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Jurnal Riset Ilmiah
Published by Lembaga Pendidikan dan Penelitian Manggala Institute
ISSN : -     EISSN : 30318947     DOI : https://doi.org/10.62335/5t445c70
Core Subject : Economy, Health, Education, Social,
Economics, Econometrics & Finance Law, Crime, Criminology & Criminal Justice Public Health Social Sciences Other
SINERGI : Jurnal Riset Ilmiah accomodates original research, or theoretical papers. We invite critical and constructive inquiries into wide range of fields of study with emphasis on interdisciplinary approaches: Humanities and Social sciences, that include: Engineering, Economics, Health, Social, Science and Law.
Arjuna Subject : Umum - Umum
Articles 659 Documents
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PENERAPAN TERAPI GENGGAM BOLA KARET DAN LATIHAN RANGE OF MOTION PASIF PADA LANSIA PASCA STROKE DENGAN GANGGUAN MOBILITAS FISIK: SEBUAH LAPORAN KASUS Dwinaputri, Adinda Zahira; Susanti, Raini Diah; Sari, Sheizi Prista
SINERGI : Jurnal Riset Ilmiah Vol. 3 No. 1 (2026): SINERGI : Jurnal Riset Ilmiah, January 2026
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/sinergi.v3i1.2261

Abstract

Stroke is one of the leading causes of long-term disability and mortality worldwide, with a common consequence being muscle weakness (hemiparesis) that results in impaired mobility and decreased independence among older adults. Non-pharmacological rehabilitation efforts, such as rubber ball gripping therapy, can serve as a simple alternative intervention to improve muscle strength and motor function. This case study aimed to determine the effect of rubber ball gripping therapy and range of motion (ROM) exercises on improving muscle strength in an elderly post-stroke patient at UPTD Griya Lansia Ciparay. The subject was a 68-year-old male elderly patient with left-sided hemiparesis following a stroke. The intervention was conducted for six consecutive days, consisting of rubber ball gripping exercises for 10–15 minutes daily, and muscle strength was evaluated using the Manual Muscle Testing (MMT) method. The results demonstrated an improvement in left extremity muscle strength from 2/5 to 4/5, accompanied by increased motivation and self-confidence in the patient. Rubber ball gripping therapy combined with range of motion exercises proved effective in enhancing muscle strength in elderly post-stroke patients. This intervention aligns with the objectives of the Sustainable Development Goals (SDGs), particularly Goal 3: Good Health and Well-being, which emphasizes the importance of improving quality of life and achieving optimal health for all age groups, including older adults.
ETIKA PENYELENGGARA TENAGA PEREKAM MEDIS DALAM UPAYA PENCEGAHAN KEBOCORAN DATA DAN INFORMASI MEDIS PASIEN DI RSUD DR. HASRI AINUN HABIBIE Dangkua, Fahria; Ahmad, Riska; Katili, Rismunandar
SINERGI : Jurnal Riset Ilmiah Vol. 3 No. 1 (2026): SINERGI : Jurnal Riset Ilmiah, January 2026
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/sinergi.v3i1.2263

Abstract

The confidentiality of patients’ medical data and information is a crucial aspect of healthcare services, particularly in the era of digitalized medical records that requires stronger information security. The use of hospital information systems facilitates healthcare services; however, it also increases the risk of data breaches if not properly managed. Medical record officers play a vital role in maintaining data security in accordance with applicable regulations. Based on this urgency, this study was conducted to identify potential risks of data breaches and preventive efforts at RSUD Dr. Hasri Ainun Habibie. This study employed a qualitative descriptive method with a normative–empirical approach. Data were collected through in-depth interviews, observation, and documentation. Data analysis was carried out through data reduction, data presentation, and drawing conclusions. The results indicate that the hospital has implemented several security measures, including the use of individual passwords, two-factor authentication, access restrictions, and data backup within the hospital information system. Nevertheless, risks still arise from human resource factors, such as limited understanding of data security, the potential for human error, and network constraints. In addition, specific training on data confidentiality and professional ethics has not yet been conducted. In conclusion, the role of medical record officers is essential in preventing data breaches. Strengthening competencies, increasing training programs, and reinforcing information security policies are necessary to ensure optimal protection of patients’ data.
IMPLEMENTASI POSISI SEMI FOWLER PADA PASIEN CONGESTIVE HEART FAILURE (CHF) DENGAN GANGGUAN POLA NAPAS DI RUMAH SAKIT TK II PUTRI HIJAU MEDAN Khafizah, Fidia Nurul; Fentiana, Nina; Ariyanti, Ika
SINERGI : Jurnal Riset Ilmiah Vol. 3 No. 1 (2026): SINERGI : Jurnal Riset Ilmiah, January 2026
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/sinergi.v3i1.2264

