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All Journal Jurnal Ners Ensiklopedia Research and Community Service Review Jurnal Anestesi: Jurnal Ilmu Kesehatan dan Kedokteran
Sri Mulati Nendah Agreta
STIKes Mitra Husada Medan
Civil Engineering, Building, Construction & Architecture Computer Science & IT Electrical & Electronics Engineering Health Professions Mechanical Engineering Medicine & Pharmacology Nursing Physics Public Health Social Sciences Other

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Analisis Pengetahuan Ibu Tentang Tumbuh Kembang Dengan Perkembangan Motorik Kasar Usia 1-2 Tahun Di Wilayah Kerja Puskesmas Parsoburan Kota Pematang Siantar Tahun 2023 Magdalena Junita Sumiati Tambunan; Martaulina Sinaga; Sri Mulati Nendah Agreta; Rosmega Rosmega; Cici Framita Lbn Gaol; Aprialdo Pranata Sidauruk
Jurnal Anestesi Vol. 1 No. 3 (2023): Juli : Jurnal Anestesi
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/anestesi.v1i3.589

Abstract

Delayed motor development in children means that motor development has not been developed as it should be, at the child's age, which results in the child not being able to carry out developmental tasks appropriate to his age group. Delayed motor development in children, some of which can be controlled and some of which cannot. This delay is often caused by the child's lack of opportunity to learn motor skills, excessive parental protection, or the child's lack of motivation to learn them. This research was carried out at the Parsoburan Community Health Center, Siantar Marihat District, Pematang Siantar City with a sample size of 53 respondents. After conducting research on the relationship between mothers' knowledge about the growth and development of toddlers and gross motor development aged 1-2 years in the work area of ??the Parsoburan Health Center, Siantar Marihat District, Pematang Siantar City in 2023, it can be concluded that there is a relationship between mothers' knowledge about the growth and development of toddlers and gross motor development at age. 1-2 Years in the Working Area of ??the Parsoburan Health Center, Siantar Marihat District, Pematang Siantar City in 2023
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
Manajemen Asuhan Keperawatan Medikal Bedah Berbasis Service Excellent Pada Pasien Colic Abdomen di RSU Haji Medan Tahun 2026 Erni Br Sirait; Sri Mulati Nendah Agreta; Tahan Tahan; Rolasnih Lilista Simbolon; Adelina Sembiring
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.v10i4.61740

Abstract

Colic abdomen merupakan nyeri perut yang bersifat hilang timbul akibat spasme otot polos pada organ berongga abdomen yang dapat disebabkan oleh obstruksi, inflamasi, maupun gangguan saluran pencernaan. Kondisi ini sering menimbulkan nyeri hebat, mual, muntah, dan penurunan nafsu makan sehingga membutuhkan asuhan keperawatan komprehensif berbasis pelayanan prima. Penelitian ini bertujuan menerapkan manajemen asuhan keperawatan medikal bedah yang service excellent pada pasien colic abdomen di Ruangan Shafa BII RSU Haji Medan Tahun 2026. Metode yang digunakan adalah studi kasus deskriptif dengan pendekatan proses keperawatan yang meliputi pengkajian, diagnosis, intervensi, implementasi, dan evaluasi. Subjek penelitian adalah satu orang pasien perempuan berusia 25 tahun dengan diagnosis colic abdomen. Hasil pengkajian menunjukkan pasien mengalami nyeri ulu hati hilang timbul selama lima hari, mual, muntah, perut kembung, penurunan nafsu makan, dan lemas dengan skala nyeri 6. Diagnosis keperawatan yang ditegakkan yaitu nyeri akut berhubungan dengan agen pencedera fisiologis dan nausea berhubungan dengan iritasi lambung. Intervensi diberikan berdasarkan SIKI meliputi manajemen nyeri, teknik relaksasi napas dalam, kompres hangat, edukasi kesehatan, dan kolaborasi terapi farmakologis. Setelah tiga hari asuhan keperawatan, skala nyeri menurun dari 6 menjadi 2, mual dan muntah teratasi, serta nafsu makan membaik. Penerapan service excellent terbukti meningkatkan kualitas asuhan keperawatan dan kepuasan pasien.
Manajemen Asuhan Keperawatan Jiwa dengan Pendekatan Service Excellent Pada Pasien Harga Diri Rendah di UPTD Khusus RSJ Prof. Dr. Muhammad Ildrem Medan: Studi Kasus Bagenni Simaremare; Rolasnih Lilista Simbolon; Sri Mulati Nendah Agreta; Petra Diansari Zega; Lenny Marpaung
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.v10i4.61840

Abstract

Harga diri rendah merupakan gangguan konsep diri yang ditandai dengan penilaian negatif terhadap diri sendiri, perasaan tidak berharga, kurang percaya diri, dan kecenderungan menarik diri dari lingkungan sosial. Kondisi ini sering ditemukan pada pasien gangguan jiwa dan berdampak terhadap kemampuan menjalankan aktivitas sehari-hari sehingga memerlukan asuhan keperawatan jiwa yang sistematis dan berorientasi pada service excellent. Tujuan penelitian ini bertujuan menerapkan manajemen asuhan keperawatan jiwa dengan pendekatan service excellent pada pasien dengan harga diri rendah di Ruang Mawar 2 UPTD Khusus RSJ Prof. Dr. Muhammad Ildrem Medan Tahun 2026. Metode penelitian menggunakan desain deskriptif dengan pendekatan studi kasus terhadap satu pasien (Nn. E) berusia 49 tahun yang mengalami harga diri rendah akibat riwayat putus obat. Asuhan keperawatan dilaksanakan melalui lima tahap proses keperawatan, yaitu pengkajian, penetapan diagnosis, intervensi, implementasi, dan evaluasi. Pengumpulan data dilakukan melalui wawancara, observasi, dokumentasi rekam medis, dan pemeriksaan fisik selama empat hari (11–14 Maret 2026). Hasil pengkajian menunjukkan diagnosis utama harga diri rendah dengan diagnosis pendukung isolasi sosial. Intervensi dilakukan melalui Strategi Pelaksanaan (SP 1–SP 4) yang meliputi membina hubungan saling percaya, mengidentifikasi kemampuan positif pasien, melatih aktivitas harian secara bertahap, serta meningkatkan kemampuan berinteraksi sosial. Setelah implementasi, pasien menunjukkan peningkatan rasa percaya diri, kemampuan melakukan aktivitas sehari-hari, dan interaksi sosial, meskipun masalah keperawatan belum sepenuhnya teratasi sehingga memerlukan tindak lanjut oleh perawat ruangan. Kesimpulan penerapan manajemen asuhan keperawatan jiwa secara sistematis dengan pendekatan service excellent efektif meningkatkan kemampuan adaptasi, rasa percaya diri, dan interaksi sosial pasien dengan harga diri rendah serta mendukung proses pemulihan secara bertahap.
Co-Authors Abdul Mazid Bancin Adelina Sembiring Angel Shesapatrisia Girsang Anisa Br Munte Aprialdo Pranata Sidauruk Bagenni Simaremare Cici Framita Lbn Gaol Erni Br Sirait Lenny Marpaung Lisbet Gurning lisdayanti simanjuntak Magdalena Junita Sumiati Tambunan Martaulina Sinaga Nur Azizah Lubis Petra Dian Sari Zega Rolasnih Lilista Simbolon Rosmega Pakpahan Srilina Br Pinem Tahan Tahan