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HUBUNGAN ANTARA KONTRIBUSI EDUCATOR OLEH PERAWAT DALAM DISCARE PLANNING DENGAN TINGKAT KEDISIPLINAN PASIEN GAGAL GINJAL KRONIK YANG MELAKUKAN HEMODIALISA SECARA RUTIN Rina Situmorang, Paskah; Lingga, Rugun Togianur; Berutu, Heriaty; Herlina, Meriani; Noradina, Noradina; Silalahi, Bernita; Ritonga, Yuni Shanti; Harefa, Sehardi Natal; Manurung, Sarida Surya
Jurnal Ilmiah Keperawatan IMELDA Vol. 10 No. 2 (2024): Jurnal Ilmiah Keperawatan IMELDA
Publisher : Program Studi S1/DIII-Keperawatan Universitas Imelda Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jikeperawatan.v10i2.1537

ABSTRACT Hemodialysis is dialysis therapy as a kidney replacement in patients with CKD. One of the problems that cause hemodialysis failure is the problem of compliance in patients with chronic kidney failure who undergo hemodialysis therapy. Therefore, the role of health workers is very much needed in providing understanding to patients regarding discharge planning in order to get better care to achieve the patient's quality of life. If the patient is not disciplined in maintaining his life by obediently carrying out hemodialysis therapy according to the doctor's recommendations, shortness of breath, edema, ascites will occur and will cause many long-term complications which will ultimately increase mortality. With quality instructions from nurses or a good understanding of discharge planning, it is hoped that it can improve the discipline of CKD patients in carrying out hemodialysis therapy. This study aims to determine whether there is a relationship between the contribution of educators by nurses in discharge planning and the level of discipline of chronic kidney failure patients who undergo regular hemodialysis at RSU IPI Medan. This type of quantitative research with a correlation research design. Data collection used was an educator contribution questionnaire by nurses in discharge planning which consisted of 21 questions. The population in this study was all CKD patients undergoing hemodialysis therapy, totaling 52 people. With an accidental sampling technique. The research results were tested using the Chi-Square test with a (p) value of <0.001 <0.05, meaning that there is a relationship between the provision of discharge planning and the level of discipline of CKD patients undergoing hemodialysis therapy, so it is hoped that all health workers will provide clear information to patients regarding the importance of carrying out hemodialysis therapy so that the patient's quality of life is more optimal.

Peningkatan Pengetahuan dalam Pengenalan Tanda-Tanda Bahaya pada Ibu Hamil Lingga, Rugun Togianur; Berutu, Heriaty; Manik, Herlina Evi Yanti
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 8, No 2 (2025): Volume 8 No 2 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v8i2.18730

