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PENGARUH MENGUNYAH PERMEN KARET RENDAH GULA TERHADAP PENINGKATAN SEKRESI SALIVA PADA PASIEN YANG MENJALANI TERAPI HEMODIALISA Silalahi, Rini Debora; Sembiring, Ripando Jhon Satria; Purba, Bahtera David
Jurnal Pengabdian Masyarakat Putri Hijau Vol 4 No 3 (2024): Jurnal Pengabdian Masyarakat Putri Hijau (JPMPH)
Publisher : INSTITUT KESEHATAN DELI HUSADA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpmph.v4i3.1853

Abstract Background: Chronic kidney failure is a health problem that needs special attention. The number of end-stage renal failure sufferers undergoing hemodialysis therapy increases every year. Hemodialysis therapy is an appropriate action to replace kidney function with a method of supplying fluid intake which results in most patients complaining of dry mouth (xerostomia). Objective: Fluid restriction generally causes dry mouth in hemodialysis (HD) patients. The observed effects of chewing gum on the amount of saliva, interdialytic weight gain (IDWG), and thirst levels in HD patients are inconsistent. We are considering whether gum can modulate this third parameter in patients undergoing HD. Method: This study used purposive sampling with 37 patients on HD. Thirst levels were measured using a self-rated visual analogue scale (VAS) and the summed xerostomia inventory (SXI). Results: The level of thirst after blood washing was significantly lower in the gum chewing group compared to the control group with a p value (0.000) <0.005. The amount of saliva was higher in the gum group than in the control group before dialysis, but the amount of saliva was comparable between the groups after dialysis. In addition, the amount of saliva was not associated with IDWG in patients undergoing HD before or after dialysis. Conclusion: Chewing gum can relieve thirst but does not affect the amount of saliva and IDWG in HD patients. Therefore, we suggest that chewing gum may be a useful approach to treat dry mouth and thirst in HD patients.

PENGARUH PENERAPAN MEDIA SCRAPBOOK TERHADAP TINGKAT KECEMASAN ANAK PRA SEKOLAH HOSPITALISASI DI RSU SEMBIRING DELI TUA KECAMATAN DELI TUA KABUPATEN DELI SERDANG TAHUN 2024 Barus, Dewi Tiansa; Purba, Rentawati; Silalahi, Rini Debora
Jurnal Inovasi Kesehatan Masyarakat Vol 5 No 1 (2024): Jurnal Inovasi Kesehatan Masyaraka
Publisher : Fakultas Kesehatan Masyarakat, Institut Kesehatan Deli Husada Deli Tua

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jikm.v5i1.1787

When a kid is admitted to the hospital, either as an emergency or as part of a plan, they stay there until their condition gets better and they are able to return home. Anxiety is one of the effects of hospitalization on a child. Children's most frequent concerns include excessive weeping, fear of strangers and the police, and anxiety. Scrapbook play therapy is one intervention that may be used to help kids who are anxious about being sent to the hospital. This study sought to ascertain how play therapy using Scrapbook media affected the anxiety levels of preschoolers admitted to hospitals. With a special group pretest and posttest design, this study employed a pretest strategy. Purposive sampling of pediatric patients receiving care at Sembiring General Hospital was the sample strategy employed in this study, which included 18 responders in total. The youngster received a 30-minute intervention once a day during their spare time. Results: A p-value of less than 0.000 (less than 0.05) was obtained using the Shapiro-Wilk test. The study's result is that preschoolers hospitalized in RSU Sembiring Deli Tua, Deli Tua District, Deli Serdang Regency in 2024 would have lower anxiety levels due to the use of Scrapbook media.

PENGARUH SENAM PILATES TERHADAP INTENSITAS NYERI PUNGGUNG PADA IBU HAMIL TRIMESTER III DI PUSKESMAS DELITUA KABUPATEN DELI SERDANG TAHUN 2023 Silalahi, Rini Debora; Tane, Reisy
Jurnal Penelitian Keperawatan Medik Vol 6 No 1 (2023): JURNAL PENELITIAN KEPERAWATAN MEDIK
Publisher : Fakultas Keperawatan Institut Kesehatan Deli Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpkm.v6i1.1602

