Jurnal Penelitian Keperawatan Medik http://ejournal.delihusada.ac.id/index.php/JPKM <div style="text-align: justify;"> <p>Jurnal Penelitian Keperawatan Medik memberikan ruang bagi akademisi, peneliti dan pengguna hasil penelitian dan pengabdian untuk mendiseminasikan, menginformasikan, mendiskusikan dan menggunakan hasil penelitian dan pengabdian sebagai upaya meningkatkan kualitas kebijakan di bidang keperawatan yang berbasis ilmiah. Jurnal ini menyajikan hasil penelitian, pengabdian masyarakat serta artikel ilmiah di bidang keperawatan medis. Artikel penelitian dan pengabdian masyarakat yang dimuat dalam jurnal ini merupakan topik penting dalam pengembangan ilmu pengetahuan di bidang kesehatan masyarakat, membantu pemecahan masalah seputar keperawatan dan membantu meningkatkan kualitas hidup manusia. Jurnal Penelitian Keperawatan Medik bersifat independen, ilmiah, memberi kesempatan yang sama kepada akademisi dari berbagai jenjang dan asal pendidikan tinggi.</p> </div> Fakultas Keperawatan Institut Kesehatan Deli Husada en-US Jurnal Penelitian Keperawatan Medik 2654-7635 FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN PENGELOLAAN SAMPAH RUMAH TANGGA http://ejournal.delihusada.ac.id/index.php/JPKM/article/view/301 <p><em>The problems that is examined in this study are factors related to household waste management. The purpose of this study was to determine the factors associated with household waste management. The type of research was analytical research with cross sectional design. The independent variable were income, knowledge, availability of facilities and infrastructure, and socialization. The total population in this study was 4.216 inhabitants. Samples taken as many as 98 people. The sampling technique used stratified random sampling. Data analysis used Chi-square test with a = 0.05. From the results of the study, it is found that the respondents income about household waste management earning &lt;DMW (Rp3,003,922) was 56.1%, bad knowledge was 60.2%, availability of facilities and infrastructure was not available by 56.1%, good socialization by 51 0%. Statistical test results showed that income and household waste management p = 0.009, the level of knowledge and household waste management p = 0.034, the availability of facilities and infrastructure and household waste management p = 0.034, socialization and management household waste obtained p = 0.556. The conclusion of this study that there was relationship between income, knowledge, availability of facilities and infrastructure with household waste management, while socialization has no relationship with household waste management. Suggestions are recommended for people who live in the village to increase knowledge about good household waste management.</em></p> Alprindo Sembiring ##submission.copyrightStatement## 2020-10-31 2020-10-31 3 1 1 9 10.36656/jpkm.v3i1.301 Perilaku Ibu Dalam Pencegahan Penyakit Demam Berdarah Dengue (DBD) Pada Balita Di Kelurahan Belawan Bahagia Kecamatan Medan Belawan http://ejournal.delihusada.ac.id/index.php/JPKM/article/view/302 <p><em>Dengue Hemorrhagic Fever (DHF) is a disease that is still the center of attention because the number of cases is increasing in number of cases in children under five. Some of the factors that are thought to influence are behavioral factors in the form of behavioral domains, namely knowledge, attitudes and practices in the implementation of prevention for housewives and their families. The purpose of this study was to identify the relationship between maternal knowledge and attitudes in the prevention of Dengue Hemorrhagic Fever (DHF) in toddlers. This type of research uses the type of research that is analytic observation with a cross sectional research design. The total sampling used in this study were 32 mothers who had children under five in Sido Rukun village who had toddlers. The data measurement technique was carried out by the researcher using a closed questionnaire to the respondents as many as 24 questions, namely, 12 questions for Independent Variables and 12 questions for Dependent Variable questions. The results showed that out of 32 mothers who became respondents, it was shown that the knowledge of mothers about Dengue Hemorrhagic Fever (DHF) was still quite good, namely 18 respondents (56.3%). Based on the attitude of the results found by