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Lisbet Gurning
STIKes Mitra Husada Medan
Arts Humanities Civil Engineering, Building, Construction & Architecture Computer Science & IT Economics, Econometrics & Finance Education Electrical & Electronics Engineering Engineering Environmental Science Health Professions Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Mechanical Engineering Medicine & Pharmacology Nursing Public Health Social Sciences Other

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TERAPI AKUPRESUR UNTUK HIPERTENSI DI KELURAHAN BANGUN REJO KECAMATAN TANJUNG MORAWA ADELINA SEMBIRING; Lisbet Gurning; Lidya Natalia Br Sinuhaji; Magdalena Barus
Jurnal Sinergitas PKM & CSR Vol 7, No 1 (2023): APRIL
Publisher : Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/jspc.v7i1.6189

Abstract

Hypertension without treatment can lead to serious complications such as the brain, eyes, heart, kidneys and even peripheral arteries. The results of the preliminary study found that 7 out of 11 who suffered from hypertension had massaged the head, neck, shoulders and back areas, but patients said that massage was only to reduce headaches without knowing which points to press. The purpose of this activity is to control and prevent hypertension in the Bangun Rejo sub-district, Tanjung Morawa sub-district. The methods used in the implementation of this service are counseling, demonstration and role play. The areas that become acupressure points are 4 fingers above the internal malleoulus, the proximal area of the meeting of the first and second metatarsal bones, 3 fingers above the wrist, at the elbow crease, 2 fingers from the back hairline in an indentation, 2 fingers behind the prominence laryngeus and in front of the carotid artery. Blood pressure checks were carried out by researchers 10 minutes after therapy. The results obtained after this activity showed that there was a decrease in blood pressure after acupressure therapy was carried out. Keywords: Acupressure Therapy, Blood Pressure, Hypertensionin indonesia Hipertensi tanpa penanganan mengakibatkan komplikasi yang serius seperti otak, mata, jantung, ginjal bahkan pembuluh darah arteri perifer. Hasil studi pendahuluan ditemukan ada 7 dari 11 yang menderita hipertensi sudah melakukan pijatan pada daerah kepala, leher, bahu dan punggung, namun penderita mengatakan melakukan pijat hanya untuk mengurangi sakit kepala tanpa mengetahui titik mana yang harus ditekan. Tujuan kegiatan ini untuk mengendalikan dan mencegah hipertensi di kelurahan bangun rejo kecamatan tanjung morawa. Metode yang digunakan dalam pelaksanaan pengabdian ini adalah penyuluhan, demonstrasi dan role play. Daerah yang menjadi titik akupresure adalah 4 jari di atas malleoulus internus, area proximal pertemuan tulang-tulang metatarsal I dan metatarsal II, 3 jari di atas pergelangan tangan, pada lipat siku, 2 jari dari batas rambut belakang pada sebuah lekukan, 2 jari dibelakang prominensia ilaryngeus dan di depan arteri carotis. Pemeriksaan tekanan darah dilakukan peneliti 10 menit setelah terapi. Hasil yang diperoleh setelah kegiatan ini didapatkan hasil bahwa terdapat penurunan tekanan darah setelah dilakukan terapi akupresur. Kata Kunci : Terapi Akupresur, Tekanan Darah, Hipertensi  
Program Senam Anti Hipertensi sebagai Upaya Preventif pada Lansia di UPTD Pelayanan Sosial Lanjut Usia Binjai Tahun 2023 Adelina Sembiring; Lisbet Gurning; Rosmega Rosmega; Beltiana Beltiana; Erika Adelia Turnip
Jurnal Kemitraan Masyarakat Vol. 1 No. 2 (2024): Juni: Jurnal Kemitraan Masyarakat
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/jkm.v1i2.403

