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Pengaruh Pelatihan Balut Bidai Terhadap Kemampuan Penatalaksanaan Cedera Ekstremitas Atas Pada Remaja Di MA Al-Ittihadiyah Pangkalan Masyhur Medan Huwaina Af’idah
VitaMedica : Jurnal Rumpun Kesehatan Umum Vol. 3 No. 2 (2025): April : VitaMedica : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/vitamedica.v3i2.466

Abstract

Splinting training aims to improve everyone's ability to perform emergency care. The purpose of this study was to analyze the extent to which splinting training influences the ability to manage upper extremity injuries in adolescents using the splinting simulation method. This study was a quantitative study using a one-group pretest-posttest design with a sample of 40 adolescent medical students using a purposive sampling approach. Data were analyzed using the T-test. The results of this study showed that there was a significant difference in the skill level of the simulation group between pre and post (p <0.005). So it was concluded that splinting training using direct simulation can improve the ability to manage upper extremity injuries. Therefore, it is hoped that training using this simulation method can be used for all topics, learning types, and every domain; cognitive, affective, psychomotor and interpersonal.
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 MASSAGE  EFFLEURAGE  UNTUK MENURUNKAN SKALA NYERI PUNGGUNG PADA IBU HAMIL TRIMESTER III DI POLI OBGYN RUMAH SAKIT TK II PUTRI HIJAU MEDAN Gustina, Erita; Atsnia, Atsnia; Af’idah, Huwaina
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.v2i8.1651

Abstract

Pregnancy causes various physiological changes, including in the musculoskeletal system, which often trigger complaints of back pain, particularly in the third trimester. This pain can interfere with the comfort and quality of life of pregnant women. One non-pharmacological intervention that can be used to reduce pain is effleurage massage therapy. This study aims to implement the therapy to reduce the back pain scale in third-trimester pregnant women at the Obstetrics and Gynecology Clinic of Tk II Putri Hijau Hospital, Medan. The research method used is a descriptive case study on two patients, using a maternity nursing care approach from assessment to evaluation. Inclusion criteria included third-trimester pregnant women (28–40 weeks) who are primigravida, experiencing back pain, and not having any comorbidities or obstetric complications. The intervention was carried out for three consecutive days, each session lasting 15 minutes, with evaluation using the Numeric Rating Scale (NRS). The results showed a decrease in pain levels from moderate (6 and 5) to mild (2 and 1). In conclusion, effleurage massage is effective in reducing back pain in third-trimester pregnant women. This study is expected to serve as a reference for future research to further explore the effectiveness of this therapy more broadly and measurably.
Pengenalan dan Pencegahan Penyakit Paru Obstruktif Kronis (PPOK) pada Tingkat Remaja di MTSN 1 Medan Huwaina Af’idah; Ade Risma; Juhri Panjaitan; Nazli Ba’iah; Feby Ayu; Yasmin Novithaharah Suprianto
Sevaka : Hasil Kegiatan Layanan Masyarakat Vol. 2 No. 2 (2024): 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.v2i2.84

Abstract

Chronic Obstructive Pulmonary Disease (COPD) is a chronic disease that is a global health problem, including among teenagers. The increase in COPD cases in teenagers is also influenced by changes in modern lifestyle, such as exposure to cigarette smoke, air pollution and other unhealthy habits. Insufficient knowledge about the risks of smoking and exposure to air pollutants as well as a lack of awareness of the importance of maintaining lung health have led to an increase in the incidence of this disease at a young age. The aim of this research is to increase teenagers’ understanding of Chronic Obstructive Pulmonary Disease and its prevention, so that they can understand and be able to carry it out in their daily activities. This research method uses a quantitative design using pre-test and post-test questionnaires. Providing pre-test and post-test questionnaires, according to the number of participants who took part in the outreach on the Introduction and Prevention of COPD. This research was conducted in April 2024 at MTsN 1 Medan with 31 respondents. The results of this socialization showed that there was an increase in the knowledge of MTsN 1 Medan students by >80.65% after being given presentation material by the PKM team. The conclusions and suggestions given are to improve health education, healthy lifestyles, early detection, and appropriate intervention to prevent the development of chronic obstructive pulmonary disease (COPD) in adolescents.
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.
Pemahaman Akan Dampak Kelainan Seksual Pada Remaja Di SMK Gelora Jaya Nusantara Tuntungan Huwaina Af’idah; Adelia Mazidah Lubis; Muhammad Amru Siddiq; Amelia Fernanda; Jusmaini; Meyliesa Raudhatusshofie
Jurnal Pengabdian Masyarakat Mandira Cendikia Vol. 3 No. 1 (2024)
Publisher : YAYASAN PENDIDIKAN MANDIRA CENDIKIA

