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Factors Associated with the Irregularity of Antenatal Care Visits at the Amandraya Health Center in South Nias Regency in 2022 Hondro, Surya Meistin Kristianti; Pasaribu, Veronika Sinar Open; Purba, Edy Marjuang; Manurung, Herna Rinayanti; Dewi, Eva Ratna; Marliani, Marliani
Jurnal EduHealth Vol. 13 No. 02 (2022): Jurnal eduHealth, Periode Oktober - December, 2022
Publisher : Sean Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (224.813 KB)

Abstract

Antenatal care is an activity of supervising pregnant women to prepare pregnant women as well as possible both physically and mentally, as well as saving mothers and babies during pregnancy, childbirth and the postpartum period. In South Nias District the coverage of Antenatal Visits 1 (K1) was 87.10% in 2019 and K4 was 73.32. At the Amandraya Health Center the coverage of K1 to K4 in 2021 has not reached the expected target of 95%. The aim of this study was to find out the factors associated with the irregularity of antenatal care visits at the Amandraya Health Center in South Nias Regency in 2022. This type of research is an analytic observational study using a cross sectional approach. The population was all pregnant women at the Amandraya Health Center in South Nias Regency, namely 217 people. The sample in this study were 73 people obtained through simple random sampling technique. Data analysis was carried out to determine the distribution of frequencies and percentages of each variable to be studied which included: age, education, employment, parity, income and staff support. Data analysis was performed by statistical test using chi-square. There is a relationship between knowledge (p=0.001) and income (p=0.007), mothers and irregular antenatal care visits at the Amandraya Health Center in South Nias Regency in 2022. There is no relationship between mother's education, number of children and health workers and irregular antenatal care visits. It is suggested to the staff of the Amandraya Health Center in South Nias Regency to increase counseling activities so that pregnant women's knowledge about antenatal care increases and antenatal care visits can be carried out regularly from the 1st to the 3rd trimester.
Wounds Care In Patients During The Covid 19 Pandemic Era Zega, Petra Diansari; Bui, Thanh Loan; Manurung, Herna Rinayanti; Marliani, Marliani; Alfiani , Alfiani
Jurnal EduHealth Vol. 13 No. 01 (2022): Jurnal EduHealth, April - September 2022
Publisher : Sean Institute

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Abstract

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. 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. 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. The findings of this systematic review indicate that telehealth and telemedicine services can provide opportunities to improve wound care to patients.
Effectiveness of Health Belief Model–Based Psychoeducation in Enhancing Adolescent Mental Health Accessibility Sembiring, Isyos Sari; Manurung, Basaria; Manurung, Herna Rinayanti; Sinuhaji, Lidya Natalia; Ginting, Perkasa; Pane, Grace Laura Fidela; Zebua, Oktaviani; Pakpahan, Juwita Febriani
Journal of Applied Nursing and Health Vol. 7 No. 3 (2025): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v7i3.429

Abstract

Background: Adolescent mental health is a growing public health concern, yet behavioral interventions addressing help-seeking barriers remain limited in low-resource settings. While the Health Belief Model (HBM) has been extensively applied to physical health behaviors, its relevance for improving mental health accessibility among adolescents is underexplored. This study aimed to evaluate the effectiveness of HBM-based psychoeducation in enhancing adolescents’ self-awareness, self-efficacy, and emotional regulation. Methods: A quantitative pre-experimental two-group pretest–posttest design was conducted in Bangun Rejo Village, North Sumatra, Indonesia, following the TREND reporting guideline for non-randomized evaluations. Participants included 50 adolescents aged 12–16 years, selected through cluster sampling. Inclusion criteria were residence for at least six months and parental consent, while adolescents with prior psychiatric treatment were excluded. Data were collected using an HBM-based Mental Health Accessibility Questionnaire (Cronbach’s α = 0.87), with self-awareness and self-efficacy as independent variables and mental health accessibility as the dependent variable. Results: The experimental group showed a higher posttest score (87.60 ± 7.45; 95% CI [84.51, 90.69]) compared to the control group (76.48 ± 11.98; 95% CI [71.58, 81.38]). Between-group differences were significant (t(48) = 3.75, p < 0.001, Cohen’s d = 1.06), indicating a large effect size.. Conclusion: HBM-based psychoeducation effectively enhances adolescents’ accessibility to mental health services by improving self-awareness, self-efficacy, and emotional regulation. The findings support incorporating HBM-based approaches into school and community health programs as low-cost, culturally adaptable strategies to promote adolescent mental health in resource-limited settings.
Therapeutic Communication Phases and Patient Satisfaction in Meeting Basic Care Needs: A Cross-Sectional Study in Inpatient Care Simbolon, Rolasnih Lilista; Afriani, Dina; Zega, Petra Diansari; Hutabarat, Dewi Sartika; Manurung, Herna Rinayanti; Manik, Elisabet; Risna, Risna
Jurnal Kesehatan dan Kedokteran Vol. 5 No. 1 (2026): Februari: Jurnal Kesehatan dan Kedokteran
Publisher : Asosiasi Dosen Muda Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56127/jukeke.v5i1.2602

