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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 PENELITIAN KEPERAWATAN MEDIK Elisabeth Health Jurnal Jurnal Pengmas Kestra (JPK) Journal of Innovative and Creativity
Syara, Arfah May
Institut Kesehatan Medistra Lubuk Pakam
Dentistry Education Health Professions Languange, Linguistic, Communication & Media Mathematics Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary Other

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Socialization to Mothers Regarding Tummy Time and Normal Baby Gross Motor Development in Pagar Jati’s Puskesmas Syara, Arfah May; Purba, Anita Sri Gandaria; Karo-karo, Tati Murni; Ginting, Raynald Ignasius; Sulistyani, Endah
JURNAL PENGMAS KESTRA (JPK) Vol. 3 No. 2 (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.v3i2.2002

Abstract

Adolescence is a period when a person experiences a transition from child to adult which The incidence of delayed child development in Indonesia is 10%. This delay in growth and development is related to the baby's brain development, such as genetic factors, health and nutritional status, the quality of interaction between mother and child, and environmental conditions. Baby's motor development is a phase of baby's development according to age. The child's limited time in motor learning and excessive parental attention as well as low child motivation and stimulation are the triggers for delays. Tummy time is a type of stimulant that influences the motor development of newborn babies. Tummy time is useful in improving the baby's development in positions such as lying on his stomach or back, rolling over, crawling, and preventing brachycephaly. PkM activities were carried out at the Pagar Jati Community Health Center where the PkM participants were mothers with toddlers who were determined using a total sampling method of 15 people. Implementation of PkM is carried out through socialization, demonstrations, discussions and questions and answers. To measure the initial knowledge and increase in knowledge of PkM participants before and after implementing PkM, pre and post-tests will be given. The PkM results show that Tummy time can influence the gross motor development of normal babies with a correlation value of 0.932 and a significance of 0.000. The average pre-test score for PkM participants was 5.6 and post-test was 7.7. If the differences are calculated, an average score increase of 2.1 is obtained, which means that this PkM activity succeeded in increasing the knowledge and abilities of PkM participants regarding tummy time and gross motor development.
Socialization of The Effects of Nurses Workload in Preventing The Risk of Falls in Patients at Grandmed Lubuk Pakam Hospital wati, Syatria; Simarmata, Pratiwi Christa; Hanafi, Muhammad Reza Fahlevi; Syara, Arfah May; Lubis, Yuni Suharnida
JURNAL PENGMAS KESTRA (JPK) Vol. 4 No. 1 (2024): 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.v4i1.2209

Abstract

The quality of nursing services is a value for health services in society. Patients are consumers who always hope to receive good health services. Many incidents may occur if the nurse's workload is too high. To overcome the danger of patients falling, it is necessary to take action to reduce the risk of patients falling. So nurses will always try to prevent patients from falling by installing identification bracelets, triangular labels on patient mattresses, warning signs, adjusting mattress height, and mattress railings. Precautions must also be in accordance with SOP. Nurse workload is the allocation of working time in providing services. The high workload of nurses occurs due to the limited number of staff and uncertain job descriptions. This outreach activity will provide knowledge and courage to communicate about workload so that we can prevent the risk of patient falls. PkM activities were socialized using lecture, question and answer and discussion methods to PkM participants, namely 15 nursing staff. To measure changes in PkM participants' knowledge, pre and post-tests were given to participants. The PkM results show that PkM participants have experienced increased knowledge in preventing the risk of patient falls. Participants also have the courage to discuss with the leadership if the workload is too heavy so that they can get the best solution. Participants also become more diligent in processing their daily work.
Buerger Allen Method Training to Increase Ankle Brachial Index (ABI) of Type 2 Diabetes Mellitus Patients in the Aras Kabu Community Simarmata, Juni Mariati; Angriawan, Angriawan; Syara, Arfah May; Waruwu, Ria Apriliani
JURNAL PENGMAS KESTRA (JPK) Vol. 4 No. 2 (2024): 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.v4i2.2426