Abstract

Introduction: Hypertension (HTN), defined as systolic blood pressure (SBP) >140 mmHg or diastolic blood pressure (DBP) >90 mmHg, is a major health problem that is growing worldwide. It is the most common risk factor for cardiovascular disease and affects nearly two-thirds of adults aged 60 years or older. The side effects caused by experiencing prolonged high blood pressure are kidney damage (kidney failure), heart (coronary heart disease) and brain which can lead to stroke if not detected early and receive adequate treatment. And can also cause death. Risk factors for complications of hypertension include elderly age, medication compliance, and lifestyle. Empowerment of the elderly can be through non-pharmacological therapy. An example of non-pharmacological therapy is by doing anti-hypertension exercises. The purpose of this program is for the elderly to be able to learn about hypertension and apply how to do anti-hypertension exercises. The method used is providing education to the elderly and applying anti-hypertension exercises with participants (elderly). Implementation of health education and anti-hypertension exercise activities for the elderly at the UPTD for Elderly Social Services in Binjai in November 2023. Most participants were able to answer questions during the question and answer session after the presentation of the material and participants were able to follow the instructor's exercise movement directions. Health education about hypertension and anti-hypertension exercise for the elderly is a program that can help increase physical activity in the elderly which can lower blood pressure in the elderly.
Pengaruh Senam Hamil Terhadap Penurunan Nyeri Punggung Bawah pada Ibu Hamil Trimester II dan III di BPM Maya Kab. Batubara Agustina Elsera Tarigan; Adelina Sembiring; Lisbet Gurning
The Journal General Health and Pharmaceutical Sciences Research Vol. 3 No. 1 (2025): The Journal General Health and Pharmaceutical Sciences Research
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/tjghpsr.v3i1.607

Abstract

Lower back pain is a common complaint experienced by pregnant women, especially in the second and third trimesters as the gestational age increases. This condition can interfere with daily activities and reduce the quality of life of pregnant women. Pregnancy exercise is one of the non-pharmacological interventions that is believed to help reduce lower back pain. This study aims to analyze the effect of pregnancy exercise on reducing the level of lower back pain in pregnant women in the second and third trimesters. The research method that can be used is a quasi-experimental design with a pre-post test design with one comparison treatment. The research sample was 28 pregnant women in the second and third trimesters who experienced lower back pain and met the inclusion criteria. Measurement of the level of lower back pain will be carried out before and after the intervention period using a valid and reliable pain scale. The data collected will be analyzed using an appropriate statistical test to compare changes in pain levels between before and after the intervention. The results of the study showed that the average lower back pain before the intervention was 3.32 and Std.Deviation 0.772. The average lower back pain after the intervention was 2.25 and Std.Deviation 1.005. Based on the results of bivariate analysis using the Paired-Samples T Test, a significant p value of 0.000 (p <0.05) was obtained, so there is a difference in lower back pain in pregnant women. Thus, it can be said that there is a significant difference in lower back pain before and after pregnancy exercise. It is hoped that the results of this study can provide scientific evidence regarding the effect of pregnancy exercise in reducing lower back pain in pregnant women in the second and third trimesters, so that it can be a recommendation in midwifery care to improve the comfort and quality of life of pregnant women.Keywords: Postpartum exercise, uterine involution, normal delivery
Hubungan Penggunaan Kontrasepsi Hormonal Terhadap Kejadian Hipertensi pada Wanita Usia Subur di BPM Fitria Ningsih Siadari Kab. Karawang Jawa Barat Fitria Ningsih Siadari; Adelina Sembiring; Lisbet Gurning
The Journal General Health and Pharmaceutical Sciences Research Vol. 3 No. 1 (2025): The Journal General Health and Pharmaceutical Sciences Research
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/tjghpsr.v3i1.608

Abstract

Hypertension is a major risk factor for cardiovascular disease and contributes significantly to global morbidity and mortality. In Indonesia, the prevalence of hypertension in Women of Reproductive Age (WUS) reaches around 28.2%, while the use of hormonal contraception—especially injections, pills, and implants—is still a popular choice among couples of reproductive age. Several studies have shown a relationship between the use of exogenous hormones and increased blood pressure, but specific data at the local service facility level are still limited. This study aims to determine the relationship between the use of hormonal contraception and the incidence of hypertension in WUS at BPM Fitria Ningsih Siadari, Karawang Regency, West Java. This study used a cross-sectional analytic design. A sample of 102 WUS (15–49 years) who actively visit BPM Fitria Ningsih Siadari will be taken using purposive sampling. The independent variables include the type of hormonal contraception and duration of use; the dependent variable is hypertension status (blood pressure ≥ 140/90 mm Hg). Demographic data and confounding factors (age, BMI, family history of hypertension, salt intake, physical activity) were collected through questionnaires and standard blood pressure measurements. Bivariate (Chi square) and multivariate (logistic regression) analyses were used to evaluate the association, with a significance level of p <0.05. The results obtained The use of hormonal contraception in BPM Fitria Ningsih Siadari, Karawang Regency, West Java in 2023, the majority used injectable contraception, as many as 58 respondents (56.9%). Blood pressure in BPM Fitria Ningsih Siadari, Karawang Regency, West Java in 2023 was mostly grade 1 hypertension, as many as 46 respondents (45%). There was a relationship between the use of hormonal contraception and the incidence of hypertension in women of childbearing age (WUS) in BPM Fitria Ningsih Siadari, Karawang Regency, West Java in 2023 with a p value = 0.000
TERAPI AKUPRESUR UNTUK HIPERTENSI DI KELURAHAN BANGUN REJO KECAMATAN TANJUNG MORAWA ADELINA SEMBIRING; Lisbet Gurning; Lidya Natalia Br Sinuhaji; Magdalena Barus
Jurnal Sinergitas PKM & CSR Vol. 7 No. 1 (2022): October
Publisher : Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/jspc.v7i1.6189

