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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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The Relationship Between Body Image and Self-Confidence Among Post-Mastectomy Breast Cancer Patients at Grandmed Hospital Lubuk Pakam Arfah May Syara; Farhah Zaqwa Khairunnisa Damanik; Simson Sinuhaji; Muhammad Reza Fahlevi Hanafi; Yuni Suharnida Lubis
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 8 No. 2 (2026): 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/s468vz11

Abstract

Carcinoma mammae is a malignant condition of breast tissue characterized by the uncontrolled proliferation of abnormal cells that form tumors, which may metastasize to other organs and become life-threatening if not properly treated. Cancer cells generally originate from the milk-producing lobules or the breast ducts. Mastectomy, as a primary therapeutic intervention, often leads to significant physical changes that can affect patients’ body image and self-confidence. This study aimed to analyze the relationship between body image and self-confidence among post-mastectomy carcinoma mammae patients. This research employed a quantitative approach with a survey design using questionnaires. The sample consisted of 51 respondents selected through a total sampling technique at Grandmed Hospital Lubuk Pakam. The frequency distribution results indicated that the majority of respondents had a positive body image perception, with 48 individuals (94.1%) agreeing and 3 individuals (5.9%) disagreeing. Meanwhile, the level of self-confidence among respondents was also relatively high, with 44 individuals (86.3%) agreeing and 7 individuals (13.7%) disagreeing. Statistical analysis using the chi-square test revealed a significant relationship between body image and self-confidence (p-value = 0.84; α < 0.05), indicating that the alternative hypothesis was accepted. These findings highlight the importance of effective body image management in enhancing patients’ self-confidence. Therefore, psychological interventions such as counseling, psychoeducation, and peer support are essential to facilitate patients’ adaptation and self-acceptance following mastectomy.
The Effect of Early Mobilization on Increasing Fulfillment of Daily Activities in Post-Operative Patients with Lower Extremity Fractures at Grandmed Hospital Arfah May Syara; Putri Diana Lumban Tobing
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 7 No. 2 (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/jkf.v7i2.2662

Abstract

Fracture is a condition that causes continuous disruption to the bone or cartilage. Injuries occur in the bones, such as the upper and lower extremities, as well as the hip joints to the feet. Early mobilization is useful to help patients move faster and avoid complications. This activity includes changing positions, sitting, standing, and walking independently. Activity of Daily refers to a person's ability to carry out daily activities in order to meet their needs. A quasi-experimental design with a pretest-posttest approach without control was applied in this research. This design is useful for measuring the level of Activity of Daily before and after early mobilization. The sample was determined using purposive sampling so that a sample of 10 participants was obtained. The mean value increased from 6.10 to 11.60, meaning that there was a significant increase in Activity of Daily after early mobilization. The z value of 7.645 indicates a significant difference in the level of Activity of Daily before and after. The p value of 0.001 indicates that early mobilization can increase the level of Activity of Daily participants. It is expected that health workers can apply early mobilization therapy so that muscle stiffness does not occur.
Innovation in Accelerating Diabetic Ulcer Wound Healing Using a Combination of Moist Wound Healing and Modern Dressing Methods Based on Buloh Bee Honey Ointment Arfah May Syara; Yuni Suharnida Lubis
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.
Healthy Lifestyle Promotion for Maintaining Body Mass Index and Enhancing Self-Confidence among Post-Mastectomy Breast Cancer Survivors Arfah May Syara; Farhah Zaqwa Khairunnisa Damanik; Simson Sinuhaji; Muhammad Reza Fahlevi Hanafi; Yuni Suharnida Lubis; Syatriawati Syatriawati
JURNAL PENGMAS KESTRA (JPK) Vol. 6 No. 1 (2026): 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/azc4tw27

Abstract

Breast cancer remains one of the most prevalent health problems among women and may cause long-term physical, psychological, social, and emotional consequences. Mastectomy, which is commonly performed as part of breast cancer treatment, can improve survival outcomes; however, postoperative changes in body appearance often affect body image, self-confidence, and the overall quality of life of survivors. In addition, weight fluctuations during the recovery period may influence Body Mass Index (BMI) and psychological well-being. This community service program aimed to improve breast cancer survivors’ knowledge and ability to adopt healthy lifestyle practices for maintaining an optimal BMI, increase awareness of physical and psychological health, and strengthen self-confidence following cancer treatment. The program was implemented using an educational-participatory approach through health education sessions, interactive discussions, nutritional status consultations, light physical activity demonstrations, and experience-sharing sessions. Evaluation was conducted using pretest and posttest assessments involving 20 breast cancer survivors aged 35–60 years at Grandmed Hospital, Lubuk Pakam. The results demonstrated that the proportion of participants with a good level of knowledge increased from 20.0% to 80.0%, while those with poor knowledge decreased from 45.0% to 0%. The mean knowledge score improved from 58.5 to 85.5, representing an increase of 27.0 points (46.2%). Furthermore, 90.0% of participants understood how to maintain an ideal BMI, 100.0% recognized the importance of regular physical activity, and 85.0% reported increased self-confidence after participating in the program. Participant satisfaction ranged from 75.0% to 85.0%. In conclusion, healthy lifestyle promotion was effective in improving knowledge, understanding, and self-confidence among breast cancer survivors, thereby supporting the adoption of sustainable healthy lifestyle behaviors.
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