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All Journal Jurnal Keperawatan dan Fisioterapi (JKF) Jurnal Keperawatan Jurnal Pengmas Kestra (JPK) Journal of Information Systems Management and Digital Business
Ginting, Samuel
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Computer Science & IT Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Education Health Professions Medicine & Pharmacology Nursing Public Health Other

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Training on The Application of Nebulisation with The Semi Fowler Position in Controlling The Breath Frequency of Bronchial Asthma Patients At The GM Hospital Purba, Anita Gandaria; Simanjuntak, Elfrida; Ginting, Samuel; Kalvin, Freddy
JURNAL PENGMAS KESTRA (JPK) Vol. 4 No. 1 (2024): 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/jpk.v4i1.2194

Abstract

Respiratory disorders can attack anyone indiscriminately. It is often found that types of respiratory diseases such as asthma and ARI. The causes are varied, such as dirty air, bacteria, and viruses. The world death rate of 20% is caused by asthma which is estimated for the next 10 years if it is not treated properly. Bronchial asthma is a type of non-communicable but chronic disease of varying severity in the respiratory tract. Pharmacological therapy such as nebulization and non-pharmacological therapy such as the semi-Fowler position are appropriate treatments to be given to patients with bronchial asthma so that they can regulate the patient's respiratory frequency. Giving a nebulizer can overcome shortness of breath, relax bronchial spasms, liquefy phlegm, and clear the airways. Meanwhile, the semi-Fowler position can provide comfort in breathing so that the lungs become wider. This training activity was attended by PkM participants, namely 20 nursing staff. The series of PkM activities include the delivery of material, discussions, therapy demonstrations, and simulations of treating bronchial asthma patients using nebulization and the semi-Fowler position. The media used are a nebulizer, teaching aids, and SOP. The results of the PkM implementation show that the PkM participants have understood the benefits of nebulization in the semi-Fowler's position. Apart from that, PkM participants were also able to carry out the two treatments by the SOP which was implemented through simulation.
Yoga Gymnastics Training for Primigravida Pregnant Women in the Third Trimester Sitorus, Riris; Damayanti, Grace Erlyn; Ginting, Samuel
JURNAL PENGMAS KESTRA (JPK) Vol. 4 No. 2 (2024): 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/jpk.v4i2.2425

Abstract

Pregnancy is a process in which a woman carries a fetus after it occurs. In the process of labor, anxiety often arises in the prospective mother so it is recommended that the mother do light exercise such as yoga. Yoga is a recommended choice in preparation for labor, because this exercise is able to control breathing and relax the mind. Yoga breathing exercises will accelerate the blood flow rate so that oxygen is fulfilled for the mother and her fetus. In addition, yoga is also able to control anxiety so that it can achieve better health during childbirth. Training activities were given to 20 pregnant women participants at the Matahari clinic. The increase in knowledge of PkM participants was assessed based on the average pre- and post-test scores after being given material, demonstrations, and direct training. Yoga exercises for pregnant women were carried out based on standard SOPs, which were assisted by the PkM team in their implementation. The results of the training showed that PkM participants were able to carry out yoga exercises according to the SOP. In addition, participants also received direct benefits in the form of physical and mental health. Through this training, it can also be seen that there has been an increase in participants' knowledge about yoga exercises in overcoming anxiety with a pre-test score of 5.95 to a post-test score of 7.55. Yoga exercises have been proven to improve participants' knowledge and skills in carrying out yoga exercises which are useful in maintaining health and controlling anxiety when giving birth.
The Effect Of Yoga Exercise On Anxiety In Third Semester Primigravida Pregnant Women Sitorus, Riris; S, Grace Erlyn Damayanti; Ginting, Samuel; Diah Evawanna Anugerah
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.v7i1.2301

