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Analisis Faktor yang Berhubungan dengan Pemberdayaan Tim Pendamping Keluarga untuk Pencegahan Stunting di Kota Binjai Tahun 2022 Gea, Handerman Vitu; Purba, Jenny Marlindawani; Tarigan, Frida Lina
Jurnal Riset Hesti Medan Vol 8, No 1 (2023): Edisi Juni
Publisher : Akademi Keperawatan Kesdam I/Bukit Barisan Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34008/jurhesti.v8i1.298

The aim of this research is to analyze factors related to the success of empowering the Family Assistance Team (TPK) to prevent stunting in Binjai City. The approach used in this research is a mixed methods research design which is carried out in two stages of activities, namely quantitative data collection using SPSS data analysis which aims to obtain factors related to the empowerment of the Family Assistance Team and a qualitative approach which aims to obtain further explanation. further regarding the factors inhibiting and supporting the success of empowering the Family Assistance Team through interview and observation techniques. The population in this study was 114 Family Assistance Teams in South Binjai District with a sample of 53 Family Assistance Team Cadres while the research supporting informants were 10 people from Health Officers, PLKB, Village Heads and Community Figures. This research resulted in findings that the variables of communication, resources, disposition and bureaucracy have an influence on the success of empowering the Family Assistance Team in Binjai City in 2022. The inhibiting factor in this research is the communication of the Family Assistance Team to the community, where the community is still limited in receiving information regarding problems. stunting correctly, giving rise to the wrong meaning, this is because the public does not understand the problem of stunting properly and does not have materials or media for information on stunting problems. The disposition factor is also an inhibiting factor in the success of empowering the Family Assistance Team in the city of Binjai, this is because the community does not know for sure the government programs and policies in handling stunting that are currently running in their area, making it difficult for them to participate in achieving success in accelerating stunting reduction. With these findings, it is hoped that the Family Assistance Team can provide education to the community by using effective and focused communication to provide understanding to the community regarding programs and handling to accelerate stunting reduction so that the community's perception of stunting can change and the community can recognize it correctly and want to be involved in supporting it. Government program. This study produced a guidebook for the successful empowerment of the Family Assistance Team.

Analysis of disposition (policy) and bureaucratic factors as an effort to accelerate stunting reduction in Binjai City In 2024 Gea, Handerman Vitu
Journal of Midwifery and Nursing Vol. 7 No. 1 (2025): January: Health Science
Publisher : Institute Of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/jmn.v7i1.6012

Stunting is one of the public health problems in Indonesia that requires cross-sector interventions, including at the regional level. This study aims to analyze dispositional and bureaucratic factors in supporting the acceleration of stunting reduction in Binjai City, in accordance with the mandate of Presidential Regulation Number 72 of 2021. The research approach uses a mixed methods design, with quantitative stages through SPSS data analysis to identify factors related to the empowerment of the Family Assistance Team, and qualitative through interviews and observations to explore the supporting and inhibiting factors of policy implementation. The research sample consisted of 53 respondents, with 10 supporting informants from various local stakeholders. The results show that disposition variables, which include policy attitudes and implementation, as well as bureaucratic efficiency, have a significant influence on the success of empowering the Family Support Team in carrying out national priority tasks. This research confirms the importance of commitment and leadership roles in empowering subordinates and simplifying bureaucratic procedures to improve the effectiveness of public policies. The implication of these findings is the need to strengthen cross-sector coordination and community-based approaches to accelerate the achievement of stunting reduction targets at the local level.