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Kelainan seksual pada remaja merupakan perhatian yang signifikan, terutama di lingkungan pendidikan seperti SMK Gelora Jaya Nusantara Tuntungan. Remaja menghadapi berbagai tantangan dalam menghadapi perkembangan seksual mereka. Penelitian ini bertujuan untuk memberikan gambaran teoritis mengenai kelainan seksual pada remaja, menyoroti bentuk kelainan seksual, penyebabnya, dan dampaknya. Meningkatkan pemahaman siswa tentang kelainan seksual pada remaja, memberikan panduan untuk mencegah dan mengatasi kelainan seksual, serta menciptakan lingkungan yang aman untuk berdiskusi tentang isu-isu kelainan seksual. Penelitian ini melakukan intervensi edukatif kualitatif di SMK Gelora Jaya Nusantara Tuntungan pada tanggal 26 Oktober 2023. Intervensi melibatkan ceramah dan sesi tanya jawab interaktif untuk memperdalam pemahaman siswa tentang kelainan seksual. Intervensi edukatif berhasil meningkatkan pemahaman siswa tentang berbagai kelainan seksual pada remaja, penyebabnya, dan metode pencegahannya. Ini memfasilitasi partisipasi aktif, meningkatkan kesadaran, dan meningkatkan komunikasi. Intervensi ini memiliki potensi untuk mengurangi risiko kelainan seksual, mengurangi stigma, dan menyebarkan pengetahuan ke masyarakat lebih luas. Penelitian ini menyimpulkan bahwa intervensi edukatif mencapai tujuannya, meningkatkan kesadaran dan pemahaman siswa tentang kelainan seksual pada remaja. Untuk menjaga pendekatan edukasi yang efektif, disarankan untuk melakukan perbaikan dalam perencanaan dan koordinasi untuk intervensi di masa depan.
ASUHAN  KEPERAWATAN  SOCIAL  SKILL  TRAINING  PADA PASIEN ISOLASI SOSIAL MENARIK DIRI DI RUMAH SAKIT JIWA Prof. DR. MUHAMMAD ILDREM  MEDAN Nababan, Erica Lasmauli; Gustina, Erita; Af’idah, Huwaina
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.v2i12.2014

