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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
The Effectiveness of the Marmet Technique to Increase Breast Milk Production in Breastfeeding Mothers at the Tateli Community Health Center, Minahasa Regency Pasambo, Yourisna; Tumanken, Greischa Audrey; Tamunu, Esther; Ponidjan, Tati S.; Sarimin, Dorce Sisfiani; Kanine, Esrom
Jurnal Ilmiah Perawat Manado (Juiperdo) Vol 12 No 01 (2024): JUNI
Publisher : POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN MANADO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47718/jpd.v12i01.2319

Abstract

Introduction: Newborn babies must receive the best care, including food, where breast milk is the best intake to meet the baby's nutritional needs. In 2021, exclusive breastfeeding coverage in North Sulawesi Province will be 30.2%, lower than the national target of 80%. Several factors influence a mother's failure to provide exclusive breastfeeding, including psychological factors, maternal age, maternal occupation, maternal knowledge, family support, and lack of oxytocin and prolactin reflexes which can be influenced by lack of physical preparation (such as breasts) when breastfeeding. One of the things that health workers can do in this case is to help increase breast milk production, one of which is through the marmet technique. The marmet technique is a combination of expressing breast milk and massaging the breasts to optimize the breast milk reflex. This research is objective to evaluate the effectiveness of the marmet technique in increasing breast milk production in mothers breastfeeding babies aged 0-6 months at the Tateli Community Health Center, Minahasa Regency. Method: Research design using Almost Experiment with 30 breastfeeding mothers as samples, selected through purposive sampling. Results showed a significant increase in breast milk production after the intervention (p-Value < 0.05). Concluded that the marmet technique is effective in increasing breast milk production in mothers breastfeeding babies 0-6 months, and it is recommended that health practitioners introduce and train the marmet technique to breastfeeding mothers as part of efforts to increase breast milk production.
The Use of Video as an Educational Medium in Increasing Adolescents' Knowledge and Attitudes About the Impact of Gadget Use Ponidjan, Tati Setyawati; Jocom, Nadya Oktavia; Sarimin, Dorce Sisfiani; Pasambo, Yourisna; Ransun, Djoni
Jurnal Ilmiah Perawat Manado (Juiperdo) Vol 12 No 01 (2024): JUNI
Publisher : POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN MANADO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47718/jpd.v12i01.2342

Abstract

Pendahuluan: Penggunaan gadget yang berlebihan bisa membawa dampak yang cukup besar bagi tumbuh kembang anak, termasuk remaja. Salah satunya perihal berkurangnya aktivitas fisik yang seharusnya dilakukan remaja. Selain itu, dampak negatif lain adalah bila durasi yang digunakan terlalu lama bisa berakibat pada mata dan otak. Karena itu, diperlukan pendidikan kesehatan untuk dapat meningkatkan pengetahuan dan sikap remaja agar dapat menggunakkan gadget dengan baik dan benar. Tujuan penelitian: Untuk mengetahui efektivitas pendidikan kesehatan tentang dampak penggunaan gadget terhadap pengetahuan dan sikap remaja. Metode: Penelitian ini merupakan penelitian kuantitatif dengan desain penelitian preexperimental one-group pre-test and post-test design. Tempat penelitian dilaksanakan di kelurahan malalayang 1 barat selama bulan mei-juni 2023. Jumlah sampel yang diambil sebanyak 69 orang dengan intrumen penelitian menggunakan kuesioner. Hasil Penelitian: Hasil penelitian yang dilakukan memiliki hasil yang signifikan antara sebelum dan sesudah pendidikan kesehatan tentang dampak penggunaan gadget terhadap pengetahuan dengan P value 0,00 (<0,05). Dan hasil penelitian dengan hasil yang signifikan juga antara sebelum dan sesudah pendidikan kesehatan tentang dampak penggunaan gadget terhadap sikap dengan P value 0,00 (<0,05). Kesimpulan : Pendidikan kesehatan menggunakan media video, efektif terhadap peningkatan pengetahuan dan sikap remaja tentang dampak penggunaan gadget.
The Effectiveness of Psychological Dhikr Therapy in Improving the Quality of Life of Cancer Patients Undergoing Chemotherapy Syahri, Alfi; Marlina, Siti; Rosaulina, Meta; Manik, Maria Hermita; Harigustian, Yayang; Pasambo, Yourisna; Putra, Komang Ardidhana Nugraha
Jurnal Ilmiah Perawat Manado (Juiperdo) Vol 12 No 2 (2024): DESEMBER
Publisher : POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN MANADO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47718/jpd.v12i2.2524