Abstract

Hypertension without treatment can lead to serious complications such as the brain, eyes, heart, kidneys and even peripheral arteries. The results of the preliminary study found that 7 out of 11 who suffered from hypertension had massaged the head, neck, shoulders and back areas, but patients said that massage was only to reduce headaches without knowing which points to press. The purpose of this activity is to control and prevent hypertension in the Bangun Rejo sub-district, Tanjung Morawa sub-district. The methods used in the implementation of this service are counseling, demonstration and role play. The areas that become acupressure points are 4 fingers above the internal malleoulus, the proximal area of the meeting of the first and second metatarsal bones, 3 fingers above the wrist, at the elbow crease, 2 fingers from the back hairline in an indentation, 2 fingers behind the prominence laryngeus and in front of the carotid artery. Blood pressure checks were carried out by researchers 10 minutes after therapy. The results obtained after this activity showed that there was a decrease in blood pressure after acupressure therapy was carried out. Keywords: Acupressure Therapy, Blood Pressure, Hypertensionin indonesia Hipertensi tanpa penanganan mengakibatkan komplikasi yang serius seperti otak, mata, jantung, ginjal bahkan pembuluh darah arteri perifer. Hasil studi pendahuluan ditemukan ada 7 dari 11 yang menderita hipertensi sudah melakukan pijatan pada daerah kepala, leher, bahu dan punggung, namun penderita mengatakan melakukan pijat hanya untuk mengurangi sakit kepala tanpa mengetahui titik mana yang harus ditekan. Tujuan kegiatan ini untuk mengendalikan dan mencegah hipertensi di kelurahan bangun rejo kecamatan tanjung morawa. Metode yang digunakan dalam pelaksanaan pengabdian ini adalah penyuluhan, demonstrasi dan role play. Daerah yang menjadi titik akupresure adalah 4 jari di atas malleoulus internus, area proximal pertemuan tulang-tulang metatarsal I dan metatarsal II, 3 jari di atas pergelangan tangan, pada lipat siku, 2 jari dari batas rambut belakang pada sebuah lekukan, 2 jari dibelakang prominensia ilaryngeus dan di depan arteri carotis. Pemeriksaan tekanan darah dilakukan peneliti 10 menit setelah terapi. Hasil yang diperoleh setelah kegiatan ini didapatkan hasil bahwa terdapat penurunan tekanan darah setelah dilakukan terapi akupresur. Kata Kunci : Terapi Akupresur, Tekanan Darah, Hipertensi  
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.
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
EFEKTIVITAS APIUM GRAVEOLENS DALAM PEMELIHARAAN KESEHATAN REPRODUKSI DAN PENCEGAHAN HIPERTENSI LANSIA KAMPUNG KB PANGKALAN MASYHUR MEDAN JOHOR TAHUN 2025 Lisdayanti Simanjuntak; Dina Afriani; Mastaida Tambun; Adelina Sembiring; Lisbet Gurning; Suci Rani Amalia
Ensiklopedia of Journal Vol 8, No 2 (2026): Vol. 8 No. 2 Edisi 1 Januari 2026
Publisher : Lembaga Penelitian dan Penerbitan Hasil Penelitian Ensiklopedia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33559/eoj.v8i2.3636

