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All Journal Juiperdo Jurnal Keperawatan dan Fisioterapi (JKF) Best Journal (Biology Education, Sains and Technology) JURNAL PENELITIAN KEPERAWATAN MEDIK Jurnal Pengabdian Masyarakat Putri Hijau Dinamika Kesehatan: Jurnal Kebidanan dan Keperawatan Pengabdian Deli Sumatera
Maria Hermita Manik
Institut Kesehatan Deli Husada Deli Tua
Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Economics, Econometrics & Finance Education Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary Other

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PENGARUH SENAM TERA TERHADAP PENURUNAN TEKANAN DARAH PADA LANSIA YANG MENGALAMI HIPERTENSI DI PUSKESMAS DELI TUA TAHUN 2025 manik, maria hermita; Samura, M. Dasril
Jurnal Penelitian Keperawatan Medik Vol 7 No 2 (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.v7i2.2332

Abstract

Hypertension is a common health problem among the elderly and poses a risk of serious complications such as cardiovascular diseases. The management of hypertension is not only carried out pharmacologically but also through non-pharmacological interventions, one of which is Tera Exercise. Tera Exercise is a physical activity believed to be effective in reducing blood pressure through mechanisms of relaxation, stress management, and improved blood circulation. This study aimed to analyze the effect of Tera Exercise on blood pressure reduction in elderly individuals with hypertension at Puskesmas Deli Tua in 2025. This study employed a quasi-experimental design with a One Group Pretest-Posttest Design. The sample consisted of 23 elderly individuals selected using purposive sampling. Systolic and diastolic blood pressure were measured before and after the intervention using a digital sphygmomanometer. Data were analyzed using the Wilcoxon test to examine differences in blood pressure before and after the intervention. The results showed a significant reduction in blood pressure after the implementation of Tera Exercise (p = 0.001), (p < 0.05). The average reduction in systolic blood pressure was 11.051 mmHg, while the average reduction in diastolic blood pressure was 11 mmHg. These findings indicate that Tera Exercise is effective in lowering blood pressure in elderly individuals with hypertension. Tera Exercise can be recommended as a safe and easy-to-perform non-pharmacological intervention to help manage blood pressure in the elderly. This intervention is expected to be routinely implemented to improve the quality of life of elderly individuals.
Pengaruh Kombinasi Terapi Bobath Dan Aromaterapi Lavender Terhadap Peningkatan Kekuatan Otot Dan Keseimbangan Postural Pasien Pasca Stroke Manik, Maria Hermita; Zuliawati, Zuliawati
BEST Journal (Biology Education, Sains and Technology) Vol 8, No 2 (2025): September 2025
Publisher : Program Studi Pendidikan Biologi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30743/best.v8i2.12238

