Indonesian Trust Nursing Journal

PENGARUH PEMBERIAN REBUSAN BAWANG PUTIH (Allium sativum L.) TERHADAP PENURUNAN TEKANAN DARAH PADA PENDERITA HIPERTENSI

Debora Sitorus — 2026-05-25

Hypertension is one of the main health problems in the elderly because it increases the risk of complications such as stroke and heart disease. Non-pharmacological efforts such as consuming herbal ingredients are considered an effective, affordable, and easy alternative to help reduce blood pressure. One of the herbal plants that has potential is garlic (Allium sativum L.), which contains allicin compounds with natural vasodilator effects that can help lower blood pressure. This study used a quasi-experimental design with a one group pretest-posttest approach, involving 15 respondents with hypertension in Jumantuang Village. Respondents were given boiled garlic water for seven days. Blood pressure was measured before and after the intervention using a digital sphygmomanometer. The results showed that the average systolic blood pressure before the administration of boiled garlic water was 165.2 mmHg and decreased to 151.0 mmHg after the intervention, with a decrease of 14.2 mmHg. Meanwhile, diastolic blood pressure decreased from 93.4 mmHg to 87.2 mmHg with a decrease of 6.2 mmHg. The Paired Sample T-Test showed a p-value of 0.000 (<0.05), indicating a significant effect between before and after the administration of boiled garlic water on reducing blood pressure. Boiled garlic water is effective in reducing blood pressure in hypertensive patients and can be used as a non-pharmacological therapy.

HUBUNGAN FORGIVENESS DENGAN HAPPINESS PADA ANAK USIA SEKOLAH - REMAJA DI PANTI ASUHAN ANUGERAH KASIH ABADI MEDAN ESTATE

Agukguk Manalu — 2026-05-25

Orphanages are social institutions that have service programs that meet the needs of the community to solve social problems, especially poverty, ignorance, and the problems of orphans and abandoned children that are developing in the community. Children are the most important asset for the progress of the nation because they are the next generation who are fighting to face future challenges This type of research is quantitative with a cross-sectional survey research design. The sampling technique in this study was Total Sampling, but when the study was carried out with 56 respondents who attended, the sample in this study amounted to 56 respondents. Data analysis used a parametric test of Pearson correlation. The results of this study with the Pearson correlation test showed that there was a significant relationship between forgiveness and happiness with a p-value = 0.046 (α<0.05). It is recommended for future researchers to add other variables related to forgiveness and happiness such as religiosity, meaning of life, self-acceptance and subjective well-being.

PENGARUH PEMBERIAN SEDUHAN TEH DAUN SUKUN (Artocarpus altilis) TERHADAP TEKANAN DARAH DAN KADAR GLUKOSA DARAH PADA LANSIA DI DESA KENANGAN BARU

She Hartaty Vanya Liliasi Silalahi — 2026-05-25

The increasing cases of hypertension and diabetes mellitus are health problems that are often experienced by the elderly and carry the risk of causing serious complications. One alternative complementary therapy widely used in the community is the use of breadfruit leaves (Artocarpus altilis), which are known to contain flavonoids, polyphenols, and saponins that play a role in lowering blood pressure and blood glucose levels. The purpose of this study was to determine the effect of steeping breadfruit leaf tea (Artocarpus altilis) on blood pressure and blood glucose levels in the elderly. This research method is a quantitative study with a quasi-experimental design with a one-group pretest-posttest approach. A sample of 25 people was obtained through total sampling. Data analysis used the Wilcoxon Signed Rank Test. The results showed that there was a decrease in blood pressure and blood glucose levels after the administration of breadfruit leaf tea. The results of the statistical test showed a p value <0.05, which means there was a significant effect of breadfruit leaf tea on reducing blood pressure and blood glucose levels in the elderly. Therefore, it was concluded that breadfruit leaf tea infusion had an effect on reducing blood pressure and blood glucose levels. It is recommended that future researchers add a Body Mass Index (BMI) variable.

