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PERSEPSI PERAWAT TERHADAP PRINSIP-PRINSIP ETIK DALAM PELAKSANAAN TINDAKAN KEPERAWATAN DI ICU RUMAH SAKIT TK. II PUTRI HIJAU MEDAN Pangaribuan, Resmi
Jurnal Riset Hesti Medan Vol 1, No 1 (2016)
Publisher : Akademi Keperawatan Kesdam I/Bukit Barisan Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (318.835 KB) | DOI: 10.34008/jurhesti.v1i1.6

Abstract

The nursing ethics were value and principles trusted by the nursing profession in carring out their duties related to the patient with society, the relationship between nurses and mates included the organization of the profession, as well as the regulation of nursing practice it self. The nurse perception to the ethical principles was able to influence the behavior of a nurse in making decision of nursing action. The aim of this observation is to explore the nurse perception to the ethichal principlesin implementation nursing action at Intensive Care Unit level II Putri Hijau Hospital Medan, this observation was done to nurse with four respondents.  The method of phenomenological qualitative. The sample with purposive sampling. Data was collected nursing indepth interview and then recorded by tape recorder. The results of observation reflected from six themes appearing which were agreed in doing treatment. Patient or patient’s family have right to refuse the treatment by giving sign of non-consent letter, to appreciate the patient and the family using traditional ways, tot the useful, and avoiding the dangerous thing to the patient. Religion teaches good deeds, never different patients,  and to take early treatment in accordance with the cases priority, give complete information.The conclusion of this observation was glance perception of nurses in implementing the nursing treatment. Key words: The Nursing’s perception, Ethichal principles, Nursing action
PENGGUNAAN POWER POINT DAN LEAFLEAT TERHADAP PENINGKATAN PENGETAHUAN SISWA KELAS IX TENTANG P3K DI SMP TUNAS KARYA BATANG KUIS TAHUN 2017 Pangaribuan, Resmi; Pratama, Muchti Yuda
Jurnal Riset Hesti Medan Vol 2, No 2 (2017)
Publisher : Akademi Keperawatan Kesdam I/Bukit Barisan Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (294.262 KB) | DOI: 10.34008/jurhesti.v2i2.83

Abstract

Emergency conditions can occur anywhere, anytime and it is the duty of health workers to handle the problem. Death occurs usually because of the inability of health workers to deal with patients in the golden period. This effort must begin by correctly identifying the condition of the accident patient.This study aims to determine the effect of using power point and Leafleat on the knowledge of class IX students at SMP Tunas Karya Batang Kuis. The type of this research is Quasi experiment two group pretest-posttest. The total population in this study was first class IX First Class Middle School students in accidents (Firs Aid) of 110 people. The results of the research carried out statistically showed that power point and leafleat media influenced the increase in knowledge of class IX students on first aid (P3K). It is recommended for students to increase knowledge about first aid in accidents (Firs Aid) in helping victims who need emergency assistance immediately and are ready to use in urgent situations. To the leadership of the Foundation to take wisdom in health education, to increase the knowledge of students to hold first aid training on accidents (Firs Aid) and form the Youth Red Cross.
METODE PEMBELAJARAN SIMULASI DAN DEMONTRASI DI LABORATORIUM DENGAN HASIL BELAJAR MATA KULIAH KEPERAWATAN KEGAWATDARURATAN DI AKADEMI KEPERAWATAN KESDAM I/BB MEDAN MEDAN Pangaribuan, Resmi; Pratama, Muchti Yuda
Jurnal Riset Hesti Medan Vol 1, No 2 (2016)
Publisher : Akademi Keperawatan Kesdam I/Bukit Barisan Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (789.454 KB) | DOI: 10.34008/jurhesti.v1i2.105

