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All Journal Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) Health Notions JURNAL MUTIARA KESEHATAN MASYARAKAT Jurnal Kesehatan Masyarakat dan Lingkungan Hidup Contagion: Scientific Periodical Journal of Public Health and Coastal Health Jurnal Ilmiah PANNMED (Pharmacist, Analyst, Nurse, Nutrition, Midwivery, Environment, Dentist) Jurnal Integrasi Kesehatan dan Sains INDOGENIUS Jurnal Pandu Husada Malacca Pharmaceutics
Cecep Triwibowo
Politeknik Kesehatan Kementerian Kesehatan Medan
Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Chemistry Dentistry Education Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Veterinary

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PENGARUH PEMBERIAN TERAPI BEKAM TERHADAP PERUBAHAN TEKANAN DARAH PADA PENDERITA HIPERTENSI DI KLINIK BEKAM SEHAT Dr. ABDURRAHMAN PASAR 1 TANJUNG SARI MEDAN SELAYANG TAHUN 2021 Tinah Tinah; Cecep Triwibowo; Harijun
Jurnal Ilmiah PANNMED (Pharmacist, Analyst, Nurse, Nutrition, Midwivery, Environment, Dentist) Vol. 17 No. 3 (2022): Jurnal Ilmiah PANNMED Periode September- Desember 2022
Publisher : Poltekkes Kemenkes Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (432.069 KB) | DOI: 10.36911/pannmed.v17i3.1441

Abstract

Hypertension is one of the most common diseases in Indonesia and is the third leading cause of death for all ages (7.4%). Hypertension is defined as blood pressure that exceeds 140/90 mmHg. Management of hypertension can be done with pharmacological, non-pharmacological, tertiary and complementary approaches. One of the complementary therapies used is cupping. Cupping is a cleansing method by removing blood and wind from the body through the surface of the skin by sucking. This study aims to determine the effect of cupping therapy on reducing blood pressure in patients with hypertension. The design of this study was a clinical trial with a one group pretest-posttest design. The number of samples was 30 respondents according to the inclusion criteria, namely hypertension sufferers by performing 1 intervention before and after cupping therapy. The results of statistical tests found that there was a change in blood pressure, namely a decrease with the difference in the mean values ??of systole (4.851) and diastole (4.427). The statistical test used is the Wilcoxon test on systole and diastole showing a value (p = 0.000) which means p value <0.05 so H1 is accepted which means that there is a significant effect of cupping therapy on reducing blood pressure in hypertensive patients at the Health Cupping Clinic dr. Abdurrahman Medan. The researcher's suggestion for future researchers is to examine the effects of long-term cupping therapy.
Relationship between Knowledge Level and Compliance with Dietary in Elderly Patients with Diabetes Mellitus in Karang Rejo Village, Langkat Regency Tinah Tinah; Cecep Triwibowo
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 6, No 1 (2024): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v6i1.19220

Abstract

Elderly refers to a more advanced phase of a physiological process marked by a decline in the body's capacity to adjust to external pressures. One contributing factor to the rise in Diabetes Mellitus is a deficiency of understanding, which can subsequently influence the adoption of harmful behaviors. Health providers propose dietary behavior as a means to normalize blood sugar levels in elderly individuals with Diabetes Mellitus. The objective of this The aim of this research is to examine the relationship between levels of knowledge and adherence to dietary recommendations among elderly adults diagnosed with diabetes mellitus who live in Karang Rejo Village, Langkat Regency. In this study, a quantitative approach is employed, utilizing a cross-sectional research design. The present investigation was carried out at Karang Rejo Village, located in the Langkat Regency, spanning from February to October 2023. The research sample consisted of 780 older individuals diagnosed with Diabetes Mellitus, residing in Karang Rejo Village, Langkat Regency. The study utilizes a basic random sampling technique to ensure that each participant has an equal probability of being chosen for the sample, without considering their individual features. Consequently, the sample size for this study consisted of 42 old individuals. The primary instrument employed for data collection in this study was a questionnaire. The present study employed bivariate analysis chi-square test for data analysis, and utilized software help in the form of SPSS version 20 for data processing. The findings indicated a statistically significant correlation (p-value = 0.001) between the extent of knowledge and adherence to dietary recommendations among older individuals diagnosed with diabetes mellitus residing in Karang Rejo Village, Langkat Regency. There is an aspiration for the senior population to enhance their knowledge and engage with information sourced from health centers and various social media platforms. Keywords: Compliance, Dietary, Elderly, Knowledge
Phytochemical Composition and Antioxidant Properties of Avocado (Persea americana) Seed Extract from Aceh, Indonesia: Implications for Antihyperlipidemic Use in Postmenopausal Women Nurbaiti, Nurbaiti; Fitri, Yulia; Fitriani, Fitriani; Humaira, Wardati; Triwibowo, Cecep
Malacca Pharmaceutics Vol. 3 No. 1 (2025): March 2025
Publisher : Heca Sentra Analitika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60084/mp.v3i1.228

