HUBUNGAN PENGGUNAAN BETADINE SALEP TERHADAP KEJADIAN FLEBITIS PADA TEMPAT PEMASANGAN INFUS INTRAVENA DI RUMAH SAKIT TENTARA TINGKAT IV 01.07.01 PEMATANGSIANTAR TAHUN 2021

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.

PENGARUH BUERGER ALLEN EXERCISE TERHADAP NILAI ANKLE BRACHIAL INDEX PADA PASIEN DIABETES MELITUS

Diabetes mellitus is a disorder of the endocrine system characterized by increased levels of glucose in the blood. The purpose of this study was to assess the effect of Buerger's Allen exercise on the value of the ankle brachial index (ABI) in patients with diabetes mellitus. The research design was a quasi-experimental pretest and posttest without a control. The study was conducted from March to May 2021 at Grandmed Lubuk Pakam Hospital with 48 respondents, with consecutive sampling technique. Data were analyzed using the Wilcoxon test. The Buergers Allen exercise intervention was performed twice a day, for three weeks. The procedure is performed by lifting the lower extremities up at an angle of 45-90 degrees for 2-3 minutes, then the patient sits at the bedside with the legs hanging down, accompanied by flexion, extension, pronation and supination movements for 5-10 minutes, and the patient lies down. with both feet resting for 10 minutes. There was a significant effect between the mean ABI value before intervention 0.83 and after intervention 0.95, p=0.00. The difference in mean ABI p=0.000, p<0.05. The results of the study concluded that there was an effect of buerger allen exercise on the ABI value before and after the intervention where the ABI value was getting better. It is recommended for nurses to make Buergers Allen exercise one of the independent nursing interventions in providing nursing care to patients with diabetes mellitus.

PIJAT REFLEKSI TENGKUK TERHADAP PENURUNAN TEKANAN DARAH PADA PASIEN HIPERTENSI DI RUMAH SAKIT GRANDMED LUBUK PAKAM

Hypertension is one of the deadliest diseases in the world, hypertension is an increase in systolic blood pressure above the normal limit of more than 140 mmHg and diastolic blood pressure of more than 90 mmHg, factors that cause increased blood pressure are physical activity, emotion, age, gender , nutritional status, drinking alcohol, smoking, stress. Data from the Grandmed Lubuk Pakam Hospital in 2018 the number of hypertension patients there were 178 cases of hypertension, the number of men was 82 people and women 96 people. One of the non-pharmacological therapies offered to reduce hypertension is massage therapy. The massage technique can remove blockages in the blood vessels so that blood and energy flow in the body returns smoothly. This research was conducted using a quasi-experimental design with the type of design to be used, namely the static group comparison method, the sampling technique used was non-probability sampling with purposive sampling technique, where the sample of this study was 20 people. The results showed that the pre-test sample in the treatment group was known to have the highest value of 160/100 mmHg and the lowest value of 130/90 and post-test mmHg with an average pre-test blood pressure value of 142.00 on systolic and 93.00 on diastolic, and 110.00 post-test. in systole and 79.00 in diastole. Based on the results above, it can be concluded that there is a relationship between reflexology neck massage with a decrease in blood pressure in patients with hypertension where the Wilcoxon Test results obtained p = 0.004 (systolic blood pressure) and p = 0.005 (diastolic blood pressure).

PENGARUH FOTOTERAPI TERHADAP PENURUNAN TANDA IKTERUS NEONATORUM PATOLOGIS DI RUMAH SAKIT GRANDMED LUBUK PAKAM

Pathological neonatal jaundice is a liver or liver disease which causes yellowing of the baby’s skin and newborn’s eyes. The yellow color that occurs is caused by hight bilirubin in the blood because that baby’s liver is not yet mature enough. Objective : this study generally aims to determine whether there is an effect of phototerapy on the reduction in pathological neonatal care unit (NICU) room at the Grandmed Lubuk Pakam Hospital in 2020. Method : The type of ths research is expermental quantitative with One Group pre Test and post-test,namely research using comparison ( control ) groups, measurements are carried out before and after treatment. Provision of phototerapy is beneficial iin reducing the pathological neonatal jaundice sign. The number of samples with male sex is 31 people ( 57.4%) and the sample of female gender is 23 people (42.6%). Results : The administration of phototeray for the reducton in pathological neonatal jaundice signs using statistical analysis paired t- test obtained a value of p 0,000 <c 0.05. Conclusion : There s significant effect on the administration of phototherapy on the decrease in pathological neonatal jaundice signs. Suggeston : The researcher recommends that the researcher recommends that the researcher recommends that the researcher recommends that the researcher further adds the number of samples and a longer time so that the results obtained are more optimal.