Abstract

Therapeutic communication is a core nursing competency that influences patient perceptions of care quality, comfort, safety, and the fulfillment of basic needs during hospitalization. However, evidence remains limited regarding how each phase of therapeutic communication contributes differently to patient satisfaction in inpatient settings. Objective: This study aimed to analyze the relationship between therapeutic communication phases orientation, working, and termination and patient satisfaction in fulfilling basic care needs among inpatients at Mitra Sejati General Hospital, Medan. Methods: A quantitative analytical study with a cross-sectional design was conducted from January to March 2024. The sample consisted of 71 inpatients selected using consecutive sampling. Data were collected through structured questionnaires administered via interviews and analyzed using descriptive statistics and Spearman’s rho correlation test with a significance level of α = 0.05. Findings: Therapeutic communication was generally rated as good across phases, yet patient satisfaction was predominantly neutral (52.1%). Significant positive correlations were found between the orientation phase and patient satisfaction (rₛ = 0.911; p < 0.001) and between the working phase and patient satisfaction (rₛ = 0.787; p = 0.003), while the termination phase showed no significant relationship (rₛ = −0.134; p = 0.265). Implications: The findings highlight the importance of strengthening trust-building communication at the initial and active stages of care. Hospitals should prioritize communication training and clinical protocols that emphasize admission interactions and continuous engagement to improve patient satisfaction and care quality. Originality/Value: This study demonstrates that therapeutic communication phases contribute unequally to patient satisfaction and identifies the orientation phase as the most dominant relational component in the inpatient context, offering new insights for patient-centered nursing practice in Indonesia.
Optimalisasi Kelas Ibu Hamil Melalui Pelatihan Terapi Foot Soak Lemongrass Terhadap Penurunan Tekanan Darah Ibu Hamil Situmorang, Friza Novita Sari; Manurung, Herna Rinayanti; Yudianto, Ade Rachmat; Fauzianty, Ariska; Munthe, Juliana; Sembiring, Sarfina Br; Purba, Pitri Indriani
Jurnal Masyarakat Madani Indonesia Vol. 5 No. 1 (2026): Februari
Publisher : Alesha Media Digital

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59025/3071qv80

Abstract

Hipertensi dalam kehamilan merupakan risiko medis serius yang memerlukan penanganan tepat guna mencegah preeklamsia. Upaya penanganan hipertensi ini merupakan langkah nyata dalam mendukung Sustainable Development Goals (SDGs) target ke-3 dan visi nasional Asta Cita poin ke-4 terkait penguatan kualitas layanan kesehatan dan kemandirian bangsa. Di Klinik Pratama Rawat Inap Sarfina, manajemen hipertensi pada ibu hamil masih dominan menggunakan terapi farmakologis, sementara potensi bahan alam lokal belum dimanfaatkan secara optimal. Kegiatan pengabdian masyarakat ini bertujuan untuk mengoptimalisasi peran Kelas Ibu Hamil melalui pelatihan mandiri terapi foot soak (rendam kaki) menggunakan rebusan air sereh (lemongrass) sebagai intervensi nonfarmakologis. Mitra sasaran adalah 30 orang ibu hamil yang terdaftar di Klinik Pratama Sarfina. Metode pelaksanaan menggunakan pendekatan partisipatif yang meliputi edukasi teori, demonstrasi prosedur pembuatan, dan praktik mandiri (redemonstrasi). Hasil kegiatan menunjukkan capaian yang signifikan secara kuantitatif, yaitu peningkatan rata-rata skor pengetahuan sebesar 27,6% dan penurunan rata-rata tekanan darah sistolik sebesar 9,3 mmHg serta diastolik 7,7 mmHg setelah intervensi. Secara kualitatif, peserta mampu mendemonstrasikan teknik foot soak secara mandiri sesuai SOP dan merasakan efek relaksasi yang instan. Kendala utama berupa keterbatasan alat ukur suhu diatasi dengan edukasi teknik uji suhu manual. Optimalisasi Kelas Ibu Hamil melalui pelatihan ini terbukti efektif dalam meningkatkan keterampilan psikomotorik ibu hamil untuk melakukan perawatan mandiri berbasis etnofarmaka yang ekonomis dan mudah diakses
ANALISIS FAKTOR KONSELING KELUARGA BERENCANA TERHADAP PEMILIHAN METODE KONTRASEPSI PADA PASANGAN USIA SUBUR DI UPTD PUSKESMAS LUMBAN LOBU KECAMATAN BONATUA LUNASI KABUPATEN TOBA TAHUN 2025 Tambun, Mastaida; Pratilia Siagian, Necia; Sinaga, Siti Nurmawan; Manurung, Herna Rinayanti
Ensiklopedia Research and Community Service Review Vol 5, No 2 (2026): Vol. 5 No. 2 Februari 2026
Publisher : Lembaga Penelitian dan Penerbitan Hasil Penelitian Ensiklopedia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33559/err.v5i2.3771

