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Sitorus, Riris
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Pengaruh Metode Kangguru terhadap Penurunan Suhu Tubuh, Frekuensi Menyusu dan Durasi Tidur Bayi Ritonga, Nikmah Jalilah; Sitorus, Riris; Pulungan, Susi Andriany
Jurnal Riset Hesti Medan Vol 6, No 2 (2021)
Publisher : Akademi Keperawatan Kesdam I/Bukit Barisan Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34008/jurhesti.v6i2.243

Abstract

Immunizations sometimes have side effects once they are given to babies. DPT immunization is one that has a low-grade fever side effect and sometimes results in high fever and seizures. One of the efforts to treat fever in infants is the kangaroo method. Through this method, heat transfer occurs between mother and baby, increasing the frequency of breastfeeding which can meet the fluid needs of the feverish baby and facilitate the baby in increasing the duration of quiet sleep, less crying and less activity. The purpose of this study was to determine the effect of the kangaroo method on decreasing body temperature, feeding frequency and infant sleep duration. Sampling using Porbability Sampling with Simple Random Sampling technique, totaling 30 people and divided into 2 groups of 15 people each, namely the experimental and control groups. The results of the analysis are based on several assumptions of One way MANOVA, namely there is linearity between variables, the data is normally distributed, multicollinearity is not detected and the covariance matrix between groups is assumed to be the same as the Box'M value p = 0.006 > 0.001. The results of the multivariate test showed that there was a significant difference between the two groups with a value of F (3.26) = 49.334, p< 0.001; Wilk’s ʌ 0.149, ƞp2 = 0.851, then the univariate results showed that group differences caused significant differences in body temperature, feeding frequency and sleep duration with p < 0.001. The results of the bonferroni correction further test showed that the average decrease in body temperature, feeding frequency and duration of infant sleep in the experimental group was better than the control group with p < 0.001. This study proves that the kangaroo method has an effect on decreasing body temperature, breastfeeding frequency and infant sleep duration after DPT immunization.
EDUCATION ON THE UTILIZATION OF MORINGA LEAVES DECIL IN INCREASING BREAST MILK PRODUCTION: EDUCATION ON THE UTILIZATION OF MORINGA LEAVES DECIL IN INCREASING BREAST MILK PRODUCTION Anuhgera, Diah Evawanna; Ritonga, Nikmah Jalilah; Sitorus, Riris; Simarmata, Juni Mariati; Handayani, Dwi
JURNAL PENGMAS KESTRA (JPK) Vol. 2 No. 2 (2022): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (419.67 KB) | DOI: 10.35451/jpk.v2i2.1440

Abstract

thing in the growth and development of babies. Education that utilizes natural plants and has benefits for mothers and babies can be given to the community to help practice increasing breast milk through consumption of Moringa leaves. The aim of this education is to help mothers use Moringa oleifera leaves as a natural ingredient to increase breast milk. The target for this service is breastfeeding mothers using Leaflet media, video tutorials and Moringa leaves. The methods used are lecture, discussion, and PLA (Participatory Learning and Action) methods. The desired output is to increase education in breastfeeding by increasing milk production by consuming Moringa leaves by 20%. Implementation of dedication is given by doing a pretest and posttest. The results of the implementation showed that the average pretest score was 56.4, the posttest average score after education was 79, the average increase in score was 22.6. This shows that education can increase the utilization of Moringa leaves to increase breast milk production by 40%.
Education of Ginger Drink and Accupresure as Theraphy to Relieving Primary Dismenorrhea Anuhgera, Diah Evawanna; Nikmah Jalila Ritonga; Sitorus, Riris
JURNAL PENGMAS KESTRA (JPK) Vol. 3 No. 1 (2023): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jpk.v3i1.1742

