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PENYULUHAN TENTANG MANFAAT MENGKONSUMSI JUS NANAS DALAM MEMINIMALISIR NYERI HAID PADA REMAJA PUTRI DI SMP YP SINGOSARI DELI TUA Sitepu, Marlen Sadrina; Sinambela, Megawati
Jurnal Pengabdian Masyarakat Putri Hijau Vol 4 No 1 (2023): Jurnal Pengabdian Masyarakat Putri Hijau
Publisher : INSTITUT KESEHATAN DELI HUSADA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpmph.v4i1.1651

Dismenore diartikan sebagai gangguan ginekologi yang sering terjadi saat menstruasi pada wanita, diklasifikasikan sebagai dismenore primer dan sekunder. Abdomen Pubica/hypogastric merupakan bagian yang mengalami nyeri. Tujuan dalam penelitian ini adalah untuk mengetahui pengaruh pemberian jus nanas (Ananas comosus) terhadap tingkat nyeri haid pada remaja putri. Adapun alternatif yang digunakan untuk meminimalisirkan nyeri haid pada remaja putri ialah dengan memanfaatkan nanas. Nanas mengandung kalori, lemak, protein, karbohidrat, serat, vitamin C, mangan, vitamin B6, vitamin A, vitamin K, zinc dan kalsium. Kegiatan ini dilakukan untuk memberikan informasi dan edukasi mengenau manfaat jus nanas dalam meminimalisir nyeri haid pada remaja putri.

PENGARUH TEKNIK RELAKSASI FINGER HOLD TERHADAP INTENSITAS NYERI PADA PASIEN POST OPERASI SECTIO CAESAREA DI RUANG BERSALIN RSU LATERSIA BINJAI Sinambela, Megawati; Tamba, Vera Wati
JURNAL ILMIAH DHDT - KEBIDANAN Vol 6 No 2 (2024): JURNAL PENELITIAN KEBIDANAN & KESPRO
Publisher : Fakultas Kebidanan Institut Kesehatan Deli Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpk2r.v6i2.1700

Sectio Caesarea is a way of giving birth to a fetus by making an incision in the uterine wall through the front wall of the abdomen. WHO in 2016 set the average standard for sectio caesarea in a country to be 5-15% per 1000 births in the world. Latin America and the Caribbean region contributed the highest caesarean method rates, namely 40.5%, followed by Europe 25%, Great Britain 20%, Asia 19.2%, Africa 7.3%, Indonesia 15.3% above the standard issued by WHO. At Latersia Hospital, the number of sectio caesarea deliveries in 2022 was 1058 cases. The purpose of this study was to identify the effect of the finger hold relaxation technique on pain intensity in postoperative sectio caesarea patients in the delivery room of RSU Latersiain 2023.This research is a quantitative research with a quasi-experimental research design with a one group pretest- posttest design without a control group. The sampling technique uses probability sampling which is taken by purposive sampling with a total sample of 46 respondents.The results of the wilcoxon showed that there was an effect of the finger hold relaxation technique on reducing pain intensity in postoperative sectio caesarea patients (p value = 0.000 <0.05). Most of the respondents had a moderate pain scale before the finger hold relaxation technique was carried out, and most had a mild pain scale after the finger hold relaxation technique was carried out, so it can be concluded that the finger hold relaxation technique is effective for reducing pain in postoperative sectio caesarea patients in the delivery room of RSU Latersia2023.

Factors influence the severity of premenopause syndrome Sinambela, Megawati; Hariati, Hariati; Susanti, Dewi; Sirait, Reni Aprinawaty
MEDISAINS Vol 22, No 2 (2024)
Publisher : Universitas Muhammadiyah Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/medisains.v22i2.23123

Background: Premenopause syndrome triggers more severe physical and psychological problems and the emergence of various diseases. The limited research on the factors causing the severity of Premenopause syndrome has resulted in a lack of efforts to address the causative factors. Purpose: This study aims to explore factors that influence the severity of premenopause syndrome.Method: This is an analytic observational study with a cross-sectional design. Eighty-eight women aged 40-45 years were included in this study. The knowledge, attitude, age of menarche, use of hormonal contraceptives, and symptoms of premenopause syndrome observed in this study—data analysis using chi-square and multiple logistic regression.Results: Factors that influence the severity of premenopause syndrome are knowledge, attitude, age of menarche, and use of hormonal contraceptives (p<0.001). Knowledge is the most dominant factor (Exp(B) = 25.983; p<0.05)Conclusion: These results underscore the importance of increasing the knowledge of premenopause women to reduce the severity.

