8 research outputs found
Effect of Back Efflurage Massage Therapy on Acute Pain Intensity After Long Bon Fracture
No full textFracture is the breaking off the continuity of hone tissue caused by trauma. Pain is an unpleasant sensoric experience which changes a person's lifestyle and prosperity. The objective of the research is to examine effects of back massage. effleurage, on the intensity of acute pain in the post-long bone fracture surgery The research used quantitative method with quasi-experiment and non-quivalent control pretest posttest group design. The samples are 37 post-surgery inpanents in each group, taken by using purposive sampling technique. The data are gathered by using VAS questionnaire and analyzed by using Mann-Whitney Utest and Pearson's chi-square test. ANOVA. The resuit of the research shows that there is significant difference between NSAID group and effleuruge. The runge of VAS change in NSAID group and effleurage tend to be higher than that in NSAID in the 3rd day and in 4th day. conclusion is that NSAID and effleurage are more effective in decreasing acute pain intensity in the post long hone fracture surgery. It is recommended that they be used as one of the interventions in decreasing pain intensity in fracture patients.117 PagesTesis Magiste
Innovation in Accelerating Diabetic Ulcer Wound Healing Using a Combination of Moist Wound Healing and Modern Dressing Methods Based on Buloh Bee Honey Ointment
No full textBackground: Buloh honey possesses antibacterial and anti-inflammatory properties, as well as the ability to accelerate tissue regeneration. The innovative combination of Moist Wound Healing (MWH) and modern dressing based on Buloh bee honey provides an effective, safe, and affordable solution for managing diabetic foot ulcers. This approach can improve patients’ quality of life and reduce both the economic and public health burdens caused by poorly managed diabetic complications. Objective: To analyze the acceleration of diabetic ulcer wound healing before and after the intervention using the combination of MWH and modern dressing based on Buloh bee honey. Method: This study employed a quasi-experimental research design with a control time series comparison group. Results: Wound healing was assessed using the Bates-Jensen Wound Assessment Tool, which evaluates parameters such as wound size, depth, edge condition, tunneling, necrotic tissue type and area, exudate type and amount, surrounding skin condition, peripheral edema, granulation tissue size, peripheral induration, and epithelialization area. The results showed that the combination of Moist Wound Healing (MWH) and Buloh bee honey ointment accelerated the healing of diabetic ulcers compared to conventional treatment. In the first week, the intervention group began to show healthy granulation tissue formation and reduced exudate, while the control group demonstrated slower improvement. By the fourth week, 73.1% of participants in the intervention group reached near-complete epithelialization, compared to 41.8% in the control group. Conclusion: The combination of MWH and Buloh bee honey ointment proved to be more effective in accelerating diabetic ulcer healing than conventional care. This intervention promotes faster new tissue formation, reduces exudate, and enhances wound epithelialization. The approach is safe, natural, and recommended as an alternative therapy for chronic wounds in diabetic patients
Terapi Pijat Punggung Effleurage terhadap Intensitas Nyeri Akut Pasca Bedah Fraktur Tulang Panjang
No full textThis study examines the effect of effleurage back massage therapy on the intensity of acute pain after long bone fracture surgery. This research method is true experimental with a pretest-posttest control group design. The results showed a significant difference between the NSAID and NSAID groups with effleurage with a p-value <0.05. The range of changes in VAS in the NSAID group with effleurage tended to be higher than in the NSAID group on days 3 and 4. The conclusion is that NSAIDs with effleurage are effective in reducing the intensity of acute pain in patients after long bone fracture surgery and are recommended as a nursing intervention. Independently to ease the pain intensity of fracture patients.