Low back pain (LBP) is a common musculoskeletal problem that can affect approximately two-thirds of pregnant women, with a frequency of up to 76%, and is a major cause of disability. during the second and third trimesters of pregnancy. The pain can be very severe, leading to difficulty with activities of daily living, higher rates of functional disability, increased sick leave and poor maternal health as well as depression, anxiety and insomnia ( Yiridin, et al, 2023). Therefore, based on this data, researchers are encouraged to conduct a study on the effects of Pilates exercise on back pain in third-trimester pregnant women at Delitua Medical Center. This study aimed to determine the effect of Pilates exercise in reducing back pain in pregnant women in the third trimester. This study uses quantitative research data with a quasi-experimental method and a group pre-post test design, specifically groups of subjects are observed before implementing the intervention. This study, using paired t-test, obtained a significant number or p-value (value = 0..000), much lower than the standard significance level of 0..05 or indicating an effect negative in the third year precious is significant (p < a). Therefore, H0 is rejected and Ha is accepted, which means it can be concluded that Pilates training has an effect Significant effect on back pain in pregnant women during this period third trimester of pregnancy at Deli Tua Community Health Center in 2023.

PENGARUH KOMBINASI TERAPI COUNTERPRESSURE DENGAN BIRTH BALL TERHADAP PENURUNAN NYERI PERSALINAN KALA I FASE AKTIF DI KLINIK CITRA MARENDAL Tane, Reisy; Silalahi, Rini Debora; Angriawan, Angriawan
Jurnal Penelitian Keperawatan Medik Vol 6 No 2 (2024): JURNAL PENELITIAN KEPERAWATAN MEDIK
Publisher : Fakultas Keperawatan Institut Kesehatan Deli Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpkm.v6i2.1770

Background: Childbirth is the birth of the baby, placenta, and amniotic membranes from the uterus to the outside world. During labor, it can cause trauma to the mother because of the pain experienced. Some mothers are even traumatized to get pregnant and give birth again because they are afraid they will experience the same pain, especially for mothers who have given birth for the first time. Nonpharmacological therapy to reduce pain can be done counterpressure with a combination of birth balls. Objective: To determine the effect of a combination of counter pressure therapy with a birth ball on reducing active phase I labor pain. Method: This research used a quasi experiment with a two group only post test design. The population in this study were all mothers giving birth at the Citra Marendal clinic with a total sample of 36 people, each group consisting of 18 people. The instruments used were Numeric Rating Scale sheets and observations, with the Mann-Whitney Test hypothesis test. Conclusion: There is an effect of a combination of counter pressure therapy with a birth ball on reducing active phase I labor pain at the Citra Marendal Delitua Clinic with a p value = 0.001 <0.05. Suggestion: For the future, it is hoped that they can develop research by examining various complementary methods that can reduce labor pain such as: the effectiveness of music therapy, aroma therapy, back massage, gym ball/birth ball techniques, relaxation techniques, remembrance, guided imagery.

Pengaruh Kombinasi Balutan Poliuretan dan Sirih Merah Terhadap Tingkat Infeksi pada pasien Ulkus Diabetik Silalahi, Rini Debora; Tane, Reisy
Jurnal Penelitian Keperawatan Medik Vol 7 No 1 (2024): Jurnal Penelitian Keperawatan Medik
Publisher : Fakultas Keperawatan Institut Kesehatan Deli Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpkm.v7i2.2006

Diabetic ulcers are a common clinical problem in patients with diabetes mellitus. Infected diabetic foot wounds will complicate the healing process, resulting in prolonged healing time. One important factor in reducing the rate of diabetic foot wound infection is the right choice of dressings that suit the needs of the wound. Polyurethane dressings affect the absorption of chronic wound exudate and the growth of tissue granulation. In this study, polyurethane dressings were combined with red betel leaves which have antimicrobial properties. This study aims to identify the effect of polyurethane (PU) dressings on reducing infection rates in diabetic ulcer patients. This study is a quantitative study using a quasi-experimental design with a control group. The number of respondents in this study was 23 people in the intervention group and 23 people in the control group with inclusion criteria for clients with grade 1-4 diabetic ulcers, random blood sugar <200 mg/dl, not undergoing diabetic ulcer treatment, and willing to be treated with a combination of polyurethane dressing and red betel leaves wound care techniques. The results showed that compared to patients who were given simple sterile dressings, patients who were given polyurethane dressings had a lower wound infection rate (p = 0.001). The conclusion of this study is that polyurethane dressings can reduce the rate of wound infection, and shorten healing time, so this wound care method can be applied in wound nursing practice.

