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Jurnal Keperawatan dan Fisioterapi (JKF)
Published by Institut Kesehatan Medistra Lubuk Pakam
ISSN : -     EISSN : 26550830     DOI : -
Core Subject : Education,
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Jurnal Keperawatan & Fisioterapi (JKF) terbit dua kali setahun, yakni periode Mei-Oktober, dan November- April tiap tahunnya. Jurnal ini memberikan ruang bagi akademisi, peneliti dan pengguna hasil penelitian dan pengabdian untuk mendiseminasikan, menginformasikan, mendiskusikan dan menggunakan hasil penelitian dan pengabdian sebagai upaya meningkatkan kualitas kebijakan dibidang keperawatan dan fisioterapi yang berbasis ilmiah dan dapat dipertanggung jawabkan. Jurnal ini menyajikan hasil penelitian, pengabdian masyarakat serta artikel ilmiah dibidang keperawatan dan fisioterapi. Artikel penelitian dan pengabdian masyarakat yang dimuat dalam jurnal ini merupakan topik penting dalam pengembangan ilmu pengetahuan di bidang keperawatan dan fisioterapi serta membantu pemecahan masalah seputar keperawatan dan fisioterapi.
Arjuna Subject : -
Articles 364 Documents
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The Influence Of Balloon Blowing Practice On Respiration Rate And Oxygen Saturation In Asthma Patients In Grandmed Hospital  Lubuk Pakam sitepu, Sari Desi Esta Ulina Sitepu; SIPAYUNG, SELAMAT TUAHTA; SITEPU, ABDI LESTARI; Raini Panjaitan
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 8 No. 2 (2026): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/a9p5rd68

Abstract

The illness known as asthma is typified by persistent inflammation of the airways involving  various types of mediators and inflammatory cells that are interrelated and cause changes in the shape and structure of the airways. One method of treating asthma is balloon blowing therapy. The aims of this study was to examine the effect of ballon blowing therapy on respiratory rete and oxygen saturation in asthma patients undergoing treatment at Grandmed Hospital, Lubuk Pakam. This quasi experimental study used one group pretest-posttest design. Data collection was conducted using purposive sampling. The baloon blowing exercise intervention was administered to 23 asthma sufferers undergoing reatment at Grandmed Hospital, Lubuk Pakam. Data collection was conducted using observation sheets and an intervention, namely ballon blowing, was administered to asthma patients undergoing treatment. Oxygen saturation and respiratory rate measurements were conducted twice : before and after the balloon blowing intervention. The results were recorded on the observation sheets. From the statistical test conducted using the paired test, the p value was 0,000 for the respiration rate and oxygen saturation values p < α (0,000 < 0,05). These results indicated that there was increase in oxygen saturation and better respiration rates in asthma patients undergoing treatment before and after balloon blowing intervention. It is hoped that patients suffering from asthma can do balloon blowing so that the oxygen saturation and respiration rates increase.  
The Effect of Scapular Stabilization and McKenzie Neck Exercise on Craniovertebral Angle in Adolescents Aged 13–15 Years with Forward Head Posture at SMP Muhammadiyah 16 Jehaman, Isidorus; Desy Fitriani Tanjung; Waode Riska Astuti Aini; Raynald Ignasius Ginting
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 8 No. 2 (2026): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/xm8yce13

Abstract

Body posture can be impaired when daily activities are performed in non-ergonomic positions, resulting in uneven load distribution throughout the body. One of the most common postural disorders found in adolescents is a forward-leaning head position, known as forward head posture. This condition can be corrected through appropriate exercises, such as scapular stabilization exercises, which aim to improve scapular positioning and enhance stability and alignment in the cervical region, as well as McKenzie neck exercises, which focus on correcting neck posture.This study aims to determine the effect of scapular stabilization exercises and McKenzie neck exercises on increasing the craniovertebral angle in adolescents aged 13–15 years with forward head posture at SMP Muhammadiyah 16 Lubuk Pakam in 2025. The study employed a quasi-experimental design using a one-group pre-test and post-test approach. The interventions were administered twice a week for four weeks, with a total of eight sessions. Measurements were conducted using a goniometer. The results showed that the mean craniovertebral angle before the intervention was 45.00 with a standard deviation of 1.414, and after the intervention, it increased to 47.43 with a standard deviation of 1.604. Data analysis using the paired sample t-test revealed a p-value of 0.000, which is smaller than α = 0.05, indicating a significant difference between pre- and post-intervention measurements. Therefore, it can be concluded that scapular stabilization exercises and McKenzie neck exercises have an effect on improving the craniovertebral angle in adolescents aged 13–15 years with forward head posture at SMP Muhammadiyah 16 Lubuk Pakam in 2025
The Effectiveness of PC6 Self-Acupressure on Nausea and Vomoting in Cancer Patients Undergoing Chemotherapy at Grandmed Hospital Lubuk Pakam Gultom, Cahaya Artha Anastasia; Siti Melda Lumbanraja; Widya Asa Tambunan; Lukman Sembiring, SKM, M.Kes
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 8 No. 2 (2026): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/2788yq51

