EXPLANATION OF THE BENEFITS OF MUSIC THERAPY IN CHRONIC RENAL FAILURE PATIENTS THAT ARE TAKING HEMODIALIZATION

Chronic kidney disease or end-stage renal disease (ERSD) is a progressive and irreversible renal function disorder in which the kidneys are unable to maintain metabolism. Problems that often occur in hemodialysis patients with sleep quality problems. To improve the quality of sleep can be done by using music therapy. This action is very practical, cheap and easy and can be done by everyone. This action is still rarely performed by patients with chronic renal failure on hemodialysis when experiencing a decrease in sleep quality. The service was carried out on 27 patients with chronic renal failure who had hypertension. The service implementation team provides training on how to do music therapy at the Sembiring General Hospital. The team conducted counseling and evaluation when the patient underwent further hemodialysis. The outreach activities went smoothly. There were 7 patients who asked about the counseling material. The importance of conducting routine outreach activities to patients undergoing hemodialysis about their other complaints to improve their health status

DECREASING OF PAIN SCALE THROUGH WARM COMPRESS AMONG ELDERLY WITH RHEUMATOID ARTHRITIS

A warm compress is one of the non-pharmacological actions by providing a warm sensation to the skin using fluids and tools that cause a warm sensation to the part of the body that is needed. A warm compress on the rheumatoid joint will deactivate the nerve fibers that cause muscle spasms and pain. This study aims to determine the effect of warm compresses on the scale of pain in the elderly with rheumatoid arthritis. This research design using Quasi Experiment with one group pre–posttest design. The number of samples as many as 42 elderly people who were in the working area of ​​Amplas Puskesmas, Medan Amplas District, total samples were taken. The results showed that the total mean value before giving warm compresses was 4.57 (SD = 0.703), while after giving warm compresses there was a decrease with the total mean value was 2.10 (SD = 1,165). The results of the nonparametric statistical test with the Wilcoxon test obtained p-value = 0.000. These results indicate that the p-value <0.05 (0.000), which means that there is a significant difference. So this shows that there is a significant reduction in the pain scale in the elderly between before doing warm compresses and after doing warm compresses. So it can be concluded that warm compresses affect the scale of pain in the elderly with rheumatoid arthritis. Thus, nurses can use warm compresses as a non-pharmacological intervention in reducing pain scales in elderly people with rheumatoid arthritis. Keywords: Pain, rheumatoid arthriti

PELATIHAN SUMBER DAYA MANUSIA (SDM) DALAM PENINGKATAN MUTU LAYANAN DI RUMAH SAKIT UMUM GRANMED LUBUK PAKAM

The hospital is a service organization that has a variety in terms of human resources, infrastructure and equipment used. Hospital human resources are hospital assets that are very valuable because human resources control all activities in the hospital. Human resource development is a lifelong process, therefore it is related to adult education and lifelong learning. This development is also a process of helping and sharing that leads to competence and satisfaction with both the process and the outcome. Human Resource Development (HR) is one of the important factors that affect performance. The importance of human resources needs to be realized by all levels of management because of the advancement of technology today, the human factor still plays an important role for the success of an organization. The performance quality of human resources (HR) is a measure of the success of health services that can demonstrate the accountability of service institutions within the framework of good clinical governance. This training is aimed at developing human resources which is carried out to increase knowledge and skills related to the quality of hospital services

PENGARUH BALANCE EXERCISE TERHADAP RISIKO JATUH PADA LANSIA DI WILAYAH PUSKESMAS DELI TUA KABUPATEN DELI SERDANG

Aging is a process of tissue degeneration in which body function decreases, causing postural balance disorders, which can result in an increased risk of falls in the elderly. Postural balance disorders can be controlled with non-pharmacological therapy, namely balance exercise. This research aims to determine the effect of balance exercise on the level of postural balance in reducing the risk of falls in the elderly. This research uses quantitative research data with the Quasy Experiment method. The number of samples was 31 respondents. The sampling technique uses purposive sampling. Statistical tests use the Pairet Sample test. The results of the study showed that there was a difference in the risk of falls in the elderly before and after doing balance training. The results of the paired sample test obtained pvalue: 0.000 < 0.05 so it can be concluded that there is an influence between balance training and the risk of falls in the elderly. The benefits of balance training are that it helps increase muscle strength in the lower extremities (legs) and improves the vestibular system/body balance

PENERAPAN STRATEGI METACOGNITION PADA MEMBACA KOMPREHENSIF TEKS DESKRIPTIF DI SMA YAPIM BIRU-BIRU

Reading is an important aspect in learning English. From reading people are able to get knowledge, new knowledge, solve problems, have broad insight, etc. However, there are very few people who like reading, including in Indonesia. Actually, to increase the love of reading, you can do it by reading the things you like first and then liking all the writings to be read. Metacognition is a strategy to increase reading interest and understand reading more quickly and accurately. Applying metacognition strategy has an effect on student reading which has been studied in G, Sulastri's previous research. So the author does Community Service at SMA Yapim Biru-biru at XI year with 36 students. Initially, the writer gave 25 comprehensive reading questions that they had to answer as a pre-test and the results were moderate for 36 students. The result value is the mean value of the Pre-test was 76.69 and the average score of the Post-test was 81.78. The results of statistical calculations show that the standard deviation in the Pre-test is 3.861 and at the Post-test is 5, 622 and the results of the statistical test (t-test) with a p value of 0.001 indicate that there is a significant increase in knowledge in the application of Metacognition strategies in reading comprehension of descriptive text at SMA YAPIM Biru-biru In XI year

