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Jurnal Penelitian Keperawatan Medik https://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> en-US dewisg491@gmail.com (Dewi Safitri Ginting) ridhosubali@hotmail.com (Ridho Subali) Fri, 07 Nov 2025 07:34:42 SE Asia Standard Time OJS 3.1.1.4 http://blogs.law.harvard.edu/tech/rss 60 HUBUNGAN DUKUNGAN KELUARGA DENGAN GANGGUAN CITRA TUBUH PADA PASIEN PENDERITA DIABETES MELITUS DI PUSKESMAS DELI TUA KABUPATEN DELI SERDANG TAHUN 2025 https://ejournal.delihusada.ac.id/index.php/JPKM/article/view/2658 <p>Diabetes melitus yaitu penyakit kronis akibat dari pankreas tidak memproduksi cukup insulin, atau tubuh tidak dapat menggunakan insulin secara efektif, sehingga mengganggu pengaturan kadar gula darah. Komplikasi diabetes melitus dapat akut maupun kronis. Penelitian ini bertujuan untuk mengetahui hubungan dukungan keluarga dengan gangguan citra tubuh prada parsien penderita diabretes melitus di puskesmas Deli Tua kabupaten Deli Serdang Tahun 2025. Metode yang digunakan adalah kuantitatif dengan jenis penelitian analitik cross sectional. Populasi pada penelitian ini adalah penderita DM dri Puskesmas Deli Tua kabupaten Deli Serdang Tahun 2025 berjumlah 63 orang. Teknik pengambilan data dengan menggunakan jenis accidental sampling. Didapatkan bahwa dengan tingkat signifikasi ɑ 5% (0,05) hasil uji chi square diperoleh hasil p value (0,028) &lt; nilai ɑ (0,05). Hal ini menunjukan bahwa H0 ditolak. Terdapat Hubungan Dukungan Keluarga Dengan Gangguan Citra Tubuh Pada Pasien Penderita Diabetes Melitus Di Puskesmas Deli Tua Karbupaten Deli Serdang Tahun 2025.</p> Rasninta Devi Ansela, Zuliawati Zuliawati, Rostiodertina Girsang ##submission.copyrightStatement## https://ejournal.delihusada.ac.id/index.php/JPKM/article/view/2658 Fri, 07 Nov 2025 07:23:54 SE Asia Standard Time PERAN IBU DALAM PENCEGAHAN PERILAKU SEKS BEBAS PADA REMAJA DI DESA SEI LIMBAT KECAMATAN SELESAI KAB. LANGKAT TAHUN 2025 https://ejournal.delihusada.ac.id/index.php/JPKM/article/view/2755 <p><strong></strong></p> <p>Perilaku seks pranikah pada remaja merupakan permasalahan sosial dan kesehatan yang semakin memprihatinkan di Indonesia, termasuk di wilayah pedesaan seperti Desa Sei Limbat. Perkembangan teknologi informasi dan arus globalisasi membuat remaja semakin mudah terpapar berbagai pengaruh yang dapat memengaruhi sikap dan perilaku mereka terhadap seksualitas. Kondisi ini menegaskan pentingnya peran ibu dalam memberikan arahan dan perlindungan agar remaja tidak terjerumus dalam perilaku berisiko. Ibu memiliki peran yang sangat penting melalui kedekatan emosional dan komunikasi terbuka dalam menanamkan nilai moral serta memberikan pendidikan kesehatan reproduksi. Namun, hambatan seperti anggapan tabu, keterbatasan pengetahuan, dan kurangnya waktu sering kali mengurangi efektivitas peran tersebut. Upaya peningkatan kesadaran orang tua, penguatan komunikasi dalam keluarga, serta keterlibatan sekolah, masyarakat, dan pemerintah desa menjadi strategi penting dalam mencegah perilaku seksual berisiko pada remaja.</p> Leny Suarni, Muhammad Nur Maghribi Sembiring, Ichfad Ananda, Nurhalila Nurhalila ##submission.copyrightStatement## https://ejournal.delihusada.ac.id/index.php/JPKM/article/view/2755 Fri, 07 Nov 2025 07:24:11 SE Asia Standard Time SELF-CARE MANAGEMENT AND QUALITY OF LIFE IN HEMODIALYSIS PATIENTS https://ejournal.delihusada.ac.id/index.php/JPKM/article/view/2747 <p>Hemodialysis is a procedure that removes solutes and excess fluids from the blood. Its main goal is to relieve symptoms by controlling uremia, fluid overload, and electrolyte imbalances in patients with chronic kidney disease. Hemodialysis also requires patients to make significant lifestyle adjustments. This study aims to examine the relationship between self-care management and the quality of life among hemodialysis patients. This quantitative study used a cross-sectional design with a total sampling technique involving 23 respondents. Data were collected using a Self-Care Management Questionnaire and the KDQOL (Kidney Disease Quality of Life) instrument. The data were analyzed using the Gamma test. The findings showed a significant relationship between self-care management and quality of life among hemodialysis patients at the Hemodialysis Unit of Sinar Husni Hospital, Medan, in 2025. The chi-square test result showed a p-value of 0.000 (&lt;0.05), indicating a significant association. There is a significant relationship between self-care management and the quality of life of hemodialysis patients at Sinar Husni Hospital, Medan.