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Purba, Yeni Trisna
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Perbandingan Crunch Free ABS dengan Abdominal Exercise Kombinasi Bracing dalam Mengurangi Diastasis Recti pada Postnatal Pervaginam di RS Efarina Pematangsiantar Muliati, Muliati; Napitu, Marolop Parlindungan; Purba, Yeni Trisna; Togatorop, Margaretha
Jurnal Riset Hesti Medan Vol 9, No 2 (2024): Edisi Desember
Publisher : Akademi Keperawatan Kesdam I/Bukit Barisan Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34008/jurhesti.v9i2.345

Abstract

Diastasis recti is often characterized by a prominent midline following increased intra-abdominal pressure, thinning and widening of the linea alba, coupled with weakness of the abdominal wall muscles. Diastasis recti bise causes complications such as pelvic floor muscle dysfunction, umbilical hernia, incontinence, and prolapse of the uterus. To return the abdominal muscles to normal again, crunch free abs exercises or andominal exercises combined with bracing can be done. This study aims to determine the comparison of crunch free abs with abdominal exercises combined with bracing in reducing diastasis recti in postnatal vaginal delivery. This study used a quasi-experimental design with a pretest – posttest design. The sample was divided into two groups, group A was given the crunch free abs treatment and group B was given the combination bracing abdominal exercise treatment. Based on the results of statistical tests with Mann Whitney obtained a significance result of 0.747 (> 0.05) so that it can guarantee that there is no difference in the effect of crunch free abs with abdominal exercises on the reduction of rectal diastasis in postnatal vaginal women.
Efektivitas Pemberian Trunk Exercise pada Plantar Flexor Ankle Exercise terhadap Kemampuan Berjalan Anak Cerebral Palsy Diplegi di Klinik Karya Husada Napitu, Marolop Parlindungan; Purba, Yeni Trisna; Siregar, Memo Martua Holong
Jurnal Riset Hesti Medan Vol 9, No 1 (2024): Edisi Juni
Publisher : Akademi Keperawatan Kesdam I/Bukit Barisan Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34008/jurhesti.v9i1.336

Abstract

Objective: To determine the difference in effectiveness between trunk exercise with plantar flexor ankle exercise and plantar flexor ankle exercise on the walking ability of children with cerebral palsy diplegi. Method: An experimental study with a pre-post-test design. The total sample in this study were 10 people who were divided into 2 groups and each group numbered 5 people. Group I with plantar flexor ankle exercise intervention and group II with the addition of trunk exercise to plantar flexor ankle exercise. The value of walking ability is measured by 1-minute walk test. Results: Test hypotheses I and II with paired sample t-tests showed p values < 0.002 and p <0.001. This means that the provision of intervention groups I and II can significantly improve the ability to walk. Furthermore, hypothesis III between two groups with independent sample t-test obtained p value <0.004, meaning that there is a significant difference between group I and group II and this study shows that the addition of trunk exercise in plantar flexor ankle exercise is better than plantar flexor ankle exercise alone with differences in the average difference and standard deviation of 9.11 ± 2.75 in group I and 11.84 ± 2.05 in group II. Conclusion: there is a difference between plantar flexor ankle exercise and giving trunk exercise to plantar flexor ankle exercise can improve walking ability.
Hubungan Kelentukan Pergelangan Tangan terhadap Kemampuan Menggiring Bola pada Permainan Bola Basket di Medan Muliati, Muliati; Napitu, Marolop Parlindungan; Purba, Yeni Trisna; Damanik, Rodearni
Jurnal Riset Hesti Medan Vol 10, No 2 (2025): Edisi Desember
Publisher : Akademi Keperawatan Kesdam I/Bukit Barisan Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34008/jurhesti.v10i2.359

