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HUBUNGAN LAMA PENGGUNAAN KATETER URETRA TERHADAP KEJADIAN INFEKSI SALURAN KEMIH PADA PASIEN YANG TERPASANG KATETER URETRA DI RUMAH SAKIT UMUM DAERAH DELI SERDANG LUBUK PAKAM Anita Sri Gandaria Purba; Samuel Ginting
Jurnal Penelitian Keperawatan Medik Vol 1 No 1 (2018): Jurnal Penelitian Keperawatan Medik
Publisher : Fakultas Keperawatan Institut Kesehatan Deli Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpkm.v1i1.96

Abstract

Infection was an incident witch often happened on hospital and can made financial lost for patient, family and the hospital itself. The method of this research was cross secsional use observation pieces instrument of research. The population of the research were the patients on the hospital in Deli Serdang who assembled catheter urethra. The sample was 30 respondents. The result of research indicated that the incident of urethra infection of 30 respondents who assembled catheter urethra, there were 7 persons (23,3%) were not happened the infection and 23 persons (76,7%) got to infection and devided into 2 persons (6,7%) with character urethra ≤ 1-2 days, 16 persons (53,3%) with character urethra 3-5 days and 5 persons (16,7%) with the character very long ≥ 6-7 days. Through of the result of Chi-Square statistics test, was gotten the result pvalue = 0,002, where p Value < 0,05. This was indicated that there was the significant relationship between the time of used catheter urethra to incident of urinary tract infection. According to this result, so to emphasize the incident of urinary tract infention was needed control and replacement the catheter urethra periodicly based on the standart procedure of treatment and prevention of infection
HUBUNGAN LAMA HEMODIALISIS DENGAN NAFSU MAKAN PADA PASIEN GAGAL GINJAL KRONIK DI UNIT HEMODIALISIS RUMAH SAKIT GRANDMED LUBUK PAKAM TAHUN 2019 Arfah May Syara; Syatriawati Suhaimi; Anita Sri Gandaria Purba; Juni Mariati Simarmata; Cindy Yulvika Saragih
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol 3 No 1 (2020): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkf.v3i1.537

Abstract

Hemodialysis patients are susceptible to malnutrition caused by components in hemodialysis, such as Dialyzer (Kidney Artificial), blood line, AV fistula, bicarbonate fluid, acidic liquid. Patients who have long been undergoing hemodialysis have high urea and creatinine levels. Increased levels of urea and creatinine can stimulate acid production such as stomach ulcers (gastritis), namely nausea, vomiting, heartburn, bloating and no appetite. This research aims to knowing long standing relationship of hemodialysis with appetite in patients chronic renal failure in the unit hemodialysis of Grandmed Lubuk Pakam Hospital in 2019. This type of research is quantitative research, using analytical survey method with cross sectional approach. The population in this study were all patients with chronic renal failure who were in the hemodialysis unit of Grandmed Lubuk Pakam Hospital with a sample of 49 people, using a purposive sampling technique. Data collection was using a questionnaire. The analysis in this study used Chi Square test with a degree of confidence of 5% = 0,05. The results of the study stated that the majority of respondents were in the old category (2 years-3 years) as many as 31 people (63.3%) with decreased appetite by 21 people (42.9%), fixed appetite of 7 people (14.3 %), appetite increased by 3 people (6.1%). There is a long standing relationship of hemodialysis with appetite in patients chronic renal failure in the unit hemodialysis of Grandmed Lubuk Pakam Hospital in 2019 with p value < α = 0,05.
THE EFFECT OF FOOT EXERCISE ON ANKLE BRACHIAL INDEX VALUE IN DIABETES MELLITUS PATIENTS IN HOSPITAL GRANDMED HOSPITAL PAKAM Pratiwi Christa Simarmata; Anita Sri Gandaria Purba; Abdi Lestari Sitepu; Evan Suheri Harahap; Juni Mariati Simarmata
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol 3 No 2 (2021): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkf.v3i2.674

