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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

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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.
Effectiveness of a Positive Deviance–Based Educational Intervention on Children’s Self-Esteem for Bullying Prevention: A Quasi-Experimental Study Wahyuni, Retno; Marliani, Marliani; Lusiatun, Lusiatun; Japar, Abdul; Pangaribuan, Ingka Kristina; Manurung, Herna Rinayanti; Adethia, Kismiasih; Fathahilah, Bunga Dwi; Sinaga, Intan Putri; Dalimunthe, Juwita Rantika
Journal of Applied Nursing and Health Vol. 8 No. 1 (2026): 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.v8i1.520

Abstract

Background: Bullying is a critical school issue rooted in low self-esteem, which serves as a major vulnerability factor for children. This study aims to analyze the role of Positive Deviance (PD) education in improving children’s self-esteem as a bullying prevention strategy. Methods: A quantitative quasi-experimental pretest–posttest control group design was employed. The population consisted of grade VI students at SD Negeri 101893 Bangun Rejo, with a total sample of 58 students, divided into an experimental (n=29) and a control (n=29) group. Sampling involved identifying "positive deviants"—children who successfully overcame bullying risks—to develop the PD education module. Variables measured included knowledge, self-esteem (SE), and Positive Deviance Bullying behavior (PB) as dependent variables, collected via validated instruments. Ethical clearance was ensured throughout the procedure, and data were analyzed using Paired and Independent t-tests. Results: Most respondents were aged 11–12 years, and the experimental group had a higher proportion of females (65.5%). The experimental group showed significant improvements in knowledge (p=0.0001), self-esteem (p=0.043), and behavior (p=0.034). Independent t-test results confirmed significant differences between the experimental and control groups for knowledge (p=0.013), self-esteem (p=0.037), and behavior (p=0.024), indicating the intervention's effectiveness. Conclusion: Positive Deviance education effectively enhances children’s self-esteem, providing a vital psychological foundation for bullying prevention. It is recommended that future programs adopt a whole-school approach involving teachers and parents to support long-term behavioral change and sustainability.