Pengaruh Proprioceptive Neuromuscular Facilitation terhadap Kekuatan Fungsi Prehension Cylindrical Grip pada Pasien Stroke Non-Hemoragik

Stroke is a disease that is most commonly found today, stroke has a high mortality and disability rate. Stroke can cause physical disability in productive age and old age. This study aims to determine the effect of Proprioceptive Neuromuscular Facilitation (PNF) on the strength of the prehension Cylindrical grip function in non-hemorrhagic stroke patients. This research is a quantitative study with a quasi-experimental design, one group pretest and posttest, the samples were taken by purposive sampling, namely non-hemorrhagic stroke patients who visited the physiotherapy poly at Grandmed Lubuk Pakam Hospital. The results showed a p-value of 0.001 which means that there is an effect of PNF on the strength of the prehension Cylindrical grip function in non-hemorrhagic stroke patients.

Perbandingan Model Asuhan Keperawatan Profesional Tim dengan Primary Nursing dalam Peningkatan Kualitas Asuhan Keperawatan di Rumah Sakit Kota Medan

The development of science and technology that continues to progress, especially in the health sector requires changes in terms of service so that in providing more professional services in hospitals, nursing care must be of high quality. Nursing Law Number 38 of 2014 Article 3B states that nursing arrangements aim to improve the quality of nursing services, therefore the provision of quality nursing services is important in today's health services. The model of professional nursing care is divided into several models, namely primary, team and case nursing. Based on the results of a survey of research journals, the researchers concluded that there was no research that compared the professional nursing care team model with primary nursing in improving the quality of nursing care. The purpose of this study was to identify the use of the professional nursing care team model with the primary nursing model in improving the quality of nursing care. This type of research is a quantitative research type with a comparative design. The population in this study were all patients at the Inpatient Hospital where the study was conducted. The sampling technique used was purposive sampling technique. Data collection on the quality of nursing care used a quality scale patient assessment instrument – the acute care version (PAQS-ACV). This instrument was developed to assess the quality of nursing care. Data analysis in this study used an independent t-test. normality test using the Kolmorogov-Smirnov test with a significance value (p > 0.05). The results showed that there was a significant difference between the quality of nursing care in the team group and the quality of nursing care in the primary nursing group where the value of sig (2-tailed) was 0.008 where > 0.05, the results also showed that based on the results of the frequency distribution test the quality of nursing care was using the team model and the primary nursing model has a high majority value of nursing care quality, but there is a difference in the average value (mean) where the quality of nursing care in the nursing care model group in the team method group is 144.86 and the quality of nursing care in the primary nursing model group is 155.83. These results indicate that the quality of nursing care with the primary nursing model has a higher quality of care value than the group nursing care model with the team method. Based on the results of this study, it is recommended that hospitals can apply a professional nursing practice model, especially the primary nursing model to further improve the quality of nursing care provided.

Hubungan Dukungan Sosial dan Pemberitaan Media dengan Kecemasan Ibu Menjalani Kehamilan Masa Pandemi COVID-19 di Kota Medan Tahun 2020

Maternal Mortality Rate (MMR) is one indicator to see the success of maternal health efforts. Since WHO officially declared the corona virus outbreak (COVID-19) as a pandemic. The COVID-19 pandemic has hit almost all countries in the world and has an impact on various health and non-health sectors. It is undeniable that this condition will cause maternal anxiety during pregnancy. The sampling technique in this study was carried out by the quota sampling technique. Analyzed by chi-square test. The results of the study on the relationship between social support and maternal anxiety during pregnancy showed that there was a relationship between social support and maternal anxiety during pregnancy (p value 0.003) with an OR of 3.187 which means that pregnant women with good social support have an estimated chance of 3.187 times experiencing mild anxiety levels. compared to pregnant women with less social support. In addition, the results of the study show that there is a relationship between media coverage and maternal anxiety during pregnancy (p value < 0.001) with an OR of 4.56 which means that pregnant women who are exposed to positive media coverage have an estimated 4.56 times chance of experiencing mild anxiety levels compared to those who are exposed to positive media coverage. pregnant women with negative media coverage. It can be concluded that social support and media coverage have been shown to be associated with maternal anxiety during pregnancy during the COVID-19 pandemic. It is recommended for health workers to be able to adapt to health services that are adapted to health protocols that focus on efforts to promote health, prevent disease and empower pregnant women. Although visits to health facilities are only prioritized for pregnant women who have problems, health workers are still required to be able to innovate in developing education for pregnant women with various media that can be reached by all pregnant women.

