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Ripai Siregar
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Fakultas Keperawatan Institut Kesehatan DELI HUSADA Delitua Jl.Besar No 77 Kec.Delitua Kab Deli Serdang Sumatera Utara 20355
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JURNAL PENELITIAN KEPERAWATAN MEDIK
Published by INSTITUT KESEHATAN DELI HUSADA DELI TUA
ISSN : -     EISSN : 26547635     DOI : 10.36656/jpkm
Core Subject : Health,
Nursing
Jurnal Penelitian Keperawatan Medik (JPKM ) is a scientific journal which is published original of medical nursing articles. The editors welcome scientific relevant articles to National and International medical nursing issues. The journal welcomes submissions who come from around the world including from Indonesia. The journal publishes twice times a year. Aims and Scope JPKM: 1. Management in nursing 2. Child nursing and neonatology 3. Gerontik nursing 4. Critical nursing 5. Surgical medical nursing 6. Mental nursing 7. Maternity nursing 8. Disaster nursing 9. Nursing informatics 10. Emergency nursing 11. Education in nursing Besides that author can submit some articles on any issue that has relating to medical nursing articles with editor consideration.
Arjuna Subject : Keperawatan - Advanced and Specialised Nursing
Articles 142 Documents
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PENGARUH LATIHAN GERAK PINGGUL (STRETCHING) TERHADAP TINGKAT NYERI PUNGGUNG BAWAH PADA LANSIA DI DESA MEKAR SARI KECAMATAN DELITUA KABUPATEN DELI SERDANG Lili Suryani Tumanggor; Daniel Suranta Ginting
Jurnal Penelitian Keperawatan Medik Vol 2 No 2 (2020): Jurnal Penelitian Keperawatan Medik
Publisher : Fakultas Keperawatan Institut Kesehatan Deli Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpkm.v2i2.195

Abstract

Stretching is one form of therapy needed to lengthen muscles that increase shortening or increase elasticity and enlarge muscles. Maintain muscles at their natural length and can maintain their function properly. This type of research uses a pre-experimental research design with the design of a pretest-posttest group that is there is no comparison group (control), but the first observation (pretest) has been made that allows research that can improve the changes produced after the study. The sample is part of the population to be excluded or part of the characteristics possessed by the population. How to take a sample by taking the entire sample of participation into a sample (total sampling) of 20 people. The decisive variable in this study is the rate of return of the lower back in the elderly. This research uses paired t statistical test with α <0.05. The instruments in this study were interviews and observations conducted before and after the intervention. Statistical test results show the basic rate of return to the elderly before and given different interventions with a significant level of 0.017 (p <0.05). Based on the results of research that is supported so that further research can discuss further by using other confounding variables that can increase comfort and develop proper hip exercise stretching time.
PENGARUH KOMPRES HANGAT JAHE TERHADAP PENURUNAN SKALA NYERI ARTRITIS REUMATOID PADA LANSIA DI DESA LAU RAKIT DUSUN II KECAMATAN STM HILIR KAB DELI SERDANG Rentawati Purba; Siti Marlina; Adi Arianto
Jurnal Penelitian Keperawatan Medik Vol 2 No 2 (2020): Jurnal Penelitian Keperawatan Medik
Publisher : Fakultas Keperawatan Institut Kesehatan Deli Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpkm.v2i2.200

Abstract

Rematik (Arthritis Rheumatoid) adalah penyakit inflamasi sistemik kronis, inflamasi sistemik yang dapat mempengaruhi jaringan dan organ, terutama menyerang fleksibel (sinovial) sendi (WHO,2016).Berdasarkan American College Of Rheumathology (2013) menyatakan bahwa 52,5 juta atau sekitar 23% penduduk Amerika Serikat menderita artritis reumatoid. Saat ini diperkirakan paling tidak 355 juta penduduk dunia menderita reumatik, yang artinya 1 dari 6 penduduk dunia mengalami penyakit reumatik. Sementara itu, hasilsurvey di benua Eropa pada tahun 2004 menunjukkan bahwa penyakit reumatik merupakan penyakit kronik yang paling sering dijumpai. Kurang lebih 50% penduduk eropa yang berusia diatas 50 tahun mengalami keluhan nyeri muskuloskletal (Dinas Kesehatan Provinsi Sumatera Utara, 2010). Semua jenis rematik menimbulkan rasa nyeri yang mengganggu sehingga kemampuan gerak seseorang dapat terganggu oleh adanya penyakit rematik (Riskesdes, 2007 dalam Maj kedokteran Indonesia, 2009).Salah satu intervensi non-farmakologi yang dapat dilakukan perawat secara mandiri dalam menurunkan skala nyeri artritis reumatoid yaitu dengan kompres jahe hangat (Sentoso, 2013). Rancangan penelitian yang digunakan dalam penelitian ini adalah Pre-Eksperiment dengan menggunakan rancangan One Grop Pre-Post Tes Design. Sampel penelitian adalah sebanyak 13 orang. Berdasarkan hasil uji statistic uji t pengaruh kompres jahe terhadap penurunan skala nyeri diketahui bahwa nilai p = 0.001 yaitu p < 0.05 dengan demikian Ho ditolak yang memiliki arti ada pengaruh kompres hangat jahe terhadap penurunan skala nyeri atritis reumatoid.
PENGARUH SENAM KAKI DIABETIK TERHADAP ANKLE BRACHIAL INDEKS PADA PASIEN DIABETES MELLITUS TYPE II DI RUMAH SAKIT UMUM SEMBIRING Rostiodertina Girsang; Friska Sitorus; Zuliawati Zuliawati
Jurnal Penelitian Keperawatan Medik Vol 2 No 2 (2020): Jurnal Penelitian Keperawatan Medik
Publisher : Fakultas Keperawatan Institut Kesehatan Deli Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpkm.v2i2.201

