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Jurnal Riset Hesti Medan Akper Kesdam I/BB Medan
Published by Akper Kesdam Bukit Barisan Medan
ISSN : 25279548     EISSN : 26150441     DOI : -
Core Subject : Health, Social,
Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences
Jurnal Riset Hesti Medan Akper Kesdam I/BB Medan (JURHESTI) merupakan jurnal yang berisi tentang penelitian-penelitian dari para dosen atau staf pengajar dan para akademisi yang tertarik meneliti dan memberikan ilmu tentang keperawatan, kesehatan dan ilmu psikologi keperawatan yang membahas mengenai penelitian-penelitian terbarukan di dunia keperawatan, kesehatan, kebidanan, dan psikologi keperawatan.
Arjuna Subject : -
Articles 220 Documents
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Teknik Assertiveness Training dalam Penurunan Perilaku Kekerasan pada Pasien Skizoprenia di RS. Jiwa Prof. Dr. Muhammad Ildrem Medan Purwaningsih Purwaningsih; Ade Irma Khairani; Tio Elisa Marlina Lubis
Jurnal Riset Hesti Medan Vol 6, No 1 (2021)
Publisher : Akademi Keperawatan Kesdam I/Bukit Barisan Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34008/jurhesti.v6i1.236

Abstract

Violent behavior is a form of aggressive or violent behavior that is shown verbally, physically or both to an object, other person or self that leads to the potential to be destructive or actively causes pain, danger and suffering. Assertiveness training is the application of behavioral training with the aim of assisting individuals in developing direct ways of relating in interpersonal situations. The increasing number of schizophrenic mental patients with violent behavior will have an impact on families and communities in the form of an economic burden and a decreased quality of life in carrying out daily activities. Qualitative research with assertiveness training technique is carried out as an application of behavioral training with the aim of helping individuals develop ways of direct contact in interpersonal situations. Based on the stages of applying assertive training techniques through group guidance, it shows that there is an increase in the patient's ability to express every problem he is facing. So it can be concluded that the implementation of assertive training techniques in revealing real patient problems through group activity guidance in hospitals. Hospital of Prof. Dr. Muhammad Ildrem Medan there have been developments and improvements.Violent behavior is a form of aggressive or violent behavior that is shown verbally, physically or both to an object, other person or self that leads to the potential to be destructive or actively causes pain, danger and suffering. Assertiveness training is the application of behavioral training with the aim of assisting individuals in developing direct ways of relating in interpersonal situations. The increasing number of schizophrenic mental patients with violent behavior will have an impact on families and communities in the form of an economic burden and a decreased quality of life in carrying out daily activities. Qualitative research with assertiveness training technique is carried out as an application of behavioral training with the aim of helping individuals develop ways of direct contact in interpersonal situations. Based on the stages of applying assertive training techniques through group guidance, it shows that there is an increase in the patient's ability to express every problem he is facing. So it can be concluded that the implementation of assertive training techniques in revealing real patient problems through group activity guidance in hospitals. Hospital of Prof. Dr. Muhammad Ildrem Medan there have been developments and improvements.
Efektivitas Metode 5 S terhadap Respon Nyeri pada Bayi Usia 2-6 Bulan saat Imunisasi Pentavalen Dewi Astuti Pasaribu; Septian Mixrova Sebayang
Jurnal Riset Hesti Medan Vol 6, No 1 (2021)
Publisher : Akademi Keperawatan Kesdam I/Bukit Barisan Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34008/jurhesti.v6i1.225

