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Excellent Midwifery Journal
Published by Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
ISSN : 26208237     EISSN : 26209829     DOI : https://doi.org/10.55541/emj.v4i2.175
Core Subject : Health,
Health Professions Public Health
Pregnancy Maternity Childbed Neonates, Infant, Under-fives and Pre-School Children Family Planning Reproduction Health Adolenscent Health Elderly Health Maternal Health Child Health Public Health
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 238 Documents
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PERBANDINGAN TINGKAT NYERI PADA PASIEN POST SECTIO CAESAREA METODE KONVENSIONAL DAN ERACS DI RSIA MURNI TEGUH ROSIVA MEDAN Sinaga, Dora Marthalena
Excellent Midwifery Journal Vol. 7 No. 2 (2024): EDISI OKTOBER
Publisher : STIKes Mitra Husada Medan

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Abstract

Background: One of the common problems experienced by caesarean section patients is post-cesarean section pain in postpartum mothers. Post-cesarean section pain can have an impact in the form of limiting the movement of the attachment device, interference or even the inability to carry out daily activities that are highly dependent on the mother. Objective: To compare the level of pain in post-section caesarean patients with conventional and ERACS methods. Methods: This study is a quantitative study and a comparative design with a cross-sectional approach. The study was conducted at RSIA Murni Teguh Rosiva Medan. The population was 53 patients per month and the sample obtained was 48 people who were divided into 2 groups, so that each group consisted of 24 people. Sampling was by accidental sampling. The analysis was performed univariately in the frequency distribution table and bivariately using the Mann Whitney test because the data were not normally distributed. Results: This study showed that pain in post-cesarean section patients using the conventional method was in the moderate pain category (100.0%), or an average score of 4.79 ± 0.658, while pain in post-cesarean section patients using the ERACS method was in the mild pain category (91.7%), or an average score of 2.71 ± 0.624. There was a significant difference in the level of pain between post-cesarean section patients using the conventional method and post-cesarean section patients using the ERACS method (p = 0.000 <0.05). Conclusion: The pain felt by patients with cesarean section using the ERACS method was lighter than that of the conventional CS method. Suggestion: It is recommended that further researchers conduct further research on post-operative pain using therapies to overcome pain, namely deep breathing therapy, Benson relaxation therapy, and others.
HUBUNGAN PENGGUNAAN GADGET DENGAN TANDA DAN GEJALA KESEHATAN MENTAL ANAK SISWA SEKOLAH DASAR DI SD NEGERI PAMANUKAN SEBRANG I KABUPATEN SUBANG Sutandi, Deby Noer; Simatupang, Lenny Lusia
Excellent Midwifery Journal Vol. 7 No. 2 (2024): EDISI OKTOBER
Publisher : STIKes Mitra Husada Medan

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Abstract

Children's mental health is the mental condition of children who do not experience mental illness, and the ability to think clearly, control emotions, and socialize with children their age. Poor mental health during childhood can cause more serious behavioral disorders due to mental and emotional imbalance, as well as the child's poor social life. Objective: This research is to determine the relationship between gadget use and signs and symptoms of mental health of elementary school students at the Pramuka Public Elementary School, Pamanukan Sebrang I, Subang Regency. Method: Quantitative research method with a cross sectional survey, data collection was carried out using the Simple Random Sampling technique for a total of 93 students, the instrument used a questionnaire. The Chi-Square test was used to analyze research data. Results: The results of this study show that there is a relationship between the use of gadgets and signs and symptoms of mental health at the Pramuka I Public Elementary School, Subang Regency with a p value of 0.684 > 0.05. Conclusion: There is a significant relationship between the use of gadgets and the signs and symptoms of mental health of students at the Pramuka Public Elementary School, Sebrang I, Subang Regency. It is hoped that the school can help provide an understanding of the use of gadgets and the signs and symptoms of mental health of students as well as carry out prevention and treatment to ensure children's mental health. still maintained at the Pramuka Public Elementary School, Sebrang I, Subang Regency.
HUBUNGAN LAMANYA HEMODIALISA DENGAN TERJADINYA ANEMIA PADA PASIEN GAGAL GINJAL KRONIK DI RUMAH SAKIT MURNI TEGUH SUDIRMAN JAKARTA Taufik, Windri; Simatupang, Lenny Lusia
Excellent Midwifery Journal Vol. 7 No. 2 (2024): EDISI OKTOBER
Publisher : STIKes Mitra Husada Medan