Abstract

Emergency nursing care is a nursing process in managing patients or patients to get independent and multidisciplinary care (collaborative) so that the expected outcome criteria can be achieved. The learning process involves complex activities, not just the transfer of knowledge from educators to students textually. In each learning process, efforts must be made to be able to deliver students to the proposed competency, including the underlying values and attitudes. The design of this study is a correlation , The sampling technique is to use the Slovin formula, namely the number of samples taken from affordable populations in this study. The results of the research conducted statistically showed that the Students of Nursing Academy of Kesdam I/BB Medan knew that there were 30 female students (46.9%) in the simulation category. Student of Nursing Academy in Medan I/BB Medan know about the adequate method of demonstration learning method as many as 34 students (53.1%). Students of Nursing Academy of Kesdam I/BB Medan about the learning outcomes of emergency nursing care from the category C value of 35 female students (54.7%). It is expected that the Medan I/BB Middle School Nursing Academy will maintain and further improve laboratory facilities and infrastructure to support the achievement of female students in midwifery care at the Nursing Academy of Kesdam I/BB.
Pengaruh Terapi Perilaku Koqnitif Terhadap Gambaran Diri: Sistematika Review Pangaribuan, Resmi; Sari, Putri Nanda
Jurnal Riset Hesti Medan Vol 5, No 1 (2020)
Publisher : Akademi Keperawatan Kesdam I/Bukit Barisan Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34008/jurhesti.v5i1.177

Abstract

Body image is a crucial factor in the formation of individual identity. Increasing body image on an individual requires an intervention which can change thoughts, feelings and attitudes affecting the behavior related to the whole body and its function. This systematic review evaluates the existed evidence to identify the effect of Cognitive Behavioral Therapy (CBT) on body image. The literature review is conducted by selecting the corresponding articles which are published between 2011 and 2017. Various databases used are CINAHL, EBSCO, Proquest, Pubmed, Science Direct, and Semantic Scholar. The inclusion criteria are the articles publishing original data, being fully written in English, researching human as an object and exploring the cognitive behavioral therapy and body image. There are eight articles that showed the effect of cognitive behavioral therapy on body image including reducing body image concern, reducing bad stigma towards body image and irrational beliefs on body changing, increasing body area satisfaction, improving appearance evaluation and improving a positive body image. The application of cognitive behavioral therapy is essential and effective in improving body image. This study recommends health professionals, especially nurses, to apply cognitive behavioral therapy in patients with various diseases involving body image disturbance.
Hubungan Pengetahuan Ibu Tentang Pola Makanan Balita Dengan Status Gizi Balita di Rumah Sakit TK. II Putri Hijau Medan Resmi Pangaribuan; Marliani Marliani
Journal of Health Science and Physiotherapy Vol 2 No 2 (2020): Journal of Health Science and Physiotherapy
Publisher : LPPM Sekolah Tinggi Ilmu Kesehatan Siti Hajar Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35893/jhsp.v2i2.47

Abstract

Gizi seimbang adalah susunan makanan sehari-hari yang mengandung zat gizi dalam jenis dan jumlah yang sesuai dengan kebutuhan tubuh yaitu jenis kelamin, umur dan status kesehatan. Pola makan yang tidak bergizi seimbang beresiko menyebabkan kekurangan gizi seperti anemia dan berat badan kurang, dapat pula terjadi gizi berlebih (obesitas) yang dapat beresiko terjadinya penyakit degeneratif seperti hipertensi, penyakit jantung koroner dan diabetes melitus. Tujuan penelitian yaitu untuk mengetahui hubungan pengetahuan ibu tentang Pola Makanan balita dengan Status Gizi balita di Rumah Sakit Tk II Putri Hijau Medan, Jenis penelitian ini bersifat deskriprtif korelatif dengan rancangan study cross sectional. Populasi dalam penelitian ini yaitu seluruh ibu yang mempunyai balita yang datang ke poliklinik anak sebanyak 135 orang dan sampel yaitu total dari populasi. Analisa data menggunakan uji statistic chi square. Hasil penelitian menunjukkan ada hubungan Pengetahuan Ibu Tentang Pola Makanan Balita dengan Status Gizi Balita dimana nilai p = 0,000 dan ada husbungan pengetahuan ibu tentang jenis makanan tentang status gizi balita dimana nilai p = 0,004. Dari hasil penelitian dapat disimpulkan bahwa ada hubungan pengetahuan ibu tentang pola makan balita dengan status gizi balita dimana nilai p = 0,003. Disarankan kepada ibu-ibu untuk tetap memperhatikan pola makan balita untuk meningkatkan status gizi balitanya
PEMENUHAN KEBUTUHAN AKTIVITAS FISIK PADA HIPERTENSI DENGAN SENAM TERA DI UPT PELAYANAN SOSIAL LANJUT USIA BINJAI TAHUN 2021 Laila Nazmi Putri Nasution; Resmi Pangaribuan; Jemaulana Tarigan
Journal of Health Science and Physiotherapy Vol 3 No 2 (2021): Journal of Health Science and Physiotherapy
Publisher : LPPM Sekolah Tinggi Ilmu Kesehatan Siti Hajar Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35893/jhsp.v3i2.64