Abstract

Diabetes Melitus (DM) adalah suatu kelompok penyakit metabolik dengan karakteristik hiperglikemia yang terjadi karena kelainan sekresi insulin atau aktivitas insulin. Salah satu komplikasi dari Diabetes Melitus Tipe 2 yang mempengaruhi sistem saraf perifer yaitu Peripheral Arthery Disease (PAD) merupakan suatu kondisi dimana terdapat terdapat lesi di pembuluh darah sehingga menyebabkan aliran darah dalam arteri yang mensuplai darah ke ekstermitas menjadi terbatas. Senam kaki diabetes dapat membantu sirkulasi darah dan memperkuat otot-otot kecil kaki dan mencegah terjadinya kelainan bentuk kaki. Sikulasi darah pada daerah kaki dapat diukur melalui pemeriksaan non invasive salah satunya adalah dengan pemeriksaan ankle brachial index. Penelitian ini bertujuan untuk menguji Pengaruh senam kaki Diabetes Terhadap Ankle Brachial Index Pada Pasien DM Tipe. Jenis penelitian ini merupakan eksperimenental studies dengan pre test dan post test. Sampel penelitian ini sebanyak 10 orang dengan teknik purposive sampling. Hasil penelitian rata-rata ankle brachial index pasien setelah pemberian terapi senam kaki mengalami peningkatan dengan nilai ABI sebelum pemberian terapi senam kaki (pretest) sebagian besar tergolong berat yaitu 4 responden (40%) meningkat menjadi normal sebanyak 5 responden (50%) setelah diberikan terapi senam kaki (posttest). Dan dari hasil t hitung sebesar 4.714, hal ini diketahui bahwa nilai t hitung lebih besar dari t tabel (4.714>1.833), yang berarti H0 ditolak dan Hα diterima, sedangkan nilai p=0.001 lebih kecil dari tingkat kemaknaan α=0,05 hal ini menunjukan ada perbedaan yang bermakna antara ankle brachial index sebelum dan sesudah pemberian terapi senam kaki.
PENGARUH PEMBERIAN TERAPI MUSIK TERHADAP PENURUNAN INTENSITAS NYERI PADA PASIEN POST SECTIO CAESAREA Herri Novita Br Tarigan; Megawati Sinambela; Reka Novrina
Jurnal Penelitian Keperawatan Medik Vol 2 No 2 (2020): Jurnal Penelitian Keperawatan Medik
Publisher : Fakultas Keperawatan Institut Kesehatan Deli Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpkm.v2i2.210

Abstract

The World Health Organization (WHO) sets the average standard of sectio caesarean delivery in a country to be around 5-15 percent per 1000 births in the world.In Indonesia, the results of Basic Health Research in 2013 showed births with a caesarean section of 9.8% out of a total of 49,603 births from 2010 to 2013. Nursing problems that often arise in cases of post sectio caesarea are pain caused by trauma to the tissue due to tissue damage and direct irritation to the receptors. The nurse's independent action to control the pain felt by the patient is to do pain management with non-pharmacological techniques, namely music therapy. The purpose of this study was to determine the effect of music therapy on pain intensity reduction in post sectio caesarea patients. This study used a quasi-experimental design method with a non equivalent control group design. The sampling technique uses accidental sampling technique with a total sample of 32 respondents, 16 experimental groups and 16 control groups. This study used the Wilcoxon non-parametric test. The results of this study indicate the P-value (0.001) <α (0.05). The conclusion of this study is that there is an effect of music therapy on the decrease in pain intensity in post-sectio caesarea patients in the hybrid room Sembiring General Hospital.
INTERVENSI KEPERAWATAN PADA PASIEN PRURITUS UREMIK YANG MENJALANI TERAPI HEMODIALISA: A SYSTEMATIC REVIEW Friska Sembiring; Citra Anggraini; Dewi Tiansa
Jurnal Penelitian Keperawatan Medik Vol 2 No 2 (2020): Jurnal Penelitian Keperawatan Medik
Publisher : Fakultas Keperawatan Institut Kesehatan Deli Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpkm.v2i2.216