Abstract

Prevention of diabetes mellitus complications can be done through joint movement exercises, which can be effective, efficient, and minimal risk through Buerger Allen Exercise. ABI describes the severity of peripheral arterial disease in DM patients. ABI measurements are carried out on systolic arm and systolic leg pressures. Buerger Allen Exercise is able to improve peripheral circulation of the lower extremities. This training activity aims to educate and train people at the Kabu level so that they can apply Buerger Allen Exercise with increasing knowledge. Training activities involve a series of processes through providing materials, demonstrations, training, and questions and answers. PkM participants are people from the Aras Kabu sub-district represented by 20 participants. The instruments used include Teaching Aids, Laptops, Infocus, SOPs. The increase in knowledge and skills of PkM participants is measured based on the increase in post-test scores compared to pre-test scores. Buerger Allen Method Training has been proven to be able to reduce ABI rates to the mild category by 60%, which was initially only 35%. In addition, PkM participants have understood the theory of Buerger Allen, ABI, and its benefits for type 2 DM patients. PKM participants are also able to apply Buerger Allen exercises according to SOP. PkM training activities provide benefits in the form of increasing the knowledge and skills of PkM participants, which is confirmed through the post-test knowledge value being categorized as good and very good.
THE RELATIONSHIP OF TUMMY TIME WITH NORMAL BABIES' GROSS MOTOR DEVELOPMENT IN THE DENPASAR ASI COMMUNITY IN 2022 Syara, Arfah May; Sulistiyani, Endah; Berampu, Sabirin; Purba, Anita Sri Gandaria
JURNAL KESMAS DAN GIZI (JKG) Vol. 6 No. 1 (2023): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkg.v6i1.1933

Abstract

Introduction: Infant motor development is crucial because it bridges the movements that occur during life, produces perceptual information, provides a means to gain knowledge about the world, and allows social interaction. If the basic motor stage is not passed, then there will be obstacles in motor development. Early stimulation will be needed to optimize the growth and development of children according to their stages naturally. Tummy time is one obvious form of early stimulation for muscle tone, posture, and later development. Objective: To determine the relationship between tummy time and gross motor development of normal infants in the breastfeeding community in Denpasar. Methods: An observational study using an analytical cross-sectional study, involving 30 respondents from the breastfeeding mother community in Denpasar. Primary data was obtained through a google form using the WhatsApp blast. Data analysis used Spearman rank correlation test. Results: Showed a significant relationship between the variable doing tummy time and the variable gross motor development sitting in normal infants, whether it was seen from the strong or not the correlation (with very strong results because the correlation coefficient was close to 1), the significance of the correlation results was 0.000 (less than 0.01 and 0.05) and the direction of the correlation is positive. So, Ho is rejected and H1 is accepted. Conclusion: Tummy time is proven to have a close relationship with the achievement of normal infant gross motor development with reference to the ability to sit at the age of six months. Based on the results of the study, it is recommended to do tummy time as a form of stimulation to achieve gross motor development of babies that the public needs to know.
The Relationship Between Fluid Intake Compliance with The Occurrence of Hypervolemia in Chronic Rentalfailure Patients Undergoing Hemodialysis at Grandmed Hospital Lubuk Pakam Syara, Arfah May; Fridayanti, Sri
JURNAL KESMAS DAN GIZI (JKG) Vol. 6 No. 2 (2024): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkg.v6i2.2144

