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All Journal International Journal of Public Health Science (IJPHS) MEDISAINS Jurnal Penelitian Kesehatan Suara Forikes Jurnal Kesehatan Vokasional Jurnal Ilmiah PANNMED (Pharmacist, Analyst, Nurse, Nutrition, Midwivery, Environment, Dentist) Jurnal Abdi Insani Abdimas Galuh: Jurnal Pengabdian Kepada Masyarakat Community Development Journal: Jurnal Pengabdian Masyarakat Jurnal Pengabdian Masyarakat dalam Kesehatan Poltekita: Jurnal Pengabdian Masyarakat Jurnal Kesehatan Tambusai Jurnal Pengmas Kestra (JPK)
Agustina Boru Gultom
Politeknik Kesehatan Kementerian Kesehatan Medan
Agriculture, Biological Sciences & Forestry Humanities Civil Engineering, Building, Construction & Architecture Computer Science & IT Dentistry Economics, Econometrics & Finance Education Engineering Environmental Science Health Professions Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Mathematics Medicine & Pharmacology Nursing Public Health

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EDUCATION GUIDELINES FOR BALANCED NUTRITION FOR PRE-SCHOOL CHILDREN IN METHODIST-6 KINDERGARTEN MEDAN Agustina Boru Gultom; Tiurlan Mariasima Doloksaribu
JURNAL PENGMAS KESTRA (JPK) Vol. 2 No. 1 (2022): 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 | Full PDF (295.497 KB) | DOI: 10.35451/jpk.v2i1.1044

Abstract

Preschool is the time when children are between the ages of 3 to 6 years, where in this phase, they experience a periode of increasing various competencies in themselves in order to prepare them for school. At this time, the child will display optimal development which is shown in his daily life the child receive adequate nutrition, appropriate stimulation for development and proper education. Preschool children had the characteristics of active self-consumption, where children tend to choose foods what they like. This condition allowed a larger number of children in this group to be exposed to a dirty environment, where this situation provides a greater opportunity for infection from various kinds of diseases to children as well as non-optimal nutrition from inadequate food consumption will be associated with worsening health. Kindergarten Methodist-6 was located near the main road where around the school location there were snack for school children. The survey resulted found that many kindergarten children did not know about the guidelines for balanced nutrition. Providing health education regarding balanced nutrition guidelines covering 3 topics consisting of an introduction to balanced nutrition guidelines, principles of balances nutrition, and snacks for children through lectures, questions and answers and discussions, demonstration and redemonstration. Educational measurement through pictorial quiz consists of 7 questions. Health education regarding balanced nutrition guidelines increased children’s knowledge by 38%. Health education regarding balanced nutrition guidelines can increase knowledge of kindergarten children.
STRESS AND QUALITY OF LIFE PATIENTS WITH DIABETES MELLITUS Duma Ayu Sianturi; Agustina Boru Gultom
Jurnal Kesehatan Tambusai Vol. 4 No. 2 (2023): JUNI 2023
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v4i2.15431

Abstract

Diabetes Mellitus is still a health issue both globally and in Indonesia. This is evidenced by the increasing morbidity and can even lead to a decrease in the quality of life and event death if not handled properly. One of the factors that may be related to the quality of life of patients with diabetes mellitus is stress. This study aimed to analyze the relationship between stress and quality of life of patients with diabetes mellitus at Pirngadi Hospital, Medan City in 2022. The study used an analytical method with a cross-sectional approach. The number of samples was calculated using the formula and 41 patients were taken using purposive sampling technique. The instrument used for stress is the Perceived Stress Scale (PSS) which includes 10 statement items.  As for the quality of life using WHOQOL-BREF as many as 26 statement items.  Both of these instruments were standard instruments that have been tested for validity and reliability. Data analysis was performed using the Chi-square test. It obtained p-value 0.003. It indicated a relationship between stress and the quality of life of patients with diabetes mellitus. It is recommended that the nurse can train the patient some stress reductions methods and encourage the patient to do it every day.
UPAYA MENINGKATKAN EFIKASI DIRI DAN MENURUNKAN STRESS PADA PASIEN DIABETES MELLITUS Gultom, Agustina Boru; Batubara, Arbani
Community Development Journal : Jurnal Pengabdian Masyarakat Vol. 4 No. 6 (2023): Volume 4 Nomor 6 Tahun 2023
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/cdj.v4i6.23068

