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The Relationship of Nurse Response Time in Handling Open Fracture Patients with the Risk of Hypovolemic Shock at RSUD dr. Pirngadi Medan Youlanda Sari; Suherni Suherni
TOUR HEALTH JOURNAL Vol. 1 No. 2 (2022): TOUR HEALTH JOURNAL
Publisher : Akupun Tour Publisher

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

Aid for emergency patients has a standard time of service known as response time, which is the time span of service required by nurses starting from determining triage until the completion of the process of handling emergency patients (fractures). Bleeding in small or large amounts can cause hypovolemic shock and even death. Cuts to large blood vessels in the neck, hands, and thighs can cause death in 1 – 3 minutes. While bleeding from the aorta or vena cava can cause death within 30 seconds. Emergency aid involves two main components, namely the pre-hospital phase and the hospital phase. Both components are equally important in emergency relief efforts. Emergency aid has a standard time of service known as response time, which is the time span of service required by nurses starting from determining triage to completion of the emergency handling process. This study used a quantitative research method with a descriptive correlation design. The sampling method used a total sampling method with a total sample of 26 nurses. There was a significant relationship between nurse response time in handling open fracture patients and the risk of hypovolemic shock.

The Influence of Finger Grip Relaxation on The Intensity of Perineal Wound Pain During Wound Treatment in Post Partum Mothers at Sundari Hospital Lilis Pujiati; Suherni; Heni Triana
International Journal of Public Health Excellence (IJPHE) Vol. 3 No. 1 (2023): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v3i1.391

The delivery process often causes injuries and trauma to the uterine and vaginal areas. Especially those who do vaginal delivery. This wound can cause uncomfortable feelings and also quite severe pain when giving birth to pregnant women. And in order to reduce or overcome this pain, of course there are several ways that can be done to help pregnant women who are in labor so that pain can be overcome during labor. The purpose of this study was to find out and also obtain information and data on how the effect of holding finger relaxation can overcome and become the management of perineal wound pain in postpartum mothers for respondents or informants who control and deliver the process at the Sundari General Hospital. This study used pre and post test systems based on control of groups of respondents or informants in Sundari Public Hospital. In this study, there were 50 postpartum mothers who experienced perineal injuries. From this population the experimental group consisted of 25 people, while the control group also consisted of 25 respondents. For sampling using a purposive sampling technique where the research instrument will use an observation sheet with the NRS pain scale or Numerical Ra Scale as the data to be collected. The data collection will be analyzed using the Mann-Whitney system. And the effect of finger grip relaxation on perineal wound pain in postpartum mothers carried out at Sundari General Hospital can be an application process for mothers who are about to give birth to reduce pain.

Connection Motivation Work Nurse With Accuracy Charging Documentation Care Nursing at Sundari Hospital Medan Suherni; Heni Triana; Lilis Pijiati
International Journal of Public Health Excellence (IJPHE) Vol. 2 No. 1 (2022): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v2i1.188

Accuracy in filling out nursing care documentation is important in nursing services, because it will provide legal protection for both the giver and the recipient. Nursing care will reflect the quality of nursing care. The accuracy of filling nursing care documentation is influenced by motivation. From the results of the study the standards of nursing care applied were taken from 30 patient statuses. Can be taken the result of 61.5%. Who performs the standard nursing care that is applied. This study aims to determine the relationship between the work motivation of nurses and the accuracy of documentation of nursing care in the living health care installation at the Sundari Hospital in Medan. This type of research is quantitative descriptive with a cross sectional approach. Samples for the motivation of nurses were taken from 4 living medical care units with a total sample of 30 respondents, and for the accuracy of filling out nursing care documentation, quota sampling was taken. Data was taken using a questionnaire, for the accuracy of filling out nursing care documentation using the ASAK instrument from the Ministry of Health 1997. To determine the relationship between two variables, the Product Moment Correlation Test was carried out with the results of rxy = 0.474 and p = 0.008, which means that there is a significant relationship between nurses' work motivation. with the accuracy of filling out nursing care documentation in the inpatient room at Sundari Hospital Medan.