PENERAPAN BIRTH BALL DENGAN TEKNIK PELVIC ROCKING TERHADAP LAMA PERSALINAN PADA KALA I FASE AKTIF

A comfortable childbirth is the dream of mothers. Faster delivery progress can lead to quality midwifery care. Birth ball is a tool that can be used by mothers to position the pelvis properly, especially applied the pelvic rocking technique. This review study aimed to evaluate the evidence regarding the effect of using birth ball with pelvic rocking in duration of labor in kala I active phase. This study followed a quasi experimental research design with posttest control group design.The sample consisted of 12 treatment people dan 12 controls with the purposive sampling.Partograph was measured duration of labor in kala I active phase. The difference in duration of labor for the treatment and control group were tested with Mann Whitney. There was a difference in the effect of using a birth ball with pelvic rocking technique in length of labor in kala I active phase in the treatment and control groups with p-value 0.001. The use of birth ball with pelvic rocking technique is evidence to speed the duration of labor in kala I active phase. Birth ball with pelvic rocking are recommended to be use an alternative to speed the duration of labor in kala I active phase in midwifery services

PENGARUH OTAGO EXERCISE DAN GAZE STABILITY EXERCISE TERHADAP KESEIMBANGAN PADA LANJUT USIA

The aging process is one of the life cycles experienced by every human being. However, it is a process of slowly diminishing the ability of body tissues to maintain normal structure and function. Increasing one's age has an effect on decreasing balance function. Otago Exercise and Gaze Stability Exercise to improve balance in the elderly. This research is a quantitative study with a quasi-experimental approach with a research design using pre-test and post-test. Determination of the number using purposive sampling method and obtained a sample of 14 people. Data collection was carried out by direct interviews using observation sheets. The independent variable in this study was the Otago Exercise and Gaze Stability Exercise, while the dependent variable was balance. Balance assessment using TUG> 12 seconds experienced a balance of 14 people. Statistical test using wilcoxon signed ranked test with α = 0.05. The results of the analysis show that there is a significant effect between giving Otago Exercise and Gaze Stability Exercise on the balance of the elderly, with a p value (0.001≤0.005). The conclusion of this study is that there is an effect between the provision of Otago Exercise and Gaze Stability Exercise on the balance of the elderly. The advice that can be given is that it is hoped that the patient should always do exercises to maintain body balance.

PENGARUH CHROMOTHERAPY TERHADAP PENURUNAN TINGKAT HALUSINASI PADA PASIEN GANGGUAN PERSEPSI SENSORI : HALUSINASI PENGLIHATAN DI RUMAH SAKIT JIWA PROF. M. ILDREM PROVINSI SUMATERA UTARA TAHUN 2021