ABSTRAK Tanda dan bahaya kehamilan merupakan gejala yang menunjukkan bahwa ibu dan janin dalam keadaan yang perlu diwaspadai. Kehamilan merupakan hal yang sehat. Namun kehamilan yang normal juga dapat berubah menjadi kehamilan yang tidak sehat atau bermasalah. Salah satu hal yang bisa dilakukan Ibu hamil untuk pendeteksian sejak dini tanda-tanda bahaya kehamilan dengan melihat adanya komplikasi mungkin terjadi selama kehamilan dengan cara memeriksakan kehamilan secara rutin (Alam, 2012). Maka dari itu ibu hamil perlu mendapat pengetahuan tentang tanda-tanda bahaya kehamilan. Tujuan kegiatan ini adalah untuk meningkatkan pengetahuan dari perilaku ibu hamil tentang tanda-tanda bahaya kehamilan. Manfaat kegiatan untuk membantu ibu hamil Desa Sitinjo II Kecematan Sitinjo meningkatkan kepedulian terhadap tanda-tanda bahaya kehamilan sebagai upaya pencegahan terjadinya tanda-tanda bahaya kehamilan. Khalayak sasaran dalam kegiatan penyuluhan ini adalah ibu hamil Desa Sitinjo II Kecamatan Sitinjo Kabupaten Dairi Berjumlah 30 orang dilaksanakan pada hari Jumat tanggal 22 November 2024. Ada 4 tahapan kegiatan: Pertama melaksanakan Pre test, Kedua memberikan edukasi melalui ceramah, diskusi, tanya jawab dan demonstrasi, ketiga melakukan evaluasi atau post test. Edukasi dilaksanakan dengan metode ceramah, tanya jawab, diskusi, simulasi dan demonstrasi. Pengetahuan ibu hamil sebelum edukasi mayoritas cukup sebanyak 53,33% tetapi setelah diberikan edukasi menjadi mayoritas baik sebanyak 50,00%. Kata Kunci: Pengetahuan, Tanda Bahaya, Ibu Hamil ABSTRACT Signs and dangers of pregnancy are symptoms that indicate that the mother and fetus are in a state that needs to be watched out for. Pregnancy is a healthy thing. However, a normal pregnancy can also turn into an unhealthy or problematic pregnancy. One of the things that can be done by pregnant women to detect early signs of danger of pregnancy by looking for complications that may occur during pregnancy by having regular pregnancy checks (Alam, 2012). Therefore, pregnant women need to gain knowledge about the danger signs of pregnancy. The purpose of this activity is to increase the knowledge of pregnant women about the danger signs of pregnancy. The benefits of the activity are to help pregnant women in Sitinjo II Village, Sitinjo Sub-district increase awareness of the danger signs of pregnancy as an effort to prevent the occurrence of danger signs of pregnancy. The target audience in this counseling activity is pregnant women in Sitinjo II Village, Sitinjo District, Dairi Regency, totaling 30 people, held on Friday, November 22, 2024. There are 4 stages of activity: First carry out the Pre test, Second provide education through lectures, discussions, questions and answers and demonstrations, third conduct an evaluation or post test. Education was carried out using lecture, question and answer, discussion, simulation and demonstration methods. The majority of pregnant women's knowledge before education was sufficient as much as 53.33%. but after being given education, the majority was good as much as 50.00%. Keywords: Knowledge, Danger Signs, Pregnant Women

Penerapan Therapi Relaksasi pada Lansia Hipertensi Berutu, Heriaty; R, Maria Magdalena Saragi
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 8, No 1 (2025): Volume 8 No 1 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v8i1.17808

ABSTRAK Hipertensi adalah peningkatan tekanan darah di atas normal yaitu meningkatnya sistolik (bagian atas) dan diastolik (bagian bawah) pada pemeriksaan tekanan darah yang menggunakan alat pengukur tekanan darah. Pada masyarakat lanjut usia (lansia) adalah kelompok rentan yang sangat berisiko mengalami gangguan pada kesehatan. Tujuan pengabdian Masyarakat adalah untuk memberikan edukasi PMR dan penerapan terapi relaksasi progressive muscle relaxation (PMR) terhadap lansia. Pengabdian kepada masyarakat dilakukan dalam bentuk edukasi dan simulasi pada lansia berjumlah 30 orang. Tujuan Pengabdian Kepada Masyarakat ini adalah untuk mewujudkan pengabdian kepada masyarakat sebagai salah satu kegiatan Tri Darma Perguruan Tinggi, meningkatkan pengetahuan lansia tentang penerapan therapi relaksasi otot progresif sebagai upaya pencegahan hipertensi. Dari hasil evaluasi diperoleh pengetahuan lansia sebelum diberikan edukasi pengetahuan baik sebanyak 50% dan pengetahuan kurang 50%, setelah dilakukan edukasi mayoritas baik sebanyak 83,3%. Simulasi terapi relaksasi otot progresif diperoleh hasil nilai p value 0,031 yang menunjukkan terdapat penurunan tekanan darah lansia setelah diberikan terapi relaksasi otot progresif. Dengan adanya kegiatan Pengabdian Kepada Masyarakat ini diharapakan kepada lansia dapat meningkatkan pengetahuan mengenai penerapan therapi relaksasi otot progresif sebagai upaya pencegahan hipertensi. Kata kunci: Penerapan relaksasi otot progresif, Lansia, Hipertensi ABSTRACT Hypertension is an increase in blood pressure above normal, namely an increase in systolic (upper) and diastolic (lower) in blood pressure examinations using a blood pressure measuring device. In the elderly community (elderly) is a vulnerable group that is at high risk of experiencing health problems. Community service is carried out in the form of education and simulation on 30 elderly people. The purpose of this Community Service is to realize community service as one of the Tri Dharma activities of Higher Education, increasing the knowledge of the elderly about the application of progressive muscle relaxation therapy as an effort to prevent hypertension. From the evaluation results obtained, the knowledge of the elderly before being given education was good knowledge of 50% and knowledge was lacking 50%, after education the majority was good as much as 83.3%. The simulation of progressive muscle relaxation therapy obtained a p value of 0.031 which showed a decrease in blood pressure in the elderly after being given progressive muscle relaxation therapy. With this Community Service activity, it is hoped that the elderly can increase their knowledge about the application of progressive muscle relaxation therapy as an effort to prevent hypertension. Keywords: Progressive muscle relaxation; elderly; hypertension