Abstract

ABSTRACT Mental disorders are syndromes characterized by patterns of individual behavior associated with distress symptoms affecting one or more essential human functions- psychological, behavioral, and biological. These disorders are not only marked by fundamental disturbances in thought and perception but also by abnormal or blunted affect. Social isolation and withdrawal is a condition in which an individual has difficulty or is unable to interact with others, leading to feelings of neglect, rejection, loneliness, and difficulty establishing communication. An intervention that can be applied to address this issue is Social Skills Training (SST), a structured learning process aimed at improving communication skills in individuals with mental disorders to enhance social interaction and identify interpersonal problems. This descriptive case study design was conducted through a psychiatric nursing process from assessment to evaluation on two patients diagnosed with social isolation and withdrawal at Prof. Dr. Muhammad Ildrem Mental Hospital, Medan. The results showed that after implementing Social Skills Training (SST) using SP1 to SPS strategies over three days (08.00 to 18.00 WIB, six sessions), both respondents successfully improved their ability to communicate and interact effectively. The conclusion and recommendation indicate that Social Skills Training (SST) with five strategies was effectively implemented and improved communication skills as well as social engagement. This study suggests that SST can serve as a reference for future research in psychiatric nursing care for patients experiencing social isolation and withdrawal. ABSTRAK Gangguan jiwa merupakan sindrom dari pola perilaku individu yang dihubungkan dengan suatu gejala distres pada satu atau lebih fungsi penting manusia, yaitu fungsi psikologis, perilaku, dan biologis, dan gangguan ini tidak hanya ditandai oleh penyimpangan yang mendasar dari pikiran dan presepsi, serta adanya efek yang tidak wajar atau tumpul. Isolasi sosial menarik diri merupakan kondisi dimana seseorang mengalami  kesulitan atau tidak dapat berinteraksi dengan orang di sekitarnya, klien dengan masalah ini merasa diabaikan, tidak diterima, merasa kesepian, dan kesulitan dalam menjalin komunikasi dengan orang lain. Intervensi yang dapat diterapkan untuk mengatasi masalah ini adalah terapi Social Skiil Training (SST) yaitu suatu  proses pembelajaran terencana untuk meningkatkan keterampilan komunikasi individu dengan gangguan mental dalam berinteraksi secara sosial, mampu mengenali masalah dalam hubungan interpersonal. Desain penelitian deskriptif dengan jenis  studi kasus melalui proses keperawatan jiwa dari pengkajian sampai dengan evaluasi. Dilakukan pada 2 pasien dengan diagnosa yang sama isolasi sosial menarik diri di Rumah Sakit Jiwa Prof.DR. Muhammad Ildrem Medan. Hasil penelitian setelah dilakukan penerapan terapi Social Skill Training (SST) dengan SP 1 sampai  SP 5  selama 3 hari mulai dari jam 08.00 Wib sampai 18.00 Wib dengan 6 kali pertemuan didapatkan kedua responden berhasil, Dimana pasien mampu meningkatkan komunikasi dan  berinteraksi dengan baik. Kesimpulan dan saran Social Skill Training (SST) dengan 5 strategi berhasil diterapkan dan menunjukkan efektivitas dalam meningkatkan kemampuan komunikasi serta keterlibatan sosial. Saran penelitian diharapkan  dapat menjadi acuan dalam melakukan penelitian lanjutan pada kasus keperawatan jiwa dengan isolasi sosial menarik diri dengan menggunakan terapi social skill training (SST).
IMPLEMENTASI KEPERAWATAN TERAPI OKUPASI AKTIVITAS WAKTU LUANG PADA PASIEN HALUSINASI PENDENGARAN DI RUMAH SAKIT JIWA PROF.DR.MUHAMMAD ILDREM MEDAN Rawati, Siti; Gustina, Erita; Af’idah, Huwaina
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.v2i12.2022