Abstract

Introduction: Cancer is a chronic disease with increasing prevalence globally, including in Indonesia, and has a significant impact on patients' quality of life. This impact includes not only physical, but also emotional and spiritual aspects, especially for patients undergoing chemotherapy, who often face physical side effects such as fatigue, pain, and psychological disorders such as anxiety and depression. Objective: This study aims to analyze the effectiveness of dhikr therapy in improving the quality of life of cancer patients during chemotherapy. Methods: The study used a quasi-experimental approach with a one-group pre-post test design. The sample consisted of 37 adult cancer patients undergoing chemotherapy at Sembiring General Hospital, selected by purposive sampling technique. Dhikr intervention was conducted for 4 weeks, with data collected using the WHOQOL-BREF questionnaire to measure quality of life, as well as dhikr activity logs. Data analysis used paired t-test to evaluate changes before and after the intervention. Results: This study showed a significant improvement in patients' quality of life after dhikr therapy. The mean change score reached -9.184 with a standard deviation of 4.373, and a p-value of 0.000 (p < 0.05), indicating that this difference was statistically significant. Conclusion: Dhikr therapy is effective in improving the quality of life of cancer patients, especially in the physical, emotional, and spiritual dimensions.
TERAPI MUSIK DAN GUIDED IMAGERY DALAM MENURUNKAN KECEMASAN PADA IBU HAMIL DENGAN PREEKLAMSIA DI RSUP PROF. KANDOU MANADO Pasambo, Yourisna; Kaunang, Marchelina Benediktin; Tamunu, Esther; Sarimin, Dorce Sisfiani; Tuegeh, Johana
Media Kesehatan Politeknik Kesehatan Makassar Vol 18 No 1 (2023): Media Kesehatan
Publisher : Direktorat Politeknik Kesehatan Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32382/medkes.v18i1.447

Abstract

Pendahuluan: Preeklamsia merupakan hipertensi pada kehamilan yang ditandai dengan peningkatan tekanan darah lebih dari atau sama dengan 140/90 mmHg setelah umur kehamilan 20 minggu, disertai dengan proteinuria lebih dari 300 miligram per 24 jam. Preeklamsia dapat menimbulkan kecemasan pada ibu akan dampak yang dapat ditimbulkan dari preeklamsia, sebaliknya kecemasan juga dapat meningkatkan tekanan darah pada ibu. Tujuan penelitian ini adalah memberikan gambaran efektifitas terapi musik dan guided imagery dalam menurunkan tingkat kecemasan ibu hamil dengan preeklamsia. Metode penelitian adalah deskriptif kualitatif dengan pendekatan studi kasus. Peneliti melaksanakan asuhan keperawatan kepada ibu hamil dengan preeklamsia dan meingimplementasikan terapi musik dan guided imagery untuk mengurangi kecemasan ibu. Penetapan sampel menggunakan teknik purposive sampling dengan kriteria inklusi ibu hamil dengan preeklamsia berat disertai proteinuria serta menjalani program hingga selesai, sehingga didapatkan sampel sebanyak empat ibu hamil. Hasil: setelah diberikan intervensi terapi musik dan guided imagery selama tiga kali, terjadi penurunan tingkat kecemasan pada keempat ibu hamil yang mengalami preeklamsia. Tingkat kecemasan responden pertama menurun dari skor 27 (kecemasan sedang) menjadi 14 (kecemasan ringan). Responden kedua menurun dari skor 25 (kecemasan sedang) menjadi 14 (kecemasan ringan). Responden ketiga menurun dari skor 26 (kecemasan sedang) menjadi 13 (kecemasan ringan). Responden keempat menurun dari skor 26 (kecemasan sedang) menjadi 14 (kecemasan ringan). Hasil penelitian studi kasus memberikan gambaran bahwa penerapan terapi musik dan guided imagery dapat menurunkan tingkat kecemasan ibu hamil dengan preeklamsia setelah diberikan intervensi sebanyak tiga kali. Kata Kunci : Guided Imagery, Ibu hamil, Kecemasan, Preeklamsia, Terapi Musik