Halusinasi merupakan gangguan persepsi sensori dari suatu obyek tanpa ada rangsangan dari luar meliputi seluruh panca indera. Chromotherapy atau terapi warna adalah terapi cahaya warna-warni dengan penyembuhan suatu penyakit pasien halusinasi. Tujuan dari penelitian untuk mengetahui pengaruh chromotherapy terhadap penurunan tingkat halusiansi penglihatan pada pasien gangguan persepsi sensori di Rumah Sakit Jiwa Prof. M. Ildrem Provinsi Sumatera Utara Tahun 2020. Metode penelitian ini bersifat eksperimen yaitu pre eksperimen rancangan menggunakan one group prepost dengan menggunakan kelompok perbandingan (control) dengan jumlah sampel 15 responden sedangkan instrumen penelitian menggunakan lembar kuesioner dan lembar observasi. Analisis data menggunakan analisi bivariat yaitu Uji Paired Sampel T-Test. Hasil penelitian hasil uji Bivariat dengan Uji Paired Sampel T-Test membuktikan bahwa ada pengaruh tindakan chromotherapy terhadap penurunan tingkat halusinasi penglihatan sebelum dan susudah tindakan dilakukan di dibuktikan dengan nilai p : 0,000 < 0,05. Kesimpulan: ada pengaruh chromotherpy terhadap penurunan tingkat halusinasi penglihatan pada pasien gangguan persepsi sensori. Preliminary: Hallucinations are sensory perception disorders of an object without any external stimulation covering all five senses. Chromotherapy or color therapy is a colorful light therapy by healing a patient's hallucinatory disease.Aim: To find out the effect of chromotherapy on decreasing the level of vision hallucinations in sensory perception disorder patients at Prof. Mental Hospital M. Ildrem of North Sumatra Province in 2020.Method: This research is an experimental research that is pre-experimental design using one group prepost using a comparison group (control) with a sample of 15 respondents while the research instrument uses questionnaire sheets and observation sheets. Data analysis used bivariate analysis namely Paired Sample T-Test.Results: Bivariate test results with the Paired Sample T-Test Test prove that there is an effect of the chromotherapy action on the decrease in the level of hallucinations before and after the action is proven by p: 0,000 <0.05.Conclusion: there is an effect of chromotherapy on the decrease in the level of visual hallucinations in patients with sensory perception disorder

BLOOD GROUP RELATIONSHIP WITH CORONARY HEART DISEASE

Coronary heart disease is a heart disease caused by narrowing of the coronary arteries, starting from the occurrence of atherosclerosis (arterial stiffness) or the accumulation of fat or plaque (plague) on the walls of the coronary arteries, either accompanied by clinical symptoms or without symptoms. Coronary heart disease (CHD) is widely reported in developed countries. The incidence of CHD in European men was recorded by WHO in 1976 as 2-14 per 1000 population and CHD is mostly found in Finland. In developing countries, the prevalence of CHD is generally rare. In South Africa in 1970 the death rate from CHD was 0.05 per 1000 black population and 1.9 per 1000 white population. In Ujung Pandang, the average treatment for CHD is 0.3 per 1000 patients. The type of research used is a quantitative study with a descriptive correlation research design, which is a study or study that describes the relationship between two variables in a situation or group of subjects. This is done to see the relationship between one variable with another variable. This study aims to see the relationship between blood type and the incidence of coronary heart disease in the CVCU room at Haji Adam Malik General Hospital Medan in 2010. The population of this study was 11 people using incidental sampling. From the statistical test using the Chi-Square test analysis, it was found that p (value) = 0.012 where p (value) < 0.05. So the results of these tests found a very close and real relationship between the relationship between blood type and the incidence of coronary heart disease. The results of this study can be used as information and increase knowledge for nursing services in hospitals about the relationship between blood type and the incidence of coronary heart disease.

HUBUNGAN SELF MANAGEMENT DENGAN KUALITAS HIDUP PASIEN RHEUMATOID ARTHRITIS DI RUMAH SAKIT GRANDMED LUBUK PAKAM TAHUN 2021

Rheumatoid arthritis is a autoimmune that causes a long period of inflammation in the joints. This might cause a deprcrease in the quality of life of a person resulting in limited activity and depression. The purpose of this study was to determine the relationship between self management and the quality of life of patients with rheumatoid arthritis . the research method uses quantitative research by using descriptive correlation research methods. Then this research uses a Cross sectional approach design research method and correlation design with a sampling total sampling, and the number of sample in this study was 25 respondents. The measuring instrument used in this research in a questionnaire. Data analysis was carried out using the chi-square tets, the result of this study showed that 18 people (51%) had a good self management and 17 people (49%) had a good quality of life. This show that there is a relationship between self managemnet and quality of life of rheumatoid arthritis patient at Grandmed Lubuk Pakam hospital in 2021 with the result of the chi-square test (p Value 0,001). Therefore, it is hoped that patients will be able to further improve self management so that the quality of life is getting better.

HUBUNGAN MOBILISASI DINI DENGAN LAMANYA PENYEMBUHAN LUKA PADA PASIEN PASCA OPERASI APENDIKTOMI DI RUMAH SAKIT GRANDMED LUBUK PAKAM

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.