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PENGARUH LATIHAN FLEKSI WILLIAM TERHADAP TINGKAT NYERI PUNGGUNG BAWAH PADA PERAWAT PELAKSANA DI RSU HAJI MEDAN TAHUN 2017 Nani Zulfikar; Lestari Lestari
Jurnal Ilmiah Keperawatan Vol 3 No 1 (2020): JURNAL MUTIARA NERS
Publisher : Program Studi Ners UNIVERSITAS SARI MUTIARA INDONESIA

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Abstract

Low Back Pain (LBP) is the most common musculoskeletal problem and it is currently the most widespread problem affecting the human population. William's flexion exercise is an exercise therapy for low back pain sufferers developed by Dr. Paul William in 1937 by strengthening abdominal and gluteus maximus muscles and extending the back extensor muscles. The purpose of this study is to identify generally the effect of William's flexion exercises on the level of low back pain in nurses in Haji general hospital Medan. This research was quantitative study using a quasi-experimental design that is provide treatment or intervention on research subjects then the treatment effect is measured and analyzed (Polit & Beck, 2012). The type of quasi-experimental design used was one group pretest-posttest only design. Results of analysis of normality test with analytical methods namely Shapiro-Wilk Test showed that the intervention group's pain scale was normally distributed (p> 0.05) and also used a descriptive method so that the data were analyzed using parametric tests namely the Independent t-test to test the average difference between 2 groups and paired t-test to test the difference in average pain scale before and after the intervention. The conclusion of William's flexion training research provides benefits in reducing low back pain in nurses at Haji general hospital Medan, it can be seen in the following conclusions: (1) pain scale before doing William flexion in the intervention group respondents showed an average of 3.82 (moderate pain scale); (2) Pain scale after doing William flexion in the intervention group respondents showed an average of 2.59 (mild pain scale); and (3) there was difference in pain scale before and after the intervention of William flexion in the intervention group, where the pain scale before showing moderate pain and after flexion showing mild pain scale.
PENGALAMAN KLIEN KANKER PAYUDARA PASKA MASTEKTOMI PADA SUKU BATAK DI MEDAN Lestari Lestari; Nani Zulfikar
Jurnal Online Keperawatan Indonesia Vol 1 No 2 (2018): JURNAL ONLINE KEPERAWATAN INDONESIA
Publisher : UNIVERSITAS SARI MUTIARA INDONESIA

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Abstract

Breast removal affectsbody image and self image which potentially reduces sexual function and sexual attraction. In this condition and because cancer treatment can cause continuous stress, so that it not only affects physical adjustment but also individual psychological adjustment. The purpose of this study is to explore in depth how the client's perception of breast cancer after mastectomy in Batak tribe. This research was descriptive phenomenology study. Data was collected by in-depth interviews, and fieldnotes. Data that was obtained is analyzed by Colaizzi approach. The results of research analysis found 6 themes: (1) The experience of breast cancer client after undergoing mastectomy, (2) The experience of breast cancer client adapting to physical and psychological changes after mastectomy (3) The quality of life for post-mastectomy breast cancer clients, (4) Constraints that experienced by breast cancer clients after mastectomy, (5) The experience of post-mastectomy breast cancer client in Batak tribes and (6) The expectations of post-mastectomy breast cancer client. Based on the results of study it is recommended generally for breast cancer patients, the results of this study can be used as input / information material, keep trying and enthusiasm so that patients can further enhance their confidence and develop their own potential.
EXCERCISE DYSMENORRHEA DALAM MENURUNKAN INTENSITAS NYERI HAID PADA REMAJA PUTRI DI WILAYAH KERJA PUSKESMAS MULYOREJO KECAMATAN SUNGGAL KABUPATEN DELI SERDANG TAHUN 2021 Yufdel Yufdel; Nani Zulfikar; Surita Ginting
Community Development Journal : Jurnal Pengabdian Masyarakat Vol. 3 No. 1 (2022): volume 3 Nomor 1 Tahun 2022
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/cdj.v3i1.3778

