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All Journal Jurnal Riset Hesti Medan Akper Kesdam I/BB Medan Jurnal Keperawatan dan Fisioterapi (JKF) JURNAL KEBIDANAN KESTRA (JKK) Jurnal Kesehatan Masyarakat dan Lingkungan Hidup JURNAL PENELITIAN KEBIDANAN & KESPRO Jurnal Pengmas Kestra (JPK)
Nikmah Jalilah Ritonga
Institut Kesehatan Medistra Lubuk Pakam
Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences Other

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PENINGKATAN CAKUPAN IMUNISASI DASAR DI MASA PANDEMI COVID-19 MELALUI PENDIDIKAN KESEHATAN DI WILAYAH KERJA PUSKESMAS TANJUNG MORAWA TAHUN 2021 Wilda Wahyuni Siregar; Nikmah Jalilah Ritonga; Juneris Aritonang; Supran Hidayat Sihotang
Jurnal Kesehatan Masyarakat dan Lingkungan Hidup Vol 6 No 2 (2021): Jurnal Kesehatan Masyarakat dan Lingkungan Hidup
Publisher : UNIVERSITAS SARI MUTIARA INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51544/jkmlh.v6i2.2427

Abstract

Imunisasi merupakan salah satu upaya menurunkan angka kematian bayi dan balita secara efektif dan menjadi dasar utama pelayanan kesehatan preventif dan mengurangi penyebaran infeksi. Di masa pandemi Covid-19 ini, imunisasi tetap harus diupayakan terlaksana lengkap dan sesuai jadwal untuk melindungi anak dari PD3I. Berbagai wilayah Indonesia cakupan imunisasi rutin seperti campak, rubella, dan difteri semakin menurun sejak Maret 2020. Pada bulan Mei 2020 dilaporkan cakupan imunisasi difteri pertusis, dan tetanus (DPT3) berkurang > 35% dibandingkan di tahun 2019. Hal ini disebabkan tingginya kecemasan ibu takut membawa bayi balitanya ke posyandu, merasa kegiatan posyandu belum aman dilakukan di masa pandemi Covid-19. Survey awal didapati mayoritas responden memiliki tingkat kecemasan yang tinggi dan mayoritas responden berpengetahuan rendah tentang upaya pencegahan penyebaran imunisasi pada saat imunisasi di masa pandemi Covid-19. Penelitian ini bertujuan untuk mengetahui keefektifitasan pendidikan kesehatan terhadap perilaku ibu dan cakupan imunisasi dalam pemberian imunisasi pada masa pandemi Covid-19 di wilayah Kerja Puskesmas Tanjung Morawa. Hasil penelitian menunjukkan Ada pengaruh pendidikan kesehatan dalam meningkatkan cakupan imunisasi dalam pandemik COVID-19 Di Wilayah Kerja Wilayah Puskesmas Tanjung Morawa (p-value < 0.05).
Efektifitas Kombinasi Akupresure dan Minuman Jahe (Zingiber Officinale) terhadap Emesis Gravidarum di Desa Bandar Setia Kecamatan Percut Sei Tuan Kabupaten Deli Serdang Nikmah Jalilah Ritonga; Fahma Shufyani; Elsaria Br. Sembiring
Jurnal Riset Hesti Medan Vol 5, No 2 (2020)
Publisher : Akademi Keperawatan Kesdam I/Bukit Barisan Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34008/jurhesti.v5i2.199

Abstract

Emesis gravidarum is a common complaint made in young pregnancies. Preganancy causes hormonal changes in women due to an increase in estrogen, progesteron, and the realease of the placental chorionic gonodothropine hormone. Emesis gravidarum usually occurs in the morning, but there are those that arise at any time of the night. Feelings of nausea are caused by increased levels of the hormones estrogen an human chorionic gonadothropine (hCG) in the serum. The purpose of this study was to determine the effect of giving a combination of acupressure and ginger drinks at Bandar Setia Village 2020. This type of research is quantitative research, using a quasy experiment design study with the design of Three-Groups Pretests-Posttest design control. The study population was pregnant women who experienced emesis gravidarum in Desa Bandar Setia. Sampling using Probability Sampling technique that is Simple Random sampling by determining the inclusion and exclusion criteria of 45 pregnant women who will be divided into three groups, 15 people for the experimental group who were given acupressure only, 15 people for the experimental group who were given ginger drinks only, and 15 experimental groups were given a combination of acupressure and ginger drink.The results of the study using Wilcoxon test obtained p-value = 0.000 <0.05. The conclusion is there is an effect on pregnant women who experience emesis gravidarum after being given a combination of acupressure and ginger drink.
HUBUNGAN PEMBERIAN MAKANAN PENDAMPING ASI DAN SANITASI MAKANAN PADA BAYI USIA KURANG DARI 6 BULAN DENGAN KEJADIAN DIARE Wilda Wahyuni Siregar; Nita Triana Saragih; Supran Hidayat Sihotang; Novita Br Ginting Munthe; Dwi Handayani; Nikmah Jalilah Ritonga
JURNAL ILMIAH DHDT - KEBIDANAN Vol 2 No 1 (2019): Jurnal Penelitian Kebidanan & Kespro
Publisher : Fakultas Kebidanan Institut Kesehatan Deli Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpk2r.v2i1.93

