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<![CDATA[Pengaruh Teknik Relaksasi Benson Terhadap Penurunan Intensitas Nyeri Pada Pasien Post Kemoradiasi Kanker Nasofaring Di Ruangan Onkologi Rumah Sakit Murni Teguh ]]>
<![CDATA[Pangaribuan, Firiska]]>;
<![CDATA[Sagala, Lam Murni]]>
<![CDATA[ Indonesian Trust Nursing Journal Vol 3 No 3 (2025): Indonesian Trust Nursing Journal ]]>
Publisher : <![CDATA[STIKes Murni Teguh ]]>
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DOI: 10.37104/itnj.v3i3.412
<![CDATA[Pain is a unique, complicated, universal and individual sensation experienced by post chemoradiation patients with nasopharyngeal cancer. One of the non-pharmacological techniques that can reduce pain intensity is the Benson relaxation technique. The objective of this study is to determine the effect of Benson relaxation techniques on reducing pain intensity in post chemoradiation patients with nasopharyngeal cancer. This research method was a quasi-experimental study using a one-group pretest and posttest design. The research was conducted in the Oncology Room at Murni Teguh Hospital Medan. The total population was 36 people and all of them were sampled. The analysis was performed univariate and bivariate using paired sample t-test with a confidence level of 95% (a = 0.05). The results of this study indicated that the pain intensity of post chemoradiation patients with nasopharyngeal cancer before being given Benson relaxation technique intervention (pretest) was in the moderate pain category (94.4%). After being given Benson relaxation technique intervention (posttest) in the category of mild pain (83.3%). The Benson relaxation technique has an effect on reducing the pain intensity of post chemoradiation patients with nasopharyngeal cancer or there is a difference in pain intensity before and after being treated with the Benson relaxation technique (pretest-posttest) at Teguh Pure Hospital Medan, p-value = 0.000 and t value = 24.612. It is concluded that Benson relaxation technique is effective to reduce pain intensity in post chemoradiation patients with nasopharyngeal cancer. It is recommended that the leadership of Murni Teguh Medan Hospital make a policy by making SOP for Benson relaxation techniques so that every post chemoradiation patient with nasopharyngeal cancer receives non-pharmacological Benson relaxation techniques.]]>
<![CDATA[Hubungan Status Fisik (Asa) Dengan Waktu Pulih Sadar Pasien Dengan General Anestesi Pada Laparatomi Cholelithiasis Di Murni Teguh Memorial Hospital ]]>
<![CDATA[Sihaloho, Ardika]]>;
<![CDATA[Sagala, Lam Murni]]>
<![CDATA[ Indonesian Trust Nursing Journal Vol 3 No 3 (2025): Indonesian Trust Nursing Journal ]]>
Publisher : <![CDATA[STIKes Murni Teguh ]]>
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DOI: 10.37104/itnj.v3i3.414
<![CDATA[General anesthesia is a medical intervention that causes loss of sensation and consciousness to facilitate surgical procedures, followed by a recovery phase where the patient regains full consciousness. Hemodynamic instability and delayed recovery often occur in laparotomy patients under general anesthesia, which is influenced by several factors, one of which is the physical status condition classified by the American Society of Anesthesiologists (ASA). Patients with a higher ASA classification are at greater risk of experiencing delayed recovery due to decreased organ and metabolic response to anesthetic agents. This study aims to determine the relationship between physical status (ASA) and recovery time in patients undergoing cholelithiasis laparotomy under general anesthesia. This study is a quantitative study with a cross-sectional design conducted in the Operating Theater Room – 8 Murni Teguh Memorial Hospital. The sample consisted of 45 respondents using a purposive sampling technique. The instruments used were an ASA physical status observation sheet and an Aldrete Score to assess recovery time. Data analysis used the Chi-Square test. The results showed that patients with a low ASA classification experienced a faster recovery of consciousness compared to patients with a high ASA classification who experienced delayed recovery. Statistical analysis showed a significant relationship between physical status (ASA) and recovery time in patients undergoing cholelithiasis laparotomy under general anesthesia (p-value <0.05). This finding confirms that patients at high risk of ASA require closer perioperative assessment and monitoring to prevent delayed recovery and reduce postoperative complications.]]>
<![CDATA[Hubungan Peran Orang Tua Dengan Kemandirian Personal Hygiene Pada Anak Pra Sekolah Di RA Nurulhasanah Percut Sei Tuan ]]>
<![CDATA[Gulo, Nodalima]]>;
<![CDATA[Hasibuan, Muhammad Taufik Daniel]]>;
