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Kombinasi Teknik Contrast Bath Dan Foot Massage Dalam Menurunkan Edema Kaki Pada Ibu Hamil Dengan Preeklamsia Berat Pasambo, Yourisna; Radjak, Desy Fransiska; Tamunu, Esther; Tuegeh, Johana; Karundeng, Yanni
JIDAN Jurnal Ilmiah Bidan Vol 11 No 2 (2024): Vol 11 No 2 ( Edisi Januari - Juni 2024 )
Publisher : POLTEKKES KEMENKES MANADO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47718/jib.v11i2.2115

Abstract

Background: Preeclampsia is a set of symptoms experienced by pregnant women, laboring women and women in the postpartum period that usually appear at 20 weeks of gestation until the end of the first week of labor. Leg edema is a common problem in pregnant women with preeclampsia. Leg edema makes pregnant women feel cramps at night, feel uncomfortable and heavy in the swelling area. The management of foot massage and warm water soak is effective in reducing leg edema in third trimester pregnant women. Contrast bath is one of the foot soaking techniques that works to reduce edema by lowering intra-venous hydrostatic pressure which has an impact on the seeping of plasma fluid in the interstitium back into the veins. Objective : of this case study is to apply evidenced based nursing action contrast bath with foot massage to reduce leg edema in pregnant women with severe preeclampsia. The writing. Methods : is descriptive qualitative using a case study approach. Samples were selected using purposive sampling technique and obtained a sample of four pregnant women with severe preeclampsia. Results: the four pregnant women experienced a decrease in edema degree of 1 degree each after being given contrast bath and foot massage interventions for three days. Conclusion: the combination of contrast bath and foot massage techniques is effective in reducing leg edema
Mentoring for Breastfeeding Mothers in Stunting Prevention Efforts in Kalasey Dua Village Pasambo, Yourisna; Karundeng, Yanni; Desyani, Ni Luh Jayanthi; Tuegeh, Johana; Kusmiyati, Kusmiyati
JURNAL PENGABDIAN MASYARAKAT KOMUNITAS KESEHATAN Vol 2 No 01 (2024): JUNI
Publisher : Poltekkes Kemenkes Manado

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47718/jb.v2i01.2317

Abstract

Introduction Stunting occurs in children with chronic malnutrition due to the provision of food that does not meet nutritional needs. Stunting prevention is carried out through specific and sensitive interventions on the target of the first 1,000 days of life, one of which is by providing optimal Exclusive Breastfeeding. The cause of the low coverage of breastfeeding is the lack of understanding and awareness of a mother about the importance of breast milk for child growth. Several previous studies have found that mentoring mothers can increase knowledge and understanding of mothers about the nutrition of pregnant and breastfeeding mothers and the importance of effective Exclusive Breastfeeding. The purpose of the activity is to increase the knowledge and abilities of mothers in providing Exclusive Breastfeeding in Kalasey Dua Village. The community service method is implemented through education on providing Exclusive Breastfeeding using videos and E-Modules as well as face-to-face mentoring and counseling and through WhatsApp groups. The results of the activity showed an increase in the knowledge of pregnant and breastfeeding mothers about providing Exclusive Breastfeeding after being given education and mentoring by implementing videos and e-modules. Conclusion, providing education and mentoring effectively increases the knowledge of pregnant and breastfeeding mothers about the importance of providing Exclusive Breastfeeding.
Peningkatan Kemampuan Kader Dalam Meningkatkan Cakupan Imunisasi Dasar di Puskesmas Kakaskasen Kota Tomohon Pasambo, Yourisna; Alam, Syamsu; Pratiwi, Dian
Jurnal Pengabdian kepada Masyarakat Nusantara Vol. 4 No. 4 (2023): Jurnal Pengabdian kepada Masyarakat Nusantara (JPkMN)
Publisher : Lembaga Dongan Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Kota Tomohon merupakan salah satu kota dengan capaian imunisasi lengkap dasar yang tidak mencapai target. Beberapa hal yang menjadi faktor penyebab adalah kurangnya pengetahuan ibu tentang imunisasi dan kesadaran ibu untuk membawa bayi ke posyandu, meskipun sudah diberikan informasi oleh kader terkait pelaksanaan posyandu. Dalam mengoptimalkan perannya untuk meningkatkan capaian imunisasi dasar lengkap, tentunya kader posyandu memerlukan strategi baru dan pengembangan diri. Tujuan kegiatan ini adalah meningkatnya pengetahuan dan kemampuan kader posyandu dalam memobilisasi orang tua membawa bayi diimunisasi sehingga dapat mengurangi drop out imunisasi dasar lengkap serta meningkatkan capaiannya. Kegiatan pengabdian masyarakat dilaksanakan melalui pelatihan kepada kader posyandu yang membantu pelaksanaan imunisasi dasar. Pelatihan dilaksanakan selama dua hari dengan menggunakan Modul Pelatihan Kader Imunisasi yang diterbitkan oleh Unicef dan Kementerian Kesehatan RI. Didapatkan jumlah peserta sebanyak 43 orang kader posyandu wilayah kerja Puskesmas Kakaskasen Kota Tomohon. Metode pelaksanaan pelatihan adalah melalui ceramah dengan media video animasi dan modul serta metode role play. Pengetahuan responden diukur sebelum dan sesudah diberikan pelatihan. Didapatkan hasil peningkatan pengetahuan responden setelah diberikan pelatihan. Diharapkan dengan meningkatnya pengetahuan, akan diikuti dengan meningkatnya kemampuan kader posyandu dalam memobilisasi orang tua membawa bayi diimunisasi sehingga dapat mengurangi drop out imunisasi dasar lengkap serta meningkatkan capaian imunisasi.
GROUP ACTIVITY THERAPY REDUCES SYMPTOMS OF PSYCHOSOCIAL DISORDERS OF THE ELDERLY (ELDERLY) Pasambo, Yourisna; Karundeng, Yanni; Imbar, Henry Sonny; Tumurang, Marjes; Desyani, Ni Luh Jayanthi
JURNAL PENGABDIAN MASYARAKAT KOMUNITAS KESEHATAN Vol 1 No 1 (2023): DESEMBER
Publisher : Poltekkes Kemenkes Manado