PENINGKATAN KESADARAN IBU DALAM PENCEGAHAN STUNTING MELALUI KONSELING BERBASIS VIDEO ANIMASI EDUKATIF DI PUKESMAS JATI MAKMUR KOTA BINJAI zuliawati, zuliawati; Marlina, Siti; Hariati, Hariati; Girsang, Rostiodertina; Sitorus, Friska Ernita; Silalahi, Rini Debora
Jurnal Pengabdian Masyarakat Putri Hijau Vol 5 No 1 (2024): Jurnal Pengabdian Masyarakat Putri Hijau (JPMPH)
Publisher : INSTITUT KESEHATAN DELI HUSADA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpmph.v5i1.2134

Stunting merupakan salah satu masalah kesehatan serius di Indonesia yang berdampak pada tumbuh kembang anak. Upaya pencegahan stunting memerlukan peningkatan kesadaran ibu sebagai pengambil keputusan utama dalam pemenuhan gizi anak. Kegiatan ini bertujuan untuk meningkatkan kesadaran ibu dalam pencegahan stunting melalui konseling berbasis video animasi edukatif. Kegiatan dilaksanakan di Puskesmas Jati Makmur, Kota Binjai, dengan melibatkan 18 orang ibu sebagai peserta. Metode kegiatan terdiri dari pemutaran video animasi edukatif yang memuat informasi tentang penyebab, dampak, dan langkah-langkah pencegahan stunting, diikuti sesi konseling individu dan diskusi interaktif untuk memperdalam pemahaman peserta. eval__uasi dilakukan melalui kuisioner sebelum dan sesudah kegiatan. Hasil menunjukkan peningkatan pemahaman peserta mengenai pencegahan stunting. Sebagian besar peserta (89%) mampu menjelaskan langkah-langkah pencegahan, seperti pentingnya pemberian makanan bergizi, pemantauan tumbuh kembang anak secara rutin, dan pola asuh yang mendukung kesehatan anak. Selain itu, peserta memberikan tanggapan positif terhadap penggunaan video animasi yang dianggap menarik dan mudah dipahami. Kesimpulannya, konseling berbasis video animasi edukatif efektif dalam meningkatkan kesadaran ibu terkait pencegahan stunting. Diharapkan metode ini dapat diterapkan di lokasi lain untuk memperluas dampak dalam menurunkan angka stunting di Indonesia.

PENYULUHAN FAMILY CENTERED EMPOWERMENT MODEL DALAM PENURUNAN TINGKAT STRES PADA KELUARGA YANG MERAWAT PASIEN TB PARU DI RUMAH SAKIT SEMBIRING Silalahi, Rini Debora; Tanjung, Lina Febriani
Jurnal Pengabdian Masyarakat Putri Hijau Vol 5 No 2 (2025): Jurnal Pengabdian Masyarakat Putri Hijau (JPMPH)
Publisher : INSTITUT KESEHATAN DELI HUSADA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpmph.v5i2.2239

Tuberculosis penyakit menular karena bakteri Mycobacterium Tuberkulosis dan menyebar secara langsung. Tuberkulosis yang paling umum adalah TB paru, sementara TB ekstrapulmonar merupakan sebagian kecil dari total kasus. Belakangan ini, TB termasuk 10 besar penyebab utama kematian di dunia (Nurmauli et al., 2023). Desain penyuluhan ini menggunakan metode pra –eksperimental yaitu salah satu penelitian kuantitatif dan rancangan yang digunakan one group pre – post tes design untuk melihat hasil pengukuran pretest dibandingkan dengan hasil pengukuran posttest dan penelitian ini dilakukan pada satu kelompok tanpa adanya kelompok kontrol atau pembanding. Tujuannya adalah untuk menganalisis pengaruh Family Centered Empowerment Model (FCEM) Terhadap Tingkat Stres Pada Keluarga Yang Merawat Paien Tuberkulosis Di RSU Sembiring. Hasil penelitian yang melibatkan 21 responden menunjukkan bahwa tingkat stres rata-rata sebelum intervensi adalah 28,29, sedangkan tingkat stres rata-rata sesudah intervensi adalah 18,67. Ada perbedaan antara nilai rata-rata stres sebelum dan sesudah intervensi. Hasil penelitian menunjukkan bahwa Nilai signya 0,001 < 0,05 ada pengaruh Family Centerd Empowerment Model (FCEM) Terhadap Tingkat Stres Pada Keluarga Yang Merawat Pasien Tuberkulosisdi RSU Sembiring.