Pelatihan Kesiapsiagaan Lansia Menghadapi Bencana Angin Puting Beliung: Program Kemitraan Masyarakat di Desa Bintang Mersada, Sumatera Utara Hutagalung, Perak Maruli Asi Roha; Berutu, Heriaty; Lingga, Rugun Togianur
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 8, No 10 (2025): Volume 8 No 10 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v8i10.22418

ABSTRAK Indonesia merupakan salah satu negara paling rawan bencana di dunia, dan kelompok lanjut usia (lansia) termasuk populasi paling rentan. Kabupaten Dairi di Sumatera Utara mengalami kejadian angin puting beliung berulang, namun pengetahuan dan kesiapsiagaan lansia masih rendah. Penelitian ini bertujuan mengevaluasi efektivitas edukasi dan pelatihan kesiapsiagaan dalam meningkatkan pengetahuan dan keterampilan lansia menghadapi bencana angin puting beliung. Desain kuasi-eksperimen dengan pendekatan pre–post test dilakukan pada 50 peserta lansia berusia 48–81 tahun. Intervensi berupa edukasi melalui ceramah, diskusi, dan tanya jawab serta simulasi kesiapsiagaan bencana. Data dikumpulkan menggunakan kuesioner terstruktur sebelum dan sesudah intervensi, kemudian dianalisis secara deskriptif dan komparatif. Sebelum intervensi, 72% peserta tidak mengetahui bahaya angin puting beliung dan 50% tidak tahu tindakan yang harus dilakukan saat bencana. Setelah intervensi, 90% peserta memiliki pengetahuan baik tentang angin puting beliung, dan 58% mampu menjelaskan langkah kesiapsiagaan yang tepat, termasuk menutup pintu/jendela, mematikan listrik dan gas, menyiapkan tas siaga, serta berlindung di tempat aman. Edukasi dan simulasi secara signifikan meningkatkan pengetahuan dan kesiapsiagaan lansia. Pendekatan berbasis komunitas efektif untuk meningkatkan resiliensi kelompok rentan di daerah rawan bencana. Pelatihan berkesinambungan dan integrasi dengan program desa sangat direkomendasikan. Kata Kunci: Kesiapsiagaan Bencana, Lansia, Angin Puting Beliung, Pengabdian Masyarakat, Indonesia. ABSTRACT Indonesia is one of the most disaster-prone countries in the world, and older adults are among the most vulnerable populations. Dairi Regency in North Sumatra experiences repeated tornadoes, yet their knowledge and preparedness remain low. This study aimed to evaluate the effectiveness of preparedness education and training in improving the knowledge and skills of older adults in dealing with tornadoes. A quasi-experimental design with a pre-posttest approach was conducted with 50 elderly participants aged 48–81 years. The intervention included education through lectures, discussions, and question-and-answer sessions, as well as disaster preparedness simulations. Data were collected using structured questionnaires before and after the intervention and then analyzed descriptively and comparatively. Before the intervention, 72% of participants were unaware of the dangers of tornadoes, and 50% did not know what to do in the event of a disaster. After the intervention, 90% of participants had good knowledge about tornadoes, and 58% were able to explain appropriate preparedness steps, including closing doors/windows, turning off electricity and gas, preparing an emergency bag, and taking shelter in a safe place. Education and simulations significantly improve the knowledge and preparedness of older adults. Community-based approaches are effective in increasing the resilience of vulnerable groups in disaster-prone areas. Continuous training and integration with village programs are highly recommended. Keywords: Disaster Preparedness, Elderly, Tornado, Community Services, Indonesia.

