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TINGKAT PENGETAHUAN REMAJA PUTRI TERHADAP KEPUTIHAN DI DESA GASARIBU KECAMATAN LAGUBOTI KABUPATEN TOBA SAMOSIR Melva Manurung; Putri Sitorus
Indonesian Trust Health Journal Vol 3 No 2 (2020): Indonesian Trust Health Journal
Publisher : STIKes Murni Teguh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37104/ithj.v3i2.62

Reproductive health is one indicator the quality and accessibility of health service facilities. One of the clinical complaints of adolescent reproduction is vaginal discharge. Leucorrhoea is defined as discharge from the vagina. These fluids vary in consistency (solid, liquid, viscous), in color (clear, white, yellow, green) and odor (normal, smelly). This study aims to identify the level of knowledge of young women about vaginal discharge at Gasaribu Village, Laguboti District in 2020. The sample was determined using a simple random sampling technique, as many as 65 people. Data collection was carried out in July 2020 using a questionnaire containing statements about demographic data, and vaginal discharge. Based on the results of research conducted in Sitoluama Village, Laguboti District, regarding the knowledge of adolescents about the causes of vaginal discharge, it is known that the knowledge of young women about vaginal discharge from 65 respondents 17 people with good knowledge (26.2%), sufficient knowledge of 35 people (53.8%), less knowledgeable 13 people (20%). Abstrak Kesehatan repoduksi merupakan salah satu indikator yang peka terhadap kualitas dan aksesibilitas fasilitas pelayanan kesehatan. Salah satu keluhan klinis dari reproduksi remaja adalah keputihan. Keputihan didefinisikan sebagai keluarnya cairan dari vagina. Cairan tersebut bervariasi dalam konsistensi (padat, cair, kental), dalam warna (jernih, putih, kuning, hijau) dan bau (normal, berbau). Penelitian ini bertujuan untuk mengidentifikasi tingkat pengetahuan remaja putri tentang keputihan di Desa Gasaribu Kecamatan Laguboti tahun 2020. Penentuan sampel menggunakan teknik simple random sampling yaitu sebanyak 65 orang. Pengumpulan data dilakukan pada bulan Juli 2020 menggunakan kuesioner yang berisi pernyataan tentang data demografi, dan keputihan. Berdasarkan hasil penelitian yang telah dilakukan di Desa Sitoluama Kecamatan Laguboti tentang pengetahuan remaja tentang penyebab keputihan, diketahui bahwa pengetahuan remaja putri tentang keputihan dari 65 responden 17 orang berpengetahuan baik (26,2%), pengetahuan cukup 35 orang (53,8%), berpengetahuan kurang 13 orang (20%).

EFEKTIVITAS PENGARUH TEKNIK RELAKSASI DAN COUNTERPRESSURE TERHADAP PENURUNAN INTENSITAS NYERI SELAMA PERSALINAN KALA I DI KLINIK NURSANI KECAMATAN SIGUMPAR KABUPATEN TOBA SAMOSIR TAHUN 2020 Melva Manurung; Rachel Natalia
Indonesian Trust Health Journal Vol 4 No 1 (2021): Indonesian Trust Health Journal
Publisher : STIKes Murni Teguh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37104/ithj.v4i1.69