Abstract

Congestive Heart Failure (CHF) is a complex syndrome characterized by impaired ventricular function in pumping blood, leading to symptoms such as shortness of breath. This study aims to describe the implementation of the semi-Fowler's position in CHF patients with ineffective breathing patterns. This research used a descriptive case study design, carried out through nursing care stages including assessment, diagnosis, intervention, implementation, and evaluation, along with observation sheets andphysical examinations. The study was conducted on two respondents at TK II Putri Hijau Hospital, Medan. The results showed an improvement in oxygen saturation (Sp02) in both patients after the semi-Fowler 's position was applied. In the first patient, Sp02 increased from 95% to 97%, while in the second patient, it increased from 94% to 98%. The findings indicate that the semi-Fowler's position helps improve respiratory quality and increase oxygen saturation in CHF patients. This intervention is recommended as an easily implemented non-pharmacological nursing approach for inpatient care. Nurses are encouraged to apply this intervention for CHF patients.
IMPLEMENTASI JALAN KAKI 30 MENIT PADA PASIEN DIABETES MELLITUS TIPE II UNTUK MENGONTROL KADAR GULA DARAH DI RUMAH SAKIT TK II PUTRI HIJAU MEDAN Sitepu, Winda Khairiana Delima Putri Br; Suharto, Suharto; Jundapri, Kipa
SINERGI : Jurnal Riset Ilmiah Vol. 3 No. 1 (2026): SINERGI : Jurnal Riset Ilmiah, January 2026
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/sinergi.v3i1.2265

Abstract

Diabetes mellitus is a chronic disease that occurs when the pancreas is unable to produce sufficient insulin or when the body cannot effectively use the insulin produced, resulting in increased blood glucose concentration (hyperglycemia). One non- pharmacological nursing intervention that can be used to reduce blood glucose levels in patients with diabetes mellitus is a 30-minute walking activity. This study aims to describe the implementation of a 30-minute walking intervention to reduce blood glucose levels in patients with diabetes mellitus at TK II Putri Hijau Hospital, Medan. This research used a descriptive case study method with a nursing care approach including assessment, diagnosis, intervention, implementation, and evaluation. The study was conducted in April 2025 on two patients with diabetes mellitus. The results showed that after implementing the 30-minute walking intervention, both patients experienced a decrease in blood glucose levels: in Patient 1. from 245 mg/dL to 134 mg/dL; and in Patient 2, from 234 mg/dL to 164 mg/dL. The conclusion from this implementation indicates that a 30-minute walking intervention can be an effective nursing intervention to help reduce blood glucose levels in patients with diabetes mellitus, as demonstrated in both cases
IMPLEMENTASI  KEPERAWATAN  KELUARGA PERILAKU  HIDUP BERSIH DAN SEHAT (PHBS) UNTUK PENCEGAHAN DIARE BERULANG PADA ANAK Pahlevi, M. Reza; Af ‘idah, Huwaina; Gustina, Erita
SINERGI : Jurnal Riset Ilmiah Vol. 3 No. 1 (2026): SINERGI : Jurnal Riset Ilmiah, January 2026
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/sinergi.v3i1.2266

Abstract

Diarrhea in children remains a public health problem that can lead to dehydration, impaired growth and development, and even death. One preventive effort against recurrent diarrhea is the implementation of Clean and Healthy Living Behavior (CHLB) within families. This study aims to describe the implementation of family nursing care in applying CHLB to prevent recurrent diarrhea in children. The research method used a case study approach through stages of family nursing care, including assessment, diagnosis, intervention, implementation, and evaluation. Instruments consisted of observation and interviews with families. The results showed an increase in family knowledge and attitudes after being provided with health education on CHLB, including handwashing with soap, consumption of clean water, maintaining food hygiene, and using sanitary latrines. The implementation of CHLB was effective in reducing the risk of recurrent diarrhea in children by promoting healthier family behaviors. The conclusion of this study is that family nursing care through CHLB implementation is effective in enhancing the prevention of recurrent diarrhea in children. It is recommended that CHLB education be developed as a routine program in family health services to reduce the incidence of recurrent diarrhea in children.
IMPLEMENTASI DISCHARGE PLANNING TENTANG PERSONAL HYGIENE  PADA  PASIEN  STROKE  ISKEMIK DI RUMAH SAKIT TK II PUTRI HIJAU MEDAN Astuti, Novi Arista Widya; Fentiana, Nina; Ariyanti, Ika
SINERGI : Jurnal Riset Ilmiah Vol. 3 No. 1 (2026): SINERGI : Jurnal Riset Ilmiah, January 2026
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/sinergi.v3i1.2267