Abstract

Secara umum derajat kesehatan penduduk lansia masih rendah. Penduduk lanjut usia cenderung mengalami masalah kesehatan oleh penurunan fungsi organ tubuh akibat proses penuaan. Hipertensi menjadi salah satu faktor resiko bagi timbulnya penyakit kardiovaskuler seperti jantung, stroke dan penyakit ginjal. Lanjut usia dapat menderita hipertensi sistolik saja dengan tekanan darah sistolik yang tinggi karena keadaan aterosklorosis menyebabkan pembuluh arteri yang besar kehilangan kelenturan. Senam lansia sangat penting untuk para lanjut usia untuk menjaga kesehatan tubuh mereka seperti senam tera. Senam tera merupakan suatu latihan yang melatih fisik, mental, dan juga dapat memperbaiki dan meningkatkan kondisi serta fungsi jantung dan peredaran darah, serta mengontrol hipertensi. Metode Penelitian ini adalah penelitian deskriptif dengan rancangan studi kasus pemenuhan kebutuhan aktivitas fisik pada hipertensi dengan senam tera dengan menggunakan pendekatan proses keperawatan yang dilakukan peneliti meliputi tahapan pengkajian, diagnosa keperawatan, intervensi, implementasi, dan evaluasi. Penelitian ini dilakukan pada dua orang pasien dengan diagnosa yang sama. Pada pengkajian kedua responden memiliki hipertensi. Hasil penelitian diperoleh senam tera dapat menurunkan tekanan darah pada lansia dan dapat menurunkan resiko penurunan curah jantung agar dapat melakukan aktivitas fisik secara mandiri. Untuk peneliti lain, hendaknya lebih memotivasi lansia untuk melakukan senam tera untuk meningkatkan aktivitas klien
SENAM LANSIA PADA REUMATOID ARTHRITIS DENGAN NYERI LUTUT DI UPT PELAYANAN SOSIAL LANJUT USIA BINJAI Resmi Pangaribuan; Nina Olivia
Indonesian Trust Health Journal Vol 3 No 1 (2020): Indonesian Trust Health Journal
Publisher : STIKes Murni Teguh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37104/ithj.v3i1.46

