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All Journal Jurnal Ners Science Midwifery Ensiklopedia Research and Community Service Review Medical Laboratory Journal Jurnal Kesehatan dan Kedokteran
Petra Dian Sari Zega
STIKes Mitra Husada Medan
Civil Engineering, Building, Construction & Architecture Computer Science & IT Dentistry Electrical & Electronics Engineering Health Professions Mechanical Engineering Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary Other

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The Effect of Health Belief Model on Prevention Chronic Desease DM in Elderly at Bangun Rejo Village Tanjung Morawa District in 2022 Rosmega Pakpahan; Zulkarnain Batubara; Petra Dian Sari Zega; Siti Nurfadhilah
Science Midwifery Vol 10 No 4 (2022): October: Science Midwifery
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v10i4.816

Abstract

This study aims to determine the effect of The Health Belief Model in the prevention of chronic disease Diabetes Mellitus in the elderly . This research was conducted in Bangun Rejo Village, Tanjung Morawa sub-district, Deli Serdang Regency. This study used a quasi-experimental design with a non-equivalent control group research design. The number of samples in this study were 34 people who were taken using a purposive sampling technique by taking into account the inclusion criteria. The sample was divided into 17 people as the experimental group and 17 people as the control group. The measuring instruments used in this study were questionnaires that had been tested for validity and reliability, blood glucose measuring devices, and observation sheets. The experimental group was given an intervention. Effect of The Health Belief Model on the prevention of chronic disease and in the elderly. The analysis used was univariate analysis and bivariate analysis with dependent and independent t tests. The results showed that before being given health education, the influence of The Health Belief Model was that the majority of respondents had sufficient knowledge as many as 9 people (38.2%) and after being given health education based on The Health Belief Model had good chronic disease prevention as many as 17 people (50, 0%). Statistical results obtained p value (0.000) < (0.05), so that the results obtained that there is an effect of The Health Belief Model in the prevention of chronic diseases in the elderly. The results of this study are expected to be one of the nursing interventions in increasing the prevention of chronic diseases in the elderly.
Hubungan Penggunaan Media Sosial dan Peran Teman Sebaya Terhadap Perilaku Seksual Remaja di SMA Yayasan Perguruan Sinar Harapan Kec. Beringin Kab. Deli Serdang Tahun 2023 Husniya Husniya; Petra Dian Sari Zega; Zulkarnain Batubara
Calory Journal Medical Laboratory Journal Vol. 1 No. 3 (2023): September : Medical Laboratory Journal
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/caloryjournal.v1i3.104

Abstract

The use of social media and peer influence can provide a lot of information to teenagers, whether it is good information or has a negative impact on the teenager. To determine the relationship between the use of social media and peers on sexual behavior among teenagers at the Sinar Harapan College Foundation High School, Kec. Beringin Deli Serdang Regency in 2023. This research method is a quantitative method. The sample used Simple Random Sampling with the Slovin formula to obtain n= 62 respondents from each class. Primary data was obtained from distributing questionnaires. Data analysis was carried out using Univariate and Bivariate Analysis. Social media use among teenagers is categorized as moderate, 32.8% is categorized as low, and 60.4% is categorized as high. 21.6% of peer influence on adolescents is categorized as medium, 17.2% is categorized as low, and 61.2% is categorized as high. 65.7% of sexual behavior in adolescents is generally categorized as risky and 34.3% is categorized as not risky. There is a relationship between the use of social media and sexual behavior among teenagers at Sinar Husni High School which can be seen based on a p-value of 0.030 < 0.05. There is a relationship between social media and peers on sexual behavior among teenagers at Sinar Husni High School which can be seen based on a p-value of 0.034 < 0.05. There is a relationship between social media and peers on sexual behavior among teenagers at Sinar Harapan College Foundation High School.
ANALISIS EFEKTIVITAS SELF-MANAGEMENT SUPPORT TERHADAP KUALITAS HIDUP PASIEN KANKER PAYUDARA Adelina Sembiring; Lisdayanti Simanjuntak; Lisbet Gurning; Sri Mulati Nendah Agreta; Petra Diansari Zega; Abdul Mazid Bancin
Ensiklopedia Research and Community Service Review Vol 5, No 2 (2026): Vol. 5 No. 2 Februari 2026
Publisher : Lembaga Penelitian dan Penerbitan Hasil Penelitian Ensiklopedia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33559/err.v5i2.3761