Abstract

Physical fitness of a basketball player is an absolute requirement in running a game. Flexibility is one of the components of physical fitness needed by players to produce proper basketball techniques such as dribbling or dribbling techniques. This study aims to determine how the contribution or relationship of wrist flexibility (flexion) to dribbling ability in basketball games. This study was conducted on adolescents with an age range of 15-17 years. This research is a quantitative research without giving any treatment or training. The research sample consisted of 25 students who were members of the basketball extracurricular which were selected by purposive sampling based on inclusion and exclusion criteria. Wrist flexibility was measured using a goneometer, while the dribbling test was used to measure the sample's ability to dribble. To test the hypothesis in this study, using the Pearson product moment correlation test to determine the relationship between the two variables with the results obtained a significant value of 0.000 which indicates a correlation between the two variables and the correlation coefficient of 0.728 which means the relationship between the two variables is strong. The correlation coefficient from the results of data analysis is negative, which means that the resulting correlation is inversely proportional so that the higher the wrist flexibility, the better the ability to dribble.
Penatalaksanaan Fisioterapi pada Kasus Kompresi Fraktur Thorakal 12 – Lumbal 1 Stadium Post Imobilisasi di Rumah Sakit Efarina Brastagi Muliati, Muliati; Napitu, Marolop Parlindungan; Purba, Yeni Trisna; Haris, Muhamad
Jurnal Riset Hesti Medan Vol 10, No 1 (2025): Edisi Juni
Publisher : Akademi Keperawatan Kesdam I/Bukit Barisan Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34008/jurhesti.v10i1.350

Abstract

Indonesia is one of the countries with a relatively high rate of traffic accidents. Data from the Indonesian National Police in 2009 indicates that at least 57,726 traffic accidents occurred on public roads that year. This means that an accident occurred once every 9.1 minutes (Ministry of Transportation, 2010). The consequences for the victims themselves can include both physical and psychological effects. A patient named Mrs. Suhaeriah, aged 57, was diagnosed with a lumbar compression fracture at L1-T12. The physiotherapy issues identified included complaints of pain, muscle spasms, reduced range of motion, decreased functional activity in the lower back, and the patient also reported difficulty bending over, standing for long periods, walking long distances, and performing household chores. Transcutaneous electrical nerve stimulation (TENS) is one of the interventions performed by physical therapists, utilizing low-voltage electrical currents to reduce pain in patients with lumbar compression fractures at T12 and L1. TENS can be used for acute pain with high frequency, high pulse width, and amplitude adjusted to the patient’s subjective comfort and perceived sensation. Core stability exercises are exercises that facilitate continuous isometric contraction of the deep spinal muscles at the lower levels, integrating into progressive functional training. Core stability exercises utilize motor learning principles to facilitate coordination of the deep spinal muscles.
Faktor Risiko Hipertensi pada Usia 50 Sampai 70 Tahun di Wilayah Puskesmas Bahkapul Kota Pematangsiantar Nasution, Dian Permata; Napitu, Marolop Parlindungan; Purba, Yeni Trisna; Ginting, Isaharpika Br; Hendri, Hendri
Jurnal Riset Hesti Medan Vol 9, No 2 (2024): Edisi Desember
Publisher : Akademi Keperawatan Kesdam I/Bukit Barisan Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34008/jurhesti.v9i2.341

Abstract

Hypertension is a global problem, and its prevalence continues to rise to alarming levels. This condition is often referred to as the “silent killer” because patients do not experience symptoms or complaints, so they are unaware that they have hypertension, and many people only find out after complications have already developed. Hypertension is the leading cause of death worldwide each year, particularly among the elderly. This is why the WHO has set one of its global targets for non-communicable diseases as reducing the prevalence of hypertension by 33% between 2010 and 2030 (WHO, 2023). Objective: This study aims to identify the factors influencing the risk of hypertension in the elderly. Methods: A systematic literature review was conducted. Studies were identified through searches on Google Scholar and PubMed for publications from 2019 to 2023 using the keywords “Factors,” “Hypertension,” and “Elderly.” A total of 16,100 results were found on Google Scholar and 959 on PubMed, with 10 journals meeting the eligibility criteria. Results: Based on the journal review, the incidence of hypertension can be influenced by several factors, such as age, genetics, gender, excessive salt and fat intake, obesity, stress, physical activity, smoking, and alcohol and coffee consumption. Conclusion: An individual is more likely to develop hypertension if there is a family history of the condition. Additionally, individuals over the age of 65 with conditions such as obesity and kidney disease are at higher risk of developing hypertension. Once diagnosed with hypertension, an individual must adopt a healthy lifestyle as part of the management of blood pressure control. We can control hypertension risk factors through a healthy diet and lifestyle, avoiding
Hubungan Tingkat Kepuasan Pasien Rawat Jalan terhadap Pelayanan Kesehatan di Klinik Pratama Elvi Diana Kelurahan Kuala Bekala Medan Johor Nasution, Dian Permata; Napitu, Marolop Parlindungan; Purba, Yeni Trisna; Ginting, Isaharpika Br; Hasibuan, Jesicca
Jurnal Riset Hesti Medan Vol 10, No 1 (2025): Edisi Juni
Publisher : Akademi Keperawatan Kesdam I/Bukit Barisan Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34008/jurhesti.v10i1.346