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47718/jb.v1i1.852

Abstract

Pada umumnya setelah orang memasuki lansia akan mengalami penurunan fungsi kognitif dan psikomotor. Keadaan itu berpotensi menimbulkan masalah kesehatan secara umum maupun kesehatan jiwa secara khusus pada lansia. Di antaranya adalah secara psikososial yaitu ketergantungan pada orang lain, mengisolasi diri atau menarik diri dari kegiatan kemasyarakatan, bingung, panik, depresif, apatis, dan sebagainya. Penurunan fungsi kognitif dan psikomotor juga lansia yang berada di Desa Silian Satu Kecamatan Silian Raya Kabupaten Minahasa Tenggara. Berdasarkan hasil wawancara kepada beberapa orang lansia ditemukan bahwa lansia tersebut tidak lepas dari masalah psikososial. Kondisi psikososial seperti ini tentunya menyebabkan lansia mengalami penurunan kualitas kesehatan, kurang berdaya guna dalam masa tua serta kurang menikmati masa tua mereka. Salah satu upaya untuk meningkatkan derajat kesehatan dan mutu kesehatan lansia adalah dengan menerapkan terapi aktivitas kelompok (TAK). TAK merupakan salah satu cara agar lansia berpartisipasi aktif dalam kegiatan yang dapat mempengaruhi psikososialnya. Hasil penelitian yang dilakukan oleh Yanni dkk (2018) terhadap lansia di Panti Agape Tondano dan Panti Debora Tondano Propinsi Sulawesi Utara menunjukkan bahwa terapi aktifitas kelompok stimulasi sensori memberi hasil yang bermakna dimana terdapat pengaruh terapi aktivitas kelompok stimulasi sensoris terhadap gangguan psikososial lanjut usia. Terapi aktifitas kelompok stimulasi sensoris dilakukan dengan metode diskusi dan sharing persepsi dengan panduan modul yang disusun oleh tim peneliti. Hasil penelitian tersebut dapat menjawab masalah kesehatan psikososial yang dialami oleh lansia di Desa Silian Satu. Pengabdian masyarakat dilaksanakan melalui terapi aktifitas kelompok persepsi sensori dengan menggunakan Modul Terapi Aktifitas Kelompok hasil penelitian dari Yanni Karundeng dkk. Terapi aktifitas kelompok dilaksanakan selama empat hari. Kegiatan ini difokuskan pada lansia yang mengalami penurunan / gangguan fungsi psikososial dengan target sasaran 50 -70 lansia. Hasil analisa data menunjukkan bahwa terjadi penurunan gejala gangguan psikososial yang dialami oleh lansia setelah menjalani Terapi Aktivitas Kelompok (TAK). Kesimpulan yang diperoleh dalam kegiatan pengabdian kepada masyarakat ini adalah terjadi penurunan gejala gangguan psikososial yang dialami oleh lansia di Desa Silian Satu Kecamatan Silian Raya Kabupaten Minahasa Tenggara setelah diberikan TAK. Pada umumnya setelah orang memasuki lansia akan mengalami penurunan fungsi kognitif dan psikomotor. Keadaan itu