Abstract

Breast cancer and its treatments impose a complex symptom burden that negatively affects patients’ quality of life. Self-management support (SMS) is a patient empowerment strategy aimed at enhancing independence in nursing care. This study aimed to analyze the effectiveness of SMS on the quality of life of breast cancer patients at Haji General Hospital Medan. Methods: This study employed a quasi-experimental design with a pre–post test control group approach. The sample consisted of 60 respondents (30 in the intervention group and 30 in the control group), selected using purposive sampling. The intervention group received structured education and self-monitoring guidance for 8 weeks. The research instrument used was the EORTC QLQ-C30 questionnaire. Data were analyzed using Paired T-test and Independent T-test. Results: There was a significant increase in the mean quality of life score in the intervention group, from 52.3 to 75.6 (p 0.001), while the control group showed no significant change (p = 0.125). Intergroup comparison after the intervention revealed a statistically significant difference (p = 0.000). The emotional functioning and pain management domains showed the most substantial improvements. Conclusion: Self-management support is effective in improving the quality of life of breast cancer patients. This intervention is recommended to be integrated into standard oncology nursing care to promote patient independence in managing treatment-related side effects. Keywords: Breast Cancer, Quality of Life, Self-Management Support, Medical-Surgical Nursing.
OPTIMALISASI PENERAPAN PHBS UNTUK KESEHATAN REPRODUKSI PADA LANSIA & REMAJA DI DESA BANGUN REJO TAHUN 2026 Lisdayanti Simanjuntak; Adelina Sembiring; Petra Diansari Zega; Dina Afriani; Sanni Sihombing; Aida Wani
Ensiklopedia Research and Community Service Review Vol 5, No 10 (2026): Vol. 5 No. 10 Juli 2026
Publisher : Lembaga Penelitian dan Penerbitan Hasil Penelitian Ensiklopedia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33559/err.v5i10.3952

Abstract

Masalah kesehatan reproduksi pada remaja dan lansia masih menjadi perhatian karena dipengaruhi oleh pengetahuan, perilaku, dan penerapan pola hidup sehat. Salah satu upaya promotif dan preventif yang dapat dilakukan adalah penerapan Perilaku Hidup Bersih dan Sehat (PHBS). Penelitian ini bertujuan untuk mengetahui optimalisasi penerapan PHBS terhadap kesehatan reproduksi pada lansia dan remaja di Desa Bangun Rejo Tahun 2026. Penelitian ini menggunakan metode kuantitatif dengan desain deskriptif analitik dan pendekatan cross sectional. Jumlah responden sebanyak 100 orang yang terdiri dari 55 lansia dan 45 remaja. Pengumpulan data dilakukan menggunakan kuesioner PHBS dan kesehatan reproduksi. Hasil penelitian menunjukkan bahwa penerapan PHBS sebagian besar berada pada kategori kurang sebanyak 59 orang (59%), cukup sebanyak 21 orang (21%), dan baik sebanyak 20 orang (20%). Kesehatan reproduksi responden sebagian besar berada pada kategori kurang sebanyak 52 orang (52%), cukup sebanyak 25 orang (25%), dan baik sebanyak 23 orang (23%). Kesimpulan penelitian menunjukkan bahwa penerapan PHBS masih perlu ditingkatkan sebagai upaya mendukung peningkatan kesehatan reproduksi pada remaja dan lansia.Kata kunci: PHBS, kesehatan reproduksi, lansia, remaja, perilaku kesehatan
PENGARUH EDUKASI SELF-MANAGEMENT TERHADAP PENINGKATAN PERILAKU PENCEGAHAN PENYAKIT JANTUNG PADA PASIEN HIPERTENSI DI DESA BANGUN REJO TAHUN 2026 Adelina Sembiring; Lisdayanti Simanjuntak; Petra Diansari Zega; Lisbet Gurning; Sri Mulati Nendah Agreta; Srilina Br Pinem; Nur Azizah; Angel Shesapatrisia Girsang; Anisa Br Munte
Ensiklopedia Research and Community Service Review Vol 5, No 11 (2026): Vol. 5 No. 11 Agustus 2026
Publisher : Lembaga Penelitian dan Penerbitan Hasil Penelitian Ensiklopedia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33559/err.v5i11.3999

