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Edukasi Pertolongan Gawat Darurat Cedera Ekstremitas Atas Dengan Teknik Balut Bidai Terhadap Pengetahuan Remaja Di MA Al-Ittihadiyah Pangkalan Masyhur Medan Huwaina Af’idah; Erita Gustina; Endang Roswati Simamora; Erica L. Nababan; Halasan L. Simamora
Sevaka : Hasil Kegiatan Layanan Masyarakat Vol. 3 No. 2 (2025): Mei : Sevaka : Hasil Kegiatan Layanan Masyarakat 
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/sevaka.v3i2.465

Abstract

The increase in mortality rates, caused by traffic accidents, usually occurs partly because Indonesians do not know how to provide proper first aid when victims are found (Ferianto, 2023). Injuries to the musculoskeletal system must be treated quickly and appropriately, because if it is too late, it will cause the condition of the injury to worsen and cause bleeding. The purpose of this study was to determine the effect of education on emergency assistance for upper extremity injuries with splinting techniques on adolescent knowledge. This research method uses a quantitative design using pretest and posttest questionnaires. The administration of pre-test and post-test questionnaires is according to the number of participants who participated in the education. The number of samples obtained in this study was 40 people with the target of MA adolescents with an age range of 15-17 years. This study was conducted on July 25, 2025, at MA Al-Ittihadiyah Pangkalan Masyhur Medan. The results of this study showed a significant difference between the level of knowledge before (pre-test) and after (post-test). Conclusion: The results of this study indicate that there is an effect of emergency aid education for upper extremity injuries using splinting techniques on the knowledge of adolescents at MA Al-Ittihadiyah Pangkalan Masyhur Medan.
Implementasi Teknik Pernafasan Pursed Lips Breathing Dengan Teknik Tripoid Position Untuk Meningkatkan Saturasi Oksigen Pada Pasien Ppok Di Rumah Sakit TK II Putri Hijau Medan Azmi Ihsan; Huwaina Af’idah; Erita Gustina
Jurnal Praba : Jurnal Rumpun Kesehatan Umum Vol. 3 No. 3 (2025): September : Jurnal Praba : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/praba.v3i3.532

Abstract

Chronic Obstructive Pulmonary Disease (COPD) is one of the leading causes of morbidity and mortality worldwide. One of the most common symptoms in COPD patients is shortness of breath. If this symptom persists, it can worsen the patient's condition, starting with decreased oxygen saturation (SpO2) and increased respiratory rate (RR), potentially leading to death depending on its severity. Therefore, management is required both pharmacologically and non-pharmacologically. Techniques such as pursed-lips breathing (PLB) and the tripod position have been proven to help improve breathing in COPD patients. This study aimed to implement PLB combined with the tripod position to improve oxygen saturation in COPD patients. The research employed a descriptive design using a case study approach on two patients hospitalized at TK II Putri Hijau Hospital Medan. The intervention was carried out over three days, three times per day, for 15-30 minutes each session. The results showed that on the first day, both cases had an oxygen saturation of 95%; on the second day, it increased to 97%; and on the third day, it further increased to 99%. Both patients demonstrated reduced use of accessory respiratory muscles, more effective respiratory rates, and improved oxygen saturation. These findings indicate that the combination of pursed-lips breathing and the tripod position effectively improves oxygen saturation in COPD patients. This study also suggests that these techniques can serve as recommended non-invasive nursing interventions in healthcare settings.
Implementasi Terapi Guided Imagery Untuk Penurunan Skala Nyeri Post Sectio Caesarea Di Rumah Sakit TK.II Putri Hijau Medan Aisyah Nurhidayah; Huwaina Af’idah; Erita Gustina
Jurnal Praba : Jurnal Rumpun Kesehatan Umum Vol. 3 No. 3 (2025): September : Jurnal Praba : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/praba.v3i3.553

Abstract

Labor is the process of expelling the products of conception, namely the fetus and placenta, after reaching full term and being viable in the womb. There are two types of delivery: normal delivery and caesarean section (SC). Caesarean section (SC) is a surgical procedure performed through an incision in the uterine wall to deliver the fetus. Caesarean delivery is indicate in cases of cephalopelvic disproportion, breech or transverse fetal position, fetal weight exceeding 4,000 grams, or maternal health conditions that may endanger the mother and fetus. One of the common complications following caesarean delivery is pain. Pain is an unpleasant sensory and emotional experience associated with actual or potential tissue damage. An intervention that can be applied to reduce post SC pain is Guided Imagery Therapy. Guided imagery therapy is a non-pharmacological intervention aimed at reducing and controlling pain by creating pleasant and relacing thoughts, focusing on breathing, and visualizing positive scenarios. This study employed a descriptive case study design using the nursing process from assessment to evaluation. The study was conducted on two patients with moderate pain (pain scale 4-6) after SC at TK II Putri Hijau Hosiptal Medan. The results showed that after the application of guided imagery therapy for three days with a duration of 40 minutes per session, pain levels decreased to mild (pain scale 1-3). In ptient I, pain decreased from a score of 5 to 3, an in patient 2, from a score of 6 to 3. In conclusion, guided imagery therapy was successfully applied in reducing post -SC pain levels and can serve as a reference for further research on pain reduction following caesarean section.