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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

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%.

The Socialization of Breathing Muscle Stratching Therapy on Increasing Vital Lung Capacity of Theasthma at Grandmed Hospital Lubuk Pakam Wati, Syatria; Hijriana, Isni; Simarmata, Juni Mariati; Pitriani, Pitriani
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.v3i1.1748

Asthma is a disease of shortness of breath due to the narrowing of flight routes. A decrease in the expiratory rate and inspiratory volume lowers the lung fundamentals. Asthmatic patients need exercise to expand the lung boundaries which is very necessary. Respiratory muscle stretching exercises are activities to maintain and build the adaptability or adaptability of the respiratory muscles. This examination aims to determine the impact of prolonged treatment on the respiratory muscles to establish the lung margins that are important for asthmatic patients. This PkM activity is carried out through outreach activities combined with demonstration and discussion methods. The PkM activity begins with the provision of pre-test questions and ends with a post-test to measure the increase in PkM participants' knowledge of the socialized material. This PkM activity has been carried out very well where as many as 17 PkM participants who are nurses at Grandmed Lubuk Pakam Hospital have understood the socialization material presented, namely respiratory muscle stretching therapy to increase the lung vital capacity of asthma patients. After the intervention was given, the lung vital capacity of asthma patients changed to be in the good and very good categories. The knowledge and insights of the PkM participants increased with the demonstrations and discussions given. In addition, there was an increase in the knowledge of PkM participants regarding respiratory muscle stretching therapy in asthma patients with an average percent increase of 20%.

Benefits of Foot Exercises in Increasing Muscle Strength Diabetes Mellitus Patients At Grandmed Lubuk Pakam Hospital In 2023 Simarmata, Juni Mariati; Syatriawati, Syatriawati; Handayani, Dwi
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.v3i2.1999

Diabetes mellitus (DM) is a type of disease that is generally known in society as diabetes. This disease can occur due to an increase in blood sugar levels so that insulin secretion experiences a progressive decrease. Complications of musculoskeletal disorders are one type of DM complication that causes weakness in the leg muscles. Foot exercises are one of the therapies that diabetes mellitus patients can do to overcome foot muscle problems. This foot exercise aims to increase blood circulation so that it can strengthen the leg muscles. If blood circulation is good, nutrition will flow more smoothly to body tissues so that muscle movement is not disturbed. Service activities are carried out through socialization and demonstrations using lectures, discussions and questions and answers. The number of PkM participants who were DM patients was 20 people who were determined using the total sampling method. PkM activities use a pre-test and post-test system with written questions to measure the benefits and increase in knowledge obtained by PkM participants. The results of the service showed that PkM activities through providing foot exercises to DM patients were beneficial in increasing the leg muscle strength of DM patients, where there was an average increase of 1.15 and a p value of 0.000. Apart from that, the level of knowledge of PkM participants regarding foot exercise material for DM patients also experienced an increase in knowledge by 90% or as many as (18 PkM participants) understood the PkM material well.

Increasing Public Knowledge About Hypertension as an Effort to Prevent Hypertension Complications (Stroke) Angriawan; Wati, Indah; Zuidah; Karokaro, Tati Murni; Simarmata, Juni Mariati
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.v4i1.2168

Hypertension is a health disorder that causes an increase in blood pressure. Hypertension can cause serious complications in the form of stroke. These significant complications can be life threatening and even death. Stroke is a global health problem with more than 15 million people annually experiencing this condition worldwide. This study was conducted on 30 individuals who visited the Pagar Jati Community Health Center, using the accidental sampling method, to explore the contribution of community participation in increasing awareness about hypertension and promoting preventive behavior. Through outreach activities and public campaigns, community participation has succeeded in increasing understanding of the importance of regular health check-ups by checking blood pressure and consuming foods with balanced nutrition, including low salt, thereby preventing hypertension. Evaluating the effectiveness of the community service program using a questionnaire showed an increase from 70% at the pretest stage to 93% at the posttest stage. This reflects a significant increase in awareness, knowledge and preventive measures against complications of hypertension, such as stroke, in the community areas served by health community center (Puskesmas) Pagar Jati. Collaboration between health workers, local government, educational institutions and the community is the key to the success of this program. Although challenges remain such as limited access and inequality of information, community service has proven to be an effective tool in strengthening the community response to hypertension and advancing overall community health.