Abstract

Pentavalent immunization is an immunization developed from a combination of vaccines so that there are eight antigens that can be given to children, namely Hepatitis B, BCG, Oral Polio, Diphtheria, Pertussis, Tetanus, Hib and Measles. The act of immunization can cause pain in babies, so that the baby becomes fussy. The aim of this study is to determine the effectiveness of the 5 S Method (Swaddling, Side / Stomach Position, Shushing, Swinging, Sucking) on Pain Response in Infants aged 2-6 Months during Immunization. Pentavalent. The design of this research is experimental research with the design of Post Test Only Control Group Design. The total sample in this study was 36 babies. This research was conducted at Puskesmas Bestari, Medan. Sampling using consecutive sampling. Collecting data using a FLACC scale questionnaire. Data analysis using paired t-test. The results showed that the effect of the 5S method on the pain response of infants aged 2-6 months during pentavalent immunization was shown by the statistical t-test with p = 0.007 and significantly reduced the pain response of infants at 15 seconds, second. 30, 45 seconds, and can reduce the length of crying babies after injection of pentavalent immunization. The results of this study are expected that nurses can use the 5 S method in relieving the pain response and the duration of crying in infants during immunization or when inserting sharp objects into the baby's body.
Pemenuhan Kebutuhan Oksigenasi Pasien Asthma Bronchiale dengan Teknik Relaksasi Batuk Efektif Nurleli Nurleli; Ainayya Afninda Utami; Erita Gustina; Suvi Novida
Jurnal Riset Hesti Medan Vol 6, No 2 (2021)
Publisher : Akademi Keperawatan Kesdam I/Bukit Barisan Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34008/jurhesti.v6i2.250

Abstract

Bronchial asthma is a disease of respiratory tract obstruction caused by muscle contraction, inflammation, and accumulation of secretions around the bronchi. Meeting the need for oxygenation is part of the management of asthmatic bronchial patients. This case study aims to describe the fulfillment of oxygenation needs. The case study method uses a descriptive design with a nursing care approach in the same two cases, namely respondents with bronchial asthma. The case study was conducted at the Putri Hijau Kindergarten II Hospital from October to December 2018. The data collection method was through interviews, physical examinations, supporting examinations, using the assessment format as an instrument in data collection. After intervention with effective cough relaxation techniques as well as collaboration in the administration of drug and oxygen therapy, during four days of treatment, both respondents were able to meet their oxygenation needs optimally. It was concluded that the intervention had an effect on the effectiveness of airway clearance so as to eliminate shortness of breath, based on this study, it is hoped that it can be applied by health workforce.
Efektivitas Daun Seledri terhadap Penurunan Tekanan Darah pada Penderita Hipertensi di Puskesmas Pembantu Berngam Kota Binjai Tahun 2021 Irma Handayani; Sri Wahyuni
Jurnal Riset Hesti Medan Vol 6, No 2 (2021)
Publisher : Akademi Keperawatan Kesdam I/Bukit Barisan Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34008/jurhesti.v6i2.241

Abstract

Hypertension is an increase in blood pressure by providing further symptoms to a target organ including stroke (in the brain), coronary heart disease (in the heart blood vessels) and right ventricular hypertrophy or left ventricular hypertrophy (for the heart muscle). The target organ in the brain is in the form of stroke, hypertension is the main cause of stroke which brings high mortality. Management of hypertension can be managed with non-pharmacological measures such as giving celery leaves. The purpose of the study was to analyze the effectiveness of giving celery leaves to reduce blood pressure in patients with hypertension at the Pembantu Berngam Health Center, Binjai City in 2021. This type of research was a quasi-experimental design with a pretest-posttest control group design with one type of treatment. This study uses an intervention that is giving celery leaves by boiling. The intervention was given once in the morning by giving 100 grams of boiled celery for 5 days. The number of samples of 30 respondents with 15 people as the control group and 15 people in the intervention group were taken by accidental sampling. The results of the average blood pressure before and after giving boiled celery in the treatment group with systolic blood pressure p-value is 0.00, diastolic blood pressure p-value is 0.00. The results of statistical tests using the Wilcoxon test for both systolic and distolic pressure in the group not given celery were tilapia p-value > 0.05, namely systolic pressure p-value 0.07 and distolic p-value 0.05. The results of the Mann Whitney U statistical test analysis for systolic and distolic blood pressure obtained a p-value of 0.047 and a diastolic pressure p-value of 0.01 or a p-value <0.05, which means that there is an effectiveness of giving celery leaves in reducing blood pressure in hypertensive patients at the Berngam Binjai sub-health center. It is hoped that health workers will be able to apply complementary therapy to patients with hypertension in maintaining and lowering blood pressure.
Manajemen Sumber Daya Perawat Gawat Darurat pada Masa Pandemi COVID-19 di Ruang Instalasi Gawat Darurat Rumah Sakit Tipe C Medan Reni Asmara Ariga; Ritha F. Dalimunthe
Jurnal Riset Hesti Medan Vol 6, No 1 (2021)
Publisher : Akademi Keperawatan Kesdam I/Bukit Barisan Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34008/jurhesti.v6i1.232