Abstract

Stroke merupakan istilah yang digunakan untuk menggambarkan perubahan kondisi neurologis karena adanya penyumbatan atau pecahnya arteri pada aliran pembuluh darah ke otak. Kerusakan sel-sel otak pasca stroke dapat menyebabkan kelemahan otot dan gangguan keseimbangan yang berdampak pada aktivitas fungsional sehari-hari. Jika kelemahan otot dan gangguan keseimbangan tidak ditangani secara optimal, kondisi tersebut dapat menetap dan menyebabkan kecacatan jangka panjang, menambah beban psikologis dan ekonomi, baik bagi pasien, keluarga, maupun sistem pelayanan kesehatan. Dalam hal ini, Kombinasi terapi bobath dan aromaterapi lavender merupakan intervensi kombinasi rehabilitasi-komplementer yang dapat menjadi salah satu Solusi alternatif dari permasalahan tersebut. Tujuan penelitian ini adalah untuk mengidentifikasi pengaruh kombinasi bobath dan aromaterapi Lavender terhadap peningkatan kekuatan otot dan keseimbangan postural pasien pasca stroke. Metode penelitian ini menggunakan desain quasi eksperimen pre-post test dengan kelompok kontrol. Responden terdiri dari 29 orang kelompok intervensi dan 29 orang kelompok kontrol. Kelompok intervensi mendapatkan kombinasi terapi bobath dan aromaterapi Lavender secara bersamaan, dilakukan 2 kali seminggu selama 30-40 menit per sesi dalam 4 minggu sedangkan kelompok kontrol mendapatkan perawatan standar dari Rumah Sakit. Hasil penelitian menunjukkan bahwa Kombinasi terapi bobath dan aromaterapi lavender memiliki pengaruh terhadap perbandingan 2 kelompok, yaitu peningkatan kekuatan otot kaki (p=0,000) dan keseimbangan postural (p=0,000) sehingga metode ini dapat diaplikasikan dalam program rehabilitasi
Pengaruh Kombinasi Brain Gym Dan Terapi Musik Terhadap Fungsi Kognitif Pasien Pasca Stroke Iskemik Di Rumah Sakit Immanuel Bandung Manik, Maria Hermita; Silalahi, Rini Debora; Tane, Reisy
DINAMIKA KESEHATAN: JURNAL KEBIDANAN DAN KEPERAWATAN Vol 14, No 1 (2023): Dinamika Kesehatan: Jurnal Kebidanan dan Keperawatan
Publisher : Universitas Sari Mulia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33859/dksm.v14i1.862

Abstract

Latar Belakang: Stroke iskemik terjadi akibat sumbatan pada pembuluh darah di otak, sehingga mengakibatkan kerusakan hingga kematian sel otak. Salah satu dampak kerusakan sel-sel otak pasca stroke menyebabkan gangguan kognitif. Perbaikan atau peningkatan kognitif dapat dilakukan melalui stimulasi kognitif, salah satunya brain gym dan terapi musik.Tujuan:  untuk mengetahui pengaruh kombinasi brain gym dan terapi musik terhadap fungsi kognitif pada pasien stroke iskemik.Metode: Penelitian quasi experiment dengan control group melibatkan 56 responden yang direkrut dari Rumah Sakit Immanuel Bandung menggunakan consecutive sampling. Responden dibagi menjadi dua kelompok. Kelompok intervensi diberikan brain gym dan terapi musik, sedangkan kelompok kontrol diberikan program standar (fisioterapi) 2 kali seminggu selama 4 minggu. Pengukuran kognitif dilakukan sebanyak 5 kali menggunakan Montreal Cognitive Assessment (MoCA). Data dianalisis menggunakan uji mann whitney dan uji friedman dilanjutkan dengan uji post hoc wilcoxon.Hasil: Hasil uji mann whitney menunjukan perbedaan signifikan skor MoCA pada post pertama hingga ke empat pada kelompok intervensi dibandingkan kelompok kontrol selama penelitian (p0.05). Hasil uji lebih lanjut dengan uji friedman dan post hoc menggunakan wilcoxon test didapatkan hasil bahwa brain gym dan terapi musik efektif meningkatkan skor MoCA.Kesimpulan: ada pengaruh kombinasi brain gym dan terapi musik terhadap perbaikan kognitif pada pasien pasca stroke iskemik di Rumah Sakit Immanuel. Background: Ischemic stroke occurs due to blockage of blood vessels in the brain, resulting in damage to brain cells. One of the impacts of damage to brain cells after a stroke causes cognitive impairment. Cognitive improvement or enhancement can be done through cognitive stimulation, one of which is brain gym and music therapy.Objective: to determine the effect of a combination of brain gym and music therapy on cognitive function in ischemic stroke patients.Methods: A quasi experimental study with a control group involved 56 respondents recruited from Immanuel Hospital Bandung using consecutive sampling. Respondents were divided into two groups. The intervention group was given brain gym and music therapy, while the control group was given a standard program (physiotherapy) 2 times a week for 4 weeks. Cognitive measurements were taken 5 times using the Montreal Cognitive Assessment (MoCA). Data were analyzed using mann whitney test and friedman test followed by wilcoxon post hoc test.Results: The results of the mann whitney test showed a significant difference in MoCA scores at the first to fourth post in the intervention group compared to the control group during the study (p0.05). Further test results with the Friedman test and post hoc using the Wilcoxon test showed that brain gym and music therapy were effective in increasing MoCA scores.Conclusion: there is an effect of a combination of brain gym and music therapy on cognitive improvement in post-ischemic stroke patients at Immanuel Hospital. 
Pengaruh Senam Ergonomik Terhadap Penurunan Tekanan Darah Pada Lansia Yang Menderita Hipertensi Di Puskesmas Deli Tua Tahun 2022 Manik, Maria Hermita; Marlina, Siti; Zuliawati, Zuliawati
BEST Journal (Biology Education, Sains and Technology) Vol 6, No 2 (2023): September 2023
Publisher : Program Studi Pendidikan Biologi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30743/best.v6i2.7714

