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Efektifitas Jus Seledri Terhadap Penurunan Tekanan Darah Pada Lansia Penderita Hipertensi Di Wilayah Kerja Puskesmas Simalingkar Lasria Simamora; Srilina Br.Pinem; Nurhamida Fithri
Journal of Health (JoH) Vol 8 No 2 (2021): Journal of Health - Juli 2021
Publisher : LPPM STIKES Guna Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30590/joh.v8n2.p67-74.2021

Hypertension is an increase in systolic blood pressure of more than 140 mmHg and diastolic blood pressure of more than 90 mmHg on two measurements with an interval of five minutes in a well-rested state. Hypertension control can be done with a pharmacological approach and non-pharmacological.One of the non-pharmacological treatments is to use celery. Celery contains apigenin, flavonoids, vitamin C, apiin, calcium, and magnesium to prevent constriction of blood vessels and help lower high blood pressure. This study aims to analyze the effectiveness of celery juice on reducing blood pressure in elderly people with hypertension in the Simalingkar Health Center. This study used a pre post experimental design. The number of respondents in the work area of the Simalingkar Community Health Center was 10 respondents with a significance level of <0.05. The results showed that the systole p value was 0.000 (<0.05) and the diastole was 0.000 (<0.05), which means that celery juice had a significant effect on reducing blood pressure. The mean reduction in systolic blood pressure was 30 mmHg and distolic 14 mmHg. The results of statistical tests obtained a p-value of 0.000 (<0.5), it was concluded that celery juice was effective in reducing blood pressure.

Pengaruh Pijat Perineum dalam Mengurangi Ruptur Perineum saat Persalinan Nurhamida Fithri; Lasria Simamora
Journal of Health (JoH) Vol 9 No 1 (2022): Journal of Health (JoH) - Januari 2022
Publisher : LPPM STIKES Guna Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30590/joh.v9n1.279

A tear in the perineum is one of the various complications during labor in the second stage so it can cause reproductive organ dysfunction in women. Tension in the pelvic floor muscles often results in perineal tears, especially in primigravida. One way to reduce perineal tears is to perform perineal massage to increase blood flow and perineal elasticity through a very simple and short method. There are 2.7 million cases of perineal tears in childbirth and is estimated to increase by 6.3 million in 2050. In Asia, perineal ruptures account for 50% of perineal ruptures in the world. In Indonesia, mothers who experience perineal rupture at the age of 32-39 years are 62%. Research at the Benin Teaching Hospital, Nigeria, showed that the prevalence of perineal rupture was approximately 46.6%, especially in primigravida mothers who experienced perineal rupture. The purpose of this study was to determine the effect of perineal massage in reducing perineal rupture at the time of delivery. This research method is an experiment using a post-test-only control group design. The population in this study were all primiparous pregnant women in the third trimester who visited Mahanum clinic, while the number of samples was 32 samples with two groups, namely the intervention group and the control group. From the results of the analysis, the value of OR = 6.72 means that primiparous pregnant women who do not have perineal massage have a 6.72 times chance of perineal rupture compared to primiparous pregnant women who do perineal massage.

Kecemasan Primipara Dalam Menghadapi Persalinan di Klinik Bersalin N. Tambunan Medan Nurhamida Fithri
JURNAL KEBIDANAN KESTRA (JKK) Vol 3 No 2 (2021): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkk.v3i2.602

Feelings of anxiety often accompany pregnancy, especially in mothers who are unstable, from an initial survey conducted by researchers in February at the N. Tambunan Clinic, it was found that five mothers who had given birth at the N. Tambunan Clinic felt anxious, the purpose of this study was to determine how the primiparous mother's anxiety in dealing with childbirth. Primiparous mother's anxiety in facing childbirth is the occurrence of disequilibirium or imbalance in personality characterized by physical and psychological changes. The research design used is descriptive. The population of this study were all Primipara women totaling 30 people at the Clinic N. Tambunan Medan. With a sample of 30 respondents. The sampling technique was purposive sampling technique. The variable in this study was the primiparous mother's anxiety in dealing with childbirth. Collecting data using a questionnaire then processed by editing, coding, data entry, the research is presented and analyzed by univariate, then the data is presented in the form of a frequency distribution table. Of the 30 respondents, there were 27 patients who experienced mild anxiety, 3 patients experienced moderate anxiety, and none had severe anxiety. The conclusion from the results of the study was that most mothers experienced mild anxiety. Therefore, it is hoped that midwives will provide more intensive counseling to pregnant women who experience anxiety by providing information about the danger signs of pregnancy and suggesting always thinking positively, sharing stories with others, thinking about something that makes you happy to avoid anxiety.

