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All Journal Belitung Nursing Journal JMM (Jurnal Masyarakat Mandiri) Jurnal Riset Hesti Medan Akper Kesdam I/BB Medan Al-Asalmiya Nursing: Journal of Nursing Sciences SCRIPTA SCORE Scientific Medical Journal Indian Journal of Forensic Medicine & Toxicology Jurnal Indah Sains dan Klinis SENTRI: Jurnal Riset Ilmiah PubHealth Jurnal Kesehatan Masyarakat EJOIN : Jurnal Pengabdian Masyarakat Jurnal Riset Ilmiah Indonesian Journal of Community Empowerment Jurnal Indah Sains dan Klinis Media of Health Research Wellness Jurnal Kesehatan dan Pelayanan Masyarakat
Deni Susyanti
Akademi Keperawarawatan Kesdam I/ Bukit Barisan Medan
Aerospace Engineering Agriculture, Biological Sciences & Forestry Humanities Chemistry Computer Science & IT Dentistry Economics, Econometrics & Finance Education Environmental Science Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary Other

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IMPLEMENTASI SELF-CARE REGULATION MODEL PADA PASIEN DENGAN STROKE ISKEMIK DI RUMAH SAKIT TK II PUTRI HIJAU MEDAN Susyanti, Deni; Ria Banjarnahor, Hotma; Vitu Gea, Handerman; Olivia, Nina; Masdiana, Erna
Jurnal Ilmu Keperawatan Vol 14 No 1 (2025): Al-Asalmiya Nursing Jurnal Ilmu Keperawatan (Journal of Nursing Sciences)
Publisher : Institut Kesehatan dan Teknologi Al Insyirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35328/keperawatan.v14i1.2937

Abstract

Stroke masih menjadi penyebab utama disabilitas global, dengan stroke iskemik mendominasi kasus. Di Indonesia, tingginya angka kejadian menyoroti kebutuhan intervensi efektif, terutama karena defisit perawatan diri akibat hemiparesis sering membuat pasien bergantung. Untuk mengatasi ini, Self-Care Regulation Model (SCRM) hadir sebagai strategi keperawatan yang memberdayakan pasien agar lebih mandiri. Studi kuasi-eksperimental ini dilaksanakan dari Januari hingga Juni 2025 di Rumah Sakit Tk II Putri Hijau, melibatkan 30 pasien stroke iskemik rawat inap yang sadar penuh, bersedia menjadi responden, dan berusia 40-70 tahun. Pasien dengan kondisi medis lain yang memengaruhi penelitian dieksklusi. Intervensi SCRM, yang meliputi pelatihan berpakaian, makan, dan mobilisasi tempat tidur, secara signifikan meningkatkan skor Barthel Indeks rata-rata dari 45.2±12.8 menjadi 68.7±10.5 (p<0.001). Peningkatan 23.5 poin ini secara klinis berarti pergeseran dari ketergantungan sedang menjadi kemandirian ringan atau minimal. Klasifikasi Barthel Indeks juga menunjukkan perubahan positif: tidak ada lagi pasien yang sangat bergantung, hanya 16.7% yang bergantung berat, sementara mayoritas (66.7%) menjadi bergantung sedang, 13.3% bergantung ringan, dan 3.3% bahkan mencapai kemandirian penuh. Temuan kualitatif turut mendukung, menunjukkan peningkatan efikasi diri, pengetahuan adaptif, koping, serta dukungan sosial dan lingkungan. Singkatnya, implementasi SCRM terbukti efektif meningkatkan kemandirian fungsional pada pasien stroke iskemik. 
PENERAPAN  PEMBERIAN  NEBULIZER PADA PASIEN PNEUMONIA DI RUMAH SAKIT TKII PUTRI HIJAU MEDAN Ummi, Nurhasanah; Susyanti, Deni; Gea, Handerman Vitu
SINERGI : Jurnal Riset Ilmiah Vol. 2 No. 8 (2025): SINERGI : Jurnal Riset Ilmiah, Agustus 2025
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/sinergi.v2i8.1641