PENGARUH EDUKASI KESEHATAN TERHADAP TINGKAT PENGETAHUAN TENTANG PEMERIKSAAN PAYUDARA SENDIRI PADA REMAJA PUTRI DI SMA KEBANGSAAN MEDAN

Ronika Siregar — 2026-05-25

Breast cancer is one of the leading non-communicab le diseases with the highest incidence and mortality rates among women, including in Indonesia. The high mortality rate of breast cancer is largely attributed to delayed early detection. Breast Self-Examination (BSE) is a simple, low-cost, and self-performed early detection method that can be practiced from adolescence. However, the level of knowledge and awareness of adolescent girls regarding BSE remains relatively low, particularly due to the lack of structured health education in school settings. Therefore, health education is considered an important effort to improve adolescents’ knowledge and ability to perform BSE correctly. This study aimed to determine the effect of health education on the level of knowledge regarding Breast Self-Examination (BSE) among adolescent girls at SMA Kebangsaan Medan. This study employed a quantitative approach with a pre-experimental design using a one-group pretest–posttest method. The sample consisted of 45 adolescent female students selected through a total sampling technique. Data were collected using a BSE knowledge questionnaire administered before and after the health education intervention. Data were analyzed using univariate and bivariate analyses with the Wilcoxon test. The results showed that prior to the health education intervention, most respondents had a low level of knowledge about BSE. After the intervention, there was a significant improvement in knowledge levels, with the majority of respondents categorized as having good knowledge. The Wilcoxon test revealed a p-value of 0.001 (p < 0.05), indicating a significant effect of health education on increasing BSE knowledge. Health education has a significant effect on improving adolescent girls’ knowledge regarding Breast Self-Examination (BSE). Health education should be continuously integrated into school health programs as a promotive and preventive strategy for early detection of breast cancer. Further research is recommended to use a quasi-experimental design with a control group. In addition, it is necessary to add behavioral variables and demonstration assessments through observation to evaluate the consistency and skills of respondents in performing SADARI correctly.

PENGARUH RENDAM KAKI MENGGUNAKAN AIR REBUSAN SERAI DAN GARAM TERHADAP PENURUNAN TEKANAN DARAH PADA PENDERITA HIPERTENSI DI DESA SAMPALI KECAMATAN PERCUT SEI TUAN

Darius Setiaman Zamasi — 2026-05-25

Hypertension is one of the most common diseases in the community. This disease is included in the group of major non-communicable diseases worldwide, which can have a significant impact on various health problems, such as heart disease, stroke, kidney failure, disability, and premature death. There are two approaches to lowering blood pressure in people with hypertension: pharmacological and non-pharmacological methods. One approach is through complementary therapy, a foot soak using lemongrass and salt boiled water, which works through vasodilation, increased peripheral circulation, a relaxing effect, and decreased sympathetic nerve activity. This study aimed to determine the effect of a foot soak using lemongrass and salt boiled water on lowering blood pressure in people with hypertension in Sampali Village, Percut Sei Tuan District, Deli Serdang Regency. This study was quantitative, using a pre experimental method with a one-group pretest-posttest design. In this design, the researchers used one intervention group. A total of 25 respondents were selected using a purposive sampling technique. Data analysis was performed using the Wilcoxon signed-rank test. The results of this study using the Wilcoxon Signed-Rank Test showed a p-value of 0.000 (p <0.05), indicating a significant difference between blood pressure before and after the intervention, indicating a significant effect of foot soaks using lemongrass and salt boiled water on lowering blood pressure in hypertensive patients. Foot soaks using lemongrass and salt boiled water are effective in lowering blood pressure in hypertensive patients and can be implemented as a non-pharmacological therapy in the management of hypertension in healthcare facilities.