Pengalaman Perawat Dalam Melakukan Perawatan Luka Diabetik Selama Pandemi COVID-19 di Kota Medan Silalahi, Rini Debora; Purba, Jenny Marlindawani
Jurnal Berita Ilmu Keperawatan Vol. 15 No. 1 (2022): January
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/bik.v15i1.17108

Pandemi COVID-19 menghambat praktik perawatan luka kaki diabetik sehingga dibutuhkan strategi baru yang aman untuk kelanjutan praktik klinis perawatan luka kaki diabetik selama pandemi COVID-19 agar perawatan luka tetap berlanjut. Pemberian perawatan dimodifikasi untuk untuk mencegah penyebaran COVID-19 dan mencegah resiko ulserasi kaki yang mengakibatkan infeksi lebih berat. Tujuan dari penelitian ini adalah untuk mengeksplorasi pengalaman perawatan luka sebelum dan selama pandemi COVID-19 di Kota Medan. Metode yang digunakan dalam penelitian ini merupakan penelitian kualitatif dengan pendekatan fenomenologi deskriptif. Pengambilan sampel menggunakan purposive sampling, yaitu 10 perawat luka. Adapun kriteria inklusi dalam penelitian meliputi perawat luka tersertifikasi CWCCA, perawat dengan lulusan Ners, berpengalaman minimal 1 tahun dan bekerja di klinik perawatan luka selama pandemi COVID-19. Penelitian dilakukan di salah satu klinik perawatan luka di kota Medan. Hasil wawancara direkam terlebih dahulu, selanjutnya ditranskrip. Penelitian dianalisis dengan metode analisis Colaizzi. Hasil dari proses analisis tematik dalam penelitian ini didapatkan 6 tema, yaitu: kecemasan menghadapi pandemi COVID-19, dampak pandemi COVID-19 terhadap perawatan luka, hambatan perawatan luka di masa pandemi, strategi perawatan luka di masa pandemi, mekanisme koping perawat menghadapi pandemi, dan dukungan sosial yang diperoleh perawat selama pandemi. Adapun kesimpulannya yaitu terjadi penundaan perawatan luka kaki diabetik akibat adanya pandemi COVID-19 sehingga menyebabkan jumlah kunjungan pasien luka kaki diabetik menurun dan mempengaruhi jumlah pendapatan perawat yang berkurang di masa pandemi COVID-19.

PENGARUH SLOW STROKE BACK MASSAGE DAN LILIN AROMATERAPI TERHADAP PENURUNAN NYERI PADA PASIEN KANKER PAYUDARA DI RUMAH SAKIT UMUM SEMBIRING DELI TUA TAHUN 2025 Silalahi, Rini Debora
Jurnal Penelitian Keperawatan Medik Vol 7 No 2 (2025): Jurnal Penelitian Keperawatan Medik
Publisher : Fakultas Keperawatan Institut Kesehatan Deli Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpkm.v7i2.2369

Nyeri merupakan pengalaman yang tidak menyenangkan yang berhubungan dengan sensorik dan emosional seseorang, dan disebabkan oleh jaringan yang rusak atau semua keadaan yang menunjukkan adanya suatu kerusakan pada jaringan. Nyeri adalah salah satu keluhan yang sering dialami oleh orang yang menderita kanker.Salah satu terapi non farmakologi untuk penurunan nyeri adalah Slow Stroke Back Massage dan Lilin Aromaterapi salah satu teknik pijat yang ditandai dengan gerakan pijatan secara memanjang, perlahan, dan meluncur, menggunakan kedua tangan secara bersamaan dan berulang dari daerah sacrum ke daerah servikal pada tulang belakang yang dilakukan selama 15-20 menitdan sambil menghirup aromaterapi agar pasien lebih rilex dan tenang.Tujuan Penelitian ini bertujuan untuk mengetahui Pengaruh Slow Stroke Back Massage dan Lilin Aromaterapi terhadap Penurunan Nyeri pada Pasien Kanker Payudara di Rumah Sakit Umum Sembiring. Metode penelitian ini menggunakan desain penelitian pre-eksperimental dengan pendekatan one grouppretest-posttest dan pengambilan sampel secara purposive sampling sebanyak 21 orang,serta dengan pengolahan data menggunakan uji wilcoxon.Alat yang digunakan adalah Numeric Rating Scale. Hasil penelitian penurunan nyeri responden sebelum dilakukan Slow Stroke Back Massage dan Lilin Aromaterapi diketahui bahwa dari 21 responden rata- rata nyeri pasien sebelum perlakuan yaitu 4,62 sedangkan rata-rata nyeri sesudah perlakuan yaitu 3,10 dan terdapat pengaruh yang signifikan antara pemberian Slow Stroke Back Massage dan Lilin Aromaterapi terhadap penurunan nyeri dengan nilai (p = 0,001).Kesimpulan penelitian terdapat pengaruh Slow Stroke Back Massage dan Lilin Aromaterapi terhadap penurunan nyeri pada pasien kanker payudara di Rumah Sakit Umum Sembiring.

