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IMPLEMENTASI PERILAKU CARING PERAWAT PELAKSANA TERHADAP KEPUASAN PASIEN DI RUANG RAWAT INAP RUMAH SAKIT GRANDMED LUBUK PAKAM Rahmad Gurusinga; Tati Murni Karo-karo; Arfah May Syara; Syatriawati Suhaimi; Sari Desi Esta Ulina Sitepu; Anita Sri Gandaria Purba; Sarmana Sarmana
JURNAL PENGMAS KESTRA (JPK) Vol 1 No 1 (2021): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

A hospital is said to be successful in providing health services if it is supported by several factors, one of which is quality nursing services. service quality. One form of nursing service that can be applied is the caring behavior of nurses because nurses are the people who interact with patients the most. This paper aims to provide the Implementation of Caring Behavior for Implementing Nurses on Patient Satisfaction in the Inpatient Room at Grandmed Lubuk Pakam Hospital. The method of implementing activities using questionnaires that are targeted in PKM activities are implementing nurses and inpatients. From the results of the activities carried out there was an increase in patient satisfaction up to 64.3%. With this PKM activity, it is hoped that it can improve the quality of health services at Grandmed Hospital and can further increase the satisfaction of visiting patients.

PENGARUH PEMBERIAN KOMPRES HANGAT PADA LEHER UNTUK MENGURANGI NYERI DI KEPALA PADA PASIEN HIPERTENSI Arfah May Syara; Tiurma Siringoringo; Afeus Halawa; Kristina Sitorus
JURNAL PENGMAS KESTRA (JPK) Vol 1 No 1 (2021): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

Hypertension or high blood pressure is an abnormal increase in blood pressure in the arteries or an increase in systolic blood pressure of more than 140 mmHg and diastolic blood pressure of more than 90 mmHg in two measurements with an interval of five minutes in a fairly calm/resting state. Common signs and symptoms that arise from hypertension are sore neck (neck pain). Neck pain due to hypertension makes the comfort needs of hypertensive patients not met. One of the non-pharmacological measures to reduce or overcome neck pain is a warm compress. A warm compress is giving a feeling of warmth / heat in a certain area. neck pain scale in hypertensive patients before warm compress therapy, said moderate pain 4 respondents (28.6%), severe pain 10 respondents (71.4%) with a standard deviation of 0.469. The pain scale of hypertensive patients after warm compress therapy was said to be moderate for 12 respondents (85.7%), the weight of 2 respondents (14.3%) with a standard deviation of 0.426. Hypertensive patients who experienced severe neck pain decreased, before being given treatment as many as 10 people, after being given treatment as many as 2 people. The application of warm compresses to hypertensive patients continues to be carried out for non-pharmacological therapy that can be carried out by the community at home.

PENGARUH PEMBERIAN AIR REBUSAN KACANG HIJAU TERHADAP PENINGKATAN KADAR HEMOGLOBIN PADA PEKERJA BAGIAN KANTOR Luci Riani Br Ginting; Kuat Sitepu; Arfah May Syara
JURNAL PENGMAS KESTRA (JPK) Vol 1 No 2 (2021): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

Hemoglobin is a protein rich in iron. The hemoglobin molecule consists of a globin molecule, an apoprotein, and four heme groups, an organic molecule with one iron atom. The function of Hb in the blood is to carry oxygen to the lungs, to the tissues and carbon dioxide, this function depends on the amount of hemoglobin contained in red blood cells. Several nutrients are needed in the formation of red blood cells. Iron or Fe, Vitamin B12 and folic acid are the most important substances. Efforts to increase hemoglobin levels are related to the intake of foods containing iron, one of which is the provision of green bean boiled water. This service aims to determine the effect of giving boiled water mung bean to increase hemoglobin levels in office workers. The subjects in this service are 48 workers. The results of this service indicate that the workers' HB levels before giving boiled water to green beans are not normal, namely 39 (81.3%) respondents with an average obtained of 1.81. The HB levels of workers after giving boiled water of green beans were all normal HB categories as many as 48 (100%) respondents with the average obtained was 1.00. Data analysis using pre-test and post-test administration of mung bean boiled water in the experimental group showed the results where the p value was 0.000, the value was 0.000 <0.05, so it can be said that there is a significant difference between the pre-test and post-test values. which means the hypothesis is accepted. The conclusion of this service is that there is an effect of giving green bean boiled water to increase hemoglobin levels in office workers. It is hoped that health workers will provide education to the director that boiled green beans can be used as an alternative to increase hemoglobin levels.