Abstract

Puskesmas Kutalimbaru berada di Kecamatan Kutalimbaru Kabupaten Deli Serdang, memiliki beberapa masalah kesehatan. Diabetes melitus menduduki peringkat ke-6 dari 10 penyakit terbanyak pada tahun 2022. Ada 2 wilayah kerja Puskesmas Kutalimbaru yang banyak mengalami diabetes melitus yaitu Desa Kutalimbaru dan Sukarende. Pasien diabetes melitus ada yang belum yakin melakukan manajemen perawatan diri diabetes melitus dan ada yang mengalami stress dalam kehidupan sehari-harinya. Tujuan kegiatan ini adalah masyarakat yang mengalami diabetes melitus akan mengalami peningkatan efikasi diri dan penurunan stress melalui pelatihan manajemen diri dan efikasi diri diabetes melitus. Kegiatan pengabdian kepada masyarakat meliputi pengukuran efikasi diri menggunakan kuesionerskala efikasi diri manajemen diabetes melitus dan stress menggunakan kuesioner SUDS (Subjective Units of Distress Scale) sebelum pelatihan dimulai. Kemudian dilanjutkan intervensi berupa pelatihan manajemen diri dan efikasi diri diabetes melitus dengan metode ceramah, tanya jawab, demonstrasi dan redemonstrasi untuk pemeriksaan kadar gula darah dan senam kaki. Kemudian, kembali melakukan pengukuran efikasi dan stress menggunakan kuesioner yang sama. Sasaran adalah 40 orang pasien diabetes melitus dibagi dalam 2 kelompok. Kelompok pertama dilakukan di Desa Kutalimbaru, sedangkan kelompok kedua dilakukan di Desa Sukarende. Hasil kegiatan memperlihatkan peningkatan skor efikasi diri sebesar 18,71%, penurunan stress sebesar 27,90%. Pelatihan manajemen diri dan efikasi diri diabetes melitus dapat meningkatkan efikasi diri dan menurunkan stress pada pasien diabetes melitus. Disarankan agar intervensi ini digunakan sebagai terapi keperawatan pada pasien diabetes melitus.
The effect of self-efficacy and self-management training on efficacy and stress in diabetes mellitus patients Gultom, Agustina Boru; Batubara, Arbani
MEDISAINS Vol 20, No 3 (2022)
Publisher : Universitas Muhammadiyah Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/medisains.v20i3.15386

Abstract

Background: Quality of life in patients with diabetes mellitus still tends to be low. This is caused by low self-efficacy and self-management and is followed by a condition that connects the two variables in the form of stress. Therefore, there is a need for efficacy and self-management training in patients with diabetes mellitus.Objective: The purpose of this study was to analyze the effect of self-efficacy and diabetes self-management training on diabetes mellitus patients.Methods: This is a quasi-experimental study with a design without a control group; as many as 34 people with diabetes were included in the study. Stress and efficacy levels were measured before and after being given diabetes self-management and efficacy training. The Wilcoxon test analyzed data..Results: Before training, the average self-efficacy score was 44.21, while after training was 58.76, p<0.0001. The average stress score before training was 44.41; after training, it decreased to 30.29, p<0.0001.Conclusion:  Diabetes self-efficacy and self-management training increases efficacy and reduces stress in diabetes mellitus patients.
RELAKSASI OTOT PROGRESIF DENGAN MUSIK KLASIK TERHADAP KECEMASAN MASYARAKAT PASCA BENCANA BANJIR Sirait, Clarissa Triana; Gultom, Agustina Boru
Jurnal Kesehatan Tambusai Vol. 6 No. 2 (2025): JUNI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v6i2.46159

