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All Journal Jurnal Keperawatan dan Fisioterapi (JKF) JURNAL KEBIDANAN KESTRA (JKK) Jurnal Kesmas dan Gizi (JKG) Jurnal Ilmiah Keperawatan Imelda Jurnal Pengmas Kestra (JPK)
Syara, Arfah May
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Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Other

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Early Mobilization Education for Families of Postoperative Lower Extremity Fracture Patients to Support Independence in Daily Activities Syara, Arfah May; Yanti, Dian Anggri; Lumban Tobing, Putri Diana
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/v6syag96

Abstract

The incidence of lower extremity fractures is significantly high in healthcare facilities, particularly among elderly patients and those suffering from injuries caused by accidents. Post-surgical patients often experience difficulty performing daily activities such as walking and changing positions. Early mobilization has been shown to facilitate faster physical recovery and reduce the risk of various complications. This community engagement program aimed to enhance the knowledge and skills of patients' families in supporting proper and safe early mobilization. The program employed a participatory educational approach to train family caregivers in early mobilization techniques. The activity began with a pre-test and concluded with a post-test to measure participants' knowledge improvement. Participants were selected through purposive sampling based on inclusion criteria, resulting in a total of 30 participants. The results indicated a 37.8 point increase (72.3%) in participants’ knowledge and a 93% improvement in their practical skills, with most classified as highly capable or adequately capable in performing basic mobilization procedures. Additionally, participants expressed high satisfaction with the educational intervention, with an average satisfaction score of 4.5, reflecting excellence in material clarity, content relevance, media quality, facilitator competence, and overall program benefit. In conclusion, this community service program successfully improved participants’ knowledge by 72.3%, skills by 93%, and satisfaction with the educational activities by a mean score of 4.5.
EFEKTIVITAS TERAPI REMINISCENCE DALAM MENGURANGI DEPRESI PADA PASIEN GAGAL GINJAL KRONIK YANG MENJALANI HEMODIALISA DI RUMAH SAKIT UMUM IMELDA PEKERJA INDONESIA MEDAN TAHUN 2024 Sagala, Deddy Sepadha Putra; Sabela Hasibuan, Ali; Purba, Anita Sri Gandaia; Lubis, Yuni Suharnida; Syara, Arfah May; Ziliwu, Yokhebed Agatha Eka Rista; Manurung, Sarida Surya
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.v11i2.1794

Abstract

Chronic kidney failure is a non-communicable disease caused by a decrease in the ability of the kidneys to carry out their functions. Hemodialysis therapy is a therapy given to sufferers of chronic kidney failure which functions to replace the work of the kidneys using a dialysis machine. Hemodialysis procedures performed on kidney failure patients are likely to cause depression because sufferers undergoing hemodialysis may experience feelings of discomfort or depression due to weakness in their physical condition and dependence on dialysis machines throughout their lives. The aim of this study was to determine the effectiveness of reminiscence therapy in reducing depression in chronic kidney failure patients undergoing hemodialysis at Imelda Pekerja Indonesia Hospital. This type of research is quantitative research, with the Quasy Experiment method, and with a pre-test and post-test group research design. This research was conducted in April – July 2024 in the Hemodialysis Room at Imelda Pekerja Indonesia Hospital, Medan. This research uses a non-probability sampling technique using a purposive sampling method, namely using inclusion criteria in determining the sample, so that the total research sample is 20 respondents. The instrument used in this research is a questionnaire that refers to the Beck Depression Inventory (BDI-II) to determine depression status. Data analysis used univariate and bivariate analysis with the Wilcoxon test in the SPSS application. The results of the Wilcoxon statistical test showed a significant (p) value of 0.000 (p < 0.05), meaning that there was an effect of giving reminiscence therapy on depression status or in other words reminiscence therapy was effective in reducing depression in chronic kidney failure patients undergoing hemodialysis at Imelda Pekerja Indonesia Hospital, Medan.
Effect Of Emotional Freedom Technique On Pre Percutaneous Coronary Intervention Patients' Anxiety In Hospital Syara, Arfah May; Gandaria Purba, Anita Sri; Harefa, Karnirius
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 5 No. 2 (2023): 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.v5i2.1259