Analysis Of Factors Related To Posyandu Activity In The Covid-19 Era In Pematang Pelintahan Village Nurhamida Fithri
JURNAL KEBIDANAN KESTRA (JKK) Vol 4 No 1 (2021): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkk.v4i1.795

During the Covid-19 pandemic, the social conditions of the community connected with health services for infants and toddlers, including posyandu activities. The routine implementation of the posyandu is neglected, including monitoring the growth and development of infants and toddlers and immunization coverage. This is because all services and health are focused on Covid-19. The initial survey conducted in Pelintahan Village, there were 9 posyandu and there was a decline in the implementation of the posyandu program during the Covid-19 pandemic. In addition, the report on immunization coverage also appears to be decreasing. To analyze the factors that relate to the activity of posyandu in the Covid-19 era in Pelintahan Village in 2021. This study used an analytical research design using a cross sectional approach. The population in this study were all mothers who have toddlers in Pelintahan Village as many as 59 people. The sample size in this study used the accidental sampling technique. The sample was taken when posyandu activities in Pelintahan Village took place during the time the research took place and amounted to 36 people. Data analysis in this study used the chi-square statistical test. The results of the study found that there was a significant relationship between maternal anxiety and family support for posyandu activities in the Covid-19 era in Pelintahan Village in 2021 with each p-value of 0.00 (p-value <0.05). From the results of this study, it is expected that health workers can provide health education to mothers and families who have babies and toddlers providing health promotion, counseling and counseling related to safe posyandu during the Covid-19 pandemic.

PRE-POST PEMBERIAN AROMATERAPI BUNGA LAVENDER TERHADAP SKALA ANSIETAS PADA PASIEN PRE-MASTEKTOMI Eka Ristin Tarigan; Rostime Hermayerni Simanullang; Afnijar Wahyu; Laurena Ginting; Nurhamida Fithri
Jurnal Online Keperawatan Indonesia Vol 5 No 1 (2022): Jurnal Online Keperawatan Indonesia (JOKI)
Publisher : UNIVERSITAS SARI MUTIARA INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51544/keperawatan.v5i1.2509

Background: Breast cancer is group of abnormal cells in the breast that continue to grow multiply. Mastectomy is one of the options for surgical action in breast cancer. In patients who will undergo mastectomy, all breast tissue and axillary lymph nodes are suspected. Surgery will cause psychological disorders in the form of anxiety that can lead to complications during surgery. One way to reduce anxiety is through the provision of aromatherapy, especially aromatherapy lavender, which is known to be sedative. Purpose: the aims to determine the effect of aromatherapy on anxiety scale in pre mastectomy patients. Method: this study was used a quasi-experimental research design with the one group pre- and post-test without control method. Determination of sample size was using purposive sampling teqniuqe with 15 respondents. The instrument to assess anxiety is the Hamilton Anxiety Rating Scale (HARS). Data from the research results were analyzed by statistical tests, namely the Wilcoxon test. Results: this study show that there is a significant effect of pre- and post-administration of aromatherapy of lavender flowers to decrease the level of anxiety in patients with pre-mastectomy with p value (p = 0,001) <0.05. Conclussion: the granting of aromatherapy lavender can reduce of anxiety levels in patients with pre-mastectomy which means a decline in the level of anxiety after the administration of aromatherapy lavender flowers in patients with pre-mastectomy. The results of study are expected to be used as recommendations for health workers, especially the profession of a nurse to handle the patient's anxiety.