Abstract

Kota Medan merupakan daerah rawan bencana banjir, dan salah satu kecamatan yang rawan  banjir adalah Kecamatan Medan Tuntungan. Peirumahan Dei Flamboyan  berada di Kecamatan Medan Tuntungan Kota Meidan peirnah meingalamii beincana banjiir dan menimbulkan kecemasan pada warganya. Produktivitas masyarakat berdampak  negatif bila masyarakat mengalami peningkatan kecemasan, Peningkatan kecemasan dapat terjadi apabila masyarakat kurang mampu mengelola kecemasan yang dialami.  Salah satu upaya yang bisa ditawarkan adalah teknik relaksasi otot progresif dengan musik klasik. Tujuan dari penelitian ini adalah untuk menganalisis pengaruh relaksasi otot progresif dengan musik klasik terhadap kecemasan masyarakat yang pernah mengalami bencana banjir di Perumahan De Flamboyan Medan. Jenis penelitian kuantitatif, menggunakam desain penelitian  quasi eksperimen dengan kelompok kontrol. Sampel sebanyak 40 responden terdiri 20 kelompok perlakuan, 20 kelompok kontrol, dengan teknik pengambilan sampel purposive sampling.  Pengumpulan data menggunakan kuesioner Hamilton Anxiety Rating Scale (HARS). Analisis menggunakan uji paired simple t test pada α < 0.05. Hasil penelitian menunjukkan  nilai p value pada kelompok perlakuan sebesar 0.0001 dan pada kelompok kontrol sebesar 0.111.  Dapat disimpulkan bahwa  teknik relaksasi otot progresif dengan musik klasik dapat membantu menurunkan tingkat kecemasan pada masyarakat pasca bencana banjir.
ANXIETY AND QUALITY OF LIFE KIDNEY FAILURE PATIENTS UNDERGOING HEMODIALYSIS Tambunan, Dorothy; Gultom, Agustina Boru
Jurnal Kesehatan Tambusai Vol. 5 No. 1 (2024): MARET 2024
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v5i1.25013

Abstract

Gagal ginjal kronik masih merupakan masalah yang mendapat perhatian baik di dunia maupun di Indonesia. Hal ini berkaitan dengan peningkatan prevalensi yang utamanya didorong oleh peningkatan diabetes melitus, hipertensi, kegemukan dan ketuaan, meskipun ada faktor lainnya yang akan mempengaruhi seperti infeksi, racun, daun-daunan dan lingkungan.  Pasien memerlukan pilihan terapi pengganti ginjal untuk mempertahankan kelangsungan hidupnya. Pasien memilih  upaya untuk mempertahankan kondisinya terutama dengan menggunakan terapi hemodialisis.  Hal ini berkaitan dengan kebermanfaatan pelayanan hemodialisis, biaya dan hasil yang diharapkan. Kecenderungan pasien gagal ginjal kronik yang menjalani terapi ini mengalami kualitas hidup yang rendah.  Salah satu faktor yang mungkin berhubungan adalah kecemasan. Tujuan penelitian ini adalah menganalisis hubungan kecemasan dengan kualitas hidup pada pasien gagal ginjal kronik yang menjalani hemodialisis di RS Dr. Pirngadi Medan. Penelitian ini menggunakan metode analitik korelasi dengan desain cross sectional. Sampel berjumlah 44 orang dengan teknik pengambilan sampel adalah purposive sampling. Instrumen penelitian menggunakan kuesioner HAR-S untuk mengukur tingkat kecemasan sebanyak 14 pertanyaan, serta WHOQOL-BREF untuk mengukur kualitas hidup sebanyak 26 pertanyaan. Data dianalisis menggunakan uji Chi-Square. Hasil penelitian menunjukkan tingkat kecemasan cenderung berat sebanyak 50,0% dan kualitas hidup cenderung buruk 63,6% dan p-value = 0,0001. Dapat disimpulkan bahwa terdapat hubungan antara tingkat kecemasan dengan kualitas hidup pasien gagal ginjal kronik yang menjalani hemodialisis.
Intervensi Mengendalikan Tekanan Darah pada Pasien Hipertensi Melalui Pelatihan Relaksasi Otot Progresif Disertai Musik Klasik Gultom, Agustina Boru; Batubara, Arbani
Poltekita: Jurnal Pengabdian Masyarakat Vol. 4 No. 3 (2023): Juli-September
Publisher : Pusat Penelitian & Pengabdian Masyarakat Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/pjpm.v4i3.1779

