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Hubungan Pengetahuan dan Sikap Masyarakat tentang Penyakit Demam Berdarah Dengue (DBD) dengan Tindakan Pencegahan DBD di Wilayah Kerja UPTD Puskesmas Rami Nasution, Dian Permata; Napitu, Marolop Parlindungan; Purba, Yeni Trisna; Ginting, Isaharpika Br; Arianti, Imelda Putri
Jurnal Riset Hesti Medan Vol 10, No 1 (2025): Edisi Juni
Publisher : Akademi Keperawatan Kesdam I/Bukit Barisan Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34008/jurhesti.v10i1.351

Dengue Hemorrhagic Fever is an infectious disease caused by dengue virus that is transmitted by female mosquitoes from the species Aedes aegypti and Aedes albopictus. Asia Pacific bears 75% of the burden of dengue in the world between 2004 and 2010, while Indonesia is reported as the 2nd country with the largest dengue cases among 30 endemic regions. This study uses the Analytical Survey method, using a cross sectional study design and was carried out in Winangun I Village, Malalayang District. The population in this study were all households in Winangun I Village, Malalayang District, as many as 2085 households, with a sample of 100 respondents. This study uses a questionnaire, and data processing using SPSS. The results showed a significant relationship between knowledge (0.042) and attitude (p = 0.001) with DHF prevention measures in Winangun I Village, Malalayang District. Knowledge and attitude of the community are related to the prevention of dengue hemorrhagic fever in Winangun I Village, Malalayang District. It is hoped that the community can be more active in taking precautions with 3M and the Eradication of Mosquito Nest.

Proses Fisioterapi dan Peningkatan Pengetahuan tentang Fisioterapi pada Lansia di Raya Fujastawan, I Ngurah Gede Verar; Ginting, Isaharpika Br; Herawati, Noni; Damanik, Rodearni
Jurnal Riset Hesti Medan Vol 9, No 2 (2024): Edisi Desember
Publisher : Akademi Keperawatan Kesdam I/Bukit Barisan Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34008/jurhesti.v9i2.342

One of the vital components in human life is health, if a person's health is disturbed then the person's survival will not go well (Apta, 2011). Especially parents who naturally experience physical and psychological decline. Complaints appear along with these setbacks, such as joint and bone disorders which result in a decrease in the ability to carry out daily activities independently (Collins et al., 2019). This community service activity is carried out as an effort to introduce the science of physiotherapy to the general public through community service activities. counseling and free physiotherapy treatment aimed at parents and the elderly in Gunung Karang Village, Bobotsari District, Purbalingga Regency. This community service activity was held on December 11, 2022, attended by 78 participants. The counseling material includes an understanding of physiotherapy, an introduction to the types of physiotherapy services, and cases handled by physiotherapy. Prior to the extension activities, the participants first answered the questions contained in the pre-test questionnaire to determine the participants' level of knowledge of the material to be delivered. And as an evaluation material, an assessment of the participants' knowledge was also carried out after the counseling was carried out through a post-test questionnaire. Based on the results of the analysis above, there is a significant.

Pengaruh Perceptual-Motor Training terhadap Perubahan Kemampuan Koordinasi Mata, Tangan dan Kaki Anak Tunagrahita di SLB Pematangsiantar Fujastawan, I Ngurah Gede Verar; Ginting, Isaharpika Br; Herawati, Noni; Ritonga, Rizky Randa
Jurnal Riset Hesti Medan Vol 9, No 1 (2024): Edisi Juni
Publisher : Akademi Keperawatan Kesdam I/Bukit Barisan Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34008/jurhesti.v9i1.338