Abstract

The increase of COVID-19 patients led to an increase in the referral hospitals needed. The referral hospital must have eligibility. The quality of a hospital was determined by the services provided and human resources, there are nurse resources. Effective management was needed in dealing with COVID-19 patients. The purpose of this research to identify the implementation of emergency nurse resource management during a pandemic. The design of this research was quantitative descriptive with a cross-sectional approach which was implemented at Type C Hospital Medan City in March 2021. This research using a total sampling technique, there are 24 respondents. This research used a nurse resource management questionnaire which consists of seven aspects in google form which contains closed and open questions. Data was carried out by descriptive statistical analysis using computer applications. The majority of emergency nurses' resource management aspects in the Emergency Room of Type C Hospital in Medan are not good. Of the seven aspects of assessment, 35% of nurses said it was good, the remaining 65% of nurses said it was not good. Based on the range of satisfaction, the results showed that the management of emergency nurse resources at the Type C Hospital in Medan was not satisfactory. The conclusion is the management of emergency nurse resources was needed because it's effective in handling patients during the COVID-19 pandemic and improving the quality of nurses as a human resource owned by the hospital. Good and quality human resources can increase the competitive value of the hospital.
Perbandingan Model Asuhan Keperawatan Profesional Tim dengan Primary Nursing dalam Peningkatan Kualitas Asuhan Keperawatan di Rumah Sakit Kota Medan Hendry Kiswanto Mendrofa; Muhammad Taufik Daniel Hasibuan
Jurnal Riset Hesti Medan Vol 6, No 2 (2021)
Publisher : Akademi Keperawatan Kesdam I/Bukit Barisan Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34008/jurhesti.v6i2.246

Abstract

The development of science and technology that continues to progress, especially in the health sector requires changes in terms of service so that in providing more professional services in hospitals, nursing care must be of high quality. Nursing Law Number 38 of 2014 Article 3B states that nursing arrangements aim to improve the quality of nursing services, therefore the provision of quality nursing services is important in today's health services. The model of professional nursing care is divided into several models, namely primary, team and case nursing. Based on the results of a survey of research journals, the researchers concluded that there was no research that compared the professional nursing care team model with primary nursing in improving the quality of nursing care. The purpose of this study was to identify the use of the professional nursing care team model with the primary nursing model in improving the quality of nursing care. This type of research is a quantitative research type with a comparative design. The population in this study were all patients at the Inpatient Hospital where the study was conducted. The sampling technique used was purposive sampling technique. Data collection on the quality of nursing care used a quality scale patient assessment instrument – the acute care version (PAQS-ACV). This instrument was developed to assess the quality of nursing care. Data analysis in this study used an independent t-test. normality test using the Kolmorogov-Smirnov test with a significance value (p > 0.05). The results showed that there was a significant difference between the quality of nursing care in the team group and the quality of nursing care in the primary nursing group where the value of sig (2-tailed) was 0.008 where > 0.05, the results also showed that based on the results of the frequency distribution test the quality of nursing care was using the team model and the primary nursing model has a high majority value of nursing care quality, but there is a difference in the average value (mean) where the quality of nursing care in the nursing care model group in the team method group is 144.86 and the quality of nursing care in the primary nursing model group is 155.83. These results indicate that the quality of nursing care with the primary nursing model has a higher quality of care value than the group nursing care model with the team method. Based on the results of this study, it is recommended that hospitals can apply a professional nursing practice model, especially the primary nursing model to further improve the quality of nursing care provided.
Faktor Risiko Kejadian Stunting pada Bayi 6-12 Bulan di Wilayah Kerja Puskesmas Air Dingin Kota Padang Sevilla Ukhtil Huvaid; Erni Maywita; Riska Delvi Kurnia
Jurnal Riset Hesti Medan Vol 6, No 1 (2021)
Publisher : Akademi Keperawatan Kesdam I/Bukit Barisan Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34008/jurhesti.v6i1.237