Pain during labor differs from other types of pain because it is part of the normal process that is experienced during childbirth. Women have time to prepare and limit their own pain. To manage pain, pharmacological and nonpharmacological management are used. Pharmacological action is still conflicting because the administration of drugs during labor can cross the placental barrier so that it can affect the baby. Therefore, a non-pharmacological method of controlling pain is very important, this method can help overcome pain and does not harm the mother or fetus, does not delay labor if adequate pain control is provided, and does not have allergic effects and drug effects. This study aims to analyze the effectiveness of the technique. relaxation and counterpressure to reduce pain intensity during first stage labor at the Nursani Clinic, Sigumpar District, Toba Samosir Regency in 2020. The design used in this study was the design used in this study was a quasy experimental type One group pretest-posttest consisting of 3 groups and each -Each group was given different interventions, the population in this study were mothers who gave birth to stage I with vaginal delivery at the Nursani Clinic, Sigumpar District, Toba Samosir Regency using accidental sampling. The instrument used was a questionnaire of demographic data and maternal pain intensity based on the pain intensity scale before and after the intervention significantly differed (p <0.05) for each intervention group, so it can be stated that the implementation of each intervention was significantly effective. the decrease in pain intensity during the first stage of labor in each intervention group. The decrease in maternal pain intensity during the first stage of labor between groups 1, 2 and 3 was significantly different (p <0.05), so it can be said that the effectiveness of the three interventions on reducing pain intensity. measures taken to reduce the intensity of pain during labor, especially the first stage, is to encourage the mother to continue to be able to relax during labor and for the partner or mother's companion to perform counterpressure techniques. Abstrak Nyeri selama proses persalinan berbeda dari nyeri tipe yang lain karena hal tersebut merupakan bagian dari suatu proses normal yang dirasakan saat melahirkan. Para wanita mempunyai waktu untuk mempersiapkannya dan membatasi sendiri nyerinya Untuk mengatasi nyeri digunakan manajemen farmakologis dan nonfarmakologis. Tindakan farmakologis masih menimbulkan pertentangan karena pemberian obat selama persalinan dapat menembus sawar plasenta sehingga dapat mempengaruhi bayi. Oleh karena itu metode pengontrolan nyeri secara nonfarmakologi sangat penting, metode ini dapat membantu mengatasi rasa nyeri dan tidak membahayakan ibu maupun janin, tidak memperlambat persalinan jika diberikan kontrol nyeri yang adekuat, dan tidak mempunyai efek alergi dan efek obat Penelitian ini bertujuan untuk menganalisis efektifitas teknik relaksasi dan counterpressure terhadap penurunan intensitas nyeri selama persalinan kala I di Klinik Nursani Kecamatan Sigumpar Kabupaten Toba Samosir Tahun 2020. Desain yang digunakan dalam penelitian ini adalah Desain yang digunakan dalam penelitian adalah quasy eksperimen jenis One group pretest-posttest yang terdiri dari 3 kelompok dan masing-masing kelompok diberikan intervensi yang berbeda, yang menjadi populasi dalam penelitian ini adalah ibu-ibu bersalin kala I dengan partus pervaginam di di Klinik Nursani Kecamatan Sigumpar Kabupaten Toba Samosir dengan menggunakan accidental sampling. Instrumen yang digunakan kuisioner data demografi dan intensitas nyeri ibu bersalin berdasarkan skala intensitas nyeri intensitas nyeri sebelum dan sesudah intervensi berbeda secara signifikan (p < 0.05) untuk masingmasing kelompok intervensi, sehingga dapat dinyatakan bahwa pelaksanaan masing-masing intervensi ternyata cukup efektif secara signifikan terhadap penurunan intensitas nyeri selama persalinan kala I pada setiap kelompok intervensi. penurunan intensitas nyeri ibu bersalin selama persalinan kala I antara kelompok 1, 2 dan 3 adalah berbeda secara signifikan (p< 0.05), sehingga dapat dikatakan bahwa efektifitas ketiga intervensi terhadap penurunan intensitas nyeri. tindakan yang dilakukan untuk menurunkan intensitas nyeri selama persalinan terutama kala I adalah mendorong ibu untuk tetap dapat melakukan relaksasi selama persalinan dan bagi pasangan ataupun pendamping ibu untuk melakukan teknik counterpressure.

DUKUNGAN KELUARGA DENGAN MOTIVASI DALAM MELAKUKAN ROM PADA PASIEN PASCA STROKE DI RSU HKBP BALIGE KABUPATEN TOBA SAMOSIR Melva Manurung
Idea Nursing Journal Vol 8, No 3 (2017): Idea Nursing Journal
Publisher : Fakultas Keperawatan-Universitas Syiah Kuala