Abstract

Diarrhe is a disorder defection which be marked more than 3 times in a day with consistency of liquid, could accompany blood and mucus. This research have a aim to know the relation giving companio the food and the food sanitation to the baby by the age 0-6 in a month that happen in diarrhe, the location is Puskesmas Saribudolok, the area is center of Silimakuta and Simalungun district at 2018 year. This research is used to analytic observation with alignment (cross-sectional) the research of population is 179 respondes and the research sample as much as 89 respondes and used the formula lemeshow by taking the sample of consecutive sam. The data analysics by chi-square, the result of the research analysis to give companio the food is not good (84,3%). Giving the frequency mp-asi is not good (79,8%) and the method processing the food is not fulfill the requirment (87.6%), The way to keep the food is not fulfill yet the requirment (74,2%), The step to presentation the food is not fulfil yet the requirment (73.0%) ,The way using the eguiment/things the food is not fulfill yet the requirement (59.6%). Base on the result of bivariate analysis that kinds of companio the food, giving a frequency, the way to keep the food, the way to keep the equipments for food there is a relation with diarhe. And the way to process, presentation there is nothing the relation with have been happen of diarrhe. Base on the result of multivariate analysis, had known that the food sanitation thats a step to keep a food overall persentage storage (78.7%). Suggestions can be given to the community, for the next researcher and in the educational institution.
PENGELUARAN KOLOSTRUM DENGAN PEMBERIAN PERAWATAN PAYUDARA DAN ENDORPHIN MASSAGE PADA IBU POST SEKSIO SESAREA Diah Evawanna Anuhgera; Eka Fitria Panjaitan; Desika Wali Pardede; Nikmah Jalilah Ritonga; Damayanti Damayanti
JURNAL ILMIAH DHDT - KEBIDANAN Vol 2 No 1 (2019): Jurnal Penelitian Kebidanan & Kespro
Publisher : Fakultas Kebidanan Institut Kesehatan Deli Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpk2r.v2i1.107

Abstract

Spending colostrum in post-cesarean section mothers is difficult in the first week postpartum. Efforts to overcome colostrum disruption can use non-pharmacological methods, namely breast care and endorphin massage. This study aims to determine the expenditure of colostrum by giving breast care and endorphin massage to post-cesarean mothers. This research is a quasi-experimental study with a nonequivalent design posttest control group design. This research was carried out in the midwifery room of the second floor of Grand Medistra Lubuk Pakam Hospital during the June-July 2019 period. There were 48 participants selected using purposive sampling, with 18 assigned in breast care, endorphin massage and combination of breast care and endorphin massage. The time of spending colostrum expenditure is assessed every day while the amount of colostrum expenditure is assessed after intervening. Analysis of the data used is one-way Annova. The results showed that the combination of breast care and endorphin massage was the most effective action in the time of spending colostrum and the amount of colostrum with a value of p = 0,000. The combination of breast care and endorphin massage could be applied as an alternative therapy post-cesarean mothers.
SARI KACANG HIJAU SEBAGAI ALTERNATIF MENINGKATKAN PRODUKSI AIR SUSU IBU (ASI) PADA IBU MENYUSUI Nikmah Jalilah Ritonga; Eka Defi Mulyani; Diah Evawanna Anuhgera; Damayanti Damayanti; Riris Sitorus; Wilda Wahyuni Siregar
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol 2 No 1 (2019): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (217.842 KB) | DOI: 10.35451/jkf.v2i1.272