Abstract

 Service quality is one of the key factors that determine patient satisfaction in healthcare services. This study aims to analyze the relationship between service quality and patient satisfaction at a Community Health Center (Puskesmas) using the five SERVQUAL dimensions: tangible, reliability, responsiveness, assurance, and empathy. This research employed a quantitative design with a cross-sectional approach. A total of 54 respondents were selected using a purposive sampling technique. Data were analyzed using the Chi- Square test.The results showed that service quality had a significant relationship with patient satisfaction across all SERVQUAL dimensions, namely tangible (p = 0.006), reliability (p = 0.015), responsiveness (p = 0.015), assurance (p = 0.006), and empathy (p = 0.004). The majority of respondents assessed the overall service quality as good (61.1%), yet dissatisfaction remained in several aspects, particularly in physical facilities, timeliness, responsiveness, and healthcare workers’ personal attention. This study concludes that service quality has a significant association with patient satisfaction, although gaps were found between patients’ perceptions of service quality and their satisfaction in some dimensions. It is recommended that the health center improve facilities and infrastructure, strengthen staff responsiveness and empathy, and optimize communication skills and professionalism among healthcare workers to enhance overall patient satisfaction.  
Analisis Faktor yang Berhubungan dengan Pemanfaatan Pelayanan Kesehatan di Wilayah Kerja Puskesmas Silalahi Nasution, Dian Permata; Napitu, Marolop Parlindungan; Purba, Yeni Trisna; Ginting, Isaharpika Br; Gultom, Calvin
Jurnal Riset Hesti Medan Vol 9, No 1 (2024): Edisi Juni
Publisher : Akademi Keperawatan Kesdam I/Bukit Barisan Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34008/jurhesti.v9i1.337

Abstract

One indicator for assessing how community health centers are utilized as healthcare facilities is the number of visits by the community to those centers. A low number of visits indicates that the community is underutilizing healthcare services. Over the past three years, from 2018 to 2020, the utilization of the Silalahi Community Health Center has seen a decline in the number of visits, from 45.8% in 2018, to 38.5% in 2019, and to 33.2% in 2020. This is attributed to the community’s misperception of illness. The objective of this study is to identify the factors associated with the utilization of health services at the Silalahi Community Health Center. This is a descriptive study using a cross-sectional design with a quantitative approach. The sample consisted of 95 respondents; cluster random sampling was used, and a questionnaire served as the data collection instrument. Data were analyzed using the Chi-Square test. The results indicate a significant association between Accessibility (p=0.001), Health Insurance Coverage (p=0.000), and Perception of Illness (p=0.000) with the utilization of health services. Age (p=0.083), Education (p=0.122), Occupation (p=0.093), and Availability of Health Personnel (p=0.368) showed no association with the utilization of health services. Recommendations are provided to the Health Office and Silalahi Community Health Center to further enhance health promotion efforts to improve public knowledge regarding the functions of the Community Health Center and perceptions of illness.
Pengaruh Senam Prolanis terhadap Penurunan Tekanan Darah pada Penderita Hipertensi di Puskesmas Raya Nasution, Dian Permata; Napitu, Marolop Parlindungan; Purba, Yeni Trisna; Ginting, Isaharpika Br; Gea, Yosni Handayani
Jurnal Riset Hesti Medan Vol 10, No 2 (2025): Edisi Desember
Publisher : Akademi Keperawatan Kesdam I/Bukit Barisan Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34008/jurhesti.v10i2.360