Pelatihan Pendidik Sebaya Bagi Generasi Berencana (GenRe) Kota Binjai Binaan Dinas Pengendalian Penduduk Dan Keluarga Berencana Kota Binjai Gea, Handerman Vitu; Suharto, Suharto; Harahap, Meilani Fabiola; Sitohang, Jontar; Warasi, Sapriani
Jurnal Pengabdian Masyarakat Nauli Vol. 3 No. 2 (2025): Februari, Jurnal Pengabdian Masyarakat Nauli
Publisher : Marcha Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/nauli.v3i2.187

Masa remaja merupakan peralihan masa kanak-kanak menjadi dewasa yang melibatkan perubahan berbagai aspek seperti biologis, psikologis, dan sosial-budaya. Batasan umur remaja menurut Kementerian Kesehatan RI 10 sampai dengan 18 tahun dengan usia ideal pernikan minimal 20 tahun bagi wanita dan 25 tahun bagi pria. Usia remaja sangat efektif jika dibekali dengan Pelatihan Pendidik Sebaya hal ini bertujuan untuk meningkatkan pengetahuan remaja tentang perubahan seksualitas dan organ reproduksi serta upaya untuk mencegah perilaku sosial yang berdampak negatif pada kehidupan remaja. Pembahasan penting yang harus dipahami remaja selama mengikuti pelatihan Pendidik Sebaya mulai dari materi tentang penyimpangan perilaku remaja tentang organ reproduksi laki-laki dan perempuan, Pendewasaan Usia Perkawinan (PUP), materi 8 fungsi keluarga, bahaya NAPZA atau Narkoba, pencegahan stunting, memahami isu-isu kesehatan pada remaja dan program pemerintah serta praktek melakukan konseling. Capaian dari pelaksanaan kegiatan mampu meningkatkan pengetahuan remaja untuk memahi upaya - upaya dalam meningkat kualitas hidup dan pergaulan yang positif dengan lingkungan berada serta mampu membuat edukasi sederhana dan modul singkat sebagai modal untuk membantu sesama remaja atau teman sebaya dalam peningkatkan pengetahuan tentang kesehatan dan kesiapan diri dalam menghadapi lingkungan keluarga dan sekolah, berbaur dengan lingkungan masyarakat.

EDUKASI PERTOLONGAN PERTAMA DENGAN BALUTAN CEDERA PADA PELAJAR DI SMP YAYASAN PERGURUAN WASHLIYANI MEDAN BESAR Pangaribuan, Resmi; Khairani, Ade Irma; Gea, Handerman Vitu; Juwita, Arni; Hasudungan, Richard; Purba, Josia; Simorangkir, Nadya
MAJU : Indonesian Journal of Community Empowerment Vol. 2 No. 4 (2025): MAJU : Indonesian Journal of Community Empowerment, Juli 2025
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/maju.v2i4.1591

School students are a group at high risk of emergency incidents, because there are many possibilities that can happen to this group. In addition, children spend a lot of time at school and are at greater risk of injury. The implementation of this community service activity uses several stages. The expected product of this activity is understanding of the school community through situation analysis, expert discussion, solution design, implementation of activities in the form of socialization and health education, as well as post-activity assistance. After conducting education during community service activities regarding education on extremity bandages at the Washliyani Education Foundation Middle School in Medan Besar Village, Medan Labuhan District, it succeeded in increasing the participants' understanding and providing strategies to overcome the impact. Where the level of knowledge from pre-education to post-education has increased to good knowledge (79%). With this activity, students become aware of the need to maintain health and the ability to provide assistance with bandages. This activity needs to be carried out more often, especially for all elements of society so that they understand more about accident relief by applying bandages.

PENERAPAN PEMBERIAN NEBULIZER PADA PASIEN PNEUMONIA DI RUMAH SAKIT TKII PUTRI HIJAU MEDAN Ummi, Nurhasanah; Susyanti, Deni; Gea, Handerman Vitu
SINERGI : Jurnal Riset Ilmiah Vol. 2 No. 8 (2025): SINERGI : Jurnal Riset Ilmiah, Agustus 2025
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/sinergi.v2i8.1641

