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PENGARUH MEKANISME KOPING TERHADAP KECEMASAN PASIEN KANKER PAYUDARA DI RUMAH SAKIT GRANDMED LUBUK PAKAM TAHUN 2020 Tati Murni Karokaro; Winardi Silaen; Abdi Lestari Sitepu; Dian Anggriyanti
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol 3 No 1 (2020): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkf.v3i1.484

The success of the mechanism of coping in patients with cancer is breast does not only depend on the detection since the early , but also of understanding will be the mechanism causes . One of the conditions that can cause anxiety is the process of carrying out chemotherapy treatment . The purpose of this study was to determine the effect of the mechanism coping against the anxiety of cancer breast at home Sick Grandmed Lubuk Pakam . Type penel itian is using methods quasy Experiment with using the design study One-group pretest-posttest design. The determination of the samples is done by way of purposive sampling, with the number of samples seban yak 30 people . Analysis of the data is done by using a test Paired Sample T Test with a confidence interval of 95% and the value of Î± = 0.05. The results were obtained from studies have demonstrated the presence of changes in the level of anxiety of patients before and after a given application of the mechanism of coping with value p-value = 0.001 (Î±> 0.05). Conclusion , there is the influence of the mechanisms of coping against the anxiety of patients kankker breasts were conducted in accordance with the standard, For Institutions Health need for supervision and counseling to the public that the importance of maintaining health , especially in patients with cancer of breast in Rs. Grand Lubuk Pakam

EFEKTIVITAS TERAPI MUSIK KLASIK TERHADAP PENURUNAN TINGKAT HALUSINASI PADA PASIEN HALUSINASI PENDENGARAN DI RUMAH SAKIT JIWA PROF. DR.M. ILDREM MEDAN TAHUN 2020 Dian Anggri Yanti; Abdi Lestari Sitepu; Kuat Sitepu; Pitriani .; Wina Novita Br Purba
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol 3 No 1 (2020): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkf.v3i1.527

Increased illness causes problems in the health field one misbehaving in the from of auditory hallucinations. This can be overcome with pharmacological and non-pharmacological therapies. Non pharmacological therapy which can be used in the form of classical music therapy. The purpose of this research is to find out the effectiveness of classical music therapy to decrease the level of hallucinations in patients with auditory hallucinations. Type of this research is quantitative research uses quasi-experimental design with design research pre and post test without control. Sampling techniques in this study using a sample with a population of 22 respondents at Mental Hospital Prof. Dr. M. Ildrem Medan in 2020. The results of statistical analysis using the Paired t test indicates p value of 0,000 means that there is effectiveness in the administration of classical music therapy to decrease the level of hallucinations in patients with auditory hallucinations. The result is expected of music therapy to be one nursing intervention to decrease level hallucination with auditory of hallucination. Keywords: Patients with hallucination, music therapy, level of auditory Hallucination.

THE EFFECT OF FOOT EXERCISE ON ANKLE BRACHIAL INDEX VALUE IN DIABETES MELLITUS PATIENTS IN HOSPITAL GRANDMED HOSPITAL PAKAM Pratiwi Christa Simarmata; Anita Sri Gandaria Purba; Abdi Lestari Sitepu; Evan Suheri Harahap; Juni Mariati Simarmata
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol 3 No 2 (2021): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkf.v3i2.674

Diabetes mellitus is a chronic non communicable disease. Characterized by an increase in blood sugar levels, the result is that the pancreas cannot produce or the body cannot use insulin. Foot exercise in diabetes mellitus is a leg movement exercise that aims to improve blood circulation in the legs and detect the severity of vascularity in the legs. The research objective was to assess the effect of foot exercise on the value of the Ankle Brachial Index (ABI) in diabetes mellitus patients at Grandmed Lubuk Pakam Hospital. Quasi experimental research design pretest and posttest without control. The study was conducted from October to December 2020 at Grandmed Lubuk Pakam Hospital with 43 respondents, the samples were taken using consecutive sampling technique. The intervention was carried out twice a day. Consistent exercise can increase the supply of oxygen in the blood to the peripheral tissues in the legs. The results of the research from the univariate analysis found that male gender were 23 respondents (53.5%), aged > 55 years were 21 respondents (48.8%), the use of blood sugar drugs was 39 respondents (90.7). While the bivariate results using the Wilcoxon test, it was found that there was a significant effect between the average ABI value before the intervention 0.84 and 0.95 after intervention, p = 0.000. The results of the study concluded that there was an effect of foot exercise on the value of the ankle brachial index (ABI) in diabetes mellitus sufferers, where leg blood flow was getting better after foot exercise.