Pengaruh Kombinasi Brain Gym Dan Terapi Musik Terhadap Fungsi Kognitif Pasien Pasca Stroke Iskemik Di Rumah Sakit Immanuel Bandung Manik, Maria Hermita; Silalahi, Rini Debora; Tane, Reisy
DINAMIKA KESEHATAN: JURNAL KEBIDANAN DAN KEPERAWATAN Vol 14, No 1 (2023): Dinamika Kesehatan: Jurnal Kebidanan dan Keperawatan
Publisher : Universitas Sari Mulia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33859/dksm.v14i1.862

Latar Belakang: Stroke iskemik terjadi akibat sumbatan pada pembuluh darah di otak, sehingga mengakibatkan kerusakan hingga kematian sel otak. Salah satu dampak kerusakan sel-sel otak pasca stroke menyebabkan gangguan kognitif. Perbaikan atau peningkatan kognitif dapat dilakukan melalui stimulasi kognitif, salah satunya brain gym dan terapi musik.Tujuan: untuk mengetahui pengaruh kombinasi brain gym dan terapi musik terhadap fungsi kognitif pada pasien stroke iskemik.Metode: Penelitian quasi experiment dengan control group melibatkan 56 responden yang direkrut dari Rumah Sakit Immanuel Bandung menggunakan consecutive sampling. Responden dibagi menjadi dua kelompok. Kelompok intervensi diberikan brain gym dan terapi musik, sedangkan kelompok kontrol diberikan program standar (fisioterapi) 2 kali seminggu selama 4 minggu. Pengukuran kognitif dilakukan sebanyak 5 kali menggunakan Montreal Cognitive Assessment (MoCA). Data dianalisis menggunakan uji mann whitney dan uji friedman dilanjutkan dengan uji post hoc wilcoxon.Hasil: Hasil uji mann whitney menunjukan perbedaan signifikan skor MoCA pada post pertama hingga ke empat pada kelompok intervensi dibandingkan kelompok kontrol selama penelitian (p0.05). Hasil uji lebih lanjut dengan uji friedman dan post hoc menggunakan wilcoxon test didapatkan hasil bahwa brain gym dan terapi musik efektif meningkatkan skor MoCA.Kesimpulan: ada pengaruh kombinasi brain gym dan terapi musik terhadap perbaikan kognitif pada pasien pasca stroke iskemik di Rumah Sakit Immanuel. Background: Ischemic stroke occurs due to blockage of blood vessels in the brain, resulting in damage to brain cells. One of the impacts of damage to brain cells after a stroke causes cognitive impairment. Cognitive improvement or enhancement can be done through cognitive stimulation, one of which is brain gym and music therapy.Objective: to determine the effect of a combination of brain gym and music therapy on cognitive function in ischemic stroke patients.Methods: A quasi experimental study with a control group involved 56 respondents recruited from Immanuel Hospital Bandung using consecutive sampling. Respondents were divided into two groups. The intervention group was given brain gym and music therapy, while the control group was given a standard program (physiotherapy) 2 times a week for 4 weeks. Cognitive measurements were taken 5 times using the Montreal Cognitive Assessment (MoCA). Data were analyzed using mann whitney test and friedman test followed by wilcoxon post hoc test.Results: The results of the mann whitney test showed a significant difference in MoCA scores at the first to fourth post in the intervention group compared to the control group during the study (p0.05). Further test results with the Friedman test and post hoc using the Wilcoxon test showed that brain gym and music therapy were effective in increasing MoCA scores.Conclusion: there is an effect of a combination of brain gym and music therapy on cognitive improvement in post-ischemic stroke patients at Immanuel Hospital.

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