PENGARUH SENAM OTAK DALAM MENINGKATKAN FUNGSI KOGNITIF DAN KESIAGAAN MENGHADAPI GANGGUAN KONSENTRASI PADA ANAK USIA 4-5 TAHUN DI TK NEGERI PEMBINA SIDIKALANG Berutu, Heriaty; Lingga, Rugun Togianur; Arianti, Wiwik Dwi
Jurnal Ilmiah Keperawatan IMELDA Vol. 10 No. 2 (2024): Jurnal Ilmiah Keperawatan IMELDA
Publisher : Program Studi S1/DIII-Keperawatan Universitas Imelda Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jikeperawatan.v10i2.1747

ABSTRACT Education for early childhood is an effort to provide and provide guidance to help the physical and spiritual growth and development of children from birth to 6 years of age so that they are ready to enter the next stage of education. The quality of a child's future development is largely determined by the stimulation they receive from an early age. Providing educational stimulation is very important, because 80% of brain growth develops at an early age. Brain exercises are used as a method to improve cognitive abilities or memory and concentration in children. This research aims to determine the effect of brain exercises in improving cognitive function and preparedness to deal with concentration disorders in students at Pembina Kindergarten, Dairi Regency. The study design in this research is quasi experimental with one group pre test and post test design. Determining the sample for this study used the G-Power application version 3.1.9.7 with T-test, one tail, effect size 0.85, alpha error 0.05, and power 0.80, so a minimum of 16 plus a possibility of error of 10% are needed, so the respondents needed in this study totaling 18 respondents. Brain exercise is carried out 3 (three) times a week for a week and evaluation is carried out on the seventh day. The results of this study used bivariate analysis, namely the Wilcoxon statistical test to identify cognitive function and preparedness for facing concentration problems before and after brain exercise. The results of this study show that there are differences in cognitive function and preparedness for concentration disorders between before and after brain exercise with a P value of 0.002 and a P value of 0.001. This shows that there is a statistically significant difference in cognitive function and preparedness for dealing with concentration problems before and after being given the intervention with a P value <0.05. Conclusion: Brain exercise training has an effect on cognitive function and preparedness for facing concentration problems in children 4-5 years old in Kindergarten Pembina, Dairi Regency.

PENGARUH REBUSAN DAUN SELEDRI DAN JUS MENTIMUN UNTUK MENURUNKAN TEKANAN DARAH PADA PENDERITA HIPERTENSI DI WILAYAH KERJA PUSKESMAS SIGALINGGING KAB. DAIRI Berutu, Heriaty; Lingga, Rugun Togianur
Jurnal Ilmiah Keperawatan IMELDA Vol. 11 No. 1 (2025): Jurnal Ilmiah Keperawatan IMELDA
Publisher : Program Studi S1/DIII-Keperawatan Universitas Imelda Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jikeperawatan.v11i2.1860

WHO states that the blood pressure limit is 120-140 mmHg and systolic pressure is 80-90 mmHg. Hypertension is often found in developed societies, both men and women, old and young and the symptoms are not clearly visible. This disease is called silent diseases and is a major risk factor for the development or cause of heart disease and stroke. If not controlled, it will cause damage to other organs of the body, such as the brain, kidneys, and eyes and paralysis of the organs of movement. The purpose of the study was to determine the effect of celery decoction combined with cucumber juice to lower blood pressure in people with hypertension. The research method used a quantitative approach using Quasi Experimental Design where the experimental group and the control group were not selected randomly. In this design, both the experimental group and the control group were compared, although the group was selected and placed without going through random. The two existing groups were given a pretest, then given treatment, and finally given a posttest. The study population was all patients who had hypertension and who were treated in the Health Center Work Area. This study was conducted in the Sigalingging Health Center work area, Dairi Regency. The sample in the study were patients diagnosed with hypertension, which based on an initial survey, was found to be 44 people using data analysis techniques, univariate analysis and bivariate analysis with t-paired.