the researcher, the majority of 32 mothers who had toddlers had good attitudes as many as 19 respondents (59.4%). The results of the analysis by researchers that have been carried out show that there is a relationship between maternal knowledge and attitudes in the prevention of dengue hemorrhagic fever (DHF), this can be seen from statistical tests using SPSS using the dhisquare test, analysis p = 0.03 means p &lt;0.05 the results of the distribution and the questionnaire sheets that were distributed to the respondents. The conclusion is that there is a relationship between maternal knowledge in determining maternal attitudes towards the prevention of Dengue Hemorrhagic Fever (DHF) in toddlers.</em></p> Nixson Manurung ##submission.copyrightStatement## 2020-10-31 2020-10-31 3 1 10 14 10.36656/jpkm.v3i1.302 HUBUNGAN TINDAKAN HEMODIALISIS DENGAN KUALITAS HIDUP PADA PASIEN GAGAL GINJAL KRONIK DI RUANGAN HEMODIALISA DI RSU SEMBIRING http://ejournal.delihusada.ac.id/index.php/JPKM/article/view/308 <p><em>“Chronic kidney failure is a public health problem in the world, where the incidence of chronic renal failure is increasing every year. The increasing number of patients suffering from chronic renal failure will also increase the number of patients undergoing hemodialysis.hemodialysis is a way to replace the work that is usually done by the kidneys, namely cleaning the blood from metabolic waste, toxic substances and removing water deposits in the body. In this study, researchers used a survey analytic method with a cross sectional. The population in this study were 68 respondents, while the sample in this study was taken using accidental sampling namely 30 respondents. From statistical test using the chi-square test obtained </em><em>p-Value = 0,028 &lt; α = 0,05, where there is a relationship between hemodialysis and quality of life in patients withhh chronic renal failure in the hemoodialysis room of the RSU Sembiring. It is advisable for patients with chronic kidney failure who are undergoing hemodialysis to improve their good quality of life because the quality of life has a significant effect on patients suffering ffrom chronic kidney failure who are undergoing hemodialysis”.</em></p> Meta Rosaulina ##submission.copyrightStatement## 2020-10-31 2020-10-31 3 1 15 21 10.36656/jpkm.v3i1.308 PENGARUH PEMBERIAN JUS SEMANGKA PENGARUH PEMBERIAN JUS SEMANGKA TERHADAP PENURUNAN TEKANAN DARAH PADA PENDERITA HIPERTENSI http://ejournal.delihusada.ac.id/index.php/JPKM/article/view/309 <p><em>Hypertension is a condition where someone experiences an increase in blood pressure above normal 140/90 mmHg. Hypertension is often called silent killer because if often doesn’t&nbsp;&nbsp;&nbsp; Have warning signs or symptoms, and many people don’t realize that they have symptoms of hypertension. There is also treatment for hypertension can be done pharmacology and non-pharmacology, among others, with complementary consuming therapy watermelon juice to reduce blood pressure in patients with hypertension. Research to find out the effect of giving watermelon juice (Citrillus Vulgaris Schardy) to decrease blood pressure in hypertension patient in the KPUM komplex IX village Mekar Sari Deli Tua subdistrict Deli Serdang regency in 2019. This type of research is a pre experiment (pre experimental design) with pre and post in one group ( owe group pretest posttest ). This study uses total sampling where the amount population and sample are the same. Analysis of statistical data used is Uil T pair with the significance level of P 0,05 results and this study, the value P = 0,002. This means there is effect of watermelon juice on reducing blood pressure in patients hypertension it can be concluded that watermelon juice (Citrillus Vulgaris Schard) can effect on changes in blood pressure in patients with hypertension by consuming routinely.</em></p> Adi - Arianto ##submission.copyrightStatement## 2020-10-31 2020-10-31 3 1 22 29 10.36656/jpkm.v3i1.309 PENGARUH SENAM PROLANIS TERHADAP PENURUNAN KADAR GULA DARAH PADA LANSIA DI PUSKESMAS DOLAT RAYAT KABUPATEN KARO TAHUN 2020 http://ejournal.delihusada.ac.id/index.php/JPKM/article/view/329 <p><strong><em>A</em></strong><strong><em>bstract</em></strong></p> <p><strong>&nbsp;</strong></p> <p><em>In Indonesia, diabetes mellitus continues to show a significant increase in cases each year.