Articles
Comparative Effect of Cinnamon Powder and Red Ginger Powder for Menstrual Pain Primary Dysmenorrhea in Adolescent
Diah Evawanna Anuhgera;
Riris Sitorus;
Debi Dinha Octora
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 5 No. 1 (2022): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam
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DOI: 10.35451/jkf.v5i1.1365
Menstrual pain is a problem with interferes by women in every menstrual cycle. This can interfere with the activities of women such as dizziness, nausea, stomach cramps, and productivity of women. Several non-pharmacologic treatment can help reduce menstrual pain such as giving cinnamon and red ginger. The purpose of this study was to compare the effectiveness of cinnamon powder and red ginger to decrease menstruation in adolescents with primary dysmenorrhea. This type of research is a quasi-experimental type of time series design. The sample in this study were all first semester female students in the Nursing Study Program at the Lubuk Pakam Medistra Health Institute who experienced primary dysmenorrhea as many as 28 people. The sampling technique used is simple random sampling. In this study there were two groups, namely the control group with the administration of ginger powder while the intervention group with the administration of cinnamon powder. The process was given an intervention for 3 days and the use of the research instrument to measure menstrual pain was the Numeric Rating Scale (NRS). Data analysis used independent t-test and Repeated Measured Anova test. The results showed that there was a difference in mean pain before and before cinnamon powder at 24 hours of intervention after (p<0.001) while red ginger drink powder showed no significant difference in mean pain before and before the intervention in the first 24 hours of intervention (p = 0.112). However, at 48 hours and 72 hours of intervention for the two groups, there was a significant difference in the decrease in mean menstrual pain in primary dysmenorrhea (p<0.001). Cinnamon drink powder is more effective than red ginger drink powder in reducing primary dysmenorrhea menstrual pain. Cinnamon and red ginger can be used as an effective non-pharmacological treatment intervention and obtained as a treatment for primary removal. Midwives can educate and apply the intervention of cinnamon and red ginger drinks to adolescents with primary dysmenorrhea.
PROMOSI KESEHATAN DENGAN PEMBERIAN REBUSAN DAUN SELEDRI UNTUK MENURUNKAN TEKANAN DARAH PADA WANITA MENOPAUSE
Diah Evawanna Anuhgera;
Riris Sitorus;
Nikmah Jalilah Ritonga;
Juni Mariati Simarmata;
Novita Br Ginting Munthe
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
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DOI: 10.35451/jpk.v1i1.727
Abstract Hypertension is a chronic disease that often results in complications for other organs. Based on the findings of recent evidence that giving celery leaf decoction can lower blood pressure. Health promotion activities through the provision of celery leaf stew can be used as an alternative in promoting early prevention and treatment of hypertension cases that often occur in menopausal women. The goal of this community service is to improve the quality of life of menopausal women by helping to lower blood pressure non-pharmacologically and reducing the side effects felt in women with hypertension. Celery leaves stew can be given once a day on a regular basis. The implementation of this community service lasted for 2 days at the Head Office of Sidodadi Ramunia Village, Beringin Deli Serdang District. This activity begins with conducting a rapid test for all respondents, followed by a blood pressure check before the promotion of the activity. On the second day of implementation, each respondent took blood pressure measurements to see the decrease in blood pressure for each respondent. The results of blood pressure examinations from 32 respondents showed a decrease in sysitolic blood pressure by 32 people (100%) and a decrease in diastolic blood pressure by 28 people (81.25%). Celery leaves decoction can be useful for hypertensive women to lower and control blood pressure. Keywords: health promotion, celery leaves, blood pressure, hypertension
PENINGKATAN PENGETAHUAN PERAWAT DAN BIDAN DALAM MENGURANGI INTENSITAS NYERI PERSALINAN
Riris Sitorus;
Grace Erlyn;
Diah Evawanna Anuhgera;
Nikmah Jalilah Ritonga;
Desideria Yosepha Ginting
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
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DOI: 10.35451/jpk.v1i2.728
Labor pain was a problem that has not received special attention, even though the goal of intrapartum care itself was to reduce pain during labor. It was not uncommon to find that every mother giving birth were very worried about the labor process that would be passed, this can trigger the perception of maternal pain. In addition, there were also mothers who were afraid and couldn’t stand the pain of going through the labor process or opening the birth canal because they feel severe pain during the first stage of labor, this sometimes makes mothers think short and choose the Sectio Cesaria action as one of the best solutions, whereas delivery by Caesarean section has many risks and the postpartum healing process takes longer than those of a normal delivery. Based on the results of the research that has been done, it is found that the reduction of labor pain could be done by using effleurage massage. This technique was quite simple and easy to do as a pain relief for mothers during the active phase of labor. This massage was quite easy to do by health professionals such as midwives, and could also be applied by families or mothers who were in labor by giving gentle, long and continuous strokes. Nurses and midwives must have the ability to manage labor pain management for mothers with the delivery process.The aimed of this activities was to increased nurse and midwife’s knowledge in reduce the labour pain intensity.