PENGARUH STIMULASI KUTANEUS SLOW STROKE BACK MASSAGE TERHADAP INTENSITAS NYERI OSTEOARTRITIS PADA LANSIA Anita Gandaria Purba; Kuat Sitepu; Kardina Hayati; Arfah May Syara; Reni Aprinawaty Sirait; Nurhamidah Pohan
JURNAL PENGMAS KESTRA (JPK) Vol 1 No 2 (2021): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

Osteoarthritis (OA) also known as degenerative joint disease is the most common in all forms of arthritis and causes pain and disability in the elderly. This disease is characterized by progressive loss of joint cartilage, synovitis (inflammation of the synovium that lines the joints), joint pain, stiffness, and loss of joint movement (Lemone, 2018:1679). Cutaneous stimulation that can be done is Slow-Stroke Back Massage. The correct use of cutaneous stimuli: slow-stroke back massage can reduce pain perception and help reduce muscle tension which can reduce pain intensity, besides that it can also cause dilation of blood vessels and improve blood circulation in the tissue. The purpose of this study was to determine the Effect of Cutaneous Stimulation of Slow Stroke Back Massage on Osteoarthritis Pain Intensity in the Elderly at Susoh Health Center, in 2021. This type of research is experimental. Data were analyzed for bivariate calculations in this study using Pair Samples t-test with the provisions of 0.05. Based on the results of statistical tests using the paired sample t-test, the p value (= 0.000) < (= 0.05) can be concluded that the hypothesis in the study is accepted, meaning that there is a difference in the mean pain intensity before and after cutaneous slow stroke stimulation.

PENYULUHAN TENTANG SANITASI LINGKUNGAN DAN PERSONAL HYGIENE UNTUK PENCEGAHAN DIARE PADA BALITA Rahmad Gurusinga; Tati Murni Karo-karo; Arfah May Syara; Syatriawati Suhaimi; Sari Desi Esta Ulina Sitepu; Anita Sri Gandaria Purba
JURNAL PENGMAS KESTRA (JPK) Vol 1 No 2 (2021): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

Diare merupakan salah satu penyebab kesakitan dan kematian pada balita di Negara berkembang. Di Indonesia penyakit diare merupakan salah satu masalah kesehatan masyarakat karena penyakit diare termasuk dalam 10 penyakit yang sering menimbulkan tingginya angka kesakitan dan angka kematian. Tujuan pengabdian masyarakat ini adalah untuk menambah pengetahuan ataupun informasi pada ibu2 yang memiliki balita khususnya tentang sanitasi lingkungan dan persola hygiene untuk pencegahan diare pada balita. Metode pelaksanaan pengabdian masyarakat dengan menggunakan kuisioner tentang sanitasi lingkungan dan personal hygiene. Dari hasil pengabdian masyarakat sebelum dilakukan penyuluha mayoritas ibu-ibu yang memiliki balita berpengetahuan kurang dan setelah dilakukan penyuluhan mayoritas berpengetahuan baik. Melalui kegiatan ini diharapkan ibu-ibu dapat menerapkan sanitasi lingkungan dan personal hygiene dengan baik agar tidak terkena diare.

SOSIALISASI LATIHAN KEGEL TERHADAP INKONTINENSIA URINE PADA LANJUT USIA DI DESA SIDODADI KECAMATAN BERINGIN Arfah May Syara; Rahmad Gurusinga; Anita Sri Gandaria Purba; Winda Ardyana Hutagaol; Fadlilah Widyaningsih
JURNAL PENGMAS KESTRA (JPK) Vol 1 No 2 (2021): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

Kegel exercises are exercises that are used to strengthen the pelvic floor muscles by contracting the rectum and urethra which are held for 3-5 seconds and then relaxing them, weakened pelvic floor muscle contractions can cause urinary incontinence, which is one of the problems experienced by the elderly and needs to be done. get special attention along with the increasing elderly population in Indonesia. The purpose of this community service was to determine the effect of Kegel exercises on the frequency of urinary incontinence in the elderly. This community service socialization was carried out to 38 elderly people in Sidodadi Village, Beringin District. The results of this community service show that after doing Kegel exercises there is a 2.5% decrease in urinary incontinence frequency with a p value = 0.001, so that there is an effect of giving Kegel exercises on urinary incontinence. The results of this study indicate the need for regular Kegel exercises and it is hoped that health workers in the area will be able to apply Kegel exercises with the elderly on a regular basis. By doing Kegel exercises, it can provide exercise to the pelvic muscles related to the regulation of the urinary system in regulating the urinary process in the elderly. Elderly people and their families should be able to do Kegel exercises as an alternative to non-pharmacological techniques that are easy to do without harmful effects in providing intervention and prevention in the elderly who experience urinary incontinence.

