Chronic renal failure is a disorder in which the body’s ability renal function failed to maintain metabolism, fluid and electrolyte balance. Hemodialysis is a process used patients in a state of acute illness requiring long-term therapy. The patients with renal failure often experience fear because of the conditions they experienced pain this can be a physical stressor that can lead patients to levels of stress and anxiety. Research design using cross- sectional. The population includes hemodialysis patients of Grandmed Hospital Lubuk Pakam. Samples consisting of 43 respondents meeting inclusion criteria were selected using purposive sampling method.This study presented based on the frequency and characteristics of respondents with results of the appointment that anxiety levels can be categorized as mild anxiety (18,6%), moderate anxiety ( 41,9%), and severe anxiety (39,5%). For coping mechanisme of adaptive coping (39,5%) and maladaptive coping (60,5%) category. Analysis of this research data using chi-Square. The results showed that there was an association of anxiety level with coping mechanism in patients with chronic renal failure who underwent hemodialysis at Grandmed Hospital Lubuk Pakam with p = 0,031. The more adaptive the respondent’s clutch the lighter the level of anxiety experienced. The results of this study was expected  to nurse or hemodialysis officers further improve the provision of counseling to patients hemodialysis so that patients are able use adaptive coping in the face of anxiety.    

Nursing care services certainly cannot be separated from the nursing process, starting from nursing assessments, nursing diagnoses, nursing interventions, nursing implementation, evaluation and documentation. There are several factors related to the implementation of nursing care at Rs GrandMed Lubuk Pakam in 2020. This study used an analytical survey research with a cross sectional study approach. The population in this study were all employees of 3 Depan. The sample in this study was used as many as 12 respondents according to the inclusion criteria. The results of this study indicate that, there is no relationship between nurse education and the implementation of nursing care (p = 1), there is no relationship between the work tenure of nurses and the implementation of nursing care (p = 0.293), there is a relationship between the workload of nurses and the implementation of nursing care (p = 0.293). p = 0.010), There is a relationship between incentives and the implementation of nursing care (p = 0.010), There is a relationship between work atmosphere and the implementation of nursing care (p = 0.045), There is a relationship between leadership style and the implementation of nursing care (p = 0.045). So it can be concluded that there is a relationship between workload, incentives, work atmosphere and leadership style on the implementation of nursing care.

One of the sign and symptoms of hypertension is headache. Headache occur due to atherosclerosis which causes spasm of the blood vessels (arteries) and decreased oxygen in the brain. The pain can be treated with non pharmacological management, one of which is a warm gingger compress (zingiber officinale). The purpose of this research activity was to measure the effect of giving warm ginger compresses on reducing the headache scale in hypertensive patients at Grandmed Lubuk Pakam Hospital. The type of research used in this study is a quasi experimental approach with a one group pretest-posttest design approach, with a purposive sampling technique. Giving warm ginger compresses to 37 patients suffering from hypertension at Grandmed Lubuk Pakam Hospital. Data collection was carried out using observation sheets and providing an intervention with warm ginger compresses in hypertensive patients. Observations of headaches in hypertensive patients carried out twice, namely before being given a warm ginger compress and after being given a ginger warm compress then the results were recorded on the observation sheet. Teh results of statistical tests using the paired test showed the value of p=0,000, p<α (0,000<0,05). The results obtained showed that there was a decrease in the level of headache in hypertensive patients before and after being given warm ginger compresses. It is expected that nurses can minimize the use of analgesic drugs to reduce headaches and use warm compresses for non pharmacological management.

Abstrak Diabetes melitus disebabkan insulin tidak lagi tercukupi dalam tubuh serta insulin tidak dapat digunakan dalam memenuhi kebutuhan tubuh. Diabetes melitus dapat menjadi serius dan mebahayakan jika tidak segera diobati. Pengontrolan kadar glukosa darah melalui aktifitas fisik masih sulit dilakukan disebabkan kedaran masyarakat yang kurang. Aktifitas fisik merupakan salah satu pilar penatalaksanaan komplikasi diabetes melitus. Aktifitas fisik dapat dilakukan dengan brisk walking. Hal ini jika dilakukan secara teratur dapat merangsang sintesis glikogen melalui peningkatan aksi insulin dan merangsang transportasi glukosa. Tujuan pengabdian masyarakat ini untuk memberikan penyuluhan tentang Brisk Walking terhadap perubahan kadar glukosa darah pada pasien diabetes mellitus. Metode kegiatan dilakukan dengan tahapan dimulai dari penyampaian materi kepada penderita diabetes melitus tentang konsep penyakit diabetes melitus dan penatalaksanaannya, pemeriksaan kadar glukosa darah dan evaluasi hasil pelaksanaan. Adapun hasil dari kegiatan pengabdian masyarakat ini adalah menjadi bahan kajian untuk di diskusikan agar peserta lebih paham dan secara diri mampu mengendalikan terjadinya komplikasi yang dapat diakibatkan diabetes melitus. Abstract Diabetes mellitus is caused by insufficient insulin in the body and insulin cannot be used to meet the body's needs. Diabetes mellitus can be serious and dangerous if not treated immediately. Controlling blood glucose levels through physical activity is still difficult to do due to lack of public awareness. Physical activity is one of the pillars of the management of complications of diabetes mellitus. Physical activity can be done by brisk walking. This if done regularly can stimulate glycogen synthesis through increasing insulin action and stimulating glucose transport. The purpose of this community service is to provide counseling about Brisk Walking on changes in blood glucose levels in patients with diabetes mellitus. The method of activity is carried out in stages starting from delivering material to people with diabetes mellitus about the concept of diabetes mellitus and its management, checking blood glucose levels and evaluating the results of the implementation. The results of this community service activity are used as study material to be discussed so that participants can better understand and be able to control the occurrence of complications that can be caused by diabetes mellitus.

The success of changing the damage to the integrity of the skin in patients with Diabetes Mellitus Type II depends not only on early detection, but also on understanding the causative mechanism. One condition that can cause damage to the integrity of the skin was the xerosis and pruritus on skin . The purpose of this study to determine the effect of Oil Olive to damage the integrity of the skin in patients with DM type II in the District of Pagar Merbau. This type of research uses the Quasy Experiment Method using the One-Group Pretest-Posttest Design research design. Determination of the sample was done by purposive sampling, with a total sample of 22 people. Data analysis was performed using Paired Sample T Test with 95% confidence interval and α= 0.05. The results of this study indicate the change in damage to the integrity of the skin before and after given a basting oil olives with a p-value = 0.000 (α> 0.05). Conclusion, there was an influence of olive oil on damage to skin integrity in patients with type II DM in Pagar Merbau District which was carried out in accordance with standards. For Health Institutions the need for supervision and counseling to the community that the importance of maintaining skin health especially in patients with diabetes mellitus in Pagar Merbau District