PENGARUH EDUKASI KESEHATAN TERHADAP PENGETAHUAN DAN SIKAP MASYARAKAT DALAM MENCEGAH PENYAKIT DIABETES TIPE 2 DI DESA KENANGAN BARU

Doris Norintan Sinaga — 2026-05-25

Diabetes mellitus is a non-communicable disease whose prevalence continues to increase and becomes a public health problem. Lack of knowledge and inappropriate attitudes towards a healthy lifestyle are risk factors for the increasing incidence of type 2 diabetes. Preventive efforts can be carried out through health education to increase knowledge and shape positive attitudes in the community. Objective of this study is to analyze the effect of healthy lifestyle health education on community knowledge and attitudes in preventing type 2 diabetes in Kenangan Baru Village. This type of research is a quantitative study with a quasi-experimental research design with a one group pretest-posttest approach. The sample in this study amounted to 50 respondents selected using a purposive sampling technique. The instrument used was a knowledge and attitude questionnaire. Data analysis was carried out using the Paired Sample T-Test and the Wilcoxon test. The results of the study showed an increase in the average score of knowledge and attitudes after being given health education. The statistical test results showed a p-value <0.05, indicating a significant effect of healthy lifestyle health education on improving public knowledge and attitudes regarding type 2 diabetes prevention. This study demonstrates that healthy lifestyle health education significantly improves public knowledge and attitudes regarding type 2 diabetes prevention.

EFEKTIVITAS TERAPI MEDITASI MINDFULNESS TERHADAP PENURUNAN TEKANAN DARAH PADA PENDERITA HIPERTENSI USIA LANSIA 60-70 TAHUN DI DESA KENANGAN BARU

Krisdamayanti Zai — 2026-05-25

Hypertension is a common health problem in the elderly and can be exacerbated by stress. Mindfulness meditation is a non-pharmacological therapy that can help lower blood pressure through relaxation and stress management. This study aims to determine the effectiveness of mindfulness meditation therapy on reducing blood pressure in elderly people with hypertension aged 60–70 years in Kenangan Baru Village. The study used a quasi-experimental design with a two-group pretest–posttest control design on 40 respondents, consisting of 20 in the intervention group and 20 in the control group. The intervention group was given 15–30 minutes of mindfulness meditation for 6 times a week. Blood pressure was measured before and after treatment. Analysis was performed using the Shapiro–Wilk test, Wilcoxon Signed-Rank Test, and Mann–Whitney U Test. The results showed a significant decrease in blood pressure in the intervention group (p = 0.011) and insignificant in the control group (p = 0.233). Comparison between groups showed significant differences in systolic (p < 0.001) and diastolic (p = 0.013) blood pressure. In conclusion, mindfulness meditation therapy has been proven to be effective in reducing systolic and diastolic blood pressure in elderly people with hypertension, so it can be recommended as a non-pharmacological intervention in nursing services to help control hypertension in the elderly.

PENGARUH PEMBERIAN AIR REBUSAN DAUN KELOR (MORINGAOLEIFERA) TERHADAP PENURUNAN KADAR GULA DARAH PADA PENDERITA DIABETES MELLITUS TIPE 2 PADA MASYARAKAT DI DESA HUTARAJA KECAMATAN DOLOK SANGGUL

Ruth Olyvia Pakpahan — 2026-05-25

Type 2 Diabetes Mellitus is a chronic metabolic disease with an increasing prevalence. In addition to pharmacological therapy, nonpharmacological approaches such as the use of moringa leaves (Moringa oleifera) have the potential to reduce blood glucose levels. The objective This study is To determine the effect of moringa leaf boiled water on blood glucose levels in patients with Type Diabetes Mellitus in Hutaraja Village Dolok Sanggul Distrct. The methodes This study preexperimental study employed a one-group pre-test and post-test design involving. The population 28 respondents selected through purposive sampling. The intervention consisted of administering moringa leaf boiled water once daily for 7 days. Data analysis was conducted using the Shapiro–Wilk test and paired sample t-test. The results of the mean blood glucose levels after the intervention were lower than before the intervention, with a p-value <0.05. the conculsion is Moringa leaf boiled water has a significant effect on reducing blood glucose levels in patients with Type 2 Diabetes Mellitus and can be used as a complementary non-pharmacological therapy.

