implementation of diabetic foot exercise on random blood glucose levels in patients with Type II Diabetes Mellitus. The study employed a descriptive method using a case study approach through nursing care stages, including assessment, diagnosis. intervention, implementation, evaluation, as well as observation sheets and blood glucose examinations. The research involved two respondents at TK II Putri Hijau Hospital Medan. The findings showed a decrease in random blood glucose levels in both patients: in the first patient, from 245 mg/dL. to 185 mg/dl, and in the second patient, from 230 mg/dl. to 170 mg/dL. The study concludes that the implementation of diabetic foot exercise is effective in helping to control random blood glucose levels in patients with Type II Diabetes Mellitus. It is recommended that patients perform diabetic foot exercises independently and that these exercises be considered as part of nursing interventions for Type II Diabetes Mellitus patients," Keywords: Type II Diabetes Mellitus. Diabetic Foot Exercise, Random Blood Glucose Levels
IMPLEMENTASI POSISI SEMI FOWLER PADA PASIEN CONGESTIVE HEART FAILURE (CHF) DENGAN GANGGUAN POLA NAPAS DI RUMAH SAKIT TK II PUTRI HIJAU MEDAN Fidia Nurul Khafizah; Nina Fentiana; Ika Ariyanti
SINERGI : Jurnal Riset Ilmiah Vol. 3 No. 1 (2026): SINERGI : Jurnal Riset Ilmiah, January 2026
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/sinergi.v3i1.2264

Abstract

Congestive Heart Failure (CHF) is a complex syndrome characterized by impaired ventricular function in pumping blood, leading to symptoms such as shortness of breath. This study aims to describe the implementation of the semi-Fowler's position in CHF patients with ineffective breathing patterns. This research used a descriptive case study design, carried out through nursing care stages including assessment, diagnosis, intervention, implementation, and evaluation, along with observation sheets andphysical examinations. The study was conducted on two respondents at TK II Putri Hijau Hospital, Medan. The results showed an improvement in oxygen saturation (Sp02) in both patients after the semi-Fowler 's position was applied. In the first patient, Sp02 increased from 95% to 97%, while in the second patient, it increased from 94% to 98%. The findings indicate that the semi-Fowler's position helps improve respiratory quality and increase oxygen saturation in CHF patients. This intervention is recommended as an easily implemented non-pharmacological nursing approach for inpatient care. Nurses are encouraged to apply this intervention for CHF patients.
IMPLEMENTASI DISCHARGE PLANNING TENTANG PERSONAL HYGIENE  PADA  PASIEN  STROKE  ISKEMIK DI RUMAH SAKIT TK II PUTRI HIJAU MEDAN Novi Arista Widya Astuti; Nina Fentiana; Ika Ariyanti
SINERGI : Jurnal Riset Ilmiah Vol. 3 No. 1 (2026): SINERGI : Jurnal Riset Ilmiah, January 2026
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/sinergi.v3i1.2267

Abstract

Ischemic stroke is a serious non-communicable disease worldwide, characterized by functional impairment affecting the brain, such as nerve paralysis caused by a lack of oxygen supply to the brain. This study aims to describe the implementation of discharge planning regarding personal hygiene for ischemic stroke patients. This research used a case study method with a nursing care approach, including assessment, diagnosis. intervention, implementation, and evaluation. Data were collected using observation sheets and questionnaires. The results of this study showed an increase in knowledge regarding discharge planning on personal hygiene in both patients: in the first patient, knowledge level increased from 46% (poor) to 86% (good), and in the second patient, knowledge level increased from 46% (poor) to 86% (good). It can be conclude that discharge planning related to personal hygiene is effective in improving the understanding and ability of families to care for patients at home, thereby helping reduce the risk of complications. It is recommended that families regularly apply personal hygiene practices to prevent complications such as skin infections and body odor
Co-Authors A. Hamdani Ahmad Wildan Afifi Arni Juwita Bilqis Sofia CINDY CINDY Cinsih Rotua Lubis Deni Susyanti Erita Gustina Farah Salsabilla Aulia Rahmah Fentina, Nina Fidia Nurul Khafizah Halawa, Agnes Monika Handerman Vitu Handerman Vitu Gea Hanna M. Karo Karo Hasnida Jadimanto, Jadimanto Jessika Caroline Juwita, Arni Kayla Azuri Faradiba Launa Kasri Br Ketaren Monika, Agnes Mula Tarigan Munawir Rifqi Nina Fentiana Nina Olivia Noor Miyono Novi Arista Widya Astuti Olivia , Nina Permana, Dina Putri Putra, Pratama Qalbi, Miranda Fauza Resmi Pangaribuan Retnaningdyastuti Retnaningdyastuti Simamora, Endang Roswati Simorangkir, Nadya SUHARTO Suka, Sri Ulina Br Ginting Virginia Syafrinanda Wiwin Sinaga Wiwin Wiwin, Wiwin