Abstract

Gunung Tinggi Health Center is located in Pancur Batu District, Deli Serdang Regency, where Hypertension was ranked 3rd of the 10 most common diseases in 2021. There are 2 working areas of the Gunung Tinggi Public Health Center which are still experiencing hypertension, including Sembahe Baru and Baru Village. The purpose of this activity was to increase knowledge about interventions to control blood pressure specifically through progressive muscle relaxation training accompanied by classical music, reducing stress and blood pressure in hypertensive patients. This community service used lecture, question and answer, demonstration and red-demonstration methods of providing interventions to control blood pressure through progressive muscle relaxation training accompanied by classical music, with a target of 60 hypertensive patients, carried out in two villages in the working area of ​​the Gunung Tinggi Health Center including Sembahe Baru Village and Baru Village each of 30 participants. The activities carried out included a pre-test for measuring knowledge, blood pressure and stress, followed by the provision of progressive muscle relaxation training interventions accompanied by classical music and ended with a post-test using the same questionnaire and tools. The results showed an increase in knowledge score of 25.58%, a decrease in stress of 33.94% and a decrease in systolic of 10.72 mmHg and a diastolic of 5.18 mmHg. Progressive muscle relaxation training intervention accompanied by classical music provides benefits in controlling stress, blood pressure and increasing knowledge.
EFEK RELAKSASI OTOT PROGRESIF DISERTAI MUSIK KLASIK TERHADAP STRESS DAN TEKANAN DARAH PASIEN HIPERTENSI SECARA CEPAT Gultom, Agustina Boru; Batubara, Arbani; Afniwati, Afniwati
Jurnal Abdi Insani Vol 11 No 2 (2024): Jurnal Abdi Insani
Publisher : Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/abdiinsani.v11i2.1595

Abstract

The Sunggal Community Health Center is in Sunggal District, Medan City, and has several health problems. Hypertension is ranked third among the ten most common diseases in 2022. One of the work areas of the Sunggal Health Center in Medan City where there are many hypertensive patients is the Sunggal sub-district area, with hypertension patients. some experienced an increase in their blood pressure, some experienced an increase in tension in daily life. The aim of this activity is that people who experience hypertension will experience a decrease in stress and blood pressure through progressive muscle relaxation exercises accompanied by classical music. . Community service activities include measuring stress using the SUDS (Subjective Units of Distress Scale) questionnaire and blood pressure using an Omron brand digital blood pressure monitor before training begins. Then the intervention continued in the form of progressive muscle relaxation exercises accompanied by classical music using lecture, question and answer, demonstration and re-demonstration methods for progressive muscle relaxation exercises accompanied by classical music. Then, measure stress and blood pressure again using the same questionnaire and tools. The target was 30 hypertensive patients carried out in the Sunggal sub-district. The results of the activity showed a decrease in stress by 23.68%, a decrease in systolic blood pressure by 9.47 mmHg, diastolic by 4.00 mmHg. Progressive muscle relaxation exercises accompanied by classical music can make a good contribution as a non-pharmacological nursing intervention in reducing stress and lowering blood pressure in hypertensive patients quickly.
Co-Authors Abdul Hanif Siregar Afniwati Afniwati Arbani Batubara Arbani Batubara Arbani Batubara Arbani Batubara Duma Ayu Sianturi Elni Lorensi Silalahi Indrawati Indrawati Indrawati Simamora, Adelima C. R. Simatupang, Doni Sirait, Clarissa Triana Surita Br Ginting Syarif Zen Yahya Tambunan, Dorothy Tiurlan Mariasima Doloksaribu