Background: Children with intellectual disabilities are children who have a lower intellectual level than normal children in their age, it causes intellectual disability children poor in child’s development that effect cognitive, motoric skill, social, and emotions. Mild intellectual disabilities are the largest population of various categories of intellectual disabilities. This study aims to determine the effect of Perceptual-Motor Training on eye, hand, and foot coordination skill of intellectual disability children in SLB Pematangsiantar. Method: This study uses a quasi-experimental design with the type of one group pretest and posttest. The subject of this study were mild intellectual disability children in aged 10-14 years old and able to communicate. The number of respondents was 17 children and attend Perceptual-Motor Training for 12 treatments in 4 weeks. Result: The results of this study after Shapiro Wilk normality test obtained normal distribution data (p >0.05), then carried out hypothesis testing using Paired T - Test and obtained a significant value p < 0.001 (p <0.05). The data analysis from pretest and post test showed that all respondent has an increase on motor coordination. Conclusion: Perceptual-Motor Training have a significant effect to improve eye, hand, and foot coordination skill of intellectual disabilities children in SLB Pematangsiantar.

Upaya Penambahan Thoracic Mobilization pada Mckenzie Exercise Lebih Baik dalam Menurunkan Disabilitas dan Meningkatan Mobilitas Fleksi Pinggang pada Nyeri Pinggang Diskogenik Ginting, Isaharpika Br; Purba, Yeni Trisna; Saragih, Febrina Sani
Jurnal Riset Hesti Medan Vol 9, No 2 (2024): Edisi Desember
Publisher : Akademi Keperawatan Kesdam I/Bukit Barisan Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34008/jurhesti.v9i2.343

This study aims to prove the addition of thoracic mobilization to McKenzie exercise interventions is better than McKenzie exercise against disability and waist mobility in dichogenic low back pain. This study was conducted on patients diagnosed with lumbar disogenic low back pain at the Cengkareng Regional General Hospital. Method: This study is quasi-experimental and uses purposive sampling techniques. It consists of 16 samples divided into two groups. The treatment group was given the addition of thoracic mobilization to the McKenzie exercise and the control group was given the addition of thoracic mobilization to the McKenzie exercise and the control group was given the McKenzie exercise only. Results: Shapiro Wilk-test normality test with p-value>α (0.05), Levene's homogeneity test with p-value> α (0.05). Independent t-test results showed significant differences in effects in both groups, namely a p=0.005 value for the disability scale and a p=0.019 value for the mobility scale (p<α(0.05)). Conclusion: The combination of thoracic mobilization and McKenzie exercise can lower disability and improve waist flexion mobility. McKenzie exercise can lower disability and improve waist flexion mobility. The addition of thoracic mobilization to McKenzie exercise is better at reducing disability and improving waist mobility than McKenzie exercise alone.

Reliabilitas Pengukuran Flexible Curve pada Kurva Thoracal di RS Efarina Berastagi Ginting, Isaharpika Br; Purba, Yeni Trisna; Sinaga, Fransius P.
Jurnal Riset Hesti Medan Vol 10, No 1 (2025): Edisi Juni
Publisher : Akademi Keperawatan Kesdam I/Bukit Barisan Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34008/jurhesti.v10i1.348

The sagittal plane curve in the thoracal region is one of the indicators for assessing the overall vertebral curve. Abnormalities in the sagittal plane have an impact not only on the vertebrae, but also posture. The measurement of sagittal plane curves should be carried out using measuring instruments that meet the psychometric aspects of the study. The purpose of this study is to determine the consistency or reliability of measurements using flexible curves. This type of research is to take repeated measurements by two physiotherapists. The sample in this study was 8 people who met the inclusion criteria. The reliability test results were carried out using intraclass correlation obtained a value of 0.847. The conclusion of this study is that there is a high reliability in the flexible curve to measure the thoracal curve.

Beda Efek Mirror Therapy dengan Proprioceptive Neuromuscular Facilitation dalam Meningkatakan Fungsional Anggota Gerak Atas pada Pasien Pascastroke di RS Efarina Pangakalan Kerinci Ginting, Isaharpika Br; Purba, Yeni Trisna; Tarigan, Bunga Shinta Pratiwi
Jurnal Riset Hesti Medan Vol 9, No 1 (2024): Edisi Juni
Publisher : Akademi Keperawatan Kesdam I/Bukit Barisan Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34008/jurhesti.v9i1.339

