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The Correlation Between Age And Parity Of Pregnant Women In III Trimester And The Incidence Of Anemia In Pregnancy At The Nd Clinic. Retno, Kabanjahe District, Karo District, 2023 Silalahi, Imelda Sarwani Br; Eva Ratna Dewi; Sinuhaji, Lidya Natalia Br.; Sembiring, Adelina; Manik, Nursinta; Rahmah
INTERNATIONAL JOURNAL OF MIDWIFERY RESEARCH Vol. 3 No. 2 (2023): International Journal of Midwifery Research
Publisher : Department of Midwifery, Faculty of Nursing and Midwifery, Institut Ilmu Kesehatan Nahdlatul Ulama Tuban

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47710/ijmr.v3i2.57

Pregnancy anemia is where the hemoglobin level is less than 11 grams or less than 33% at any time during the first trimester of pregnancy. Keywords: Pregnant women's class, pregnancy, anxiety, primigravida. Research objectives: To determine the relationship between age and parity of pregnant women in the third trimester and the incidence of anemia in pregnancy at the Nd Clinic. Retno, Kabanjahe sub-district, Karo district in 2023. This research design uses a descriptive research design with a cross-sectional quantitative approach.This research was carried out in April-July 2023. The research population was all pregnant women who visited and were hospitalized at the Nd Clinic. Retno, Kabanjahe District, Karo Regency, namely 43 people. The sampling technique was purposive sampling. The sample in this study was 43 people. Bivariate analysis was carried out on two variables that were thought to be related (Notoatmodjo: 2012). The statistical tests used in this research are the Chi Square test (x2) and the Fisher's Exact Test. This test is used because the data to be analyzed is categorical data. To see the significance of the statistical calculation results, a significance limit of α=0.05 is used so that if statistical analysis results are found with a p value <0.05, the relationship between the two variables is declared meaningful or significant. especially those who suffer from anemia, so that they know how their HB levels are progressing to normal. Future researchers need to carry out further research in order to develop knowledge, especially about anemia in pregnant women.

Key Performance Indicators Analysis for Quay Container Crane Performance Assessment (Case Study at Jakarta International Container Terminal) Pekih, Mufti Imam; Sembiring, Adelina; Santoso, Sugeng
International Journal of Mechanical Engineering Technologies and Applications Vol. 2 No. 2 (2021)
Publisher : Mechanical Engineering Department, Engineering Faculty, Brawijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/MECHTA.2021.002.02.5

PT Jakarta International Container Terminal (JICT) is the largest container port in Indonesia. Currently, JICT capacity is 2.5 million TEUs (Twenty-foot Equivalent Units) per year, it continues to strive to improve international services and is supported by adequate container loading and unloading equipment. The requirement to establish common standards in different types of container port equipment and identify performance indicators to assess the performance of container handling equipment has increased. Although the Quay Container Crane (QCC) operating system may be different at each container terminal, there are similarities in its main movements, namely: Main Hoist, Trolley, Gantry, and Boom. By knowing the clock metric for each movement, it is possible to determine the Key Performance Indicator (KPI) that has been adopted and assess the performance of the Quay Container Crane (QCC). The results of the study identified that the value of MMBF (Mean Move Between Failures) decreased due to the accumulation of long-lasting heavy load operations, while the number of maintenance activities for machine parts and working hours continued to increase. Key Performance Indicator (KPI) as a management tool can guide QCC inspections and the results can provide useful insights for improving the performance of equipment and container loading and unloading operations in the future.

TERAPI AKUPRESUR UNTUK HIPERTENSI DI KELURAHAN BANGUN REJO KECAMATAN TANJUNG MORAWA SEMBIRING, ADELINA; Gurning, Lisbet; Br Sinuhaji, Lidya Natalia; Barus, Magdalena
Jurnal Sinergitas PKM & CSR Vol. 7 No. 1 (2023): APRIL
Publisher : Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/jspc.v7i1.6189