<![CDATA[Tambunan, Dior Manta]]>
<![CDATA[ Indonesian Trust Nursing Journal Vol 3 No 3 (2025): Indonesian Trust Nursing Journal ]]>
Publisher : <![CDATA[STIKes Murni Teguh ]]>
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DOI: 10.37104/itnj.v3i3.416
<![CDATA[Personal hygiene or personal hygiene is an effort to maintain personal cleanliness and health, both physically and mentally. Pre-school children are still in the developmental stage and need parental guidance in forming independent hygiene habits. Important in teaching and familiarizing children with personal hygiene from an early age. This study aims to determine the relationship between the role of parents and the personal hygiene of pre-school children in Ra Nurul Hasanah Percut Sei Tuan. This research used quantitative methods with a cross-sectional approach. The number of samples in this study was 92 people with total sampling techniques. Data was collected using a questionnaire and analyzed using the Spearman’s Rho statistical. The results of the bivariate analysis showed that there is a significant relationship between the role of parents and the independence of personal hygiene in pre-school children with a p-value = 0,000 (α <0.05), this shows that the better the role of parents, the higher the level of independence of children in maintaining personal hygiene. It is concluded that there is a significant relationship between the role of parents and personal hygiene independence in preschool children. Therefore, parent active role in providing education and guidance regarding personal hygiene is very necessary to from healthy living habits in children from an early age. It is recommended for further research to do experimental study in measuring the effectiveness of parents in forming personal hygiene habits in children.]]>
<![CDATA[Pengaruh Teknik Relaksasi Lima Jari Terhadap Intensitas Nyeri Pada Pasien Post Operasi Sectio Caesarea Di RSIA Murni Teguh Rosiva Medan ]]>
<![CDATA[Mulyana, Sri]]>;
<![CDATA[Simanullang, Rostime Hermayerni]]>
<![CDATA[ Indonesian Trust Nursing Journal Vol 3 No 3 (2025): Indonesian Trust Nursing Journal ]]>
Publisher : <![CDATA[STIKes Murni Teguh ]]>
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DOI: 10.37104/itnj.v3i3.417
<![CDATA[Physically, caesarean section causes pain in the abdomen, this pain comes from the surgical wound. Caesarean section delivery has a higher pain level of around 27.3%, compared to the pain level of normal labor which is only around 9%. If pain in post-operative patients is not treated immediately, it will result in the patient's rehabilitation process being delayed, the patient's hospitalization being longer, the complication rate being high and requiring more costs. Objective: to analyze the effect of the five fingers relaxation technique on pain intensity in post-operative caesarean section patients at RSIA Murni Teguh Rosiva Medan. This research used quantitative methods with a quasi-experimental with a nonequivalent control group design. The sampling technique used total sampling, and the instrument used the five fingers relaxation technique and an observation sheet. Mann-Whitney test to analyze data in this study. This study showed that there is an influence of the Five Fingers Relaxation Technique on Pain Intensity in Post-Caesarean Section Surgery Patients at RSIA Murni Teguh Rosiva Medan, with a p-value = 0.001 or (α < 0.05). It is concluded that there is an effect of the five fingers relaxation technique on pain intensity in post-operative caesarean section patients at RSIA Murni Teguh Rosiva Medan. It is hoped that the five-fingers relaxation technique can be applied as a non-pharmacological therapy. It is recommended for further researchers to add a larger number of samples.]]>
<![CDATA[Hubungan Gaya Kepemimpinan Kepala Ruangan Dengan Penerapan Budaya Keselamatan Pasien Di Rumah Sakit Murni Teguh Medan ]]>
<![CDATA[Pane, Pebriana]]>;
<![CDATA[Banjarnahor, Seriga]]>
<![CDATA[ Indonesian Trust Nursing Journal Vol 3 No 3 (2025): Indonesian Trust Nursing Journal ]]>
Publisher : <![CDATA[STIKes Murni Teguh ]]>
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DOI: 10.37104/itnj.v3i3.418