The Influence of Finger Grip Relaxation on The Intensity of Perineal Wound Pain During Wound Treatment in Post Partum Mothers at Sundari Hospital Lilis Pujiati; Suherni; Heni Triana
International Journal of Public Health Excellence (IJPHE) Vol. 3 No. 1 (2023): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v3i1.391

The delivery process often causes injuries and trauma to the uterine and vaginal areas. Especially those who do vaginal delivery. This wound can cause uncomfortable feelings and also quite severe pain when giving birth to pregnant women. And in order to reduce or overcome this pain, of course there are several ways that can be done to help pregnant women who are in labor so that pain can be overcome during labor. The purpose of this study was to find out and also obtain information and data on how the effect of holding finger relaxation can overcome and become the management of perineal wound pain in postpartum mothers for respondents or informants who control and deliver the process at the Sundari General Hospital. This study used pre and post test systems based on control of groups of respondents or informants in Sundari Public Hospital. In this study, there were 50 postpartum mothers who experienced perineal injuries. From this population the experimental group consisted of 25 people, while the control group also consisted of 25 respondents. For sampling using a purposive sampling technique where the research instrument will use an observation sheet with the NRS pain scale or Numerical Ra Scale as the data to be collected. The data collection will be analyzed using the Mann-Whitney system. And the effect of finger grip relaxation on perineal wound pain in postpartum mothers carried out at Sundari General Hospital can be an application process for mothers who are about to give birth to reduce pain.

PENGARUH KEBIASAAN MEROKOK TERHADAP KEEFEKTIFAN JALAN NAPAS PADA PASIEN TB PARU Sri Dewi Br Siregar; Suherni Suherni; Yuni Ramadhani; Julidia Safitri Parinduri; Helfrida Situmorang; Hendry Kiswanto Mendrofa
KOLONI Vol. 1 No. 2 (2022): JUNI 2022
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/koloni.v1i2.82

Smoking has a 3.8 times the risk of the incidence of tuberculosis. The prevalence of smokers in Indonesia since 2013 has been increasing from year to year, ranking third after China and India with the highest cigarette consumption in the world. Airway ineffectiveness is influenced by the state of the lung health system, this needs to be anticipated and handled properly so that respiratory emergencies do not occur. The purpose of this study was to determine the effect of smoking habits on airway effectiveness. This type of research is a quantitative research using a correlation design with a cross-sectional observation approach. The population in this study was tuberculosis patients. The type of sampling used in this study is non-probability sampling with a total sampling technique of 37 people. Data analysis used a non-parametric correlation statistic test, namely the Spearman correlation test with the assumption that the p vap-value05 to determine the influence between the two variables. Based on the results of the Spearman Correlation test, a p-value of 0.001 was obtained where the p-value < 0.05. This result indicates that there is a significant influence between smoking habits and the effectiveness of the airway in tuberculosis patients, the r-value of 0.589 which indicates that the strength of the relationship between the two variables is in the moderate category. It is suggested to Puskesmas respondents to always provide education about the dangers of smoking behavior in pulmonary TB patients. Keywords: Smoking behavior, pulmonary tuberculosis, airway effectiveness

The Relationship Between Lifestyle and the Severity of Diabetic Peripheral Neuropathy at Sapta Medika Indrapura Hospital Heni Triana; Suherni Suherni; Lilis Pujiati; Chairul Munir
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 8, No 2 (2026): Contagion
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v8i2.28038

Diabetes mellitus (DM) is a chronic metabolic disorder whose prevalence continues to increase globally. One of its most detrimental microvascular complications is diabetic peripheral neuropathy (DPN), which is strongly influenced by the patient’s lifestyle. This study aimed to analyze the relationship between lifestyle and the severity of DPN in patients with DM at Sapta Medika Indrapura Hospital. This was a quantitative, descriptive-analytical study with a cross-sectional design. A total of 51 patients with DM were selected through purposive sampling. Lifestyle was measured using the FANTASTIC Lifestyle Checklist (covering family/friends, physical activity, nutrition, smoking, alcohol, sleep/stress, and behavioral patterns), and the severity of DPN was assessed using the Diabetic Neuropathy Score (DNS). Data were analyzed using Spearman’s rho correlation test. Most respondents had an unhealthy lifestyle (68.6%) and experienced severe DPN (64.7%). The Spearman’s rho test showed a significant but weak positive correlation between lifestyle and DPN severity (r = 0.116; p = 0.042; p < 0.05). Lifestyle is significantly associated with the severity of DPN in patients with diabetes, although the association is weak. Healthy behavioral change remains an important strategy to reduce the risk of further complications such as ulceration and amputation. The small, single-center sample limits generalizability, and the cross-sectional design precludes causal inference.Keywords: Diabetes Mellitus, Lifestyle, Diabetic Peripheral Neuropathy, Disease Severity, Indonesia.