Keywords: Effleurage, Fracture, Pai
Increasing Knowledge of Class VI Elementary School Students About the Dangers of Rheumatoid Arthritis (RA) at Public Elementary School 106830 Sidodadi Ramunia Village Lubuk Pakam
No full textAs a persistent systemic inflammatory condition, rheumatoid arthritis is the primary manifestation of which is increasing polyarthritis and affects Each and every organ of the human physique. Individuals World Health Organization experience Symptoms of rheumatoid arthritis will appear, namely blockage, tight joints, and inflammation of joint movement, occurrence of cutaneous nodules above which may feel bloated and warmer, which can impact the elderly's ability to perform their everyday activities. Volunteering in the community is essential. in attempts to raise awareness of Rheumatoid Arthritis. Community service was completed. on 50 Students at SD Negeri Elementary School in grade 6 106830 Sidodadi Ramunia Lubuk Pakam Village. The purpose of this exercise is to help pupils become more conscious of the need for knowledge about treating Rheumatoid Arthritis by doing rheumatic exercises that are practiced throughout the school. The reason for this behavior is outreach as well as public initiatives, where PkM may raise awareness of the benefits of doing rheumatic exercises for Rheumatoid Arthritis patients. Evaluation of this activity was carried out through a review activity by asking students questions regarding the meaning, signs and symptoms as well as treatment for Rheumatoid Arthritis patients. This PkM's findings demonstrate that knowledge and efforts have significantly increased. to treat rheumatic diseases at SD Negeri 106830, Sidodadi Ramunia Village, Lubuk Pakam. Students are expected to be able to practice rheumatic exercises at school and at home
Effectiveness of Intradialytic Exercise on Muscle Strength and Fatigue Score in Chronic Kidney Failure (CKF) Patients in the Grandmed Hemodialysis Room
No full textChronic kidney failure is a progressive and irreversible kidney dysfunction in which the body's ability to maintain metabolism, fluid and electrolyte balance is disrupted, resulting in uremia or azotemia. Hemodialysis is a form of treatment for patients with chronic kidney failure, in which the patient's blood is diverted out of the body through a dialyzer, which occurs through diffusion and ultrafiltration, after which the blood is returned to the patient's body. Several methods to maintain muscle strength and reduce fatigue scores, namely intradialytic exercise is an exercise program developed that can increase muscle strength, muscle endurance and physical activity. The general objective of this study was to determine the effectiveness of intradialytic exercise involvement interventions on muscle strength and fatigue scores in hemodialysis patients at GrandMed Lubuk Pakam Hospital. This research method is a quantitative study, using a quasy experiment with a one group pre-test post-test design. The population in this study were all patients with Chronic Kidney Failure who were recorded at the Medical Records Hospital Grandmed Lubuk Pakam from October 2021 to December 2022. With inclusion criteria: respondents experienced movement disorders, muscle cramps, and weakness. The number of samples was 22 respondents. The sampling technique used in this research is non-probability sampling, namely purposive sampling. The statistical test used is the Wilcoxon test. The Wilcoxon test results obtained significant results from the intradialytic exercise technique on muscle strength and fatigue scores with a p value of 0.00 each. So that it can be concluded that there is an effect of giving good intradialytic exercise interventions on muscle strength & fatigue scores in chronic kidney failure patients undergoing hemodialysi
Socialization of The Effects of Nurses Workload in Preventing The Risk of Falls in Patients at Grandmed Lubuk Pakam Hospital
No full textThe quality of nursing services is a value for health services in society. Patients are consumers who always hope to receive good health services. Many incidents may occur if the nurse's workload is too high. To overcome the danger of patients falling, it is necessary to take action to reduce the risk of patients falling. So nurses will always try to prevent patients from falling by installing identification bracelets, triangular labels on patient mattresses, warning signs, adjusting mattress height, and mattress railings. Precautions must also be in accordance with SOP. Nurse workload is the allocation of working time in providing services. The high workload of nurses occurs due to the limited number of staff and uncertain job descriptions. This outreach activity will provide knowledge and courage to communicate about workload so that we can prevent the risk of patient falls. PkM activities were socialized using lecture, question and answer and discussion methods to PkM participants, namely 15 nursing staff. To measure changes in PkM participants' knowledge, pre and post-tests were given to participants. The PkM results show that PkM participants have experienced increased knowledge in preventing the risk of patient falls. Participants also have the courage to discuss with the leadership if the workload is too heavy so that they can get the best solution. Participants also become more diligent in processing their daily work
Health Guidance for Women of Reproductive Age through the Implementation of a Combination of the Health Belief Model and Basil Leaf Decoction in Preventing Vaginitis in Lubuk Pakam Subdistrict