Abstract

Background: Hypertension is one of the major risk factors for cardiovascular disease and remains a leading cause of mortality worldwide. Effective hypertension control depends not only on pharmacological therapy but also on patients' ability to perform self-management, including medication adherence, adherence to a low-sodium diet, regular physical activity, stress management, smoking cessation, and routine blood pressure monitoring. The low level of heart disease preventive behaviors among patients with hypertension remains a significant public health challenge. Therefore, effective educational interventions are needed to enhance patients' self-management abilities and promote healthier behaviors. Objective: This study aimed to determine the effect of self-management education on improving heart disease preventive behaviors among patients with hypertension in Bangun Rejo Village in 2026. Methods: This study employed a pre-experimental design using a one-group pretest-posttest approach. The study population consisted of all patients with hypertension in Bangun Rejo Village. The sample was selected using purposive sampling based on predetermined inclusion and exclusion criteria. The intervention consisted of self-management education delivered through health education sessions, group discussions, demonstrations, and educational media throughout the study period. Data were collected using a validated and reliable questionnaire on heart disease preventive behaviors. Data analysis included univariate analysis to describe respondents' characteristics and bivariate analysis using the Wilcoxon Signed Rank Test (or the Paired t-test if the data were normally distributed), with a significance level of α = 0.05. Results: The findings demonstrated an increase in the mean score of heart disease preventive behaviors following the self-management education intervention. Statistical analysis indicated that self-management education had a significant effect on improving heart disease preventive behaviors among patients with hypertension (p 0.05). Conclusion: Self-management education is effective in improving heart disease preventive behaviors among patients with hypertension. This intervention can serve as a promotive and preventive strategy in community health services to enhance hypertension control and reduce the risk of cardiovascular disease.Keywords: Hypertension, Self-Management, Education, Preventive Behavior, Heart Disease
Therapeutic Communication Phases and Patient Satisfaction in Meeting Basic Care Needs: A Cross-Sectional Study in Inpatient Care Rolasnih Lilista Simbolon; Dina Afriani; Petra Diansari Zega; Dewi Sartika Hutabarat; Herna Rinayanti Manurung; Elisabet Manik; Risna Risna
Jurnal Kesehatan dan Kedokteran Vol. 5 No. 1 (2026): Februari: Jurnal Kesehatan dan Kedokteran
Publisher : Asosiasi Dosen Muda Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56127/jukeke.v5i1.2602

Abstract

Therapeutic communication is a core nursing competency that influences patient perceptions of care quality, comfort, safety, and the fulfillment of basic needs during hospitalization. However, evidence remains limited regarding how each phase of therapeutic communication contributes differently to patient satisfaction in inpatient settings. Objective: This study aimed to analyze the relationship between therapeutic communication phases orientation, working, and termination and patient satisfaction in fulfilling basic care needs among inpatients at Mitra Sejati General Hospital, Medan. Methods: A quantitative analytical study with a cross-sectional design was conducted from January to March 2024. The sample consisted of 71 inpatients selected using consecutive sampling. Data were collected through structured questionnaires administered via interviews and analyzed using descriptive statistics and Spearman’s rho correlation test with a significance level of α = 0.05. Findings: Therapeutic communication was generally rated as good across phases, yet patient satisfaction was predominantly neutral (52.1%). Significant positive correlations were found between the orientation phase and patient satisfaction (rₛ = 0.911; p < 0.001) and between the working phase and patient satisfaction (rₛ = 0.787; p = 0.003), while the termination phase showed no significant relationship (rₛ = −0.134; p = 0.265). Implications: The findings highlight the importance of strengthening trust-building communication at the initial and active stages of care. Hospitals should prioritize communication training and clinical protocols that emphasize admission interactions and continuous engagement to improve patient satisfaction and care quality. Originality/Value: This study demonstrates that therapeutic communication phases contribute unequally to patient satisfaction and identifies the orientation phase as the most dominant relational component in the inpatient context, offering new insights for patient-centered nursing practice in Indonesia.
Manajemen Asuhan Keperawatan Medikal Bedah yang Service Excellent Pada Pasien Benign Prostatic Hyperplasia di RSU Haji Medan Linda Mardiyanti Waruwu; Nunung Febriany Sitepu; Sri Murtini; Petra Diansari Zega; Sahnijar Sahnijar
Jurnal Ners Vol. 10 No. 4 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i4.61735