Abstract

The World Health Organization American Heart Association in 2015 stated that currently hypertension sufferers in the world have reached around 970 million sufferers, around 330 million are in developed countries and 640 in developing countries. The purpose of this study is to determine the effect of PROLANIS exercise on reducing blood pressure in hypertension sufferers at the Singosari Pematangsiantar Health Center. This study uses a quantitative method. The design of this study uses the Quasi Experiment method with the research design "One group pretest posttest design". The sample in this study was the elderly as many as 47 respondents. Data analysis was carried out using univariate analysis and bivariate analysis using Wilcoxon. Results: The results of the study were analyzed using a t-dependent test showing that there was an effect of PROLANIS exercise on reducing blood pressure in hypertension sufferers with a P-value of 3,000. This study is expected to maximize the implementation of the PROLANIS program so that the objectives of this activity can be achieved optimally. Conclusion: Implementation of elderly gymnastics can reduce blood pressure in hypertension patients. It can be used as a benchmark for compiling nursing interventions on the influence of PROLANIS gymnastics on reducing blood pressure in hypertension patients at Permatangsiantar Health Center in improving the quality of health services. 
PENGARUH PENDIDIKAN KESEHATAN REPRODUKSI TERHADAP PENGATAHUAN DAN SIKAP REMAJA PUTRI TENTANG MENARCHE DI SMP NEGERI 1 AJIBATA TAHUN 2024 Wardati, Jumaidah; Purba, Yeni Trisna; Zendrato, Ferawati; Saragih, Jopinus
BEST Journal (Biology Education, Sains and Technology) Vol 8, No 1 (2025): Juni 2025
Publisher : Program Studi Pendidikan Biologi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30743/best.v8i1.11527

Abstract

Pendahuluan: Pendidikan kesehatan reproduksi harus dianggap sebagai bagian dari proses pendidikan yang mempunyai tujuan untuk memperkuat dasar-dasar pengetahuan dan pengembangan kepribadian. Karena melalui pendidikan kesehatan reproduksi merupakan upaya bagi remaja untuk meningkatkan pemahaman, pengetahuan, sikap dan prilaku positif tentang kesehatan reproduksi dan seksualnya serta meningkatkan derajat reproduksinya. Menarche merupakan menstruasi awal yang biasa terjadi pada masa pubertas dalam rentan usia 10 sampai 16 tahun yang menjadi pertanda biologis dari kematangan seksual Wanita.  Tujuan: Adapun tujuan umum dari penelitian ini adalah untuk mengetahui Pengaruh Pendidikan Kesehatan Reproduksi terhadap Pengetahuan dan Sikap Remaja Putri Tentang Menarche di SMP Negeri 1 Ajibata. Metode: Jenis penelitian ini adalah penelitian Quasi Experiment Design dengan rancangan penelitian One Group Pretest Posttest Design without Control dimana dalam rancangan penelitian ini tidak ada kelompok pembanding (control), tetapi terlebih dahulu sudah dilakukan observasi pertama (pretest) yang memungkinkan menguji perubahan-perubahan yang terjadi setelah adanya perlakuan. Hasil: Berdasarkan hasil ini dapat terlihat bahwa ada perbedaan rata-rata (mean) skor pengetahuan subjek sebelum dan sesudah diberi pendidikan kesehatan tentang menarche sebesar 4,629. Dari hasil itu didapatkan nilai signifikansi p-value sebesar 0,000 (p0,05) maka dapat dinyatakan hipotesis penelitian diterima yang artinya ada pengaruh pendidikan kesehatan reproduksi tentang menarche terhadap pengetahuan remaja putri di SMP Negeri 1 Ajibata tahun 2024. Kesimpulan: Pendidikan kesehatan reproduksi tentang menarche pada remaja putri mayoritas skor pengetahuan remaja putri yaitu 7-9 sebesar (57,1%) dan skor mayoritas sikap remaja putri yaitu 19-24 sebesar (45,6%). Setelah dilakukan pemberian pendidikan kesehatan reproduksi tentang menarche mayoritas skor pengetahuan remaja putri yaitu 13-15 sebesar (51,4%) dan mayoritas skor sikap remaja putri yaitu 38-43 sebesar (48,5%).
Analisis Pengetahuan Ibu Post Partum Tentang Depresi Post Partum Di Klinik Bidan A.Silalahi Pematangsiantar Purba, Yeni Trisna; Friani, Sri Rahma; Efendi, Salim; Marbun, Meyana
BEST Journal (Biology Education, Sains and Technology) Vol 8, No 1 (2025): Juni 2025
Publisher : Program Studi Pendidikan Biologi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30743/best.v8i1.11450