PENGARUH PEMBERIAN MOBILISASI DINI TERHADAP PEMULIHAN PERISTALTIK USUS PADA PASIEN POST OPERASI LAPARATOMI DI RUMAH SAKIT GRANDMED LUBUK PAKAM Sari desi Esta Ulina Sitepu; Abdi Lestari Sitepu; Pratiwi Christa Simarmata; Ria Fitri Anggrareni; Selamat Tuahta Sipayung
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol 4 No 1 (2021): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkf.v4i1.827

Surgery is performed by taking certain body parts, with the aim of improving the body that has abnormalities such as laparotomy. This action can disable the sound of the prism with the state of the body that is anesthetized. Early mobilization is one of the effective ways to re-stimulate bowel function and produce normal peristaltic sounds and patients can be selected. The purpose of this study was to determine the effect of early mobilization on the recovery of intestinal peristalsis in post-laparatomy patients at Grandmed Lubuk Pakam Hospital. This study used a one-group pretest-posttest design, with pre-experimental pre-test (early stage) and post-test (final stage) with a sample of 27 respondents while the research instrument used an observation sheet. Data analysis used bivariate analysis, namely the Paired Sample T-Test. The results of the bivariate test with Paired Sample T-Test proved that there was an effect of early mobilization on increasing intestinal peristalsis before and after the procedure, as evidenced by the p-value = 0.00 < 0.05. As early as possible, early mobilization doing in post-laparatomy patients, the faster the intestinal peristaltis recovery process will be.

PENGARUH BUERGER ALLEN EXERCISE TERHADAP NILAI ANKLE BRACHIAL INDEX PADA PASIEN DIABETES MELITUS Pratiwi Christa Simarmata; Sari Desi Esta Ulina Sitepu; Abdi Lestari Sitepu; Ruttama Hutauruk; Rita Ayu Butar-butar
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol 4 No 1 (2021): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkf.v4i1.853

Diabetes mellitus is a disorder of the endocrine system characterized by increased levels of glucose in the blood. The purpose of this study was to assess the effect of Buerger's Allen exercise on the value of the ankle brachial index (ABI) in patients with diabetes mellitus. The research design was a quasi-experimental pretest and posttest without a control. The study was conducted from March to May 2021 at Grandmed Lubuk Pakam Hospital with 48 respondents, with consecutive sampling technique. Data were analyzed using the Wilcoxon test. The Buergers Allen exercise intervention was performed twice a day, for three weeks. The procedure is performed by lifting the lower extremities up at an angle of 45-90 degrees for 2-3 minutes, then the patient sits at the bedside with the legs hanging down, accompanied by flexion, extension, pronation and supination movements for 5-10 minutes, and the patient lies down. with both feet resting for 10 minutes. There was a significant effect between the mean ABI value before intervention 0.83 and after intervention 0.95, p=0.00. The difference in mean ABI p=0.000, p<0.05. The results of the study concluded that there was an effect of buerger allen exercise on the ABI value before and after the intervention where the ABI value was getting better. It is recommended for nurses to make Buergers Allen exercise one of the independent nursing interventions in providing nursing care to patients with diabetes mellitus.