Abstract

Pain that comes with primary dysmenorrhea during menstruation often interferes with daily activities. Many dysmenorrhea sufferers do not understand how to control the pain that comes and many also use analgesic drugs in each menstrual period. Consumption of red ginger drinks and acupressure can reduce menstrual pain during primary dysmenorrhea. Provision of health education by utilizing non-pharmacological therapies, namely red ginger powder drink and acupressure for women of childbearing age can empower women to manage menstrual pain which will always be there every month. The purpose of this community service is to increase the knowledge and understanding of women of childbearing age in dealing with primary dysmenorrhea. The activity was carried out at the student dormitory of the Nutrition Study Program, Faculty of Public Health Medistra Institute of Health Lubuk Pakam. The partners in this dedication were 45 students in the first semester of the Nutrition Study Program, Faculty of Public Health, Medistra Institut of Health Lubuk Pakam. Implementation of activities begins with planning, implementation and evaluation. The educational method used is lectures and demonstrations with data collection starting from the pretest and posttest. The results of education in this activity before it was carried out the average of respondents who had good knowledge was 31.12% and after education it increased to 95.55 respondents who had good knowledge. The education implementation was going well, the respondents seemed to listen well and actively asked questions during the question and answer session. Health education is one of the activities that can increase the level of knowledge in women of childbearing age regarding the management of primary dysmenorrhea consuming red ginger drinks and doing acupressure during menstrual periods.
Empowering Mothers in Preventing Post Partum Depression Through Giving Meridian Accupoint Masssage Anuhgera, Diah Evawanna; Nikmah Jalila Ritonga; Sitorus, Riris
JURNAL PENGMAS KESTRA (JPK) Vol. 3 No. 2 (2023): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jpk.v3i2.1982

Abstract

Post partum depression is a serious disorder that occurs during the post partum period and can disrupt the activities of the mother and baby for a long period of time. One strategy to prevent post partum depression is by giving meridian accupoint massage. This intervention can be given during the normal postpartum period starting on the first day. Prevention is the best action that can reduce the mother's risk of developing post partum depression. The aim of this service community is to help pregnant women and post partum mothers empower themselves by knowing how to prevent post partum depression through meridian accupoint massage intervention. The target of this research was pregnant women and post partum mothers who were at the Nining Pelawati Lubuk Pakam Clinic, totaling 27 participants. The activity method was carried out twice by giving a pre-test, lecture, question and answer and role play and continued with the post-test by filling in a questionnaire. Evaluations were carried out on mothers by conducting interviews regarding their understanding of preventing postnatal depression. The results achieved in this activity are that people gain knowledge about postnatal depression. There was a change in the value of understanding knowledge before being given education, 8.85 and after being given health education, it became 15.6. It is hoped that this service activity will provide benefits to mothers in carrying out meridian accupoint massage interventions to prevent post partum depression. Midwives can apply meridian accupoint massage as a form of preventing post partum depression during the post partum period.
Education of Birth Ball Training as Therapy to Relieving Labor Pain Sitorus, Riris; S, Grace Erlyn Damayanti; Telova, Yurizki; Arisman, Yessy; Liesmayani, Elvi Era
JURNAL PENGMAS KESTRA (JPK) Vol. 4 No. 1 (2024): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jpk.v4i1.2207

Abstract

Labor pain arises because of the mother's physical and psychological response. Emotions become unstable due to anxiety and fear which worsen the condition of labor pain. The pain experienced by the mother during labor can give rise to fear which makes her anxious and often leads to panic attacks. This condition causes a physiological response that can disrupt the condition of the uterus when it contracts so that the impact of labor will last a long time. Usually, the mother who is about to give birth will find it difficult to adjust to the conditions of labor pain, so that uterine contractions cannot be controlled which causes the first stage to lengthen and the fetus to be disturbed. A prolonged labor process is a type of birth complication that is worrying, complicated, and unpredictable. A non-pharmacological method that can reduce labor pain is birth ball therapy. Research that has been conducted has found that birth ball exercises affect reducing labor pain. PkM is implemented through educational activities where there are 30 PkM participants. The results of the PkM implementation show that the PkM participants have been successfully educated through this PkM activity so that they can apply birth ball exercises to reduce labor pain in mothers. Due to the implementation of this PkM activity, it is hoped that there will be an increase in the knowledge of midwives who play a role in initial level services to provide appropriate steps in dealing with labor pain in mothers using complementary therapy, and birth ball exercises.
Pengaruh Pendampingan Keluarga Terhadap Lama Proses Persalinan Kala I Sitorus, Riris; Damayanti S, Grace Erlyn
Madani: Jurnal Ilmiah Multidisiplin Vol 2, No 3 (2024): Madani, Vol. 2, No. 3 2024
Publisher : Penerbit Yayasan Daarul Huda Kruengmane

