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Pengaruh Teknik Akupresur pada Titik LI4 terhadap Penurunan Nyeri Persalinan Kala I Fase Aktif pada Ibu Bersalin di Wilayah Kerja Puskesmas Sei Langkai Kota Batam Defmiyanti Defmiyanti; Anisya Selvia; Nelli Roza
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 5 No. 2 (2026): Mei: Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/klinik.v5i2.6214

Abstract

Labor pain is a physiological condition commonly experienced by mothers giving birth, especially during the first active phase, which often causes anxiety and tension. One non-pharmacological method that can be used to reduce pain is the acupressure technique, especially at the LI4 point, which is known to have an analgesic effect. This study aims to determine the effect of acupressure techniques at the LI4 point on reducing labor pain in the first active phase of labor in mothers giving birth in the Sei Health Center working area. Slender. This research is quasi-experimental with a nonequivalent control group design. The respondents for this research were 16 mothers in labor who met the inclusion criteria. The sampling technique used was nonprobability sampling, which was chosen as purposive sampling. Based on the research results, it was found that the labor pain of women giving birth at the Hanika Clinic and the AMC Clinic after acupressure was carried out at point LI4, some women in labor experienced moderate pain (68.8%) and a small number experienced mild pain (31.3%). The results of statistical tests show that there is an influence of the acupressure technique at point LI4 on reducing labor pain during the first active phase in mothers giving birth (p value < α (<.001)). The results showed that administering acupressure at the LI4 point significantly reduced the level of labor pain, compared to before the intervention. Thus, this technique can be used as an alternative pain management that is effective, safe and easy to do during the birthing process
Asuhan Keperawatan Gerontik pada Ny.A dengan Penerapan Terapi Senam Kaki Diabetes dalam Menurunkan Kadar Glukosa Darah Penderita Diabetes Mellitus di Wilayah Kerja Puskesmas Sei Langkai Kota Batam Yosi Melinda Gultom; Nelli Roza
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 4 No. 2 (2025): Mei : Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/klinik.v4i2.4138

Abstract

Diabetes mellitus is a chronic disease that occurs when the pancreas cannot produce enough insulin (a hormone that regulates blood sugar or glucose) or when the body cannot use insulin effectively. According to the International Diabetes Federation, the prevalence of diabetes mellitus is increasing every year in the world, reaching 537 million people suffering from diabetes in the world. Currently, Indonesia ranks sixth as the country with the highest number of people with diabetes mellitus. At the Sei Langkai Health Center in the last 6 months (January-June) there were 40 people. This professional scientific paper aims to provide gerontic nursing care to Mrs.A with the application of diabetic foot exercise therapy in reducing blood glucose levels in patients with diabetes mellitus in the Sei Langkai Health Center Working Area. The method used in this Professional Scientific Writing is a case study conducted based on the stages of nursing care including assessment, diagnosis, intervention, implementation and nursing evaluation. The results showed a decrease in blood glucose levels from the first day of GDS examination results of 215 mg/dl and on day four down to 158 mg/dl, as well as decreased drowsiness, fatigue / fatigue decreased in accordance with the expected goals and criteria. For patients, it is hoped that it can provide knowledge and insight, and can know and understand foot exercise therapy can reduce blood glucose levels in patients with diabetes mellitus.
Asuhan Keperawatan pada Tn.Y dengan Chronic Kidney Disease Menggunakan Penerapan Terapi Spiritual Emotional Freedom Technique (Seft) untuk Menurunkan Tingkat Kecemasan di Unit Hemodialisa RSUD Embung Fatimah Kota Batam Maiyuni Susanti; Nelli Roza
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 4 No. 2 (2025): Mei : Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/klinik.v4i2.4139