Abstract

Angka kejadian nyeri haid (dysmenorrhea) di dunia sangat besar. Rata-rata lebih dari 50% perempuan di setiap negara mengalami dysmenorrhea. Di Amerika angka persentasenya sekitar 60% dan di Swedia sekitar 72%. Sementara di Indonesia angkanya diperkirakan 55% perempuan produktif yang tersiksa oleh dismenore (Nafiroh,D.2013). Tujuan dari pengabdian masyarakat, Remaja Putri mengalami peningkatan pengetahuan tentang Exercise Dysmenorhea dalam menurunkan Intensitas Nyeri Haid. Remaja Putri telah mampu mengaplikasikan Exercise Dysmenorhea dalam menurunkan Intensitas Nyeri Haid sehingga dapat meningkatkan pengetahuan tentang bagaimana cara menurunkan Intensitas Nyeri di saat haid. Pemahaman remaja putri semakin meningkat dalam melakukan Exercise Dysmenorhea hingga mampu mengaplikasikannya untuk menurunkan intensitas nyeri haid. Hasil pengabdian masyarakat ini remaja putri mampu memahami dan melaksanakan Exercise Dysmenorhea hingga mampu mengaplikasikannya untuk diri sendiri dalam menurunkan nyeri haid. Dari 20 remaja putri sebagai peserta pelatihan maka didapat hasil Pretest yang pengetahuan baik 3 orang (15%) pengetahuan cukup sebanyak 4 (20%), dan pengetahuan kurang sebanyak 13 orang dengan pesentase 65%. Sedangkan Posttest Exercise Dysmenorhea terdapat yang memiliki pengetahuan baik sebanyak 16 orang (80%), sedangkan pengetahuan cukup 4 orang (20%). Peningkatan pengetahuan remaja putri ini karena adanya demontrasi yang dilakukan melalui media video, dan SOP Exercise Dysmenorhea sehingga memudahkan remaja memahami dan menguasai pelaksanaan Exercise Dysmenorhea.
EFEKTIFITAS PEMERIKSAAN KADAR GULA DARAH RUTIN TERHADAP PENCEGAHAN DIABETES MELLITUS TYPE II PADA IBU-IBU MULTIGRAVIDA Juliandi; Nani Zulfikar
Jurnal Ilmiah PANNMED (Pharmacist, Analyst, Nurse, Nutrition, Midwivery, Environment, Dentist) Vol. 17 No. 2 (2022): Jurnal Ilmiah PANNMED Periode Mei - Agustus 2022
Publisher : Poltekkes Kemenkes Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (619.629 KB) | DOI: 10.36911/pannmed.v17i2.1338

Abstract

Diabetes Mellitus (DM) is a disorder of carbohydrate, protein and fat metabolism characterized by hyperglycemia or an increase in blood glucose levels that occurs due to insulin secretion abnormalities or decreased insulin action (American Diabetes Association, 2012). The results of statistical analysis using t-test showed that the p-value was 0.323, meaning that there was no difference between the prevention of type II diabetes mellitus in the control group before and before treatment in multigravida mothers. While the intervention group before treatment was mostly ineffective, namely as many as 34 respondents (85%) after showing a very large change, most of them were classified as effective, namely as many as 32 respondents (80%), The results of the analysis using the t-test showed that the p-value the intervention group was 0.000, meaning that there was a difference between the prevention of type II diabetes mellitus in the intervention group before and before treatment in multigravida mothers.
PENGARUH LATIHAN FLEKSI WILLIAM TERHADAP TINGKAT NYERI PUNGGUNG BAWAH PADA PERAWAT PELAKSANA DI RSU HAJI MEDAN TAHUN 2017 Zulfikar, Nani; Lestari, Lestari
Jurnal Ilmiah Keperawatan Vol 3 No 1 (2020): JURNAL MUTIARA NERS
Publisher : Program Studi Ners UNIVERSITAS SARI MUTIARA INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Low Back Pain (LBP) is the most common musculoskeletal problem and it is currently the most widespread problem affecting the human population. William's flexion exercise is an exercise therapy for low back pain sufferers developed by Dr. Paul William in 1937 by strengthening abdominal and gluteus maximus muscles and extending the back extensor muscles. The purpose of this study is to identify generally the effect of William's flexion exercises on the level of low back pain in nurses in Haji general hospital Medan. This research was quantitative study using a quasi-experimental design that is provide treatment or intervention on research subjects then the treatment effect is measured and analyzed (Polit & Beck, 2012). The type of quasi-experimental design used was one group pretest-posttest only design. Results of analysis of normality test with analytical methods namely Shapiro-Wilk Test showed that the intervention group's pain scale was normally distributed (p> 0.05) and also used a descriptive method so that the data were analyzed using parametric tests namely the Independent t-test to test the average difference between 2 groups and paired t-test to test the difference in average pain scale before and after the intervention. The conclusion of William's flexion training research provides benefits in reducing low back pain in nurses at Haji general hospital Medan, it can be seen in the following conclusions: (1) pain scale before doing William flexion in the intervention group respondents showed an average of 3.82 (moderate pain scale); (2) Pain scale after doing William flexion in the intervention group respondents showed an average of 2.59 (mild pain scale); and (3) there was difference in pain scale before and after the intervention of William flexion in the intervention group, where the pain scale before showing moderate pain and after flexion showing mild pain scale.
Peningkatan Pengetahuan Dan Kesadaran Masyarakat Tentang Pentingnya Peran Keluarga Dan Penggunaan Minyak Karo Sebagai Local Wisdom Sebagai Upaya Pencegahan TB Paru Di Wilayah Kerja Puskesmas Tanjung Rejo, Deli Serdang Triwibowo, Cecep; Nasution, Johani Dewita; Zulfikar, Nani
JURNAL PANDU HUSADA Vol 5, No 4 (2024)
Publisher : Universitas Muhammadiyah Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30596/jph.v5i4.21019