Abstract

Benign Prostatic Hyperplasia (BPH) merupakan pembesaran prostat jinak yang sering terjadi pada pria usia lanjut dan dapat menyebabkan gangguan berkemih seperti retensi urine, pancaran urine melemah, sering berkemih, serta rasa tidak tuntas setelah BAK. Kondisi ini dapat menurunkan kualitas hidup pasien apabila tidak ditangani dengan baik. Tujuan melaksanakan manajemen asuhan keperawatan medikal bedah yang Service Excellent pada Tn. A dengan penyakit Benign Prostatic Hyperplasia di Ruangan Thai’f RSU Haji Medan Provinsi Sumatera Utara Tahun 2026. Metode penelitian ini menggunakan metode studi kasus deskriptif yang menggambarkan secara sistematis proses keperawatan mulai dari pengkajian, diagnosa, intervensi, implementasi, dan evaluasi dengan instrumen lembar pengkajian. Subjek berfokus pada satu pasien, yaitu Tn. A dengan diagnosis medis BPH. Hasil pengkajian selama tiga hari menghasilkan tiga diagnosis keperawatan yaitu nyeri akut, gangguan eliminasi urine, dan hipertermia. Implementasi berupa manajemen nyeri, manajemen eliminasi urine, dan manajemen hipertermia terbukti menurunkan nyeri, memperlancar eliminasi urine, dan menurunkan suhu tubuh. Kesimpulan penerapan asuhan keperawatan yang Service Excellent memberikan hasil positif dan meningkatkan kenyamanan pasien.
Manajemen Asuhan Keperawatan Gerontik Berbasis Service Excellent pada Lansia dengan Diabetes Melitus Tipe II di UPTD Pelayanan Lanjut Usia Binjai Hotma Ritonga; Adelina Sembiring; Rolasnih Lilista Simbolon; Petra Diansari Zega; Jakson Napitupulu
Jurnal Ners Vol. 10 No. 4 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i4.61744

Abstract

Diabetes Melitus Tipe II merupakan penyakit kronis yang sering dialami oleh kelompok lanjut usia akibat resistensi insulin dan menurunnya fungsi sel beta pankreas sehingga menyebabkan peningkatan kadar glukosa darah. Kondisi ini dapat memunculkan berbagai komplikasi, seperti luka kaki diabetik, gangguan integritas kulit, serta penurunan kualitas hidup apabila tidak mendapatkan penanganan yang tepat. Tujuan penelitian ini adalah menerapkan manajemen asuhan keperawatan gerontik berbasis Service Excellent pada pasien lansia dengan Diabetes Melitus Tipe II guna meningkatkan status kesehatan dan kualitas hidup pasien. Metode penelitian menggunakan desain deskriptif dengan pendekatan studi kasus melalui proses keperawatan yang terdiri atas pengkajian, penetapan diagnosis, penyusunan intervensi, implementasi, dan evaluasi. Subjek penelitian adalah Ny. R, seorang lansia berusia 72 tahun dengan Diabetes Melitus Tipe II di UPTD Pelayanan Lanjut Usia Binjai Provinsi Sumatera Utara Tahun 2026. Hasil pengkajian menemukan keluhan sering haus, sering buang air kecil, peningkatan kadar glukosa darah, serta luka kaki yang sulit sembuh. Diagnosis keperawatan yang ditegakkan meliputi ketidakstabilan kadar glukosa darah, gangguan integritas kulit, dan nyeri kronis. Intervensi dilakukan melalui pemantauan gula darah, edukasi kesehatan, pengaturan pola makan, perawatan luka, dan penerapan pelayanan prima. Evaluasi menunjukkan perbaikan kondisi pasien ditandai menurunnya keluhan, meningkatnya pengetahuan pasien, dan membaiknya kondisi luka kaki. Kesimpulan asuhan keperawatan gerontik berbasis Service Excellent mampu membantu meningkatkan kualitas hidup lansia dengan Diabetes Melitus Tipe II.
Manajemen Asuhan Keperawatan Medikal Bedah yang Service Excellent Pada Tn. F dengan Tuberkulosis Paru di Ruangan Arrijal RSU Haji Medan Provinsi Sumatera Utara Tahun 2026 Frengki Anugerah Eli Gulo; Nunung Febriany Sitepu; Sri Murtini; Petra Diansari Zega; Sahnijar Sahnijar
Jurnal Ners Vol. 10 No. 4 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i4.61747