Abstract

Pneumonia is an acute infection that affects the lower respiratory tract, particularly the lungs, caused by various microorganisms such as pneumococcus, staphylococcus, streptococcus, and viruses. In patients with pneumonia, a common nursing problem is ineffective airway clearance due to the presence of foreign substances resultingfrom excessive secretion buildup caused by infection, immobility, and ineffective coughing. Administration of nebulizer inhalation therapy is a collaborative treatment aimed at relieving bronchospasm, thinning secretions, clearing the airway, and moisturizing the respiratory tract, thereby optimizing breathing. This study aims to provide medical-surgical nursing care through the administration of nebulizer therapy in pneumonia patients. The research method used is a descriptive design with a case study approach involving two patients diagnosed with pneumonia at TK 111 Putri Hijau Hospital, Medan. The case study in this research implements the medical-surgical nursing care process, which includes assessment, nursing diagnosis, intervention and implementation of nebulizer inhalation therapy, and evaluation. The inclusion criteria were pneumonia patients willing to become respondents and experiencing ineffective airway clearance. The results showed that the application ofnebulizer therapy was effective in addressing ineffective airway clearance in both patients with pneunlonia. Therefore, the implementation of nebulizer therapy is recommendedfor nursing practice
MANAJEMEN NUTRISI PADA PASIEN TUBERKULOSIS PARU UNTUK MENINGKATKAN INDEKS MASSA TUBUH (IMT)DI  RUMAH SAKIT TK II PUTRI HIJAU MEDAN Dewi, Febri Masitah; Susyanti, Deni; Gea, Handerman Vitu
SINERGI : Jurnal Riset Ilmiah Vol. 2 No. 8 (2025): SINERGI : Jurnal Riset Ilmiah, Agustus 2025
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/sinergi.v2i8.1647

Abstract

Pulmonary Tuberculosis (TB) is an infectious disease that attacks the lungs and often causes nutritional status disorders such as significant weight loss to reduced body mass index (BMI). This study aims to provide an overview of the implementation of nutritional management in pulmonary tuberculosis patients to increase Body Mass Index (BMI) at Putri Hijau Class II Hospital. The method used in this study is descriptive research using case studies on 2 patients using a medical surgical nursing care approach that includes assessment, diagnosis, planning, implementation, and evaluation of nursing, with inclusion criteria namely patients suffering from pulmonary tuberculosis, with a BMI of 18.5 and who experience nutritional deficit problems. This study uses a nursing implementation approach that includes identifying nutritional status: Oral hygiene management and providing diet education. The results of this study showed that after 3 days of implementation, there was an increase in BMI in both patients, where previously patient 1 had a BMI of 17.7 and patient 2 had a BMI of 16.9 which increased to 18.1 and 17.3, respectively. Body weight increased by 1 kg, oral hygiene improved, and knowledge increased. The implementation of nutritional management has been proven to have a positive impact in improving the nutritional status of pulmonary tuberculosis patients
IMPLEMENTASI TERAPI RELAKSASI BENSON UNTUK PENINGKATAN SATURASI OKSIGEN PADA PASIEN TUBERKULOSIS PARU DI RUMAH SAKIT TK II PUTRI HIJAU MEDAN Wulandari, Anggy; Susyanti, Deni; Vitu, Handerman
SINERGI : Jurnal Riset Ilmiah Vol. 2 No. 8 (2025): SINERGI : Jurnal Riset Ilmiah, Agustus 2025
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/sinergi.v2i8.1648

Abstract

Pulmonary tuberculosis is a contagious infectious disease that attacks the respiratory system and often causes a decrease in oxygen saturation in the body. Reduced oxygen saturation can worsen the patient's condition and hinder the healing process. Therefore, an intervention is needed to help increase oxygen levels in the blood. One non-pharmacological method that can be used is Benson relaxation therapy, which aims to reduce stress and improve respiratory function through deep breathing techniques and positive suggestions. This study aims to determine the effectiveness of Benson relaxation therapy in increasing oxygen saturation in patients with pulmonary tuberculosis. The study used a descriptive method with a case study approach involving two patients. The observations showed that after undergoing Benson relaxation therapy for three consecutive days, both patients experienced an increase in oxygen saturation. In the first patient, oxygen saturation increased from 91% on the first day to 95% on the third day. In the second patient, it increased from 92% to 96% during the same period. These results indicate that Benson relaxation therapy can be an effective independent nursing intervention to help improve oxygen saturation in patients with respiratory disorders such as pulmonary tuberculosis. This therapy can also be easily applied in various healthcare settings
ASUHAN KEPERAWATAN PADA PASIEN GAGAL GINJAL KRONIK DENGAN HEMODIALISA MELALUI TINDAKAN KOMPRES DINGIN PADA AV SHUNT Rahma, Nur; Jundapri, Kipa; Susyanti, Deni; Suharto, Suharto
SENTRI: Jurnal Riset Ilmiah Vol. 2 No. 12 (2023): SENTRI : Jurnal Riset Ilmiah, Desember 2023
Publisher : LPPM Institut Pendidikan Nusantara Global