Abstract

According to Nature Reviews Nephrology, the prevalence of an aging population faces an increased risk of kidney disease, where current predictions estimate that by 2035 as many as 1.1 billion people will suffer from kidney disease, and has increased since 2020 by 60%. Chronic kidney disease is kidney damage that lasts for a long time (years) and is characterized by a decrease in the kidney's ability to filter blood (GFR). This professional scientific paper aims to provide nursing care to Mr. Y with Chronic Kidney Disease using the application of spiritual emotional freedom technique (SEFT) therapy to reduce anxiety levels in the Hemodialysis Unit of Embung Fatimah Hospital, Batam City. The method used is a case study based on the stages of nursing care including the assessment of HRS-A with a score of 21 (moderate anxiety), with the main nursing diagnosis of anxiety related to situational crises. Nursing interventions and implementations carried out by implementing SEFT therapy during 4 visits obtained the results of the final evaluation of nursing care on Mr. Y showed a decrease in anxiety levels from the first day, the Anxiety Score was 21 and on the fourth day the anxiety score dropped to 12 (no anxiety), and anxiety decreased, tension decreased in accordance with the objectives and criteria. Through the SEFT technique can help reduce anxiety levels. Suggestions for CKD patients as a guide to non-pharmacological therapy in patient care.
Hubungan Karakteristik Tenaga Pemorsi dengan Ketepatan Porsi dan Energi pada Standar Diet Diabetes Melitus di RSUD Embung Fatimah Nurul Oktavia Asyriani; Siska Pratiwi; Nelli Roza
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 4 No. 2 (2025): Mei : Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/klinik.v4i2.4140

Abstract

Hospitals play a vital role in providing standardized meals for managing diabetes mellitus (DM). However, inaccuracies in portion sizes and energy content remain prevalent. To analyze the relationship between portioning personnel characteristics and portion accuracy and energy content in DM diet standards at RSUD Embung Fatimah. This cross-sectional study involved eight portioning personnel. Primary data were collected through portion observation and energy analysis, while secondary data came from documents and interviews. Data were analyzed using Spearman Rank correlatio. No significant relationship was found between personnel characteristics and portioning accuracy or energy content (p>0.05). Work experience and educational level do not influence portioning accuracy. Training and standardized tools are recommended to improve portioning practices.
Hubungan Jenis Kelamin dan Gangguan Kognitif dengan Kejadian Depresi pada Lansia di Kelurahan Sambau Wilayah Kerja Puskesmas Sambau Kota Batam Tahun 2024 Ninda Putri Nurjana; Nelli Roza; Resi Novia
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 5 No. 1 (2026): Januari: Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/klinik.v5i1.5670

Abstract

According to the WHO (2023), depression affects 3.8% of the global population, including 5.7% of adults over 60. In 2023, the SKI Report ranked depression in Riau Islands Province 13th (4,778 cases), and Batam City Health Office reported that mental emotional disorders were ranked 10th (0.06%). Depression is influenced by several factors, including gender and cognitive function. This study aimed to investigate the relationship between gender, cognitive impairment, and depression among the elderly in the Sambau working area of the Batam City Health Center. A cross-sectional research design was employed with 51 elderly participants selected through cluster sampling. Spearman's correlation statistical test was used to analyze the data. The results showed that gender had no significant relationship with depression (p-value = 0.338 > 0.05). However, cognitive impairment was significantly related to depression (p-value = 0.000 < 0.01). The study suggests that elderly individuals should actively participate in Posbindu activities for early detection of cognitive decline and depression, which can help prevent stress and memory loss.
Hubungan Beban Kerja dengan Burnout pada Perawat di Rumah Sakit Embung Fatimah Kota Batam Tahun 2024 Fatmawasi Fatmawasi; Nelli Roza; Isna Aglusi Badri
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 5 No. 1 (2026): Januari: Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/klinik.v5i1.5673