Abstract

Elderly is someone who has reached the age of 60 years and over. Responding to an illness, but it is a process that gradually replaces cumulative changes, is a process of decreasing the body's resistance in dealing with stimuli from inside and outside the body. Many of the elderly are still productive and able to be active in social, national and state life. Efforts to Increase the social welfare of the elderly is essentially a preservation of the religious and cultural values ​​of the nation. Aging or growing old is a condition that occurs in human life. Growing old is a natural process which means that a person has gone through three lives, namely child, adult and old. Knee pain is a regenerative disease of the joints and one of the signs and symptoms of rheumatoid arthritis. One effort to reduce pain with the help of elderly gymnastics. The aim of the study is to provide the implementation of elderly exercise in elderly rheumatoid arthritis with knee pain to reduce knee pain. The benefits of research are joint skills training and reducing the scale of care in the elderly. This research method is quantitative with experimental type and one group pre-post test design. The population in this study are elderly both men and women in the UPT Binjai Elderly Services unit. An instrument or tool that uses a scale forgetting the Analog Analog Scale (VAS) and an observation sheet. The exercise of elderly exercise can be done in the morning before absorption for approximately 15-45 minutes. Instrument or tool that uses the Wilcoxon statistical test. The results of the study address the significant value of knee pain in the elderly. And elderly exercise is effective for reducing knee pain in elderly rheumatoid arthtritis in UPT Binjai Elderly Services. Abstrak Lansia adalah seseorang yang telah mencapai usia 60 tahun ke atas. Menua bukanlah suatu penyakit, tetapi merupakan proses yang berangsur-angsur mengakibatkan perubahan kumulatif, merupakan proses menurunnya daya tahan tubuh dalam menghadapi rangsangan dari dalam dan luar tubuh. Banyak diantara lanjut usia yang masih produktif dan mampu berperan aktif dalam kehidupan bermasyarakat, berbangsa dan bernegara. Upaya peningkatan kesejahteraan sosial lanjut usia pada hakikatnya merupakan pelestarian nilai-nilai keagamaan dan budaya bangsa. Menua atau menjadi tua adalah suatu keadaaan yang terjadi di dalam kehidupan manusia. Proses menua merupakan proses sepanjang hidup, tidak hanya dimulai dari suatu waktu tertentu, tetapi dimulai sejak permulaan kehidupan. Menjadi tua merupakan proses alamiah yang berarti seseorang telah melalui tiga tahap kehidupan, yaitu anak, dewasa dan tua. Nyeri lutut merupakan suatu penyekit regeneratif sendi dan salah salah satu tanda dan gejala dari rheumatoid arthritis. Salah satu upaya untuk menurangi nyeri lutut adalah dengan dengan pemberian senam lansia. Tujuan penelitian adalah memberikan implementasi senam lansia pada lansia rheumatoid arthtritis dengan nyeri lutut untuk mengurangi nyeri lutut. Manfaat penelitian adalah untuk melatih kemampuan otot sendi dan mengurangkan skala nyeri pada lansia. Metode penelitian ini adalah kuanitatif dengan jenis eksperimental dan design one group pre-post test design. Populasi pada penelitian ini adalah lansia baik laki-laki maupun wanita di unit UPT Pelayanan Lanjut Usia Binjai. Instrumen atau alat yang di gunakan berupakan skala nyeri Visual Analog scale (VAS) dan lembar observasi.. Pelaksanaan senam lansia dapat dilakukan pada pagi hari sebelum serapan selama kurang lebih 15-45 menit. Instrument atau alat yang di gunakan uji statistik wilcoxon. Hasil penelitian menujukan bahwa nilai signifikan menurun pada nyeri lutut lansia, dan disimpulkan bahwa senam lansia efektif untuk mengurangi rasa nyeri lutut pada lansia rheumatoid arthtritis di UPT Pelayanan Lanjut Usia Binjai.
SENAM TERA UNTUK MENURUNKAN TEKANAN DARAH LANSIA DI UPT PELAYANAN SOSIAL LANJUT USIA BINJAI Resmi Pangaribuan; Khairunnisa Batubara
Jukeshum: Jurnal Pengabdian Masyarakat Vol. 2 No. 1 (2022): Edisi Januari 2022
Publisher : Universitas Haji Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51771/jukeshum.v2i1.198