Abstract

Avocado (Persea americana) is widely recognized for its high antioxidant capacity. Its rich phytochemical composition is crucial in mitigating oxidative stress and managing chronic conditions such as cardiovascular disease and hyperlipidemia. This study aimed to investigate the phytochemical profile, antioxidant activity, and antihyperlipidemic potential of ethanol extracts derived from avocado seeds. Phytochemical screening and Gas Chromatography-Mass Spectrometry (GC-MS) analysis were conducted to identify key chemical constituents, while antioxidant activity was assessed using the 2,2-diphenyl-1-picrylhydrazyl (DPPH) assay. In addition, in-silico techniques were employed to evaluate the antihyperlipidemic potential of the bioactive compounds. Phytochemical analysis revealed a variety of bioactive compounds, including volatile compounds, steroids, and fatty acids, contributing to the extract's biological activity. The extract demonstrated strong antioxidant capacity, with an IC50 value of 20.83 ppm, indicating potent free radical scavenging ability. GC-MS analysis identified significant compounds such as Undec-10-ynoic acid, tetradecyl ester, and 9,12,15-Octadecatrienoic acid, 2-(acetyloxy)-1-[(acetyloxy)methyl] ethyl ester, which were further analyzed through molecular docking studies. These studies indicated their potential as inhibitors of hyperlipidemia-associated proteins, with binding energy values exceeding -6 kcal/mol. Moreover, ADMET (Absorption, Distribution, Metabolism, Excretion, and Toxicity) analysis demonstrated favorable pharmacokinetic profiles, including good absorption and low toxicity, positioning these compounds as promising candidates for therapeutic development. The findings of this study underscore the potential of avocado seed extract as a natural source of antioxidants and antihyperlipidemic agents. The identified bioactive compounds offer a promising therapeutic strategy for managing oxidative stress and lipid disorders, particularly in populations at heightened risk, such as postmenopausal women.
Peningkatan Pengetahuan Dan Kesadaran Masyarakat Tentang Pentingnya Peran Keluarga Dan Penggunaan Minyak Karo Sebagai Local Wisdom Sebagai Upaya Pencegahan TB Paru Di Wilayah Kerja Puskesmas Tanjung Rejo, Deli Serdang Triwibowo, Cecep; Nasution, Johani Dewita; Zulfikar, Nani
JURNAL PANDU HUSADA Vol 5, No 4 (2024)
Publisher : Universitas Muhammadiyah Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30596/jph.v5i4.21019