Abstract

Primigravida mothers are mothers who are experiencing pregnancy for the first time. Primigravida mothers are usually not ready to face pregnancy because it is something new to experience. The unpreparedness of primigravida mothers occurs both physically and psychologically. Anxiety is a feeling of discomfort manifested by restlessness, worry or fear. This is a manifestation of psychological and physiological factors. The third trimester is a time of alertness where at this time, pregnant women understand that their child can be born at any time. Mothers also feel impatient with the birth of the baby which makes mothers alert and vigilant. Anxiety during pregnancy can trigger changes in physical activity, sleep and nutrition. This can have an impact on fetal development and changes in the mother's mood. Yoga is a complementary therapy that can be an option to overcome anxiety in pregnant women, especially primigravida mothers in the third trimester. The design of this study was One Group Pretest and Posttest with the population being all primigravida pregnant women in the third trimester who checked their pregnancy at the Matahari Clinic. This study was tested on 17 samples taken using a purposive sampling technique. The results of the study showed that there was an average decrease in anxiety of 7.0000 and a p value of 0.000, which means that yoga exercises have an effect on reducing anxiety in pregnant women. So it is expected that midwives in the clinic are expected to apply yoga exercises to overcome anxiety in pregnant women, especially primigravida pregnant women in the third trimester.
Strengthening the Role of Family in the Management of Pressure Ulcers in Stroke Patients at Grandmed Hospital, Lubuk Pakam Wati, Syatria; Fauzan, Yovi; Ginting, Samuel; Simarmata, Pratiwi Christa; Sitepu, Debi Dinha Octora
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/mmbqr630

Abstract

Stroke is a type of catastrophic illness characterized by high incidence and disability rates. It significantly impairs physical function and increases the risk of developing pressure ulcers. Pressure ulcers, or decubitus ulcers, occur due to prolonged pressure, friction, and moisture exposure, leading to skin tissue damage in areas of the body that bear weight during periods of immobility. Family support plays a crucial role in the rehabilitation of stroke patients, particularly in providing basic care, assisting with mobility, and preventing complications. This community engagement program (PkM) aimed to enhance family capacity in managing pressure ulcers through educational and practical interventions. Family involvement was facilitated through structured education and hands-on training to encourage active participation in supporting comprehensive patient recovery. The PkM activities were delivered using an educational and participatory approach to 25 participants, all of whom were family members of stroke patients currently hospitalized at Grandmed Hospital, Lubuk Pakam. The program implementation consisted of four stages: preparation, sample selection, execution, and evaluation. The results showed a significant improvement in participants’ knowledge, with an average increase of 32.6 points (59.1%) regarding the role of families in pressure ulcer care. Additionally, 92% of participants demonstrated competency in performing basic stroke care, and 96% expressed high satisfaction with the program. This PkM initiative effectively strengthened the role of families in managing pressure ulcers in stroke patients, thereby contributing to increased patient motivation and improved quality of life.
OPTIMALISASI PENUGASAN KARYAWAN MENGGUNAKAN METODE HUNGARIAN PADA KANTOR CABANG POS AIMAS Rumetna, Matheus; Lina, Tirsa Ninia; Nahuway, Astry; Ginting, Samuel; Rieuwpassa, Yonas; Lelmaya, Yulvin; Fanindi, Aristoteles; Purba, Hebron
Journal of Information Systems Management and Digital Business Vol. 2 No. 4 (2025): Juli
Publisher : Yayasan Nuraini Ibrahim Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70248/jismdb.v2i4.2535

Abstract

The advancement of communication technology has significantly influenced the operational dynamics of postal delivery services, including those at the Aimas Postal Branch Office (KCP Aimas) in Sorong Regency, Southwest Papua. One of the main challenges faced is the assignment problem in allocating employees for package delivery, particularly the imbalance between the number of workers and the volume of tasks. This study aims to optimize task allocation using the Hungarian Method, a linear programming approach specifically designed to solve assignment problems. The data collected include employee names, delivery destinations, and estimated travel times. The analysis involved constructing a mathematical model of the assignment problem and solving it using the Hungarian Method, supported by the POM-QM software. The findings show that the optimal total delivery time is 155 minutes, with an efficient distribution of tasks: Alexander is assigned to housing units 1–3 (40 minutes), I Gede to route Km. 24–26 (65 minutes), and Aristoteles to the Mariat Pantai–Tugu Merah area (50 minutes). These results indicate that the application of the Hungarian Method, supported by POM-QM software, not only accelerates the calculation process but also enhances the accuracy of workload distribution. Overall, this approach contributes significantly to operational efficiency and the improvement of employee productivity.
PENGARUH POSISI ORTOPNEA TERHADAP NILAI SATURASI OKSIGEN PADA PASIEN PENYAKIT PARU OBSTRUKTIF KRONIK (PPOK) Ginting, Samuel; Nurwahyuni, Sri; Syatriawati, Syatriawati
Jurnal Keperawatan Vol. 18 No. 2 (2025): Volume 18, Nomor 2, Juli 2025
Publisher : LPPM Akper Dian Husada Mojokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56586/jk.v18i2.481