Abstract

Introduction: Elderly people experience health problems due to decreased organ function due to the aging process. Approximately 64% of elderly aged 60-74 years will experience an increase in blood pressure. Elderly people generally have a low level of physical fitness, especially in the components of cardio, respiratory, and muscle strength endurance. This can be done by doing good and correct physical exercise. Elderly gymnastics is very important for the elderly to maintain their body health like tera gymnastics. Tera gymnastics is an exercise that trains physically, mentally and can also improve and improve the condition and function of the heart and blood circulation, as well as control hypertension. Methods: the activities used in this community service program are in the form of counseling and demonstration of calibration exercises to reduce blood pressure (hypertension) at the Binjai Elderly Social Service UPT. Results: The elderly who participated in this counseling and demonstration understood how to lower blood pressure without medication by doing tera exercises and the elderly were able to do the exercises that he taught. The results obtained after carrying out these activities on the knowledge of the elderly showed that 65% of the elderly were willing to apply hypertension exercise at the Wisma (the house provided by the UPT).
Komunikasi Verbal pada Stroke Non Hemoragik di UPT Pelayanan Sosial Lanjut Usia Binjai Resmi Pangaribuan; Melinda Ayu Pratiwi; Jemaulana Tarigan
Jurnal Insan Cendekia Vol 8 No 2 (2021): Jurnal Insan Cendekia
Publisher : STIKES Insan Cendekia Medika Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35874/jic.v8i2.934

Abstract

ABSTRAK Pendahuluan: Stroke non hemoragik merupakan serangan pada jaringan otak yang terjadi secara mendadak dan menyebabkan kelumpuhan atau cacat menetap pada bagian tubuh. Apabila stroke menyerang otak kiri maka akan mengenai pusat bicara, kemungkinan pasien akan mengalami gangguan bicara. Salah satu cara dalam mengembalikan kemampuan bicara dapat dilakukkan terapi komunikasi verbal dengan menyebutkan huruf vocal yaitu huruf A, I, U, E, O. Tujuan: untuk mengetahui penerapan asuhan keperawatan pada pasien stroke non haemoragik yang mengalami gangguan komunikasi yang dapat dilakukan dengan terapi huruf vokal A, I, U, E, O untuk kemampuan bicara pasien stroke non hemoragik. Metode penelitian yang digunakan adalah deskriptif dengan pendekatan studi kasus. Subjek penelitian dilakuan pada 2 orang pasien dengan kasus yang ama yaitu pasien stroke yang mengalami gangguan komunikasi verbal. Hasil:stroke non hemoragik berhubungan dengan kerusakan komunikasi verbal. Intervensi dan implementasi keperawatan yaitu mengkaji kadaan umum pasien, membedakan antara afasia dan disartria, mengkatakan secara langsung dengan pasien perlahan dan dengan tenang, mengatakan dengan nada normal dan hindari percakapan yang cepat, meminta klien untuk mengikuti perintah sederhana, mengucapkan huruf vokal seperti A, I, U, E, O. Kesimpulan: Evaluasi dilakukan selama 3 hari dan didapatkan hasil pasien dapat mengucapkan huruf vokal AIUEO tetapi masih kurang jelas. ABSTRACT Introduction: Non-hemorrhagic stroke is an attack on brain tissues that occurs suddenly and could cause paralysis or permanent disability in any part of the body. Health issues that arise due to stroke vary widely. If the stroke occurs in the left side of the brain it will affect the speech, the patient will experience speech disorders. One way to restore speech ability could be implemented by using verbal communication therapy by mentioning vowels. Objective: The study aimed to determine the application of nursing care to the patients with non-hemorrhagic stroke who experienced speech disorders and which can be done by implementing speech therapy vowels on the communication ability of patients with non-hemorrhagic stroke. The method used a descriptive case study. The subject of the study was conducted on 2 patients with the same case who experienced speech disorders. Results: The results showed that non-hemorrhagic stroke was associated with impaired verbal communication. The intervention and implementation were performed by analyzing the general condition of the patients, distinguishing between aphasia and dysarthria, speaking directly to the patient slowly and calmly, communicating in a normal tone and avoiding fast conversation, asking to follow a simple command, and pronouncing the vowels such. Conclusion: The evaluation was carried out for 3 days and found that the patient could pronounce the vowels but it's still unclear.
Pemenuhan Kebutuhan Aktivitas Pada Lansia Dengan Rheumatoid Arthritis (RA) Di UPT Pelayanan Lanjut Usia Binjai Natasya Sianipar; Resmi Pangaribuan; Jemaulana Tarigan
MAHESA : Malahayati Health Student Journal Volume 1 Nomor 3 September 2021
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (262.482 KB) | DOI: 10.33024/mahesa.v1i3.5048