Buerger Allen Method Training to Increase Ankle Brachial Index (ABI) of Type 2 Diabetes Mellitus Patients in the Aras Kabu Community Simarmata, Juni Mariati; Angriawan, Angriawan; Syara, Arfah May; Waruwu, Ria Apriliani
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.v4i2.2426

Prevention of diabetes mellitus complications can be done through joint movement exercises, which can be effective, efficient, and minimal risk through Buerger Allen Exercise. ABI describes the severity of peripheral arterial disease in DM patients. ABI measurements are carried out on systolic arm and systolic leg pressures. Buerger Allen Exercise is able to improve peripheral circulation of the lower extremities. This training activity aims to educate and train people at the Kabu level so that they can apply Buerger Allen Exercise with increasing knowledge. Training activities involve a series of processes through providing materials, demonstrations, training, and questions and answers. PkM participants are people from the Aras Kabu sub-district represented by 20 participants. The instruments used include Teaching Aids, Laptops, Infocus, SOPs. The increase in knowledge and skills of PkM participants is measured based on the increase in post-test scores compared to pre-test scores. Buerger Allen Method Training has been proven to be able to reduce ABI rates to the mild category by 60%, which was initially only 35%. In addition, PkM participants have understood the theory of Buerger Allen, ABI, and its benefits for type 2 DM patients. PKM participants are also able to apply Buerger Allen exercises according to SOP. PkM training activities provide benefits in the form of increasing the knowledge and skills of PkM participants, which is confirmed through the post-test knowledge value being categorized as good and very good.

THE EFFECT OF ABDOMINAL MASSAGE ON CONSTIPATION IN STROKE PATIENTSATGRANDMED LUBUK PAKAM HOSPITAL IN 2023 Simarmata, Juni Mariati; Maulina, Ridha
JURNAL KESMAS DAN GIZI (JKG) Vol. 6 No. 1 (2023): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkg.v6i1.1931

Abdominal massage is a very effective intervention in overcoming constipation, besides that this therapy also does not cause dangerous side effects because it is a non-invasive action, can be done by the patient himselfand relatively inexpensive. The purpose of this study wasto determine the constipation score before and after abdominal massage. This study used a quantitative research design with a one group pretest-posttest design model, namely before the implementation of the sample observation was made and after the treatment was re-observed. Based on the resulting probability of 0.001. This means the probability <level of significance (? = 0.05), so Ha is accepted and H0 is rejected. Thus, it can be stated that there is a significant difference between constipation in stroke patients before abdominal massage (Pretest) and constipation in stroke patients after abdominal massage (Posttest). There is an Effect of Abdominal Massage on Constipation in Stroke Patients at Grandmed Lubuk Pakam Hospital in 2023.

The Effect of Early Mobilization on Incerased Intestinal Peristaltic Post Sectio Caesarea at Grandmed Lubuk Pakam Hospital in 2023 Simarmata, Juni Mariati; Syatriawati, Syatriawati; Padila, Della
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 6 No. 2 (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.v6i2.2120

Sectio Caesarea is a surgical process with the aim of removing the fetus through an incision in the abdominal wall which is connected to the autonomic nervous system, so that bowel movements become slow and cause problems. Caesarean section deliveries are increasingly being performed and their success is high, although they are still considered the last solution. Cesarean section operations are common for mothers who are about to give birth. So that post-operative intestinal peristalsis can return immediately, mobilization is necessary. If there is no mobilization, the motility function of the intestines and bladder will take a long time to return to normal so that the mother will have difficulty defecating. This research aims to measure how much mobilization increases intestinal peristalsis in post-caesarean section surgery patients. The research is quantitative research with a One Group pre-post test design. The sample consisted of 25 post-cesarean section mothers with primigravida births. The instruments used are SOP sheets and observations. Data analysis using the Paired T-test with an error of 0.05 showed that the average intestinal peristalsis before the intervention was 7.20 while after the intervention it was 8.04. The results of the Paired T-test show that the p-value is 0.000, which means that there is an effect of mobilization on increasing intestinal peristalsis in post caesarean section patients at GrandMed Lubuk Pakam Hospital. It is recommended that you always implement post caesarean section mobilization measures in accordance with the SOP.

