Fitriyana Br Kaban
Universitas Prima Indonesia

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EFEKTIFITAS SENAM PILATES TERHADAP PENURUNAN NYERI PUNGGUNG PADA IBU HAMIL TRIMESTER III Resty Setia Ningsih; Rahmaini Fitri Harahap; Elv. Feedia Mona Saragih; Ryskina Fatimah Siregar; Fitriyana Br Kaban; Elvina Sari Sinaga; Aminah Aminah
Jurnal Maternitas Kebidanan Vol. 9 No. 1 (2024): Jurnal Maternitas Kebidanan
Publisher : Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jumkep.v9i1.5348

Abstract

Nyeri punggung bawah pada ibu hamil adalah suatu respon tidak nyaman yang sering dirasakan oleh ibu hamil dan biasanya nyeri punggung muncul di usia kehamilan 7 bulan. Nyeri punggung pada ibu hamil dibiarkan terus menerus akan mengganggu aktivitas sehari-hari. Tujuan dari penelitian ini adalah untuk menganalisis perbedaan nyeri punggung sebelum dan sesudah pemberian senam pilates pada ibu hamil trimester III. Rancangan penelitian ini menggunakan Quasi Eksperimental Design dengan bentuk one group pre test and post test design. Sampel dalam penelitian ini adalah ibu hamil trimester III sebanyak 30 orang. Penelitian ini dilakukan di Klinik Pratama Bunda Patimah Medan. Pengumpulan data dilakukan melalui observasi dan wawancara menggunakan lembar observasi. Teknik analisis data menggunakan uji Wilcoxon untuk melihat perbedaan intensitas nyeri punggung. Hasil penelitian menunjukan bahwa sebelum dilakukan senam pilates terdapat 3 (10,0%) responden mengalami nyeri ringan,17 (56,7%) responden nyeri ringan sedang, dan 10 (33,3%) responden mengalami nyeri berat. Setelah dilakukan senam pilates mengalami penurunan nyeri yaitu 12 (40,0%) responden nyeri ringan, 16 (53,3%) responden nyeri sedang dan 2 (6,7%) responden mengalami nyeri berat. Bedasarkan uji statistik nonparametrik Wilcoxon Signed Rank Test didapatkan hasil nilai p= 0,000 dinyatakan ada pengaruh pemberian latihan pilates terhadap nyeri pungung pasa ibu hamil trimester III. Berdasarkan hasil penelitian dapat disimpulkan bahwasanya senam pilates sangat efektif dalam penurunan nyeri punggung pada ibu hamil trimester III.
The Effectiveness of the Combination of Cucumber (Cucumis sativus) and Mint Leaves (Mentha piperita) Infused Water in Relieving Nausea and Vomiting in Pregnant Women at the Prima Melati Clinic, Medan in 2026 Fitriyana Br Kaban; Verawaty Fitrinelda Silaban
Jurnal Maternitas Kebidanan Vol. 11 No. 1 (2026): Jurnal Maternitas Kebidanan
Publisher : Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jumkep.v11i1.8524

Abstract

Purpose: This study aimed to determine the effectiveness of the combination of cucumber infused water (Cucumis sativus) and peppermint leaves (Mentha piperita) in reducing nausea and vomiting in pregnant women at Klinik Prima Melati Medan in 2026. Design/Methods/Approach: This study used a quasi-experimental design with a pre-test and post-test with a control group approach. The sample consisted of 30 first-trimester pregnant women with nausea-vomiting complaints, divided into 15 intervention groups and 15 control groups by purposive sampling. The intervention group received cucumber and mint infused water 250 mL three times daily for 7 days. Nausea-vomiting was measured using the PUQE (Pregnancy Unique Quantification of Emesis) scale. Findings/Results: There was a significant reduction in PUQE scores in the intervention group (pre-test mean 11.47 vs post-test 5.13, p = 0.000), while the control group showed no significant change (p = 0.312). The independent t-test confirmed a significant difference between groups (p = 0.000). Conclusions: The combination of cucumber and mint infused water is effective in reducing nausea and vomiting in first-trimester pregnant women. This non-pharmacological intervention is safe, easy to implement, and affordable, making it a viable complementary therapy in antenatal care.
Nursing Care for XDR-TB Complicated by Infected Bronchiectasis and Malnutrition: A Case Report Robin Ferdiansyah Sitopu; Afeus Halawa; Basri Basri; Murni Aritonang; Fitriyana Br Kaban
Jurnal Keperawatan Priority Vol. 9 No. 1 (2026)
Publisher : Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jukep.v9i1.7886

Abstract

Extensively drug-resistant tuberculosis (XDR-TB) presents a formidable challenge, often exacerbated by irreversible structural lung damage and severe malnutrition. Roy’s Adaptation Model (RAM) was employed as the theoretical framework to address the profound physiological and psychosocial disruptions in a high-complexity case. This report describes the integrated, nurse-led management of a patient with XDR-TB and destroyed lung syndrome during the acute stabilization phase. A 39-year-old woman with a decade-long history of TB treatment failure was admitted to a national referral hospital with XDR-TB, profound cachexia (BMI 13.96 kg/m2), and severe hypercapnia (pCO2 94.7 mmHg). During a 72-hour acute stabilization period, integrated nursing-led interventions including the Active Cycle of Breathing Technique (ACBT), therapeutic positioning, and a high-calorie, high-protein regimen resulted in marked clinical improvement. Respiratory stabilization allowed for oxygen weaning from 5 to 4 L/min with an SpO2 increase to 97%. Breaking the catabolic cycle was evidenced by weight stabilization (maintained at 35 kg) and a positive metabolic shift, alongside significantly improved oral intake (80–90% of requirements).. Functional status progressed from total bed rest to independent short-distance ambulation without desaturation. Comprehensive nursing interventions, focusing on airway clearance and acute metabolic stabilization, play a pivotal role in the rapid stabilization of complex XDR-TB cases. Highlighting outcomes within the first 72 hours demonstrates that structured nursing care acts as a catalyst for physiological adaptation, even in the presence of severe anatomical lung destruction.