Abstract

Hypertension is a predominant health issue in the geriatric population, contributing significantly to an increased risk of cardiovascular disease, stroke, and frailty. Major challenges in managing hypertension in the elderly include polypharmacy, declining organ function, and medication adherence. Apium graveolens (celery) contains apigenin and 3-n-butylphthalide, which are known to possess vasodilatory effects. This study aims to evaluate the effectiveness of Apium graveolens administration as a complementary therapy for the prevention and control of stage I hypertension among the elderly in a rural community setting. Methods:This study employed a Quasi-Experimental design with a Pre-test and Post-test Control Group approach, conducted in Bagun Rejo Village from January to March 2025. The subjects comprised 80 elderly individuals (aged 60 years) with grade I hypertension, selected via purposive sampling. Subjects were divided into two groups: the Intervention Group (n=40), which received a standardized dose of Apium graveolens extract for 8 weeks, and the Control Group (n=40), which received standard lifestyle education. The primary parameters measured were changes in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP). Data analysis was performed using the Paired t-test and Independent t-test with a 95% confidence level (=0.05).Results: Baseline characteristics between the two groups were homogeneous. After 8 weeks of intervention, the Intervention Group demonstrated a significant reduction in SBP from a mean of 152.4 mmHg to 138.2 mmHg (p 0.001) and a reduction in DBP from 94.5 mmHg to 86.1 mmHg ($p 0.05$). Conversely, the Control Group showed no statistically significant changes. Furthermore, no significant gastrointestinal side effects or electrolyte disturbances were observed in the group consuming Apium graveolens, indicating a favorable safety profile for the elderly. Conclusion:The administration of Apium graveolens proved effective in reducing both systolic and diastolic blood pressure in elderly individuals with grade I hypertension . These findings support the potential of Apium graveolens as a safe and affordable adjuvant therapy in community-based hypertension management strategies, aiming to reduce the burden of polypharmacy in the geriatric population. Integration of this program with the Integrated Healthcare Center for the Elderly (Posyandu Lansia) is recommended for sustainability.Keywords: Apium graveolens, Geriatrics, Hypertension, Elderly, Herbal Therapy
Manajemen Asuhan Keperawatan Gawat Darurat yang Service Excellent Pada Pasien Cedera Kepala Sedang di Ruangan Thai'f RSU Haji Medan Agus Rogabe Sihotang; Dina Afriani; Lisbet Gurning; Lisdayanti Simanjuntak; Sahnizar Sahnizar
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.v10i4.61743

Abstract

Cedera kepala merupakan salah satu kondisi kegawatdaruratan yang sering terjadi akibat trauma, terutama kecelakaan lalu lintas, dan dapat menyebabkan gangguan neurologis hingga kematian apabila tidak ditangani secara cepat dan tepat. Penelitian ini bertujuan untuk memberikan gambaran mengenai manajemen asuhan keperawatan gawat darurat yang service excellent pada pasien cedera kepala sedang di Ruangan Thai'f RSU Haji Medan tahun 2026. Metode yang digunakan adalah studi kasus dengan pendekatan deskriptif pada satu subjek, yaitu Tn. M dengan diagnosis cedera kepala sedang. Data dikumpulkan melalui wawancara, observasi, pemeriksaan fisik, dokumentasi rekam medis, dan pemeriksaan penunjang. Hasil pengkajian menunjukkan pasien mengalami nyeri kepala dengan skala 5, pusing, mual, keterbatasan mobilitas fisik, serta risiko perfusi serebral tidak efektif. Diagnosis keperawatan yang ditegakkan meliputi nyeri akut berhubungan dengan agen pencedera fisik (trauma), gangguan mobilitas fisik berhubungan dengan nyeri, dan risiko perfusi serebral tidak efektif berhubungan dengan cedera kepala. Intervensi meliputi pemantauan tanda vital dan status neurologis, identifikasi skala nyeri, teknik relaksasi napas dalam, mobilisasi bertahap, serta kolaborasi terapi farmakologis. Setelah asuhan keperawatan selama 3×24 jam, kondisi pasien menunjukkan perbaikan yang ditandai penurunan nyeri, mobilitas membaik, dan tidak ditemukan tanda peningkatan tekanan intrakranial. Penerapan manajemen asuhan keperawatan gawat darurat yang service excellent efektif meningkatkan kondisi pasien cedera kepala sedang melalui pelayanan yang cepat, tepat, aman, dan berorientasi pada kebutuhan pasien.
Co-Authors Abdul Mazid Bancin Adelina Sembiring Agus Rogabe Sihotang Agustina Elsera Tarigan Angel Shesapatrisia Girsang Anisa Br Munte Beltiana Beltiana Dina Afriani Erika Adelia Turnip Fitria Ningsih Siadari Lidya Natalia Br Sinuhaji lisdayanti simanjuntak magdalena Barus Nur Azizah Lubis Petra Dian Sari Zega Rosmega Pakpahan Sahnizar Sahnizar Sri Mulati Nendah Agreta Srilina Br Pinem Suci Rani Amalia Tambun, Mastaida