OPTIMALISASI KINERJA PERAWAT MELALUI MAKP MODEL TIM DI RSU SUNDARI MEDAN Fazar Amanah Ariga; Youlanda Sari; Nurul Haflah; Suherni
Jurnal Pengabdian Keperawatan Dan Kesehatan Holistik Vol. 2 No. 1 (2026): Jurnal Pengabdian Keperawatan Dan Kesehatan Holistik - Januari
Publisher : LPPM AKPER GITA MATURA ABADI KISARAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.65386/jpkkh.v2i1.45

Nurse performance affects the quality of hospital services. The Professional Nursing Care Method (MAKP) team model emphasizes teamwork, clear task division, and professional responsibility. This community service aims to optimize nurse performance through the implementation of the MAKP team model at RSU Sundari Medan, involving 15 nurse respondents. The activities were conducted through education, training, and mentoring, with evaluation using observation and interviews. The results showed improvements in nurses’ understanding, teamwork, professional responsibility, and performance in delivering nursing care. The MAKP team model also enhanced service quality, documentation, and team communication. Sustainability requires management support, regular training, and periodic evaluation.

PELAKSANAAN PENYULUHAN SARAPAN SEHAT UNTUK MENUNJANG PERTUMBUHAN DAN PERKEMBANGAN PADA ANAK KELAS 2 MADRASAH IBTIDAIYAH SWASTA (MIS) AL – IKHKLASIAH Mardhiah Mardhiah; Suherni Suherni; Lilis Pujiati; Yuni Ramadhani; Sri Dewi Br Siregar
Jurnal Edukasi Pengabdian Masyarakat Vol 5 No 3 (2026): JULI 2026
Publisher : FIP UNIRA MALANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36636/eduabdimas.v5i3.10349

Kegiatan pengabdian masyarakat ini bertujuan untuk meningkatkan pengetahuan dan kesadaran siswa mengenai pentingnya sarapan sehat dalam menunjang pertumbuhan dan perkembangan. Kegiatan dilaksanakan di kelas 2 Madrasah Ibtidaiyah Swasta (MIS) Al-Ikhlasiah dengan sasaran siswa sekolah dasar. Metode pelaksanaan dilakukan melalui penyuluhan kesehatan menggunakan media edukatif berupa penjelasan materi, diskusi, kuis, permainan edukatif, serta pre-test dan post-test. Materi yang diberikan meliputi pengertian sarapan sehat, manfaat sarapan, kandungan gizi seimbang, pentingnya kebersihan sebelum makan, serta dampak tidak sarapan. Hasil kegiatan menunjukkan bahwa peserta sangat antusias mengikuti seluruh rangkaian acara dan terjadi peningkatan pemahaman siswa mengenai pentingnya sarapan sehat sebelum beraktivitas. Kegiatan ini juga memberikan manfaat bagi mahasiswa dalam mengaplikasikan ilmu keperawatan, meningkatkan kemampuan komunikasi, dan menumbuhkan kepedulian terhadap kesehatan masyarakat. Dengan adanya penyuluhan ini diharapkan siswa dapat membiasakan sarapan sehat secara rutin sehingga dapat mendukung konsentrasi belajar, kesehatan, serta pertumbuhan dan perkembangan secara optimal.