HUBUNGAN STATUS GIZI DENGAN WAKTU PENYEMBUHAN LUKA DEKUBITUS PADA PASIEN IMOBILITAS DI RUMAH SAKIT UMUM DAERAH DR. PIRNGADI

Loisa Tobing — 2026-05-25

Abstract

Pressure ulcers are serious complications in immobile patients that increase infection risks and healthcare costs. While nutritional status plays a vital role in tissue regeneration, malnutrition often hinders the recovery process. The objective of this study is to determine the relationship between nutritional status and the healing time of pressure ulcers among immobile patients at RSUD Dr. Pirngadi. This quantitative study used a cross-sectional approach with 33 pressure ulcer patients (total sampling). Nutritional status was measured using Body Mass Index (BMI), while healing time was calculated in days. Data were analyzed using the Spearman correlation test. There was a significant correlation between nutritional status and the healing time of pressure ulcers (r=−0,581; p<0,001). The negative correlation indicates that better nutritional status is significantly associated with a shorter recovery time. Good nutritional status significantly accelerates the healing of pressure ulcers in immobile patients. Comprehensive nutritional intervention and monitoring should be an integral part of patient care management to prevent complications and expedite recovery.

PERBANDINGAN EFEKTIVITAS PEMBERIAN TERAPI RENDAM KAKI AIR REBUSAN SERAI DAN JAHE TERHADAP PENURUNAN TEKANAN DARAH PADA LANSIA HIPERTENSI DI DESA LAUT DENDANG

Lyran Avril Firdayanti Zega — 2026-05-25

Hypertension is one of the major health problems among the elderly and is often referred to as a silent killer because it can cause serious complications such as stroke, heart disease, and kidney failure if not properly managed. The objective of this study is to determine the comparison of the effectiveness of lemongrass and ginger decoction foot soaking therapy on reducing blood pressure among elderly patients with hypertension in Laut Dendang Village. A quasi-experimental design with a pre-test and post-test approach was used. Elderly patients with hypertension were divided into two groups: lemongrass and ginger decoction foot soaking therapy. Data were analyzed using the Paired Sample t-Test and the Independent Sample t-Test. The study showed that lemongrass and ginger decoction foot soaking therapies both had an effect on reducing systolic and diastolic blood pressure among elderly patients with hypertension (p value = 0.001 < 0.05). The results of the comparative test indicated that there was a difference in effectiveness between the two therapies, in which ginger decoction foot soaking therapy resulted in a greater reduction in blood pressure compared to lemongrass decoction foot soaking therapy. Ginger decoction foot soaking therapy is more effective as a non-pharmacological therapy in reducing blood pressure among elderly patients with hypertension.

HUBUNGAN PENGGUNAAN GADGET DENGAN KUANTITAS DAN KUALITAS TIDUR ANAK KELAS 4-6 SD HKBP PARDAMEAN

Roito Hutabarat — 2026-05-25

The use of gadgets among elementary school children has increased significantly along with the development of digital technology. Excessive gadget use has the potential to disrupt children’s physiological needs, particularly sleep quantity and sleep quality, which play an important role in growth, learning concentration, and physical and mental health. The objective This study is determine the relationship between gadget use and the quantity and quality of sleep among students in grades 4–6 at HKBP Pardamean Elementary School, Medan. The methodes This study employed a quantitative design with a cross-sectional approach. The popula tion consisted of all students in grades 4–6 at HKBP Pardamean Elementary School, totaling 50 students. A total sampling technique was used, in which the entire population was included as the sample. The instruments used were a 21-item Likert-scale gadget use questionnaire, the Pittsburgh Sleep Quality Index (PSQI) to measure sleep quality, and sleep duration measurement to assess sleep quantity. The results of the Spearman’s rho correlation test showed a value of (p > 0.05), indicating that there was no significant relationship between gadget use and the quantity and quality of sleep among students in grades 4–6 at HKBP Pardamean Elementary School, Medan. the conculsion is Gadget use among the respondents was not statistically proven to have an effect on the quantity and quality of sleep in school-aged children. It is recommended that future studies include additional variables such as parenting style, academic stress, and sleep environment as potential influencing factors.