Abstract

Tuberkulosis paru merupakan penyakit menular yang disebabkan oleh Mycobacterium tuberculosis dan hingga saat ini masih menjadi salah satu permasalahan kesehatan global. Berdasarkan data WHO tahun 2024 terdapat sekitar 10,7 juta kasus tuberkulosis dan 1,23 juta kematian di seluruh dunia, dengan Indonesia menempati urutan kedua sebesar 10% (1.090.000 kasus). Provinsi Sumatera Utara menduduki posisi ketiga di Indonesia dengan 74.434 kasus, dan di RSU Haji Medan selama 2022–2025 tercatat 1.249 penderita. Penelitian ini bertujuan mendeskripsikan penerapan manajemen asuhan keperawatan medikal bedah yang service excellent pada Tn. F dengan tuberkulosis paru di Ruangan Arrijal RSU Haji Medan Tahun 2026. Metode yang digunakan adalah studi kasus deskriptif dengan pendekatan proses keperawatan meliputi pengkajian, diagnosis, intervensi, implementasi, dan evaluasi. Subjek penelitian adalah Tn. F, laki-laki berusia 23 tahun. Pengumpulan data dilakukan melalui wawancara, observasi, pemeriksaan fisik, dan telaah rekam medis. Hasil pengkajian menunjukkan keluhan batuk berdahak bercampur darah, sesak, nyeri saat bernapas, penurunan nafsu makan, dan berat badan menurun dari 60 kg menjadi 54 kg (IMT 15,5 kg/m²). Diagnosis keperawatan yang ditegakkan meliputi bersihan jalan napas tidak efektif, pola napas tidak efektif, dan defisit nutrisi. Implementasi dilaksanakan selama 3x24 jam pada 12–14 Maret 2026. Evaluasi menunjukkan seluruh masalah keperawatan belum teratasi sepenuhnya sehingga intervensi dilanjutkan oleh perawat ruangan. Disimpulkan penerapan asuhan keperawatan yang service excellent membantu memperbaiki kondisi klinis pasien tuberkulosis paru melalui pelayanan yang menyeluruh, terarah, dan berfokus pada kebutuhan pasien.
Manajemen Asuhan Keperawatan Gerontik yang Service Excellent Pada Tn. S dengan Tuberkulosis Paru di UPTD Pelayanan Sosial Lanjut Usia Binjai Tahun 2026 Kevin Batubara; Petra Diansari Zega; Eko Murdianto; Sri Murtini; Yanty Frasasty Saragih
Jurnal Ners Vol. 10 No. 4 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i4.61805

Abstract

Tuberkulosis (TB) paru merupakan penyakit infeksi menular yang disebabkan oleh Mycobacterium tuberculosis dan masih menjadi masalah kesehatan utama di Indonesia, khususnya pada kelompok lanjut usia. Lansia memiliki risiko lebih tinggi mengalami TB paru karena terjadi penurunan fungsi organ tubuh dan sistem kekebalan tubuh akibat proses penuaan. Data WHO tahun 2024 melaporkan sekitar 10,7 juta kasus TB dan 1,23 juta kematian di seluruh dunia, sedangkan di Sumatera Utara tercatat sekitar 74.434 kasus. Penelitian ini bertujuan untuk melaksanakan manajemen asuhan keperawatan gerontik yang service excellent pada Tn. S dengan TB paru di UPTD Pelayanan Sosial Lanjut Usia Binjai Provinsi Sumatera Utara Tahun 2026. Metode penelitian yang digunakan adalah studi kasus dengan pendekatan proses keperawatan meliputi pengkajian, diagnosis, intervensi, implementasi, dan evaluasi. Hasil pengkajian menunjukkan Tn. S berusia 69 tahun dengan keluhan utama sesak napas, batuk berdahak sulit dikeluarkan, penurunan nafsu makan, dan penurunan berat badan. Diagnosis keperawatan yang ditegakkan meliputi bersihan jalan napas tidak efektif, defisit pengetahuan, dan defisit nutrisi. Implementasi dilakukan selama tiga hari menunjukkan perbaikan kondisi pasien. Disimpulkan bahwa penerapan asuhan keperawatan gerontik yang service excellent dapat meningkatkan kondisi kesehatan dan kenyamanan lansia dengan TB paru.
Co-Authors Abdul Mazid Bancin Adelina Sembiring Agussamad, Indra Aida Wani Angel Shesapatrisia Girsang Anisa Br Munte Bagenni Simaremare Dewi Sartika Hutabarat Dina Afriani Eko Murdianto Elisabet Manik Erika Adelia Turnip Ferdy Ferdy Frengki Anugerah Eli Gulo Herna Rinayanti Manurung Hotma Ritonga Husniya Husniya Jakson Napitupulu Kevin Batubara Lenny Marpaung Linda Mardiyanti Waruwu Lisbet Gurning lisdayanti simanjuntak Nunung Febriany Sitepu Nur Azizah Lubis Pasu Sihombing Repika Marianti Siregar Risna Risna Rolasnih Lilista Simbolon Rosmega Pakpahan Sahnijar Sahnijar Sanni Sihombing Siti Nurfadhilah Sri Mulati Nendah Agreta Sri Murtini Srilina Br Pinem Suci Rani Amalia Thanh Loan Bui Yanty Frasasty Saragih Zulkarnain Batubara