Abstract

Chronic kidney failure is irreversible damage to kidney function that requires kidney replacement therapy. Failure during hemodialysis therapy often occurs due to non-compliance. Actions taken for hemodialysis patients are regarding fluid intake. Compliance with limiting fluid intake is a key factor in determining the health level of hemodialysis patients. The research method used was cross sectional. The population were all chronic kidney failure patients in the Hemodialysis Room at Grandmed Lubuk Pakam Hospital with a total sample of 40 people taken using the purposive sampling method. The results showed that as many as 20 respondents or 50.0% were in the category of less compliant with limiting fluid intake. On the other hand, it showed that as many as 22 respondents or 55% experienced mild hyperlovemia. The results of statistical tests show that there is a relationship between compliance with fluid intake and the occurrence of hypervolemia in chronic kidney failure patients undergoing hemodialysis at Grandmed Lubuk Pakam Hospital in 2023 with a p-value of 0.000. If the patient is increasingly disobedient in limiting fluid intake in the body, the greater the fluid accumulation or hypervolemia will occur.
The Effect of Giving Hot-Packs on The Grade of Shivering in Post-Surgery Caesarean Section Patients at Grandmed Hospital Lubuk Pakam Syara, Arfah May; Syatriawati
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 7 No. 1 (2024): 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.v7i1.2339

Abstract

Shivering after anesthesia is a recovery mechanism in the body due to negative side effects such as discomfort and pain due to stretching of the surgical scar, and increased muscle activity following increased oxygen demand. When a client experiences shivering, it is necessary to warm the body with heat therapy given to clients whose temperature is ? 36?C. A hot-pack is a closed package containing gel with a temperature of 40?C. The hot-pack will be given on the right and left inner arms for about 15 minutes. The type of research used is pre-experimental with one group Pre-test and Post-test design. The technique used in sampling in this study is non-probability sampling, in the form of Accidental sampling with a sample size of 20 respondents, while the instrument used in this study is an observation sheet. This study uses univariate and bivariate analysis. In this study, bivariate analysis was carried out using the Paired T-Test. Based on the Statistical Test conducted using the Paired Sample T-test method, the value obtained was p value 0.000 (? <0.05) which means Ho is rejected and Ha is accepted. This means that there is an Effect of Giving Hot-Packs on the Degree of Shivering in Post-Caesarean Section Patients at Grandmed Hospital Lubuk Pakam. This study concludes that giving hot-packs reacts to skin receptors and channels the temperature effect on body heat so that it can reduce shivering.
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.
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.
Literature Review Dimensi Etika Dalam Manajemen Keperawatan Serta Pengaruhnya Terhadap Kepemimpinan Dan Profesionalisme Muhammad Reza Fahlevi Hanafi; Arfah May Syara
Journal of Innovative and Creativity Vol. 5 No. 3 (2025)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/joecy.v5i3.4653

Abstract

This literature review explores the ethical dimensions of nursing management and their influence on leadership and professionalism. The study aims to synthesize current findings on how ethical values—such as justice, integrity, responsibility, honesty, and empathy—are integrated into nursing leadership practices. A total of 12 peer-reviewed articles published between 2020 and 2025 were analyzed using a thematic synthesis approach. The results reveal that these ethical dimensions consistently underpin effective leadership and contribute to staff morale, decision-making quality, and organizational culture. However, challenges such as bureaucratic pressure, power imbalance, and the lack of formal ethical leadership training hinder consistent implementation. The findings suggest that ethical leadership is not only a moral ideal but a managerial competence that can be developed through education and structural support. The review highlights the need for healthcare institutions to incorporate ethical leadership development into both policy and practice to enhance nursing management outcomes.
EFEKTIVITAS TERAPI REMINISCENCE DALAM MENGURANGI DEPRESI PADA PASIEN GAGAL GINJAL KRONIK YANG MENJALANI HEMODIALISA DI RUMAH SAKIT UMUM IMELDA PEKERJA INDONESIA MEDAN TAHUN 2024 Deddy Sepadha Putra Sagala; Ali Sabela Hasibuan; Anita Sri Gandaia Purba; Yuni Suharnida Lubis; Arfah May Syara; Yokhebed Agatha Eka Rista Ziliwu; Sarida Surya Manurung
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.
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