PENGARUH TERAPI SENTUHAN TERHADAP KENAIKAN BERAT BADAN PADA BAYI PREMATUR DI RSUD SIDIKALANG Berutu, Heriaty; Lingga, Rugun Togianur; Arianti, Wiwik Dwi
Jurnal Ilmiah Keperawatan IMELDA Vol. 11 No. 2 (2025): Jurnal Ilmiah Keperawatan IMELDA
Publisher : Program Studi S1/DIII-Keperawatan Universitas Imelda Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jikeperawatan.v11i2.2024

A premature baby is a baby born before 37 weeks of gestation. Generally, premature babies in Indonesia weigh less than expected and are at high risk of various health complications, including growth and developmental disorders, one of which is slow weight gain. The purpose of this study was to examine the effect of touch therapy on weight gain in premature babies at Sidikalang Regional General Hospital. The method was a correlational study with a one-group pre-test and post-test design. The population was 16 premature babies born in the Perinatology Ward of Sidikalang Regional General Hospital. Purposive sampling was used for sampling. The research instruments were the tools used for data collection. Data collection used standard operating procedures (SOP) for infant massage, infant massage equipment, and baby weight scales, as well as checklists. Statistical analysis used the Wilcoxon Signed Rank Test. The results showed an effect of infant massage therapy on weight gain in premature babies, with the Wilcoxon test showing a Z value of -3.535 and p = 0.000 (p < 0.00). Conclusion: There is an effect of infant massage therapy on weight gain in premature babies.

EDUKASI CARA MELAKUKAN LATIHAN FISIK ATAU OLAHRAGA YANG AMAN BAGI PENDERITA DIABETES MELITUS DI PUSKESMAS SIGALINGGING KECAMATAN PARBULUAN KABUPATEN DAIRI Berutu, Heriaty; Lingga, Togianur; Arianti, Wiwik Dwi
Jurnal Ilmiah Pengabdian Kepada Masyarakat (Ji-SOMBA) Vol. 5 No. 1 (2025): Jurnal Ilmiah Pengabdian Kepada Masyarakat (Ji-SOMBA)
Publisher : Universitas Imelda Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jisomba.v5i1.2074

Diabetes Melitus (DM) merupakan salah satu penyakit tidak menular yang mengalami peningkatan signifikan setiap tahun, baik di tingkat global maupun nasional. Kondisi ini disebabkan oleh ketidakmampuan pankreas dalam memproduksi insulin yang cukup atau ketidakmampuan tubuh untuk menggunakan insulin secara efektif. Kurangnya aktivitas fisik yang teratur menjadi salah satu faktor risiko yang memperburuk kondisi penderita DM. Kegiatan pengabdian kepada masyarakat ini bertujuan untuk memberikan edukasi kepada penderita DM mengenai cara melakukan latihan fisik atau olahraga yang aman dan terukur guna mencegah komplikasi serta meningkatkan kualitas hidup. Kegiatan pengabdian dilakukan di Puskesmas Sigalingging Kecamatan Parbuluan Kabupaten Dairi pada bulan April 2024. Metode pelaksanaan kegiatan meliputi pemeriksaan kesehatan awal, pre-test, pemberian edukasi dan demonstrasi, serta post-test untuk mengevaluasi peningkatan pengetahuan peserta. Kegiatan ini melibatkan Penderita DM sebanyak 41 orang, Tim Pengabdian kepada Masyarakat terdiri dari 3 (Tiga) orang dosen dan 5 (Lima) orang mahasiswa, Kepala Puskesmas Sigalingging beserta staff dokter dan perawat, dan kader- kader Puskesmas. Hasil menunjukkan adanya peningkatan signifikan dalam pengetahuan peserta mengenai olahraga yang aman bagi penderita DM setelah diberikan edukasi. Dengan demikian, kegiatan ini berkontribusi dalam upaya pencegahan komplikasi dan pengendalian kadar gula darah melalui penerapan aktivitas fisik yang tepat.

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