ABSTRAKRange of Motion (ROM) merupakan salah satu bentuk intervensi keperawatan yang ditetapkan pada pasien stroke untuk mencegah komplikasi khususnya pasien-pasien dengan imobilisasi. Pencegahan terhadap komplikasi dari penyakit stroke dapat dilakukan dengan melakukan latihan ROM pasif atau aktif yang teratur secara tepat sesuai dengan kondisi penderita. Dukungan keluarga mempengaruhi motivasi penderita stroke dalam melakukan latihan juga berpengaruh besar dalam peningkatan kekuatan otot. Penelitian ini bertujuan untuk menganalisa hubungan dukungan keluarga dengan motivasi dalam melakukan ROM pada pasien pasca stroke di RSU HKBP Balige. Desain yang digunakan dalam penelitian adalah design korelasi, yang menjadi populasi dalam penelitian adalah pasien stroke di RSU HKBP Balige. Sampel penelitian adalah 17 pasien stroke yang diambil dengan cara dengan melakukan total sampling. Instrumen yang digunakan kuisioner data demografi, dukungan keluarga dan motivasi dalam melakukan ROM. yang telah diuji Validitas dan reliabilitasnya di RSUD Porsea dimana nilai reliabilitas dukungan keluarga 0,982 dan nilai reliabilitas kuesioner motivasi 0.985. Uji hipotesis dengan menggunakan uji korelasi Pearson Product Moment. Berdasarkan analisa data, diperoleh nilai p = 0.001 yang berarti ada hubungan yang signifikan antara hubungan dukungan keluarga dengan motivasi dalam melakukan ROM pada pasien pasca stroke di RSU HKBP Balige dengan kekuatan hubungan rendah dan dengan arah korelasi positif. Hasil ini menunjukkan bahwa motivasi pasien pasca Stroke untuk melakukan ROM di RSU HKBP Balige tinggi untuk melakukan ROM. Diharapkan kepada pihak manajemen untuk meningkatkan peranan keluarga dalam mendampingi klien dalam pelaksanaan ROM untuk mempercepat penyembuhan klien.Kata kunci: Motivasi, dukungan keluarga, ROM pasien stroke. ABSTRACTRange of Motion (ROM) is one form of nursing intervention established in stroke patients to prevent complications, especially patients with immobilization. Prevention of complications from stroke can be done by performing regular or active passive ROM exercises appropriately according to the condition of the patient. Family support affects the motivation of stroke sufferers in doing the exercises also have a big effect in increasing muscle strength. This study aims to analyze the relationship of family support with motivation in performing ROM in post-stroke patients at HKBP Balige Hospital. The design used in the research is correlation design, the population in this study was stroke patients at HKBP Balige Hospital. The sample of the study was 17 stroke patients taken by means of doing total sampling. The instruments used are demographic data questionnaires, family support and motivation in performing ROM. which has been tested Validity and reliability in RSUD Porsea where the reliability value of family support 0.982 and reliability value of motivation questionnaire 0.985. Test the hypothesis by using Pearson Product Moment correlation test. Based on data analysis, obtained p value = 0.001 which means there is a significant relationship between the relationship of family support with motivation in performing ROM in post-stroke patients at HKBP Balige Hospital with the strength of low relationship and with positive correlation direction. These results indicate that post-stroke patient motivation to perform ROM in HKBP Balige Hospital is high for performing ROM. It is expected to the management to increase the role of families in assisting clients in the implementation of ROM to speed healing clients.Keywords: Motivation, family support, ROM of stroke patients.

The Relationship Between The Level of Knowledge of Nurses and Response Time in The Emergency Installation at Porsea Regional General Hospital Toba Regency Melva Epy Mardiana Manurung; Jenti Sitorus; Ayu Hutahaean
Journal of Midwifery and Nursing Vol. 4 No. 2 (2022): Health Science
Publisher : Institute Of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/jmn.v4i2.2197

Emergency Room is the main access to get treatment at the hospital, has a very important role in treating patients with various levels of emergency. Response Time is the speed in handling patients, calculated from the time the patient arrives until the treatment is carried out. In carrying out special health services in the emergency department, one of the indicators that must be achieved is handling the right response time to achieve the expected results. The standard response for emergency patients must be served no later than 5 (five) minutes after arriving at the emergency department. This research method is a cross sectional study to determine the relationship between nurses' knowledge and response time in the Emergency Installation of the Porsea Regional Hospital, Toba Regency, which was carried out in February 2022 on 17 emergency room nurses at Porsea Regional General Hospital using a total sampling technique. The results of the study found that there was a relationship between Nurse Knowledge Levels and Response Time in the Emergency Room using the Chi-Square test, p value = 0.007, p value < (0.05). So it can be concluded Ha, which means that there is a relationship between the level of knowledge of nurses and response time in the ER at the Porsea Regional Hospital in 2022. It is expected that nurses will continue to improve their skills/insights and knowledge by optimizing in providing services in the form of comprehensive nursing actions.