Hypertension without treatment can lead to serious complications such as the brain, eyes, heart, kidneys and even peripheral arteries. The results of the preliminary study found that 7 out of 11 who suffered from hypertension had massaged the head, neck, shoulders and back areas, but patients said that massage was only to reduce headaches without knowing which points to press. The purpose of this activity is to control and prevent hypertension in the Bangun Rejo sub-district, Tanjung Morawa sub-district. The methods used in the implementation of this service are counseling, demonstration and role play. The areas that become acupressure points are 4 fingers above the internal malleoulus, the proximal area of the meeting of the first and second metatarsal bones, 3 fingers above the wrist, at the elbow crease, 2 fingers from the back hairline in an indentation, 2 fingers behind the prominence laryngeus and in front of the carotid artery. Blood pressure checks were carried out by researchers 10 minutes after therapy. The results obtained after this activity showed that there was a decrease in blood pressure after acupressure therapy was carried out. Keywords: Acupressure Therapy, Blood Pressure, Hypertensionin indonesia Hipertensi tanpa penanganan mengakibatkan komplikasi yang serius seperti otak, mata, jantung, ginjal bahkan pembuluh darah arteri perifer. Hasil studi pendahuluan ditemukan ada 7 dari 11 yang menderita hipertensi sudah melakukan pijatan pada daerah kepala, leher, bahu dan punggung, namun penderita mengatakan melakukan pijat hanya untuk mengurangi sakit kepala tanpa mengetahui titik mana yang harus ditekan. Tujuan kegiatan ini untuk mengendalikan dan mencegah hipertensi di kelurahan bangun rejo kecamatan tanjung morawa. Metode yang digunakan dalam pelaksanaan pengabdian ini adalah penyuluhan, demonstrasi dan role play. Daerah yang menjadi titik akupresure adalah 4 jari di atas malleoulus internus, area proximal pertemuan tulang-tulang metatarsal I dan metatarsal II, 3 jari di atas pergelangan tangan, pada lipat siku, 2 jari dari batas rambut belakang pada sebuah lekukan, 2 jari dibelakang prominensia ilaryngeus dan di depan arteri carotis. Pemeriksaan tekanan darah dilakukan peneliti 10 menit setelah terapi. Hasil yang diperoleh setelah kegiatan ini didapatkan hasil bahwa terdapat penurunan tekanan darah setelah dilakukan terapi akupresur. Kata Kunci : Terapi Akupresur, Tekanan Darah, Hipertensi

Wounds Care on Patients During The Covid-19 Pandemic Era Zega, Petra Diansari; Bui, Thanh Loan; Sembiring, Adelina
Media of Health Research Vol. 1 No. 1 (2023): Media of Health Research, April 2023
Publisher : Lembaga Publikasi Ilmiah Nusantara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55681/mohr.v1i1.9

Introduction: Wound care is part of nursing management. During Covid-19, the practice of wound care decreased under normal conditions. Nursing management knowledge is needed on how to practice wound care during COVID-19 to provide a wound healing process. This systematic review aims to identify wound care nursing care management during COVID-19. Methods: Article searched from PubMed; ProQuest; and EBSCO; selected based on the following inclusion criteria: study focus on nurses practicing chronic wound care during Covid-19, focused nursing management, case studies, articles published in the 2019-2021 range, full text, articles in English. Results: In the final stage, 5 articles were found. The results of the study show that nursing care management uses telehealth and telemedicine services for wound care patients. Conclusion: The findings of this systematic review indicate that telehealth and telemedicine services can provide opportunities to improve wound care to patients.

Promosi Kesehatan dan Pelaksanaan Pemberian Imunisasi BCG Pada Bayi 0-2 Bulan Diklinik Deby Cyntia Yun Purnamasari, Eka; Dewi, Eva Ratna; Br Sinuhaji, Lidya Natalia; Sembiring, Adelina
Jurnal Pengabdian Kepada Masyaraka Pelita Nusantara Vol. 2 No. 1 (2023): Edisi Agustus
Publisher : Loddos Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69688/jpmp.v2i1.182