Abstract

ABSTRACT Mental health is a form of professional service that is an integral part of healthcare services, applying theories of human behavior as its science and the therapeutic use of self as its technique. Auditory hallucinations are one of the most common perceptual disturbances experienced by patients with mental disorders, in which patients hear unreal sounds that cannot be perceived by others. This symptom can trigger risky behaviors such as aggression, social withdrawal, and impaired social functioning. One of the nursing interventions that can be used to reduce the intensity of hallucinations is occupational therapy, particularly through leisure-time activities. This study aims to examine the effectiveness of implementing leisure-time occupational therapy in reducing auditory hallucination symptoms in patients at Prof. Dr. Muhammad Ildrem Mental Hospital, Medan. Occupational therapy is a form of supportive psychotherapy involving activities that foster independence in a manual, creative, and educational manner to adapt to the environment and improve the patient's physical and mental health status, as well as their sense of life purpose. The research method used is a case study involving two patients diagnosed with sensory perception disturbances: auditory hallucinations. The nursing care process included assessment, diagnosis, intervention, implementation, and evaluation. Leisure-time occupational therapy activities included sweeping and tidying up the bed, conducted over three days in six sessions. The results showed a decrease in hallucination frequency in both patients after they were able to carry out the activities independently and in a scheduled manner. Conclusion and recommendation: Leisure-time occupational therapy is an effective nursing intervention for managing auditory hallucinations. It is expected that this study can serve as a reference for future research on mental health nursing cases involving auditory hallucinations using leisure-time occupational therapy. ABSTRAK Kesehatan jiwa adalah bentuk pelayanan profesional yang merupakan bagian integral dari pelayanan kesehatan, menerapkan teori perilaku manusia sebagai ilmunya dan penggunaan diri sendiri secara terapeutik sebagai kiatnya. halusinasi pendengaran merupakan salah satu gangguan persepsi yang sering dialami oleh pasien dengan gangguan jiwa, di mana pasien mendengar suara-suara yang tidak nyata dan tidak dapat didengar oleh orang lain. Gejala ini dapat memicu perilaku berisiko seperti kekerasan, penarikan diri, hingga gangguan fungsi sosial. Salah satu intervensi keperawatan yang dapat digunakan untuk mengurangi intensitas halusinasi adalah terapi okupasi,salah satunya adalah aktivitas waktu luang. Penelitian ini bertujuan untuk mengetahui efektivitas implementasi terapi okupasi aktivitas waktu luang dalam menurunkan gejala halusinasi pendengaran pada pasien di Rumah Sakit Jiwa Prof. Dr. Muhammad Ildrem Medan. Terapi okupasi merupakan salah satu bentuk psikoterapi suportif berupa aktivitas yang membangkitkan kemandirian secara manual, kreatif dan edukatif untuk beradaptasi dengan lingkungan dan meningkatkan derajat kesehatan fisik dan mental pasien serta makna hidup tentang terapi okupasi berpengaruh pada perubahan gejala halusinasi. Metode penelitian yang digunakan adalah studi kasus pada dua pasien dengan diagnosis gangguan persepsi sensori: halusinasi pendengaran. Asuhan keperawatan yang dilakukan meliputi pengkajian hingga evaluasi. Kegiatan terapi okupasi aktivitas waktu luang antara lain menyapu, merapikan tempat tidur. proses terapi ini dilakukan selama tiga hari dalam enam kali pertemuan . Hasil penelitian terapi okupasi pada kedua pasien terjadinya penurunan frekuensi halusinasi setelah pasien mampu melakukan kegitan secara mandiri dan terjadwal. Kesimpulan dan saran : terapi okupasi aktivitas waktu luang merupakan intervensi keperawatan yang efektif dalam menangani halusinasi pendengaran. Diharapkan penelitian ini dapat menjadi acuan dalam melakukan penelitian lanjutan pada kasus keperawatan jiwa dengan halusinasi pendengaran menggunakan terapi okupasi aktivitas waktu luang.
Pengabdian Kepada Masyarakat Cerdas Mengenal Dan Mencegah Penyakit Menular Pada Sistem Pernapasan (TBC) Dari Segi Epidemiologi Di Kalangan Remaja Huwaina Af’idah; Soeharto; Nofi Susanti; Andini Br Sembiring; Bela Wahyuni Manurung
Sevaka : Hasil Kegiatan Layanan Masyarakat Vol. 3 No. 4 (2025): November : Sevaka : Hasil Kegiatan Layanan Masyarakat
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/sevaka.v3i4.636

Abstract

Tuberculosis (TB) is a contagious disease of the respiratory system that remains a global public health problem, including in Indonesia, with high incidence rates among adolescents due to intense social activities and interactions. This community service activity aims to increase adolescents' knowledge about TB from an epidemiological perspective, including modes of transmission, symptoms, risk factors, and prevention efforts as an airborne disease. The method used was a quasi-experimental approach with a two-group pretest-posttest design, through health education provided to 149 adolescents aged 15–17 years at Darussalam High School in Medan. Data collection was conducted using questionnaires to assess the level of knowledge before and after the educational intervention. The results of the activity showed a significant increase in the level of knowledge after the education was provided, where the percentage of respondents in the high knowledge category increased from 82% in the pre-test to 93% in the post-test, accompanied by a decrease in the sufficient and low knowledge categories. This study shows that community service activities through health education have a significant effect on increasing adolescents' knowledge about tuberculosis. Health education has been proven to be effective as a promotional and preventive measure, so it needs to be implemented continuously to prevent the transmission