PENGARUH PEMBERIAN SEDUHAN TEH DAUN SIRSAK (ANNONA MURICATA LINN) TERHADAP PENURUNAN KADAR ASAM URAT PADA LANSIA DI POSYANDU KENANGAN BARU

Irene Larva Dei Sitorus — 2026-05-25

Gout is a degenerative disease commonly experienced by the elderly as a result of purine metabolism disorders. It is characterized by elevated uric acid levels in the blood, causing joint pain and a decline in quality of life due to limitations in daily activities. The management of gout can be conducted not only through pharmacological therapy but also through non-pharmacological approaches, one of which is the use of herbal plants such as soursop leaves (Annona Muricata Linn), which are known to contain flavonoids and antioxidants that can inhibit uric acid formation. This study aimed to determine the effect of soursop leaf tea infusion on reducing uric acid levels among the elderly at Posyandu Kenangan Baru, Percut Sei Tuan District, Deli Serdang Regency. This study employed a quantitative pre-experimental design using a one group pretest–posttest design. A single intervention group was used in this study. A total of 25 respondents were selected using purposive sampling techniques. Data analysis was performed using the Wilcoxon Signed-Rank Test. The results of the Wilcoxon Signed-Rank Test showed a p-value of 0.000 (p < 0.05), indicating a significant difference in uric acid levels before and after the intervention. These findings demonstrate that the administration of soursop leaf tea infusion had a significant effect on reducing uric acid levels among the elderly. The administration of soursop leaf tea infusion is effective in reducing uric acid levels in elderly patients with gout and can be applied as an alternative non pharmacological therapy in the management of gout in healthcare facilities.

EFEKTIVITAS FOOT HYDROTERAPI DENGAN CAMPURAN GARAM DAN JAHE TERHADAP PENURUNAN TEKANAN DARAH PADA PENDERITA HIPERTENSI DI DESA SIHOTANG HASUGIAN TONGA

Marlina Marlina — 2026-05-25

Hypertension is a common non-communicable disease and a major risk factor for various complications such as stroke, heart failure, and kidney disease. One of these is complementary foot hydrotherapy with a mixture of salt and ginger, which works through vasodilation, increased peripheral circulation, a relaxing effect, and decreased sympathetic nerve activity. This study aims to determine the effectiveness of foot hydrotherapy with a mixture of salt and ginger on reducing blood pressure in hypertension patients in Sihotang Hasugian Village, Tonga. This research methode is a quantitative approach, analytical pre-experimental research design in one group pre-post-test design approach. The number of respondents as many as 20 people was selected using a purposive sampling technique, Data analysis was carried out using the Wilcoxon Signed Rank Test. The results of this study with the Wilcoxon test showed a p value = 0.000 (p <0.05), which means there is a significant difference between blood pressure before and after the intervention. indicating a significant effect of Foot Hydrotherapy with a Mixture of Salt and Ginger on Reducing Blood Pressure in Hypertension Patients. The Conclusion of this Foot Hydrotherapy with a mixture of salt and ginger is effective in lowering blood pressure in hypertension sufferers and can be applied as a non-pharmacological therapy in the management of hypertension in health facilities.