Education on the Benefits of Warm Water Consumption Prior to Nebulizer Therapy in Improving Airway Patency Among Asthma Patientsat Grandmed Hospital Lubuk Pakam Simarmata, Juni Mariati; Angriawan, Angriawan; Juliardi, Fery; Simanjuntak, Elfrida
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/ryhm2c62

Asthma is a respiratory disorder characterized by inflammation, airway narrowing, and excessive mucus production, which leads to shortness of breath. A commonly applied therapy during acute asthma attacks is the use of a nebulizer, which delivers medication in the form of vapor inhaled directly into the airways. The effectiveness of nebulizer therapy is influenced by the physiological condition of the patient’s airway prior to the treatment. Warm water consumption has been shown to support respiratory function by maintaining mucosal hydration and softening mucus secretions. This community service program aimed to educate the public on the potential benefits of warm water consumption in enhancing the effectiveness of nebulizer therapy in relieving airway obstruction among asthma patients. The program was implemented with 25 participants, all of whom were asthma patients at Grandmed Hospital in Lubuk Pakam. The educational activity included delivering the intervention material, followed by interactive sessions such as Q & A and group discussions. Knowledge improvement was assessed by comparing post-test scores with pre-test scores. The results demonstrated a notable increase in participants’ knowledge, with an average score improvement of 34.1 points or 64.6%. Additionally, approximately 98% of participants reported that the educational session was beneficial and easy to understand. Participants showed improved comprehension of nebulizer mechanisms and recognized the importance of warm water intake prior to therapy. The educational intervention successfully enhanced participants understanding and encouraged the application of warm water consumption before nebulizer therapy, potentially leading to more effective treatment outcomes.

Relationship between Sodium Intake and Nutritional Knowledge with the Incidence of Hypertension in Inpatients of Harapan Indah Sendawar Hospital Simarmata, Juni Mariati; Mudhrikah, Mudhrikah; Sagala, Deddy Sepadha Putra; Simanjuntak, Elfrida; Debi Dinha Octora
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 8 No. 1 (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/asan8n89

Hypertension is a major public health problem with a prevalence that continues to increase both globally and nationally. This condition is often referred to as a “silent killer” because it usually presents without symptoms yet may lead to severe complications such as heart disease, stroke, and kidney failure. Data from the 2018 Basic Health Research (Riskesdas) revealed that the prevalence of hypertension in Indonesia reached 34.1% among individuals aged ≥18 years, showing an increase compared to 2013. One contributing risk factor is excessive sodium intake that exceeds daily recommendations, combined with poor nutritional knowledge influencing individual dietary behaviors. This study employed an observational analytic design with a cross-sectional approach to analyze the association between sodium intake and nutritional knowledge with the incidence of hypertension among inpatients at Harapan Insan Sendawar General Hospital. The study population included all elderly patients aged over 60 years (n = 36), selected through total sampling. Primary data were collected via interviews using a semi-FFQ questionnaire and blood pressure measurements, while secondary data were obtained from hospital records. Findings showed that most respondents were over 60 years old (61.1%), had high sodium intake (80.5%), and low nutritional knowledge (72.2%). The prevalence of hypertension among respondents was remarkably high at 94.4%. Statistical analysis demonstrated a significant association between sodium intake and hypertension (p = 0.010), as well as between nutritional knowledge and hypertension (p = 0.032). In conclusion, high sodium consumption and low nutritional knowledge significantly contribute to the incidence of hypertension among elderly patients. These findings highlight the importance of nutrition education and sodium intake control as preventive strategies for hypertension.

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