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55681/sentri.v2i12.1874

Abstract

Hemodialysis is an intervention designed to assist patients in managing fluid and electrolyte metabolism. The hemodialysis process involves puncturing the arteriovenous (AV) shunt area to facilitate dialysis. The repeated punctures in this area can result in pain. Research Objective: To provide an overview of nursing care for chronic kidney failure patients undergoing hemodialysis through the use of cold compresses on the AV shunt site. Method: This study is a case study with a medical-surgical nursing care approach. The research was conducted from February to March 2023 on two chronic kidney failure patients undergoing hemodialysis. Results and Discussion: After the intervention of applying cold compresses to patients I and II, a reduction in pain scale was observed. For patient I, the pain scale decreased from 6 (0-10) before the intervention to 3 (0-10) after the intervention. For patient II, the pain scale decreased from 5 (0-10) to 3 (0-10) after the intervention. Conclusion and Recommendations: Cold compresses can effectively reduce pain at the AV shunt puncture site in hemodialysis patients. Therefore, it is recommended to incorporate cold compress interventions for patients undergoing hemodialysis.
MOBILISASI DINI DENGAN LATIHAN GERAKAN ROM (RANGE OF MOTION) KEKUATAN OTOT PASIEN PASCA STROKE ISKEMIK DI RUMAH SAKIT TK II PUTRI HIJAU MEDAN Harianja, Anita Sari; Susyanti, Deni; Pratama, Muchti Yuda; Jundapri, Kipa; Siregar, Nita Mayrani
SENTRI: Jurnal Riset Ilmiah Vol. 2 No. 12 (2023): SENTRI : Jurnal Riset Ilmiah, Desember 2023
Publisher : LPPM Institut Pendidikan Nusantara Global

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55681/sentri.v2i12.1880

Abstract

Ischemic stroke is a condition of hypoxia or decreased oxygenation to brain tissue and is the result of poor blood supply, causing disability. The prevalence of stroke in Indonesia increases at ages > 75 years (50.3%). Objective: This study discusses nursing care for ischemic stroke patients at the Tk II Putri Hijau Kesdam I/BB Medan Hospital, with a focus on two patients who have the same diagnosis but different main complaints. Method: The first patient experienced impaired physical and neuromuscular mobility, with symptoms such as pain on the left side of the body, numbness, weakness, and difficulty sleeping. Meanwhile, other patients experience disorders in different body systems, requiring specific treatment to overcome these complaints. This study emphasizes that appropriate nursing care is needed in treating ischemic stroke patients. Result: Based on the assessment, planning and implementation of nursing actions, this research confirms the importance of correct nursing care in handling Ischemic Stroke at the Tk II Putri Hijau Kesdam I/BB Medan Hospital. This has the potential to increase the understanding and implementation of effective nursing practices for Ischemic Stroke patients.
Studi Kasus Home Based Exercise Training Terhadap Kualitas Hidup Pasien Tuberculosis Parudi Rumah Sakit TK II Putri Hijau Alfi, Alfi Syahri; Susyanti, Deni; Pratama, Muchti Yuda
SCRIPTA SCORE Scientific Medical Journal Vol. 4 No. 2 (2023): SCRIPTA SCORE Scientific Medical Journal
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/scripta.v4i2.10506