PEMANFAATAN JUS TOMAT SEBAGAI TERAPI NONFARMAKOLOGIS TERHADAP PENURUNAN TEKANAN DARAH PADA LANSIA DENGAN HIPERTENSI Rizki Andriani; Darlina; Khairul Fahmi; Erlia Rosita; Suherni; Lilis Pujiati; Fitri Apriani
Optimal Nursing Journal Volume 3 No 1 Juni 2026
Publisher : PT Nuansa Fajar Cemerlang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.67717/740326

Pendahuluan: Hipertensi pada lansia merupakan masalah kesehatan kronis yang berisiko menimbulkan komplikasi serius. Salah satu terapi nonfarmakologis yang dapat dimanfaatkan adalah jus tomat karena kandungan kalium dan likopen yang berperan dalam membantu menurunkan tekanan darah. Penelitian ini bertujuan menganalisis efektivitas pemberian jus tomat terhadap penurunan tekanan darah pada lansia dengan hipertensi di komunitas. Metode: Penelitian ini menggunakan desain quasi-experimental dengan pendekatan one-group pretest–posttest without control. Sampel berjumlah 38 lansia hipertensi yang dipilih menggunakan purposive sampling. Intervensi berupa pemberian jus tomat 200 mL sekali sehari selama 7 hari. Tekanan darah diukur sebelum dan sesudah intervensi menggunakan tensimeter dan stetoskop. Analisis data menggunakan paired sample t-test dengan tingkat kemaknaan p < 0,05. Hasil: Rerata tekanan darah sistolik menurun dari 158,32 mmHg menjadi 148,95 mmHg, sedangkan diastolik menurun dari 91,79 mmHg menjadi 86,74 mmHg. Hasil uji statistik menunjukkan terdapat penurunan yang signifikan pada tekanan darah sistolik (p = 0,000) dan diastolik (p = 0,000) setelah pemberian jus tomat. Selain itu, terjadi pergeseran kategori tekanan darah ke tingkat yang lebih ringan. Saran: Pemberian jus tomat efektif sebagai terapi nonfarmakologis sederhana dalam membantu pengendalian hipertensi pada lansia di komunitas. Intervensi ini dapat diintegrasikan dalam edukasi kesehatan lansia dan kegiatan di tingkat Masyarakat

The Relationship between the Role of Quality Control Circles and Improved Nurses’ Compliance with Standard Operating Procedures at Mitra Medika Tanjung Mulia Hospital Suherni Suherni; Lilis Pujiati; Chairul Munir; Heni Triana
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 8, No 3 (2026): Contagion
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v8i3.28563

Hospitals are required to maintain service quality and patient safety through consistent adherence to Standard Operating Procedures (SOPs). Quality Control Circles (Gugus Kendali Mutu; GKM) serve as an internal quality control mechanism that supports quality planning, audit implementation, monitoring, coaching, and follow-up of audit findings. This study aimed to examine the association between the role of Quality Control Circles and nurses’ compliance with SOPs at Mitra Medika Tanjung Mulia Hospital. A quantitative descriptive-analytic study with a cross-sectional design was conducted from November 2025 to March 2026, involving 35 active members of the Quality Control Circles selected through total sampling. Data were collected using structured questionnaires and analyzed through univariate analysis, bivariate analysis using Pearson Chi-square and Fisher’s Exact Test, and multivariate analysis using binary logistic regression. The results showed that 65.7% of respondents perceived the role of Quality Control Circles as good, while 74.3% of nurses were categorized as compliant with SOPs. Bivariate analysis revealed a significant association between the role of Quality Control Circles and nurses’ SOP compliance (χ² = 10.171; p = 0.001; Fisher’s Exact Test = 0.003). Multivariate logistic regression showed that nurses who perceived the role of Quality Control Circles as good had higher odds of complying with SOPs, although the association was not statistically significant after controlling for age, gender, educational background, and years of service (AOR = 6.228; 95% CI = 0.247–157.196; p = 0.267). These findings indicate that Quality Control Circles are relevant to strengthening SOP compliance, but their role should be reinforced through continuous supervision, structured feedback, and integrated quality improvement strategies. Keyword: Quality Control Circles; nurses’ compliance; Standard Operating Procedures; hospital quality management; patient safety

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