Jurnal Abdi Kesehatan dan Kedokteran

Pengaruh Pemasangan Bidai Dengan Tingkat Nyeri Pada Pasien Di RSUD Kabupaten Karo

Hartaulina Saragih, Agustin Widyowati, Novita Ana Anggraini, Indasah — Tue, 28 Jan 2025 00:00:00 +0000

Trauma resulting from accidents causing bone fractures remains a significant health issue in many countries, both developed and developing. Fractures, especially in the lower and upper extremities, are common outcomes of such incidents. In Indonesia, femur fractures are the most prevalent, with traffic accidents being a primary cause.

This study aimed to assess the impact of proper splint application on reducing pain levels in patients at the Karo District General Hospital. The study involved evaluating the knowledge and skills of healthcare workers in applying splints, focusing on pain reduction outcomes.

The assessment revealed that the application of splints at Karo District General Hospital had a pain reduction success rate of 49%. The primary issue identified was the insufficient knowledge and skills of healthcare workers in properly applying splints to minimize patient pain.

To improve the effectiveness of splint application in reducing pain, training for healthcare workers is essential. Providing this training will enhance their knowledge and skills in using the appropriate splinting techniques for pain management in trauma patients.

Meningkatkan Pengetahuan Keluarga Pasien pada Pelayanan di IGD dengan Edukasi Pemilihan TRIAGE

Beres Sahat Tua Naibaho, Agustin Widyowati — Tue, 28 Jan 2025 00:00:00 +0000

The TRIAGE process affects the response time of medical personnel in the emergency department, which varies according to the patient's priorities. Inaccurate TRIAGE assessments can increase the risk of morbidity, affect treatment outcomes, and affect the length of time a patient stays in the emergency room. This community service aims to increase Patients' Family Knowledge in Services at the Emergency Room which is carried out by providing TRIAGE Election Education.

This community service activity was held on February 9, 2024 at the Emergency Room of Karo Regency Hospital. This community service activity consists of 3 stages of activities, namely the first stage of preparation, the second stage of implementation and the third stage of evaluationii. Participants were 12 people who were given a questionnaire about the services in the emergency room before and after being given TRIAGE Election Education. The results stated that after being given TRIAGE Election Education, the level of family knowledge related to services in the emergency room was mostly 58.3% good.

TRIAGE Selection Education can Increase Patients' Family Knowledge on Services in the Emergency Room.

Pemberdayaan Ibu Berbasis Peer Support Groups untuk Meningkatkan Perilaku Pemeriksaan Payudara Sendiri

Jenaika Br Pinem, Yenny Puspitasari — Tue, 28 Jan 2025 00:00:00 +0000

Pulmonary tuberculosis patients often face issues of non-compliance with treatment, driven by boredom and the decision to stop therapy due to the lengthy treatment duration and feelings of persistent illness. This community service activity aimed to enhance the skills and behaviors associated with breast self-examination (BSE) among the community through health education based on peer group support.

The community service program was conducted from August 26, 2024, to September 7, 2024, within the working area of Barusjahe Public Health Center, Karo Regency. The program was implemented in three phases: preparation, execution, and evaluation. A total of 15 participants were involved. The assessment of breast self-examination behavior was carried out using a Likert-scale-based questionnaire, with results categorized into three ordinal data scales: Good Behavior, Moderate Behavior, and Poor Behavior. Data collected were analyzed using statistical tests with SPSS software. The results indicated a significant improvement in BSE skills and behavior after delivering health education based on peer group support.

Health education based on peer group support effectively enhances breast self-examination behavior..

Sosialisasi Pencegahan Hipertensi dan Anemia Ibu Hamil

Liliek Pratiwi, Harnanik Nawangsari — Tue, 28 Jan 2025 00:00:00 +0000

Gestational hypertension typically arises after the 20th week of pregnancy and resolves postpartum. Key risk factors include obesity and diabetes mellitus, and when accompanied by protein in the urine, it may lead to preeclampsia. Pregnant women must recognize early signs of preeclampsia to safeguard both maternal and fetal health. Anemia in pregnant women is also prevalent in West Java, exacerbating the risks of low birth weight and maternal mortality.

This study utilized a collaborative approach, emphasizing a pentahelix model involving government, academia, professional organizations, media, and business sectors to enhance health promotion activities. The intervention focused on the socialization of hypertension and anemia prevention among pregnant women, aiming to reduce maternal and infant mortality rates.