</p> Leli Herawati, Sri Wahyuni, Ichfad Ananda, Nur Suci Hasibuan ##submission.copyrightStatement## https://ejournal.delihusada.ac.id/index.php/JPKM/article/view/2747 Fri, 07 Nov 2025 07:24:23 SE Asia Standard Time PERCEPTION OF NURSING STUDENTS TOWARD NATURAL DISASTER MANAGEMENT: A DESCRIPTIVE STUDY IN PADANG CITY https://ejournal.delihusada.ac.id/index.php/JPKM/article/view/2738 <p><em>Understanding nursing students’ perceptions of natural disaster management is essential to assess their preparedness for potential disasters in their environment. This study aimed to examine the perceptions of nursing students in Padang City regarding natural disaster management. A descriptive survey design was employed, utilizing proportional random sampling, with 288 respondents from Andalas University, Mercubaktijaya University, Alifah Padang University, and Syedza Saintika University, between March and</em> <em>April 2025</em><em>. Data were collected using a demographic questionnaire and the Disaster Preparedness Evaluation Tool (DPET). The findings showed that most nursing students had a moderate level of perception regarding natural disaster management (85.8%). In specific phases, students demonstrated moderate perceptions in preparedness (66.7%), emergency response (92%), and recovery (76.4%). The study recommends that nursing education institutions in Padang City strengthen their curricula by integrating comprehensive disaster management content, implementing practical simulations, developing modules on post-traumatic stress disorder (PTSD) management, and establishing sustainable disaster preparedness programs to enhance student competence and readiness.</em></p> Fitri Mailani, Atikah Fatin, Tiurmaida Simandalahi ##submission.copyrightStatement## https://ejournal.delihusada.ac.id/index.php/JPKM/article/view/2738 Fri, 07 Nov 2025 07:24:35 SE Asia Standard Time THE EFFECT OF MODIFIED HIMALAYAN SALT ON REDUCING BLOOD PRESSURE IN HYPERTENSION PATIENTS AT THE DELI TUA COMMUNITY HEALTH CENTER IN 2024 https://ejournal.delihusada.ac.id/index.php/JPKM/article/view/2760 <p style="font-weight: 400;"><strong><em>Abstract</em></strong></p> <p style="font-weight: 400;"><em>&nbsp;</em></p> <p style="font-weight: 400;">One of the main causes of death and disability on a global scale, hypertension affects a large percentage of the population. Modifying one's eating habits and level of physical activity are two key components of a hypertension management plan. As a serious and widely-present health problem, hypertension is frequently encountered in primary healthcare institutions in Indonesia. Despite the availability of effective medications at healthcare facilities, the public's lack of information about hypertension management and control contributes to the high frequency of the disease in Indonesia. Both pharmaceutical and non-pharmacological methods exist for the management of hypertension. Medication is the cornerstone of pharmacological treatment, which aims to reduce and stabilise blood pressure. Medication must be taken consistently in order for this treatment to work. The use of medicinal drugs is not part of non-pharmacological therapy. Complementary therapy is one form of treatment that does not involve pharmaceuticals. The primary objective of this research is to determine whether hypertension individuals' blood pressure can be reduced by adjusting their intake of Himalayan salt. This study employed a one-group pretest-posttest design, which is typical of quasi-experimental research. The paired sample test was used to analyse the data. The complete sampling method was used to get 21 samples. The data was collected by use of observation sheets. The bivariate study conducted at the Deli Tua Public Health Centre in 2024 found a p-value of 0.000 &lt; 0.05, suggesting that changing the consumption of Himalayan salt had an influence on reducing blood pressure in hypertensive individuals.