The Role of Caregiver in Patients of Nasopharyngeal Cancer (NFC) During Treatment Harsudianto Silaen; Melva Epy Mardiana Manurung
Jurnal KESANS : Kesehatan dan Sains Vol 1 No 6 (2022): KESANS : International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v1i6.64

Nasopharyngeal cancer patients with stage I – IV will cause painful symptoms such as signs of swelling due to the growth of abnormal tissue in the nasopharynx. Symptoms of nasopharyngeal cancer can interfere with daily activities, the fulfillment of daily needs, and the need for rest. The dependence of nasopharyngeal cancer patients with stage I – IV is very minimal to carry out daily activities both physically, psychologically, socially, and in control of disease or symptoms related to treatment and care. This study aims to explore in-depth the meaning of the experience of a partner with nasopharyngeal cancer as a caregiver at home. This research is a descriptive phenomenological study. Data was collected by depth interviews and field notes. The participants in this study were 10 people who were selected by the purposive sampling technique. The data obtained were analyzed using the Colaizzi approach. The results of the research analysis found 3 themes, namely helping patients in meeting basic needs, impact on caregivers, and wisdom for caregivers. In general, caregivers feel neglected, lack information on how to care for their partner with nasopharyngeal cancer and the use of health care facilities. Based on the results of the study, it is suggested that couples should be more informed about the disease of partners who have nasopharyngeal cancer in the form of health education.

Mom's Knowledge Regarding Basic Immunization To Babies In The Sigumpar Public Health Center Area Year 2021 Melva Epy Mardiana Manurung
Science Midwifery Vol 10 No 1, October (2021): Science Midwifery
Publisher : Institute of Computer Science (IOCS)

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

Immunization is an effort to provide immunity to infants and children by introducing vaccines into the body to make antibodies to prevent certain diseases. There are 22.6 million children in the world who are not covered by routine immunization. More than 13% of Indonesian children have not received complete immunization for various reasons, whereas complete immunization can protect children from epidemics, disability and death. The percentage of measles immunization nationally is 82.1%, DPT/HB1 immunization is only 3.3%, the number of diphtheria cases is 78.4%, this achievement has not met the 90% target which is Indonesia's commitment to the regional scope. Not achieving the immunization target is caused by various things, one of which is lack of knowledge from mothers about immunization. This study aims to determine the knowledge of mothers about giving basic immunization to babies in the work area of the Sigumpar Health Center, Tobasa Regency. The type of research used is descriptive, the population in this study is mothers who have babies 0-12 months and the research sample is 31 people who are taken by doing accidental sampling. The results of this study indicate that the majority of mothers' knowledge is in good category (67.7%) about giving basic immunization to babies at the Sigumpar Health Center, Tobasa Regency. direct visits so as to increase visits and maternal compliance in providing immunizations to their children so as to prevent disease for the baby's body.

HUBUNGAN KETEPATAN PENILAIAN TRIASE DENGAN TINGKAT KEBERHASIALAN PENANGANAN PASIEN CIDERA KEPALA DI IGD RSU HKBP BALIGE KABUPATEN TOBA SAMOSIR Mila Gustia; Melva Manurung
JUMANTIK (Jurnal Ilmiah Penelitian Kesehatan) Vol 3, No 2 (2018): Nopember 2018
Publisher : Prodi Kesehatan Masyarakat Fakultas Kesehatan Masyarakat UIN Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/jumantik.v3i2.1985