The socialization efforts significantly raised awareness among pregnant women about the risks of hypertension and anemia, along with the importance of early detection and preventive measures. Data from healthcare professionals indicated increased community engagement in maternal health programs, showing a promising trend in reducing related complications.

The collaboration across various sectors has shown positive outcomes in promoting the prevention of hypertension and anemia in pregnancy. Continuing these efforts, particularly through health education and community involvement, is crucial for reducing maternal mortality and improving maternal and fetal health outcomes.

Edukasi Metode Servant Leadership untuk Meningkatkan Discharge planning oleh Perawat di Rumah Sakit

Erny Batewa, Agusta Dian Ellina — Tue, 28 Jan 2025 00:00:00 +0000

Discharge planning is an essential process that starts at patient admission and continues through discharge to ensure continuity of care and safety. However, in many healthcare settings, it is often underperformed, limited to providing basic discharge instructions like follow-up schedules. This inadequate approach fails to address patients’ comprehensive needs for at-home care, leading to gaps in post-discharge care and safety. To address this issue, this community service initiative aimed to enhance the quality of discharge planning performed by nurses through education on the Servant Leadership Method, focusing on fostering patient-centered care and empowering healthcare teams.

The program was conducted from February 1 to February 10, 2024, at RSUD Banggai Regency. It involved three main phases: preparation, implementation, and evaluation. The preparation phase included developing educational materials and coordinating with hospital management. During the implementation phase, nurses attended workshops, discussions, and simulations focusing on servant leadership principles such as empathy, communication, and patient empowerment. The evaluation phase involved pre- and post-training assessments using structured tools to measure changes in discharge planning practices.

The results showed a significant improvement in discharge planning quality after the education program. Nurses demonstrated enhanced understanding and application of servant leadership principles, leading to more comprehensive discharge instructions and better coordination for follow-up care. Patients reported improved clarity regarding their care plans, and nurses expressed greater confidence in implementing discharge procedures.

Education on the Servant Leadership Method effectively improved discharge planning practices among nurses at RSUD Banggai. By focusing on empathy and teamwork, this approach enhanced patient-centered care and continuity of care. Further application of this method in broader nursing practices could yield additional benefits for healthcare delivery and patient outcomes.

Mengatasi Kecemasan pada Pasien Hemodialisis dengan terapi Guided Imagery berbasis Spiritual di Rumah Sakit

Trisno Yuwono, Agusta Dian Ellina — Tue, 28 Jan 2025 00:00:00 +0000

Patients with chronic kidney failure often experience anxiety before undergoing hemodialysis therapy, presenting symptoms such as palpitations, nausea, tremors, and nervousness. Anxiety is triggered by factors such as seeing the blood tubing, treatment costs, invasive procedures, and uncertainty about recovery. This community service initiative aims to address anxiety in hemodialysis patients at Bhayangkara Kediri Hospital through spiritual-based Guided Imagery therapy, aimed at providing calmness and reducing stress associated with the treatment.

The community service activity was conducted from September 2 to 13, 2024, at the Hemodialysis Unit of Bhayangkara Kediri Hospital. The program was carried out in three phases: preparation, implementation, and evaluation. A total of 14 patients participated in this activity. To measure the level of anxiety before and after the therapy, the Zung Self-Rating Anxiety Scale questionnaire was used, a common tool for assessing anxiety symptoms.

The results of this initiative showed a significant reduction in anxiety levels in hemodialysis patients at Bhayangkara Kediri Hospital after receiving spiritual-based Guided Imagery therapy. The therapy effectively alleviated anxiety symptoms such as palpitations and other physical tension related to anxiety before the hemodialysis procedure.

Spiritual-based Guided Imagery therapy was proven to be effective in reducing anxiety in hemodialysis patients. This program can serve as a beneficial non-pharmacological approach in managing patient anxiety in the hemodialysis unit.

Optimalisasi Pelayanan Distribusi Obat Premedikasi Pasien Onkologi Di Ruang Perawatan Kemoterapi

Rahmania Ambarika, Dianita Rahmi — Tue, 28 Jan 2025 00:00:00 +0000

Ineffective communication between pharmacy staff and nurses during the handover process of premedication drugs at the Oncology Pharmacy Depot of RSUD Provinsi NTB often causes discomfort for patients and their families. This issue impacts the efficiency of drug distribution services, requiring strategic solutions. This study aims to analyze the factors contributing to the suboptimal distribution of premedication drugs, develop Standard Operating Procedures (SOPs), and devise strategies to improve the quality of drug distribution services for chemotherapy patients.