Abstract

Diabetes mellitus is a chronic non communicable disease. Characterized by an increase in blood sugar levels, the result is that the pancreas cannot produce or the body cannot use insulin. Foot exercise in diabetes mellitus is a leg movement exercise that aims to improve blood circulation in the legs and detect the severity of vascularity in the legs. The research objective was to assess the effect of foot exercise on the value of the Ankle Brachial Index (ABI) in diabetes mellitus patients at Grandmed Lubuk Pakam Hospital. Quasi experimental research design pretest and posttest without control. The study was conducted from October to December 2020 at Grandmed Lubuk Pakam Hospital with 43 respondents, the samples were taken using consecutive sampling technique. The intervention was carried out twice a day. Consistent exercise can increase the supply of oxygen in the blood to the peripheral tissues in the legs. The results of the research from the univariate analysis found that male gender were 23 respondents (53.5%), aged > 55 years were 21 respondents (48.8%), the use of blood sugar drugs was 39 respondents (90.7). While the bivariate results using the Wilcoxon test, it was found that there was a significant effect between the average ABI value before the intervention 0.84 and 0.95 after intervention, p = 0.000. The results of the study concluded that there was an effect of foot exercise on the value of the ankle brachial index (ABI) in diabetes mellitus sufferers, where leg blood flow was getting better after foot exercise.
HUBUNGAN PENGGUNAAN BETADINE SALEP TERHADAP KEJADIAN FLEBITIS PADA TEMPAT PEMASANGAN INFUS INTRAVENA DI RUMAH SAKIT TENTARA TINGKAT IV 01.07.01 PEMATANGSIANTAR TAHUN 2021 Kuat Sitepu; Anita Srigandaria Purba; Arfah May Sara; Widya .
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol 4 No 1 (2021): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkf.v4i1.770

Abstract

Background : The incidence of ebitis is one indicator of the quality of hospital services with the standard set by The Infusion Nursing of Practice, which is 5%. The incidence of phlebitis is an indicator of minimum hospital service quality with a standard incidence of ≤1.5%. Purpose : Knowing the effect of using betadine ointment on the incidence of phlebitis at the intravenous infusion site at the Army Hospital TK IV. 01.07.01 Pematangsiantar. Methods : This type of research the researcher used was a quasi experiment with the equivalent control group design. The research instrument used was an observation sheet with a sample of 30 patients who had an intravenous infusion attached. Results: There was a significant effect of using betadine ointment on the incidence of phlebitis on intravenous infusion therapy. Statistical analysis using normality test, homogeneity and hypothesis testing. Conclusions and suggestions : The use of betadine ointment against the incidence of phlebitis at the intravenous infusion site has a significant relationship. Therefore the hospital management must continue to make efforts to improve services to patients. As a suggestion, room nurses should increase their knowledge through training on infection control and prevention, nosocomial infection prevention training in hospitals.
HUBUNGAN MOBILISASI DINI DENGAN LAMANYA PENYEMBUHAN LUKA PADA PASIEN PASCA OPERASI APENDIKTOMI DI RUMAH SAKIT GRANDMED LUBUK PAKAM Arfah May Syara; Anita Srigandaria Purba; Kuat Sitepu; Tiurma Siringo-ringo; Afeus Halawa; Samuel Panjaitan
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol 4 No 1 (2021): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkf.v4i1.828

Abstract

One of the recovery processes for postoperative appendectomy patients can be attempted by planning and implementing early mobilization, namely the steps that are carried out immediately on postoperative patients starting from lifting the upper and lower extremities and doing right and left tilts, and sitting on the side of the bed until the patient get out of bed, stand up and begin to learn to walk with assistance according to the patient's condition. This study aims to determine the relationship between early mobilization and the duration of wound healing after appendectomy surgery at Grandmed Lubuk Pakam Hospital. This research is a quantitative research with a cross sectional design. The research population is the entire object of research or the object under study. The population in this study were all post-op appendectomy patients who were being treated at the GrandMed Lubuk Pakam Hospital in 2021 as many as 63 people. The sampling technique used is purposive sampling with a sample of 15 people. Data analysis was performed by univariate, bivariate with Chi-square test at 95% confidence level. The results of this study were 11 respondents (73.3%) with good wound healing, 10 (66.7%) who did not mobilize well, and 10 respondents (66.7%) who did not mobilize well. 4 people (26,7) with moderate wound healing as many as 5 people (33,3%). The results of data analysis showed that there was a relationship between early mobilization and the duration of wound healing in appendectomy patients at Grandmed Lubuk Pakam Hospital in 2021 with p value = 0.001. Respondents who have an early mobilization rate are likely to have faster wound healing. It is recommended to post-op appendictomy patients to mobilize early for better wound healing.
THE EFFECT OF BABY MASSAGE ON BREASTFEEDING DURATION IN NINING PELAWATI CLINIC AT LUBUK PAKAM Nikmah Jalilah Ritonga; Hani Amaliah Majidah; Riris Sitorus; Diah Evawanna Anuhgera; Kardina Hayati; Anita Sri Gandaria Purba
JURNAL KEBIDANAN KESTRA (JKK) Vol 3 No 1 (2020): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkk.v3i1.490