</p> <p style="font-weight: 400;">Keywords: Hypertension, Himalayan Salt Consumption, Blood Pressure.</p> Rini Debora Silalahi ##submission.copyrightStatement## https://ejournal.delihusada.ac.id/index.php/JPKM/article/view/2760 Fri, 07 Nov 2025 07:24:48 SE Asia Standard Time HUBUNGAN SARAPAN PAGI DAN MAKANAN SELINGAN DENGAN STATUS GIZI PADA ANAK SEKOLAH DASAR DI SD SINGOSARI DELI TUA https://ejournal.delihusada.ac.id/index.php/JPKM/article/view/2735 <p><em>Nutritional status among elementary school children is influenced by breakfast habits and snack consumption. This study aimed to determine the relationship between breakfast habits and snack consumption with the nutritional status of elementary school children at Singosari Elementary School, Deli Tua. A cross-sectional design was used with 64 respondents selected through proportional random sampling. Data were collected using a 24-hour food recall questionnaire and a Semi Quantitative Food Frequency Questionnaire (SQ-FFQ), while anthropometric measurements were conducted to determine nutritional status based on the BMI-for-age indicator according to WHO standards. The results showed that most children had good breakfast habits (≥4 times per week) and were predominantly categorized as overweight. The Chi-Square test indicated a significant relationship between breakfast habits and nutritional status (p = 0.004) and between snack consumption and nutritional status (p = 0.003). It can be concluded that breakfast and snack consumption are associated with the nutritional status of elementary school children, where the quality of breakfast and the types of snacks consumed play an important role in preventing overweight among school-aged children.</em></p> Dewi Tiansa Barus, Rentawati Purba, Daniel Suranta Ginting, Dwi Putri Aritonang ##submission.copyrightStatement## https://ejournal.delihusada.ac.id/index.php/JPKM/article/view/2735 Fri, 07 Nov 2025 07:25:00 SE Asia Standard Time The Effectiveness of Foot Massage on Fatigue in Breast Cancer Patients Undergoing Chemotherapy https://ejournal.delihusada.ac.id/index.php/JPKM/article/view/2714 <p><em>Breast cancer is a significant global health issue with a rising incidence in Indonesia. Patients undergoing chemotherapy often experience fatigue as a common side effect of treatment. This study aimed to examine the effect of foot massage on reducing fatigue among breast cancer patients receiving chemotherapy at RSU Sembiring Deli Tua. A quantitative approach was employed using a quasi-experimental design with a one-group pretest-posttest framework. Eighteen breast cancer patients undergoing chemotherapy participated in this study. Fatigue levels were measured before and after the foot massage intervention using the Fatigue Assessment Scale (FAS). The results demonstrated a reduction in fatigue levels following the foot massage intervention. Statistical analysis using the Wilcoxon Signed Rank Test revealed a significant difference in fatigue levels before and after the intervention (p = 0.002; p&lt;0.05). The majority of participants experienced a decrease in fatigue from moderate to mild, while six participants showed no significant change. These findings are consistent with previous studies indicating the effectiveness of foot massage in alleviating fatigue among breast cancer patients. In conclusion, foot massage can be considered an effective complementary therapy for reducing fatigue in breast cancer patients undergoing chemotherapy in Indonesia.</em></p> Mersi Ekaputri, Fahrizal Alwi, Mery Silvia Harahap, Maria Gracesella Elsy Laiya, Rini Debora Silalahi ##submission.copyrightStatement## https://ejournal.delihusada.ac.id/index.php/JPKM/article/view/2714 Fri, 07 Nov 2025 07:25:14 SE Asia Standard Time