Abstract

Hipertensi menjadi masalah karena dapat menjadi faktor risiko penyakit stroke dan jantung pada lansia. Pada lansia, tekanan darah penderita hipertensi cenderung tidak stabil karena kurangnya aktivitas, pola makan yang tidak teratur, dan pengobatan yang tidak teratur. Oleh karena itu, diperlukan penanganan yang tepat untuk mencegah tekanan darah yang tidak terkontrol. Ada dua pengobatan yang dapat diberikan pada penderita hipertensi yaitu terapi farmakologis dan non farmakologis. Terapi nonfarmakologi dapat dilakukan dengan aktivitas fisik, salah satunya adalah senam ergonomis. Penelitian bertujuan untuk mengetahui pengaruh senam ergonomis terhadap penurunan tekanan darah pada lansia yang menderita hipertensi. Penelitian pra eksperimen dengan one group pretest-posttest ini melibatkan 30 responden yang direkrut dari Puskesmas Deli Tua dengan menggunakan teknik total sampling. Intervensi latihan ergonomi dilakukan selama 2 minggu dengan menggunakan instrumen lembar observasi dan sphygmomanometer. Hasil uji statistik Wilxocon pada penelitian ini menunjukkan adanya penurunan tekanan darah dengan nilai signifikansi p value sistolik = 0,000 (p0,05) dan p value diastolik = 0,000 (p0,05). Kesimpulan dalam penelitian ini adalah ada pengaruh senam ergonomis terhadap penurunan tekanan darah pada lansia yang menderita hipertensi di Puskesmas Deli Tua. Penelitian ini merekomendasikan agar Puskesmas Deli Tua mempertimbangkan senam ergonomis sebagai bagian dari intervensi dalam mengelola tekanan darah sehingga dapat bermanfaat dan diterapkan pada lansia dengan hipertensi sebagai terapi non farmakologis
The Effectiveness of Psychological Dhikr Therapy in Improving the Quality of Life of Cancer Patients Undergoing Chemotherapy Syahri, Alfi; Marlina, Siti; Rosaulina, Meta; Manik, Maria Hermita; Harigustian, Yayang; Pasambo, Yourisna; Putra, Komang Ardidhana Nugraha
Jurnal Ilmiah Perawat Manado (Juiperdo) Vol 12 No 2 (2024): DESEMBER
Publisher : POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN MANADO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47718/jpd.v12i2.2524