Abstract

Latar Belakang: Tuberkulosis (TB) Paru merupakan suatu penyakit infeksi menular yang disebabkan bakteri mycobacterium tuberculosis yang dapat menyerang berbagai organ, terutama paru-paru. Penyakit ini bila tidak diobati atau pengobatannya tidak tuntas dapat menimbulkan komplikasi berbahaya hingga kematian. Penderita TB sepanjang perjalanan penyakit akan mengalami beberapa gejala yang mengganggu kehidupannya. Gejala utama TB yaitu batuk dalam jangka waktu yang lama. Selain itu, penderita TB juga mengalami demam yang tidak terlalu tinggi, penurunan nafsu makan, penurunan berat badan, lemah, serta rasa tidak enak (malaise). Berbagai gejala klinis tersebut akan sangat mengganggu penderita TB sehingga mengganggu kualitas hidupnya. Penatalaksanaan secara nonfarmakologis yang diterapkan yaitu latihan endurance di rumah yaitu berjalan kaki secara terstruktur pada pasien di Rumah Sakit Tk II Putri Hijau Medan. Teknik ini dapat mengalami peningkatan kualitas hidup. Tujuan: Penulis bertujuan untuk membantu ketahanan yang dapat memperbaiki efisiensi dan kapasitas sistem transportasi oksigen. Metode: Menggunakan asuhan keperawatan dengan studi kasus. Partisipan adalah Tn. T dan Tn. P dengan Tuberculosis paru yang mengalami penurunan kualitas hidup. Instrumen adalah SOP teknik berjalan kaki secara terstruktur. Hasil: Menunjukan bahwa setelah dilakukan teknik berjalan kaki secara terstruktur dapat meningkatkan kualitas hidupnya. Kesimpulan: Berjalan kaki secara terstruktur dapat mempertahankan keadaan fisik untuk  kualitas hidup, sehingga pasien dapat melakukan aktivitasnya. Kata kunci: Home Based Exercise Training, kualitas hidup, tuberculosis paru   Background: Pulmonary Tuberculosis is a communicable disease caused by mycobacterium tuberculosis that may attack various organs, particularly lungs. If this disease is incompletely treated, it may lead to dangerous complications and to cause death. Patients suffering from pulmonary tuberculosis will show symptoms bothering life. The primary symptom of pulmonary tuberculosis is coughing for long time. In addition to this symptom, the patients also have not too high fever, decreased appetite, weight loss, feeling weak, and malaise. These clinical symptoms will much annoy patients life and their life quality. The non-pharmacological management that can be applied is the training of endurance at home, i.e. training the patients to have a structured walk at Level II Putri Hijau Hospital, Medan. This technique is effective to increase life quality. Objective: this research aims at helping endurance that can improve efficiency and transportation system capacity of oxygen. Methods: case study is employ in this nursing care. The participants taking part in this research are Mr. T and Mr. P who suffer from Pulmonary tuberculosis and experience decreased lige quality. Standart operatimg procedures in having structured walk is used as the instrument. Results: it is showed that structured walk, after applied to the patients, is effective to increase their life quality. Conclusion: Structured Walk is effective to maintain physical condition for better life quality, so that the patients are able to perform their activities.
Penerapan Posisi Miring Kanan dan Miring Kiri (Ambulasi) terhadap Pencegahan Dekubitus pada Pasien Stroke Hemoragik Setiawan, Igo; Susyanti, Deni; Pratama, Muchti Yuda
SCRIPTA SCORE Scientific Medical Journal Vol. 4 No. 2 (2023): SCRIPTA SCORE Scientific Medical Journal
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/scripta.v4i2.10511

Abstract

Left and right oblique positions are ambulation that must be done in patients who have hemorrhagic strokes to prevent decubitus. Decubitus is a complication due to pressure on a squeezed area of ​​the body resulting in pressure sores. This research method is a case study research with a medical-surgical nursing care approach. The study was conducted by two hemorrhagic stroke patients who were given left and right oblique ambulation interventions. The results of the study showed that early left and right oblique ambulation is very useful in preventing decubitus so that it must be applied by nurses to hemorrhagic stroke patients. In addition to preventing decubitus, in patients I and II there was an increase in muscle strength so that it would prevent muscle atrophy. The research recommendation is that left and right oblique ambulation can be applied to hemorrhagic stroke patients, so as to prevent complications such as pressure sores.
HEAD UP 30˚  PADA PASIEN CEDERA KEPALA Susyanti, Deni; Jundapri, Kipa; Siregar, Baharuddin; Suharto; Mayrani Siregar , Nita
Jurnal Ilmu Keperawatan Vol 12 No 2 (2023): Al-Asalmiya Nursing Jurnal Ilmu Keperawatan (Journal of Nursing Sciences)
Publisher : Institut Kesehatan dan Teknologi Al Insyirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35328/keperawatan.v12i2.2491

Abstract

Cedera kepala meningkatkan tekanan intracranial sehingga mengalami penekanan pada area otak sehingga menimbulkan nyeri. head up 30˚  dapat menurunkan nyeri kepala akibat peningkatan oksigen menuju ke otak maksimal. Tujuan dari penelitian ini adalah untuk memberikan gambaran tentang posisi head up 30˚  pada pasien cedera kepala untuk menurunkan nyeri. Metode penelitian ini adalah deksriptif dengan jumlah sampel 30 orang yang dilakukan di Rumah Sakit TK II Putri Hijau Medan. Hasil yang didapatkan adalah nilai p value 0.00 maka dapat disimpulkan bahwa posisi head up 30 dapat mengurangi nyeri pada pasien cedera kepala. Rekomendasi kepada perawat untuk menerapkan implementasi posisi head up 30˚  ini pada pasien cedera kepala untuk mengurangi nyeri
Implementasi Program Gizi Sekolah dalam Menurunkan Angka Kecurangan Makanan pada Anak Sekolah Dasar: Studi Kasus di Lima Sekolah Negeri Kota Metropolitan Jundapri, Kipa; Susyanti, Deni
Wellness Jurnal Kesehatan dan Pelayanan Masyarakat Vol. 1 No. 1 (2024): Edisi Mei
Publisher : Yayasan Grace Berkat Anugerah