Abstract

Background: Chemotherapy-induced nausea and vomiting are among the most common side effects experienced by cancer patients and significantly affect their quality of life. This study aimed to analyze the effectiveness of self-acupressure at the PC6 point in reducing the severity of nausea and vomiting among patients undergoing chemotherapy at Grandmed Hospital Lubuk Pakam. A randomized controlled trial with a pretest–posttest control group design was conducted, involving 66 participants who were randomly assigned into an intervention group and a control group, each consisting of 33 respondents. The severity of nausea and vomiting was measured using the Rhodes Index for Nausea, Vomiting, and Retching. The paired data significance test used was the dependent t-test, while the comparison between groups was analyzed using the independent t-test. The results show a significant reduction in nausea and vomiting scores in the intervention group after the application of self-acupressure at the PC6 point (p = 0.001), and there is a statistically significant difference between the intervention and control groups in posttest scores (p = 0.000). These findings indicate that self-acupressure at the PC6 point is effective in reducing chemotherapy-induced nausea and vomiting and contributes to improving patient comfort and overall quality of life during treatment.
Implementation of Online Patient Reservation Registration at Hospital Irmayani, Irmayani; Ginting, Rosita; Surya Darma; Dwi Handayani
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 8 No. 2 (2026): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/gctz8n88

Abstract

The development of information technology has encouraged digital transformation in healthcare services, including patient registration systems in hospitals. The implementation of online registration systems aims to improve service efficiency, reduce patient waiting times, and facilitate public access to healthcare services. Grandmed Hospital Lubuk Pakam has implemented an online patient registration system through the Mobile JKN application and the E-Reservation Grandmed system. However, the utilization of this system is still not optimal compared to direct registration at the hospital counter. This study aimed to analyze the implementation of the online patient reservation registration system at Grandmed Hospital Lubuk Pakam based on system quality, information quality, and service quality aspects. This study employed a qualitative approach using a case study design. Data were collected through in-depth interviews, observation, and documentation. The informants were selected using purposive sampling and consisted of three participants. The collected data were analyzed using qualitative analysis through the stages of data reduction, data presentation, and conclusion drawing. The results showed that the implementation of the online patient reservation registration system at Grandmed Hospital Lubuk Pakam has generally been well implemented. In terms of system quality, the use of the Mobile JKN application and E-Reservation Grandmed facilitates patient registration and helps reduce queues at the registration counter. Regarding information quality, the information provided by the system is relatively clear and easy for patients to understand, although real-time updates are not fully implemented. In terms of service quality, the online registration system improves service efficiency and provides convenience for patients in scheduling hospital visits. In conclusion, the implementation of the online patient reservation registration system at Grandmed Hospital Lubuk Pakam has a positive impact on improving healthcare service efficiency. Therefore, improving system stability, updating information regularly, and increasing patient education regarding the use of the online registration system are necessary to optimize its utilization.
Closed kinetic chain (CKC) Exercise In Knee Joint Rehabilitation: A Narrative Review Arista, I Gede Peri; Yasa, I Made Astika
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 8 No. 2 (2026): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/b9tpv488