Cakupan imunisasi dasar pada tahun 2009 menunjukkan bahwa dari jumlah sasaran 4.461.341 bayi, cakupan imunisasi BCG 93,8%, DPT 69,6%, Polio 1 76,6%, Polio 4 92,4%, campak 91%. Hasil survey pengabdian di klinik Deby cyntia yun, masih ada bayi yang terlewatkan untuk imunisasi BCG, dikarenakan Ibu terlalu takut untuk membawa bayi nya imunisasi karena usia bayi masih 2 bulan. Peran ibu dalam program imunisasi sangat penting, sehingga pemahaman yang tepat tentang imunisasi sangat diperlukan. Tujuan Mengatasi masalah Kesehatan yang dialami ibu tentang pentingnya imunisasi dasar pada bayi usia 0-2 bulan di Klinik Deby Cyntia Yun, Dari tabel 1 didapatkan hasil pengetahuan ibu saat dilakukan prestest sebelum Promosi Kesehatan (penyuluhan) yaitu pengetahuan ibu yang baik ada 3 responden ibu (20%) dan pengetahuan ibu yang cukup ada 5 Responden (33,3%), Serta Pengetahuan Ibu yang Kurang ada 7 responden (46,7%). hasil ini menunjukkan bahwa pengetahuan ibu tentang ASI masih kurang. Setelah diberikan Promosi Kesehatan (penyuluhan) hasil yang didapatkan yaitu pengetahuan ibu yang baik ada 9 Responden (60%) dan pengetahuan ibu yang cukup ada 5 Responden (33,3%) dan yang kurang 1 Responden (6,7%) Sehingga dapat disimpulkan, pengetahuan ibu tentang ASI eksklusif meningkat setelah diberikan penyuluhan (Promosi). Dari hasil kegiatan pengabdian kepada masyarakat melalui pelaksanaan pemberian Imunisasi BCG pada Bayi 0-2 Bulan di Klinik Bidan deby Cyntia Yun dapat memberikan kontribusi dalam peningkatan gerakan imunisasi nanti, sehingga dengan adanya pemberian imunisasi semua penyakit pada balita dapat dicegah sedini mungkin. dari hasil yang didapat adanya peningkatan kesadaran orang tua sebanyak 75% terhadap pentingnya pemberian imunisasi dasar pada balita. Kondisi demikian dapat disimpulkan bahwa ada peningkatan kesadaran peserta dan kemampuan melakukan identifikasi kebutuhan imunisasi pada bayi di wilayah klinik bidan deby Cyntia Yun.

Pengaruh Marmet Massage Terhadap Peningkatan Produksi ASI Pada Ibu Postpartum Di Wilayah Kerja Puskesmas Sonomartani Praviani Elina, Sri; Ratna Dewi, Eva; Lina Pinem, Sri; Sembiring, Adelina; Doddy Simanjuntak, Markus; Manalu, Veronika
JIDAN: Jurnal Ilmiah Kebidanan Vol. 4 No. 1 (2024): Edisi Januari 2024
Publisher : UNIVERSITAS HAJI SUMATERA UTARA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51771/jidan.v4i1.862

Faktor-faktor yang mempengaruhi kegagalan ASI yang pertama adalah karena kurangnya pengetahuan ibu tentang ASI Eksklusif, tenaga kesehatan yang dianggap paling bertanggung jawab dalam keberhasilan penggalakan ASI dan yang terakhir adalah faktor dari keluarga dimana ibu banyak yang gagal memberikan ASI Eksklusif karena orang tua, nenek atau lebih mertua mendesak untuk memberikan susu tambahan formula.Beberapa upaya yang bisa dilakukan untuk membantu kelancaran pengeluaran ASI pada ibu diawal menyusui adalah breast care, pijat oksitosin, dan teknik marmet.Penelitian ini bertujuan untuk mengetahui Pengaruh Marmet Massage Terhadap Peningkatan Produksi ASI Pada Ibu Postpartum Di Wilayah Kerja Puskesmas Sonomartani Kec. Kualuh Hulu Kab. Labuhan Batu Utara Tahun 2022.Metode penelitian yang dingunakan adalah metode eksperimen semu (Quasi Experimen).Populasi dalam penelitian ini adalah seluruh ibu yang tidak bekerja yang mempunyai bayi 0-6 bulan jumlah sampel yang dingunakan sebanyak 30 orang dengan teknik accidental sampling. Teknik analisis data menggunakan Analisa Univariat.Berdasarkan hasil Analisa Univariat diketahui terdapat teknik marmet memberi pengaruh signifikan terhadap Kelancaran Air Susu Ibu dengan nilai 0,007.Terdapat Teknik marmet memberi pengaruh signifikan terhadap Kelancaran Air Susu Ibu Di Di Wilayah Kerja Puskesmas Sonomartani Kec. Kualuh Hulu Kab. Labuhan Batu Utara Tahun 2022. Disarankan kepada ibu menyusui penelitian ini diharapkan dapat menjadi masukan dan menambah wawasan tentang teknik marmet terhadap kelancaran air susu ibu.