Abstract

Abstrak: Tuberkulosis (TB) paru masih menjadi masalah kesehatan yang signifikan di Indonesia, dengan jumlah kasus yang tinggi dan tingkat penularan yang terus meningkat, terutama di lingkungan keluarga. Pengabdian masyarakat ini bertujuan untuk meningkatkan kesadaran dan pengetahuan masyarakat tentang pencegahan TB paru melalui penyuluhan dan pemanfaatan local wisdom, khususnya penggunaan minyak Karo sebagai terapi komplementer. Metode yang digunakan dalam kegiatan pengabdian masyarakat ini meliputi penyuluhan kesehatan, diskusi aktif, serta evaluasi pengetahuan sebelum dan sesudah penyuluhan dengan menggunakan kuesioner. Kegiatan pengabdian masyarakat dilaksanakan di Wilayah Kerja Puskesmas Tanjung Rejo, Kabupaten Deli Serdang. Hasil evaluasi menunjukkan adanya peningkatan pengetahuan peserta dengan rerata nilai post-test sebesar 81,5, lebih tinggi dibandingkan rerata nilai pre-test sebesar 63,3. Temuan ini mengindikasikan bahwa penyuluhan berbasis kearifan lokal dan peran aktif keluarga dalam pencegahan TB paru efektif dalam meningkatkan pemahaman masyarakat. Program ini berhasil meningkatkan pengetahuan dan kesadaran masyarakat tentang pentingnya peran keluarga dan penggunaan minyak Karo sebagai upaya pencegahan TB paru, sehingga diharapkan dapat mengurangi tingkat penularan TB paru di komunitas.
Optimalisasi Handover Pasien Pascaoperasi sebagai Upaya Peningkatan Keselamatan Pasien Triwibowo, Cecep; Fauziyah, Yulia
Jurnal Integrasi Kesehatan dan Sains Vol 7, No 1 (2025): Jurnal Integrasi Kesehatan dan Sains (in progress)
Publisher : Universitas Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29313/jiks.v7i1.14616

Abstract

Proses handover pasien dari ruang operasi ke unit perawatan intensif merupakan tahap krusial yang berperan penting dalam menjamin keselamatan pasien pascaoperasi. Komunikasi yang tidak efektif selama handover dapat menyebabkan kesalahan medis dan komplikasi hingga meningkatkan risiko mortalitas. Studi ini bertujuan mengevaluasi berbagai intervensi yang efektif dalam meningkatkan kualitas handover pasien pascaoperasi. Penelitian ini menggunakan metode literature review dengan meninjau artikel peer-reviewed yang dipublikasikan selama periode 2014–2024. Sumber data penelitian ini diperoleh dari pencarian di berbagai database elektronik seperti PubMed, Cochrane Library, dan Google Scholar dengan menggunakan kata kunci, yaitu “handover pasien pascaoperasi”, “handover ruang operasi”, “handover ruang ICU”, dan handover+keselamatan pasien. Dari 171 artikel yang ditemukan, 9 artikel memenuhi kriteria inklusi. Hasil kajian menunjukkan bahwa penggunaan checklist dan protokol standar handover mampu meningkatkan kelengkapan informasi yang disampaikan selama handover, menurunkan tingkat kesalahan medis yang berdampak pada peningkatan patient safety, serta meningkatkan kepuasan tim medis. Simpulan studi ini, yaitu implementasi protokol standar handover dan checklist yang dilakukan oleh lintas profesi dapat meningkatkan keselamatan pasien dengan mengurangi kesalahan medis melalui kelengkapan informasi yang disampaikan. Optimizing Post-Operative Patient Handover as an Effort to Improve Patient SafetyAbstractThe patient handover process from the operating room to the intensive care unit is a crucial stage that is important in ensuring post-operative patient safety. Ineffective communication during handover can lead to medical errors, complications, and increased mortality risk. This study aims to evaluate interventions that effectively improve the quality of post-operative patient handover. This study used the literature review method by reviewing peer-reviewed articles published from 2014–2024. Data sources for this study were obtained from searches in various electronic databases such as PubMed, Cochrane Library, and Google Scholar using the keywords "post-operative patient handover,"; "operating room handover,"; "ICU room handover," and handover+patient safety. Of the 171 articles found, nine articles met the inclusion criteria. The results showed that using checklists and standardized handover protocols can improve the completeness of information conveyed during handover, reduce the rate of medical errors that impact improving patient safety, and increase medical team satisfaction. This study concludes that implementing standardized handover protocols and checklists by inter-professionals can improve patient safety by reducing medical errors through the completeness of information conveyed.
Evaluation of 90 Minute Healthy Napping as an Intervention to Improve Night Shift Nurses' Performance Triwibowo, Cecep; Martina Siregar, Nurani; Elfina
INDOGENIUS Vol 4 No 1 (2025): INDOGENIUS
Publisher : Department of Publication of Inspirasi Elburhani Foundation Desa. Pamokolan, Kecamatan Cihaurbeuti, Kabupaten Ciamis, Provinsi Jawa Barat, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/igj.v4i1.578