<![CDATA[The World Health Organization (WHO) states that patient safety is a serious global public health issue. Medical errors can be caused by both system and human factors. The purpose of this study was to determine the relationship between the leadership style of the ward head and the implementation of patient safety culture at Murni Teguh Hospital, Medan. This research method is descriptive with a cross-sectional design, a total of 60 respondents, sampling using accidental sampling technique with a sample of 60 respondents, using observation sheets and questionnaires. The results of the study that has been conducted found that the leadership style of the ward head at Murni Teguh Hospital is mostly moderate (29 people), a minority of high (14 people), and the patient safety culture at Murni Teguh Hospital is mostly quite good (27 people), and a minority of good (16 people). With the results of the bivariate analysis using the Chis-square test obtained a p value = 0.002, so p-value = 0.002 < α (0.05), thus there is a relationship between the leadership style of the ward head and the implementation of patient safety culture at Murni Teguh Hospital, Medan. This shows statistically that there is a significant relationship between leadership style and the implementation of patient safety culture.]]>
<![CDATA[Pengaruh Teknik Relaksasi Lima Jari Terhadap Tingkat Nyeri Pada Pasien Post-Op Fraktur Ekstremitas Atas Di Murni Teguh Memorial Hospital ]]>
<![CDATA[Hutagaol, Simarimbun Putri Uli]]>;
<![CDATA[Simatupang, Lenny Lusia]]>
<![CDATA[ Indonesian Trust Nursing Journal Vol 3 No 3 (2025): Indonesian Trust Nursing Journal ]]>
Publisher : <![CDATA[STIKes Murni Teguh ]]>
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DOI: 10.37104/itnj.v3i3.422
<![CDATA[Fractures are conditions where bones break, typically due to trauma or physical force. Several factors, such as the strength and angle of the impact, along with the condition of the bones and surrounding soft tissue, determine the type of fracture—whether it is complete or incomplete. Fractures of the upper extremities are often caused by falls with the arms extended backward. Data from the WHO indicates a significant rise in fracture cases, from 13 million individuals in 2008 to 21 million in 2010. This study aims to identify pain levels in patients who undergo upper extremity fracture surgery before and after using the five-finger relaxation technique. A quantitative research method with an experimental design was employed, measuring pain in 12 patients before and after the relaxation intervention. Analysis using the Wilcoxon test yielded a p-value of 0.02 < 0.05, indicating a significant effect of the five-finger relaxation technique on pain reduction. In conclusion, this relaxation technique was found to be effective in decreasing pain levels in patients post upper extremity fracture surgery.]]>
<![CDATA[Pengaruh Latihan Ekstremitas Atas Terhadap Kekuatan Otot Pada Pasien Penyakit Paru Obstruktif Kronis (PPOK) Di Puskesmas Siatas Barita ]]>
<![CDATA[Lumbantobing, Dikki Samuel]]>;
<![CDATA[Sembiring, Hizkianta]]>
<![CDATA[ Indonesian Trust Nursing Journal Vol 3 No 3 (2025): Indonesian Trust Nursing Journal ]]>
Publisher : <![CDATA[STIKes Murni Teguh ]]>
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DOI: 10.37104/itnj.v3i3.423
<![CDATA[Chronic Obstructive Pulmonary Disease (COPD) is a chronic respiratory disorder that not only causes airflow limitation but also leads to systemic impacts, including upper extremity muscle weakness. This condition may interfere with daily activities and reduce patients’ quality of life. To determine the effect of upper extremity exercises on muscle strength among COPD patients at Siatas Barita Public Health Center. This study used a One Group Pretest–Posttest Design with 8 respondents selected through total sampling. Muscle strength was assessed using Manual Muscle Testing (MMT) before and after upper extremity exercise intervention. Data were analyzed using the Wilcoxon Signed Rank Test due to non-normal distribution. There was a significant improvement in upper extremity muscle strength after the intervention, with a p-value = 0.018 (p < 0.05). The mean MMT score increased from 2.875 in the pre-test to 4.000 in the post-test, indicating a meaningful enhancement in muscle strength. Upper extremity exercise is effective in improving muscle strength in COPD patients and can be used as a non-pharmacological intervention to support physical function. Further studies with larger samples and more comprehensive instruments are recommended.]]>
<![CDATA[Hubungan Kualitas Pelayanan Keperawatan Dengan Kepuasan Pasien Rawat Inap Di Rumah Sakit Ibu Dan Anak Murni Teguh Rosiva Medan ]]>
<![CDATA[Nababan, Eris Novita Sari Br.]]>;
<![CDATA[Hasibuan, Muhammad Taufik Daniel]]>
<![CDATA[ Indonesian Trust Nursing Journal Vol 3 No 3 (2025): Indonesian Trust Nursing Journal ]]>
Publisher : <![CDATA[STIKes Murni Teguh ]]>
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DOI: 10.37104/itnj.v3i3.424