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/zenodo.13363611

Abstract

Proses persalinan merupakan salah satu faktor yang dapat menimbulkan kecemasan, karena proses melahirkan bayi tidak selalu bersifat somatik. Akan tetapi, juga bersifat psikosomatis, karena banyak hal yang dapat mempengaruhi kelancaran atau keterlambatan proses persalinan. Pada hakekatnya seorang wanita dalam proses persalinan  mempunyai 5 (lima) kebutuhan yaitu asuhan fisik, psikologis, kehadiran seorang pendamping secara terus-menerus, pengurangan rasa sakit, penerimaan atas sikap. Kondisi psikologis dapat berpengaruh terhadap tenaga ibu dan kelancaran proses persalinan. 97% persalinan adalah persalinan fisiologis namun kecemasan dalam persalinan dapat menimbulkan ketegangan otot-otot polos dan pembuluh darah, sehingga terjadi kekakuan serviks dan hipoksia pada rahim yang menyebabkan impuls nyeri bertambah banyak, impuls nyeri melalui thaloma limbic ke korteks serebri dengan akibat menambah rasa takut, sehingga kontraksi rahim berkurang. Hal ini mengakibatkan persalinan butuh waktu yang lama dan mungkin membutuhkan alat bantu bahkan operasi Caesar. Tujuan penelitian ini adalah untuk mengetahui pengaruh pendampingan keluarga terhadap lama proses persalinan kala I. Penelitian merupakan penelitian pre-eksperimental dengan desain penelitian Posttest-only control design. Populasi pada penelitian ini adalah seluruh ibu bersalin di Desa Pir Trans Sosa III A. Sampel yang diperoleh sebanyak 18 orang dengan teknik accidental sampling. Uji statistik yang digunakan adalah independent t test dengan tingkat kepercayaan 95% (? = 0,05). Hasil penelitian ini menunjukkan ada pengaruh pendampingan keluarga terhadap lama proses persalinan kala I (nilai p 0,001). Maka diharapkan kepada bidan untuk menginformasikan dan memotivasi keluarga mengenai pentingnya pendampingan keluarga bagi ibu dalam proses persalinan.
Yoga Gymnastics Training for Primigravida Pregnant Women in the Third Trimester Sitorus, Riris; Damayanti, Grace Erlyn; Ginting, Samuel
JURNAL PENGMAS KESTRA (JPK) Vol. 4 No. 2 (2024): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jpk.v4i2.2425

Abstract

Pregnancy is a process in which a woman carries a fetus after it occurs. In the process of labor, anxiety often arises in the prospective mother so it is recommended that the mother do light exercise such as yoga. Yoga is a recommended choice in preparation for labor, because this exercise is able to control breathing and relax the mind. Yoga breathing exercises will accelerate the blood flow rate so that oxygen is fulfilled for the mother and her fetus. In addition, yoga is also able to control anxiety so that it can achieve better health during childbirth. Training activities were given to 20 pregnant women participants at the Matahari clinic. The increase in knowledge of PkM participants was assessed based on the average pre- and post-test scores after being given material, demonstrations, and direct training. Yoga exercises for pregnant women were carried out based on standard SOPs, which were assisted by the PkM team in their implementation. The results of the training showed that PkM participants were able to carry out yoga exercises according to the SOP. In addition, participants also received direct benefits in the form of physical and mental health. Through this training, it can also be seen that there has been an increase in participants' knowledge about yoga exercises in overcoming anxiety with a pre-test score of 5.95 to a post-test score of 7.55. Yoga exercises have been proven to improve participants' knowledge and skills in carrying out yoga exercises which are useful in maintaining health and controlling anxiety when giving birth.
The Effect Of Yoga Exercise On Anxiety In Third Semester Primigravida Pregnant Women Sitorus, Riris; S, Grace Erlyn Damayanti; Ginting, Samuel; Diah Evawanna Anugerah
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 7 No. 1 (2024): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkf.v7i1.2301

Abstract

Primigravida mothers are mothers who are experiencing pregnancy for the first time. Primigravida mothers are usually not ready to face pregnancy because it is something new to experience. The unpreparedness of primigravida mothers occurs both physically and psychologically. Anxiety is a feeling of discomfort manifested by restlessness, worry or fear. This is a manifestation of psychological and physiological factors. The third trimester is a time of alertness where at this time, pregnant women understand that their child can be born at any time. Mothers also feel impatient with the birth of the baby which makes mothers alert and vigilant. Anxiety during pregnancy can trigger changes in physical activity, sleep and nutrition. This can have an impact on fetal development and changes in the mother's mood. Yoga is a complementary therapy that can be an option to overcome anxiety in pregnant women, especially primigravida mothers in the third trimester. The design of this study was One Group Pretest and Posttest with the population being all primigravida pregnant women in the third trimester who checked their pregnancy at the Matahari Clinic. This study was tested on 17 samples taken using a purposive sampling technique. The results of the study showed that there was an average decrease in anxiety of 7.0000 and a p value of 0.000, which means that yoga exercises have an effect on reducing anxiety in pregnant women. So it is expected that midwives in the clinic are expected to apply yoga exercises to overcome anxiety in pregnant women, especially primigravida pregnant women in the third trimester.
The Effect of Progressive Muscle Relaxation on Low Back Pain And Anxiety in Primiparas Anuhgera, Diah Evawanna; Jalilah, Nikma; Sitorus, Riris; Dwi Handayani; Debi Dinha Octora
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 7 No. 2 (2025): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkf.v7i2.2379

