Iskandar Markus Sembiring
Institut Kesehatan Medistra Lubuk Pakam

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Innovation of Herbal Hydrogel Dressing Made from Local Mangrove Leaves for Pain Management and Wound Healing in Post-Cesarean Section Mothers Desika wali Pardede; Meriati Bunga Arta Purba; Iskandar Markus Sembiring
Jurnal FARMASIMED (JFM) Vol 9 No 1 (2026): Jurnal Farmasimed (JFM)
Publisher : Fakultas Farmasi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jfm.v9i1.3828

Abstract

Background: Cesarean section (CS) is a surgical procedure that can cause postoperative pain and delay wound healing, potentially increasing the risk of complications, limiting maternal mobility, and reducing maternal comfort. Local mangrove leaf-based hydrogel dressing (HDM) has the potential to serve as an advanced wound dressing because it can maintain wound moisture and deliver bioactive compounds with potential anti-inflammatory, antibacterial, and antioxidant effects. Objective: To analyze the effectiveness of HDM dressing in pain management and wound healing among post-cesarean section mothers. Methods: This study used a quasi-experimental design with a posttest-only control group design. A total of 102 post-CS mothers were selected using purposive sampling and divided into an HDM intervention group and a control group receiving standard hospital dressing. Pain intensity was assessed using the Visual Analogue Scale (VAS), while wound healing was assessed using the Bates-Jensen Wound Assessment, REEDA, and standardized wound photography. Evaluations were conducted on days 0, 1, 3, 7, 14, and 30, with monitoring of adverse events. Results: Wound conditions improved throughout the observation period, and no adverse events related to HDM use were identified. Pain intensity showed a gradual decrease from baseline through day 30. Conclusion: HDM dressing demonstrated potential in supporting wound healing and pain management among post-CS mothers, with good initial safety during the observation period. Further studies are needed to strengthen evidence of its effectiveness and safety through statistical analysis and more robust clinical study designs.
Relationship Between Adherence to a Low-Salt Diet and Blood Pressure Control Among Hospitalized Hypertension Patients at Sembiring General Hospital Batubara Winda Rizki Pebrina; Fitriani; Iskandar Markus Sembiring
JURNAL KESMAS DAN GIZI (JKG) Vol. 9 No. 1 (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/jkg.v9i1.3971

Abstract

Anemia is a common nutritional problem among adolescent girls, primarily due to inadequate intake of essential nutrients, particularly iron. Adolescent girls in boarding school (pondok pesantren) settings are at higher risk of anemia because of suboptimal dietary patterns, high daily activity, and limited food variety. This study aimed to examine the association between dietary pattern and the occurrence of anemia among adolescent girls at Nizhomul Hikmah Boarding School. A quantitative cross-sectional study was conducted among anemic adolescent girls at Nizhomul Hikmah Boarding School, Padang Lawas Regency. Total sampling was used to select respondents. Dietary pattern was assessed using a Food Frequency Questionnaire (FFQ), and anemia status was determined through hemoglobin examination. Data were analyzed using univariate and bivariate analyses with the Linear-by-Linear Association test at a 95% confidence level (α = 0.05). Of the respondents, 20 (48.8%) had moderate anemia. All respondents were classified as having a “poor” dietary pattern. Bivariate analysis showed a significant association between dietary pattern and anemia (p = 0.012; p < 0.05). Dietary pattern is significantly associated with the occurrence of anemia among adolescent girls at Nizhomul Hikmah Boarding School, Padang Lawas. Nutrition education and improvement of dietary patterns are needed to prevent anemia in this population.