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Abstract

A patient with chronic kidney failure is someone who experiences permanent kidney damage where the patient requires renal replacement therapy, so that they are able to survive independently. The main goal of hemodialysis therapy is to restore the balance of intracellular and extracellular fluids that are disturbed due to damaged kidney function. Anemia experienced by dialysis patients is a common complication whose prevalence increases from 8% grade 1 to 53% grade 5 who do not receive dialysis (Michalopoulos al, 2022). The results of a preliminary study conducted in the Hemodialysis Room of Murni Teguh Sudirman Hospital, Jakarta, obtained 28 CKD patients undergoing routine hemodialysis from January to June 2024. The purpose of this study was to determine the relationship between the duration of hemodialysis and the incidence of anemia in chronic kidney failure patients at Murni Teguh Sudirman Hospital, Jakarta. The research design used in this study was an analytical observational study with a cross-sectional approach. analytical observational research. The sample in the study was 28 respondents using total sampling, statistical tests using Spearman rank, the study took place on July 10-August 10, 2024. The results of the study There is a Relationship Between the Duration of Hemodialysis and the Occurrence of Anemia in Chronic Kidney Failure Patients at Murni Teguh Sudirman Hospital, Jakarta with the results of the Spearman rank test data analysis obtained p value = 0.043 which means it is smaller than α = 0.05 with a correlation confficient level of 0.826 and a positive relationship direction.
PENGALAMAN PASIEN HIPERTENSI SELAMA MENJALANI PENGOBATAN PADA MASYARAKAT DI DESA LAUT DENDANG Mendrofa, Novipriani; Simatupang, Lenny Lusia
Excellent Midwifery Journal Vol. 7 No. 2 (2024): EDISI OKTOBER
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Abstract

Background: Hypertension is a health disorder that causes significant harm to patients. The experience of hypertensive patients reflects their perception while undergoing treatment to manage hypertension. Objective: To explore the experiences of hypertensive patients while undergoing treatment in the community of Laut Dendang Village. Methods: This research used a descriptive qualitative method with a phenomenological approach through in-depth interviews in Laut Dendang Village, Percut Sei Tuan Sub-district, Deli Serdang Regency in April 2024. The participants in this study were 8 (eight) individuals selected using purposive sampling. The interview results were analyzed through data reduction, data display, and conclusion drawing according to Moleong. Results: The study identified five themes related to the experiences of hypertensive patients during treatment in Laut Dendang Village: (1) Low knowledge about hypertension treatment, (2) Complaints of hypertensive patients, (3) Use of herbal plants as one method to manage hypertension, (4) Reasons for choosing treatment methods, and (5) Causes of hypertension recurrence. Conclusion: Hypertensive patients still have limited knowledge regarding the proper and regular application of treatment. They reported various physical symptoms and emotional changes during hypertension, utilized herbal plants from fruits and leaves in addition to medical treatment, perceived treatment effectiveness, trusted the treatment system, feared the side effects of medications, and considered the low cost and proximity to healthcare centers as reasons for choosing treatment. Recurrence of hypertension in patients was caused by dietary factors and psychological aspects. Recommendation: Future researchers are encouraged to conduct both quantitative and qualitative studies to identify the challenges hypertensive patients face in treatment.
HUBUNGAN PELAKSANAAN SURGICAL SAFETY CHECKLIST DENGAN KEJADIAN CEDERA (PATIENT SAFETY) DI RUMAH SAKIT MURNI TEGUH TUBAN BALI Sejahtera, Henry Ika; Simatupang, Lenny Lusia
Excellent Midwifery Journal Vol. 7 No. 2 (2024): EDISI OKTOBER
Publisher : STIKes Mitra Husada Medan