Abstract

Uremik pruritus merupakan salah satu keluhan paling umum terjadi pada pasien yang menjalani terapi hemodialisa dimana komplikasi nya sangat erat berhubungan dengan gangguan kualitas hidup, gangguan tidur, ansietas dan komplikasi lainnya pada daerah kulit yang dapat mencapai tingkat mortalitas yang tinggi. Penelitian tentang uremik pruritus yang melihat efek minyak esensial aromatherapy di tinjau terbitan antara tahun 2011 sampai dengan tahun 2018. Metode yang digunakan melalui pencarian database CINAHL, Science Direct, JCN, IOSR Journal, Biomed Central, Proquest, Google Scholar dengan pencarian jurnal tentang efek intervensi keperawatan terhadap pruritus uremik. Penelitian yang di telusuri ada 10 jurnal terdiri dari original research, studi review, short review dan randomize control trial dan quasi eksperimental yang meneliti tentang intervensi keperawatan seperti aromatherapy, akupressure, pemantauan status gizi terhadap pasien pruritus uremik dimana jurnal tersebut mendapatkan kesimpulan bahwa intervensi keperawatan memberikan efek positif terhadap pruritus uremik dari hasil penelitian tersebut di dapatkan bahwa penelitian aromatherapy lebih banyak memberikan hasil yang baik terhadap penurunan uremik pruritus khususnya pada pasien yang menjalani terapi hemodialisa. Intervensi keperawatan seperti complementary therapy dapat di pertimbangkan menjadi salah satu terapi non farmakologis yang dapat diberikan kepada pasien yang mengalami uremik pruritus.
PENGARUH TERAPI BERMAIN LEGO TERHADAP INTERAKSI SOSIAL ANAK AUTIS DI SDLB 017700 KISARAN NAGA KECAMATAN KISARAN TIMUR KABUPATEN ASAHAN TAHUN 2019 Dewi Tiansa Barus; Citra Anggraini; Friska Sembiring
Jurnal Penelitian Keperawatan Medik Vol 2 No 2 (2020): Jurnal Penelitian Keperawatan Medik
Publisher : Fakultas Keperawatan Institut Kesehatan Deli Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpkm.v2i2.226

Abstract

Social interaction is a relationship relating to individuals with individuals, individuals with groups, and groups with groups in which there is cooperation and competition. Children with autism have language and communication difficulties as well as understanding their surroundings. Researchers have the aim to determine the effect of lego play therapy on the social interactions of children with autism. In this study, researchers used a pre-experimental research design in the form of one group pretest-posttest. The sample in this study were all students suffering from autism, as many as 13 students in grades 1 - 4, with age 7 - 10 years with total sampling technique. Collecting data using observation sheets, researchers wanted to find out the extent to which play lego therapy can increase social interaction in children with autism. Where the results of the study state social interaction before being given lego play therapy is 1.15, while after being given lego play therapy is 1.77 . The results of statistical tests that have been conducted by researchers say there is an effect of lego play therapy on social interactions of children with autism can be seen the results of the p-value < 0.05. In this case the researchers suggest that teaching staff at SDLB in the future be able to implement this lego play therapy so that the social interaction of children with autism can increase even better.
EVALUASI RISIKO TERJADINYA DISFUNGSI SEKSUAL PASIEN KANKER KOLOREKTAL DENGAN STOMA: A SYSTEMATIC REVIEW zuliawati Zuliawati; Rostiodertina Girsang; Friska Ernita Sitorus
Jurnal Penelitian Keperawatan Medik Vol 2 No 2 (2020): Jurnal Penelitian Keperawatan Medik
Publisher : Fakultas Keperawatan Institut Kesehatan Deli Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpkm.v2i2.233

