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PENGARUH PEMBERIAN AIR KELAPA MUDA TERHADAP PENURUNAN TEKANAN DARAH TINGGI PADA IBU HAMIL Novita Br Ginting Munthe; G.F Gustina Siregar; Rizka Wulandari; Iskandar Markus Sembiring; Basyariah Lubis
JURNAL KESMAS DAN GIZI (JKG) Vol. 4 No. 1 (2021): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkg.v4i1.848

Hypertension of pregnancy is one of the causes of morbidity and mortality worldwide for both mother and fetus. One of the treatment for high blood pressure is herbal treatment by drinking young coconut water. Young coconut water has content such as sugar, protein, potassium, calcium, magnesium, vitamin C. The high potassium content in young coconut can lower blood pressure, so young coconut water can be used to lower blood pressure. The purpose of this study was to determine the effect of giving young coconut water on blood pressure in pregnant women at Nining Pelawati Pratama Clinic, Deli Serdang Regency. The method used in this study is quantitative research using a Quasy Experiment research design with a pre test and post test design with a sample of 20 respondents. The study was conducted using the Wilcoxon test, it was found that 90% of respondents who had been given young coconut water experienced a decrease in high blood pressure and 10% of respondents did not experience a change in high blood pressure. The results of the analysis showed that the p value for systolic and diastolic respondents was 0.001 (p < 0.05) which indicated that there was an effect of giving young coconut water to blood pressure in patients with high blood pressure. It can be concluded that young coconut water can reduce systolic and diastolic blood pressure in patients with high blood pressure.

THE EFFECT OF GIVING LEAVES OF BANGUN-BANGUN (COLEUS AMBONICUS LOUR) ON BREAST MILK PRODUCTION Novita Br Ginting Munthe; Iskandar Markus Sembiring; Riri Safitri; Sri Wulan
JURNAL KESMAS DAN GIZI (JKG) Vol. 4 No. 2 (2022): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkg.v4i2.1063

Salah satu faktor yang paling umum terkait dengan gagalnya praktik pemberian ASI Eksklusif adalah faktor ASI belum keluar di minggu pertama setelah melahirkan dan pandangan ibu bahwa produksi ASInya tidak cukup. Produksi ASI sangat dipengaruhi oleh makanan yang dimakan ibu. Apabila makanan ibu secara teratur dan cukup mengandung gizi yang diperlukan akan mempengaruhi produksi ASI karena kelenjar pembuat ASI tidak dapat bekerja dengan sempurna tanpa makanan yang cukup. Untuk membentuk produksi ASI yang baik, makanan ibu harus memenuhi jumlah kalori, protein, lemak dan vitamin serta mineral yang cukup, selain itu ibu dianjurkan minum lebih banyak Umumnya makanan atau sayuran yang dapat menjadi ASI booster adalah daun katuk, namun ada lagi yang dapat menjadi pelancar produksi ASI yaitu daun bangun – bangun. Penelitian ini bertujuan untuk mengetahui pengaruh pemberian daun bangun-bangun (coleus ambonicus lour) terhadap produksi ASI di Desa Lau Rakit Kecamatan STM Hilir Kabupaten Deli Serdang tahun 2022. Metode penelitian bersifat kuantitatif dengan jenis penelitian Quasi Experiment yang dirancang secara nonequivalent control group design. Populasi penelitian adalah semua ibu menyusui yang berada pada periode postpartum sebanyak 30 orang. Sampel penelitian ini adalah purposive sampling sebanyak 22 orang. Hasil penelitian menggunakan uji wilcoxon didapatkan p-value = 0,010 untuk kelompok intervensi dan p-value = 0,564 untuk kelompok kontrol. Kesimpulannya adalah ada pengaruh pemberian daun bangun-bangun (coleus ambonicus lour) terhadap produksi ASI. Disarankan kepada ibu yang memiliki masalah produksi ASI agar dapat memanfaatkan daun bangun-bangun sebagai makanan untuk melancarkan produksi ASI. Sehingga dengan begitu, ibu dapat memenuhi kebutuhan ASI bayinya dengan baik. One of the most common factors related to the failure of the practice of exclusive breastfeeding is the factor that breast milk has not come out in the first week after giving birth and the mother's view that her milk production is not enough. Breast milk production is strongly influenced by the food the mother eats. If the mother's diet regularly and adequately contains the necessary nutrients, it will affect the production of breast milk because the milk-making glands cannot work perfectly without adequate food. To form a good breast milk production, the mother's diet must meet an adequate amount of calories, protein, fat and vitamins and minerals, besides that the mother is recommended to drink more Generally, foods or vegetables that can be used as breast milk boosters are katuk leaves. Streamlining the production of breast milk, namely coleus ambonicus lour breast milk production in lau rakit village, stm Hilir District, Deli Serdang Regency in 2022. The research method is quantitative with a Quasi Experiment research type designed in a nonequivalent control group design. The study population was all breastfeeding mothers who were in the postpartum period as many as 30 people. The sample of this research is purposive sampling as many as 22 people. The results of the study using the Wilcoxon test obtained p-value = 0.010 for the intervention group and p-value = 0.564 for the control group. The conclusion is that there is an effect of giving the leaves of Bangun-bangun (Coleus ambonicus lour) on breast milk production. It is recommended to mothers who have problems with milk production to be able to use the leaves of bangun – bangun as food to expedite the production of breast milk. So that way, mothers can meet the needs of their baby's milk well.