Abstract

Musculoskeletal disorders of the knee joint are common health problems that can cause pain, decreased physical function, and limitations in daily activities. This study aimed to synthesize scientific evidence on the effectiveness of closed kinetic chain exercises on pain, physical function, balance, and mobility in musculoskeletal disorders, particularly in the knee joint. This study used a narrative review approach. Articles were obtained from the Scopus database within the 2020–2025 period using relevant keywords. The selection process was conducted based on PRISMA guidelines with predetermined inclusion and exclusion criteria, resulting in five eligible articles for further analysis. The methodological quality of the studies was assessed using the PEDro scale. The results show that closed kinetic chain exercises provide benefits in musculoskeletal rehabilitation, especially in knee joint disorders. These exercises reduce pain, improve muscle strength, enhance balance and postural stability, and increase physical function and mobility. The discussion indicates that these exercises support functional movement patterns and coordinated muscle activation, making them effective in improving joint stability. In conclusion, closed kinetic chain exercises are an effective intervention for musculoskeletal rehabilitation in knee joint disorders as they improve joint stability, muscle strength, and functional movement.
The Effect of Giving Cinnamon Infusion with Honey on Primary Dysmenorrhea Pain in Adolescents Sitorus, Riris; Ginting, Desideria Yosepha; S, Grace Erlyn Damayanti; Hariati, Mayang Citra
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 8 No. 2 (2026): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/317gzr74

Abstract

Primary dysmenorrhea is a condition that may reduce adolescents’ quality of life, as it can interfere with daily activities and increase the risk of absenteeism from school or work. The management of this condition remains suboptimal, as most adolescents tend to rely on analgesic medications, while the long-term use of chemical drugs is associated with potential adverse effects, including disorders of the gastrointestinal system, kidneys, and liver. Therefore, safer alternative therapies are needed, one of which is the use of natural ingredients such as cinnamon and honey. This study aimed to analyze the effect of administering a cinnamon infusion combined with honey on the intensity of primary dysmenorrhea pain in adolescents. A quantitative approach with a quasi-experimental design using a pretest-posttest control group design was employed. The study population consisted of 60 students experiencing primary dysmenorrhea, with a sample of 38 respondents selected using purposive sampling technique. Data analysis was performed using the independent sample t-test with a 95% confidence level (α = 0.05). The results showed a significant effect of administering a cinnamon infusion combined with honey on reducing primary dysmenorrhea pain in adolescents (p < 0.001). In conclusion, a cinnamon infusion combined with honey was proven to be effective in reducing primary dysmenorrhea pain; therefore, healthcare providers, particularly midwives, as well as schools are recommended to promote this intervention as an alternative management for dysmenorrhea pain in adolescents.
The Relationship Between Body Image and Self-Confidence Among Post-Mastectomy Breast Cancer Patients at Grandmed Hospital Lubuk Pakam Syara, Arfah May; Damanik, Farhah Zaqwa Khairunnisa; Simson Sinuhaji; Muhammad Reza Fahlevi Hanafi; Yuni Suharnida Lubis
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 8 No. 2 (2026): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/s468vz11

Abstract

Carcinoma mammae is a malignant condition of breast tissue characterized by the uncontrolled proliferation of abnormal cells that form tumors, which may metastasize to other organs and become life-threatening if not properly treated. Cancer cells generally originate from the milk-producing lobules or the breast ducts. Mastectomy, as a primary therapeutic intervention, often leads to significant physical changes that can affect patients’ body image and self-confidence. This study aimed to analyze the relationship between body image and self-confidence among post-mastectomy carcinoma mammae patients. This research employed a quantitative approach with a survey design using questionnaires. The sample consisted of 51 respondents selected through a total sampling technique at Grandmed Hospital Lubuk Pakam. The frequency distribution results indicated that the majority of respondents had a positive body image perception, with 48 individuals (94.1%) agreeing and 3 individuals (5.9%) disagreeing. Meanwhile, the level of self-confidence among respondents was also relatively high, with 44 individuals (86.3%) agreeing and 7 individuals (13.7%) disagreeing. Statistical analysis using the chi-square test revealed a significant relationship between body image and self-confidence (p-value = 0.84; α < 0.05), indicating that the alternative hypothesis was accepted. These findings highlight the importance of effective body image management in enhancing patients’ self-confidence. Therefore, psychological interventions such as counseling, psychoeducation, and peer support are essential to facilitate patients’ adaptation and self-acceptance following mastectomy.
The Effect of Shaker Exercise Therapy on Dysphagia in Stroke Patients Admitted to the Intensive Care Unit (ICU) at Grandmed Hospital Lubuk Pakam Simarmata, Juni Mariati; Sinaga, Waticah
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 8 No. 2 (2026): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/27tc1v43