</em><em>The development of various degenerative diseases are currently very rapidly. Degenerative diseases are usually referred to diseases that accompany the aging process.</em><em>Blood sugar levels are a form of carbohydrate metabolism that serves as the main energy source is isontrolled by insulin</em><em>. </em><em>Diabetes occurs due to increased blood sugar levels or hyperglycemia due to insulin deficiency. The World Health Organization (WHO) states that cases of diabetes mellitus in 2015 reached 415 million cases of adults with diabetes. It is due to never stretching joint muscles such as aerobic exercise or jogging, it is necessary to do prolanis gymnastics.</em><em>The purpose of this study was to identify the effect of prolanis exercise on reducing blood sugar levels in the elderly at the DolatRayat Health Center in Karo District. The type of research is a pre-experimental design with pre and post test one group design. The population of this study was 40 people. The number of samples in this study were 40 people with saturated sample techniques (total sampling). Data were analyzed by using paired sample t-test. The results showed that there was an effect of Prolanis exercises on reducing blood sugar levels in the elderly at the Dolat Rayat Health Center in Karo District, where a p-value obtained 0.000 &lt;0.05. Therefore, it is expected that the results of the research can be additional information for Public Health Centre and related institutions to continue promoting this program.</em><em><br> <br> </em></p> Rentawati Purba Adi Arianto ##submission.copyrightStatement## 2020-10-31 2020-10-31 3 1 30 37 10.36656/jpkm.v3i1.329 PENGARUH AIR REBUSAN DAUN KEMANG PENGARUH AIR REBUSAN DAUN KEMANGI(Ocinum basilicum)TERHADAP KADAR ASAM URAT DARAH PADA PENDERITA HIPERURISEMIA http://ejournal.delihusada.ac.id/index.php/JPKM/article/view/336 <p><em>Hyperuricemia is a condition in which there is an increase in blood uric acid levels above normal. Hyperuricemia may occur due to increased uric acid metabolism. decreased uric acid excretion (underexcretion), or a combination of both. Basil leaves contain flavonoid compounds that can inhibit the formation of uric acid in the body. Hyperuricemia is a condition that indicates an increase in uric acid levels above normal, with normal blood values </em><em>​​</em><em>less than 7 mg / dl for men and 6 mg / dl for women. Uric acid is the result of purine catabolism. Gout disease along with the times, whether we realize it or not, there has been a shift in people's lifestyles, lazy in physical activities and less attention to the nutritional content in their food. In addition, this lifestyle shift can also lead to various unhealthy behaviors, such as lack of rest, smoking habits, and consuming alcohol. This of course can result in the emergence of various diseases, including gout</em>.<em> <strong>The aim</strong> of this research is to analyze the effect of water decoction of basil leaves on blood uric acid levels in patiens with hyperuricemia at negeri lama helath center. <strong>The sample</strong> was determined by qouta sampling technique, namely 30 people. <strong>The research</strong> design was a quasi-experimental design using a one group pre and post test design. <strong>The results</strong> of the ressearch hypothesis testing t 8,074&gt; 2,201 and value of Sig (2-tailed) is 0,000 &lt;0.05 , then H0 is rejected and Ha is accepted, this indicates that there is an effect of boiled water of basil leaves on blood uric acid levels in hyperuricemia patients at negeri lama health centers.</em></p> Friska Ernita Sitorus ##submission.copyrightStatement## 2020-10-31 2020-10-31 3 1 38 43 10.36656/jpkm.v3i1.336 HUBUNGAN PSYCHOLOGICAL INTERVENTION DENGAN PENINGKATAN KUALITAS HIDUP PADA PENDERITA GAGAL GINJAL KRONIK YANG MENJALANI TERAPI HEMODIALISA http://ejournal.delihusada.ac.id/index.php/JPKM/article/view/337 <p><em>Psychological intervention</em> merupakan salah satu intervensi dengan pendekatan psikologis/kejiwaan seperti pemberian relaksasi spiritual dzikir yang berfungsi untuk meningkatkan kualitas hidup seseorang yang mengalami penyakit terminal misalnya gagal ginjal kronik. Penelitian ini untuk mengetahui adanya Hubungan Psychological Intervention Dengan Peningkatan Kualitas Hidup Pasien Gagal Ginjal Kronik Yang Menjalani Terapi