Midwifery assessment and interventions protocol for adolescent pregnancy: a Delphi method approach Susanti, Dewi; Yuda, Rahmi Andrita; Handayani, Sri; Sirait, Reni Aprinawaty; Sinambela, Megawati; Yusefni, Elda
MEDISAINS Vol 22, No 2 (2024)
Publisher : Universitas Muhammadiyah Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/medisains.v22i2.23317

Background: Adolescence pregnancy poses risks for both mothers and infants, often due to insufficient prenatal care resulting from societal stigmatization and lack of awareness. Around 16 million adolescents aged 15-19 years in the world give birth each year; in Indonesia, the first pregnant women aged <20 years are 45.10%, while in West Sumatra, it is 33.7%. To address this issue, integrated programs and midwifery care have been implemented. However, providing such care to adolescent mothers comes with its own set of challenges.Purpose: This study aims to conduct a midwifery assessment and intervention protocol for adolescent pregnancy.Method: Qualitative approach The Delphi method involved two rounds of evaluation, with twenty-one participants who were independent practice midwives, six midwives involved in the mother and child health program, and nine midwifery lecturers from accredited educational institutions A (excellent). Participants had at least five years of clinical experience and were selected using purposive non-probability sampling. Participants evaluated statements related to midwifery care during the Delphi process. The validity of these statements was determined by participants providing a minimum score of 3, and the Content Validity Ratio (CVR) was calculated. Statements with a CVR greater than 0.8 were considered valid.Results: Based on expert consensus, important assessments for adolescent pregnant women include addressing issues of gender equality and domestic violence, reproductive and sexual health, risks associated with smoking and substance abuse, maintaining a healthy pregnancy, and adequately preparing for labor and parenthood.Conclusion: Midwifery management and midwifery information were deemed valid dimensions of midwifery care; relational care had one invalid item.

The Influence of Health Education with Video Media on Stunting Prevention on Mothers' Knowledge Sitorus, Rotua Sumihar; Sirait, Reni Aprinawaty; Sinambela, Megawati
Jurnal Keperawatan Priority Vol. 8 No. 1 (2025)
Publisher : Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jukep.v8i1.6299

Stunting is a chronic malnutrition condition experienced by a person since pregnancy and early childhood, failure to thrive in children (Stunting) is a challenge in the development of a quality Indonesian society. This study aims to determine the effect of health education with video media on preventing stunting. This study is a quantitative study with a quasi-experimental method. The study was conducted in the work area of the Laut Tador Health Center, Batu Bara Regency in January 2024. The population in this study were all stunted babies totaling 171 people, a sample of 47 respondents was obtained. The results of the study showed that out of 47 respondents, aged 25-30 years (61.3%) and 31-35 years (38.3%). Based on education with Senior High School education (53.2%), Elementary School education (6.4%), Junior High School education (8.5%), and Diploma/Bachelor education (31.9%), while based on occupation with jobs as IRT (Housewife) (53.2%), employees (25.5%), and teachers (21.3%). The results of the paired sample test obtained an average value before and after counseling of 13.085 with a standard deviation of 17.306 with a t value of -5.183. The significance value of the p-value is 0.000 (<0.05), so it can be concluded that there is an influence of providing video media on respondents' knowledge in preventing stunting before and after.

PEMBERDAYAAN IBU HAMIL DETEKSI DINI ANEMIA DAN PENCENGAHANNYA. Sinambela, Megawati
Jurnal Pengabdian Masyarakat Putri Hijau Vol 5 No 3 (2025): Jurnal Pengabdian Masyarakat Putri Hijau (JPMPH)
Publisher : INSTITUT KESEHATAN DELI HUSADA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpmph.v5i3.2474

Anemia pada ibu hamil merupakan salah satu masalah kesehatan masyarakat yang serius di Indonesia, dengan preval_ensi mencapai 48,9% menurut RISKESDAS 2018. Kondisi ini dapat menimbulkan dampak buruk baik bagi ibu maupun janin, seperti keguguran, persalinan prematur, dan berat badan lahir rendah. Kegiatan Pengabdian Kepada Masyarakat (PKM) ini bertujuan untuk meningkatkan pengetahuan ibu hamil mengenai deteksi dini dan pencegahan anemia melalui edukasi dan pemberdayaan di Dusun II, Desa Sidodadi, Kecamatan Biru-Biru, Kabupaten Deli Serdang. Metode pelaksanaan kegiatan berupa penyuluhan langsung dengan pendekatan ceramah interaktif, diskusi, serta pemeriksaan tekanan darah peserta. Hasil kegiatan menunjukkan antusiasme dan partisipasi aktif dari 26 ibu hamil yang hadir. eval_uasi pasca-kegiatan memperlihatkan peningkatan pemahaman peserta mengenai pentingnya konsumsi zat besi, suplemen TTD, serta pemeriksaan hemoglobin secara berkala. Kesimpulannya, pemberdayaan melalui edukasi terbukti efektif dalam meningkatkan kesadaran ibu hamil terhadap bahaya anemia dan pentingnya pencegahan secara dini. Disarankan agar kegiatan serupa dilakukan secara berkelanjutan dengan dukungan lintas sektor.