Abstract

Ischemic stroke is a serious non-communicable disease worldwide, characterized by functional impairment affecting the brain, such as nerve paralysis caused by a lack of oxygen supply to the brain. This study aims to describe the implementation of discharge planning regarding personal hygiene for ischemic stroke patients. This research used a case study method with a nursing care approach, including assessment, diagnosis. intervention, implementation, and evaluation. Data were collected using observation sheets and questionnaires. The results of this study showed an increase in knowledge regarding discharge planning on personal hygiene in both patients: in the first patient, knowledge level increased from 46% (poor) to 86% (good), and in the second patient, knowledge level increased from 46% (poor) to 86% (good). It can be conclude that discharge planning related to personal hygiene is effective in improving the understanding and ability of families to care for patients at home, thereby helping reduce the risk of complications. It is recommended that families regularly apply personal hygiene practices to prevent complications such as skin infections and body odor
PENDIDIKAN KESEHATAN KELUARGA TENTANG MANFAAT IMUNISASI BACILLUS CALMETTE GUERIN (BCG) PADA BAYI USIA 0-12 BULAN DI UPT PUSKESMAS MEDAN DELI Rizka, Fakhiru; Khairani, Ade Irma; Pangaribuan, Resmi
SINERGI : Jurnal Riset Ilmiah Vol. 3 No. 1 (2026): SINERGI : Jurnal Riset Ilmiah, January 2026
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/sinergi.v3i1.2268

Abstract

Health education is an effort to deliver health information to individuals or communities with the aim of improving their knowledge regarding health. One of the mandatory basic immunizations is the Bacillus Calmette—Guérin (BCG) vaccine, which serves to prevent tuberculosis. Based on information gathered in the community, there remains a lack of uniform understanding regarding immunization, resulting in many infants not receiving immunization services. This study aims to apply family nursing care by providing health education on the benefits of BCG imntunizationfor infants aged 0—12 months in the working area of Medan Deli Community Health Center. The research employed a descriptive method with a case study approach, involving two families with infants aged 0—12 months. Data were collected through interviews, observations, and the delivery of health education using leaflets. The intervention was carried out to improve family knowledge regarding the benefits of BCG immunization as well as the importance of completing basic immunizations for infants. The results showed that prior to receiving health education, the families ' level ofknowledge was low, and there were concerns about the side effects of immunization. After the health education was provided, there was an increase in family understanding of the benefits of BCG immunization. Families also demonstrated positive changes in attitude toward the implementation of health education delivered to them. Conclusion: Health education is effective in improving family knowledge regarding the benefits of BCG immunization. It is expected that healthcare workers continue to provide consistent and ongoing education to ensure adequate immunization coverage in the community
AKTIVITAS ANTIBAKTERI DAN ANTIBIOFILM FRAKSI AIR DAUN KRATOM (MITRAGYNA SPECIOSA) Mahdi, Lukman
SINERGI : Jurnal Riset Ilmiah Vol. 3 No. 1 (2026): SINERGI : Jurnal Riset Ilmiah, January 2026
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/sinergi.v3i1.2269

