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Peningkatan Pengetahuan Ibu Hamil Dalam Pencegahan Covid 19 Dan Teknik Rebozo Di Wilayah Puskesmas Sitada-Tada Kabupaten Tapanuli Utara Ganda Agustina Hartati Simbolon; Urhuhe Dena Siburian; Sulastry Pakpahan; Paruhum Ritonga
COMSERVA : Jurnal Penelitian dan Pengabdian Masyarakat Vol. 1 No. 8 (2021): COMSERVA : Jurnal Penelitian dan Pengabdian Masyarakat
Publisher : Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (487.515 KB) | DOI: 10.59141/comserva.v1i8.60

Abstract

Pengabdian kepada masyarakat Prodi DIII Kebidanan Tarutung Poltekkes Kemenkes Medan dilaksanakan di Puskesmas Sitada-Tada dengan sasaran ibu hamil Trimester III yang berjumlah 32 orang dalam bentuk penyuluhan kesehatan untuk peningkatan pengetahuan dalam pencegahan penularan Covid 19 serta demonstrasi teknik Rebozo sebagai persiapan ibu dalam mengurangi rasa nyeri dalam persalinan. Tingkat pengetahuan responden tentang pencegahan penularan Covid 19 sebelum penyuluhan didapati 13(41%) responden memiliki pengetahuan baik, 8 (25%) responden memiliki pengetahuan cukup dan 11(34%) responden memiliki pengetahuan kurang. Sedangkan sesudah penyuluhan diperoleh 29 (91%) responden memiliki pengetahuan baik, 3 (9%) responden memiliki pengetahuan cukup dan tidak ada responden dengan pengetahuan kurang. Gambaran pengetahuan responden tentang teknik rebozo sebelum penyuluhan dan demonstrasi didapati 32 (100%) responden kurang mengetahui cara mengatasi nyeri persalinan dengan teknik rebozo, sedangkan sesudah penyuluhan dan demonstrasi , 28 (88 %) responden memiliki pengetahuan baik, dan 4 (12%) memiliki pengetahuan cukup. Terjadi peningkatan keterampilan melaksanakan teknik rebozo setelah 2 kali melaksanakan demonstrasi, dari 5 (16%) responden dengan keterampilan baik pada demontrasi I, menjadi 30 (94%) pada demonstrasi II. Sikap responden tentang manfaat teknik Rebozo setelah melakukan demonstrasi , 27 (84 %) merasakan lebih nyaman didaerah perut bawah dan pinggang dan seluruh responden merasa lebih rileks. Setelah merasakan manfaatnya, 30 (91%) responden menyatakan setuju untuk menerapkan teknik Rebozo sebagai upaya mengurangi nyeri pada perut dan pinggang selama kehamilannya dan bersedia melakukannya dirumah maupun saat persalinannya nanti.
Efektifitas Teknik Rebozo dalam Lama Persalinan Kala I Fase Aktif pada Ibu Bersalin Primigravida di Wilayah Kabupaten Tapanuli Utara Bulan Januari s/d Oktober 2020 Ganda Agustina Hartati Simbolon; Urhuhe Dena Siburian
Syntax Literate Jurnal Ilmiah Indonesia
Publisher : CV. Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (429.81 KB) | DOI: 10.36418/syntax-literate.v6i1.4686