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Abstract

Surgical Safety Checklist (SSC) is a surgical team communication tool for patient safety used in the operating room. The surgical team includes the operating doctor, and nurses (instrument nurses, anesthesia nurses, circulating nurses) (Arif and Kumala, 2009). This research design uses a cross-sectional survey. Cross-sectional survey is a research design to determine the correlation with the approach and data collection at a predetermined point in time to the sample. The number of samples used in this study was 20 respondents. The Relationship between the Implementation of Surgical Safety Checklist and Injury Incidents (Patient Safety) at Murni Teguh Hospital, Tuban, Bali based on the test used, namely the Spearman Rho test, the results of the Sig value were 0.01, where the Sig value <0.05, which means that there is a significant relationship between the implementation of surgical safety checklist compliance with injury incidents during the Procedure and the correlation coefficient value obtained a result of 0.68, which means a very strong relationship.
PENGALAMAN LANSIA DALAM MENJALANI MASA PENSIUN DI DESA LAUT DENDANG KECAMATAN PERCUT SEI TUAN KABUPATEN DELI SERDANG Gea, Roselina Riska Putri; Simatupang, Lenny Lusia
Excellent Midwifery Journal Vol. 7 No. 2 (2024): EDISI OKTOBER
Publisher : STIKes Mitra Husada Medan

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Abstract

Background Retirement is a normal period that every working person goes through and a period where various aspects of a person's life experience changes and are handled as early as possible in order to prevent the development of psychosocial problems. The aim of this research is to describe the experience of the elderly in retirement in Laud Dendang Village. Precut Sei Tuan District, Deli Serdang Regency. This research method is qualitative research. Data collection techniques were carried out using interview guidelines, observation and documentation, in Laut Dendang Village, Percut Sei Tuan District, Deli Serdang Regency, this research was conducted in April 2024 and there were 8 informants who were found using purposive sampling. Data analysis techniques are carried out using data reduction, data display and drawing conclusions. Conclusion: The results of the research show that the experience of the elderly in undergoing retirement in Laut Dendang Village, Percut Sei Tuan District, Deli Serdang Regency, from eight informants, 3 themes were obtained: 1) Efforts to improve the health of the elderly in retirement are carried out by maintaining movement activities, namely by continuing to move so that they remain healthy. get fit, then adopt a healthy lifestyle by limiting food and drink, then get enough rest by reducing intense activities outside the home, and finally carry out routine health checks by checking up with the nearest doctor or midwife. 2) The activities of the elderly in retirement are doing side jobs such as selling, raising livestock and also farming. This is done so that the elderly can survive and not become a burden on their families. Then some elderly people choose to rest at home because they are sick and some have received pension funds, some don't work anymore and just stay at home and the elderly spend time with their families. Because family support is what the elderly need. 3) Complaints from the elderly after retirement are physical complaints such as starting to get sick, the body gets tired easily, heart disease, high blood pressure, gout and difficulty in walking. Psychological complaints felt by the elderly after retirement include feelings of anxiety and uselessness, sadness and fear because the body is no longer able to carry out activities.
EFEKTIVITAS TEKNIK RELAKSASI NAPAS DALAM DAN MOBILISASI DINI TERHADAP TINGKAT NYERI PADA PASIEN POST OPERASI SECTIO CAESAREA DI RUMAH SAKIT MURNI TEGUH ROSIVA MEDAN Marpaung, Eny Novita; Simatupang, Lenny Lusia
Excellent Midwifery Journal Vol. 7 No. 2 (2024): EDISI OKTOBER
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Abstract

Background: Caesarean section (CS) is another way for women to choose the delivery process in addition to medical and non-medical indications. The side effect of CS surgery is pain in the incision. Non-pharmacological actions that are thought to be able to reduce pain intensity are deep breathing relaxation and early mobilization, but it is not yet known which of these two actions is more effective in reducing pain. Objective: To determine the effect of deep breathing relaxation techniques and early mobilization on pain levels in post-cesarean section patients. Method: Quantitative research with a quasi-experimental approach and a two-group pre and post test design without a control group. The study was conducted at RSIA Murni Teguh Rosiva Medan. The population size was 47 patients per month and the sample size was 42 people divided into 2 groups, each group consisting of 21 people. Sampling was by accidental sampling. Analysis was carried out univariately in the frequency distribution table and bivariately using the Independent Sample T-Test because the data were normally distributed. Results: The study showed that in post-cesarean section patients, deep breathing relaxation techniques resulted in a more significant decrease in pain levels compared to early mobilization, with an average posttest pain value of 1.86 ± 0.964 (mild pain) and 3.62 ± 1.024 (moderate pain), respectively. The difference in pain between the two groups was significant with a p value = 0.000, which means p <0.05. Conclusion: Deep breathing relaxation techniques are more effective in reducing pain levels in post-cesarean section patients than early mobilization. Suggestion: It is recommended that further researchers conduct further research on how to overcome post-operative pain using other complementary therapies such as warm/cold compresses, aromatherapy, and others.
PENGARUH PEMBERIAN AROMATERAPI LAVENDER TERHADAP TINGKAT NYERI POST OPERASI TURP PADA PASIEN BPH DI MURNI TEGUH MEMORIAL HOSPITAL Manullang, Elisabet Katrin; Simatupang, Lenny Lusia
Excellent Midwifery Journal Vol. 7 No. 2 (2024): EDISI OKTOBER
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Abstract