Abstract

Stroke patients frequently experience dysphagia due to impairment of the glossopharyngeal, vagus, and hypoglossal nerves, which consequently reduces swallowing function. Shaker exercise has been shown to improve swallowing disorders through isometric and isokinetic training that enhances the strength of the suprahyoid muscles in the neck via upward (elevation) and forward (protrusion) movements. This study aimed to analyze the effect of Shaker exercise therapy on dysphagia in stroke patients admitted to the Intensive Care Unit (ICU) at Grandmed Hospital Lubuk Pakam. This study employed a quantitative approach with a pre-experimental design using a one-group pre-test and post-test method. A total of 11 stroke patients were recruited using a total sampling technique. Dysphagia levels were measured before and after the administration of the Shaker exercise intervention. Data analysis was conducted using the Shapiro–Wilk normality test and the Paired T-test with a significance level of 0.05. The results indicated that prior to the intervention, the majority of respondents were in the low score category (20–80), accounting for 7 individuals (63.6%), while 4 respondents (36.4%) were in the high score category (81–100). Following the intervention, all respondents (100%) were classified in the high score category (81–100), with no participants remaining in the low category. The Paired T-test revealed a p-value of 0.000 (<0.05), indicating a statistically significant difference in dysphagia conditions before and after the intervention. In conclusion, Shaker exercise is significantly effective in reducing dysphagia among stroke patients. This improvement is attributed to the strengthening of the suprahyoid muscles, which enhances the opening of the esophageal sphincter and facilitates the passage of food into the lower digestive tract.
The Effect of Early Mobilization on Pain Intensity in Post-Cesarean Section (CS) Patients in Ward 2B at Grandmed Hospital Lubuk Pakam Purba, Anita Sri Gandaria; Pitriani, Pitirani; Yanti, Dian Anggri; Nadya Ulfa Kesumawardani
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 8 No. 2 (2026): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/k2p5x680

Abstract

Cesarean section is a commonly performed delivery procedure that may cause postoperative pain due to tissue incision. Inadequately managed pain can delay the patient’s recovery process. One of the non-pharmacological interventions that can be applied to reduce pain is early mobilization. This study aimed to determine the effect of early mobilization on pain intensity among post-cesarean section patients in Ward 2B at Grandmed Hospital Lubuk Pakam in 2025. This study employed a quantitative approach using a quasi-experimental design with a one-group pretest-posttest design. The sample consisted of 30 respondents selected using purposive sampling technique. Pain intensity was measured using the Numeric Rating Scale (NRS) before and after the early mobilization intervention. Data were analyzed using a paired t-test with a significance level of 0.05. The results showed that before the intervention, the majority of respondents experienced severe pain (66.7%), whereas after early mobilization, most respondents experienced a decrease to mild pain (76.7%). The mean pain intensity decreased from 0.6667 to 0.2333 after the intervention. Statistical analysis revealed a p-value of 0.000 (p < 0.05), indicating a significant effect of early mobilization on reducing pain intensity. In conclusion, early mobilization is effective in reducing pain intensity in post-cesarean section patients and can be recommended as a non-pharmacological intervention in postoperative care.
113Mothers' Knowledge and Attitudes in the First 1,000 Days of Life (HPK) Regarding Stunting Prevention Behaviors Anuhgera, Diah Evawanna; Apryanti, Yohana Putri; Lusinta, Lidia
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 8 No. 2 (2026): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/6pctpj22

Abstract

Stunting is a public health problem caused by chronic malnutrition, particularly during the first 1,000 days of life (HPK). Maternal factors such as knowledge, attitudes, and behavior play a crucial role in stunting prevention efforts through appropriate feeding practices and utilization of health services. This quantitative research design employed a descriptive correlational approach and cross-sectional methods. The study location was the Kasih Ibu Galang Clinic, Deli Serdang Regency. The sample consisted of mothers with children aged 6–24 months, with 51 respondents selected using a purposive sampling technique. Data collection was conducted using a questionnaire. The results showed that 39.21% of respondents had good knowledge, 76.47% had positive attitudes, and 70.58% demonstrated good stunting prevention behaviors. Statistical analysis revealed a strong and significant relationship between knowledge and behavior (r=0.862; p=0.001) and between attitudes and behavior (r=0.727; p=0.002). There is a significant relationship between knowledge and attitudes during the first 1000 days of life (HPK) and stunting prevention behaviors. Improved health education and ongoing support are essential to support optimal feeding practices and reduce stunting prevalence.

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