Abstract

According to the monitoring of nutritional status for toddlers in 2017, as many as 30.6% of toddlers in West Sumatra experienced stunting, which is a short combination (21.3%) and very short (9.3%) with an incidence in Padang city of 22 6%. DKK data, 2017 the prevalence of stunting in Padang City is 20.04% of the 22 Puskesmas in Padang City found the highest prevalence of stunting in Puskesmas Air Dingin is 57.14%. The purpose of this study was to determine the risk factors for stunting in infants aged 6-12 month in the working area of the Padang Air Cold Health Center in 2019. This type of research is an analytic survey with case control design. The time of the study was May-August 2019. The population was cases of mothers having infants aged 6-12 months who experienced stunting and control in normal infants in the working area of the Padang Air Cold Health Center with a ratio of 1: 1 ie 30 cases, 30 controls then the number of 60 study samples using a questionnaire. Cases and controls where the age and sex variables are maching variables. Univariate data analysis is displayed with a frequency distribution table and bivariate analysis using the chi-square test with significance, α = 0.05. The results showed 56.7% of babies had low birth weight, 55.0% of parents had good parenting, 50% of babies had a stunting event, there was a significant relationship between Low Birth Weight with stunting with p = 0.001, OR = 8 and there is a significant relationship between parenting with the incidence of stunting in infants 6-12 months in the Cold Water Puskesmas Work Area in Padang City in 2019 with p = 0.038 and OR = 3.5. It is expected that there is a proven relationship between Low Birth Weight and parental care with the occurrence of stunting in infants aged 6-12 months and to health workers at the Padang Air Cold Health Center in order to provide education about stunting and explain good parenting to prevent stunting in infants.
Efektivitas Hendrich Fall Scale (HFS) dan Morse Fall Scale (MFS) dengan Penilaian Risiko Jatuh pada Lansia Maita Sarah; Elyani Sembiring
Jurnal Riset Hesti Medan Vol 6, No 1 (2021)
Publisher : Akademi Keperawatan Kesdam I/Bukit Barisan Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34008/jurhesti.v6i1.226

Abstract

The goal of understanding fall risk in the elderly, prevention and protection is to improve clinical and care satisfaction. Another anticipatory method that can be used to predict falling conditions is the assessment of the risk of falling in the elderly. The Hendrich Fall Scale (HFS) and Morse Fall Scale (MFS) are a form of assessment to anticipate the risk of falling in the elderly in nursing homes for patients. The aim is to determine the effectiveness of the Hendrich Fall Scale and the Morse Fall Scale with an assessment of the Risk of Fall in the Elderly. The research design used in this study is a longitudinal comparative design. The total sample in this study was 40 elderly. This research was conducted at the Nursing Home Foundation Guna Budi Bakti Medan Labuhan. Data collection using the Hendrich Fall Scale and Morse Fall Scale. Data analysis using Chi Square. Fall risk assessment using the Hendrich Fall Scale (HFS), elderly people with a high risk of falling (25.0%), moderate risk of falling (65.0%). Fall risk assessment used the Morse Fall Scale (MFS), the elderly who had a high risk of falling (39.1%), moderate risk of falling (47.8%). It is recommended that seniors at risk of falling should be assessed using the MFS instrument.
Pengaruh Foot Massage dan Pergerakan Sendi Ekstremitas Bawah terhadap Nilai Ankle Brachial Index (ABI) pada Pasien DM Tipe 2 di Wilayah Kerja Puskesmas Peukan Baro, Kab. Pidie Isni Hijriana; Miniharianti Miniharianti
Jurnal Riset Hesti Medan Vol 6, No 2 (2021)
Publisher : Akademi Keperawatan Kesdam I/Bukit Barisan Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34008/jurhesti.v6i2.242

