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Sosialisasi Pertolongan Pertama pada Korban Tenggelam bagi Petugas Penjaga di Kolam Renang Siharang-Karang, Kota Padangsidimpuan Simamora, Febrina Angraini; Alwi, Fahrizal
Jurnal Pengabdian Masyarakat Aufa (JPMA) Vol. 2 No. 1 (2020): Vol. 2 No. 1 April 2020
Publisher : Universitas Aufa Royhan Di Kota Padangsidipuan

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The Siharang-Karang Swimming Pool is one of the most visited pools by the people of Padangsidimpuan, especially on weekends. The large number of visitors in this swimming pool causes a very high risk of drowning victims. There are 4 pool guard officers who are on duty every day to monitor the activities in the pool, and help if there is a problem at the pool location, for example a drowning victim. Because it is necessary to carry out activities in the form of socialization of first aid to drowning victims for pool guard officers. The treatment for the drowning victim at the scene includes rescuing the victim from water, giving breath assistance, chest compressions, clearing vomit that allows obstruction of the airway, preventing heat loss and transportation of the victim to the nearest emergency facility for evaluation and monitoring. This activity provides provisions and trains pool guard officers to have good skills in providing first aid in an emergency situation of drowning victims. With this training, it is hoped that it will increase the safety rate for emergency victims because they receive proper first aid before arriving at the health service and receive further treatment.

The Effectiveness of Foot Massage on Fatigue in Breast Cancer Patients Undergoing Chemotherapy Ekaputri, Mersi; Alwi, Fahrizal; Harahap, Mery Silvia; Laiya, Maria Gracesella Elsy; Silalahi, Rini Debora
Jurnal Penelitian Keperawatan Medik Vol 8 No 1 (2025): Jurnal Penelitian Keperawatan Medik
Publisher : Fakultas Keperawatan Institut Kesehatan Deli Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpkm.v8i1.2714

Breast cancer is a significant global health issue with a rising incidence in Indonesia. Patients undergoing chemotherapy often experience fatigue as a common side effect of treatment. This study aimed to examine the effect of foot massage on reducing fatigue among breast cancer patients receiving chemotherapy at RSU Sembiring Deli Tua. A quantitative approach was employed using a quasi-experimental design with a one-group pretest-posttest framework. Eighteen breast cancer patients undergoing chemotherapy participated in this study. Fatigue levels were measured before and after the foot massage intervention using the Fatigue Assessment Scale (FAS). The results demonstrated a reduction in fatigue levels following the foot massage intervention. Statistical analysis using the Wilcoxon Signed Rank Test revealed a significant difference in fatigue levels before and after the intervention (p = 0.002; p<0.05). The majority of participants experienced a decrease in fatigue from moderate to mild, while six participants showed no significant change. These findings are consistent with previous studies indicating the effectiveness of foot massage in alleviating fatigue among breast cancer patients. In conclusion, foot massage can be considered an effective complementary therapy for reducing fatigue in breast cancer patients undergoing chemotherapy in Indonesia.

PENGARUH ERGONOMICS EXERCISES TERHADAP PENURUNAN TEKANAN DARAH PADA LANSIA DI UPT PUSKESMAS DELI TUA TAHUN 2025 Meta Rosaulina; Siti Marlina; Fahrizal Alwi
HEALTH CARE: JURNAL KESEHATAN Vol 14 No 2 (2025): Health Care : Jurnal Kesehatan
Publisher : IKES Payung Negeri Pekanbaru

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36763/hymc8r90

Hyperrternsion is ar problerm in ther erlderrly bercaruser it carn ber ar risk farctor for stroker arnd herarrt diserarser. Blood prerssurer in ther erlderrly with hyperrternsion ternds to ber unstarbler duer to larck of arctivity in ther erlderrly, irrergularr diert arnd irrergularr merdicartion. Hyperrternsion plarys arn importarnt roler in ther inciderncer of herarrt diserarser arnd stroker, wherrer this diserarser is ther numberr oner caruser of derarth arnd disarbility in ther world. Therrer arrer two trerartmernts thart carn ber givern to partiernts with hyperrternsion, narmerly pharrmarcologicarl arnd non-pharrmarcologicarl trerartmernt. Oner of ther non-pharrmarcologicarl therrarpiers carn ber doner by doing physicarl erxerrciser, oner of which is errgonomic erxerrciser. Ther purposer of this study wars to derterrminer ther erfferct of errgonomic erxerrciser on rerducing blood prerssurer in ther erlderrly who sufferr from hyperrternsion. Ther prer-erxperrimerntarl rerserarrch dersign userd ar oner group prerterst-postterst dersign. Ther numberr of sarmplers in this study arrer 43 rerspondernts using proportionarl sarmpling terchniquer. This errgonomic erxerrciser interrverntion wars givern for 2 wererks. Ther rersults of ther Wilxocon startisticarl terst in this study showerd thart therrer wars ar dercrerarser in blood prerssurer with ar significarnt varluer of systolic p varluer = 0.000 (p < 0.05) arnd diarstolic p varluer = 0.000 (p < 0.05). Barserd on ther rerserarrch findings, therrer is arn erfferct of errgonomic erxerrciser on rerducing blood prerssurer in ther erlderrly who sufferr from hyperrternsion. Ther arpplicartion of errgonomic erxerrciser is provern to ber arbler to rerducer blood prerssurer so thart it carn ber userful arnd arpplierd to ther erlderrly with hyperrternsion ars ar non- pharrmarcologicarl therrarpy.