Abstract

Abstrak: Tuberkulosis (TB) paru masih menjadi masalah kesehatan yang signifikan di Indonesia, dengan jumlah kasus yang tinggi dan tingkat penularan yang terus meningkat, terutama di lingkungan keluarga. Pengabdian masyarakat ini bertujuan untuk meningkatkan kesadaran dan pengetahuan masyarakat tentang pencegahan TB paru melalui penyuluhan dan pemanfaatan local wisdom, khususnya penggunaan minyak Karo sebagai terapi komplementer. Metode yang digunakan dalam kegiatan pengabdian masyarakat ini meliputi penyuluhan kesehatan, diskusi aktif, serta evaluasi pengetahuan sebelum dan sesudah penyuluhan dengan menggunakan kuesioner. Kegiatan pengabdian masyarakat dilaksanakan di Wilayah Kerja Puskesmas Tanjung Rejo, Kabupaten Deli Serdang. Hasil evaluasi menunjukkan adanya peningkatan pengetahuan peserta dengan rerata nilai post-test sebesar 81,5, lebih tinggi dibandingkan rerata nilai pre-test sebesar 63,3. Temuan ini mengindikasikan bahwa penyuluhan berbasis kearifan lokal dan peran aktif keluarga dalam pencegahan TB paru efektif dalam meningkatkan pemahaman masyarakat. Program ini berhasil meningkatkan pengetahuan dan kesadaran masyarakat tentang pentingnya peran keluarga dan penggunaan minyak Karo sebagai upaya pencegahan TB paru, sehingga diharapkan dapat mengurangi tingkat penularan TB paru di komunitas.
LATIHAN PERAWATAN PAYUDARA PADA IBU HAMIL DI KLINIK PRATAMA NIAR KECAMATAN PATUMBAK Zulfikar, Nani; Yufdel, Yufdel; Tarigan, Siang Br
Community Development Journal : Jurnal Pengabdian Masyarakat Vol. 6 No. 3 (2025): Volume 6 No 3 Tahun 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/cdj.v6i3.46461