Benign prostate Hyperplasia (BPH) is a benign tumor that often affects men and its incidence increase with age. This disease is characterized by nonmalignant groth of the prostate gland which generally occurs in men aged over 40 years. Objective: To see the effect of giving lvender aromatherapy to the level of post operative TURP pain in BPH patients at Murni Teguh Memorial Hospital. Method: This type of experimental study was pretest- posttest design using one grup design. This research was conducted in July- August 2023. The research was conducted in GB 2 and 5 South in patient room Murni Teguh Memorial Hospital. Population as sample because population is 11 patients. Univariate data to obtain frequency distribution, univariate analyis to test data normality using saphiro wilk test. The statistical test used is non- parametric, namely wilcoxon test. Result: The results of study indicate that lavender aromatherapy has an effect on reducing pain scale. Patients where the mean valur (mean) before giving lavender aromatherapy was 2.00 and the mean value after giving aromatherapy was 2,91, with a p value of 0,002 where the p value < 0,05. Conclusion: There is an effect of lavender aromatherapy on decreasing the scale pain in post operative TURP patiens.
HUBUNGAN ASUPAN NUTRISI TERHADAP PENGONTROLAN KADAR HEMOGLOBIN PASIEN HEMODIALISIS DI MURNI TEGUH MEMORIAL HOSPITAL MEDAN Pasaribu, Petrus P.; Silaen, Harsudianto
Excellent Midwifery Journal Vol. 7 No. 2 (2024): EDISI OKTOBER
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Abstract

Anemia is often found in patients with chronic kidney disease, especially in patients with advanced chronic kidney disease undergoing hemodialysis therapy. Anemia is influenced by factors such as age, gender, and duration of hemodialysis, as well as nutritional factors. Insufficient nutritional intake is often experienced by patients with chronic kidney disease undergoing dialysis therapy. The purpose of this study was to determine the relationship between nutritional intake and hemoglobin level control in hemodialysis patients at Murni Teguh Memorial Hospital Medan. This study used a quantitative research method with a cross-sectional design and used a sampling technique, namely purposive sampling. The test used in this study was the Chi-Square test. The results of the study showed that there was a relationship between nutritional intake and hemoglobin level control in hemodialysis patients with a p value = 0.005 or p <0.05. The conclusion of the study is that there is a significant relationship between nutritional intake and hemoglobin level control in hemodialysis patients. It is expected that patients are able to know the types of food and the amount of food needed by their bodies every day so that with sufficient nutritional intake, the patient's hemoglobin level is also expected to be within normal limits.
HUBUNGAN KEPATUHAN PERAWAT DALAM PERAWATAN KOLOSTOMI TERHADAP KEJADIAN INFEKSI POST OPERASI KANKER KOLOREKTAL DI MURNI TEGUH MEMORIAL HOSPITAL Purba, Siti Ian Cariani; Banjarnahor, Seriga
Excellent Midwifery Journal Vol. 7 No. 2 (2024): EDISI OKTOBER
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The increase in the number of colostomy patients is proportional to the increase in the incidence of colorectal cancer, because almost all colorectal cancer patients have a colostomy. One of the side effects of a colostomy is the occurrence of infection, and this is thought to be due to the lack of adherence of nurses in colostomy care. This study aims to explain the relationship between nurses in colostomy care and the incidence of infection after colorectal cancer surgery. The population in this study were inpatient nurses at GB3A, 5West, GB2, and 3Asouth Murni Teguh Memorial Hospital, totaling 61 nurses. This type of research is quantitative research with a cross sectional design with the sampling technique in this study using random sampling analysis. The data results in this study using the Spearman Rank test show that there is a relationship between nurse compliance in colostomy care and the incidence of post-operative colorectal cancer infection at Murni Teguh Memorial Medan Hospital with a p-value < 0.05. It is recommended to conduct further research with a larger sample and add variables such as the influence of nurse compliance in colostomy care on the incidence of colorectal cancer infection.

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