Critical Thinking Skills Development across Semesters in Nursing Students: A Cross-Sectional Study Adelia, Gita; Alwi, Fahrizal; Asyikin, Nur; Pérez , Esperanza Zurigue; Malfasari, Eka; Putri, Veni Dayu; Arfina, Angga; Locsin, Rozzano C.; Yoder, Linda H.
Jurnal Berita Ilmu Keperawatan Vol. 19 No. 1 (2026): January
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/bik.v19i1.12711

Critical thinking is a fundamental skill in nursing education that plays a crucial role in supporting professional responsibilities, enhancing service quality, and improving nursing performance in the modern era. This study aimed to analyze the dimensions of critical thinking among nursing students and assess the development of critical thinking skills across different academic semesters in the Bachelor of Nursing program at the Faculty of Nursing, IKes Payung Negeri Pekanbaru. A cross-sectional quantitative design was employed, involving 264 nursing students selected through stratified random sampling to ensure proportional representation across academic semesters. Data were collected using the Nursing Critical Thinking in Students Questionnaire (N-CT-4), which measures four dimensions of critical thinking. Descriptive and inferential statistical analyses were conducted using SPSS software, with ANOVA employed to examine differences in mean scores among students from different academic semesters. The Intellectual and Cognitive dimension had the highest mean score (M = 131.99, SD = 24.259, range = 70–176), while the Technical dimension had the lowest (M = 18.09, SD = 3.773, range = 8–24). ANOVA results indicated an upward trend in the Intellectual and Cognitive scores, increasing from 130.2 in the 3rd and 5th semesters to 136.5 in the 7th semester; however, this difference was not statistically significant. Although critical thinking skills, particularly in the cognitive domain, showed improvement across semesters, the progression was not statistically significant. These findings underscore the need for more practical, practice-based learning strategies to enhance critical thinking competencies meaningfully. Further longitudinal studies are recommended to evaluate long-term development and the impact of educational interventions.

Edukasi Pencegahan Gangguan Otot Rangka Akibat Kerja pada Petani di Kabupaten Deli Serdang Tahun 2022 Sumihar Pasaribu; Septa Dwi Insani; Fahrizal Alwi
Pengabdian Deli Sumatera Vol 3 No 2 (2024): Artikel Pengabdian Juli 2024
Publisher : LLPM Universitas Deli Sumatera

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Musculoskeletal disorders are discomfort caused by injury to muscles, tendons, joints, nerves, and soft tissues while working. Musculoskeletal disorders are conditions of discomfort or pain caused by injury and disorders of muscles, tendons, joints, nerves, and other soft tissues while working. Working conditions that often involve activities such as lifting, carrying, pulling, pushing, and repetitive movements during work, uncomfortable or static positions, using excessive force to complete tasks, being exposed to excessive vibration, or working in extreme temperatures, and doing high-speed rolling work can all increase the risk of musculoskeletal complaints. Musculoskeletal complaints can be prevented by doing stretching exercises. Providing stretching exercises to workers can have a significant impact on reducing musculoskeletal complaints. By exercising regularly at least 4 times a week with a duration of 5 to 10 minutes, the joint range of motion will become wider

PENYULUHAN PENTINGNYA PEMERIKSAAN FUNGSI HATI PADA PASIEN DEMAM BERDARAH UNTUK KADER KESEHATAN DI PUSKESMAS TALUN KENAS Katarina Julike; Syaiful Batubara; Fahrizal Alwi; Selamat Ginting; Jilli Charissa
Pengabdian Deli Sumatera Vol 4 No 1 (2025): Artikel Pengabdian Juli 2025
Publisher : LLPM Universitas Deli Sumatera