The Effect Of Abdominal Stretching Exercises On The Intensity Of Menstrual Pain (Dysmenorrhea) In Young Woman In Adolescent Women Novita Br Ginting Munthe; Iskandar Markus Sembiring; Basyariah Lubis; Riri Safitri
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 5 No. 2 (2023): 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 | DOI: 10.35451/jkf.v5i2.1664

Dysmenorrhea is pain that occurs during menstruation and is often experienced by adolescents. Reduced pain can interfere with the daily activities of teenagers. Based on an initial survey conducted by researchers at SMK AL-Washliyah 9 Perbaungan on 6 students, the researchers conducted interviews with students who were experiencing dysmenorrhea, often asking permission to go to the UKS room and even going home because of the pain caused by dysmenorrhea which greatly interfered with the learning process and activities other. To overcome this, one of the non-pharmacological alternatives is Abdominal Stretching exercises that can provide a relaxing effect, so that it can be used to treat pain during menstruation. The purpose of this study was to determine whether or not there was a decrease in pain intensity in adolescent girls before performing Abdominal Stretching exercises and after Abdominal Stretching exercises. This type of research is pre-experimental in one group (one group pre-test and post-test). The sample of this study was taken by purposive sampling technique, namely sampling based on specified criteria. The sample in this study amounted to 22 people. This research was conducted in June 2022. Data analysis used the Saphiro Wilk test. The research instrument used was a pain observation sheet, namely the Numeric Rating Scale (NRS). The results showed that the average pain scale before treatment was 2.59 then reduced to 1.50 after the Abdominal Stretching exercise was performed. The calculated Z value is 4.233 and the p-value is 0.000, thus p-value<? (0.000<0.05). This shows that there is a significant difference in the dysmenorrhea pain scale of adolescent girls before and after the Abdominal Stretching exercise.

PENYULUHAN KESEHATAN DENGAN METODE BRAINSTORMING DAN SIMULATION GAME TERHADAP PENGETAHUAN REMAJA PEREMPUAN TENTANG MENSTRUASI Novita Br Ginting Munthe; Iskandar Markus Sembiring; Sri Wulan; Rahmad Gurusinga; Diah Evawanna Anuhgera
JURNAL PENGMAS KESTRA (JPK) Vol 1 No 1 (2021): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

Menstruation is periodic and cyclical bleeding from the uterus accompanied by the release (desquamation) of the endometrium. Menstrual bleeding is the result of a complex interaction involving the hormonal system with the body's organs, namely the hypothalamus, pituitary, ovaries and uterus. Every woman experiences menstruation with a different cycle. The cause of irregular menstruation is from genetics and from a bad lifestyle. The purpose of this paper is to provide health education between brainstorming methods and simulation games to increase knowledge about menstruation. Participants in the Health education were 66 grade X students at SMA Negeri Beringin. In the implementation of activities using an instrument (questionnaire) to collect data. related to increasing knowledge about menstruation. The conclusion of this activity is that health education using simulation game and brain storming methods can increase adolescent knowledge about menstruation in class X students at SMA Negeri Beringin.