Abstract

Penyakit Paru Obstruktif Kronik (PPOK) merupakan gangguan respirasi kronis yang umumnya menyerang individu usia lanjut akibat penurunan fungsi paru dan pertukaran gas, serta disertai morbiditas yang tinggi. Penelitian ini bertujuan untuk mengetahui pengaruh posisi ortopnea terhadap nilai saturasi oksigen pada pasien PPOK. Metode penelitian merupakan kuasi eksperimen dengan desain one group pretest-posttest, dengan jumlah 23 responden yang dipilih melalui teknik purposive sampling. Intervensi posisi ortopnea dilakukan selama tiga hari, dan pengukuran saturasi oksigen dilakukan sebelum dan sesudah intervensi. Hasil menunjukkan peningkatan signifikan pada nilai saturasi oksigen, di mana sebagian besar pasien yang sebelumnya memiliki saturasi <95%, mengalami peningkatan menjadi 95–100% setelah intervensi. Uji paired sample t-test menunjukkan nilai p = 0,000, dengan penurunan nilai rerata dari 1.83 menjadi 1.26. Dapat disimpulkan bahwa posisi ortopnea efektif sebagai intervensi non-farmakologis untuk meningkatkan oksigenasi pada pasien PPOK.
Efectivity of The Combination of Lateral and Semi fowler Positions Against Hemodynamics of Heart Failure Congestive in GrandMed Hospital Lubuk pakam Pitriani, Pitriani; Simarmata, Pratiwi Christa; Ginting, Samuel; Syatriawati, Syatriawati; Hayati, Kardina
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 8 No. 1 (2025): 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/nsrbff34

Abstract

Congestive Heart Failure (CHF) remains a major health problem worldwide, with high prevalence and significant mortality rates. This condition is characterized by the heart’s inability to pump blood adequately to meet tissue demands, leading to hemodynamic disturbances such as impaired respiration and reduced oxygen saturation. One of the simple nursing interventions that is believed to improve these conditions is body positioning. The combination of lateral and semi-fowler positions is expected to enhance venous return, optimize lung expansion, and support ventilation in CHF patients. This study aimed to evaluate the effectiveness of combining lateral and semi-fowler positions in improving hemodynamic status, specifically respiratory pattern and oxygen saturation, among patients with congestive heart failure at GrandMed Hospital, Lubuk Pakam.A pre-experimental design with a one-group pretest-posttest approach was employed. A total of 23 respondents were selected using purposive sampling based on inclusion criteria. Respiratory rate and oxygen saturation were measured before and after the intervention. Data were analyzed using the Wilcoxon Test with a significance level of α = 0.05.Prior to the intervention, most patients experienced tachypnea (78%) and low oxygen saturation (52.2%). Following the intervention, improvements were observed, with 60.9% of patients achieving normal respiratory patterns and 56.5% showing adequate oxygen saturation, while only 8.7% remained in the low category. Statistical analysis revealed significant differences in respiratory rate (mean difference = 0.391; Z = -3.873; p = 0.001) and oxygen saturation (mean difference = 0.783; Z = -3.873; p = 0.001).The combination of lateral and semi-fowler positions proved effective in reducing tachypnea and enhancing oxygenation in patients with congestive heart failure. This intervention may serve as a simple, practical, and applicable nursing measure to support hemodynamic stability in CHF patients.
Co-Authors Damayanti, Grace Erlyn Diah Evawanna Anugerah Fanindi, Aristoteles Fauzan, Yovi Hayati, Kardina Kalvin, Freddy Lelmaya, Yulvin Matheus Supriyanto Rumetna Nahuway, Astry Nurwahyuni, Sri Pitriani, Pitriani Pratiwi Christa Simarmata Purba, Anita Gandaria Purba, Hebron Rieuwpassa, Yonas S, Grace Erlyn Damayanti Simanjuntak, Elfrida Sitepu, Debi Dinha Octora Sitorus, Riris Syatriawati Syatriawati Tirsa Ninia Lina