RELATIONSHIP OF NURSE SERVICE QUALITY WITH PATIENT SATISFACTION IN IN PATIENTROOMS GRANDMED HOSPITAL Tati Murni Karokaro; Rawaty Sitorus; Peni Rio Ginting; Abdi Lestari Sitepu; Safril Matua Harahap
JURNAL KESMAS DAN GIZI (JKG) Vol. 3 No. 2 (2021): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkg.v3i2.608

Hospital is a health service that has permanent facilities and infrastructure consisting of professional medical personnel to provide health services, continuous nursing care, and diagnose and provide disease treatment to patients in need. The hospital must fulfill superior facilities, have professional human resources, all of which are part of influencing services to provide satisfaction to patients. This study aims to determine the relationship between the quality of nurse services and patient satisfaction in the inpatient room of the GrandMed Hospital, using a descriptive survey research type. The sample of this study was 27 patients in the Ns 4D room using a questionnaire instrument. The sampling technique used was purposive sampling. The results of the research obtained are those who have good quality nurse service 16 people (59.3%) and bad service quality 11 people (40.7%), 17 people who are satisfied (63.0%) and dissatisfied as many 10 people (37.0%), so that the results of the chi square statistical test obtained p value = 0.021, which means that there is a relationship between the quality of nurse services and satisfaction in the 4D patient room of Grandmed Hospital. From the results of this study, the advice that I can give is that nurse can apply the results of this research and make it into consideration for improving nursing services at the hospital not only in the 4D patient room but to all inpatient rooms at GrangMed Hospital. This research can be examined again with a larger number of samples and a larger number of rooms or hospitals in order to see more broadly about the effect of nursing services on patient satisfaction.

EDUKASI PENGGUNAAN MASKER DAN HAND HIGIENE PADA MASYARAKAT DI MASA PANDEMI COVID-19 DI DESA SIDODADI RAMONIA Sari Desi Esta Ulina Sitepu; Selamat Tuahta Sipayung; Pratiwi Christa Simarmata; Kardina Hayati; Abdi Lestari Sitepu
JURNAL PENGMAS KESTRA (JPK) Vol 1 No 2 (2021): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

Penyebaran virus Covid-19 terjadi secara masif di seluruh dunia, Indonesia merupakan salah satu negara dengan angka kasus tertinggi terkena virus Covid-19. Oleh karena itu pemerintah menerapkan protokol kesehatan dengan cara penggunaan masker dan hand higiene. Masyarakat di Desa Sidodadi Ramonia merupakan sebagian kecil dari masyarakat yang rentan terpapar Covid-19. Kegiatan ini bertujuan untuk mengedukasi masyarakat agar memahami tentang pentingnya penerapan protokol kesehatan dan mematuhinya dalam kehidupan sehari-hari. Sasaran dalam kegiatan ini adalah seluruh masyarakat Desa Sidodadi Ramonia. Penilaian tingkat pengetahuan masyarakat dilakukan dengan memberikan pertanyaan sebelum dan sesudah pemberian penyuluhan. Hasil uji statistik menunjukkan nilai p < α (0,000 < 0,05). Hasil yang diperoleh menunjukkan bahwa adanya peningkatan pengetahuan masyarakat sebelum dan sesudah diberikan penyuluhan.

WORKSHOP KETEPATAN TEKNIK PELAKSANAAN PEMINDAHAN PASIEN UNTUK MENCEGAH TERJADINYA TRAUMA SERVICAL PADA PERAWAT IGD DI RUMAH SAKIT GRANDMED LUBUK PAKAM Kardina Hayati; Syatriawati Suhaimi; Abdi Lestari Sitepu; Sari Desi Esta Ulina Sitepu
JURNAL PENGMAS KESTRA (JPK) Vol 1 No 2 (2021): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