Abstract

Burnout is a condition of physical, emotional and mental exhaustion that occurs due to prolonged work pressure that is not well managed. Burnout is often experienced by individuals who work in environments with high demands, such as the health care sector. This study aims to identify the workload, burnout level, and the relationship between the two for nurses at the Embung Fatimah Regional General Hospital in 2024. Workload is measured by looking at the medium workload category, with 46.2% of nurses experiencing this workload. Burnout is measured using the Maslach Burnout Inventory (MBI) which consists of three dimensions: Emotional Exhaustion, Depersonalization, and Personal Accomplishment. The results showed that 76.9% of nurses experienced high Emotional Exhaustion, while 84.6% experienced Depersonalization with a low score. A total of 44.6% of nurses showed a high score on the Personal Accomplishment dimension. Statistical analysis shows that there is a significant relationship between workload and burnout in nurses. Emotional Exhaustion is related to moderate workload (p-value 0.023), but this relationship is not significant. Depersonalization is significantly related to a low burnout score (p-value 0.000), while Personal Accomplishment is related to a high burnout score, but this relationship is also not significant (p-value 0.041). This research suggests the need for attention to workload management and emotional support to reduce the risk of burnout, especially in the depersonalization dimension.
Hubungan Mutu Pelayanan Keperawatan dengan Kepuasan Pasien di Ruang Rawat Inap Rumas Sakit Umum Daerah Embung Fatimah Kota Batam Tahun 2024 Firda Rizki Ananda Dewi; Nelli Roza; Didi Yunaspi
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 5 No. 1 (2026): Januari: Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/klinik.v5i1.5674

Abstract

Patient satisfaction is a subjective assessment of the quality of service received. Based on data from the Indonesian Ministry of Health in 2024, the level of public satisfaction with health services only reached 53.06%, while the Riau Islands Province Ombudsman report recorded 46% of public complaints related to government hospitals. One of the factors that influences patient satisfaction is the quality of nursing services. This study aims to analyze the relationship between the quality of nursing services and patient satisfaction in the inpatient ward of Embung Fatimah Hospital, Batam City in 2024. The research design used a cross-sectional approach with a sample size of 99 respondents selected through purposive sampling techniques. Data were collected using a questionnaire and analyzed using the Spearman's rho statistical test. The results showed a significant relationship between the quality of nursing services and patient satisfaction with a p-value = 0.001 (<0.05). Conclusion: The majority of patient satisfaction was 40 (40.4%). The quality of nursing services is mostly good, namely 39 (39.4%). There is a significant relationship between the quality of nursing services and patient satisfaction. The results of this study are expected to be input for hospital management, nurses, and policy makers to improve the quality of nursing services in order to increase patient satisfaction. In addition, these results can help increase public trust in health facilities.
Hubungan Faktor Genetik (Riwayat Keluarga) dengan Kejadian Hipertensi pada Lansia di Posyandu Lansia Kelurahan Sekanak Raya Wilayah Kerja Puskesmas Belakang Padang Tahun 2024 Irma Yohana Tambunan; Nelli Roza; Laeli Mufidah
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 5 No. 1 (2026): Januari: Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/klinik.v5i1.5675

Abstract

The concept of genetics has evolved from a science that merely explains the inheritance of traits to a broader discipline that studies the structure, function, and role of genetic material in determining individual biological characteristics. One of the important manifestations of genetic influence is its relationship with the occurrence of hypertension, particularly among the elderly. This study aims to determine the relationship between genetic factors (family history) and the incidence of hypertension among elderly people at the Elderly Posyandu in Sekanak Raya Village, working area of Belakang Padang Public Health Center in 2024. This research employed an observational analytic method with a cross-sectional design. The study sample consisted of 72 respondents selected using a probability sampling technique. Data were collected through questionnaires and analyzed using the Chi-Square test. The results showed a p-value of 0.000 (<0.05), indicating a significant relationship between genetic factors (family history) and the incidence of hypertension among the elderly. These findings emphasize that genetic predisposition plays an important role in increasing the risk of hypertension; therefore, preventive and management efforts for hypertension among the elderly should consider hereditary aspects as part of community health intervention strategies.