Jurnal Penelitian Keperawatan Medik

PENGARUH SLOW STROKE BACK MASSAGE DAN LILIN AROMATERAPI TERHADAP PENURUNAN NYERI PADA PASIEN KANKER PAYUDARA DI RUMAH SAKIT UMUM SEMBIRING DELI TUA TAHUN 2025

Rini Debora Silalahi — Tue, 06 May 2025 14:57:17 SE Asia Daylight Time

Nyeri merupakan pengalaman yang tidak menyenangkan yang berhubungan dengan sensorik dan emosional seseorang, dan disebabkan oleh jaringan yang rusak atau semua keadaan yang menunjukkan adanya suatu kerusakan pada jaringan. Nyeri adalah salah satu keluhan yang sering dialami oleh orang yang menderita kanker.Salah satu terapi non farmakologi untuk penurunan nyeri adalah Slow Stroke Back Massage dan Lilin Aromaterapi salah satu teknik pijat yang ditandai dengan gerakan pijatan secara memanjang, perlahan, dan meluncur, menggunakan kedua tangan secara bersamaan dan berulang dari daerah sacrum ke daerah servikal pada tulang belakang yang dilakukan selama 15-20 menitdan sambil menghirup aromaterapi agar pasien lebih rilex dan tenang.Tujuan Penelitian ini bertujuan untuk mengetahui Pengaruh Slow Stroke Back Massage dan Lilin Aromaterapi terhadap Penurunan Nyeri pada Pasien Kanker Payudara di Rumah Sakit Umum Sembiring. Metode penelitian ini menggunakan desain penelitian pre-eksperimental dengan pendekatan one grouppretest-posttest dan pengambilan sampel secara purposive sampling sebanyak 21 orang,serta dengan pengolahan data menggunakan uji wilcoxon.Alat yang digunakan adalah Numeric Rating Scale. Hasil penelitian penurunan nyeri responden sebelum dilakukan Slow Stroke Back Massage dan Lilin Aromaterapi diketahui bahwa dari 21 responden rata- rata nyeri pasien sebelum perlakuan yaitu 4,62 sedangkan rata-rata nyeri sesudah perlakuan yaitu 3,10 dan terdapat pengaruh yang signifikan antara pemberian Slow Stroke Back Massage dan Lilin Aromaterapi terhadap penurunan nyeri dengan nilai (p = 0,001).Kesimpulan penelitian terdapat pengaruh Slow Stroke Back Massage dan Lilin Aromaterapi terhadap penurunan nyeri pada pasien kanker payudara di Rumah Sakit Umum Sembiring.

PENGARUH RELAKSASI OTOT PROGRESIF TERHADAP PENURUNAN TEKANAN DARAH PADA PENDERITA HIPERTENSI DI PUSKESMAS DELI TUA

Herri Novita Tarigan — Tue, 06 May 2025 14:57:37 SE Asia Daylight Time

Hypertension or high blood pressure is a medical condition characterized by an increase in arterial blood pressure, where systolic pressure reaches ≥140mmHg or diastolic pressure reaches ≥90mmHg. This condition increases the risk of morbidity and mortality, thus requiring comprehensive treatment. This study aims to determine the effect of progressive muscle relaxation on lowering blood pressure in hypertensive patients at the old deli health center. This research includes quantitative, the method used is quasi-experiment with a one group design pretest - posttest approach, research sampling using purposive sampling totaling 25 respondents based on inclusion criteria, research instruments using observation sheets and digital sphygmomanometer. Progressive muscle relaxation was carried out for 3 days and measured before and after the intervention. Data were analyzed using paired t test. The results of this study showed that the average blood pressure before the intervention was 162/100mmHg and the average blood pressure after the intervention was 151/91mmHg which means there is a significant decrease in blood pressure after progressive muscle relaxation intervention with a p value = 0.000 (<0.05). This research is expected to be a new point of view and knowledge for various parties, especially as a reference for the development of complementary therapies at the old deli health center in the future.