Abstract

Objective: Stoma is a surgical procedure commonly used for the treatment of colorectal cancer patients, this will affect the patient's sexuality problems. This research study with qualitative and quantitative research designs published between 2008 to 2018 in English articles. Methods: PubMed, EBSCO, and Google Scholar, are sought to evaluate the risk of sexual dysfunction in colorectal cancer patients with stoma. Results: Research that has been explored in nine consists of mixed methods case control, case control retrospective study, systematic review, phenomenology study, multiple logistic regression, prospective descriptive study, longitudinal study, cross sectional design, descriptive comparison study. Most of the findings of the study show that sexual dysfunction is a problem of concern. Conclusions: evaluating sexual dysfunction problems in colorectal cancer patients with stoma, are the basic essence of nursing intervention. Health care professionals must be more aware of the problems of risk factors for sexual dysfunction experienced by patients after making stoma, so that services and treatments performed are more optimal.
HUBUNGAN PERILAKU HIDUP BERSIH DAN SEHAT DALAM TATANAN RUMAH TANGGA DENGAN KEJADIAN DIARE Alprindo Sembiring; Friska Ernita Sitorus; Rita Ayu Butar-butar
Jurnal Penelitian Keperawatan Medik Vol 2 No 2 (2020): Jurnal Penelitian Keperawatan Medik
Publisher : Fakultas Keperawatan Institut Kesehatan Deli Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpkm.v2i2.238

Abstract

Diarrheal disease frequency of bowel movements more than 4 times with consistent dilute, can green or can be mixed with mucus and blood or mucus only. This study aims to determine The relationship between behavior of clean and healthy life and incidence of diarrhea at subvillage sidorame paya rumput subdistrict medan deli. The study design used is cross sectional by using total sampling method, a sample size of 50 people. Data were analyzed using chi square test, with α of 0.05. Research results obtained from 50 people who did not do a clean and healthy living behaviors there are 37 people (74%) had diarrhea, which perform a clean and healthy life behavior, there were 13 people (26%) did not have diarrhea. From the research there was no significant association of clean and healthy behaviors with the incidence of diarrhea who do not have the meaning of living a clean and healthy behaviors have a great chance of diarrhea than those who do a clean and healthy living behaviors. Suggested to the health authority health centers medan deli to take preventive action against the possible occurrence of diarrhea to reduce mortality and morbidity in diarrhea.
HUBUNGAN STATUS AKREDITASI PUSKESMAS DENGAN MUTU PELAYANAN DI KABUPATEN SIMALUNGUN Siti Marlina; Novrika Silalahi; Septa Dwi Insani; Herri Novita Tarigan; Friska Ernita Sitorus
Jurnal Penelitian Keperawatan Medik Vol 2 No 2 (2020): Jurnal Penelitian Keperawatan Medik
Publisher : Fakultas Keperawatan Institut Kesehatan Deli Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpkm.v2i2.239

Abstract

Puskesmas is a health service facility that organizes public health efforts and first-level individual health efforts, with greater emphasis on promotive and preventive efforts, to achieve the highest level of public health in the working area. Puskesmas Accreditation is an acknowledgment given by an independent Accreditation provider established by the Minister after meeting Accreditation standards. The purpose of this study was to determine the relationship between Puskesmas Accreditation Status and Service Quality in Simalungun District. This type of research is analytic to determine the relationship between Puskesmas Accreditation Status and Service Quality in Simalungun District. This study uses a case control study approach (case and control), where independent variables are determined first, then the dependent variable is searched through a questionnaire that has been tested. A sample of 92 people, 46 were sampled for cases (Puskesmas Tiga Dolok) and 46 for controls (puskesmas Huta Bayu) using consecutive sampling techniques. Based on the results of bivariate test studies, that the dimensions of service quality related to the health center accreditation status (p <0.05) are tangibles, reliability, responsiveness, and assurance dimensions. Factors that are not related to the health center accreditation status (p> 0.05) are empathy dimensions. From the multivariate test results, it is known that the most dominant factor on the status of puskesmas accreditation is the quality of service based on the dimensions of responsiveness.
KOMPLIKASI HIPERTENSI DALAM KAITANNYA DENGAN PENGETAHUAN PASIEN TERHADAP HIPERTENSI DAN UPAYA PENCEGAHANNYA Zaim Anshari
Jurnal Penelitian Keperawatan Medik Vol 2 No 2 (2020): Jurnal Penelitian Keperawatan Medik
Publisher : Fakultas Keperawatan Institut Kesehatan Deli Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpkm.v2i2.289

Abstract

Hypertension is a disease caused by the high blood pressure of a person, both in terms of systolic and diastolic. Hypertension is one of the uncontagious diseases that can kill someone secretly. Therefore, the researchers need to know the level of knowledge of hypertension patients to hypertension and prevention efforts. The study took a description technique to know the patient's knowledge of his illness and prevention efforts to prevent complications. The samples used were as many as 42 people selected with the purposive technique. The results show that while existing hypertension patients have a low level of education and are between 46-65 years of age, the knowledge of hypertension and its prevention to reduce the risk of complications belongs to a suitable category so that they are more alert about hypertension.

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