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All Journal JMM (Jurnal Masyarakat Mandiri) Jurnal Kesehatan Global Jurnal Riset Hesti Medan Akper Kesdam I/BB Medan Contagion: Scientific Periodical Journal of Public Health and Coastal Health Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Jurnal Kesmas Asclepius JUMANTIK (Scientific Journal of Health research) PubHealth Jurnal Kesehatan Masyarakat Jurnal Kesehatan Medika Udayana Gema Lingkungan Kesehatan Jurnal Riset Ilmiah Jurnal Sains, Teknologi dan Kesehatan
Suharto Suharto
Akademi Keperawatan Kesdam I BB Medan
Computer Science & IT Economics, Econometrics & Finance Education Engineering Environmental Science Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Materials Science & Nanotechnology Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary Other

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Implementasi Rendam Kaki Air Hangat terhadap Penurunan Nyeri Ankle pada Penderita Rheumatoid Arthritis di RS TK II Putri Hijau Medan Mhd. Fauzul Hakim Lubis; Kipa Jundapri; Suharto Suharto
Jurnal Riset Hesti Medan Vol 10, No 2 (2025): Edisi Desember
Publisher : Akademi Keperawatan Kesdam I/Bukit Barisan Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34008/jurhesti.v10i2.364

Abstract

Rheumatoid arthritis is a chronic autoimmune disease characterized by joint inflammation, pain, stiffness, and decreased mobility. Ankle pain is one of the common complaints that significantly affects patients' daily activities and quality of life. Non-pharmacological interventions such as warm water foot soaking therapy are considered effective in reducing pain through vasodilation and muscle relaxation mechanisms. This study aimed to determine the effectiveness of warm water foot soaking in reducing ankle pain in patients with rheumatoid arthritis. This research employed a descriptive case study design involving two patients at RS TK II Putri Hijau Medan. The intervention was conducted for three consecutive days using warm water with a temperature of 31–37°C for 15–20 minutes. Pain intensity was measured using the Numeric Rating Scale (NRS). The results showed a significant decrease in pain intensity from a scale of 5 (moderate pain) to 2 (mild pain) in both patients after the intervention. Patients also reported increased comfort and improved mobility. In conclusion, warm water foot soaking is effective as a non-pharmacological nursing intervention to reduce ankle pain in patients with rheumatoid arthritis. This therapy is simple, safe, cost-effective, and can be applied independently by patients.
The Role of Motivational Climate and Career Development as Determinants of Job Performance among Primary Health Care Workers Muchti Yuda Pratama; Fitriani Pramita Gurning; Suharto Suharto; Fakhrurradhi Luthfi; Irwansyah Lubis; Nirma Juli Saputri; Roni Gunawan; Benri Situmorang
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.v8i3.28732

Abstract

The quality of primary health care services is greatly influenced by the performance of health workers. Service quality and organizational effectiveness are supported by good employee performance. However, employee performance can be affected by increasing workload and limited organizational resources. Only limited empirical evidence has been provided on the roles of motivational climate and career development in improving job performance among primary health care workers, especially in Indonesia. This study was conducted to examine the effects of motivational climate and career development on the job performance of health workers in community health centers. A cross-sectional quantitative design was employed involving 350 health professionals from 18 community health centers in Dairi Regency, North Sumatra, Indonesia. Data were collected by using structured questionnaires. After the classical assumption tests were completed, the data were analyzed by using multiple linear regression. The findings indicate that both motivational climate and career development have positive and significant effects on job performance (p<0.001). Career development emerged as the strongest predictor (β=0.566), followed by motivational climate (β=0.279). It was found that 64.4% of the variance in job performance was explained by the regression model. Strong explanatory power was shown by the model. It is shown by these findings that stronger career development systems and a supportive motivational climate should be developed. These are considered important strategies for improving the performance of health workers in primary health care settings. Keywords: Motivational Climate, Career Development, Job Performance,  Primary Health Care, Workers
IMPLEMENTASI JALAN KAKI 30 MENIT PADA PASIEN DIABETES MELLITUS TIPE II UNTUK MENGONTROL KADAR GULA DARAH DI RUMAH SAKIT TK II PUTRI HIJAU MEDAN Winda Khairiana Delima Putri Br Sitepu; Suharto Suharto; Kipa Jundapri
SINERGI : Jurnal Riset Ilmiah Vol. 3 No. 1 (2026): SINERGI : Jurnal Riset Ilmiah, January 2026
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/sinergi.v3i1.2265