PENYULUHAN KESEHATAN TENTANG SISTEM PEMBIAYAAN DENGAN KUALITAS PELAYANAN KEPADA PASIEN RAWAT INAP Iskandar Markus Sembiring; Novita Br Ginting Munthe; Sri Wulan; Rahmad Gurusinga; Beny Irawan
JURNAL PENGMAS KESTRA (JPK) Vol 1 No 2 (2021): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

Users of health services demand quality services in hospitals not only regarding recovery from physical illness but also regarding satisfaction with the attitudes, knowledge and skills of health workers in providing services and the availability of adequate facilities and infrastructure that can provide comfort. With the increasing quality of service, the function of services in hospitals needs to be improved so that they become more effective and efficient and provide satisfaction to patients and the community. The purpose of this health counseling is to provide a sense of calm and comfort to these class III inpatients with a financing system with quality inpatient services at the Sultan Sulaiman Regional General Hospital, Serdang Bedagai Regency in 2021. The results of this counseling show that out of 311 patients, 210 patients With the BPJS financing system, it is known that 143 people (46%) said the service quality was good and 67 people (21.5%) said it was not good. Of the 101 people with the general financing system, it is known that 59 people (19%) said the service quality was good and 42 people (13.5%) said it was not good. So it can be concluded that the quality of inpatient services at the Sultan Sulaiman Regional General Hospital, Serdang Bedagai Regency in 2021 is good.

EDUKASI PEMAKAIAN KONTRASEPSI IMPLANT PADA AKSEPTOR KB Novita Br Ginting Munthe; Iskandar Markus Sembiring; Sri Wulan; Ika Nur Saputri; Rahmad Gurusinga
JURNAL PENGMAS KESTRA (JPK) Vol 1 No 2 (2021): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

The contraceptive program that is promoted and effective is the long-term contraceptive method (MKJP) with Implant being one of the leading methods. The trend of MKJP Implant achievement rates has decreased in North Sumatra Province from year to year. Increased knowledge through health education related to the use of contraceptive implants in family planning acceptors is one way to achieve reproductive health for women of childbearing age in an effort to control the population. The purpose of this activity is to provide health education that will have a positive impact if mothers participate in these activities properly. Participants in the provision of health education were all family planning acceptors who visited the Bangun Purba Health Center, Bangun Purba District, totaling 28 people. In carrying out the activity, a questionnaire was used to collect participant data based on the level of knowledge about implant contraceptive. The conclusion of this activity is that it is very important for family planning acceptors to educate about the use of implant contraceptives in order to break the controversial issues that are developing in the community regarding the side effects caused by using contraceptives, especially implants.

BEHAVIOR OF ELEMENTARY CHILDREN BEFORE AND AFTER EDUCATION ABOUT THE DANGEROUS SNACKING Rahmad Gurusinga; Iskandar Markus Sembiring; Novita Br Ginting Munthe
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

Elementary school age children are a group of children who are prone to buying food or snacks carelessly because elementary school age children usually only see food from its shape, color and taste without seeing whether the food is good for consumption or not. If elementary school children consume unhealthy food, it can have an impact or effect on health, for example it can cause diarrhea or other digestive system disorders, besides that it can have an effect on their growth and development because the elementary school period is a time when a child needs good and healthy nutrition. . The purpose of this Community Service (PKM) is to provide education to elementary school children to change their behavior not to snack randomly. The PKM activity was carried out at SD N 104242 Lubuk Pakam for 3 days, to see the behavior before and after being given education about the impact of snacking indiscriminately, by distributing questionnaires and observing PKM participants. The results of the PKM show that before education the majority of knowledge is lacking, namely 52.3%, bad attitudes are 70.1% and actions with frequent snacks are 59.7%, and after education most of the knowledge becomes good up to 53%, attitudes become good 68.6% and the act of buying snacks indiscriminately became infrequent up to 58.2%. From the results of this community service, it can be concluded that the behavior of elementary school children is getting better, it is recommended for teachers or parents to keep an eye on their children so they don't snack randomly.

The Effect of Ciplukan Fruit Consumption on Hypertension in Pregnancy Novita Br Ginting Munthe; Iskandar Markus Sembiring
JURNAL KEBIDANAN KESTRA (JKK) Vol. 6 No. 1 (2023): 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.v6i1.1870