Pengembangan Program Pencegahan dan Pengendalian Infeksi COVID-19 dalam Mempertahankan Status Kesehatan pada Tenaga Kesehatan di Rumah Sakit Kota Medan

The COVID-19 infection prevention and control program in hospitals is an effort to provide guidance for health workers to stay healthy, safe, productive, and the community gets services that meet standards. Health workers who work in hospitals are very vulnerable to being exposed to COVID -19, so it is very important that health workers and policy makers understand the basic concepts of infectious diseases. The purpose of this study was to develop a program to prevent and control covid-19 infection in maintaining the health status of health workers at the Medan City Hospital. The type of research used is action research. The participants in this study were 14 people consisting of 2 parts, namely 1) Participants for qualitative data were taken from managerial such as medical services, nursing, medical records, infection prevention and control units, and the head of the room. 2) Participants for quantitative data are taken from health workers, namely nurses. Data collection in this study used various methods, namely individual interviews, observation, self-report, focus group discussions and several data collection tools, namely interview guides, focus group discussion guides, questionnaires, observation sheets, and supporting tools, namely voice recorders. The results of this study obtained outputs, namely standard operating procedures for the prevention and control of covid-19 infection, and from the results of health status checks on health workers from before and after the implementation of the COVID -19 infection prevention and control program, the results were before (PCR/Antigen: Negative). 71.43%, Positive: 28.57%; Vital sign normal: 85.71%, Abnormal 14.29%), and after (PCR/Antigen: Negative 85.71%, Positive: 14.29%; Vital sign normal: 100%). This proves that there is an influence of the Covid-19 infection prevention and control program in maintaining the health status of health workers in hospitals. Suggestions to hospital leaders to continue to evaluate prevention and control programs for COVID-19 infection in accordance with developments and the situation at hand.

Analisis Risiko dan Determinan Kejadian Kecelakaan Kerja di Pabrik Minyak Kelapa Sawit

Safety at work is a series of safety related to machines, work tools, materials and work processes, workplace and environment as well as working methods. Jambi Province is an area that has extensive plantation land, especially for oil palm plantations, based on data from the Central Bureau of Statistics at Provinceof Jambi in 2018. PT. X was experienced the highest incidence of work accidents in the 2017-2019 range in Jambi Province. This study aims to analyze the risks and determinants of workplace accidents at the palm oil mill at PT. X as an effort to prevent work accidents. This research is analytical research. The population of this study were all workers in the production division of PT. X as many as 96 people consisting of two work shifts and were also used as samples in this study. The data will be analyzed to see the relationship between variables using the Chi-Square test with (α = 0.05). There is a relationship between the availability of personal protective equipment (PPE), environmental factors and the use of personal protective equipment (PPE) with the incidence of work accidents in the production division workers of PT. X while working period, attitude, training and equipment safety are not related in this study.

Pengaruh Foot Massage dan Pergerakan Sendi Ekstremitas Bawah terhadap Nilai Ankle Brachial Index (ABI) pada Pasien DM Tipe 2 di Wilayah Kerja Puskesmas Peukan Baro, Kab. Pidie

Diabetes mellitus Type 2 (DM Type 2) is the risk factor for the incidence of vascular. Diabetic neuropathy and/or peripheral arterial disease, are common and represent major causes of morbidity and mortality in people with diabetes. Physical exercises is have been done to prevent from diabetes complication, and one of them is by foot massage and lower extremity joint movement. Measuring the value of ankle brachial index (ABI) is one of non-invasive actions to evaluate the risk for peripheral vascular in primary treatment. The objective of this research was to determine the influence of foot massage and joint movement exercise on ABI value in DM Type 2 patients. The research used quasi experiment method with pretest-posttest group design and two intervention groups. The samples were 40 DM Type 2 patients, taken by using consecutive sampling technique. Intervention was given by conducting foot massage and lower extremity joint movement exercise. Wilcoxon Signed Ranks statistic test showed that there was the difference in pre and post intervention of foot massage and lower extremity joint movement from ABI value, for (p=0.00). The conclusion was that foot massage and lower extremity joint movement exercise could increase ABI value if it was done continuously. It could also increase blood flow to artery. This research could bean input for nursing care to make physical exercises such as foot massage and lower extremity joint movement as prevention from risk of longterm Complications in DM Type 2 patients.