berpotensi menimbulkan masalah kesehatan secara umum maupun kesehatan jiwa secara khusus pada lansia. Di antaranya adalah secara psikososial yaitu ketergantungan pada orang lain, mengisolasi diri atau menarik diri dari kegiatan kemasyarakatan, bingung, panik, depresif, apatis, dan sebagainya. Penurunan fungsi kognitif dan psikomotor juga lansia yang berada di Desa Silian Satu Kecamatan Silian Raya Kabupaten Minahasa Tenggara. Berdasarkan hasil wawancara kepada beberapa orang lansia ditemukan bahwa lansia tersebut tidak lepas dari masalah psikososial. Kondisi psikososial seperti ini tentunya menyebabkan lansia mengalami penurunan kualitas kesehatan, kurang berdaya guna dalam masa tua serta kurang menikmati masa tua mereka. Salah satu upaya untuk meningkatkan derajat kesehatan dan mutu kesehatan lansia adalah dengan menerapkan terapi aktivitas kelompok (TAK). TAK merupakan salah satu cara agar lansia berpartisipasi aktif dalam kegiatan yang dapat mempengaruhi psikososialnya. Hasil penelitian yang dilakukan oleh Yanni dkk (2018) terhadap lansia di Panti Agape Tondano dan Panti Debora Tondano Propinsi Sulawesi Utara menunjukkan bahwa terapi aktifitas kelompok stimulasi sensori memberi hasil yang bermakna dimana terdapat pengaruh terapi aktivitas kelompok stimulasi sensoris terhadap gangguan psikososial lanjut usia. Terapi aktifitas kelompok stimulasi sensoris dilakukan dengan metode diskusi dan sharing persepsi dengan panduan modul yang disusun oleh tim peneliti. Hasil penelitian tersebut dapat menjawab masalah kesehatan psikososial yang dialami oleh lansia di Desa Silian Satu. Pengabdian masyarakat dilaksanakan melalui terapi aktifitas kelompok persepsi sensori dengan menggunakan Modul Terapi Aktifitas Kelompok hasil penelitian dari Yanni Karundeng dkk. Terapi aktifitas kelompok dilaksanakan selama empat hari. Kegiatan ini difokuskan pada lansia yang mengalami penurunan / gangguan fungsi psikososial dengan target sasaran 50 -70 lansia. Hasil analisa data menunjukkan bahwa terjadi penurunan gejala gangguan psikososial yang dialami oleh lansia setelah menjalani Terapi Aktivitas Kelompok (TAK). Kesimpulan yang diperoleh dalam kegiatan pengabdian kepada masyarakat ini adalah terjadi penurunan gejala gangguan psikososial yang dialami oleh lansia di Desa Silian Satu Kecamatan Silian Raya Kabupaten Minahasa Tenggara setelah diberikan TAK.
Mentoring for Breastfeeding Mothers in Stunting Prevention Efforts in Kalasey Dua Village Pasambo, Yourisna; Karundeng, Yanni; Desyani, Ni Luh Jayanthi; Tuegeh, Johana; Kusmiyati, Kusmiyati
JURNAL PENGABDIAN MASYARAKAT KOMUNITAS KESEHATAN Vol 2 No 01 (2024): JUNI
Publisher : Poltekkes Kemenkes Manado