Abstract

Introduction: Cancer is a chronic disease with increasing prevalence globally, including in Indonesia, and has a significant impact on patients' quality of life. This impact includes not only physical, but also emotional and spiritual aspects, especially for patients undergoing chemotherapy, who often face physical side effects such as fatigue, pain, and psychological disorders such as anxiety and depression. Objective: This study aims to analyze the effectiveness of dhikr therapy in improving the quality of life of cancer patients during chemotherapy. Methods: The study used a quasi-experimental approach with a one-group pre-post test design. The sample consisted of 37 adult cancer patients undergoing chemotherapy at Sembiring General Hospital, selected by purposive sampling technique. Dhikr intervention was conducted for 4 weeks, with data collected using the WHOQOL-BREF questionnaire to measure quality of life, as well as dhikr activity logs. Data analysis used paired t-test to evaluate changes before and after the intervention. Results: This study showed a significant improvement in patients' quality of life after dhikr therapy. The mean change score reached -9.184 with a standard deviation of 4.373, and a p-value of 0.000 (p < 0.05), indicating that this difference was statistically significant. Conclusion: Dhikr therapy is effective in improving the quality of life of cancer patients, especially in the physical, emotional, and spiritual dimensions.
Tera Gymnastics for the Elderly: Community Empowerment in Controlling Hypertension Through Routine Physical Activity in Dusun III, Sidodadi Village, Biru-Biru District, Deli Serdang Regency Rosaulina, Meta; Manik, Maria Hermita; Sinambela, Megawati; Hasian, Muhammad Tsawaby; Siregar, Ripai
Jurnal Pengabdian Masyarakat Putri Hijau Vol 6 No 1 (2025): Jurnal Pengabdian Masyarakat Putri Hijau (JPMPH)
Publisher : INSTITUT KESEHATAN DELI HUSADA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpmph.v6i1.2805

Abstract

Hypertension is a chronic medical condition in which blood pressure in the arteries increases persistently above normal values, namely ≥140 mmHg for systolic pressure and/or ≥90 mmHg for diastolic pressure. Hypertension is defined as a persistent increase in blood pressure that can be caused by various factors such as age, unhealthy lifestyle, stress, and lack of physical activity. This condition is generally found in the elderly group, due to changes in the function of aging organs and blood vessels. Indonesian Tera Gymnastics is a form of breathing exercise and slow movements, similar to Tai Chi, aimed at improving physical health and relaxation. For people with hypertension, this exercise helps lower blood pressure by improving heart function, breathing, and relaxation. The partners of this community service activity are villagers in Dusun III, Sidodadi Village, Biru-Biru District, Deli Serdang Regency. The method of this community service is counseling and Tera gymnastics. The results of the community service carried out through Tera gymnastics The results of blood pressure measurements carried out before and after the implementation of Tera gymnastics showed a tendency to decrease blood pressure.
SOSIALISASI POTENSI BAWANG KUCAI SEBAGAI HERBAL PENURUN TEKANAN DARAH PADA LANSIA DI PUSKESMAS NAMORAMBE Maria Hermita Manik; Sofia Rahmi
Pengabdian Deli Sumatera Vol 3 No 2 (2024): Artikel Pengabdian Juli 2024
Publisher : LLPM Universitas Deli Sumatera

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

Abstract

Hipertensi merupakan salah satu masalah kesehatan utama pada lansia yang dapat meningkatkan risiko penyakit kardiovaskular. Penggunaan tanaman herbal sebagai alternatif terapi semakin diminati, salah satunya adalah bawang kucai yang memiliki potensi sebagai penurun tekanan darah. Penelitian ini bertujuan untuk melakukan sosialisasi mengenai manfaat bawang kucai sebagai herbal penurun tekanan darah pada lansia di Puskesmas Namorambe. Metode yang digunakan adalah sosialisasi  edukatif dengan penyuluhan langsung dan pembagian leaflet informasi kepada lansia yang berkunjung ke puskesmas. Hasil sosialisasi menunjukkan peningkatan pengetahuan dan kesadaran lansia mengenai penggunaan bawang kucai sebagai alternatif pengendalian hipertensi. Dengan demikian, sosialisasi ini diharapkan dapat mendukung upaya promotif dan preventif dalam mengelola tekanan darah pada lansia secara alami dan aman.
Family Empowerment in Hypertension Control Through Slow Stroke Back Massage Training in Dusun II, Sidodadi Village manik, maria hermita
Jurnal Pengabdian Masyarakat Putri Hijau Vol 6 No 2 (2026): Jurnal Pengabdian Masyarakat Putri Hijau (JPMPH)
Publisher : INSTITUT KESEHATAN DELI HUSADA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpmph.v6i2.2908