Abstract

Nyeri saat persalinan merupakan kondisi fisiologis yang secara umum dialami oleh hampir semua ibu bersalin, apabila nyeri persalinan tidak diatasi akan menyebabkan terjadinya partus lama. Teknik rebozo adalah cara nonfarmakologi untuk membantu mengelola rasa sakit selama persalinan. Rebozo adalah kain panjang yg biasa dipakai wanita meksiko untuk berkegiatan sehari-hari (memanggul, menggendong bayi, selimut dll). melilitkan rebozo ke sekeliling panggul dan bokong ibu hamil lalu menggoyangkannya selama kala I berlangsung. Ayunan dari rebozo dianggap mampu membuat sang ibu rileks serta membantu memposisikan bayi ke jalan lahir sehingga dapat mempercepat proses persalinan. Jenis penelitian ini adalah penelitian comparative dengan desain eksperimen semu. Tujuan Penelitian ini adalah untuk mengetahui efektifitas Teknik Rebozo dalam ama persalinan Kala I fase aktif pada ibu primigravida yang berjumlah 14 orang untuk kelompok intervensi dan 14 orang kelompok kontrol. Penelitian dilakukan pada 6 Puskesmas di wilayah Kabupaten Tapanuli Utara dengan teknik pengambilan sampel consecutive sampling dan memenuhi kriteria inklusi. Hasil penelitian diperoleh seluruh responden dalam usia reproduksi (20 – 35 tahun) umumnya pendidikan SMA, Jenis pekerjaan umumnya PNS 57,4% dan Petani (71,4%), semua persalinan didampingi oleh suami. Hasil uji menggunakan uji independent t test nilai α = 0,00 (< 0,05), nilai mean rank kelompok intervensi (7,43) > kelompok kontrol (4.,00) yang menunjukkan ada perbedaan rata-rata lama persalinan kala I fase aktif sehingga teknik rebozo sangat efektif untuk mempercepat lama persalinan kala I fase aktif. Teknik rebozo sangat efektif untuk mengurangi nyeri persalinan dan mempercepat proses persalinan. Bidan diharapkan dapat menerapkan Teknik Rebozo menjadi salah salah bentuk asuhan persalinan kala I untuk mempercepat persalinan
The Effectiveness of Using the Zoom Meeting Application in Improving Learning during the Covid-19 Pandemic Yudi Supiyanto; Ganda Agustina Hartati Simbolon; Tamsik Udin; Ida Bagus Benny Surya Adi Pramana
Budapest International Research and Critics Institute-Journal (BIRCI-Journal) Vol 5, No 2 (2022): Budapest International Research and Critics Institute May
Publisher : Budapest International Research and Critics University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/birci.v5i2.5493

Abstract

This study aims to determine the effectiveness of using the zoom meeting application in improving learning during the pandemic. The method used in this research is as follows: qualitative research methods. Qualitative research as according to Creswell, that qualitative research is defined as an approach that aims to explore, and understand a dynamic. In addition, the data collection technique is through a list of questions distributed via the WhatsApp application. The result of this research is that the benefits of Information and Communication Technology (Zoom Meeting) have only been implemented during this Social Distancing era, thus requiring the lecture process to be conducted online. Lectures carried out using Zoom Meeting are considered less effective because they are often constrained by the availability of network/internet signals for students who do not use wifi and will have an impact on the quality of ongoing learning. The advantages of using Zoom Meetings are considered practical and efficient for students because by using Zoom Meetings, communication between students and lecturers is easier than communicating in writing or via short messages practical for students. Therefore, with the existence of the Zoom Meeting application, it is hoped that it can support students in terms of online-based learning and it is hoped that students can use this application as effectively as possible. Therefore, students and lecturers must understand each other in distance learning during the Covid-19 pandemic. We must accept the dynamics in the Covid-19 pandemic era because this phenomenon is a step and encouragement for every university in utilizing technology-based learning and is also a step towards the industrial revolution 4.0. Changes in distance learning that are carried out in the form of online lectures, of course require time to be able to adapt lectures to the current situation because lectures are in online form, requires the availability of supporting instruments to support the continuity of the online learning process.
Psychosocial Education “Emotional Freedom Techniques (Eft)” for Pregnant Mothers in the Adaptation of New Habits Covid 19 Ganda Agustina Hartati Simbolon; Marni Siregar; Sulastry Pakpahan
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 5, No 11 (2022): Volume 5 No 11 November 2022
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v5i11.8029