Setiap manusia berpeluang terpapar dengan kejadian Trauma. Trauma bisa terjadi baik secara fisik maupun psikis. Akibat dari terputusnya kontinuitas normal suatu struktur tubuh karena kegiatan fisik disebut dengan cedera atau Trauma. Trauma yang terjadi pada tulang belakang yang menyebabkan lesi medula spinalis sehingga terjadi gangguan neurologik disebut dengan trauma servical. Rasa nyeri, paralisis, sampai terjadinya inkontinensia merupakan gejala yang muncul pada penderita trauma servical. Perawat merupakan pelayan kesehatan yang sering mengalami gelaja nyeri pada tulang belakang. Hal ini dikarenakan kurangnya pengetahuan perawat tentang tehnik memindahkan pasien sehingga berpotensi meningkatkan trauma tulang belakang. Tujuan Workshop ini dilaksanakan untuk memberikan penambahan keterampilan dan pengetahuan perawat dalam ketepatan tehnik pelaksanaan pemindahan pasien dengan trauma servical. Evaluasi kegiatan workshop dilakukan dengan melakukan pembagian kuisioner pre dan post kegiatan. Hasil yang didapatkan yaitu sebanyak 98% peserta seminar mengalami peningkatan pengetahuan dan keterampilan dalam ketepatan penanganan pasien untuk mencegah terjadinya trauma servical. Diharapkan kegiatan workshop ini bermafaat untuk perawat sehingga pelayanan kesehatan yang diberikan kepada pasien dapat optimal dan trauma servikal tidak terjadi pada perawat dan pasien.

PENYULUHAN PENGATURAN NUTRISI TERHADAP KADAR GULA DARAH PASIEN DIABETES MELITUS Pratiwi Christa Simarmata; Sari Desi Esta Ulina Sitepu; Abdi Lestari Sitepu; Tati Murni Karo-karo; Hariati .
JURNAL PENGMAS KESTRA (JPK) Vol 1 No 2 (2021): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

Abstrak Diabetes melitus (DM) adalah penyakit metabolik yang ditandai dengan peningkatan kadar gula dalam darah. Kelainan sekresi insulin, kerja insulin, atau keduanya merupakan penyebab meningkatnya kadar glukosa dalam darah. Penatalaksanaan diabetes melitus harus ditangani dengan baik, untuk menghindari terjadinya komplikasi . Penatalaksanaan lima pilar pengendalian diabetes melitus diterapkan untuk mencegah komplikasi dan meningkatkan kualitas hidup penderita diabetes. Penderita diabetes memiliki lima pilar yang harus ditaati. Pilar pada penderita DM salah satunya penatalaksaan nutrisi. Pengaturan nutrisi yang dapat diajarkan pada penderita DM dengan mengontrol diet 3J meliputi jumlah, jadwal dan jenis. Tujuan pengabdian masyarakat untuk memberikan pendidikan kesehatan kepada pasien DM tentang penatalaksaan nutrisi dalam menjaga kestabilan nilai KGD. Metode kegiatan yang digunakan pada pengabdian masyarakat ini di mulai dari penyampaian materi terkait pengertian, tanda gejala, komplikasi dan penanganannya khususnya pemenuhan nutrisi pasien DM, pengecekan nilai glukosa darah dan evaluasi hasil pelaksanaannya. Adapun hasil pengabdian masyarakat ini penderita DM dapat memenuhi manajemen nutrisinya sendiri sehingga KGD stabil dan kualitas hidup lebih terjaga. Abstract Diabetes mellitus (DM) is a metabolic disease characterized by an increase in blood sugar levels. Abnormalities in insulin secretion, insulin action, or both are causes of elevated blood glucose levels. Management of diabetes mellitus must be handled properly, to avoid complications. The management of the five pillars of diabetes mellitus control is applied to prevent complications and improve the quality of life of diabetics. Diabetics have five pillars that must be adhered to. One of the pillars of DM patients is nutritional management. Nutritional settings that can be taught to DM sufferers by controlling the 3J diet include the amount, schedule and type. The purpose of community service is to provide health education to DM patients about nutrition management in maintaining the stability of KGD values. The method of activity used in this community service starts from delivering material related to understanding, signs, symptoms, complications and their handling, especially the fulfillment of nutrition for DM patients, checking blood glucose values and evaluating the results of its implementation. As for the results of this community service, DM sufferers can fulfill their own nutritional management so that KGD is stable and quality of life is better maintained.

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