No full textVaginal discharge is a common reproductive health problem experienced by women of reproductive age (WRA) and may be physiological or pathological in nature. Limited knowledge often makes WRA unable to distinguish between these conditions, thereby increasing the risk of health complications when pathological vaginal discharge is not properly managed. In Lubuk Pakam Pekan Village, limited access to reproductive health education and low awareness of preventive behaviors among WRA are still evident. This Community Service Program aimed to improve knowledge, attitudes, and preventive behaviors related to vaginal discharge among WRA through health mentoring based on the Health Belief Model (HBM), combined with the utilization of basil leaf (Ocimum basilicum) decoction as a local wisdom–based preventive approach. The program was implemented using an educative–participatory approach with a community-based health mentoring strategy. The target group consisted of 25 women aged 15–49 years in Lubuk Pakam Pekan Village. The intervention included HBM-based reproductive health education, mentoring on genital personal hygiene practices, and demonstrations of the preparation and use of basil leaf decoction. Evaluation was conducted using pre-test and post-test assessments to measure changes in knowledge, attitudes, and preventive behaviors. The results showed an increase in good knowledge from 36% to 84%, positive attitudes from 40% to 88%, and good preventive behaviors from 32% to 80%. In addition, participant engagement was high, and most WRA continued to practice preventive behaviors after the program concluded. It can be concluded that HBM-based health mentoring combined with the use of basil leaf decoction is effective in promoting sustainable preventive behaviors against vaginal discharge among women of reproductive age
EFEKTIVITAS TERAPI REMINISCENCE DALAM MENGURANGI DEPRESI PADA PASIEN GAGAL GINJAL KRONIK YANG MENJALANI HEMODIALISA DI RUMAH SAKIT UMUM IMELDA PEKERJA INDONESIA MEDAN TAHUN 2024
No full textChronic kidney failure is a non-communicable disease caused by a decrease in the ability of the kidneys to carry out their functions. Hemodialysis therapy is a therapy given to sufferers of chronic kidney failure which functions to replace the work of the kidneys using a dialysis machine. Hemodialysis procedures performed on kidney failure patients are likely to cause depression because sufferers undergoing hemodialysis may experience feelings of discomfort or depression due to weakness in their physical condition and dependence on dialysis machines throughout their lives. The aim of this study was to determine the effectiveness of reminiscence therapy in reducing depression in chronic kidney failure patients undergoing hemodialysis at Imelda Pekerja Indonesia Hospital. This type of research is quantitative research, with the Quasy Experiment method, and with a pre-test and post-test group research design. This research was conducted in April – July 2024 in the Hemodialysis Room at Imelda Pekerja Indonesia Hospital, Medan. This research uses a non-probability sampling technique using a purposive sampling method, namely using inclusion criteria in determining the sample, so that the total research sample is 20 respondents. The instrument used in this research is a questionnaire that refers to the Beck Depression Inventory (BDI-II) to determine depression status. Data analysis used univariate and bivariate analysis with the Wilcoxon test in the SPSS application. The results of the Wilcoxon statistical test showed a significant (p) value of 0.000 (p < 0.05), meaning that there was an effect of giving reminiscence therapy on depression status or in other words reminiscence therapy was effective in reducing depression in chronic kidney failure patients undergoing hemodialysis at Imelda Pekerja Indonesia Hospital, Medan.Gagal ginjal kronik merupakan penyakit tidak menular yang disebabkan karena menurunnya kemampuan ginjal dalam melakukan fungsinya. Terapi hemodialisa adalah salah satu terapi yang diberikan kepada penderita gagal ginjal kronik yang berfungsi untuk menggantikan kerja ginjal dengan menggunakan mesin dialisis. Tindakan hemodialisa yang dilakukan pada pasien gagal ginjal berkemungkinan menyebabkan depresi yang disebabkan karena penderita yang menjalani hemodialisa dapat mengalami perasaan tidak nyaman ataupun tertekan akibat kelemahan kondisi fisik dan ketergantungan pada mesin dialisis sepanjang hidupnya. Tujuan penelitian ini adalah untuk mengetahui efektivitas terapi reminiscence dalam mengurangi depresi pada pasien gagal ginjal kronik yang menjalani hemodialisa di Rumah Sakit Umum Imelda Pekerja Indonesia. Jenis penelitian ini adalah Jenis penelitian ini adalah penelitian kuantitatif, dengan metode Quasy Experiment, dan dengan rancangan penelitian pre-test and post-test group. Penelitian ini dilakukan pada bulan April – Juli 2024 di Ruangan Hemodialisa Rumah Sakit Umum Imelda Pekerja Indonesia Medan. Penelitian ini menggunakan teknik pengambilan sampel Non-probability sampling dengan menggunakan metode purposive sampling yaitu dengan menggunakan kriteria inklusi dalam menentukan sampel, sehingga total sampel penelitian sebanyak 20 responden. Instrument yang digunakan pada penelitian ini adalah kuesioner yang mengacu pada Beck Depression Inventory (BDI-II) untuk mengetahui status depresi. Analisa data menggunakan analisa univariat dan bivariate dengan Uji Wilcoxon di aplikasi SPSS. Hasil uji statistic wilcoxon didapatkan nilai signifikan (p) value sebesar 0,000 (p< 0,05), artinya terdapat pengaruh pemberian terapi reminiscence terhadap status depresi atau dengan kata lain terapi reminiscence efektif dalam mengurangi depresi pada pasien gagal ginjal kronik yang menjalani hemodialisa di Rumah Sakit Umum Imelda Pekerja Indonesia Medan