One indicator success of emergency medical response is the speed of providing sufficient help to emergency patients either on a regular daily basis or during a disaster and the successful handling of head injuries to save lives or prevent disability since the incident, on the way to hospital help.Triage is a special process of sorting out patients based on the severity of injury or illness to determine the type of emergency care. Triage is based on ABCDE, the severity of the injury, the number of patients coming, the available health facilities and the likelihood of life of the patient. Triage nurses use ABC nursing such as airway, breathing and circulation, as well as skin color, humidity, temperature, pulse, respiration, level of awareness and visual inspection for deep wounds, gross deformities and bruises to prioritize care provided to patients in the emergency room. Principles of initial handling include primary and secondary surveys. In primary management prioritized on ABCDE (Airway, with cervical spine control, Breathing and circulation with bleeding control, disability and exposure) followed by resuscitation. Triage is a way of selecting patients based on therapeutic needs and available resources. Triage assessment is the process of assessing a patient based on the severity of a head injury or determining the type of emergency treatment. Design of the research used correlation research method with samples 17 people. Sampling of this research using probability sampling with Proportionate stratified random sampling, research conducted in January 2017. The result of the research found triage of nurse to head injured patient seen that majority of nurses succeeded in doing triage assessment as much as 14 people (82.36%). The correlation of the accuracy of the evaluation of the nurses Triage with the success rate of the patient's handling of Head Injury at IGD HKBP Balige Hospital with the result of Pearson Product Moment test with r = 0.327 which means there is a significant correlation between the accuracy of the nurse Triage assessment with the success rate of the patient's head injury at IGD of HKBP Balige. Therefore it is expected to the Hospital in order to maintain the results of fast response time and precisely, and further improve its services, especially in the emergency department.Key words : Triage assessment, handling, patient, head injuries

Hubungan Pengetahuan Terhadap Sikap Remaja Desa Ujung Tanduk Kecamatan Laguboti Kabupaten Toba Tentang Swamedikasi Jerawat Tahun 2021 Baharuddin J.E.A. Togatorop; Devi Yanthre Sari Manurung; Melva Epy Mardiana Manurung; Riris Sianipar
Herbal Medicine Journal Vol 5 No 2 (2022): Herbal Medicine Journal
Publisher : Program Studi S1 Farmasi, STIKES Senior, Medan

Acne is one of the physical problems experienced during adolescence. The prevalence of acne sufferers in Indonesia ranges from 80-85% in adolescents with a peak incidence of 15-18 years of age. Acne often causes a lack of self-confidence of a teenager. A teenager with acne will try to treat it and treatment in general will be done with self-medication. A person's knowledge and attitude will affect the individual's way of behaving, including in carrying out treatment by means of self-medication. This research was conducted on teenagers in Ujung Tanduk Village, Laguboti District, Toba Regency where there were 60 populations and samples were taken as many as 45 respondents, which were collected in WhatsApp groups. Based on the research that has been carried out, 64.4% of respondents have good knowledge and the remaining 35.6% are knowledgeable enough and there are 48.9% of respondents who have good attitudes, 33.3% are moderate and 17.8% have poor attitudes, and found a relationship between knowledge and good attitudes. evidenced by the results of statistical tests (Chi Square test) where the p value <0.05.

Analisis Faktor-Faktor yang Mempengaruhi Perilaku Perawat Dalam Pendokumentasian Keperawatan di RSU Daerah Porsea Melva Epy Mardiana Manurung; Connie Melva Sianipar; Veronica Silalahi
JURNAL KEPERAWATAN CIKINI Vol. 4 No. 1 (2023): Jurnal Keperawatan Cikini
Publisher : JURNAL KEPERAWATAN CIKINI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55644/jkc.v4i1.101