Abstract

Abstract Nursing mothers belong to one of the vulnerable groups of nutrition, because breast milk which is the main food for babies is obtained from the mother. Therefore, mothers who are breastfeeding must be controled to the intake of nutrients consumed. green beans as a food source of vegetable protein which has been very popular in everyday life. Based on the amount every 100 grams, protein is the second main constituent after calories, which contains 22.2% protein. The purpose of this study was to determine the effect of consumption of mungbean juice on breast milk production in nursing mothers. This research is a quantitative study with a pre-experimental design with one group pretest posttest, with a population of 20 breastfeeding mothers (0-2 months) and a total sample of 11 nursing mothers who delivered at Klinik Pratama Tutun Sehati. Data collection uses an observation sheet using indicators of Smooth Milk Production. The characteristic equality test showed that there was an effect of consuming mung bean extract on breast milk production in nursing mothers (p> α, α≤0.05). The results of the analysis test with the Wilcoxon test showed that there was a smooth effect of breast milk production (p = 0.046). It was recommended for nursing mothers whose milk was not smooth to pay attention to nutritional intake in order to improve the quality and amount of milk production, in packaging because the price is also affordable.
TERAPI ALTERNATIF PENGURANGAN RASA NYERI DAN KECEMASAN MELALUI SLOW STROKE BACK MASSAGE (SSBM) PADA INPARTU KALA I FASE AKTIF Diah Evawanna Anuhgera; Wilda Wahyuni Siregar; Nikmah Jalilah Ritonga; Desikawali Pardede
JURNAL KEBIDANAN KESTRA (JKK) Vol 2 No 2 (2020): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (203.872 KB) | DOI: 10.35451/jkk.v2i2.398

Abstract

Abstract Labor is always synonymous with the experience of pain and fear felt by mother. SSBM stimulates the body release endorphins which are having natural pain killing propoerties and reducing anxiety levels. This study aimed to determine the effect of slow stroke back massage (SSBM) on reduction of labor pain and anxiety during first stage of labor. A quasi-experimental study with purposive non-probability sampling techniwue is used for the people. Study was conducted on 36 samples (18 in experimental group anda 18 in control group). A structured interview schedule, albor assesment performa, numerical pain rating scale and DASS(Depresssion, Anxiety and Stress Scales) were used for data collection and the data were analyzed by paired and unpaired t test. There were statistically significant differences of anxiety and pain levels before and after intervention in the experiment and control group with p value 0.00.Result confirmed that SSBM is significantly effective in reducing labor pain and anxiety level during first stage of labor. Abstract Labor is always synonymous with the experience of pain and fear felt by mother. SSBM stimulates the body release endorphins which are having natural pain killing propoerties and reducing anxiety levels. This study aimed to determine the effect of slow stroke back massage (SSBM) on reduction of labor pain and anxiety during first stage of labor. A quasi-experimental study with purposive non-probability sampling techniwue is used for the people. Study was conducted on 36 samples (18 in experimental group anda 18 in control group). A structured interview schedule, albor assesment performa, numerical pain rating scale and DASS(Depresssion, Anxiety and Stress Scales) were used for data collection and the data were analyzed by paired and unpaired t test. There were statistically significant differences of anxiety and pain levels before and after intervention in the experiment and control group with p value 0.00.Result confirmed that SSBM is significantly effective in reducing labor pain and anxiety level during first stage of labor.
THE EFFECT OF BABY MASSAGE ON BREASTFEEDING DURATION IN NINING PELAWATI CLINIC AT LUBUK PAKAM Nikmah Jalilah Ritonga; Hani Amaliah Majidah; Riris Sitorus; Diah Evawanna Anuhgera; Kardina Hayati; Anita Sri Gandaria Purba
JURNAL KEBIDANAN KESTRA (JKK) Vol 3 No 1 (2020): 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.v3i1.490

Abstract

Durasi lama menyusui bayi berbeda-beda sesuai dengan pola hisap bayi. Jika kegiatan menyusui berlangsung terlalu lama (lebih dari setengah jam) atau terlalu pendek (kurang dari 4 menit), hal ini menunjukkan kemungkinan adanya masalah pada perlekatan antara bayi dan puting susu ibu. Frekuensi menyusu pada bayi akan sangat mempengaruhi fisik dan emosional bayi yang mana dengan frekuensi dan durasi menyusu akan meningkatkan kondisi yang tenang kepada bayi dan berat badan bayi akan bertambah. Upaya untuk menawarkan meningkatkan kondisi yang tenang dan berat badan bayi salah satunya yaitu pijat bayi. Tujuan penelitian ini untuk mengetahui pengaruh pijat bayi terhadap durasi menyusu pada bayi. Rancangan pada penelitian yaitu Quasi-Experiment dengan desain one grup pre dan post test design. Pengambilan sampel ini dengan teknik purposive sampling. Jumlah sampel 10 responden. Dari hasil analisis uji bivariat menggunakan uji paired simple t Test, didapatkan nilai yang signifikan yaitu (p value: 0.000), sehingga p<0.005, dapat disimpulkan terdapat pengaruh pijat bayi terhadap durasi menyusu pada bayi. Oleh karena itu, diharapkan kepada tenaga kesehatan untuk mengaplikasikan pijat bayi ini sebagai metode untuk meningkatkan durasi menyusui.
PENGARUH PEMBERIAN REBUSAN DAUN SELEDRI (Apium Graveolens L) TERHADAP TEKANAN DARAH PADA WANITA MENOPAUSE DENGAN HIPERTENSI Diah Evawanna Anuhgera; Rizky Yolanda; Riris Sitorus; Nikmah Jalilah Ritonga; Damayanti .
JURNAL KEBIDANAN KESTRA (JKK) Vol 3 No 1 (2020): 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.v3i1.502