Abstract

ABSTRACT This community service is carried out of psychological education by providing Emotional Freedom Technique (EFT) therapy for pregnant women during the COVID-19 pandemic. This community service was conducted 3 times at the Public Health Center in Sipoholon District, namely the Situmeang Habinsaran (24 August 2021), and the Sitada-Tada (26 August 2021 and 2 September 2021), targeting 40 pregnant women in the third trimester. Depression, anxiety, and stress are three disorders that are often found in psichological disorders of pregnant women, especially during the Covid 19 pandemic. EFT is one way to reduce psychological disorders in mothers which are carried out in four set up, tapping, 9 gamut procedures, and repetition. After carrying out EFT, there was a change in the psychological response of mothers who experienced mild, moderate, and severe depression, turning into a normal state (100%). Pregnant women with anxiety disorders, experiencing changes, mild anxiety 3 people, and the remaining 33 people are in the normal category. psychological changes occur with stress disorders, namely the category of very heavy stress becomes non-existent, moderate stress 1 person, mild stress 1 person, and the rest (38 people) in normal conditions. During the adaptation period of the Covid 19 pandemic, health workers, pregnant women should continue to pay attention to preventing the transmission of Covid 19 following the health protocol. Doing EFT regularly at home will keep the body in balance, reduce stress levels, help calm the mind and body by eliminating emotional stress, and anxiety. Keywords: Education, EFT, Pregnancy, Psychological
Kecemasan Ibu Post Partum Penyintas Covid 19 Ganda Agustina Hartati Simbolon; Tiur Romatua Sitohang
Malahayati Nursing Journal Vol 4, No 9 (2022): Volume 4 Nomor 9 2022
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v4i9.6931

Abstract

ABSTRACT The mother post pregnancy experienced anxiety during the covid-19 pandemic with symptoms such as anxiety, uncalmness, a bad feeling of covid-19 virus transmission and a fear of being unable to herself and her baby from the covid-19 virus transmission. Post mothers' concerns during the quarantine and procedures carried out during the covid-19 pandemic can affect thoughts and emotions and worsen the symptoms of depression. To understand the concerns of the mother post of the covid survivors 19. This type of research is a quantitative with a descriptive research design. The study population is the mother of the post survivors covid 19. The sampling technique is sampling samples. Anxiety counter measures using the questionnaire from the counter-anxiety scale.The vast majority of respondents are 20-35 years of age (63.3%), the majority of those with 73.3% high school education levels, most of whom are multipersonnel delivery types. Most of the post moms of covid 19 suffer from moderate anxiety (56.6%). The majority of the mothers post survivors covid 19 have concerns at 56.6%. Of respondents' concerns of covid -19 could be caused by the fact that the covid-19 is a new illness and has a global negative effect, resulting in confusion, anxiety and fear in society. The effects of covid 19 affect the concerns of the covid mother post of the covid survivors 19 and make the post mother of the covid survivors 19 feel the doubts, concerns, stress and frustration that are affecting the expenditure Keywords : Covid 19, Anxiety, Mother post variety, Covid survivors 19  ABSTRAK Ibu post partum mengalami kecemasan selama pandemi Covid 19 dengan gejala yang dialami seperti gelisah, tidak tenang, mempunyai firasat buruk terhadap penularan Virus Covid-19 dan memiliki ketakutan  tidak mampu dirinya dan bayinya dari penularan virus Covid-19. Kekhawatiran ibu post partum masa karantina dan prosedur-prosedur yang dilakukan selama pandemi COVID-19, dapat berpengaruh pada pemikiran dan emosi dan memperjelek gejala depresi. Mengetahui kecemasan ibu post partum penyintas Covid 19. Jenis penelitian kuantitatif desain deskriptif. Populasi adalah Ibu Post Partum penyintas Covid 19. Teknik pengambilan sampling adalah consecutive sample. Alat ukur kecemasan menggunakan kuesioner dari Depression Anxiety Stress Scale (DASS 21). Mayoritas responden berumur 20-35 tahun (63,3%), mayoritas tingkat Pendidikan SMA 73,3%, mayoritas jenis persalinan responden multipara.  Mayoritas Ibu post partum penyintas Covid 19 mengalami kecemasan sedang (56,6%). Mayoritas ibu post partum penyintas Covid 19 memiliki kecemasan sedang 56,6%. Kecemasan responden terhadap Covid -19 terjadi karena Covid-19 adalah penyakit baru yang berdampak negative pada masyarakat secara global, menimbulkan rasa bingung, cemas dan takut. Covid 19 berdampak terhadap Ibu post partum penyintas Covid 19 dan membuat Ibu post partum penyintas Covid 19 merasa ragu-ragu,  cemas,  stress serta  frustasi yang berdampak pada  pengeluaran ASI Kata Kunci: Covid 19, Kecemasan, Ibu post partum, Penyintas Covid 19
Emotional Freedom Tehcniques and Psychological Response of Mother Post Partum Survivor Covid 19 Simbolon, Ganda Agustina Hartati; Sitohang, Tiur Romatua
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No S2 (2022): Suplement 2
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (679.483 KB) | DOI: 10.30604/jika.v7iS2.1495

