Claim Missing Document
Check
Articles

Found 27 Documents
Search

Strengthening the Role of Family in the Management of Pressure Ulcers in Stroke Patients at Grandmed Hospital, Lubuk Pakam Wati, Syatria; Fauzan, Yovi; Ginting, Samuel; Simarmata, Pratiwi Christa; Sitepu, Debi Dinha Octora
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/mmbqr630

Abstract

Stroke is a type of catastrophic illness characterized by high incidence and disability rates. It significantly impairs physical function and increases the risk of developing pressure ulcers. Pressure ulcers, or decubitus ulcers, occur due to prolonged pressure, friction, and moisture exposure, leading to skin tissue damage in areas of the body that bear weight during periods of immobility. Family support plays a crucial role in the rehabilitation of stroke patients, particularly in providing basic care, assisting with mobility, and preventing complications. This community engagement program (PkM) aimed to enhance family capacity in managing pressure ulcers through educational and practical interventions. Family involvement was facilitated through structured education and hands-on training to encourage active participation in supporting comprehensive patient recovery. The PkM activities were delivered using an educational and participatory approach to 25 participants, all of whom were family members of stroke patients currently hospitalized at Grandmed Hospital, Lubuk Pakam. The program implementation consisted of four stages: preparation, sample selection, execution, and evaluation. The results showed a significant improvement in participants’ knowledge, with an average increase of 32.6 points (59.1%) regarding the role of families in pressure ulcer care. Additionally, 92% of participants demonstrated competency in performing basic stroke care, and 96% expressed high satisfaction with the program. This PkM initiative effectively strengthened the role of families in managing pressure ulcers in stroke patients, thereby contributing to increased patient motivation and improved quality of life.
PENGARUH POSISI ORTOPNEA TERHADAP NILAI SATURASI OKSIGEN PADA PASIEN PENYAKIT PARU OBSTRUKTIF KRONIK (PPOK) Ginting, Samuel; Nurwahyuni, Sri; Syatriawati, Syatriawati
Jurnal Keperawatan Vol. 18 No. 2 (2025): Volume 18, Nomor 2, Juli 2025
Publisher : LPPM Akper Dian Husada Mojokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56586/jk.v18i2.481

Abstract

Penyakit Paru Obstruktif Kronik (PPOK) merupakan gangguan respirasi kronis yang umumnya menyerang individu usia lanjut akibat penurunan fungsi paru dan pertukaran gas, serta disertai morbiditas yang tinggi. Penelitian ini bertujuan untuk mengetahui pengaruh posisi ortopnea terhadap nilai saturasi oksigen pada pasien PPOK. Metode penelitian merupakan kuasi eksperimen dengan desain one group pretest-posttest, dengan jumlah 23 responden yang dipilih melalui teknik purposive sampling. Intervensi posisi ortopnea dilakukan selama tiga hari, dan pengukuran saturasi oksigen dilakukan sebelum dan sesudah intervensi. Hasil menunjukkan peningkatan signifikan pada nilai saturasi oksigen, di mana sebagian besar pasien yang sebelumnya memiliki saturasi <95%, mengalami peningkatan menjadi 95–100% setelah intervensi. Uji paired sample t-test menunjukkan nilai p = 0,000, dengan penurunan nilai rerata dari 1.83 menjadi 1.26. Dapat disimpulkan bahwa posisi ortopnea efektif sebagai intervensi non-farmakologis untuk meningkatkan oksigenasi pada pasien PPOK.
The Relationship between Self-Management and Quality of Life of Hypertension Patients at Grandmed Hospital, Lubuk Pakam Simarmata, Pratiwi Christa; Wati, Syatria; Damayanti, Ade; Ahmad, Erwan; Khusna, Lailya; Octara, Debi Dhina
Jurnal Kesehatan Pasak Bumi Kalimantan Vol 8, No 2 (2025): JKPBK Desember 2025
Publisher : Fakultas Kedokteran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30872/j.kes.pasmi.kal.v8i2.24643

Abstract

Introduction: Hypertension is a chronic disease often referred to as a “silent killer” because it may progress without noticeable symptoms but can lead to serious complications such as stroke, heart failure, and kidney failure. Self-management plays an essential role in helping patients control blood pressure, adhere to medication therapy, and maintain an optimal quality of life. Methods: This study aims to determine the relationship between self-management and the quality of life of patients with hypertension at Grandmed Hospital Lubuk Pakam in 2025. Method: This study used a cross-sectional design with a total sample of 64 hypertensive patients selected using purposive sampling. Data were collected using a Self-Management questionnaire (40 items) and the WHOQOL-BREF to assess quality of life. Data were analyzed using the Chi-Square test with a significance level of 0.05. Results: The results showed that most respondents had good self-management (62.5%) and a good quality of life (92.2%). The Chi-Square test revealed a p-value of 0.041, indicating a significant relationship between self-management and the quality of life of hypertensive patients. Patients with good self-management demonstrated better physical, psychological, social, and environmental functioning compared to those with moderate self-management. Conclusion: Self-management has a significant relationship with the quality of life of hypertensive patients. Improving self-management behaviors such as medication adherence, low-salt diet, stress control, and regular physical activity contributes to a better quality of life. Continuous education and support from healthcare professionals are essential to help patients manage hypertension optimally.
The Relationship between Knowledge Level of Foot Care and Prevention of Diabetic Foot Ulcers in Diabetes Mellitus Patients at the Lok Bahu Community Health Center Samarinda Simarmata, Pratiwi Christa; Ahmad, Erwan; Octora, Debi Dinha; Wati, Syatria; Hayati, Kardina
Jurnal Kesehatan Pasak Bumi Kalimantan Vol 9, No 1 (2026): JKPBK Juni 2026
Publisher : Fakultas Kedokteran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30872/j.kes.pasmi.kal.v9i1.28164