Pneumonia is an acute infection that affects the lower respiratory tract, particularly the lungs, caused by various microorganisms such as pneumococcus, staphylococcus, streptococcus, and viruses. In patients with pneumonia, a common nursing problem is ineffective airway clearance due to the presence of foreign substances resultingfrom excessive secretion buildup caused by infection, immobility, and ineffective coughing. Administration of nebulizer inhalation therapy is a collaborative treatment aimed at relieving bronchospasm, thinning secretions, clearing the airway, and moisturizing the respiratory tract, thereby optimizing breathing. This study aims to provide medical-surgical nursing care through the administration of nebulizer therapy in pneumonia patients. The research method used is a descriptive design with a case study approach involving two patients diagnosed with pneumonia at TK 111 Putri Hijau Hospital, Medan. The case study in this research implements the medical-surgical nursing care process, which includes assessment, nursing diagnosis, intervention and implementation of nebulizer inhalation therapy, and evaluation. The inclusion criteria were pneumonia patients willing to become respondents and experiencing ineffective airway clearance. The results showed that the application ofnebulizer therapy was effective in addressing ineffective airway clearance in both patients with pneunlonia. Therefore, the implementation of nebulizer therapy is recommendedfor nursing practice

MANAJEMEN NUTRISI PADA PASIEN TUBERKULOSIS PARU UNTUK MENINGKATKAN INDEKS MASSA TUBUH (IMT)DI RUMAH SAKIT TK II PUTRI HIJAU MEDAN Dewi, Febri Masitah; Susyanti, Deni; Gea, Handerman Vitu
SINERGI : Jurnal Riset Ilmiah Vol. 2 No. 8 (2025): SINERGI : Jurnal Riset Ilmiah, Agustus 2025
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/sinergi.v2i8.1647

Pulmonary Tuberculosis (TB) is an infectious disease that attacks the lungs and often causes nutritional status disorders such as significant weight loss to reduced body mass index (BMI). This study aims to provide an overview of the implementation of nutritional management in pulmonary tuberculosis patients to increase Body Mass Index (BMI) at Putri Hijau Class II Hospital. The method used in this study is descriptive research using case studies on 2 patients using a medical surgical nursing care approach that includes assessment, diagnosis, planning, implementation, and evaluation of nursing, with inclusion criteria namely patients suffering from pulmonary tuberculosis, with a BMI of 18.5 and who experience nutritional deficit problems. This study uses a nursing implementation approach that includes identifying nutritional status: Oral hygiene management and providing diet education. The results of this study showed that after 3 days of implementation, there was an increase in BMI in both patients, where previously patient 1 had a BMI of 17.7 and patient 2 had a BMI of 16.9 which increased to 18.1 and 17.3, respectively. Body weight increased by 1 kg, oral hygiene improved, and knowledge increased. The implementation of nutritional management has been proven to have a positive impact in improving the nutritional status of pulmonary tuberculosis patients

EDUKASI KEPERAWATAN PENERAPAN POLA HIDUP SEHAT DALAM MENCEGAH KEJADIAN STROKE BERULANG DI RUMAH SAKIT TK II PUTRI HIJAU MEDAN Lubis, Shofi Manja Sari; Susanti, Deni; Gea, Handerman Vitu
SINERGI : Jurnal Riset Ilmiah Vol. 2 No. 10 (2025): SINERGI : Jurnal Riset Ilmiah, Oktober 2025
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/sinergi.v2i10.1889

Stroke is a condition that occurs when the blood supply to a part ofthe brain is suddenly disrupted, causing the death of some brain cells due to impaired blood flow resulting from a blockage or rupture of a blood vessel in the brain. Stroke is one ofthe leading causes of death and disability. Efforts to prevent recurrent strokes can be made through the modification of a healthy lifestyle, such as proper dietary management, regular physical activity, and health education. This study aims to evaluate the effectiveness of nursing education in the application of a healthy lifestyle among post-stroke patients at Tk II Putri Hijau Hospital Medan. The method used is descriptive, employing a case study design involving two patients using a medical-surgical nursing care approach, which includes assessment, diagnosis, planning, implementation, and evaluation. The inclusion criteria involved male and female stroke patients who were willing to participate as respondents. The results showed that the education provided by nurses on healthy lifestyles had a positive impact on patients' behavioral changes and increased the knowledge of both patients and their families regarding the adoption of a healthy lifestyle. This study emphasizes the crucial role of nurses in delivering health education on healthy lifestyle practices to prevent recurrent strokes by providing appropriate and continuous education aimed at reducing the risk of recurrent stroke through enhanced knowledge and behavior modification in patients