Abstract

As a long-term psychological consequence, postpartum mothers who survive COVID-19 may have psychological symptoms such as increased stress, uncertainty, sorrow, worry, and depression. Several studies have shown elevated levels of stress, anxiety, and depressed symptoms, including suicidal ideation, in pregnant and postpartum women throughout the globe during the COVID-19 pandemic. In a similar research, EFT counseling resulted in a substantial reduction in anxiety and depression ratings among COVID-19-positive participants. The purpose of this research was to compare the psychological reactions (depression, anxiety, and stress) of postpartum moms proclaimed healed of COVID-19 before and after receiving emotional liberation methods treatment in the intervention group vs the control group. "Quasi-Experimental Pre-Post Test with a Control Group" 15 respondents were assigned to the intervention group and 15 to the control group. Asymp sig (2-tailed) of 0.05 was achieved. Thus, EFT has an impact on the psychological reactions of postpartum women who have survived COVID 19. It is anticipated that health care professionals would use EFT to the treatment of pregnant, maternity, and postpartum women in order to lessen the negative reactions that mothers often feel throughout these stages. in addition to non-pharmaceutical alternatives.
SOSIALISASI PRENATAL YOGA UNTUK MENGATASI PSIKOLOGIS IBU HAMIL PADA MASA ADAPTASI KEBIASAAN BARU COVID 19 Ganda Agustina Hartati Simbolon; Sulastry Pakpahan; Tiur Romatua Sitohang
Community Development Journal : Jurnal Pengabdian Masyarakat Vol. 4 No. 2 (2023): Volume 4 Nomor 2 Tahun 2023
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/cdj.v4i2.15512

Abstract

Sejak terjadi pandemi COVID-19 di seluruh dunia, banyak pembatasan hampir ke semua layanan rutin termasuk pelayanan kesehatan ibu dan anak. Seperti ibu hamil menjadi enggan ke puskesmas atau fasilitas pelayanan kesehatan lainnya karena takut tertular, adanya anjuran menunda pemeriksaan kehamilan, serta ketidaksiapan layanan tenaga kesehatan dan sarana prasarana termasuk alat pelindung diri, Situasi ini telah mengubah cara dan gaya hidup ibu hamil, karena tidak menutup kemungkinan muncul masalah fisiologis dan patologis yang dapat mengganggu proses kehamilan bagi ibu dan janin.Dampak negatif yang dialami terutama adalah kesehatan mental seperti ketakutan, depresi, kecemasan dan perasaan tidak aman. Ibu hamil perlu memperoleh pengalihan fikiran ke hal-hal yang positif untuk mengurangi masalah psikologis yang dialaminya. Yoga merupakan salah satu teknik yang dapat menghasilkan energi positif dalam diri ibu, memberikan suasana nyaman, dapat menghilangkan stress dan perasaan cemas pada ibu hamil serta meningkatkan rasa percaya diri dalam persiapan persalinan.
Analysis of Health Services Based on the BPJS Program in Hospitals Ganda Agustina Hartati Simbolon; Nasrullah Nasrullah; Poniyah Simanullang; Bernadetha Bernadetha; Jean Henry Raule
Jurnal EduHealth Vol. 14 No. 02 (2023): Periode April-June, 2023
Publisher : Sean Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (182.821 KB)