Abstract

Introduction: Diabetes mellitus is a chronic disease that can cause various complications, one of which is diabetic foot ulcers. This complication can be prevented through proper foot care, but the success of prevention is greatly influenced by the patient's level of knowledge. Good knowledge allows patients to understand the risks, recognize early signs of wounds, and take preventive measures independently. This study aims to determine the relationship between the level of foot care knowledge and the prevention of diabetic foot ulcers in diabetes mellitus patients at the Lok Bahu Community Health Center in Samarinda. Methods: This study used a quantitative design with a cross-sectional approach with 70 respondents of diabetes mellitus patients selected through a purposive sampling technique. Data were collected using a questionnaire regarding the level of foot care knowledge and diabetic foot ulcer prevention behavior. Analysis used the Chi-Square test with a significance level of 0.05. Results: The results showed that most respondents had a good level of foot care knowledge as many as 44 respondents (62.9%) and a good level of diabetic foot ulcer prevention behavior as many as 60 respondents (85.7%). The statistical test results showed a p-value of 0.045, indicating a significant relationship between the level of foot care knowledge and the prevention of diabetic foot ulcers. Conclusion: The level of foot care knowledge is significantly related to the prevention of diabetic foot ulcers in patients with diabetes mellitus. Structured, ongoing, and applicable foot care education is needed to improve patients' ability to perform prevention independently.
The Effect of Giving Ginger Aromatherapy on Nausea and Vomiting in Cancer Patients Post Chemotherapy at Grandmed Hospital Lubuk Pakam Syatria wati; Pratiwi Christa Simarmata; Debi Dinha Octora Sitepu; Dini Anggraini
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.v7i2.2660

Abstract

Cancer is one of the diseases that is the main cause of death in many parts of the country. In treating this disease, it can be done through chemotherapy, which can destroy cancer cells. However, there are side effects that can be felt by patients, namely nausea and vomiting. These symptoms can interfere with the patient's quality of life so that they become less compliant in following the next therapy. To overcome this nausea and vomiting condition, a type of non-pharmacological therapy can be tried, such as giving ginger aromatherapy which is known to contain active compounds such as gingerol and shogaol which can relieve these symptoms. Quantitative research with a Quasy Experiment design with a One Group Pretest Posttest approach was chosen in this research. A sample of 23 people was determined using the purposive sampling method. Analysis was carried out on the characteristics of respondents and the effect of ginger aromatherapy on nausea and vomiting was tested using a paired sample t-test. The results showed a change in the mean value from 4.52 to 2.48 or a decrease of 2.04, with a t value of 4.97, and a p value of 0.000 which can be interpreted that ginger aromatherapy can reduce the level of nausea and vomiting in cancer patients after aromatherapy. Ginger aromatherapy has been proven to reduce nausea and vomiting levels, making it suitable for recommendation for cancer patients after chemotherapy, so it can provide comfort and improve the patient's quality of life.
Efectivity of The Combination of Lateral and Semi fowler Positions Against Hemodynamics of Heart Failure Congestive in GrandMed Hospital Lubuk pakam Pitriani Pitriani; Pratiwi Christa Simarmata; Samuel Ginting; Syatriawati Syatriawati; Kardina Hayati
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/nsrbff34

Abstract

Congestive Heart Failure (CHF) remains a major health problem worldwide, with high prevalence and significant mortality rates. This condition is characterized by the heart’s inability to pump blood adequately to meet tissue demands, leading to hemodynamic disturbances such as impaired respiration and reduced oxygen saturation. One of the simple nursing interventions that is believed to improve these conditions is body positioning. The combination of lateral and semi-fowler positions is expected to enhance venous return, optimize lung expansion, and support ventilation in CHF patients. This study aimed to evaluate the effectiveness of combining lateral and semi-fowler positions in improving hemodynamic status, specifically respiratory pattern and oxygen saturation, among patients with congestive heart failure at GrandMed Hospital, Lubuk Pakam.A pre-experimental design with a one-group pretest-posttest approach was employed. A total of 23 respondents were selected using purposive sampling based on inclusion criteria. Respiratory rate and oxygen saturation were measured before and after the intervention. Data were analyzed using the Wilcoxon Test with a significance level of α = 0.05.Prior to the intervention, most patients experienced tachypnea (78%) and low oxygen saturation (52.2%). Following the intervention, improvements were observed, with 60.9% of patients achieving normal respiratory patterns and 56.5% showing adequate oxygen saturation, while only 8.7% remained in the low category. Statistical analysis revealed significant differences in respiratory rate (mean difference = 0.391; Z = -3.873; p = 0.001) and oxygen saturation (mean difference = 0.783; Z = -3.873; p = 0.001).The combination of lateral and semi-fowler positions proved effective in reducing tachypnea and enhancing oxygenation in patients with congestive heart failure. This intervention may serve as a simple, practical, and applicable nursing measure to support hemodynamic stability in CHF 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.