Abstract

Background The high population growth rate in Indonesia remains a serious concern, one of which is addressed through the Family Planning (FP) program. The selection of contraceptive methods among couples of reproductive age (CRA) is influenced not only by the availability of contraceptive methods but also by the quality of counseling provided by healthcare professionals. Effective counseling plays an important role in helping individuals understand various contraceptive methods, including their benefits, contraindications, and side effects, enabling them to make rational and voluntary decisions. Objective This study aims to analyze the influence of family planning counseling on the selection of contraceptive methods among CRA at UPTD Puskesmas Lumban Lobu, Bonatua Lunasi District, Toba Regency in 2025. Methods This research used a quasi-experimental design with a pretest-posttest control group approach. The sample consisted of 67 respondents selected using purposive sampling. The research instrument was a questionnaire, and data were analyzed using the paired sample t-test. Results The study found that family planning counseling had a significant effect on contraceptive method selection. Most respondents experienced improved understanding and changes in decision-making after receiving counseling. Conclusion Family planning counseling significantly improves knowledge, decision-making, and contraceptive method selection among couples of reproductive age. Effective counseling helps respondents understand the types, benefits, and side effects of contraceptives, enabling them to choose the method most suitable for their needs. Suggestion Healthcare providers are encouraged to enhance the quality of FP counseling using a more communicative and client-centered approach. Couples of reproductive age are also encouraged to actively seek information and participate in counseling sessions before deciding on a contraceptive method.Keywords: Family Planning Counseling, Contraceptive Method Selection, Couples of Reproductive Age, Family Planning Program
Mothers’ Perceptions Based on the Health Belief Model Regarding Exclusive Breastfeeding and Stunting Prevention Pangaribuan, Ingka Kristina; Sibarani, Lisa Erawati; Sinaga, Rosmani; Manurung, Herna Rinayanti; Sinaga, Siti Nurmawan; Rachmat, Ade; Lubis, Adi Raja Brando
Journal of Maternal and Child Health Sciences (JMCHS) Vol 5 No 2 (2025): Journal Of Maternal And Child Health Sciences
Publisher : Poltekkes Kemenkes Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/maternalandchild.v5i2.3742

Abstract

Sustainable Development Goal (SDG) number two aims to create a healthy and productive society free from hunger. According to SDG data, the stunting rate among children under five decreased from 24.4% in 2021 to 21.6% in 2022. However, disparities remain across provinces, and national targets have not yet been achieved. Stunting is characterized by a Z-score less than -2 SD (moderate) and less than -3 SD (severe). One of the main obstacles to achieving this goal is the prevalence of malnutrition among children under five, which is a major factor contributing to stunting (1). This study aims to explore mothers' perceptions using the Health Belief Model (HBM) regarding exclusive breastfeeding in preventing. The research method is analytical, using a cross-sectional design with a Chi-Square test to analyze the influence between variables. The population consists of all mothers with toddlers, with a total of 149 visits recorded in the past year. A sample of 60 mothers was selected. Primary data were collected using questionnaires, and secondary data were obtained through interviews. The results showed that most respondents were aged 31–40 years (66.7%), had a high school education (66.7%), and were housewives (91.7%). There was a statistically significant relationship between perceived susceptibility (p=0.009) and perceived severity (p=0.024) with the practice of exclusive breastfeeding in preventing stunting. Conclusion: There is a significant relationship between mothers' perceptions of susceptibility and severity. Educational interventions should focus on enhancing mothers’ positive perceptions of the importance of exclusive breastfeeding