WORKSHOP TREATMENT OF POST SURGICAL HYPOTHERMIC PATIENTS WITH WARMING ELEMENTS ON NURSES IN POST SURGICAL RECOVERY ROOM GRANDMED LUBUK PAKAM HOSPITAL Kardina Hayati; Syatriawati .; Pitriani .; Arfah May Syara
JURNAL PENGMAS KESTRA (JPK) Vol. 2 No. 1 (2022): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

Surgical procedures have a risk that the integrity or integrity of the body is disturbed and can even cause a life threat to the patient. One of the most at risk was the occurrence of postoperative hypothermia. In the postoperative recovery room, almost all postoperative patients were hypothermic. Nurses in the postoperative room usually provide blankets to warm patients who are hypothermic. This action was less effective to help patients overcome hypothermia. Giving warm fluids was considered effective to help increase the patient's body temperature. This workshop aims to provide knowledge and training on the administration of intravenous fluid heating elements to increase hypothermic body temperature to nurses in the post-surgical recovery room at the Grandmed hospital Lubuk Pakam. The evaluation of this workshop activity was seen from the knowledge of nurses and nurses' skills. Nurses' knowledge and skills were assessed using a questionnaire sheet and pre and post test observations. The results of the workshop showed that as many as 95% of nurses experienced an increase in knowledge and skills in overcoming hypothermia in postoperative patients. This workshop was expected to be able to overcome the problem of hypothermia in postoperative patients and increase the knowledge and skills of nurses.

The Effect of Bangun-Bangun Leaf Juice on Hemoglobin Levels for Postpartum Mother in The Working Area of Puskesmas Talun Kenas Ginting, Desideria Yosepha; Purba, Anita Sri Gandaria; Syara, Arfah May; Ginting, Suriani
JURNAL KEBIDANAN KESTRA (JKK) Vol. 6 No. 2 (2024): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkk.v6i2.2068

During the puerperium, anemia can occurs in mothers who had lower than nor-mal hemoblobin levels. This condition could caused iron loss, onterfere with the lactatio process, anda cause the uterus to fail to contract because not enough blood enters oxygen to the uterus. The strongest factor causing post partum ane-mia was blood loss during delivery, both moderate and large. Events that cause the mother to lose moderate to large amounts of blood, nameli interventions dur-ing labor such as episiotomy, delivery using a vacuum; third or fourth degree perineal laceration; and caesarean section. The provision of non-drug therapy that can be given to increase hemoglobin levels was to provide iron containing nutrients. The research aim to determine the effect of bangun-bangun leaf juice on hemoglobin levels for postpartum mother in the Working area of Puskesmas Talun Kenas. This research was a type of quantitative research that is quasi-experiment. The population of this study is all postpartummothers in the work area of Puskesmas Talun Kenas. The samples obtained were 25 people with accidental sampling technique. The statistical test used was the paired sample t test, with a 95% confidence level (? = 0,05). The results of this study indicate that there is an effect of bangun-bangun leaf juice on hemoglobin levels in postpartum mothersin the working area of Puskesmas Talun Kenas (p vaue 0,000). So it was expected that the health center could informed the mother about the benefits of bangun-bangun leaf juice in increasing maternal hemoglobin levels during the postpartum period which can informed during antenatal care visits or during home visits for postpartum mother.

CHEST COMPRESSION WORKSHOP BASED ON RULE OF FIVE ON DEPTH AND CHEST COMPRESSION FREQUENCY AT THE GRANDMED HOSPITAL IN 2022: CHEST COMPRESSION WORKSHOP BASED ON RULE OF FIVE ON DEPTH AND CHEST COMPRESSION FREQUENCY AT THE GRANDMED HOSPITAL IN 2022 Purba, Anita Gandaria; Syara, Arfah May; Yanti, Dian Anggri; Harahap, Miftahul Jannah; Arisman, Yessy
JURNAL PENGMAS KESTRA (JPK) Vol. 2 No. 2 (2022): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