Objective: To determine the difference between Mirror Therapy (MT) and Propioceptive Neuromuscular Facilitation (PNF) in increasing the functional ability of the upper limb (AGA) in post-stroke patients. Method: This research is a quasi experiment. Measurement of the functional ability of AGA is measured using the Wolf Motor Function Test (WMFT). The sample consisted of 12 patients at the Jakarta Islamic Hospital. The sample group I consisted of 6 samples with MT intervention and group II consisted of 6 samples with PNF Results: measurements in group I before the intervention had a mean and standard deviation of 31.67± 13.983 and after the intervention it was obtained 33.50 ± 3.834. Whereas in group II the measurement before the intervention obtained a value of 33.33 ± 6.831 and after the intervention 37.83 ± 6.911. The Shapiro Wilk test showed normal distribution data, while Levene's test showed homogeneous variance. Hypothesis I test results with T-Test Related, obtained p <0.0001. In the second hypothesis test with T-Test Related, it was found that p <0.0001. Hypothesis III test with independent sample t-test shows p value <0.0001. Conclusion: There is a different effect between MT and PNF in AGA in post-stroke patients.

Exercise Therapy yang Berpengaruh Efektif terhadap Penurunan Nyeri dan Disabilitas Penderita Hernia Nucleus Pulposus Lumbal di RSUD Djasamen Saragih Fujastawan, I Ngurah Gede Verar; Ginting, Isaharpika Br; Herawati, Noni; Irwansyah, Ilham
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.v8i1.353

Patellar dislocation is a category of joint instability with a combined movement pattern of slight rotation accompanied by the impact on the valgus side. Various problems that arise include pain and spasm, knee instability, decreased ROM, and functional limitations. Exercise therapy in the form of active static stretching exercise, core exercise, and CKCE is estimated to improve functional ability by reducing pain and spasm, increasing knee stability, and increasing ROM. This study aimed to determine the effectiveness of exercise therapy on improving the functional ability of the knee. Methods: A single case study implementing a physiotherapy intervention on a 20-year-old woman with a right patellar dislocation. Static stretching exercises and CKCE were given twice per week, while core exercise was given three times a week. Each intervention was evaluated four times using various parameters. Pain intensity using VAS, ROM using Goniometer, and assessment of functional ability using Kujala and NPI scores. Results: There is a decrease in pain and an increase in ROM and functional ability using the Kujala and NPI Score. Results: There is a decrease in pain and an increase in ROM and functional ability using the Kujala and NPI Score. Conclusion: This study shows that stretching exercise, core exercise, and CKCE can improve the functional ability of the knee in the case of right patellar dislocation as measured using functional parameters.

Studi Kasus Hydrotherapy pada Cerebral Palsy Athetoid di RS Efarina Pematangsiantar Ginting, Isaharpika Br; Purba, Yeni Trisna; Arianti, Imelda Putri
Jurnal Riset Hesti Medan Vol 10, No 2 (2025): Edisi Desember
Publisher : Akademi Keperawatan Kesdam I/Bukit Barisan Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34008/jurhesti.v10i2.358

Dyskinetic /athetoid cerebral palsy is caused by damage to the basal ganglia of the brain. The basal ganglia are responsible for sending messages to the body to help coordinate and control movement. To determine the implementation of physiotherapy in increasing muscle strength, maintaining spasticity, functional ability, and standing balance in cases of spastic quadriplegy athetoid cerebral palsy using the Halliwick method of hydrotherapy as a modality. After 4 times therapy for spastic quadriplegy athetoid cerebral palsy, the results of the assessment on spasticity from T1 to T4 did not increase spasticity, muscle strength increased in the abductor hip from T2: 3 to T3: 4, flexor knee dextra T1: 3 to T4: 4, plantar flexor ankle dextra from T3: 3 to T3: 4. In gross motor skills increased from T1: 64.5% to T3: 65.8%, and from balance in standing static T1: 7 seconds, T2: 15 seconds, T3: 22 seconds, T4: 23 seconds, and balance in stepping is able to T1: 1 step to T2: 3. Improvement in GMFM motor functional abilities T1: 64.5% to 65.8% at T4, Increase in standing balance T1: 7 seconds at T4 to : 23 Seconds, on the ability to step T1 : 1 step at T4 to : 2 steps. Halliwick's hydrotherapy method can improve muscle strength, maintain spasticity, improve standing and walking balance abilities and improve motor functional abilities in cases of athetoid spastic quadriplegy cerebral palsy.