Abstract

Background & Objective: The night shift among nurses poses risks of circadian rhythm disruption, fatigue, and decreased alertness, which impact their performance. Napping during night shifts has been proposed as a strategy to reduce fatigue and enhance nurses' performance. Method: This study aims to analyze the effect of 90-minute healthy napping on the performance of night shift nurses at the Inpatient Installation of RSU Mitra Sejati Medan. This research employs a pre-experimental design with a one-group pretest-posttest approach. A total of 108 nurses participated in the study and were divided into two groups, each taking a 90-minute nap between 01:00–02:30 AM and 02:30–04:00 AM. Nurses’ performance was measured before and after the intervention using a questionnaire, and the data were analyzed using the Wilcoxon test. Result: The results indicate a significant improvement in nurses' performance following the intervention (p = 0.000). Before the intervention, the majority of nurses had a moderate performance level (60.2%), with only 11.1% exhibiting good performance. After the intervention, 61.1% of nurses improved to the good performance category. Conclusion: This study concludes that 90-minute healthy napping is effective in enhancing night shift nurses' performance. Implementing this strategy can serve as a solution to maintaining service quality during night shifts.
Preconception Health Education is Provided to Healthy Childbearing Couples in The Preconception Phase Irma Linda; Elisabeth Surbakti; Rismahara Lubis; Cecep Triwibowo
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 6, No 2 (2024): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v6i2.20410

Abstract

Several biological, behavioral, and social preventative strategies can improve the chances of having a healthy baby during pregnancy. Preconception health care spans the entire reproductive life cycle. Early preconception counseling should attempt to improve both women's and men's sexual and reproductive health. It should begin with early instruction on healthy lifestyle behaviors, safe sex, and pregnancy planning for childbearing couples. This research aims to develop preconception health education for family-based childbearing age couples planning a healthy pregnancy in Deli Serdang district. The Equivalent Time Series Samples approach was employed in this study as a quasi-experimental approach. The total sample size was 90 couples of reproductive age. The analysis in this study was carried out descriptively to see the characteristics of each variable studied and to measure the effect of providing health education during the preconception period on the knowledge and perception of Couples of Childbearing Age about preconception health using a paired sample T test. The intervention provided is health education about preconception health provided to couples of childbearing age. The implementation of the research has received approval from the Health Research Ethics Committee of the Medan Health Polytechnic with the number: 01.25.174 /KEPK/POLTEKKES KEMENKES MEDAN 2023. There is a difference in the average variable knowledge of couples of childbearing age at pretest and posttest with an increase of 5, 2778, and there is also an increase in the perception variable with an increase of 0.8889, and the results of statistical tests using the Paired Samples Test obtained show differences in respondents' knowledge and perceptions before and after the intervention. Family-based preconception health education has been effective in raising the awareness and attitudes of childbearing couples regarding the planning and preparation of a healthy pregnancy as well as in motivating them to seek a check-up at a health care facility. Keywords: Health Behavior, Health Services, Preconception Care, Pregnancy
Co-Authors Casman, Casman Elfina Elisabeth Surbakti Evi Nurjannah Fitriani Fitriani Fitriyana, Ikha Fitriyana, Ikha Harijun Husna, Nur Amri Ida Nurhayati Indradewa, Rhian Irma Linda Lestari Martina Siregar, Nurani Nani Zulfikar Nasution, Johani Dewita Nita Andriani Lubis Rismahara Lubis Soep Sueb, Sueb Tinah . Wardati Humaira Yulia Fauziyah Yulia Fitri Yuliawati, Sulhah