IMPLEMENTASI TERAPI DIAPHRAGMATIC BREATHING EXERCISE TERHADAP PERUBAHAN RESPIRATORY RATE PADA PASIEN TB PARU DI RUMAH SAKIT TK II PUTRI HIJAU MEDAN Siregar, Endang Kristina; Susyanti, Deni; Gea, Handerman Vitu
SINERGI : Jurnal Riset Ilmiah Vol. 2 No. 11 (2025): SINERGI : Jurnal Riset Ilmiah, November 2025
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/sinergi.v2i11.1969

Pumonary tuberculosis (TB) is a disease caused by Mycobacterium tuberculosis, which primarily attacks the human lungs. The main complaints in pulmonary TB patients are shortness of breath and cough caused by the bacterial infection entering the lungs. One nursing intervention that can be provided to pulmonary TB patients to address ineffective breathing patterns is diaphragmatic breathing exercise. This study used a descriptive method with a case study design. The case study applied the nursing care process with implementation in two patients with pulmonary TB at TK II Putri Hijau Hospital in Medan. After implementing diaphragmatic breathing exercises for three days, the problem of ineffective breathing patterns in both patients was resolved. The results of this study indicate that diaphragmatic breathing exercise therapy can effectively address ineffective breathing patterns in patients with pulmonary TB.

IMPLEMENTASI TERAPI OKSIGEN DALAM MEMPERBAIKI PERTUKARAN GAS PADA PASIEN PNEUMONIA DI RUMAH SAKIT TK II PUTRI HIJAU MEDAN Sisilia, Sisilia; Susyanti, Deni; Gea, Handerman Vitu
SINERGI : Jurnal Riset Ilmiah Vol. 2 No. 12 (2025): SINERGI : Jurnal Riset Ilmiah, Desember 2025
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/sinergi.v2i12.2007

ABSTRACT Pneumonia is an infection of the lungs caused by microorganisms such as pneumococeus, staphylococcus, streptococcus, and viruses that attack lung tissue. This study is entitled Implementation of Oxygen Therapy to Improve Gas Exchunge in Pneumonia Patients at TK II Putri Hijau Hospital Medan. The research method used is descriptive with a case study design. The subjects were two patients who received nursing interventions involving oxygen therapy for impaired gas exchange at TK Il Putri Hijau Hospital Medan. The results showed that after three days of providing nursing care with oxygen therapy to pneumonia patients with impaired gas exchange. both patients experienced normalized breathing. The conclusion from assessment to evaluation indicates that implementing nursing care for pneumonia patients with impaired gas exchange successfully restored normal respiration. The study suggests that future researchers explore oxygen therapy interventions for patients with impaired gas exchange in greater depth. For the community, attention and support in treatment programs, especially for pneumonia patients experiencing gas exchange disorders, are also necessary. ABSTRAK Pneumonia adalah infeksi yang menyerang pada paru-paru yang disebabkan oleh mikroorganisme pneumococcus, staphylococcus, streptococcus dan virus yang menyerang pada jaringan paru-paru. Penelitian ini berjudul Implementasi Terapi Oksigen Dalam Memperbaiki Pertukaran Gas Pada Pasien Pneumonia di Rumah Sakit TK 11 Putri Hijau Medan. Metode penelitian ini merupakan deskriptif dengan jenis penelitian studi kasus. Subjek yang digunakan adalah 2 pasien dengan masalah keperawatan implementasi terapi oksigen pada pasien dengan gangguan pertukaran gas di Rumah Sakit TK II Putri Hijau Medan. Hasil penelitian dari kedua responden selama dilakukan asuhan keperawatan dengan terapi oksigen pada pasien pneumonia dengan gangguan pertukaran gas selama 3 hari di dapatkan pernapasan pada pasien kembali normal. Kesimpulan pengkajian sampai evaluasi dalam melakukan asuhan keperawatan pada pasien pneumonia dengan gangguan pertukaran gas berhasil didapatkan pernapasan kembali normal. Saran penelitian ini diharapkan peneliti selanjutnya mampu membahas terkait tindakan terapi oksigenisasi pasien yang mengalami gangguan pertukaran gas lebih mendalam lagi. Kesimpulan bagi masyarakat perlu memperhatikan dan memberi support dalam program pengobatan yang dilakukan khususnya pada pasien pneumonia dengan gangguan pertukaran gas