Faktor Risiko Hipertensi pada Usia 50 Sampai 70 Tahun di Wilayah Puskesmas Bahkapul Kota Pematangsiantar Nasution, Dian Permata; Napitu, Marolop Parlindungan; Purba, Yeni Trisna; Ginting, Isaharpika Br; Hendri, Hendri
Jurnal Riset Hesti Medan Vol 9, No 2 (2024): Edisi Desember
Publisher : Akademi Keperawatan Kesdam I/Bukit Barisan Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34008/jurhesti.v9i2.341

Hypertension is a global problem, and its prevalence continues to rise to alarming levels. This condition is often referred to as the “silent killer” because patients do not experience symptoms or complaints, so they are unaware that they have hypertension, and many people only find out after complications have already developed. Hypertension is the leading cause of death worldwide each year, particularly among the elderly. This is why the WHO has set one of its global targets for non-communicable diseases as reducing the prevalence of hypertension by 33% between 2010 and 2030 (WHO, 2023). Objective: This study aims to identify the factors influencing the risk of hypertension in the elderly. Methods: A systematic literature review was conducted. Studies were identified through searches on Google Scholar and PubMed for publications from 2019 to 2023 using the keywords “Factors,” “Hypertension,” and “Elderly.” A total of 16,100 results were found on Google Scholar and 959 on PubMed, with 10 journals meeting the eligibility criteria. Results: Based on the journal review, the incidence of hypertension can be influenced by several factors, such as age, genetics, gender, excessive salt and fat intake, obesity, stress, physical activity, smoking, and alcohol and coffee consumption. Conclusion: An individual is more likely to develop hypertension if there is a family history of the condition. Additionally, individuals over the age of 65 with conditions such as obesity and kidney disease are at higher risk of developing hypertension. Once diagnosed with hypertension, an individual must adopt a healthy lifestyle as part of the management of blood pressure control. We can control hypertension risk factors through a healthy diet and lifestyle, avoiding

Kekuatan Otot Ekstremitas Bawah Memiliki Pengaruh yang Signifikan terhadap Keseimbangan Dinamis pada Surfers di Pantai Labu Muliati, Muliati; Napitu, Marolop Parlindungan; Ginting, Isaharpika Br; Arianti, Melda Putri
Jurnal Riset Hesti Medan Vol 9, No 2 (2024): Edisi Desember
Publisher : Akademi Keperawatan Kesdam I/Bukit Barisan Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34008/jurhesti.v9i2.355

Surfing is one of the popular water sports that are popular in Bali, especially in Badung beach such as Kuta beach, Double six beach, Legian beach, and Uluwatu beach. People who played surfing called surfer and ride a surfboard, do manuever in order to stand and control the surfboard on the waves. Surfers need lower extremity muscle strength to maintain body balance on the surfboard. This is necessary to avoid the risk of injury of the body. This study aims to find out the relationship between lower extremity muscle strength and dynamic balance in surf players at Badung Beach. Study was analyzed by cross sectional analysis with the surfer population on Badung beach. A total of 35 samples were obtained to meet the inclusion riteris and exclusion criteria. The data was taken from the population on Kuta, Double Six, Legian, and Uluwatu beaches from July to September 2021 with a prepared formulir. The form consists of sample identity, measurement of lower extremity muscle strength with leg dynamometer and dynamic balance measurement with Y-Balance Test. This study showed the results of 35 samples that have been analyzed in surfers on Badung beach there is a relationship between lower extremity muscle strength and dynamic balance in surfers at Badung Beach with a P-value is 0.004. This study showed the relationship between lower extremity muscle strength and dynamic balance in surfers on Pantai Labu beach.

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