The Attitude Of The Midwife Towards The Implementation Of Early Initiation Of Breastfeeding With Exclusive Breastfeeding At Kuala Health Center, Kuala Subdistrict, Langkat Regency In 2021 Faradita Wahyuni; Nurhamida Fithri; Selli M Pasaribu
International Journal of Cultural and Social Science Vol. 2 No. 2 (2021): June
Publisher : Pena Cendekia Insani

Objectives: Midwives as health workers who assist in childbirth are a very important factor in the practice of IMD and most midwives do not implement it. This will affect the implementation of the Exclusive Breastfeeding program. The purpose of this study was to determine the relationship between midwives' attitudes regarding the implementation of early initiation of breastfeeding with low coverage of exclusive breastfeeding. Method: The method used was an analytical survey (Explanatory Research) with a cross sectional approach. The population is all midwives who work in the Kuala District Health Center, Kuala District, Langkat Regency as many as 31 people. The sample, namely the entire population, became a total sampling with Chi-Squere analysis. Results: Based on the results of the analysis of the Relationship of Midwives' Attitudes regarding Implementation of Early Breastfeeding Initiation with Low Exclusive Breastfeeding Coverage, it was found that the negative attitude of midwives with the target not being achieved was 19 respondents (61.3%) and positive attitude as many as 12 respondents (38.7%). Based on a population of 31 respondents, the results of statistical tests obtained p value = 0.006 <0.05, so it can be concluded that there is a significant relationship between Midwives' Attitudes About IMD Implementation and Low Exclusive Breastfeeding Coverage. Conclusion: The research is that there is a relationship between midwives' attitudes about the implementation of IMD with the low coverage of exclusive breastfeeding. Midwives are expected to be able to increase a positive attitude about the implementation of IMD as an effort to increase exclusive breastfeeding.

The Attitude Of The Midwife Towards The Implementation Of Early Initiation Of Breastfeeding With Exclusive Breastfeeding At Kuala Health Center, Kuala Subdistrict, Langkat Regency In 2021 Faradita Wahyuni; Nurhamida Fithri; Selli M Pasaribu
International Archives of Medical Sciences and Public Health Vol. 2 No. 2 (2021):
Publisher : Pena Cendekia Insani

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (705.543 KB)

Midwives as health workers who assist in childbirth are a very important factor in the practice of Early Breastfeeding Initiation and most midwives do not implement it. This will affect the implementation of the Exclusive Breastfeeding program. The purpose of this study was to determine the relationship between midwives' breastfeeding with low coverage of exclusive breastfeeding. The method used was an analytical survey (Explanatory Research) with a cross sectional approach. The population is all midwives who work in the Kuala District Health Center, Kuala District, Langkat Regency as many as 31 people. The sample, namely the entire population, became a total sampling with Chi-Squere analysis. Based on the results of the analysis of the Relationship of Midwives' Attitudes regarding Implementation of Early Breastfeeding Initiation with Low Exclusive Breastfeeding Coverage, it was found that the negative attitude of midwives with the target not being achieved was 19 respondents (61.3%) and positive attitude as many as 12 respondents (38.7%). Based on a population of 31 respondents, the results of statistical tests obtained p value = 0.006 <0.05, so it can be concluded that there is a significant relationship between Midwives' Attitudes About Early Initiation of Breastfeeding Implementation and Low Exclusive Breastfeeding Coverage. The research is that there is a relationship between midwives' attitudes about the implementation of Early Initiation of Breastfeeding with the low coverage of exclusive breastfeeding. Midwives are expected to be able to increase a positive attitude about the implementation of Early Initiation of Breastfeeding as an effort to increase exclusive breastfeeding.

The Effect of Lactation Massage With Smooth Breast Milk on Postpartum Mothers in Desa Lawa-Lawa Ulu Idanotae, Kec. Ulu Idanotae, Kab. South Nias Nurhamida Fithri; Herlina Simanjuntak; Faradita Wahyuni
International Archives of Medical Sciences and Public Health Vol. 3 No. 1 (2022)
Publisher : Pena Cendekia Insani

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

Objectives: Breast milk is the only food and drink a baby needs until he is 6 months old, which can help absorb nutrients. Exclusive breastfeeding for up to 6 months seems still difficult to implement so that the target of the community nutrition improvement program to increase exclusive breastfeeding is not achieved. One of the efforts to increase breastfeeding with smooth breast milk is through lactation massage, which is a massage technique to clean the ducts and stimulate milk production to be smoother. The purpose of this study was to identify the effect of lactation massage on breastfeeding in postpartum mothers in Lawa-Lawa Village, Luo Idanotae. Method: The type of research used is quantitative with an experimental research design (quasi quasi). The sample in this study were all mothers who breastfeed from o-6 weeks of the postpartum period as many as 30 respondents using the Totaling Sampling method. The research instrument used was an observation sheet with closed observations. Data analysis used bivariate analysis through the Wilcoxon Rank Rest statistical test. Result: The results of the study showed that after the lactation massage test the p value was 15.00, so it could be seen that there was a difference in the smoothness of breast milk before and after lactation massage, besides the p value was 0.000 (p<0.05), which means that there was an effect of lactation massage. with significant breast milk fluency between before and after massage. Conclusion: This study shows that there is a significant effect on the smoothness of breastfeeding after massage for postpartum mothers in Lawa-Lawa Luo Idanotae Village, Ulu Idanotae District, South Nias Regency in 2021