Abstract

Perawatan payudara adalah suatu cara pemeliharaan organ reproduksi wanita yang baik sejak hamil, dan berguna untuk meningkatkan kuantitas serta kualitas ASI pada masa laktasi. Perawatan payudara selama kehamilan adalah salah satu bagian penting yang harus diperhatikan sebagai persiapan dalam pemberian ASI. Perawatan payudara sangat penting supaya tidak terjadi komplikasi pada saat menyusui bayinya nanti. Penyebab seorang ibu hamil tidak melakukan perawatan payudara, antara lain disebabkan oleh faktor-faktor berikut kurangnya informasi yang didapat dari tenaga kesehatan, adanya rasa takut dan malas, serta ketersediaan waktu untuk melakukan perawatan payudara selama kehamilan. Beberapa permasalahan yang timbul pada ibu hamil yang tidak melakukan perawatan payudara selama kehamilan tersebut, dapat mengakibatkan bayi tidak mau menyusui atau tidak mendapatkan ASI yang maksimal dari ibunya. Keadaan ini akan mengakibatkan kebutuhan gizi bayi tidak akan terpenuhi secara baik dan bayi akan mudah terkena penyakit, bahkan mengalami kematian. Perawatan selama kehamilan bertujuan agar selama menyusui kelak produksi ASI cukup, tidak terjadi kelainan pada payudara dan agar bentuk payudara tetap baik setelah menyusui. Tujuan dari pengabdian masyarakat ini adalah untuk meningkatkan pengetahuan ibu, yaitu bagaimana cara melakukan perawatan payudara. Metode yang dilakukan dengan pendidikan kesehatan dan melakukan latihan perawatan payudara. Hasil dari pengabdian masyarakat ini adalah terselenggaranya edukasi tentang latihan perawatan payudara dan antusias ibu ingin melakukan secara mandiri agar dapat meningkatkan produksi ASI dan diharapkan meningkat untuk datang ke puskesmas dalam pelaksanaan kegiatan latihan perawatan payudara.
PENGETAHUAN DAN SIKAP IBU TERHADAP PERAWATAN PAYUDARA PADA IBU HAMIL Nani Zulfikar; Yufdel
Jurnal Ilmiah PANNMED (Pharmacist, Analyst, Nurse, Nutrition, Midwivery, Environment, Dentist) Vol. 18 No. 3 (2023): Jurnal Ilmiah PANNMED Periode September- Desember 2023
Publisher : Poltekkes Kemenkes Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36911/pannmed.v18i3.1697

Abstract

Breast care during pregnancy is an important part that must be considered in preparation for breastfeeding. Breast care is very important so that complications do not occur when breastfeeding the baby later. The aim of this research is to identify mothers' knowledge and attitudes towards breast care in pregnant women. This type of research is analytical survey research with a cross sectional approach. The population in this study was all third trimester pregnant women in the Muliorejo Community Health Center Working Area, Sunggal District, Deli Serdang Regency, totaling 30 people, sampling using total sampling technique. The instrument used is a questionnaire to determine knowledge of the number of statements in 20 questions to determine attitudes using a Liket scale for the number of statements in 10 questions. The data analysis used was univariate (Frequency Distribution. The research results showed that there were 15 people (75%) pregnant women who had good knowledge about breast care and there were 14 people (60%) pregnant women who had a positive attitude about breast care. Conclusion: Knowledge and The attitudes of pregnant women regarding breast care are 75% and 60%. Suggestions: Health promotion at the Muliorejo Community Health Center, Deli Serdang Regency regarding Breast Care is further improved with the hope that pregnant women will carry out breast care at their respective homes so that their births run smoothly.
PENGARUH KOMPRES HANGAT DALAM MENURUKAN INTENSITAS NYERI PADA PERSALINAN KALA I FASE AKTIF DI KLINIK PRATAMA NIAR PATUMBAK Nani Zulfikar
Jurnal Ilmiah PANNMED (Pharmacist, Analyst, Nurse, Nutrition, Midwivery, Environment, Dentist) Vol. 20 No. 3 (2025): Jurnal Ilmiah PANNMED Periode September - Dsember 2025
Publisher : Poltekkes Kemenkes Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36911/pannmed.v20i3.2357

Abstract

Pain during labor is common and experienced by almost 90% of mothers. It can be traumatic, causing some mothers to fear pregnancy and childbirth again, fearing the same experience. Applying warm compresses can be an efficient way to help mothers relieve pain and provide comfort during labor. This study aimed to assess the effect of warm compresses on pain levels in the active phase of first stage labor. This study was a quantitative pre-experimental study with a one-group pretest-posttest design using purposive sampling. Thirty-eight mothers giving birth at Klinik Pratama Niar Patumbak were sampled. Data were collected using an assessment sheet and analyzed using a paired t-test with a p value of > 0.05.