Key Performance Indicators Analysis for Quay Container Crane Performance Assessment (Case Study at Jakarta International Container Terminal) Pekih, Mufti Imam; Sembiring, Adelina; Santoso, Sugeng
International Journal of Mechanical Engineering Technologies and Applications Vol. 2 No. 2 (2021)
Publisher : Mechanical Engineering Department, Engineering Faculty, Brawijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/MECHTA.2021.002.02.5

PT Jakarta International Container Terminal (JICT) is the largest container port in Indonesia. Currently, JICT capacity is 2.5 million TEUs (Twenty-foot Equivalent Units) per year, it continues to strive to improve international services and is supported by adequate container loading and unloading equipment. The requirement to establish common standards in different types of container port equipment and identify performance indicators to assess the performance of container handling equipment has increased. Although the Quay Container Crane (QCC) operating system may be different at each container terminal, there are similarities in its main movements, namely: Main Hoist, Trolley, Gantry, and Boom. By knowing the clock metric for each movement, it is possible to determine the Key Performance Indicator (KPI) that has been adopted and assess the performance of the Quay Container Crane (QCC). The results of the study identified that the value of MMBF (Mean Move Between Failures) decreased due to the accumulation of long-lasting heavy load operations, while the number of maintenance activities for machine parts and working hours continued to increase. Key Performance Indicator (KPI) as a management tool can guide QCC inspections and the results can provide useful insights for improving the performance of equipment and container loading and unloading operations in the future.

The Elderly Spiritual Description with Chronic Disease in Elderly and Children Social Services Centres of Binjai and Medan Sembiring, Adelina; Sinaga, Martaulina; Gurning, Lisbeth
Caring: Indonesian Journal of Nursing Science Vol. 2 No. 2 (2020): Caring: Indonesian Journal of Nursing Science
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/ijns.v2i2.5005

At this time many elderly suffer from chronic diseases so that their spiritual needs need attention. This study aims to determine the spiritual description of the elderly who suffer from chronic diseases in the Social Service Unit for the Elderly Children under five in Binjai and Medan areas. The research design used was descriptive with a sample size of 64 people with purposive sampling method. The instrument used was a questionnaire prepared using a Likert scale. This research was conducted on 28 November to 19 December 2014. The characteristics of the respondents and the spiritual description of the elderly who suffer from chronic diseases are described by descriptive analysis to determine the frequency and percentage. The results showed, the characteristics of male respondents were 51.6%, aged 60-70 years 57.8%, Islam 95.3%, not going to school 59.4% Spiritual description of the elderly who suffer from chronic disease is quite good (56 people, 87.5%), the elderly who say good (8 people, 12.5%). To be able to undergo a declining health condition due to diseases suffered by the elderly, it is hoped that all parties, both families, health workers understand the spiritual needs of the elderly so that the elderly can accept their conditions, socialize with those around them, enjoy the natural beauty of their surroundings, and believe that God will give strength in living his condition.

Evaluasi Keberhasilan Program Kesehatan dalam Meningkatkan Cakupan Imunisasi BCG pada Bayi 0-2 Bulan Br Sinuhaji, Lidya Natalia; Sembiring, Adelina
Jurnal Pengabdian Ruru Vol. 1 No. 1 (2024): Edisi September
Publisher : Yayasan Grace Berkat Anugerah

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

Pemberian imunisasi Bacillus Calmette-Guérin (BCG) merupakan salah satu upaya penting dalam pencegahan penyakit tuberkulosis (TB) pada bayi. Program promosi kesehatan yang efektif dapat meningkatkan kesadaran dan partisipasi orang tua dalam membawa bayi mereka untuk mendapatkan imunisasi tepat waktu. Penelitian ini bertujuan untuk mengevaluasi keberhasilan program promosi kesehatan dalam meningkatkan cakupan imunisasi BCG pada bayi usia 0-2 bulan di sebuah klinik tertentu. Metode penelitian yang digunakan adalah deskriptif dengan pendekatan kuantitatif. Data dikumpulkan melalui wawancara dan kuesioner yang disebarkan kepada orang tua bayi yang telah mengikuti program promosi kesehatan. Selain itu, data cakupan imunisasi BCG di klinik juga dianalisis untuk melihat perubahan sebelum dan sesudah program promosi dilakukan. Hasil penelitian menunjukkan bahwa program promosi kesehatan berhasil meningkatkan pemahaman orang tua tentang pentingnya imunisasi BCG dan menyebabkan peningkatan signifikan dalam cakupan imunisasi bayi usia 0-2 bulan di klinik. Faktor-faktor yang berkontribusi terhadap keberhasilan program ini meliputi penyampaian informasi yang jelas, metode promosi yang interaktif, serta dukungan yang diberikan oleh tenaga kesehatan kepada orang tua. Kesimpulan dari penelitian ini adalah bahwa program promosi kesehatan dapat menjadi alat yang efektif dalam meningkatkan cakupan imunisasi BCG pada bayi. Namun, keberlanjutan program dan penyesuaian dengan kondisi lokal perlu diperhatikan untuk memastikan dampak jangka panjang