Abstract

Woman menopause in hypertension is often associated with increase vascularity and physiological changes during menopause. This study aims to examine the effect of celery leaf stew on blood pressure levels in menopausal woman in hypertension. This study was a quasy experiment with pretest-posttest control group design, conducted in the Sidodadi Village District Beringin, Deli Serdang on Januari to March 2020. There were 28 participants selected using purposive sampling, with 14 assigned in the experimental and control group. Data were analyzed using paired t-test and unpaired t-test. There were statistically significance difference of blood pressure levels before and after intervention in the experiment group with p value sitolic level 0.000 dan diastolic level 0.001 (<0.05). Celery leaf stew has a significant effect in reducing blood pressure level in menopausal woman in hypertension. This intervention could be applied as an alternative theraphy in treating menopausal woman in hypertension.
EFEKTIVITAS PEMBERIAN SUSU KEDELAI DALAM MENGATASI KELUHAN PADA MASA PRE MENOPOUSE DI KLINIK BIDAN MAIHARTI KISARAN BARAT TAHUN 2020 Nikmah Jalilah Ritonga; Yuni Sartika Limbong; Riris Sitorus; Diah Evawanna Anuhgerah
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.v3i2.590

Abstract

ABSTRAK Pre menopause is a physiological condition characterized by irregular menstruation. Symptoms that often arise such as hot flush, night sweats, restlessness, easy fatigue, pain during intercourse. Overcoming complaints of pre-menopausal non-pharmacological can be done with soy milk. The purpose of this study was to determine the effectiveness of soymilk in dealing with pre-menopausal complaints at the Midwife Maiharti Clinic, West Range 2020. This study used a quantitative method, with a quasi-experimental design with a control time series design. The study population was pre-menopausal mothers who experienced pre-menopausal symptoms at the Midwife Maiharti Clinic, West Range. The sample selection used purposive sampling as many as 18 people, 9 people were given intervention and 9 people as controls. The results of the study using Wilcoxon sign rank test obtained results for groups that were given pre and post p-value interventions 0.002 <0.05. The results of the study using Wilcoxon sign rank test obtained results for the control p-value 0.009 <0.05. The conclusion is that there are differences in the two groups after being given soy milk in dealing with pre-menopausal complaints
PEMBERIAN KOMPRES KENTANG TERHADAP MASTITIS NON INFEKSI PADA IBU MENYUSUI Riris Sitorus; Grace Erlyn Damayanti` S; Diah Evawanna Anuhgerah; Nikmah Jalilah Ritonga; Raisha Octavariny
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.v3i2.595

Abstract

the baby and affects the biological health of both mother and baby. However, the breastfeeding process could be hampered due to problems, one of which was mastitis. Mastitis occured due to the narrowing of the lactiferous ducts in the breast and the mother may have flat, sunken or immersed nipples. So that the breasts become swollen, painful when pressed so that the mother feels breast discomfort. The impact of mastitis greatly affected the health of both mother and baby. The mother would felt pain during breastfeeding so that she could experience high fever. Whereas in infants the need for breast milk was not optimal from the content of the milk. One of the efforts that could be done to overcome the occurrence of mastitis in nursing mothers was by applying a potato compress. This study aimed to determined the effect of potato compresses on non-infectious mastitis in nursing mothers. The research method used was pre-experiment (quasi-experimental) using the one group pre-test-post test technique. The population of this study were breastfeeding mothers with non-infectious mastitis with a sample size of 10 people with a purposive sampling technique. The results showed that using the Paired Sample T-Test analysis test obtained a p-value of 0.000 <α = 0.05, it can be concluded that there was an effect of Potato Compress on Non-Infectious Mastitis in Breastfeeding Mothers. It is recommended that health workers provide information for breastfeeding mothers about potato compresses to treat non-infectious mastitis. Keywords: Potato compress; non-infectious mastitis.
Co-Authors Anita Sri Gandaria Purba Anuhgera, Diah Evawanna Damayanti . Damayanti Damayanti Desika Wali Pardede Desikawali Pardede Diah Evawanna Dwi Handayani Eka Defi Mulyani Eka Fitria Panjaitan Elsaria Br. Sembiring Fahma Shufyani Ginting, Desideria Yosepha Grace Erlyn Grace Erlyn Damayanti` S Hani Amaliah Majidah Juneris Aritonang Kardina Hayati Munthe, Novita Br Ginting Nita Triana Saragih Raisha Octavariny Riris Sitorus Rizky Yolanda Siregar, Wilda Wahyuni Supran Hidayat Sihotang Supran Hidayat Sihotang Yuni Sartika Limbong