Hemodialisa Di RSU Sembiring Delitua Kabupaten Deli Serdang Tahun 2020. &nbsp;Penelitian termasuk penelitian <em>kuantitatif</em> dengan desain penelitian <em>Cross Sectional</em>. Yang dilakukan pada 14 orang pasien gagal ginjal kronik yang menjalani terapi hemodialisa di RSU Sembiring yang dilaksanakan pada bulan juni 2020. Kualitas Hidup Pasien Gagal Ginjal Kronik Yang Menjalani Terapi Hemodialisa Berdasarkan tabel tabulasi silang Hubungan Psychological Intervention Dengan Peningkatan Di RSU Sembiring sebanyak 9 orang (64.3%) dan memiliki kualitas hidup baik sebanyak 6 orang (42.9%) dan yang memiliki kualitas hidup cukup sebanyak 3 orang (21.4%), dan yang tidak teratur melakukan psychological intervention sebanyak 5 orang (35.7%) dan memiliki kualitas hidup kurang sebanyak 5 orang (35.7%). Hasil Uji Chi Square di dapatkan nilai <em>P</em>=0,001dengan α= 0,05 artinya terdapat Hubungan yang signifikan dari Psychological Intervention Dengan Peningkatan Kualitas Hidup Pasien Gagal Ginjal Kronik. Psychological intervention ini akan lebih efektif jika dilakukan secara teratur baik saat menjalani hemodialisa maupun saat dirumah, karena itu diharapkan peran dari perawat dalam memberikan pelayanan agar tetap memberikan pelayanan yang maksimal agar pasien yang menjalani haemodialisa memiliki kualitas hidup yang baik dengan memperhatikan dari aspek psikologinya.</p> Rostiodertina Tina Girsang Reza Novizar ##submission.copyrightStatement## 2020-10-31 2020-10-31 3 1 44 51 10.36656/jpkm.v3i1.337 PENGARUH PEMBERIAN REBUSAN DAUN SIRSAK TERHADAP PENCEGAHAN KANKER PAYUDARA STADIUM AWAL DIDESA KOTO GADANGJAYA ( KOJA) KECAMATAN KINALI KABUPATEN PASAMAN BARAT http://ejournal.delihusada.ac.id/index.php/JPKM/article/view/338 <p><em>Breast cancer is a disease that is caused by excessive growth or uncontrolled development of breast cells (tissue). According to the American Cancer Society 2016, cancer is the leading cause of death in Asia, America, Hawaii and the Pacific Islands with a proportion of 27% of all deaths with cancer most common in men prostate cancer 18% lung cancer 14% colorectal cancer 12% whereas for women, the most common cancer is 34% (WHO 2017). Soursop is a plant that can grow and bear fruit throughout the year in soil conditions with sufficient water content. Soursop fruit is composed of 67% edible fruit flesh, 20% skin 8.5% seeds and 4% the central axis of the fruit from the overall weight of the fruit. To analyze the effect of soursop leaf decoction on the prevention of early-stage breast cancer. research design uses one group pretest posttest design. The variables in this study were soursop leaf stew as an independent variable and prevention of early-stage breast cancer as the dependent variable. The population in this study were all women who had early stage breast cancer. Sampling using a purposive sampling technique of 10 respondents. Intervention will be carried out by giving soursop leaf stew 2 times one day. Data were collected using questionnaire and paired sample T test. The results of the study showed that there were physical changes in breast cancer patients. Shaphiro-wilk data normality test results before giving soursop leaf decoction is 8.8 and after given soursop leaf decoction is 4.1. Paired sample test results show that the data p: 0,000 &lt;α: 0.05 then Ho is rejected and Ha is accepted. Which means that there is an influence of soursop leaf decoction there is prevention of early-stage breast cancer. </em></p> Nora Ervina Sembiring Adi - Arianto Sri Sudewi Pratiwi Sitio Daniel Suranta Ginting ##submission.copyrightStatement## 2020-10-31 2020-10-31 3 1 52 58 10.36656/jpkm.v3i1.338 PENGARUH SLOW DEEP BREATHING TERHADAP TEKANAN DARAH LANSIA HIPERTENSI YANG MENDAPAT SENAM LANSIA DI DESA STUNGKIT, BINJAI TAHUN 2020 http://ejournal.delihusada.ac.id/index.php/JPKM/article/view/339 <p><em>Hypertension in the elderly continues to increase. According to WHO statistical data in 2018 there were 1 billion people in the world suffering from hypertension. There are several precautions that can be done by the elderly to avoid hypertension, namely : balance nutrition, get rid of smoking, avoid stress, monitor blood pressure, and exercise regularly. Regular exercise can be done by means of physical exercises, namely by exercising the elderly and slow deep breathing. The purpose of