Abstract

This study aimed to determine health services based on the BPJS program in hospitals. This type of research is a quantitative observational study with operational research and survey designs, and data collection is cross-sectional. The population is all BPJS Kesehatan patients who visit or register at Praya General Hospital in the period February-May 2023. Sampling was done using a purposive sampling method. According to the researchers' objectives, respondents were taken from all visitors on service days between Monday and Thursday. The minimum number of samples taken is 5% of the average daily patient visits, namely 5% x 410 = 21 or 84 patients for four working days. Its realization for system analysis obtained a sample of 100 for each service counter, and for the patient perception study, a sample of 94 respondents was collected. Sample inclusion is a patient who is willing and able to be interviewed. The results of this study are the overall satisfaction aspect indicating that 50 respondents (60.0%) were very satisfied with the overall service provided by Praya General Hospital, while 35 respondents (48.0%) were dissatisfied. Customer expectations show that 27 respondents (33.0%) strongly agree that the services provided by Praya General Hospital meet patient expectations, while 18 strongly agree. Respondents (30.0%) indicated that they disagreed with this statement. Places of Interest Repurchasing showed that 12 respondents (26.0%) strongly agreed that they would return to Praya Hospital if they needed treatment, and 14 respondents (14.0%) said they did not plan to return for treatment. Based on the results of interviews with patient testimonials from hospital services, they said the following: In the service process, patients have to wait a long time before arriving at the ward. According to one patient (Ida) who complained and said that she had cancer for up to 9 consecutive days for class I (queue number 9) because the doctor said that the patient would be operated on when they got a room. In addition, patients report to the BPJS representative office located at Praya General Hospital, where patients receive referrals. It is clear from the patient's statements that the responsibility of BPJS officers is unfair to the complaints experienced by many patients.
Hypnoprenatal reduces anxiety and stress in high-risk pregnancy in North Tapanuli District Sulastry Pakpahan; Ganda Agustina Hartati Simbolon; Elly Sianturi; Juana Linda Simbolon
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 11, No 2 (2023)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2023.11(2).185-196

Abstract

Background: High-risk pregnancies can cause more complications for the mother and fetus during pregnancy, childbirth, and the puerperium compared to normal pregnancies. High-risk factors during pregnancy can increase worry and stress, which can influence labor and delivery and are risk factors for postpartum depression. During pregnancy, stress can increase the risk of having a premature, low-birth-weight baby. Hypnoprenatal is an effective communication method to incorporate positive suggestions into the subconscious mind of pregnant women to reduce anxiety and stress during pregnancy. Objectives: to determine the effect of hypnoprenatal intervention on anxiety and stress in high-risk pregnant women in the North Tapanuli District. Methods: This research method used a pre-experimental method with a one group pre-test post-test design. Samples were taken by the purposive sampling method, which, based on the inclusion criteria, obtained as many as 36 high-risk pregnant women who experience anxiety and stress. Hypnoprenatal intervention was carried out for 3 days, twice a day, and then observations and interviews were carried out using the DAS 42 questionnaire. Data analysis used a paired t-test. The results showed that the characteristics of the respondents based on the age of the majority were >35 years (44.7%), secondary education (33.3%), farmer's work (52.8%), primigravidas (17%), high-risk pregnancies (72.7%), and low risk (27.8%).Results : The results of the statistical tests showed differences and decreased levels of anxiety and stress in pregnant women at risk before and after the hypnoprenatal intervention, with a p-value of 0.000 (p<0.05). Conclusions: hypnoprenatal has a significant effect on the level of anxiety and stress among pregnant women at risk. It is recommended that pregnant women use hypnoprenatal techniques to help reduce anxiety and stress during pregnancy, which affects the mother's psychological condition.
Deteksi Dini Tumbang dan Pencegahan Stunting Pada Balita di Desa Pearung Silali Kecamatan Paranginan Kabupaten Humbang Hasundutan Pakpahan, Sulastry; Simbolon, Ganda Agustina Hartati; Panggabean, Hetty; Sitompul, Emilia Silvana
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 7, No 7 (2024): Volume 7 No 7 2024
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v7i7.14968