PENGARUH TINDAKAN KEMOTERAPI TERHADAP TINGKAT STRES PADA PASIEN KANKER DI RUMAH SAKIT UMUM SEMBIRING DELI TUA TAHUN 2025

Meta Rosaulina, Muhammad Tsawaby Hasian — Tue, 06 May 2025 14:57:50 SE Asia Daylight Time

Kanker termasuk salah satu penyakit paling mematikan di dunia, dengan jumlah kematian akibat kanker meningkat setiap tahunnya. Sebagian besar penyintas kanker menjalani perawatan kemoterapi. Durasi kemoterapi yang panjang berdampak signifikan pada kesejahteraan mental pasien. Kondisi yang paling umum adalah stres, yang sering kali berasal dari kekhawatiran tentang pemulihan kanker. Pasien kanker yang menjalani kemoterapi umumnya mengalami stres, yang terwujud dalam bentuk perasaan sedih, pesimisme, putus asa, dianggap tidak mampu, rendah diri terhadap orang lain, memburuknya kondisi emosional, dan rasa tidak berdaya. Penelitian ini dimaksudkan dalam mengeval_uasi dampak kemoterapi terhadap peningkatan tingkat stres di antara pasien kanker di Sembiring Stylish Health Center Deli Tua pada tahun 2024. Penelitian ini menggunakan pendekatan kuasi-eksperimental, dengan 36 sampel yang dipilih melalui purposive sampling. Data dikumpulkan menggunakan kuesioner dan lembar observasi. Pada tahun 2024, kemoterapi memiliki dampak sangat besar pada tingkat stres pasien kanker di Sembiring Preferred Medical Institution Deli Tua, sebagaimana dibuktikan oleh analisis bivariat yang menghasilkan nilai p bernilai 0,000, yang kurang dari 0,05. Penelitian tersebut menyimpulkan kemoterapi menghasilkan dampak yang bervariasi terhadap tingkat stres, tergantung pada penerimaan pasien terhadap penyakitnya dan pemahaman mereka terhadap pengobatan kanker melalui kemoterapi.

THE EFFECT OF EMPLOYEE ENGAGEMENT, WORK LIFE BALANCE AND QUALITY OF NURSING WORK LIFE ON THE PERFORMANCE OF INPATIENT NURSES AT BHAYANGKARA HOSPITAL, CLASS IV, MAMUJU

Abdul Aziz, Effri Susanto, Dicky Yulius Pangkey, Rosidawati Rosidawati — Tue, 06 May 2025 14:58:33 SE Asia Daylight Time

Nurses play an essential role in hospitals, particularly in inpatient care, where they are the primary point of contact with patients. As the largest group in the healthcare workforce, nurses interact with patients more than any other healthcare professionals. Despite their crucial role, complaints regarding nurse performance remain frequent among patients and their families. This is evident from the feedback received about hospital services, especially concerning the quality of nursing care. To address this issue, improving nurse performance requires practical strategies, such as enhancing employee engagement, work-life balance, and the overall quality of nursing work life. These factors have been shown to positively influence nursing performance. The aim of this study was to eval_uate how employee engagement, work-life balance, and nursing work life quality affect the performance of inpatient nurses at Bhayangkara Hospital in Mamuju. Using a quantitative non-experimental research design with cross-sectional analysis, the study utilized linear regression to analyze data from 43 inpatient nurses. The data was processed using SPSS Version 24.0. The findings revealed that employee engagement has a significant positive impact on nurse performance, with a p-value of 0.003 (<0.05), thus confirming that greater engagement enhances performance. Work-life balance also significantly influences nurse performance, with a p-value of 0.006, highlighting its importance. Similarly, the quality of nursing work life was found to positively affect performance, with a p-value of 0.009. The F test results indicated that the combined factors of employee engagement, work-life balance, and nursing work life quality significantly influence nurse performance, with a p-value of 0.004. Together, these factors explained 78.6% of the variance in nurse performance, suggesting that other external factors account for the remaining 21.4%.