Methodology: The approach used was a SWOT analysis to evaluate strengths, weaknesses, opportunities, and threats in premedication drug distribution services. The WO (Weakness-Opportunity) strategy was selected to address internal weaknesses by utilizing external opportunities, such as implementing socialization programs and strengthening monitoring and evaluation efforts.

The development of SOPs related to premedication drug distribution, the creation of a premedication drug handover logbook, and the implementation of socialization programs for pharmacy staff and nurses have significantly improved coordination among personnel. These measures contributed to a reduction in patient complaints regarding delays in drug distribution and enhanced service efficiency.

The implementation of SOPs, a handover logbook, and socialization programs are effective steps in improving the quality of premedication drug distribution services in oncology wards. This intervention is expected to serve as a model for application in other pharmacy installations to enhance the quality of pharmacy services.

Pelatihan Manajemen Kedaruratan Dasar Bagi Kader Kesehatan

Kamesyworo Kamesyworo, Sri Hartati, Eka Haryant — Tue, 28 Jan 2025 00:00:00 +0000

Emergency situations are sudden events that require immediate action. These conditions can arise from trauma or non-trauma incidents, with risks of respiratory arrest, cardiac arrest, organ damage, or bleeding. Emergencies can occur to anyone, at any time, and anywhere, characterized by their rapid onset and unpredictability. Quick, accurate, and careful management of emergencies is crucial to prevent death and disability, in line with the principle that "time is life." Health education is one of the strategic steps to enhance public awareness in facing emergency situations, especially through community service activities aimed at providing practical understanding of emergency management.

This community service activity was conducted in Sari Bunga Mas Village and involved 26 participants, including community cadres and the general public. The methods used included a pre-test to assess participants' initial knowledge, lectures to provide information about emergencies, demonstrations to show practical emergency management procedures, distribution of leaflets as supplementary materials, and a post-test to evaluate the increase in participants' knowledge. Data from the pre-test and post-test were analyzed to measure the effectiveness of the intervention.

The activity was attended by cadres and the community of Sari Bunga Mas Village, totaling 26 people. Data analysis showed the following results: before the intervention, 12% of participants had good knowledge, and after the intervention, there was an increase to 79.2% with good knowledge, with the remaining participants showing moderate knowledge.

This activity successfully demonstrated that health education with an interactive approach significantly improves the community's knowledge about basic emergency management. The lecture provided a deep theoretical understanding, while the demonstration helped participants learn practical steps they can take in emergency situations. The distribution of leaflets served as a reminder and additional reference for the participants.

Screening Kesehatan (Gigi, Mulut, Mata, Telingga) Pada Anak Sekolah Dasar

Riki Ristanto, Dion Kunto Adi Patria — Tue, 28 Jan 2025 00:00:00 +0000

Habits such as eating patterns, personal hygiene, and unhealthy snacking can affect students' health at school. To prevent these risks, health screening becomes an important step. ITSK RS Dr. Soepraoen Malang organized a health screening at SDN Dusun Sumber Bendo, Kucur Village, Dau District, Malang Regency, to detect issues with students' teeth, mouth, eyes, and ears.

The activity was carried out in several stages. During the preparation phase, the community service team obtained permits from LPPM ITSK Soepraoen and the Head of SDN 9 Dusun Sumber Bendo. The team then divided tasks into two groups: one arranged the activity location, while the other prepared logistics, including borrowing equipment from the DIII Nursing Program laboratory and providing stationery and refreshments. The activity took place on May 11, 2024, and involved three groups: student guidance, administration, and screening. The guidance group managed the activity flow, the administration group recorded students' data, and the screening group conducted examinations at six stations. A total of 55 students from grade 1 of SDN 9 Dusun Sumber Bendo participated, from 08:00 to 11:00 WIB.

The health screening results showed that only the tongue examination had a 100% normal result. The majority of students had cavities (51%) and caries (35%), with the highest cases found among female students (56%). For tonsil health, two students in grade 5 (4%) had tonsillitis. The eye examination revealed that 12 students (22%) had myopia, and 2 students (4%) had partial color blindness. Ear examinations often showed the presence of little (38%) or a lot of earwax (35%), with higher numbers in female students.

These issues highlight the need for increased attention to dental and ear health, with education and routine examinations that can help prevent health problems that may impact children's learning process.