Abstract

One of the most common non-communicable disorders is hypertension, which increases the risk of cardiovascular problems if left untreated. Pharmacological therapy is not the sole way to manage hypertension; non-pharmacological measures that are simple to implement in the community can also help, Slow-stroke back massage is one of them. The goal of this community service program is to increase families' understanding and proficiency with blood pressure management among hypertensive patients through training in slow stroke back massage at the Deli Tua Community Health Center.The implementation methods included health education, demonstrations, and direct training for families of hypertensive patients, as well as assistance in practicing slow stroke back massage. Evaluation was carried out by taking blood pressure readings both before and after the intervention and assessing improvements in participants' knowledge and skills. This activity involved families as primary caregivers in managing hypertensive patients at home.The results showed an increase in family knowledge and skills in performing slow stroke back massage, along with a tendency for decreased blood pressure among hypertensive patients after the intervention. Therefore, family empowerment through slow stroke back massage training can be a useful approach in supporting independent hypertension management in the community. It is anticipated that this program will function as a long-lasting community-based nursing intervention and enhance the active role of families in maintaining the health of their family members.
Effectiveness Of Family-Centered Care-Based Supportive Educative Nursing Intervention (SENI) On Increasing Progressive Muscle Mobilization In Stroke Patients At Sembiring Deli Tua General Hospital In 2026 Meta Rosaulina; MARIA HERMITA MANIK; HELFRINA RAJAGUKGUK
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 8 No. 2 (2026): 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/za1kjy15

Abstract

Stroke is a leading cause of disability and often results in motor function impairment, particularly a decrease in muscle mobilization ability. Stroke patient rehabilitation requires structured nursing interventions and active family involvement. Supportive Educative Nursing Intervention (SENI) based on Family-Centered Care is a nursing approach that emphasizes education, support, and family participation in the recovery process. This study used a quantitative research design with a quasi-experimental approach using a one-group pretest–posttest design. The independent variable was Supportive Educative Nursing Intervention (SENI) based on Family-Centered Care, while the dependent variable was progressive muscle mobilization in stroke patients. The sample consisted of 30 stroke patients undergoing rehabilitation at  Sembiring general hospital Deli Tua in 2026 , selected using a purposive sampling technique. Data were collected using a progressive muscle mobilization observation sheet. The intervention was delivered through structured education, family assistance, and progressive muscle mobilization exercises in accordance with standard operating procedures (SOPs). Data were analyzed using univariate and bivariate analysis with the Wilcoxon Signed Rank Test. The results showed an improvement in progressive muscle mobilization ability after the intervention. Statistical analysis revealed a p-value of 0.000 (p < 0.05), indicating a significant effect of Supportive Educative Nursing Intervention based on Family-Centered Care on the improvement of progressive muscle mobilization in stroke patients. In conclusion, Supportive Educative Nursing Intervention (SENI) based on Family-Centered Care is quantitatively effective in improving progressive muscle mobilization in stroke patients and is recommended for implementation in rehabilitative nursing practice.
Co-Authors -, siti marlina Alfi Syahri Alwi, Fahrizal Daniel Suranta Ginting Harigustian, Yayang Hasian, Muhammad Tsawaby HELFRINA RAJAGUKGUK Joko Sutejo M. Yogi Riyantama Isjoni Marlina, Siti - Meta Rosaulina Meta Rosaulina Putra, Komang Ardidhana Nugraha Reisy Tane Rini Debora Silalahi Ripai si regar Rosaulina, Meta Samura, M. Dasril Samura, Maximilianus Dasril Silalahi, Rini Debora Sinambela, Megawati Siti Marlina Siti Marlina, Siti Sitorus, Friska Ernita Sofia Rahmi Tambusai Tarigan, Beti Susanti Tinambunan, Tedty Yourisna Pasambo Zuliawati, Zuliawati