<![CDATA[One type of health service in a hospital is inpatient care. Poor quality of nursing care can lead to decreased patient satisfaction, increased patient anxiety, and decreased trust in the nursing care provided. The objective of this study is to determine the relationship between the quality of nursing care and inpatient satisfaction. This type of research is quantitative research using a correlational study design. The study was conducted at Murni Teguh Rosiva Medan Hospital. The population was 88 patients per month and all of them were sampled, with total sampling. Analysis was carried out univariately in the frequency distribution table and bivariately using the Chi-Square test. This study shows that most inpatients are aged 21-40 years (72.7%), female (90.9%), highly educated (65.9%), and employed (52.3%). The majority of inpatients stated that the quality of nursing care is in the good category (72.7%) and were satisfied with nursing care (69.3%). The quality of nursing care is significantly related to inpatient satisfaction at Murni Teguh Rosiva Women and Children's Hospital, Medan, with a p-value of 0.000 (< 0.05). It is concluded that inpatient satisfaction is driven by good quality nursing care. It is recommended that nurses are advised to undergo regular training to maintain high standards of nursing care for inpatients.]]>
<![CDATA[Pengaruh Mobilisasi Dini Terhadap Intensitas Nyeri Pada Pasien Post Operasi Sectio Caesarea Di RSIA Rosiva Medan ]]>
<![CDATA[Panjaitan, Jesica Lasma]]>;
<![CDATA[Sagala, Lam Murni]]>
<![CDATA[ Indonesian Trust Nursing Journal Vol 3 No 3 (2025): Indonesian Trust Nursing Journal ]]>
Publisher : <![CDATA[STIKes Murni Teguh ]]>
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DOI: 10.37104/itnj.v3i3.425
<![CDATA[Postoperative pain is a physiological condition, yet it remains one of the most feared complaints among patients after surgery. Early mobilization plays an important role in reducing pain by diverting the patient’s focus away from the site of pain or surgical area, decreasing the activation of chemical mediators involved in the inflammatory process that heighten the pain response, and minimizing the transmission of pain signals to the central nervous system. The aim of this study was to determine the effect of early mobilization on pain intensity in post–cesarean section patients at RSIA Rosiva Medan. This study used a pretest and posttest control group design. The population consisted of post–cesarean section patients at RSIA Rosiva Medan. The sampling technique used was purposive sampling. The total sample in this study was 41 respondents in the intervention group and 41 respondents in the control group. Observation sheets and early mobilization SOPs were used for data collection. Data were analyzed using univariate and bivariate analyses with the Mann–Whitney test. The study showed that after early mobilization, most respondents in the intervention group experienced mild pain, totaling 34 respondents (82.9%). Meanwhile, in the control group, where early mobilization was not performed, most respondents experienced moderate pain, totaling 37 respondents (90.2%). The Mann–Whitney test yielded a p-value of 0.000. It is concluded that there is an effect of early mobilization on pain intensity in post–cesarean section patients at RSIA Rosiva Medan in 2021. It is suggested that it can be used as input for developing Standard Operating Procedures for non-pharmacological interventions to reduce pain intensity in post–cesarean section patients.]]>
<![CDATA[Pengaruh Edukasi Tentang Perawatan Hipertensi Di Rumah Terhadap Pengetahuan Pasien Hipertensi Di Murni Teguh Memorial Hospital ]]>
<![CDATA[Silaban, Dian Handayani]]>;
<![CDATA[Simatupang, Lenny Lusia]]>
<![CDATA[ Indonesian Trust Nursing Journal Vol 3 No 3 (2025): Indonesian Trust Nursing Journal ]]>
Publisher : <![CDATA[STIKes Murni Teguh ]]>
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DOI: 10.37104/itnj.v3i3.426
<![CDATA[Hypertension is a disorder of the blood vessels which results in the supply of oxygen and nutrients carried by the blood being blocked from reaching the body tissues that need it. The body shows a hunger reaction and causes the heart to have to work harder to meet needs. the. If this condition persists for a long time and is not treated immediately, symptoms of high blood pressure will appear. The aim of this study was to determine the effect of education about hypertension treatment at Murni Teguh Memorial Hospital. This type of research is Quantitative with a Quasi-Experimental method with a One Group Pretest Posttest approach, sampling using purposive sampling of 45 people. Data analysis using a paired t-test. The results of this study used a paired t-test (Paired-Samples Test). It was found that there was an influence of education about hypertension treatment with a p-value <0.005. and t count (3.54) > t table (2.09). It is hoped that health services can provide health education about the benefits of education to overcome the problem of hypertension.]]>