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

Abstract

Studi ini bertujuan untuk mengevaluasi implementasi program gizi sekolah dalam menurunkan angka kecurangan makanan pada anak sekolah dasar di lima sekolah negeri di Kota Metropolitan. Metode penelitian yang digunakan adalah observasi langsung, wawancara, dan analisis dokumentasi terhadap program gizi sekolah yang telah diimplementasikan di lima sekolah tersebut. Data yang terkumpul kemudian dianalisis secara kualitatif untuk mengidentifikasi faktor-faktor yang mempengaruhi keberhasilan atau kegagalan program. Hasil penelitian menunjukkan bahwa implementasi program gizi sekolah telah memberikan dampak positif dalam menurunkan angka kecurangan makanan pada anak sekolah dasar. Faktor-faktor yang berkontribusi terhadap keberhasilan program ini antara lain dukungan penuh dari pihak sekolah dan orangtua, kerjasama yang baik antara sekolah dan pihak terkait, serta penyediaan makanan sehat dan bergizi di lingkungan sekolah. Namun, terdapat juga beberapa kendala yang dihadapi dalam implementasi program, seperti keterbatasan sumber daya dan tantangan dalam mengubah perilaku makan anak-anak. Kesimpulannya, implementasi program gizi sekolah memiliki peran yang signifikan dalam menurunkan angka kecurangan makanan pada anak sekolah dasar. Diperlukan upaya yang berkelanjutan dari berbagai pihak untuk memastikan keberlanjutan dan kesuksesan program ini guna meningkatkan kesehatan dan kualitas gizi anak-anak di sekolah.
Co-Authors Afnita Khoiron Nisa Alfi, Alfi Syahri Anita Sari Harianja Ayustin, Allisa Widyani Baharuddin Siregar Baharuddin Siregar Baharuddin Siregar, Baharuddin Desman Samuel Simatupang Dewi Elizadiani Suza Dewi, Febri Masitah Diga Prasetia Hermawan Dinda Restiani Dinda Restiani Simamora Doni Hariansyah Doni Hariansyah Dwi Helynarti Syurandhari Endang Rosmawati Simamora Erita Gustina Erita Gustina Ezra Inawati Barus Ezra Fadillah, Lisma Ayu Fentiana, Nina Fitriani Pramita Gurning Fitriani, Enny Gea , Handerman Vitu Gea, Handerman Vitu Hakim Sadli Harianja, Anita Sari Hasanah, Putri Heri Chandra Hesti Pramudya Wardani Maha Ika Ariyanti Imeldawati Rajagukguk Irma Handayani Josia Edyanta Purba Kipa Jundapri Lermiana Purba Lilis Savanna Siahaan Masdiana, Erna Mayrani Siregar , Nita Mayrani Siregar, Nita Mompang Tua Parlagutan Mompang Tua Parlagutan Monika, Agnes Muchti Yuda Pratama Muhammad Hasan Ansyari Ritonga Nadila Putri Nina Olivia Nisrina Nita Mayrani Siregar Nita Mayrani Siregar Nur Rahma Pamela, Tia Pamungkas, Pamungkas PRATAMA, M. IQBAL Purba, Josia Edyanta Purba, Lermiana Putri Fadillah Putri Hasanah Putri Hasanah Putri Hasanah Putri, Nadila Rahma, Nur Ratih Krisna Murti Ria Banjarnahor, Hotma Ruby Novitiyanto Rustam, Muh Zul Azhri Sentia Putri Br. Tarigan Setiawan, Igo Simamora, Endang Rosmawati Simamora, Endang Roswati Siregar, Endang Kristina Siregar, Nita Mayrani Sisilia, Sisilia SUHARTO Suharto Suharto Suharto Suharto Suharto Suharto Susiana Marbun Suvi Novida Syaiful Syaiful Tambunan, Ade Putri Ramadhani Ummi, Nurhasanah Vitu Gea, Handerman Vitu, Handerman Wana, Citra Wiwin Wiwin, Wiwin Wulandari, Anggy Yesi Ariani Yuda Anggara