HUBUNGAN MONITORING DAN EVALUASI DENGAN KUALITAS PELAYANAN DI PUSKESMAS SEI SUKA-BATUBARA Melati, Melati; Revida, Erika; Sinambela, Megawati
Jurnal Inovasi Kesehatan Masyarakat Vol 1 No 1 (2019): Jurnal Inovasi Kesehatan Masyarakat
Publisher : Fakultas Kesehatan Masyarakat, Institut Kesehatan Deli Husada Deli Tua

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jikm.v1i1.189

The development of various types of health services makes the quality of health services in public health centers easily overlooked. In the framework of quality control to have accreditation standards, it is necessary to implement a quality program that includes monitoring evaluation activities.This study aims to analyze the relationship between the planning, implementation and reporting stages of monitoring evaluation with service quality at Sei Suka Public Health Center, Batu Bara District in 2019. The study was analytic survey research with a cross sectional approach. The sample in the study was 36 employees of the Sei Suka Public Health Center, and using non probability sampling with total sampling techniques and 36 patients at the Sei Suka Public Health Center with purposive sampling technique. Data analysis was univariate, bivariate with Spearman Rank correlation test and multivariate with multiple linear regression test at 95% confidence level, α = 5%. The results of the study showed that the planning phase activities were good, the implementation phase was not good and the reporting phase was not good. Service quality was still low. There was a relationship between the planning, implementation and reporting stages of monitoring evaluation with service quality. The implementation phase of monitoring evaluation was the most related variable to service quality in Sei Suka Public Health Center, Batu Bara District in 2019.The planning phase must be carried out by involving stakeholder and the health professionals involved. The implementation phase of monitoring evaluation must be carried out based on the planning phase that had been made, carried out on time and regularly periodically. The results of the reporting phase of monitoring evaluation must be socialized and communicated with all employees and service units involved.

ANALYSIS DETERMINANTS OF TYPE 2 DIABETES MELLITUS: A CASE CONTROL STUDY: Analisis Determinan Kejadian Diabetes Mellitus Tipe 2: Studi Case Control Sirait, Reni Aprinawaty; Hulu, Victor Trismanjaya; Sitorus, Rotua Sumihar; Susanti, Dewi; Handayani, Sri; Sinambela, Megawati; Rahmi, Nurfadhilah
Jurnal Berkala Epidemiologi Vol. 13 No. 3 (2025): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V13I32025.272-279

Background: Type 2 Diabetes Mellitus (type 2 DM) is a chronic disease in adults due to the body's resistance to insulin. Purpose: This study aims to analyze the determinants of the incidence of type 2 DM. Methods: The study design was a case-control study. The case population in this study was patients with type 2 DM who had been diagnosed by doctors based on data available in the medical records of Bintang Bayu Health Center. In contrast, the control population was patients who did not suffer from type 2 DM. The study's sample size was 138 people, with a ratio of cases to controls of 1:2. The case group consisted of 46 people, and the control group comprised 92 people. The sampling technique used was nonprobability sampling, namely, consecutive sampling. Questionnaire distribution was the primary method of data collection. The frequency distribution of each variable was calculated before analyzing the data using Chi-square and logistic regression. Results: Diet (p=0.001; OR=4.7; 2.231–10.154), knowledge (p=0.033; OR=2.3; 1.129–4.785), physical activity p = 0.010; OR = 2.8; 1.342 – 6.032), hypertension (p=<0.001; OR=4.9; 2.089–11.784) were significant to the incidence of type 2 DM. The most dominant variable was hypertension, p=<0.001; OR=7.3 (2.581-20.680). Conclusions: Poor diet, poor knowledge, light physical activity, and hypertension were significant factors in the incidence of type 2 DM.

The Influence of Health Education with Video Media on Stunting Prevention on Mothers' Knowledge Sitorus, Rotua Sumihar; Sirait, Reni Aprinawaty; Sinambela, Megawati
Jurnal Keperawatan Priority Vol. 8 No. 1 (2025)
Publisher : Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jukep.v8i1.6299

Stunting is a chronic malnutrition condition experienced by a person since pregnancy and early childhood, failure to thrive in children (Stunting) is a challenge in the development of a quality Indonesian society. This study aims to determine the effect of health education with video media on preventing stunting. This study is a quantitative study with a quasi-experimental method. The study was conducted in the work area of the Laut Tador Health Center, Batu Bara Regency in January 2024. The population in this study were all stunted babies totaling 171 people, a sample of 47 respondents was obtained. The results of the study showed that out of 47 respondents, aged 25-30 years (61.3%) and 31-35 years (38.3%). Based on education with Senior High School education (53.2%), Elementary School education (6.4%), Junior High School education (8.5%), and Diploma/Bachelor education (31.9%), while based on occupation with jobs as IRT (Housewife) (53.2%), employees (25.5%), and teachers (21.3%). The results of the paired sample test obtained an average value before and after counseling of 13.085 with a standard deviation of 17.306 with a t value of -5.183. The significance value of the p-value is 0.000 (<0.05), so it can be concluded that there is an influence of providing video media on respondents' knowledge in preventing stunting before and after.

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