this study was to determine whether there is an effect of slow deep breathing on blood pressure in elderly hypertensive receiving elderly exercise. This study used a quasi experimental design with one group pre-post test design. This research was conducted in Pustu Stungkit village, Wampu district, Langat regency, North Sumatra. The research sample was 26 respondents with the sampling technique using purposive sampling. Research instrument using blood pressure observation sheet,spigmomanometer, stop watch. Data processing techniques using the wilcoxon test. The results showed that the average systolic blood pressure before treatment was 158,00 mmhg and diastole 96,00mmhg. And systolic blood pressure after treatment was 148,50 mmhg and diastole 80 mmhg. With a significance value of 0,002 or p&lt;0,05. The conclusion shows that there is an effect of slow deep breathing on the blood pressure of hypertensive elderly who receive exercise in the elderly in the village of stungkit, Binjai.</em></p> DANIEL SURANTA GINTING ##submission.copyrightStatement## 2020-10-31 2020-10-31 3 1 59 63 10.36656/jpkm.v3i1.339 PENGARUH KOMPRES HANGAT REBUSAN AIR SEREI TERHADAP PENURUNAN NYERI RHEUMATOID ARTRITIS PADA LANSIA DI PUSKESMAS DELI TUA TAHUN 2020 http://ejournal.delihusada.ac.id/index.php/JPKM/article/view/340 <p><strong><em>ABSTRAK</em></strong></p> <p>Rheumatoid Arthritis disease is an inflammation disease in the elderly with symptoms of stiffness and pain in the joints. To reduce the pain can be done with Non Pharmacological therapy of granting one of them with a warm compress therapy boiled lemongrass water. Lemongrass (<em>Cymbopogon nardus)</em>has a lot of chemical contect, which containts 0.7 % essential oil with three important components such as citronelal, geraniol (20%), and (66-85%) citronelal. The three components have chemical properties and pharmacological effect, namely spicy. This study aimed to analyze the effect of warm compression of lemongrass stew on the reduction of Rheumatoid Arthritis pain in the elderly in the Puskesmas Deli Tua in 2020.This research is a type was quantitative research by using the design method of <em>one-group pretest-posttets experiments. </em>The populations of this study were all in the elderly aged 60-year-olds suffering from rheumatoid arthritis at the Puskesmas Delitua of 30 people. The sampling technique used is non-probability sampling with purposive sampling type based on inclusion and exclusion criteria obtained by 20 respondents. The instrument in the study is an observation pain scale sheet of the Numeric Ractingscale (NRS). The results of the study obtained based on the <em>Wilcoxon Test,</em> the value obtained p =(0,006) &lt; (0.05), it can be interpreted that H0 rejected H1 is accepted meaning that there is a statistically significant influence between warm compresses of lemongrass water to decreased rheumatoid arthritis pain in the elderly in Puskesmas Deli Tua. Compress lemongrass water can be used as one of the alternatives to reduce the intensity of pain of elderly people suffering from rheumatoid arthritis.</p> <p><strong>&nbsp;</strong></p> Herri Novita Tarigan ##submission.copyrightStatement## 2020-10-31 2020-10-31 3 1 64 72 10.36656/jpkm.v3i1.340 SPEMBERIAN AIR REBUSAN DAUN SIRSAK TERHADHAP PENURUNAN NYERI ASAM URAT PADA PENDERITA GOUT ATRITIS DI WILAYAH KERJA PUSKESMAS DELI TUA TAHUN 2020 http://ejournal.delihusada.ac.id/index.php/JPKM/article/view/341 <p><em>Pain is a common complain with gout. That pain caused increase uric acid level in the elderly. Analgesic which constantly consumed will result in side effect so that needed nonpharmacological therapy. One nonpharmacological therapy to reduce uric acid and pain are Annona Muricata L extract.&nbsp; The purpose of this study was to analyze the effectiveness of Annona Muricata L extract to reduce uric acid and pain on gout patient at puskesmas working area Deli Tua. This research was a pre-experimental pre-post test design and was evolved 30 respondents were given extract Annona Muricata L leaf with Total sapling decrease in gout pain. Respondent drink extract Annona Muricata L leaf twicw a for 3 day drink 3x a day.measuremert of join pain using numeric rating scale. The datas were analyzed by Paired&nbsp; Sample T-test with significance α&lt;0.05. The statistical there is a decrease in gout pain after interventionp-value=0,00(&lt;0,05) Ho rejected Ha received. Which means the influensi of sorsop leaf boiled water on decreasing gout pain patiens with gout athitis.