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Diabetes melitus merupakan salah satu masalah kesehatan utama yang berdampak signifikan pada kualitas hidup dan angka morbiditas. Pemantauan kadar gula darah secara rutin menjadi langkah penting dalam mencegah komplikasi. Namun, tingkat kepatuhan pasien masih rendah, terutama di fasilitas kesehatan primer. Program Pengelolaan Penyakit Kronis (Prolanis) di Indonesia dirancang untuk meningkatkan literasi kesehatan dan kepatuhan pasien melalui edukasi terstruktur.Tujuan: Mengevaluasi efektivitas edukasi pemeriksaan gula darah rutin terhadap peningkatan pengetahuan dan keterampilan pasien Prolanis di Puskesmas Biru-Biru.Metode: Kegiatan pengabdian dilakukan melalui penyuluhan kelompok, demonstrasi penggunaan alat pengukur gula darah, dan pendampingan praktik mandiri kepada 50 pasien Prolanis. Penilaian dilakukan menggunakan kuesioner pre-test dan post-test serta observasi langsung terhadap keterampilan pasien.Hasil: Edukasi yang diberikan mampu meningkatkan pemahaman pasien secara signifikan. Sebelum kegiatan, hanya sebagian kecil pasien yang memahami jadwal pemeriksaan dan mampu menggunakan alat mandiri, namun setelah edukasi, tingkat pengetahuan meningkat hingga 85% dan keterampilan praktik pasien menjadi lebih baik.Kesimpulan: Edukasi pemeriksaan gula darah rutin yang dilakukan secara terstruktur dan interaktif efektif dalam meningkatkan pengetahuan, keterampilan, dan kepatuhan pasien Prolanis. Program ini direkomendasikan untuk dilaksanakan secara berkelanjutan di fasilitas kesehatan primer sebagai upaya pencegahan komplikasi diabetes.

Gambaran SGOT dan SGPT Pada Pasien Demam Berdarah Di Rumah Sakit Columbia Asia Medan (TS) Julike, Katarina; Batubara, Syaiful; Alwi, Fahrizal; Ginting, Selamat; Sari, Husna
BEST Journal (Biology Education, Sains and Technology) Vol 8, No 1 (2025): Juni 2025
Publisher : Program Studi Pendidikan Biologi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30743/best.v8i1.11959

Demam berdarah adalah penyakit yang disebabkan oleh virus dengue dan ditularkan ke manusia melalui gigitan nyamuk Aedes aegypti. Hati merupakan tempat replikasi virus dengue yang utama dan akan menjadi keterlibatan hati yang fatal. Kerusakan pada hati dapat dinilai salah satu keberadaannya dengan pemeriksaan enzim transaminase yaitu SGOT (Serum Glutamic Oxaloacetic Transaminase) dan SGPT (Serum Glutamic Pyruvic Transaminase), enzim tersebut dikeluarkan bila terjadi kerusakan jaringan dan sel hati. Penelitian ini bertujuan untuk mengetahui gambaran SGOT dan SGPT pada pasien demam berdarah di Rumah Sakit Columbia Asia Medan. Jenis penelitian observasional analitik dengan menggunakan pendekatan cross sectional yang dilakukan untuk melihat hubungan antara variabel satu dengan variabel yang lain. Pengambilan sampel dilakukan dengan teknik random sampling. Jumlah sampel dalam penelitian ini adalah 20 responden. Data dianalisis menggunakan uji paired t test dengan α 0,05. Hasil penelitian menggunakan analisis bivariat menunjukkan bahwa terdapat pengaruh antara faktor-faktor yang berhubungan dengan mutu pelayanan kesehatan yaitu dari 20 responden terdapat 16 responden (75%) hasil pemeriksaan SGOT dan SGPT kategori tinggi terhadap pasien demam berdarah kategori tinggi, sementara 4 responden (20%) hasil pemeriksaan SGPT terhadap pasien demam berdarah kategori normal. Kesimpulan: Gambaran SGOT dan SGPT pada Pasien Demam Berdarah di Rumah Sakit Columbia Asia Medan adalah signifikan

Mothers’ Lived Experiences in Preventing Toddler Diarrhea Using Local Wisdom Poda Na Lima: A Phenomenological Study Elpiana Sari; Amvina Amvina; Fahrizal Alwi; Hotma Royani Siregar; Zainal Efendi Hasibuan
Indonesian Journal of Global Health Research Vol 7 No 5 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i5.7121

Diarrhea remains one of the leading causes of morbidity and mortality among children under five in Indonesia. Prevention efforts based on local wisdom, such as Poda Na Lima, a traditional life philosophy of the Batak Angkola community, hold significant potential as a promotive and preventive approach to child health. This study aims to explore the experiences of mothers of children under five in implementing Poda Na Lima as a preventive measure against diarrhea in their children. A qualitative approach with a phenomenological method was employed. Participants were selected using purposive sampling, with the number determined by the principle of data saturation, resulting in a total of ten participants. Data were collected through in-depth interviews guided by a semi-structured interview protocol developed based on the five principles of Poda Na Lima. Thematic analysis was used to analyze the data. The findings of the study revealed five themes: maintaining cleanliness of the heart, maintaining personal hygiene, maintaining cleanliness of clothing, maintaining cleanliness of the home, and maintaining cleanliness of the yard. Mothers of young children perceive Poda Na Lima not merely as a traditional custom, but also as a guide for daily healthy living. Personal, family, and environmental hygiene practices are considered key to diarrhea prevention.