Latar belakang: Pelaksanaan dokumentasi keperawatan yang baik dan efisien dapat dijadikan alat komunikasi antara profesi kesehatan, memudahkan alur dan koordinasi dalam perawatan pasien untuk mengevaluasi asuhan keperawatan yang di berikan kepada klien. Dalam mewujudkan catatan dokumentasi asuhan keperawatan bermutu diperlukan komponen yang harus dilaksanakan oleh perawat yaitu pengetahuan, sikap peduli, hubungan perawat-klien, tindakan/kemampuan perawat memenuhi kebutuhan klien dan kolaborasi/kemitraan. Penelitian ini bertujuan mengidentifikasi faktor-faktor yang mempengaruhi perilaku perawat dalam pendokumentasian di RSUD Porsea dengan metode korelasional. Metode: Design penelitian ini merupakan penelitian kuantitatif metode korelasional yang dilaksanakan pada Bulan November tahun 2022 pada 38 orang dengan tehnik pengambilan sampling yaitu total sampling. Instrumen penelitian yang digunakan adalah kuesioner, lembar check list yaitu kuesioner faktor-faktor yang mempengaruhi perilaku perawat tentang pendokumentasian terdiri dari 25 item pernyataan dan kuesioner pendokumentasian asuhan keperawatan perawat terdiri dari 15 item pernyataan. Hasil penelitian: menunjukkan bahwa terdapat hubungan antara faktor sarana dan prasarana dan faktor pelatihan dengan pendokumentasian perawat di RSUD Porsea dengan (p=0.023), akan tetapi tidak ada hubungan antara faktor pengetahuan dengan pendokumentasian perawat di RSUD Porsea (p=0.767). Demi peningkatan kualitas diharapkan pihak manajemen rumah sakit terutama bidang keperawatan dapat memfasilitasi peningkatan pendokumentasian perawat dengan cara mengupdate sistem pendokumentasian, menyediakan sarana dan sarana misalnya komputerisasi dalam proses dokumentasi.

TINGKAT PENGETAHUAN REMAJA PUTRI TERHADAP KEPUTIHAN DI DESA GASARIBU KECAMATAN LAGUBOTI KABUPATEN TOBA SAMOSIR Melva Manurung; Putri Sitorus
Indonesian Trust Health Journal Vol 3 No 2 (2020): Indonesian Trust Health Journal
Publisher : Universitas Murni Teguh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37104/ithj.v3i2.62

Reproductive health is one indicator the quality and accessibility of health service facilities. One of the clinical complaints of adolescent reproduction is vaginal discharge. Leucorrhoea is defined as discharge from the vagina. These fluids vary in consistency (solid, liquid, viscous), in color (clear, white, yellow, green) and odor (normal, smelly). This study aims to identify the level of knowledge of young women about vaginal discharge at Gasaribu Village, Laguboti District in 2020. The sample was determined using a simple random sampling technique, as many as 65 people. Data collection was carried out in July 2020 using a questionnaire containing statements about demographic data, and vaginal discharge. Based on the results of research conducted in Sitoluama Village, Laguboti District, regarding the knowledge of adolescents about the causes of vaginal discharge, it is known that the knowledge of young women about vaginal discharge from 65 respondents 17 people with good knowledge (26.2%), sufficient knowledge of 35 people (53.8%), less knowledgeable 13 people (20%). Abstrak Kesehatan repoduksi merupakan salah satu indikator yang peka terhadap kualitas dan aksesibilitas fasilitas pelayanan kesehatan. Salah satu keluhan klinis dari reproduksi remaja adalah keputihan. Keputihan didefinisikan sebagai keluarnya cairan dari vagina. Cairan tersebut bervariasi dalam konsistensi (padat, cair, kental), dalam warna (jernih, putih, kuning, hijau) dan bau (normal, berbau). Penelitian ini bertujuan untuk mengidentifikasi tingkat pengetahuan remaja putri tentang keputihan di Desa Gasaribu Kecamatan Laguboti tahun 2020. Penentuan sampel menggunakan teknik simple random sampling yaitu sebanyak 65 orang. Pengumpulan data dilakukan pada bulan Juli 2020 menggunakan kuesioner yang berisi pernyataan tentang data demografi, dan keputihan. Berdasarkan hasil penelitian yang telah dilakukan di Desa Sitoluama Kecamatan Laguboti tentang pengetahuan remaja tentang penyebab keputihan, diketahui bahwa pengetahuan remaja putri tentang keputihan dari 65 responden 17 orang berpengetahuan baik (26,2%), pengetahuan cukup 35 orang (53,8%), berpengetahuan kurang 13 orang (20%).

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