Abstract

ABSTRACT: FULFILLMENT OF AN ELDERLY ACTIVITY NEED WITH RHEUMATOID ARTHRITIS (RA) AT UPT PELAYANAN SOCIAL LANJUT USIA BINJAI Introduction: Musculoskeletal system disorders are often experienced by the elderly that consist of rheumatoid arthritis, osteoarthritis, and gout. Rheumatoid arthritis is an autoimmune disease with the main target is the joints, usually occurs in the joints of the hand, elbows, feet, and knees. Pain, swelling, and stiffness in the joints can take place continuously, it could cause the elderly to experience the impaired physical mobility. Purpose: The study aimed to fulfill the physical mobility needs in rheumatoid arthritis at UPT Social Services for Elderly Binjai.Methods: The study used a descriptive case study design on two elderly with the same disease which includes five stages of the nursing process; assessment, diagnosis, intervention, implementation, and evaluation. The study was conducted at UPT Social Services for Elderly Binjai with inclusion criteria, specifically the patients who suffer from rheumatoid arthritis, having impaired physical mobility, and the elderly aged 60-74 years.Result: The result after being given nursing care for four days of visits with nursing intervention by performing Range Of Motion (ROM), showed that patients 1 and 2 had a significant increase in extremity movement, and a decrease of pain, joint stiffness, and physical weakness. Conclusion: It is suggested to the patients and families to continue providing ROM to reduce the pain, recover the patient's ability to move the muscles, improve blood circulation, and increase physical mobility. Keywords: Rheumatoid Arthritis, Physical Mobility, Elderly.  INTISARI: PEMENUHAN KEBUTUHAN AKTIVITAS PADA LANSIA DENGAN RHEUMATOID ARTHRITIS (RA) DI UPT PELAYANAN LANJUT USIA BINJAI Latar Belakang: Gangguan system muskuloskletal yang sering dialami oleh lansia diantaranya adalah Rheumatoid Arthritis, osteoarthritis, dan gout, Rheumatoid Arthritis adalah suatu penyakit autoimun. Dengan target utama adalah sendi, biasanya  terjadi di sendi tangan, siku, kaki, dan lutut. Nyeri, Bengkak, dan kaku pada persendian dapat berlangsung secara terus menerus  hal tersebut dapat menyebabkan lansia mengalami gangguan mobilitas fisik.Tujuan: Penelitian ini bertujuan untuk memenuhi kebutuhan mobilitas fisik pada Rheumatoid Arthritis Di UPT Pelayanan Lanjut Usia Binjai.Metode: Jenis penelitian ini Adalah deskriptif dengan rancangan studi kasus pada dua orang lansia dengan penyakit yang sama yang meliputi lima tahapan proses keperawatan yaitu pengkajian, diangnosa keperawatan, intervensi keperawatan, implementasi keperawatan, dan evaluasi. Penelitian ini dilakukan di UPT Pelayanan Sosial Lanjut Usia Binjai dengan Kriteria inklusi yaitu pasien yang menderita Rheumatoid Arthritis, klien yang mengalami gangguan mobilitas fisik, lansia yang berumur 60-74 Tahun.Hasil: Hasil studi kasus  setelah diberikan asuhan keperawatan selama empat hari kunjungan dengan intervensi keperawatan berupa diberikan Asuhan keperawatan gerakan Range Of Motion (ROM) di dapatkan hasil  pada klien 1 dan 2 menunjukkan pergerakan ekstermitas Meningkat, Nyeri menurun, Kaku sendi menurun, Kelemahan fisik menurun.Kesimpulan: untuk klien dan keluarga agar klien mampu melanjutkan pemberian  tindakan gerakan Range Of Motion (ROM) Untuk mengurangi rasa nyeri, mengembalikan kemampuan klien menggerakan otot, melancarkan peredaran darah, dan meningkatkan mobilitas fisik. Kata Kunci: Rheumatoid Arthritis, Mobilitas Fisik, lansia.