</em></p> Fakultas Keperawatan DELI HUSADA Deli Tua ##submission.copyrightStatement## 2020-10-31 2020-10-31 3 1 73 81 10.36656/jpkm.v3i1.341 HUBUNGAN AKTIVITAS FISIK DENGAN FUNGSI KOGNITIF PADA LANSIA DI DESA PARAN-PADANG KECAMATAN SIPIROK KABUPATEN TAPANULI SELATAN http://ejournal.delihusada.ac.id/index.php/JPKM/article/view/342 <p><em>Elderly is part of the process of growth and development, this is a process that is continuous (continues) naturally. This stage starts from birth and is generally experienced in all living things (Bandiyah, 2009). Cognitive function is the largest part of the brain. Physical activity is identified as one of the factors that are thought to have something to do with cognitive function. The purpose of this study was to determine the relationship between physical activity and cognitive function in the elderly in Paran-padang Village, Sipirok District, South Tapanuli Regency. The research sample was 37 elderly in Paran-padang Village, Sipirok District, Tapanuli Regency. The sampling technique used in this study is probability sampling with the simple random sampling method. This study uses a correlational analytic type with a cross sectional design. The data collection measuring instrument used in this study was a questionnaire sheet. The results of statistical tests with Spearman rho show that there is a relationship between physical activity and cognitive function in the elderly in Paran Padang-Padang Village, Sipirok District, Tapanuli Selatan Regency in 2020 with a P-Value of 0.001 (&lt;0.05). The suggestion is expected that the elderly family should carry out exercise in the elderly more frequently and regularly and also do physical activity.</em></p> Fakultas Keperawatan DELI HUSADA Deli Tua ##submission.copyrightStatement## 2020-10-31 2020-10-31 3 1 82 89 10.36656/jpkm.v3i1.342 PENGARUH PEMBERIAN BAWANG PUTIH TERHADAP PENURUNAN KADARKOLESTEROL PADA LANSIA DI PUSKESMAS DELITUA http://ejournal.delihusada.ac.id/index.php/JPKM/article/view/343 <p><em>Cholesterol is atherogenic or very easy to stick, which then forms plaque on the blood walls. The purpose of this study was to see the effect of garlic on cholesterol levels in the elderly at the Delitua Health Center in 2020. The study design used a group pre-test design test on cholesterol sufferers at the Delitua Health Center in 2020 using a technique of 30 people with purposive sampling technique. Bivariate analysis technique with T test analysis and frequency distribution for univariate (cholesterol levels). The data test method used an observation sheet and a cholesterol level test kit for cholesterol variables. The results of the study: 6 people (50%) had the highest levels of cholesterol before being given garlic, and 1 person (8.3%) had the least 200, and 1 (8.3%) 1 person. , 210 as many as 1 person, after offering garlic the decrease was in the category of 170 (16.7%) as many as 2 people, 179 (16.7%) as many as 2 people, 189 (16.7) as many as 2 people, and the least amount was 169 (8.3%) 1 person, 178 (8.3%) 1 person, 183 (8.3%) 1 person, 188 (8.3%) 1 person, 190 (8.3%) ) as many as 1 person, 198 (8.3%) as many as 1 person. with the results of the T test, 000 shows a p value &lt;0.05 using the SPSS V20.0 application. Conclusion: Based on this, it can be ignored that there is an effect between garlic consumption on reducing cholesterol levels in the elderly. Suggestion: Providing treatment for cholesterol over cholesterol in addition to drugs.</em></p> Siti Marlina naufal ##submission.copyrightStatement## 2020-10-31 2020-10-31 3 1 90 99 10.36656/jpkm.v3i1.343 PENGARUH BALANCE EXERCISES TERHADAP KEKUATAN OTOT PADA LANSIA OFA PADANG MAHONDANG KECAMATAN PULAU RAKYAT KABUPATENASAHAN TAHUN 2020 http://ejournal.delihusada.ac.id/index.php/JPKM/article/view/346 <p><em>Agingor getting old is a process where changes are natural and accompanied by a decrease in physical, psychological, and social conditions. Where a significant decrease in function in the elderly, this goal reveals that routine balance </em></p> <p><em><br> </em></p> <p><em>exercise can cause muscle loss in the elderly. The result shows that the frequency distribution of the effect of Balance Exercixe on Muscle Strength in Lansi where the muscle strength before doing Balance Exercises movement experiences good muscle strength (-%), while after doing Balance Exercixe there is a change to around (80%). Based on the results of Wilcoxon calculations signed rank test, the value obtained is -3448 with a P Value (Asymp. Sig 2 tailed) of 0.001 which is less than the critical research limit of 0.05 so that the hypothesis decision is to accept H1 or which means there is a significant difference between before and after making the balance .