Gambaran SGOT dan SGPT Pada Pasien Demam Berdarah Di Rumah Sakit Columbia Asia Medan (TS) Katarina Julike; Syaiful Batubara; Fahrizal Alwi; Selamat Ginting; Husna Sari
BEST Journal (Biology Education, Sains and Technology) Vol 8, No 1 (2025): Juni 2025
Publisher : Program Studi Pendidikan Biologi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30743/best.v8i1.11959

Demam berdarah adalah penyakit yang disebabkan oleh virus dengue dan ditularkan ke manusia melalui gigitan nyamuk Aedes aegypti. Hati merupakan tempat replikasi virus dengue yang utama dan akan menjadi keterlibatan hati yang fatal. Kerusakan pada hati dapat dinilai salah satu keberadaannya dengan pemeriksaan enzim transaminase yaitu SGOT (Serum Glutamic Oxaloacetic Transaminase) dan SGPT (Serum Glutamic Pyruvic Transaminase), enzim tersebut dikeluarkan bila terjadi kerusakan jaringan dan sel hati. Penelitian ini bertujuan untuk mengetahui gambaran SGOT dan SGPT pada pasien demam berdarah di Rumah Sakit Columbia Asia Medan. Jenis penelitian observasional analitik dengan menggunakan pendekatan cross sectional yang dilakukan untuk melihat hubungan antara variabel satu dengan variabel yang lain. Pengambilan sampel dilakukan dengan teknik random sampling. Jumlah sampel dalam penelitian ini adalah 20 responden. Data dianalisis menggunakan uji paired t test dengan α 0,05. Hasil penelitian menggunakan analisis bivariat menunjukkan bahwa terdapat pengaruh antara faktor-faktor yang berhubungan dengan mutu pelayanan kesehatan yaitu dari 20 responden terdapat 16 responden (75%) hasil pemeriksaan SGOT dan SGPT kategori tinggi terhadap pasien demam berdarah kategori tinggi, sementara 4 responden (20%) hasil pemeriksaan SGPT terhadap pasien demam berdarah kategori normal. Kesimpulan: Gambaran SGOT dan SGPT pada Pasien Demam Berdarah di Rumah Sakit Columbia Asia Medan adalah signifikan

Breast Cancer Patients’ Experiences Undergoing Radiotherapy: A Qualitative Study Fahrizal Alwi; Mery Silvia Harahap; Winingsih Frihafni; Siti Marlina; Rini Debora Silalahi; Nur Mala Sari; Megawati Sinambela; Meta Rosaulina; Hien Thi Nguyen; Shujen Chen
Jurnal Berita Ilmu Keperawatan Vol. 19 No. 2 (2026): July
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/bik.v19i2.16870

Breast cancer is a chronic condition that often requires long-term treatment, including radiotherapy, which may affect patients physically, psychologically, socially, and spiritually. Although previous studies have documented the side effects of radiotherapy, limited evidence exists regarding the lived experiences of breast cancer. This study aimed to explore the lived experiences of women with breast cancer undergoing radiotherapy. A qualitative study with a phenomenological approach was conducted. Ten women diagnosed with breast cancer who had undergone at least five sessions of radiotherapy and were able to communicate their experiences were purposively recruited. Data were collected through semi-structured, in-depth interviews and supported by field notes. Interviews were audio-recorded, transcribed verbatim, and analyzed using the Colaizzi method to identify significant statements, formulate meanings, cluster themes, and describe the essential structure of the participants' lived experiences. The essence of the participants' lived experiences reflected a journey from fear and uncertainty toward acceptance and hope, supported by interpersonal relationships and spirituality. This experience was expressed through six interconnected themes: (1) initial perceptions of radiotherapy, (2) perceived physical and emotional impacts, (3) challenges during treatment, (4) coping strategies, (5) social support throughout the treatment process, and (6) motivation and expectations for recovery. Participants described radiotherapy as a complex experience involving fear, uncertainty, physical discomfort, and emotional distress, while gradually developing resilience through family support, compassionate healthcare providers, adaptive coping strategies, and spiritual beliefs. The findings demonstrate that the lived experiences of breast cancer patients undergoing radiotherapy are multidimensional, highlighting the importance of holistic, patient-centered care that addresses physical, psychological, social, and spiritual needs. Clinical interventions should strengthen therapeutic communication, facilitate family involvement, provide spiritual support according to patients' beliefs and preferences, and promote adaptive coping throughout radiotherapy. Future studies are recommended to employ quantitative or mixed-methods approaches to further examine the relationships among patient experiences, coping strategies, social support, spiritual well-being, and quality of life.

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