Pregnancy hypertension is one of the largest contributors to maternal mortality and needs to be alerted and treated immediately, so that it becomes the center of great attention in improving public health. The next problem is that if this condition is not treated immediately, it can progress to more severe conditions, namely preeclampsia and eclampsia, thereby endangering the mother and unborn baby. The risk to the mother can result in permanent and severe brain damage, heart, kidney and liver damage. Meanwhile, babies are at risk of stillbirth, asphyxia, reduced blood flow to the placenta so that the baby can be born prematurely, nutrition to the fetus is disrupted, resulting in the baby being born with a low weight. The aim of the research was to determine the effect of consuming ciplukan fruit on hypertension in pregnancy. This method uses a "quasy experiment" research design with a "pretest-posttest with control group" design. The population in this study were all pregnant women in Lau Rakit Village, STM Hilir District, Deli Serdang Regency, North Sumatra Province. Sampling was carried out by random sampling using the Cluster sampling technique. Time: The research was carried out in July – August 2023. The results of the study showed changes in the systolic and diastolic blood pressure of hypertensive pregnant women after consuming ciplukan fruit. This is shown in the p value results of 0.000 and 0.000 (<0.05). So it can be seen that there is a significant effect of consuming ciplukan fruit on reducing blood pressure in pregnant women who experience hypertension. On the other hand, in the control group, the systolic and diastolic blood pressure of hypertensive pregnant women showed that the p value was 0.095 and 0.133 (>0.05), so it can be concluded that there was no effect before and after measuring the blood pressure of hypertensive pregnant women who did not consume ciplukan fruit. Therefore, pregnancy hypertension can be immediately prevented and treated through traditional or non-pharmacological methods, namely by giving ciplukan (Physialis peruviana) fruit drinks to pregnant women with hypertension.

The Effect of the Breast Care, Oxytocin Massage, and Marmet Technique (BOM) Method on Breast Milk Production Yohana Sembiring; Diah Evawanna Anuhgera; Siti Choirul Dwi Astuti; Iskandar Markus Sembiring
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 2 (2026): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/kwjnbe60

Background: Breast milk is the optimal source of nutrition for infants; however, inadequate milk production remains a common problem among postpartum mothers, particularly during the early days after delivery. Objective: This study aimed to analyze the effect of the Breastcare, Oxytocin Massage, and Marmet Technique method on breast milk production in postpartum mothers. Method: This study used a quasi-experimental design with a post-test only control group approach. A total of 20 postpartum mothers were selected using purposive sampling and divided into an intervention group that received the Breastcare, Oxytocin Massage, and Marmet Technique method and a control group that received breastfeeding counseling. Data were collected using a questionnaire measuring indicators of infant adequacy, including urination frequency, defecation patterns, sleep duration, and weight changes, and were analyzed using the Mann–Whitney test. Results: The findings show that breast milk production in the intervention group is significantly higher than in the control group (p = 0.001), with a higher mean rank observed in the intervention group. The method enhances milk production through hormonal stimulation, mechanical stimulation, and psychological relaxation, which support the secretion of prolactin and oxytocin and facilitate milk ejection. Conclusion: The Breastcare, Oxytocin Massage, and Marmet Technique method is an effective non-pharmacological intervention that improves breast milk production and facilitates milk ejection in postpartum mothers, and it can be recommended to support exclusive breastfeeding.

Education and Provision of Mung Bean and Purple Taro-Based Cookies as an Effort to Prevent Chronic Energy Deficiency in Pregnant Women Novita Br Ginting Munthe; Iskandar Markus Sembiring
JURNAL PENGMAS KESTRA (JPK) Vol. 6 No. 1 (2026): 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 | DOI: 10.35451/s7t95q04

Chronic Energy Deficiency (CED) among pregnant women remains a significant nutritional problem that increases the risk of pregnancy complications, low birth weight, and stunting. Preventing CED requires improving pregnant women's knowledge of adequate nutritional intake during pregnancy and promoting the utilization of locally available food as supplementary nutrition. This community service program aimed to improve pregnant women's knowledge regarding the prevention of Chronic Energy Deficiency through health education and the provision of cookies made from mung bean (Vigna radiata) and purple taro (Colocasia esculenta). The program was conducted at Cahaya 2 Primary Clinic, Lubuk Pakam, Deli Serdang Regency, North Sumatra, in April 2026, involving 19 pregnant women diagnosed with CED. An educational-participatory approach was employed, consisting of health education sessions, interactive discussions, distribution of educational leaflets, provision of mung bean and purple taro cookies as supplementary food, and evaluation using pre-test and post-test questionnaires. The evaluation results demonstrated an improvement in participants' knowledge following the intervention. Before the educational session, most participants had a moderate level of knowledge (52.6%), while only 21.1% demonstrated good knowledge. Following the intervention, the proportion of participants with good knowledge increased to 89.5%, and no participants remained in the poor knowledge category. Product acceptability assessment showed that 94.7% of participants liked the taste and texture of the cookies, while all participants (100%) reported that the cookies were easy to consume as a supplementary food during pregnancy. These findings indicate that health education combined with the provision of locally sourced mung bean and purple taro cookies effectively improved pregnant women's knowledge regarding the prevention of Chronic Energy Deficiency and achieved high acceptability as an alternative supplementary food. Similar programs should be implemented continuously through antenatal care services to support improvements in maternal nutritional status and contribute to stunting prevention beginning during pregnancy.

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