Abstract

ABSTRAK Deteksi dini tumbuh kembang balita dilakukan untuk mengetahui penyimpangan tumbuh kembang anak secara dini, sehingga upaya pencegahan, stimulasi, penyembuhan serta pemulihan dapat diberikan dengan indikasi yang jelas pada masa-masa kritis proses tumbuh kembang. Pengabdian kepada masyarakat Prodi DIII Kebidanan Tarutung Poltekkes Kemenkes Medan dilakukan dalam bentuk edukasi kesehatan, pemberian makanan tambahan (PMT) dan pemeriksaan pertumbuhan dan perkembangan balita. Pengabdian masyarakat ini dilaksanakan pada 33 orang ibu-ibu balita dan 42 orang balita. Hasil dari pengambilan data karakteristik balita peserta kegiatan berdasarkan TB/U terdapat status gizi balita dengan stunting sebanyak 6 orang (14,29%). Hasil pemantauan perkembangan balita berdasarkan kemampuan bicara mayoritas pada kategori normal (59,5%), motorik kasar kategori normal (88,1%), emosional normal (66,7%), motorik halus (54,7%). Sesudah  dilakukan  penyuluhan tentang pencegahan stunting pada balita, berdasarkan hasil postest, diketahui bahwa sebanyak 21 orang ibu balita (63,7%) dengan kategori pengetahuan baik. Hal ini menunjukkan bahwa terdapat peningkatan pengetahuan ibu terkait pencegahan stunting setelah diberikan penyuluhan. Seluruh  peserta  bersikap  positif  dan antusias mengikuti kegiatan pengabdian masyarakat. Peningkatan pengetahuan dan kesadaran ibu balita dalam pencegahan stunting sangat diharapkan agar terjadi perubahan perilaku yang lebih baik. Selain itu dapat meningkatkan persentase keikutsertaan ibu balita di kelas ibu hamil melalui kehadiran ibu balita ke posyandu sehingga dapat menurunkan prevalensi stunting. Kata Kunci: Stunting, Deteksi Dini, Balita  ABSTRACT Early detection of toddler growth and development is carried out to determine deviations in children's growth and development early so that prevention, stimulation, healing, and recovery efforts can be provided with clear indications at critical periods of the growth and development process. Community service for the Tarutung DIII Midwifery Study Program, Medan Ministry of Health Polytechnic, is carried out in the form of health education, providing additional food (PMT), and checking for disorders in the growth and development of toddlers. This community service was carried out for 33 mothers of toddlers and 42 toddlers. The results of collecting data on the characteristics of toddlers participating in activities based on TB/U showed that the nutritional status of toddlers with stunting was 6 people (14.29%). The results of monitoring the development of toddlers based on the majority's speech abilities are in the normal category (59.5%), gross motor skills are normal categories (88.1%), normal emotional (66.7%), and fine motor skills (54.7%). After providing counseling on preventing stunting in toddlers, based on the posttest results, it was discovered that 21 mothers of toddlers (63.7%) were in the good knowledge category. This shows that there is an increase in mothers' knowledge regarding stunting prevention after being given counseling. All participants were positive and enthusiastic about participating in community service activities. It is hoped that increasing the knowledge and awareness of mothers of toddlers in preventing stunting will lead to better behavioral changes. Apart from that, it can increase the percentage of participation of mothers of toddlers in classes for pregnant women through the presence of mothers of toddlers at posyandu so that it can reduce the prevalence of stunting. Keywords: Stunting, Early detection, Toddlers