Abstract

Coronary heart disease is a degenerative disease. One of the techniques that can open blood vessels and return blood through the coronary arteries is Percutaneous Coronary Intervention (PCI). Hemodynamic conditions are one of the patient's preparations for PCI, but anxiety can respond to the cardiovascular system, one of which is a disturbance in a person's hemodynamics. Problems that often arise in pre PCI patients are anxiety.Percutaneous Coronary Intervention is one of the techniques that have been invented to open the blood vessels and return blood through the coronary arteries (PCI). PCI, also known as cardiac catheterization, is a procedure that involves inserting one or more catheters into the heart and blood arteries. The catheter is inserted through a peripheral vessel, usually femoral, then non-operatively invasive so that complications can be kept as low as possible. Percutaneous Coronary Intervention (PCI) can cause complications in the form of myocardial infarction, stroke, arrhythmia and death. This causes a person to feel himself threatened, someone feels himself threatened can cause the effect of Anxiety (anxiety). The problem that often arises in pre PCI patients is anxiety. One of the efforts to overcome anxiety is the Emotional Freedom Technique (EFT). This type of research is a quantitative study using a quasi-experimental design with a pretest-posttest with a control group, namely by conducting a pretest in both groups and followed by an intervention in the experimental group and then conducting a posttest in both groups, with a sample of 34 respondents. The results showed that the effect of EFT on the anxiety of pre PCI patients in the intervention group with p-value = 0.000, while in the control group with p-value = 0.650. Furthermore, it is hoped that clients who will undergo PCI will not be hindered from doing PCI because the client has been given Emotional Freedom Technique (EFT) therapy.
Innovation in Accelerating Diabetic Ulcer Wound Healing Using a Combination of Moist Wound Healing and Modern Dressing Methods Based on Buloh Bee Honey Ointment Syara, Arfah May; Lubis, Yuni Suharnida
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: 10.35451/6584a226

Abstract

Background: Buloh honey possesses antibacterial and anti-inflammatory properties, as well as the ability to accelerate tissue regeneration. The innovative combination of Moist Wound Healing (MWH) and modern dressing based on Buloh bee honey provides an effective, safe, and affordable solution for managing diabetic foot ulcers. This approach can improve patients’ quality of life and reduce both the economic and public health burdens caused by poorly managed diabetic complications. Objective: To analyze the acceleration of diabetic ulcer wound healing before and after the intervention using the combination of MWH and modern dressing based on Buloh bee honey. Method: This study employed a quasi-experimental research design with a control time series comparison group. Results: Wound healing was assessed using the Bates-Jensen Wound Assessment Tool, which evaluates parameters such as wound size, depth, edge condition, tunneling, necrotic tissue type and area, exudate type and amount, surrounding skin condition, peripheral edema, granulation tissue size, peripheral induration, and epithelialization area. The results showed that the combination of Moist Wound Healing (MWH) and Buloh bee honey ointment accelerated the healing of diabetic ulcers compared to conventional treatment. In the first week, the intervention group began to show healthy granulation tissue formation and reduced exudate, while the control group demonstrated slower improvement. By the fourth week, 73.1% of participants in the intervention group reached near-complete epithelialization, compared to 41.8% in the control group. Conclusion: The combination of MWH and Buloh bee honey ointment proved to be more effective in accelerating diabetic ulcer healing than conventional care. This intervention promotes faster new tissue formation, reduces exudate, and enhances wound epithelialization. The approach is safe, natural, and recommended as an alternative therapy for chronic wounds in diabetic patients.
Co-Authors Angriawan, Angriawan Berampu, Sabirin Deddy Sepadha Putra Sagala Fridayanti, Sri Gandaria Purba, Anita Sri Ginting, Desideria Yosepha Ginting, Raynald Ignasius Hanafi, Muhammad Reza Fahlevi Harahap, Miftahul Jannah Karnirius Harefa Lubis, Yuni Suharnida Lumban Tobing, Putri Diana Pratiwi Christa Simarmata Purba, Anita Gandaria Purba, Anita Sri Gandaia Purba, Anita Sri Gandaria Sabela Hasibuan, Ali Sarida Surya Manurung Simarmata, Juni Mariati Sulistiyani, Endah Sulistyani, Endah Suriani Ginting Syatriawati Syatriawati Syatriawati Tati Murni Karo Karo Tobing, Putri Diana Lumban Waruwu, Ria Apriliani Yanti, Dian Anggri Yessy Arisman Ziliwu, Yokhebed Agatha Eka Rista