DECREASE HYPERTENTION THROUGHT GIVING NONI FRUIT JUICE

Hypertension in elderly people in Indonesia is included in the 10 countries with the highest prevalence in the world. This disease is controlled to prevent further complications. The juice of noni (morinda citrifolia) fruit can be used as a provision for lowering blood pressure in elderly people with hypertension in Durin Tonggal village, Pancur batu sub-district. Objective to determine the effect of noni juice on lowering blood pressure in patients with hypertension. A Quasy Experiment study design with a population of 60 elderly with hypertension. The sample was taken by purposive sampling technique of 60 people divided into 15 people. The research instrument was the observation sheet. Data were analyzed with ∝0.05. The results of the experimental group research showed that the average pre TDS was 150.00mmHg, pre-TDD 90.00mmHg and TDS 200.00mmHG, and TDD 150.00mmHg. The results of the analysis and statistical tests obtained a systolic BP of 0.000 and a diastolic of 0.002 with a P value of <0.05, so Ho is rejectedmeaning that noni juice is effective in reducing blood pressure in the elderly

ANALISIS PEMANFAATAN PESISIR PANTAI UNTUK PENGEMBANGAN TANAMAN MANGROVE DITINJAU DARI PENDAPATAN EKONOMI DAN EKOSISTEM DI KOTA BANDA ACEH

ABSTRAKHariati (1105101050090) Analisis Pemanfaatan Pesisir Pantai untuk Pengembangan Tanaman Mangrove Ditinjau dari Pendapatan Ekonomi dan Ekosistem di Kota Banda Aceh, dibawah bimbingan Syamsidah Djuita sebagai pembimbing utama dan Helmi selaku pembimbing anggota.Penelitian ini bertujuan untuk mengidentifikasi pemanfaatan tanaman mangrove pada kawasan pesisir pantai Kota Banda Aceh dan menganalisis nilai ekonomis, jenis mangrove dan pengembangan tanaman mangrove ditinjau dari segi ekosistem.Penelitian dilaksanakan di Kecamatan Meuraksa, Kecamatan Kuta Raja, Kecamatan Kuta Alam, dan Kecamatan Syiah Kuala yang berlangsung sejak bulan Februari hingga April tahun 2015. Pembuatan peta dilakukan di Laboratorium Pengindraan Jauh dan Kartografi Fakultas Pertanian Universitas Syiah Kuala Banda Aceh.Hasil penelitian menunjukkan bahwa ekosistem mangrove di wilayah pesisir Kota Banda Aceh (4 kecamatan) dapat dimanfaatkan oleh masyarakat dan hasil yang didapatkan cukup bervariasi dari setiap kecamatan pada lokasi penelitian. Terdapat beberapa spesies mangrove yang tumbuh di pesisir pantai lokasi penelitian. Kecamatan Meuraksa terdapat spesies Bruguiera sp, Rhizophora sp, Avicennia sp, Sonneratia alba, dan Nypa fruticans dengan luasan 25,70 ha, Kecamatan Kuta Raja Bruguiera sp, Rhizophora sp. dan Nypa fruticans, dengan luasan 43,42 ha, Kecamatan Kuta Alam Rhizophora sp, Avicennia sp, Bruguiera sp. dan Nypa fruticans, dengan luasan 24,43 ha, Kecamatan Syiah Kuala yaitu Avicennia sp. Bruguiera sp, dan Rhizophora sp dengan luasan 17,65 ha. Manfaat tidak langsung mempunyai nilai terbesar yaitu Rp. 147.609.166 (35,3 %)/bulan. Nilai manfaat tidak langsung merupakan ekosistem mangrove sebagai penahan abrasi dan sebagai tempat produksi atau hasil tangkapan nelayan yang memanfaatkan tanaman mangrove.Pendugaan nilai Utility konsumen dari sumberdaya ekosistem mangrove terbesar diperoleh dari pemanfaatan hasil penangkapan kepiting yaitu sebesar Rp. 23.940.000 dengan surplus konsumen yaitu Rp. 16.240.000. Nilai tersebut diperoleh dari hasil yang diperoleh lahan mangrove yang terdapat pada 4 kecamatan 111,20 ha dengan rata-rata permintaan konsumen 171/kg/bulan, selanjutnya utility dari udang sebesar Rp. 4.830.000 dengan surplus konsumen Rp. 2.880.000 dengan rata-rata permintaan konsumen sebanyak 69/kg/ bulan, kemudian utility dari ikan sebesar Rp. 4.560.000 dengan surplus konsumen Rp. 3.410.000 dengan rata-rata permintaan konsumen sebanyak 114/kg/bulan. Utility dari tiram sebesar Rp. 945.000 dengan surplus konsumen Rp. 395.000 dengan rata-rata permintaan konsumen sebanyak 63/kg/bulan.Kata kunci: Analisis ekonomi, ekosistem, dan jenis mangrov

Meningkatkan Motorik Halus Anak Melalui Menempel Pada Kelompok B TK Dharma Wanita Massepe

Masa kanak-kanak merupakan masa paling kritis dalam pertumbuhan dan perkembangan kehidupan manusia baik dari segi fisik maupun emosional. Penelitian ini bertujuan untuk mengidentifikasi dan mendeskripsikan hal-hal yang berkaitan dengan peningkatan kemampuan motorik halus anak dalam proses pembelajaran melalui kegiatan terlampir di TK Dharma Wanita. Penelitian ini merupakan Penelitian Tindakan Kelas. Prosedur penelitian tindakan kelas ini dilaksanakan dalam dua siklus, yaitu siklus I dan siklus II. Dengan demikian dapat disimpulkan bahwa dengan kegiatan menempel dapat meningkatkan motorik halus anak usia dini di TK Dharma Wanita.Kata Kunci: Motorik Halus, menempel, Untuk Anak Usia Din