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47718/jb.v2i01.2317

Abstract

Introduction Stunting occurs in children with chronic malnutrition due to the provision of food that does not meet nutritional needs. Stunting prevention is carried out through specific and sensitive interventions on the target of the first 1,000 days of life, one of which is by providing optimal Exclusive Breastfeeding. The cause of the low coverage of breastfeeding is the lack of understanding and awareness of a mother about the importance of breast milk for child growth. Several previous studies have found that mentoring mothers can increase knowledge and understanding of mothers about the nutrition of pregnant and breastfeeding mothers and the importance of effective Exclusive Breastfeeding. The purpose of the activity is to increase the knowledge and abilities of mothers in providing Exclusive Breastfeeding in Kalasey Dua Village. The community service method is implemented through education on providing Exclusive Breastfeeding using videos and E-Modules as well as face-to-face mentoring and counseling and through WhatsApp groups. The results of the activity showed an increase in the knowledge of pregnant and breastfeeding mothers about providing Exclusive Breastfeeding after being given education and mentoring by implementing videos and e-modules. Conclusion, providing education and mentoring effectively increases the knowledge of pregnant and breastfeeding mothers about the importance of providing Exclusive Breastfeeding.
Penerapan Relaksasi Autogenik Terhadap Penurunan Kecemasan Pada Ibu Pre Kuretase Dengan Abortus Inkomplit Pasambo, Yourisna; Ali, Dwi Rabiatul Adwiyah; Tamunu, Esther; Sarimin, Dorce Sisfiani; Pesak, Ellen; Tuegeh, Johana
JIDAN Jurnal Ilmiah Bidan Vol 10 No 2 (2023): Vol 10 No 2 ( Edisi Januari - Juni 2023 )
Publisher : POLTEKKES KEMENKES MANADO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47718/jib.v10i2.1923

Abstract

Background: Incomplete abortion is the partial loss of conception and the remaining tissue in the uterus. In this condition the mother is recommended to do curettage to remove and clean the existing tissue, prevent infection to overcome heavy bleeding. This can have a psychological impact on mothers who will undergo several series of actions, one of which is anxiety. Nurses play a role in reducing maternal anxiety so that mothers can go through each process well. The application of autogenic relaxation techniques can be a solution in increasing the relaxation response, providing a sensation of calmness towards a situation faced, to reduce maternal anxiety. The purpose of this study was to determine the application of autogenic relaxation in reducing the anxiety of mothers who will undergo curettage due to incomplete abortion. The research method is descriptive-qualitative with a case-study approach. For sample determination, we used a targeted sampling technique to determine the number of samples from up to four pregnant women who had undergone an incomplete abortion. Results: anxiety levels decreased after a 3-day self-relaxation intervention in four pregnant women with incomplete abortion before curettage . Conclusion: autogenic relaxation is effective in reducing anxiety levels in pre curettage pregnant women due to incomplete abortion.
Kombinasi Teknik Contrast Bath Dan Foot Massage Dalam Menurunkan Edema Kaki Pada Ibu Hamil Dengan Preeklamsia Berat Pasambo, Yourisna; Radjak, Desy Fransiska; Tamunu, Esther; Tuegeh, Johana; Karundeng, Yanni
JIDAN Jurnal Ilmiah Bidan Vol 11 No 2 (2024): Vol 11 No 2 ( Edisi Januari - Juni 2024 )
Publisher : POLTEKKES KEMENKES MANADO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47718/jib.v11i2.2115

Abstract

Background: Preeclampsia is a set of symptoms experienced by pregnant women, laboring women and women in the postpartum period that usually appear at 20 weeks of gestation until the end of the first week of labor. Leg edema is a common problem in pregnant women with preeclampsia. Leg edema makes pregnant women feel cramps at night, feel uncomfortable and heavy in the swelling area. The management of foot massage and warm water soak is effective in reducing leg edema in third trimester pregnant women. Contrast bath is one of the foot soaking techniques that works to reduce edema by lowering intra-venous hydrostatic pressure which has an impact on the seeping of plasma fluid in the interstitium back into the veins. Objective : of this case study is to apply evidenced based nursing action contrast bath with foot massage to reduce leg edema in pregnant women with severe preeclampsia. The writing. Methods : is descriptive qualitative using a case study approach. Samples were selected using purposive sampling technique and obtained a sample of four pregnant women with severe preeclampsia. Results: the four pregnant women experienced a decrease in edema degree of 1 degree each after being given contrast bath and foot massage interventions for three days. Conclusion: the combination of contrast bath and foot massage techniques is effective in reducing leg edema
The Role of Health Counseling in Increasing Students' Knowledge About The Impact Of Gadget Use Lombogia, Moudy; Karundeng, Yanni; Lapian, Rubie Christine; Pasambo, Yourisna
Jurnal Ilmiah Perawat Manado (Juiperdo) Vol 10 No 02 (2022): DESEMBER
Publisher : POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN MANADO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47718/jpd.v10i2.1779