</em></p> Friska Br Sembiring ##submission.copyrightStatement## 2020-10-31 2020-10-31 3 1 100 104 10.36656/jpkm.v3i1.346 PENGARUH PEMBERIAN BALANCE EXERCISE TERHADAP PENINGKATAN POSTURAL PADA LANSIA DI PUSTU DESA SIRATAH KEC.SILIMA PUNGGA-PUNGGA TAHUN 2020 http://ejournal.delihusada.ac.id/index.php/JPKM/article/view/347 <p><em>Elderly is the final stage of the aging process. The process of getting old will be experienced by everyone. Aging is a process that every human goes through, and the aging process is the last human life, where at this time a person will experience physical, mental and social setbacks gradually so that they cannot carry out their daily tasks or are often called physical setbacks. Balance exercise is a special exercise or a movement that is used to improve the ability of muscles to maintain body balance. According to Word Health Organitation (WHO) the prevalence falls at the age of 65 years and over around 28-35% and at the age of 70 years and over around 32-42%. The prevalence of the elderly falls in the United States, every year one in five events falls due to impaired balance causing serious injury. Most head injuries (47%), upper limbs (28%) and lower limbs (26%) Kota Medan 61.5%, Karo 27.1%, Pakpak Bharat 50.0%, Kota Pematang Siantar 35.4%, Kota Tebing Tinggi 39.4%, Kota Binjai 49.5%, and in Dairi 36.5%. The purpose of this study was to determine the Effect of Giving Balance Exercise to Postural Improvement in the Elderly in Pustu Desa Siratah, Kec. Silima Pungga-pungga Kab. Dairi Tahun 2020. The type of research used is quantitative research with pre-experimental research design, using pre-test and post-test design. The sampling technique used in this study was using purposive sampling technique obtained 10 samples in this study. Analysis of data using the Wilcoxon Test. The results of data analysis obtained p-value = 0.003 &lt; alpha (α) = 0.05. The results of this study are that there is an effect of the provision of balance exercise on postural improvement in the elderly in Pustu Desa Siratah, Kec. Silima Pungga-pungga in&nbsp; 2020.</em></p> <p>&nbsp;</p> Lili Suryani Tumanggor ##submission.copyrightStatement## 2020-10-31 2020-10-31 3 1 105 112 10.36656/jpkm.v3i1.347 Pengaruh Biblioterapi Menggunakan Longer Picture Book Terhadap Tingkat Kecemasan Anak Usia 3-6 Tahun Pada Masa Hospitalisasi http://ejournal.delihusada.ac.id/index.php/JPKM/article/view/357 <p><em>Children are part of family and society. Children assume hospitalization is a threatening condition for him so that the response that arises is anxiety. Anxiety in chlidren is characterized by children refusing to eat and drink, difficulty sleeping, crying continuously, not cooperating with health workers. To reduce his anxiety, he can use the book as a therapeutic media called bibliotherapy. his study aims to determine the effect of bibliotherapy using longer picture books on anxiety levels of children aged 3-6 years during hospitalization. The type of research was pre-experimental with the design of one group pretest - posttest desaign without the control group with 31 respondents. The sampling technique is Consecutive sampling. The data collection tool uses observation. The results showed that the average anxiety level before bibliotherapy used a longer picture book, which was 39.16, while after bibliotherapy it used a longer picture book which was 23.71. With the Wilcoxon test obtained p-value = 0,000 &lt;ɑ (0.05), then H₀ is rejected, meaning there is a significant influence between bibliotherapy using longer picture book on anxiety levels of children aged 3-6 years during hospitalization at Sembiring General Hospital. It is expected that parents can continue to teach children to read so that children's reading comprehends