IMPLEMENTASI TERAPI FOOT MASSAGE PADA PASIN TUBERKULOSIS PARU DENGAN MASALAH GANGGUAN TIDUR DI RUMAH SAKIT TK II PUTRI HIJAU MEDAN Wana, Citra; Susyanti, Deni; Gea, Handerman Vitu
SINERGI : Jurnal Riset Ilmiah Vol. 2 No. 12 (2025): SINERGI : Jurnal Riset Ilmiah, Desember 2025
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/sinergi.v2i12.2024

ABSTRACT Pulmonary tuberculosis is a contagious disease directly caused by Mycobacterium tuberculosis, which is transmitted through the air (droplet nuclei). Pulmonary tuberculosis spreads from person to person through the air when coughing, sneezing, or spitting. Patients with pulmonary tuberculosis often experience sleep disturbances, which can affect the healing process and quality of life. One non-pharmacological intervention that can be used to improve sleep quality is foot massage therapy. This study aims to determine the effect of foot massage therapy on the sleep quality of pulmonary TB patients with disturbed sleep patterns. The research design used is descriptive with a case study approach. The subjects consisted of two pulmonary TB patients experiencing sleep disturbances at Tk II Putri Hijau Hospital, Medan. The foot massage intervention was administered for 15 minutes daily over three consecutive days. Data were collected through observations of sleep pattern changes before and after the intervention. The results showed that after the foot massage therapy, both patients experienced improved sleep quality. On the first day, patients still complained of difficulty sleeping and frequent awakenings. However, after the third day of intervention, the patients began to sleep more soundly, with increased sleep duration and reduced complaints such as fatigue. This therapy demonstrated a positive response as a form of non-pharmacological nursing intervention for pulmonary TB patients experiencing sleep disturbances. This study recommends that foot massage therapy be implemented independently to improve sleep disturbances in pulmonary tuberculosis patients. ABSTRAK Tuberkulosis paru merupakan penyakit menular yang langsung disebabkan oleh mycobacterium Tuberkulosis yang ditularkan melalui udara (droplet nuclei). Tuberkulosis paru menyebar dari orang ke orang melalui udara ketika batuk, bersin, atau meludah. Tuberkulosis paru sering mengalami gangguan tidur yang berdampak pada proses penyembuhan dan kualitas hidup. Salah satu intervensi nonfarmakologis yang dapat digunakan untuk meningkatkan kualitas tidur adalah terapi foot massage. Penelitian ini bertujuan untuk mengetahui pengaruh terapi foot massage terhadap kualitas tidur pasien TB paru dengan gangguan pola tidur. Desain penelitian yang digunakan adalah penelitian deskriptif dengan jenis studi kasus. Subjek penelitian terdiri dari dua pasien TB paru yang mengalami gangguan tidur di Rumah Sakit TK II Putri Hijau Medan. Intervensi foot massage diberikan selama 15 menit setiap hari selama tiga hari berturut-turut. Data dikumpulkan melalui observasi terhadap perubahan pola tidur sebelum dan sesudah intervensi. Hasil menunjukkan bahwa setelah dilakukan terapi foot massage, kedua pasien mengalami peningkatan kualitas tidur. Pada hari pertama, pasien masih mengeluhkan sulit tidur dan sering terbangun. Namun, setelah intervensi hari ketiga, pasien mulai tidur lebih nyenyak, durasi tidur meningkat, serta keluhan seperti kelelahan berkurang. Terapi ini menunjukkan respon positif sebagai bentuk intervensi keperawatan nonfarmakologis pada pasien TB paru yang mengalami gangguan tidur. saran peneliti ini diharapkan dapat diterapkan secara mandiri dalam meningkatkan gangguan pola tidur pada pasien Tuberkulosis.

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