PENGARUH SENAM TERA TERHADAP PENURUNAN TEKANAN DARAH PADA LANSIA YANG MENGALAMI HIPERTENSI DI PUSKESMAS DELI TUA TAHUN 2025

maria hermita manik, M. Dasril Samura — Tue, 06 May 2025 14:58:59 SE Asia Daylight Time

Hypertension is a common health problem among the elderly and poses a risk of serious complications such as cardiovascular diseases. The management of hypertension is not only carried out pharmacologically but also through non-pharmacological interventions, one of which is Tera Exercise. Tera Exercise is a physical activity believed to be effective in reducing blood pressure through mechanisms of relaxation, stress management, and improved blood circulation. This study aimed to analyze the effect of Tera Exercise on blood pressure reduction in elderly individuals with hypertension at Puskesmas Deli Tua in 2025.

This study employed a quasi-experimental design with a One Group Pretest-Posttest Design. The sample consisted of 23 elderly individuals selected using purposive sampling. Systolic and diastolic blood pressure were measured before and after the intervention using a digital sphygmomanometer. Data were analyzed using the Wilcoxon test to examine differences in blood pressure before and after the intervention.

The results showed a significant reduction in blood pressure after the implementation of Tera Exercise (p = 0.001), (p < 0.05). The average reduction in systolic blood pressure was 11.051 mmHg, while the average reduction in diastolic blood pressure was 11 mmHg. These findings indicate that Tera Exercise is effective in lowering blood pressure in elderly individuals with hypertension.

Tera Exercise can be recommended as a safe and easy-to-perform non-pharmacological intervention to help manage blood pressure in the elderly. This intervention is expected to be routinely implemented to improve the quality of life of elderly individuals.

PENGARUH TERAPI MUSIK TERHADAP PENURUNAN TINGKAT DEPRESI PADA LANSIA

Rasninta Devi Ansela, Maria Hermita Manik — Tue, 06 May 2025 14:59:14 SE Asia Daylight Time

Lansia merupakan bagian alami dari kehidupan bagi semua orang dan ditandai dengan berbagai penurunan kemampuan fisik, mental, dan jasmani serta adaptasi sosial terhadap lingkungan Masalah psikososial yang sering menimpa lansia adalah depresi. Terapi musik sebagai intervensi non-farmakologis mulai banyak diterapkan dalam manajemen depresi karena dianggap murah, aman, dan menyenangkan. Penelitian ini bertujuan untuk mengetahui pengaruh terapi musik terhadap penurunan Tingkat depresi pada lansia. Metode penelitian ini menggunakan desain kuantitatif pre-eksperimental dengan pendekatan one group pretest-posttest. Sampel berjumlah 30 lansia yang mengalami depresi ringan hingga sedang, dipilih dengan teknik purposive sampling. Intervensi berupa terapi musik diberikan selama 30 menit, 3 kali seminggu selama 4 minggu. Tingkat depresi diukur menggunakan kuesioner Geriatric Depression Scale sebelum dan sesudah intervensi. Analisis data menggunakan uji Wilcoxon Signed Rank Test. Hasil penelitian terdapat penurunan signifikan skor depresi lansia setelah terapi musik, dari rerata 9,6 menjadi 5,7 (p < 0,001). Sebagian besar responden menunjukkan penurunan kategori depresi dari sedang menjadi ringan atau tidak depresi. Kesimpulan penelitian ini adalah Terapi musik dalam menurunkan tingkat depresi pada lansia. Terapi ini dapat dijadikan sebagai intervensi keperawatan yang mudah, murah, dan aman dalam meningkatkan kesejahteraan psikologis lansia.