Abstract

Depresi post partum menempati urutan ke empat sebagai penyebab ketidakmampuan seseorang dalam menjalankan fungsi kehidupannya sehari-hari sedangkan di Indonesia angka kejadian depresi  post partum antara 50 - 70% dari wanita  post partum. Tujuan penelitian ini untuk menganalisa pengetahuan Ibu Post Partum di Klinik Bidan A. Silalahi Pematangsiantar. Penelitian ini bersifat deskriptif dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah seluruh ibu post partum di klinik bidan A. Silalahi , tehnik pengambilan sampel dengan metode non random yaitu dengan tehnik purposive sampling dimana sampel yang diambil pada bulan Januari – April 2025 sebanyak 35 responden. Instrumen penelitian yang digunakan yaitu lembar, setelah diperoleh data maka dilakukan pengolahan data. Hasil penelitian berdasarkan pekerjaan mayoritas responden bekerja sebagai Wiraswasta sebanyak 16 responden (45,7%), berdasarkan Pendidikan  mayoritas responden berpendidikan SD sebanyak 16 responden (45,7%), berdasarkan Paritas responden mayoritas Secondypara sebanyak 17 responden (48,5%), berdasarkan Sumber informasi responden mayoritas dari Media Elektronik sebanyak 24 responden (68,5%) dan gambaran pengetahuan ibu post partum tentang depresi post partum berpengetahuan cukup sebanyak 19 responden (54,2%). Oleh karena itu dapat disimpulkan bahwa umur, pekerjaan, pendidikan, paritas, sumber informasi sangat mempengaruhi pengetahuan ibu post partum tentang depresi post partum di Klinik Bidan A. Silalahi Pematangsiantar. Diharapkan kepada tenaga kesehatan untuk dapat memberikan penyuluhan – penyuluhan yang lebih tepat kepada ibu post partum agar dapat meningkatkan pengetahuan dan pemahaman  ibu post partum tentang depresi post partum sehingga depresi post partum dapat di atasi
Co-Authors Abednego, Danuarta Azarya Adelia Adelia, Adelia Afrilia, Masraini Arianti, Imelda Putri Astri Ulina Saragih Br Barus, Rovina Br Ginting, Isaharpika Br. Ginting, Isa Harfika Butar-butar, Diana Florenta Butar-Butar, Doortua Damanik, Rodearni Devi, Icha Sri Erhan, Keysha Iszmi Febiola, Marcellyn Febiola, Marcelyn Febriani, Winda Friani, Sri Rahma Gea, Yosni Handayani Ginting, Isaharpika Br Gultom, Calvin Halawa, Lidwina Priskahati Harahap, Veryyon Haris, Muhamad Hasibuan, Jesicca Hayati, Mustika Hendri Hendri Irwansyah, Ilham Jopinus Saragih Jumadiah Wardati Keysha Iszmi Erhan Kustoyo, Bambang Lumbantoruan, Ruth Mala Livia Theola Marbun, Alexander Marbun, Meyana Mariska, Nurul Vidya Mawaddah, Vanny Chainur Muliati Muliati, Muliati Napitu, Marolop Parlindungan Nasution, Dian Permata Pakpahan, Romauli Pasaribu, Enrika T Pasaribu, Epa Romina Pelawi, Awan Perangin angin, Riskawani Eka Putri Purba, Desri Friti Anita Purba, Eka Anastasya Purba, Siska Gracia Oktafiana putri, riska wani eka Riska Wani Eka Putri Riza, Nor Salim Efendi, Salim Samosir, Tree Ester Marito Saragih, Febrina Sani Saragih, Indra Riski Saragih, Jopinus R. Sigalingging, Susi Susanti Sihombing, Eka Saudur Renaldi Sihombing, Elida Sijabat, Auhon Berkat Simanjuntak , Sontoso Sinaga, Fransius P. Siregar, Memo Martua Holong Sondang Sidabutar Sondang Sidabutar, Sondang Sri Rahma Friani T, May Linda Kristina Tarigan, Adrian Tarigan, Adrian K Tarigan, Bunga Shinta Pratiwi Taslima, Saufa Togatorop, Margaretha Turnip, Meli Safreni Utami, Ria Lusi Wardati, Jumaidah Wijaya, Imroatulhuda Zalukhu, Nomelda Zendrato, Ferawati