Pengaruh Metode Kangguru terhadap Penurunan Suhu Tubuh, Frekuensi Menyusu dan Durasi Tidur Bayi

Immunizations sometimes have side effects once they are given to babies. DPT immunization is one that has a low-grade fever side effect and sometimes results in high fever and seizures. One of the efforts to treat fever in infants is the kangaroo method. Through this method, heat transfer occurs between mother and baby, increasing the frequency of breastfeeding which can meet the fluid needs of the feverish baby and facilitate the baby in increasing the duration of quiet sleep, less crying and less activity. The purpose of this study was to determine the effect of the kangaroo method on decreasing body temperature, feeding frequency and infant sleep duration. Sampling using Porbability Sampling with Simple Random Sampling technique, totaling 30 people and divided into 2 groups of 15 people each, namely the experimental and control groups. The results of the analysis are based on several assumptions of One way MANOVA, namely there is linearity between variables, the data is normally distributed, multicollinearity is not detected and the covariance matrix between groups is assumed to be the same as the Box'M value p = 0.006 > 0.001. The results of the multivariate test showed that there was a significant difference between the two groups with a value of F (3.26) = 49.334, p< 0.001; Wilk’s ʌ 0.149, ƞp2 = 0.851, then the univariate results showed that group differences caused significant differences in body temperature, feeding frequency and sleep duration with p < 0.001. The results of the bonferroni correction further test showed that the average decrease in body temperature, feeding frequency and duration of infant sleep in the experimental group was better than the control group with p < 0.001. This study proves that the kangaroo method has an effect on decreasing body temperature, breastfeeding frequency and infant sleep duration after DPT immunization.

Pemenuhan Kebutuhan Oksigenasi Pasien Asthma Bronchiale dengan Teknik Relaksasi Batuk Efektif

Bronchial asthma is a disease of respiratory tract obstruction caused by muscle contraction, inflammation, and accumulation of secretions around the bronchi. Meeting the need for oxygenation is part of the management of asthmatic bronchial patients. This case study aims to describe the fulfillment of oxygenation needs. The case study method uses a descriptive design with a nursing care approach in the same two cases, namely respondents with bronchial asthma. The case study was conducted at the Putri Hijau Kindergarten II Hospital from October to December 2018. The data collection method was through interviews, physical examinations, supporting examinations, using the assessment format as an instrument in data collection. After intervention with effective cough relaxation techniques as well as collaboration in the administration of drug and oxygen therapy, during four days of treatment, both respondents were able to meet their oxygenation needs optimally. It was concluded that the intervention had an effect on the effectiveness of airway clearance so as to eliminate shortness of breath, based on this study, it is hoped that it can be applied by health workforce.

Pengaruh Metode Mc Kenzie Exercise dan Core Stability Exercise terhadap Penurunan Nyeri pada Penderita Hernia Nucleus Pulposus

Hernia Nucleus Pulposus (HNP) is one of the causes of lower back pain due to heavy mechanical loads for a long time. HNP if not treated immediately it can cause fluid buildup and swelling that can cause permanent nerve damage. This study is a quantitative study with a quasi-experimental pre-test-post-test design with a control group divided into 3 groups. The sampling technique was using probability sampling method as many as 30 respondents who visited Grandmed Lubuk Pakam Hospital. The results of the statistical test showed that there was an effect of McKenzie and Core Stability Exercise on reducing pain in patients with HNP with a p value of 0.020 <0.05.

Pengetahuan dan Sikap Remaja Anak Jalanan tentang Dismenore Primer dan Senam Dismenore di Komunitas Peduli Anak Jalanan Medan

Primary dysmenorrhea is defined as cramping pain in the lower abdomen that occurs at the start of menstruation in the absence of identifiable pelvic disease. It is one of the most common gynecological symptoms among adolescents and adult women with a prevalence of 45%-95%. Overproduction of uterine prostaglandins is the most widely accepted explanation for the pathogenesis. Excessive release of prostaglandins, especially prostaglandin F2 alpha, which is derived from endometrial secretions from menstrual fluid, is believed to cause the condition. Primary dysmenorrhea has different degrees of negative impact on women's physical, psychological and social functioning, which can result in adolescent and adult women being out of school and absent from work. The purpose of this study was to identify the knowledge and attitudes of street children towards primary dysmenorrhea and dysmenorrhea exercise. The research design is descriptive. The sampling technique is total sampling. The number of samples is 45 people. The sample criteria for street children are teenage girls aged 10-18 years, unmarried, already menstruating, can read and write well. Data analysis is descriptive. The results of the study obtained that the majority of street children's knowledge of adolescents was good (53.3%), dysmenorrhea intensity was moderate pain with a score range of 4-7 (68.9%) and adolescent attitudes were negative (71.1%). Knowledge of respondents still needs to be improved to form a positive attitude. It is recommended to the head of KOPA to cooperate with health workers to conduct health education about primary dysmenorrhea on a regular basis to adolescent street children.