and can take lessons from the story</em></p> Fakultas Keperawatan DELI HUSADA Deli Tua ##submission.copyrightStatement## 2020-10-31 2020-10-31 3 1 113 119 10.36656/jpkm.v3i1.357 EFEKTIVITAS INTERVENSI KOMPRES ALOEVERA TERHADAP PENURUNAN SUHU TUBUH ANAK FEVER DI PUSKESMAS BAHBIAK KOTA PEMATANGSIANTAR KEC. SIANTAR MARIMBUN TAHUN 2020 http://ejournal.delihusada.ac.id/index.php/JPKM/article/view/373 <p><em>Fever in children is a condition that often causes serious problems in children. Fever occurs at temperatures &gt;37.5ºC usually caused by autoimmune infections and diseases. The World Health Organization (WHO) states that the number of diseases in children with fever symptoms is 62% with a mortality rate of 33%. Giving Aloe Vera compresses is one of the non-phamacological interventions that can reduce dampness. The purpose of this study was to find out how the effectiveness of Aloe Vera Compress Intervention on Decreasing body temperature in children with fever. The research design used One group pretest-posttest. The variables in this research are Aloe Vera Compress as an independent variable and Decrease in body temperature in Fever children as the dependent variable. The population in this study were all pediatric patients aged 5-11 years who experienced fever at the Bahbiak Health Center in Pematangsiantar City, Siantar Marimbun District. Sampling using purposive sampling technique of 12 respondents. The intervention carried out compresses Aloe Vera for 15 minutes. Temperature measurement using a digital thermometer. Data were collected by observation sheets and tested by Paired Sample-Test. The results showed that there was a change in the body temperature of the Fever child. The results of Shaphiro-Wilk normality test results of body temperature before giving Aloe Vera compress is 130 and body temperature after giving Aloe Vera compress is 037. Paired Sample-Test statistical test results show data ρ = 0,000 &lt;α = 0.05 then Ho is rejected and Ha is accepted. which means that there is an effectiveness in administering Aloe Vera compresses to reduce body temperature of children aged 5-11 years of fever. It is hoped that health workers can apply non-pharmacological therapies such as aloe vera compresses for a decrease in a child's body temperature.</em></p> dewi tiansa barus ##submission.copyrightStatement## 2020-10-31 2020-10-31 3 1 120 131 10.36656/jpkm.v3i1.373 HUBUNGAN DUKUNGAN KELUARGA TERHA HUBUNGAN DUKUNGAN KELUARGA TERHADAP PERILAKU REMAJA PUTERI TENTANG PERUBAHAN FISIK PADA MASA PUBERTAS DI SMP NEGERI 1 DELI TUA TAHUN 2020 http://ejournal.delihusada.ac.id/index.php/JPKM/article/view/430 <p><em>Teenagers, who are studying at Junior High Schools, are in their puberty. In general, teenagers undergo various problems and difficulties in adjusting themselves to their environment in their puberty.</em> <em>The objective of the research was to find out the correlation between family support and female teenagers behavior in their physical change in their puberty at SMP Negeri 1 Deli Tua tahun 2020. The research used an analytic method with cross sectional design. It was conducted in September 2014 to February 2015. The population was 137 grade VII female students of SMP Negeri 1 Deli Tua tahun 2020and 68 of them were used as the samples. The data were analyzed by using chi square test and multiple logistic regression analysis.</em> <em>The result of the research showed that there was the correlation of emotional (p=0.004), information support (p=0.000), and instrumental support (p=0.002) with the behavior (knowledge, attitude, and action) of female teenagers in their puberty. The variable of information support had the most dominant correlation with the female teenagers behavior at Exp (B) of 5.591.</em> <em>It is recommended that the management of the school provide more knowledge and information about the puberty period for their students, especially female students by upgrading them periodically in the knowledge of reproduction health. It is also recommended that parents discuss with their daughters about the change toward puberty and guide them in digging up information about puberty without any fear so that they can be familiar in their daily activities.</em></p> Mona Fitri Gurusinga ##submission.copyrightStatement## 2020-10-31 2020-10-31 3 1 132 139 10.36656/jpkm.v3i1.430