Abstract

Diabetes mellitus Type 2 (DM Type 2) is the risk factor for the incidence of vascular.  Diabetic neuropathy and/or peripheral arterial disease, are common and represent major causes of morbidity and  mortality in people with diabetes.  Physical  exercises is have been done to prevent from diabetes complication, and one of them is by foot massage and lower extremity joint movement. Measuring the value of ankle brachial index (ABI) is one of non-invasive actions to evaluate the risk for peripheral vascular in primary treatment. The objective of this research was to determine the influence of foot massage and  joint movement exercise on ABI value in DM Type 2 patients. The research used quasi experiment method with pretest-posttest group design and two intervention groups. The samples were 40 DM Type 2 patients, taken by using consecutive sampling technique. Intervention was given by conducting  foot massage and  lower extremity joint movement exercise. Wilcoxon Signed Ranks statistic test showed that there was the difference in pre and post intervention of foot massage and lower extremity joint movement from ABI value, for (p=0.00). The conclusion was that foot massage and lower extremity joint movement exercise could increase ABI value if it was done continuously. It could also increase blood flow to artery. This research could bean input for nursing care to make physical exercises such as foot massage and lower extremity joint movement as prevention from risk of longterm Complications in DM Type 2 patients.
Karakteristik Bayi Baru Lahir dari Ibu Terkonfirmasi COVID-19 Manggiasih Dwiayu Larasati; Titin Nurmaningsih
Jurnal Riset Hesti Medan Vol 6, No 1 (2021)
Publisher : Akademi Keperawatan Kesdam I/Bukit Barisan Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34008/jurhesti.v6i1.233

Abstract

Corona Virus Disease 2019 (COVID-19) is a pandemic that began in the city of Wuhan in December 2019 and spread rapidly globally and has not ended until now. The  COVID -19 infection is very deadly and no age is immune to the infection. Elderly people, pregnant women and newborns are the age group vulnerable to  COVID -19 infection. Studies conducted so far have not revealed anything about vertical transmission of  COVID -19 from mother to neonatus. The purpose of this study was to determine the characteristics of neonatus from mothers with confirmed  COVID -19. The research method uses a retrospective principle with a cross sectional approach, the number of samples is 59 newborns from mothers with confirmed  COVID -19. The results showed that there were only 4 babies (6.8%) who tested positive for mothers with confirmed  COVID -19. The characteristics of newborns from mothers with confirmed  COVID -19 are 31 neonatus (52.5%) are female, 46 neonatus (78%) have a normal weight between 2500-4000 grams, the majority of neonatus are born at a normal gestational age between 37-40 weeks, as many as 50 neonatus (84.7%) and most of them were born by cesarean section as many as 44 neonatus (74.6%). In general, newborns are able to adapt well, as indicated by the APGAR values in the first and fifth minutes including the normal category and no babies in the heavy category. However, almost all babies born to mothers with confirmed  COVID-19 were given formula milk, namely 58 neonatus (98.3%). Therefore, it is hoped that it can be taken into consideration for leaders at research sites and related to be able to facilitate exclusive breastfeeding for newborns from mothers with confirmed COVID-19 while still implementing health protocols and considering the clinical conditions of mothers and neonatus because until now there are no reports that prove that  COVID -19 can be transmitted through breastfeeding. The author also suggests that further research can be done to prove whether there is vertical transmission from mother to neonatus.

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