The Attitude Of The Midwife Towards The Implementation Of Early Initiation Of Breastfeeding With Exclusive Breastfeeding At Kuala Health Center, Kuala Subdistrict, Langkat Regency In 2021 Faradita Wahyuni; Nurhamida Fithri; Selli M Pasaribu
International Archives of Medical Sciences and Public Health Vol. 2 No. 2 (2021):
Publisher : Pena Cendekia Insani

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (705.543 KB)

Midwives as health workers who assist in childbirth are a very important factor in the practice of Early Breastfeeding Initiation and most midwives do not implement it. This will affect the implementation of the Exclusive Breastfeeding program. The purpose of this study was to determine the relationship between midwives' breastfeeding with low coverage of exclusive breastfeeding. The method used was an analytical survey (Explanatory Research) with a cross sectional approach. The population is all midwives who work in the Kuala District Health Center, Kuala District, Langkat Regency as many as 31 people. The sample, namely the entire population, became a total sampling with Chi-Squere analysis. Based on the results of the analysis of the Relationship of Midwives' Attitudes regarding Implementation of Early Breastfeeding Initiation with Low Exclusive Breastfeeding Coverage, it was found that the negative attitude of midwives with the target not being achieved was 19 respondents (61.3%) and positive attitude as many as 12 respondents (38.7%). Based on a population of 31 respondents, the results of statistical tests obtained p value = 0.006 <0.05, so it can be concluded that there is a significant relationship between Midwives' Attitudes About Early Initiation of Breastfeeding Implementation and Low Exclusive Breastfeeding Coverage. The research is that there is a relationship between midwives' attitudes about the implementation of Early Initiation of Breastfeeding with the low coverage of exclusive breastfeeding. Midwives are expected to be able to increase a positive attitude about the implementation of Early Initiation of Breastfeeding as an effort to increase exclusive breastfeeding.

The Effect of Lactation Massage With Smooth Breast Milk on Postpartum Mothers in Desa Lawa-Lawa Ulu Idanotae, Kec. Ulu Idanotae, Kab. South Nias Nurhamida Fithri; Herlina Simanjuntak; Faradita Wahyuni
International Archives of Medical Sciences and Public Health Vol. 3 No. 1 (2022)
Publisher : Pena Cendekia Insani

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (550.139 KB)

Objectives: Breast milk is the only food and drink a baby needs until he is 6 months old, which can help absorb nutrients. Exclusive breastfeeding for up to 6 months seems still difficult to implement so that the target of the community nutrition improvement program to increase exclusive breastfeeding is not achieved. One of the efforts to increase breastfeeding with smooth breast milk is through lactation massage, which is a massage technique to clean the ducts and stimulate milk production to be smoother. The purpose of this study was to identify the effect of lactation massage on breastfeeding in postpartum mothers in Lawa-Lawa Village, Luo Idanotae. Method: The type of research used is quantitative with an experimental research design (quasi quasi). The sample in this study were all mothers who breastfeed from o-6 weeks of the postpartum period as many as 30 respondents using the Totaling Sampling method. The research instrument used was an observation sheet with closed observations. Data analysis used bivariate analysis through the Wilcoxon Rank Rest statistical test. Result: The results of the study showed that after the lactation massage test the p value was 15.00, so it could be seen that there was a difference in the smoothness of breast milk before and after lactation massage, besides the p value was 0.000 (p<0.05), which means that there was an effect of lactation massage. with significant breast milk fluency between before and after massage. Conclusion: This study shows that there is a significant effect on the smoothness of breastfeeding after massage for postpartum mothers in Lawa-Lawa Luo Idanotae Village, Ulu Idanotae District, South Nias Regency in 2021

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