Abstract

Pregnancy changes that result in looseness and instability of joints in the third trimester of pregnancy often cause lower back pain in mothers. This certainly disturbs the mother's discomfort and causes anxiety. Progressive muscle relaxation is a combination of deep breathing and progressive muscle relaxation techniques by stretching and relaxing the muscles systematically. The purpose of this study was to analyze the effect of progressive muscle relaxation on lower back pain and anxiety in primigravida pregnancies. This study used all experiments with a pretest-posttest controlled group design for primigravida pregnant women with a gestational age of 28-36 weeks at the Misriah Galang Clinic as many as 28 respondents. The sampling technique used was simple random sampling. There were two groups in this study, namely the intervention group with progressive muscle relaxation and the control group. The research instruments used were VAS (Visual Analog Scale), Hamilton Anxiety Rating Scale (HARS) and questionnaires. Data analysis used was the dependent t-test and independent t-test to measure pain intensity and the Wilcoxon test with Mann Whitney to measure anxiety. There was a difference in the intensity of pain and anxiety before and after the progressive muscle relaxation intervention with a value of p = 0.001 and 0.004. The percentage of pain reduction after the intervention was 45.71%. There was a difference in the average pain and anxiety after the intervention between the control and intervention groups with a value of p = 0.000; p = 0.002. Progressive muscle relaxation has been proven effective in reducing the intensity of lower back pain and anxiety. Obstetric practitioners can apply this method to pregnant women who experience lower back pain and anxiety. The progressive muscle relaxation method can be used as material in Complementary Therapy in Pregnancy to develop obstetric science.
Education on the Application of Red Rose Aromatherapy for Pain Reduction in the First Stage of Labor Sitorus, Riris; S, Grace Erlyn Damayanti; Br Barus, Eva Solina; Astari, Resha
JURNAL PENGMAS KESTRA (JPK) Vol. 5 No. 1 (2025): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/cc4ak897

Abstract

Labor is a critical moment filled with anticipation, emotion, and physiological change for pregnant women. Pain during the first stage of labor is a natural process but often leads to physical discomfort and psychological distress, potentially prolonging labor and increasing complication risks. This community service program (PkM) was designed as an educational seminar aimed at promoting red rose-based aromatherapy as a non-pharmacological approach to alleviate labor pain in the first stage. The seminar involved 30 pregnant women as active participants and was conducted at Nining Pelawati Clinic. Educational content included an introduction to aromatherapy, the therapeutic benefits of red rose essential oil, its sensory mechanisms through the olfactory system, and the correct usage procedures according to standardized operational protocols. Participants’ knowledge was assessed using structured pre-test and post-test questionnaires. The results revealed a notable increase in participants’ understanding, with average scores rising from 55.2 (pre-test) to 88.1 (post-test), indicating a 59.6% improvement. The highest gain (80%) was observed in understanding standard procedures of aromatherapy application. These findings demonstrate that interactive, participatory education combined with supportive media such as leaflets and instructional videos is highly effective in enhancing knowledge. This program is expected to support pregnant women in preparing for childbirth with greater confidence, reduced anxiety, and improved coping mechanisms through natural pain management techniques.
Co-Authors Anuhgera, Diah Evawanna Astari, Resha Br Barus, Eva Solina Br. Barus, Eva Solina Damayanti S, Grace Erlyn Damayanti, Grace Erlyn Debi Dinha Octora Diah Evawanna Anugerah Dwi Handayani Dwi Handayani Ginting, Samuel Jalilah, Nikma Liesmayani, Elvi Era Nikmah Jalila Ritonga Pulungan, Susi Andriany Ritonga, Nikmah Jalilah S, Grace Erlyn Damayanti Sihotang, Grace Erlyn Damayanti Simarmata, Juni Mariati Telova, Yurizki widiyantoro, Cahya Sukma Yessy Arisman