PENGARUH PENDIDIKAN KESEHATAN TERHADAP PENGETAHUAN PERSONAL HYGIENE SAAT MENSTRUASI PADA REMAJA PUTRI DI SMA SWASTA SINGOSARI KECAMATAN DELI TUA KABUPATEN DELI SERDANG TAHUN 2025

Siti - Marlina, Tiara Tanjung — Tue, 06 May 2025 15:00:18 SE Asia Daylight Time

Adolescence is a transition period marked by physical, emotional, and psychological changes. During adolescence, girls will experience a natural process, namely menstruation. As an effort to maintain the health and cleanliness of reproductive organs, personal hygiene of genitalia is very necessary. Lack of knowledge in carrying out personal hygiene of genitalia can cause various diseases of the reproductive organs. Purpose: This study aims to determine the effect of health education on knowledge of personal hygiene during menstruation in female adolescents at Singosari Deli Tua Private High School. Method: This type of research is quantitative, with a pre-experimental method with one group pretest-protest design. The population in this study were girls who had menstruated at Singosari Deli Tua Private High School, a sample of 87 female students. After the data was collected, data processing was carried out through the stages of editing, coding, scoring, and tabulating. Data analysis used the Wilcoxon Sign Test to see the effect of health education on knowledge of personal hygiene during menstruation before and after education was given. The results of the study showed that knowledge before being given health education about personal hygiene during menstruation was well-informed by 44 respondents (50,6%), then after being given health education, 58 respondents (66.7%) had good knowledge. There was an influence of health education on knowledge of personal hygiene during menstruation in female adolescents at Singosari Deli Tua Private High School with the results of the Wilcoxon Sogn Test, the significance value of knowledge was 0.000 or p <0.05. Conclusion: Based on the results of this study, it is expected that female students will always maintain their feminine area by doing personal hygiene properly and correctly in accordance with the provisions of health workers, especially during menstruation.

Jurnal HUBUNGAN DUKUNGAN SOSIAL DENGAN KUALITAS HIDUP LANSIA PADA PENDERITA DIABETES MELITUS DI RUMAH SAKIT UMUM SEMBIRING DELI TUA TAHUN 2025

Rentawati Purba, Dewi Tiansa Barus — Tue, 06 May 2025 15:00:30 SE Asia Daylight Time

Social assistance is crucial for enhancing older people's quality of life, especially for those suffering from diabetes mellitus (DM). Elderly people with DM often face challenges both physically and emotionally, so social support from family, friends or other social groups can enhance their standard of living. This research It wants to examine the connection between senior citizens' quality of life and social support with diabetes mellitus at Sembiring General Hospital Deli Tua. This kind of study uses a cross-sectional methodology and is correlational.The population and sample were 68 respondents, samples were taken using purposive sampling. The instrument uses a standard questionnaire. Statistical analysis uses chi square. The findings of the study indicate a connection between senior citizens' quality of life and social assistance (p-value 0.007). In conclusion, Social support and the quality of life of older adults with diabetes mellitus are related at Sembiring General Hospital Deli Tua. It is anticipated that this study will input to provide education about the association between senior citizens' quality of life and social support in diabetes mellitus patients so believe it will have a greater effect in the future on health.

HUBUNGAN PERTAMBAHAN BERAT BADAN IBU SELAMA HAMIL DENGAN KEJADIAN BAYI BERAT LAHIR RENDAH DI PUSKESMAS HUTA RAKYAT KEC.SIDIKALANG KAB. DAIRI

Nur Mala Sari — Tue, 06 May 2025 15:01:02 SE Asia Daylight Time

Abstract

Maternal nutrition is crucial for the health of the fetus. Pregnant women need an additional 500 calories, but in early pregnancy, they often experience nausea, vomiting, and food aversions, which hinder the fulfillment of their energy needs. This study aims to determine the relationship between maternal weight gain and the incidence of low birth weight (LBW) at the Huta Rakyat Health Center, Sidikalang, Dairi Regency, in 2023. This study uses a quantitative approach with a cross-sectional design and involves 52 third-trimester pregnant women as samples selected by accidental sampling. The results of the study show a significant relationship between maternal weight gain and the incidence of LBW (p-value 0.000 < 0.05). It is expected that health workers, especially midwives providing ANC services, can closely monitor maternal weight gain and provide more intensive education on the importance of appropriate weight gain to prevent the occurrence of LBW.