Several measures to maintain life in cardiac arrest according to the American Heart, namely the application of a chain of survival, namely first aid when cardiac arrest occurs until treatment afterward. The rule of five is a rhythm calculation technique in chest compressions using the numbers 1,2,3,4,5, and 6 which adopts only 2 syllables. The purpose of this community service is to determine the ability of nurses to perform chest compressions based on the rule of five on the depth and frequency of chest compressions at Grandmed Hospital, Lubuk Pakam District, Deli Serdang Regency. The results of community service before being given a workshop show that nurses who perform chest compressions based on the rule of five to patients, namely all respondents have different percentage levels, namely good category as many as 7 people (23.3%), sufficient category as many as 14 people (46.7% ), and the less category as many as 9 people (30%). While the results obtained after being given a workshop show that nurses who perform chest compressions based on the rule of five to patients, namely all respondents have an increase in different percentage levels, namely the good category as many as 17 people (56.7%), the sufficient category as many as 9 people (30%), and the less category as many as 4 people (13,3%). The chest compression calculation system applied is the rhythm calculation system, namely and one, and two, and three, and four. If chest compressions are carried out properly and correctly according to the rules, compression pauses and consistency will create good tissue perfusion.

Socialization of The Emotional Effect of Freedom Technique on The Anxiety of Pre-Percutaneous Coronary Intervention Patients in The Hospital Grandmed Lubuk Pakam Syara, Arfah May
JURNAL PENGMAS KESTRA (JPK) Vol. 3 No. 1 (2023): 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.v3i1.1749

Coronary heart disease (CHD) is a health disorder in the cardiovascular system where cases have a mortality rate of 6.7 million cases in 2018. CHD is a dangerous disease in the Southeast Asian region, including Indonesia. The prevalence of CHD in North Sumatra is 0.5%. Percutaneous Coronary Intervention (PCI) action is a technique to open blood vessels and return blood through the coronary arteries. In carrying out proper PCI operations, interventions are needed that can reduce the anxiety of pre-PCI patients, namely The Emotional Freedom Technique (EFT). Service activities are carried out through outreach activities through several methods of lectures, discussions, and questions and answers. The number of participants in this PkM activity was 15 nursing staff at the Lubuk Pakam Grandmed Hospital. The sample was determined using a random sampling technique, where the sample of male nursing staff was 4 people and 11 female nursing staff. The activity begins with giving a pre-test and ends with a post-test. The results of the dedication show that the level of anxiety can be reduced by administering Emotional Freedom Technique (EFT) therapy. The percent increase in knowledge of the largest and smallest PkM participants is 25% and 15%. The average value of increasing the knowledge of PkM participants after being given socialization was 20%. This socialization activity has succeeded in providing benefits for PkM participants in increasing PkM participants' knowledge about the effect of EFT.

Co-Authors Afeus Halawa Angriawan, Angriawan Anita Gandaria Purba Anita Sri Gandaia Purba Anita Sri Gandaria Purba Anita Sri Gandaria Purba Azizah Safrida Putri Berampu, Sabirin Cindy Yulvika Saragih Deddy Sepadha Putra Sagala Desika Wali Pardede Dian Anggriyanti Eva Graciella Sihaloho Fadlilah Widyaningsih Farhah Zaqwa Khairunnisa Damanik Fridayanti, Sri Gandaria Purba, Anita Sri Ginting, Desideria Yosepha Ginting, Raynald Ignasius Grace Erlyn Damayanti S Grace Erlyn Sitohang Hanafi, Muhammad Reza Fahlevi Harahap, Miftahul Jannah Juni Mariati Simarmata Juni Mariati Simarmata Kardina Hayati Karnirius Harefa Karokaro, Tati Murni Kristina Sitorus Kuat Sitepu Layari Tarigan Lubis, Yuni Suharnida Luci Riani Br Ginting Luci Riani Br Ginting Lumban Tobing, Putri Diana Maisyaroh . Miftahul Zannah Muhammad Reza Fahlevi Hanafi Nurhamidah Pohan Pratiwi Christa Simarmata Purba, Anita Gandaria Purba, Anita Sri Gandaria Putri Diana Lumban Tobing Rahmad Gurusinga Rita Ayu Butar Butar Rosita Ginting Sabela Hasibuan, Ali Samuel Ginting Samuel Panjaitan Sari Desi Esta Ulina Sitepu Sari Desi Esta Ulina Sitepu Sarida Surya Manurung Sarmana Sarmana Simarmata, Juni Mariati Sinuhaji, Simson Sirait, Reni Aprinawaty Sulistiyani, Endah Sulistyani, Endah Suriani Ginting Syatriawati Syatriawati Suhaimi Syatriawati Syatriawati Tati Murni Karo Karo Tiurma Siringo-ringo Tiurma Siringoringo Waruwu, Ria Apriliani Winda Ardyana Hutagaol Yanti, Dian Anggri Yessy Arisman Yokhebed Agatha Eka Rista Ziliwu Yuni Suharnida Lubis

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