Abstract

Diabetes mellitus is a chronic disease that occurs when the pancreas is unable to produce sufficient insulin or when the body cannot effectively use the insulin produced, resulting in increased blood glucose concentration (hyperglycemia). One non- pharmacological nursing intervention that can be used to reduce blood glucose levels in patients with diabetes mellitus is a 30-minute walking activity. This study aims to describe the implementation of a 30-minute walking intervention to reduce blood glucose levels in patients with diabetes mellitus at TK II Putri Hijau Hospital, Medan. This research used a descriptive case study method with a nursing care approach including assessment, diagnosis, intervention, implementation, and evaluation. The study was conducted in April 2025 on two patients with diabetes mellitus. The results showed that after implementing the 30-minute walking intervention, both patients experienced a decrease in blood glucose levels: in Patient 1. from 245 mg/dL to 134 mg/dL; and in Patient 2, from 234 mg/dL to 164 mg/dL. The conclusion from this implementation indicates that a 30-minute walking intervention can be an effective nursing intervention to help reduce blood glucose levels in patients with diabetes mellitus, as demonstrated in both cases
ASUHAN KEPERAWATAN DENGAN MASALAH DISLIPIDEMIA  MELALUI   SENAM AEROBIK  DI  WILAYAH UPT.  PUSKESMAS  SEI  MENCIRIM Jesisca Nandari; Suharto Suharto; Kipa Jundapri
SINERGI : Jurnal Riset Ilmiah Vol. 3 No. 2 (2026): SINERGI : Jurnal Riset Ilmiah, February 2026
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/sinergi.v3i2.2403

Abstract

Dyslipidemia is a disorder of lipid metabolism characterized by increased levels of total cholesterol, Low Density Lipoprotein (LDL), triglycerides, and decreased High Density Lipoprotein (HDL), which can increase the risk of cardiovascular diseases. The high prevalence of dyslipidemia in the community is caused by unhealthy lifestyles, such as excessive consumption of fatty foods, lack of physical activity, and smoking habits. One non-pharmacological effort that can be applied to reduce blood lipid levels is regular physical activity in the form of aerobic exercise. This study aimed to describe family nursing care for dyslipidemia through aerobic exercise in the working area of UPT Puskesmas Sei Mencirim. The research design used was a case study with a family nursing process approach, including assessment, nursing diagnosis, planning, implementation, and evaluation. The subjects of this study consisted of two families with family members diagnosed with dyslipidemia. The results of the nursing care showed an increase in family knowledge regarding dyslipidemia, positive changes in attitudes toward a healthy lifestyle, and improvement of physical complaints such as neck pain, muscle aches, and discomfort after the regular implementation of aerobic exercise. In addition, families were able to actively participate in decision-making and in providing health care for affected family members. In conclusion, the application of aerobic exercise as part of family nursing care can improve family knowledge and involvement, as well as support the control of dyslipidemia. Therefore, aerobic exercise can be recommended as a promotive and preventive nursing intervention in community health service
Co-Authors Afnita Khoiron Nisa Baharuddin Siregar Benri Situmorang Broyendin Broyendin Daniel Ginting Deni Susyanti Desman Samuel Simatupang Diga Prasetia Hermawan Doni Hariansyah Edy Bayudianto Ella Sonia Girsang Endang Rosmawati Simamora Evamona Evamona Evamona Sinuraya Ezra Inawati Barus Ezra Fakhrurradhi Luthfi Fitriani Pramita Gurning Hakim Sadli Heliza Intan saradika Heri Chandra Hesti Pramudya Wardani Maha Imeldawati Rajagukguk Irwansyah Lubis Jesisca Nandari Kartini Sirait Kipa Jundapri Mhd. Fauzul Hakim Lubis Muchti Yuda Pratama Muhammad Hasan Ansyari Ritonga Nadila Putri Nina Fentiana Nirma Juli Saputri Nur Rahma Putri Fadillah Putri Hasanah Rahmad Purnama Roni Gunawan Siti Rohania Tanjung Tasya Dwi Andini Winda Khairiana Delima Putri Br Sitepu Yuda Anggara