Efektivitas Belerang (Sulfur) Terhadap Proliferasi Luka pada Penderita Diabetes Melitus di Wilayah Kerja Puskesmas Johor Kecamatan Medan Johor Tahun 2023 Sinaga, Martaulina; Tambun, Mastaida; Batubara, Zulkarnain; Sembiring, Adelina; Aritonang, Febrina Asapani; Berutu, Lilis Hartati
JOURNAL OF HEALTHCARE TECHNOLOGY AND MEDICINE Vol 9, No 2 (2023): Oktober 2023
Publisher : Universitas Ubudiyah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33143/jhtm.v9i2.3464

Dampak yang ditimbulkan akibat komplikasi Diabetes Melitus salah satunya adalah luka yang sulit sembuh, secara langsung berdampak pada status kesehatan Masyarakat. Kejadian kasus Diabetes Melitus yang terus meningkat di kota Medan sebanyak 39.699 tahun 2022, Tujuan penelitian ini untuk mengobservasi Efektivitas Belerang (Sulfur) terhadap Proliferasi Luka pada Penderita Diabetes Melitus. kelompok kasus 5 orang diperoleh keadaan luka sesudah terapi Sulfur yaitu Pada kasus 5 orang diperoleh keadaan luka sesudah terapi Sulfur yaitu pasien mengalami Ukuran luka <4 cm, tidak ada mengalami kedalam luka, tepi luka samar tidak terlihat dengan jelas, tidak ada goa, tidak mengalami tepi jaringan nekrosis, tidak tampak jaringan nekrotik, tidak ada eksudat, tidak terdapat eksudat, luka kering, 4 pasien mengalami warna kulit putih atau abu-abu, pucat atau hipopigmentasi, 1 pasien putih atau abu-abu, pucat atau hipopigmentasi, tidak ada pembengkakan atau edema perifer/tepi jaringan luka, tidak ada indurasi jaringan perifer, pada jaringan granulasi putih atau abu-abu, pucat atau hipopigmentasi, 1 pasien Terang, merah seperti daging; 75 % s/d 100 % luka terisi granulasi, 4 pasien menagalami < 25 % epitelisasi, 1 pasien 75 % s/d < 100 % epitelisasi.Kata kunci: Belerang, Diabetes_Melitus, Efektivitas, Luka, Proliferasi.The impact caused consequence One of the complications of Diabetes Mellitus is difficult wounds recovery, has a direct impact on the health status of the community. Incident continuing cases of Diabetes Mellitus will increase in the city of Medan by 39,699 in 2022. The aim of this research is to observe Effectiveness Sulfur (Sulfur) against Wound Proliferation in Diabetes Mellitus Patients. In the case of five people, the condition of the wound after Sulfur therapy was that the patient had a wound size of <4 cm, there was no depth to the wound, the edges of the wound were faint and not clearly visible, there were no caves, no edges of necrotic tissue, no visible necrotic tissue, no exudate, no exudate, dry wound, 4 patients had white or gray skin color, pale or hypopigmented, 1 patient white or gray, pale or hypopigmented, no swelling or peripheral edema/edge of wound tissue, no induration peripheral tissue, in white or gray granulation tissue, pale orÂ hypopigmented, 1 patient Bright, fleshy red; 75% to 100% of the wound was filled with granulation, 4 patients experienced < 25% epithelialization, 1 patient 75% to < 100% epithelialization.Keywords: Sulfur, Diabetes_Mellitus, Effectiveness, wound, Proliferation.

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