PENGARUH EDUKASI KESEHATAN REPRODUKSI TERHADAP PERILAKU PERSONAL HYGIENE PUTRI PADA SAAT MENSTRUASI DI SEKOLAH MENENGAH PERTAMA HKBP PARDAMEAN

Sarinulo Bago — 2026-05-25

Reproductive health is an important aspect in the lives of adolescent girls, especially during menstruation. Lack of knowledge and understanding of reproductive health can impact suboptimal personal hygiene behavior, thus increasing the risk of reproductive health disorders. The study aims to analyze the effect of reproductive health education on personal hygiene behavior of girls during menstruation at HKBP Pardamean Junior High School. This type of research is a quantitative study with a pre-experimental design with a one group pretest–posttest approach. The sampling technique is total sampling with a sample of 27 respondents. Data collection was carried out using a personal hygiene behavior questionnaire before and after the provision of reproductive health education. Data analysis was carried out univariately and bivariately using the Wilcoxon Signed Rank Test. The results of the study showed a significant influence between reproductive health education on personal hygiene behavior of girls during menstruation with a p-value <0.05. This indicates that reproductive health education can improve personal hygiene practices among adolescent girls during menstruation. It is concluded that there is a significant influence between reproductive health education and personal hygiene practices among adolescent girls during menstruation.

PENGARUH PEMBERIAN KOMPRES JAHE MERAH (ZINGIBER OFFICIANALE VAR. RUBRUM) TERHADAP NYERI SENDI PADA LANSIA DENGAN HIPERURISEMIA

Vivi Riska Yani Gea — 2026-05-25

Hyperuricemia in the elderly often causes joint pain that can interfere with daily activities. In addition to pharmacological therapy, joint pain can also be managed using non-pharmacological therapy, one of which is red ginger compress therapy. This study aimed to determine the effect of red ginger compress therapy on reducing joint pain in elderly patients with hyperuricemia at Kedai Durian Public Health Center, Medan Johor District, Medan City. This study employed a pre-experimental design with a one-group pretest–posttest design. The sample consisted of 20 elderly respondents selected using total sampling technique. Joint pain intensity was measured using the Numeric Rating Scale (NRS) before and after the intervention. Data were analyzed using the Wilcoxon Signed Rank Test. The results showed a decrease in joint pain intensity after the administration of red ginger compress therapy, with a p-value < 0.05, indicating a statistically significant difference between pretest and posttest. In conclusion, red ginger compress therapy has a significant effect on reducing joint pain in elderly patients with hyperuricemia. It is recommended that future research involve a larger number of respondents, a longer research duration, and take into account other factors such as diet and physical activity levels.

KECERDASAN BUATAN DALAM PENDIDIKAN KEDOKTERAN: KAJIAN NARATIF TENTANG ASESMEN, UMPAN BALIK, DAN PENALARAN KLINIS

Erwin Handoko — 2026-05-25

Artificial intelligence (AI) is increasingly shaping medical education, particularly in assessment, feedback, and clinical reasoning. This narrative review synthesizes recent evidence on the use of large language models, conversational agents, and AI-enhanced simulation in these three areas. The review highlights that AI can support educators by generating assessment materials, assisting rubric-based scoring, providing formative feedback, simulating patient encounters, and reviewing clinical reasoning documentation. These applications may help address persistent challenges in medical education, including limited faculty time, difficulty assessing higher-order reasoning, and the resource demands of high-quality simulation. However, the benefits of AI are accompanied by important risks. Concerns related to validity, bias, privacy, academic integrity, local relevance, and professional formation remain central, especially when tools developed in well-resourced and English-dominant contexts are applied in different educational and clinical settings. This review argues that AI should not be understood as a replacement for educational judgment, clinical supervision, or human relationships in medical training. Rather, AI is best positioned as a supervised educational tool that can extend the reach of good teaching when embedded in clear curricula, locally validated assessment systems, transparent governance, and faculty development programs. The central challenge for medical educators is therefore not whether AI should be used, but how it can be used responsibly while preserving the ethical, relational, and patient-centered foundations of medical education.