Abstract

Durasi lama menyusui bayi berbeda-beda sesuai dengan pola hisap bayi. Jika kegiatan menyusui berlangsung terlalu lama (lebih dari setengah jam) atau terlalu pendek (kurang dari 4 menit), hal ini menunjukkan kemungkinan adanya masalah pada perlekatan antara bayi dan puting susu ibu. Frekuensi menyusu pada bayi akan sangat mempengaruhi fisik dan emosional bayi yang mana dengan frekuensi dan durasi menyusu akan meningkatkan kondisi yang tenang kepada bayi dan berat badan bayi akan bertambah. Upaya untuk menawarkan meningkatkan kondisi yang tenang dan berat badan bayi salah satunya yaitu pijat bayi. Tujuan penelitian ini untuk mengetahui pengaruh pijat bayi terhadap durasi menyusu pada bayi. Rancangan pada penelitian yaitu Quasi-Experiment dengan desain one grup pre dan post test design. Pengambilan sampel ini dengan teknik purposive sampling. Jumlah sampel 10 responden. Dari hasil analisis uji bivariat menggunakan uji paired simple t Test, didapatkan nilai yang signifikan yaitu (p value: 0.000), sehingga p<0.005, dapat disimpulkan terdapat pengaruh pijat bayi terhadap durasi menyusu pada bayi. Oleh karena itu, diharapkan kepada tenaga kesehatan untuk mengaplikasikan pijat bayi ini sebagai metode untuk meningkatkan durasi menyusui.
Comparison In Hemoglobin Levels Of Pregnant Women 36 Week And Postpartum Mothers Day 4 At The Primary Clinic Nining Pelawati Lubuk Pakam District Deli Serdang Regency Desideria Yosepha Ginting; Eva Graciella Sihaloho; Layari Tarigan; Arfah May Syara; Anita Sri Gandaria Purba
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 5 No. 1 (2022): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkf.v5i1.1398

Abstract

Maternal Mortality Rate (MMR) is related to bleeding experienced and has a relationship with anemia during pregnancy. WHO (2016) claimed, the prevalence of pregnant women who experience anemia was 40.1%. RIKESDAS (2018) claimed, the proportion of anemia in pregnant women in Indonesia ware 48.9%. During impregnation if anemia cannot be treated until the end of pregnancy, it will have an impact on the postpartum. The problem of postpartum anemia is not as widely studied as prepartum anemia. The prevalence of postpartum anemia in developing countries ranges from 50% to 80%. Purpose To determine the difference hemoglobin levels of pregnant women36 weeks and postpartum day 4. The research was carried out by analyzing comparative with a quantitative approach. Mechanical Sampling is sampling accidental 18 pregnant women 38 week, analysis using t-test-dependen. The results of this study obtained a significant difference in the average hemoglobin level of pregnant women 36 weeks and postpartum mothers day 4 of 0.97. Average hemoglobin level of 36-week pregnant women of 10,95 and postpartum mothers of day 4 of 9,98. Based on the results between the t-test, the value of sig. = 0.000. There is a difference in hemoglobin levels in pregnant women36 weeks and postpartum day 4. So, expected for health workers to carry out hemoglobin level checks in both pregnant women and postpartum mothers.
The Relationship Of Early Mobilization With Operational Wound Healing In Postpartum Mothers With Post Section Ceasarea Dian Anggri Yanti; Pitriani .; Anita Sri Gandaria Purba; Arfah May Syara; Azizah Safrida Putri
JURNAL KEBIDANAN KESTRA (JKK) Vol. 5 No. 1 (2022): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkk.v5i1.1220

Abstract

Early mobilization is a movement that is carried out immediately after surgery. This is done with the aim of restoring the abdominal muscles so they are not stiff and relieve pain so that it can accelerate the wound healing process. Based on Riskesdas North Sumatra 2018, the proportion of delivery methods by cesarean section in North Sumatra Province was 23.89 percent and normal deliveries were 75.95 percent. The purpose of this study was to determine the relationship between early mobilization and surgical wound healing in postpartum mothers post sectio caesarea at the Ibu Kartini Kisaran General Hospital in 2022. This study is a quantitative type of research, with a cross sectional research design using the chi-square test. The population in this study were all postpartum mothers who had undergone post sectio caesarea while at the Ibu Kartini General Hospital in the range of 2022. The sample obtained was 40 people with accidental sampling technique. The statistical test used was the chi square test (p < 0.05). The results of this study indicate that there is a relationship between early mobilization and healing of surgical wounds in postpartum mothers after sectio caesarea at the Kartini General Hospital Kisaran in 2022 with a p value of 0.01. So it is hoped that nurses and midwives will be able to provide education and supervision of the implementation of mobilization for postpartum mothers post sectio caesarea to accelerate wound healing.
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN PENERAPAN PROGRAM INDONESIA SEHAT PENDEKATAN KELUARGA (PIS-PK) Anita Sri Gandaria Purba; Kardina Hayati
BEST Journal (Biology Education, Sains and Technology) Vol 5, No 2 (2022): September 2022
Publisher : Program Studi Pendidikan Biologi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30743/best.v5i2.5972