Abstract

Background: More than 100 million people in Indonesia use gadgets, both adults, teenagers, and children. In addition to the positive impact, gadgets also have many negative impacts. For teenagers, excessive use of gadgets can cause them to become forgetful of time, lazy, cyber bullying, insomnia, nomophobia, as well as tend to make teenagers become individualistic. The purpose of this study is to determine the influence of health counseling about the impact of gadget use on the knowledge of students of SMP Negeri 8 Manado. Method: The type of research is preexperimental with the form of One Group Pretest Posttest Design to compare knowledge before and after being given health counseling about the impact of using gadgets. The research population is all students of SMP Negeri 8 Manado. The sampling technique uses purposive sampling with a total sample of 46 respondents. The data analysis used is univariate analysis and bivariate analysis using the Wilcoxon Signed Rank Test. Result: The Wilcoxon test showed p-value = 0.000 (≤ 0.05). There are differences in adolescents' knowledge before and after being given counseling about the impact of using gadgets. Conclusion : Health counseling about the impact of using gadgets increases students' knowledge at SMP Negeri 8 Manado. The advice for students at SMP Negeri 8 Manado is that they are expected to be able to use gadgets more wisely so that the negative impact of gadgets can be avoided.
The Effect of Health Education on Postpartum Mothers' Knowledge About Exclusive Breastfeeding At The Ongkaw Health Center, Sinonsayang District Kumajas, Jean Debora; Tamunu, Esther N.; Lombogia, Moudy; Pasambo, Yourisna; Tololiu, Tinneke
Jurnal Ilmiah Perawat Manado (Juiperdo) Vol 11 No 01 (2023): JUNI
Publisher : POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN MANADO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47718/jpd.v11i1.2149

Abstract

Background: In Indonesia, postpartum mothers often find wrong habits in breastfeeding their babies, namely feeling that their milk production is not enough to fulfill their baby's nutrition and giving early complementary foods to their babies. Objective: This study was to determine the effect of health education on postpartum mothers' knowledge about exclusive breastfeeding at the Ongkaw Health Center, Sinonsayang District. Methods: This type of research is a preexperimental design with one group pre-post test conducted on 42 respondents determined by purposive sampling. Data collection was obtained from the results of filling out a knowledge questionnaire, analyzed using the Wilcoxon Signed Rank Test. Results: the study showed that the pre-test knowledge was less knowledgeable with an average value of 23.00. then in the post test the knowledge was good with an average value of 39.00. Conclusion: from the research, namely knowledge in respondents there is a significant effect (p value 0.000; α0.05), which means that there is an effect of health education on the knowledge of postpartum women about exclusive breastfeeding. Suggestions are expected to add insight into the community as information and increase knowledge about exclusive breastfeeding in breastfeeding for babies.
The Effectiveness of the Educational Program Through Audio Visual Media about Hand Hygiene and Diarrhea on the Knowledge of Students in Matungkas State Elementary School, North Minahasa Regency Indonesia Sarimin, Dorce Sisfiani; Pasambo, Yourisna; Tangkudung, Yesika; Ponidjan, Taty S.; Ransun, Djoni
Jurnal Ilmiah Perawat Manado (Juiperdo) Vol 11 No 02 (2023): DESEMBER
Publisher : POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN MANADO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47718/jpd.v11i2.2169

Abstract

Background:School-age children have a habit of paying less attention to the need to wash their hands in daily life, especially when in the school environment. They usually directly eat the food they buy around the school without washing their hands first. The behavior is certainly influential and can trigger the occurrence of diarrhea. Learning using interesting methods can increase knowledge and make it easier for children to understand hand hygiene and diarrhea.Objective: To find out the effectiveness of educational programs through audio visual media about hand hygiene and diarrhea on the knowledge of Matungkas State Elementary School students, North Minahasa Regency.Method: Using an approachQuasi Experimental with non equivalent control group design. The research subjects were 86 respondents, the sampling method was by probability sampling who fit into the inclusion criteria. The measuring instrument used is a knowledge questionnaire hand hygiene and diarrhea. Results of analysis with testsMann Whitney shows that there is a difference in value posttest knowledge of both groups with a P-valueValueequal to 0.000 means P-Value <0.05. Conclusion:Health education in the experimental group which used audio-visual media was more effective than the control group which was given health education through lectures using leaflets, but both groups experienced an increase in knowledge. In conclusion, educational programs through audio-visual media are effective in increasing knowledge about hand hygiene and diarrhea in students at SD Negeri Matungkas, North Minahasa Regency