Abstract

Inadequate infection management poses a significant risk of complications, further exacerbated by biofilm-associated infections that lead to therapeutic failure and recurrence. Consequently, the development of novel antibacterial-antibiofilm agents is critical. Natural products offer substantial potential due to their diverse active compounds, notably Kratom leaves (Mitragyna speciosa), which have a long-standing history in traditional medicine. This study aims to evaluate the antibacterial and antibiofilm potential of the aqueous fraction of M. speciosa against Staphylococcus aureus and Escherichia coli. The methodology involved ethanol extraction of the leaf powder, followed by sequential fractionation to isolate the aqueous fraction. Antibacterial activity was assessed using the disk diffusion method, while antibiofilm efficacy was determined via the microbroth dilution method. Results indicated that aqueous fraction of M. speciosa inhibited the growth of S. aureus and E. coli, at concentrations of 5–25%. Antibiofilm assays revealed that the inhibitory effects of aqueous fraction of M. speciosa were dose-dependent. The aqueous fraction of M. speciosa at 1% concentration demonstrated effective inhibition across all three biofilm phases of S. aureus. Conversely, for E. coli, the maximum inhibitory effect was observed exclusively during the eradication phase. These findings confirm that the aqueous fraction of M. speciosa holds strategic potential for development as a natural antibacterial-antibiofilm agent.
OPTIMALISASI PENGELOLAAN SUMBER DAYA AIR DI KABUPATEN MUARA ENIM UNTUK MENDUKUNG PENYEDIAAN AIR BERSIH YANG EFISIEN Chayadi, Oktavianus; Manurung, Edison Hatoguan
SINERGI : Jurnal Riset Ilmiah Vol. 3 No. 1 (2026): SINERGI : Jurnal Riset Ilmiah, January 2026
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/sinergi.v3i1.2272

Abstract

This study analyzes the availability of clean water in Muara Enim Regency by focusing on the balance between water resource potential and community water demand up to the year 2035. The analysis employs a water balance method using a descriptive qualitative and quantitative approach, based on the processing and evaluation of secondary data from multiple sources, including population data, climatological data, and information on the existing water supply system. The data were obtained from the Central Bureau of Statistics (BPS), the Meteorology, Climatology, and Geophysics Agency (BMKG), as well as the Water Supply System Master Plan (RISPAM) of Muara Enim Regency as a technical reference. The results of the analysis indicate that the Enim River has an average discharge of approximately 56 m³/s, equivalent to 4.8 billion liters per day, while domestic water demand in 2025 is estimated at 11.86 million liters per day and is projected to increase to 13.79 million liters per day by 2035. The water balance analysis conducted in this study reveals a surplus of approximately 4.82 billion liters per day, indicating that water availability is quantitatively sufficient. Nevertheless, the analysis also shows that the capacity of water treatment and distribution systems remains suboptimal, as reflected by limited treatment capacity and relatively high water losses. Based on the calculations and evaluations carried out in this study, it is recommended to increase water treatment capacity, develop balancing storage facilities, and rehabilitate the distribution network in order to reduce water losses and improve clean water service coverage by 2035.
EVALUASI PERILAKU SAMBUNGAN BAJA PADA STRUKTUR RANGKA MOMEN TAHAN GEMPA: ANALISIS STUDI LITERATUR DAN STATISTIK TERHADAP SAMBUNGAN TIPE EXTENDED END-PLATE Chayadi, Oktavianus; Manurung, Edison Hatoguan; Prajoko, Alip
SINERGI : Jurnal Riset Ilmiah Vol. 3 No. 1 (2026): SINERGI : Jurnal Riset Ilmiah, January 2026
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/sinergi.v3i1.2273

Abstract

Beam–column connections are critical components in seismic-resistant steel moment frame systems. This study aims to evaluate the behavior of Extended End-Plate (EEP) connections through a systematic literature review and statistical analysis of secondary data. The research method adopts a systematic literature review approach with quantitative data analysis derived from five main research journals published between 1997 and 2021. The data were extracted and analyzed using SPSS 25 software through descriptive statistical analysis, Pearson correlation, multiple linear regression, and one-sample t-test. The results indicate that: (1) there is a very strong positive correlation between end-plate thickness and connection moment capacity (r = 0.892; p < 0.01); (2) 67% of connection configurations with end-plate thickness ≥ 15 mm satisfy the minimum inelastic rotation criterion of 0.03 rad based on the FEMA-350 standard; and (3) end-plate thickness contributes dominantly (71.4%) to the increase in moment capacity compared to the number of bolts (28.6%). The recommended optimal configuration is an EEP connection with a 15 mm end-plate thickness and six bolts, producing a moment capacity of 56.8 kNm and an inelastic rotation of 0.042 rad. This study provides practical implications as a basis for recommending EEP connection design for steel buildings in seismic regions of Indonesia

Page 64 of 66 | Total Record : 659

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