Abstract

Pendekatan keluarga adalah salah satu cara Puskesmas untuk meningkatkan jangkauan sasaran dan mendekatkan/meningkatkan akses pelayanan kesehatan di wilayah kerjanya dengan mendatangi keluarganya. Puskesmas tidak hanya menyelenggarakan pelayanan kesehatan di dalam gedung, melainkan juga keluar gedung dengan mengunjungi keluarga di wilayah kerjanya. Keberhasilan program Indonesia sehat dapat ditandai dengan masyarakat yang hidup dengan perilaku dan dalam lingkungan sehat, memiliki kemampuan untuk menjangkau pelayanan kesehatan yang bermutu secara adil dan merata, serta memiliki derajat kesehatan yang setinggi-tingginya di seluruh wilayah Republik Indonesia. Pembangunan kesehatan diprioritaskan pada pemberdayaan upaya promotif dan preventif  Untuk mendukung pelaksanaan pendekatan keluarga tersebut perlu ada penguatan puskesmas sebagai salah satu ujung tombaknya. Penguatan tersebut antara lain dilakukan melalui pemenuhan sumber daya puskesmas antara lain sumber daya manusia (SDM), prasarana dan sarana/alat. Penelitian ini bertujuan Untuk menganalisis pengetahuan, sikap, komunikasi, struktur birokarsi dengan penerapan program indosesia sehat pendekatan keluarga (PIS-PK). Desain penelitian yang digunakan adalah analitik dengan pendekatan crossectional. Penelitian dilaksanakan Puskesmas Deli Tua. Populasi dalam penelitian ini adalah seluruh kepala keluarga yang berada diwilayah puskesmas Delitua dengan jumlah sampel 80 orang. Analisis dapat dilakukan  secara univariat, bivariat, dengan uji Chi-Square. Hasil penelitian ini menunjukkan bahwa Pengetahuan, Sikap, Komunikasi, dan struktur birokrasi mempunyai hubungan dengan penerapan PIS-PK di UPT Puskesmas Delitua. Diharapkan  untuk mensosialisasikan pedoman kepada seluruh tenaga yang membantu dalam program PIS-PK
PENYULUHAN PEMANFAATAN POSBINDU UNTUK MENDETEKSI PENYAKIT TIDAK MENULAR Reni Aprinawaty Sirait; Anita Sri Gandaria Purba
JURNAL PENGMAS KESTRA (JPK) Vol 1 No 2 (2021): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (509.984 KB) | DOI: 10.35451/jpk.v1i2.891

Abstract

Non-communicable diseases (NCDs) are the leading cause of death in the world. Deaths every year are caused by PTM. The prevalence of non-communicable diseases in Indonesia from 2007 – 2018 has increased, such as diabetes, hypertension, stroke, joint/rheumatic diseases. Posbindu PTM is a form of community participation in activities for early detection, monitoring and early follow-up of risk factors for Non-Communicable Diseases independently and in delivery. The PTM Posbindu is a form of community effort (UKM) which then develops into a community-based health effort (UKBM) through promotive and preventive efforts to detect and control early on the presence of PTM risk factors in an integrated manner. This activity aims to provide health education about the use of Posbindu to detect non-communicable diseases and increase knowledge and change attitudes about infectious diseases. The method of implementing the activity is using observation sheets and questionnaires about the use of posbindu in Petapahan sub-district to detect non-communicable diseases. From the results of the activities carried out, the community was very enthusiastic about welcoming this activity. Through this activity, it is hoped that public knowledge can increase and change behavior to be healthy so that it can extend life expectancy. Through this activity, it is also useful for cadres, namely increasing cadre knowledge about posbindu and cadres skills in checking weight, height, measuring abdominal circumference, blood pressure, checking blood sugar, cholesterol and uric acid, so that posbindu activities carried out can be used as detection. early non-communicable diseases and attacks.