HEALTH PROMOTION WITH SOY MILK IN OVERCOMING COMPLAINTS IN PRE MENOPOUSE
Nikmah Jalilah Ritonga;
Diah Evawanna;
Riris Sitorus;
Dwi Handayani
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
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DOI: 10.35451/jpk.v2i1.914
Pre menopause is a physiological condition characterized by irregular menstruation. Symptoms that often arise include hot flushes, night sweats, restlessness, fatigue, pain during intercourse. Based on recent research that non-pharmacological treatment of pre-menopausal complaints can be done with soy milk. Health promotion activities through the provision of soy milk can be used as an alternative to prevent and treat cases of pre-menopausal symptoms. The purpose of this community service is to improve the quality of life of women who enter menopause through efforts to prevent and treat symptoms that arise through non-pharmacological efforts. Soy milk is given every day in the morning for 1 week regularly. The implementation of this community service lasted for 8 days in the Bandar Khalipah Health Center Work Area, Percut Sei Tuan Deli Serdang District. This activity was initiated through a Rapid Test examination then followed by measuring the complaints of pre-menopausal symptoms felt by respondents using the MRS questionnaire, then continued with giving soy milk for 1 hour. weeks. On day 8, all respondents were again measured for premenopausal symptoms using the MRS questionnaire. The results of measuring premenopausal symptoms after giving soy milk for 1 week showed that there was a decrease in complaints of menopausal symptoms felt by respondents after consuming soy milk for 1 week on a regular basis by 66.7% who experienced mild complaints and 33.3% experienced moderate complaints. Giving soy milk can be useful in overcoming premenopausal symptoms.
Pengaruh Terapi Musik Klasik Terhadap Tingkat Kecemasan Ibu Hamil Trimester III
Grace Erlyn Damayanti S;
Riris Sitorus;
Desika Wali Pardede;
Luci Riani Ginting;
Pitriani P
Madani: Jurnal Ilmiah Multidisiplin Vol 1, No 10 (2023): November
Publisher : Penerbit Yayasan Daarul Huda Kruengmane
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DOI: 10.5281/zenodo.10718474
In a woman's life cycle, pregnancy is a very sensitive period. During pregnancy, hormonal changes occur as a result of the mother's body adapting to the growth and development of the fetus in her womb. These changes will result in physical and psychological changes in the mother during pregnancy. During pregnancy, the fetus is alive and developing in preparation for life outside the womb, as well as pregnant women must prepare for the birthing process. Physiological adaptations during pregnancy that occur in pregnant women will prepare them for birth and becoming a mother. However, if there is no good self-management, physical and psychological changes during pregnancy can become a stressor for the mother. This can cause anxiety in pregnant women. The anxiety experienced by mothers during pregnancy can result in changes in physical activity, nutrition and sleep. This can have an impact on changes in the mother's mood and fetal development. This study aims to see the effect of classical music therapy on the anxiety level of pregnant women in the third trimester. The research is a Quasi Experiment with pre test and post test design. The population in this study were all third trimester primigravida pregnant women with a gestational age of ≥ 28 weeks. The sample obtained was 19 people using purposive sampling technique. The data was tested using a paired sample t test with a confidence level of 95%. Research shows that classical music therapy has an effect on the anxiety level of pregnant women in the third trimester with a p value of 0.000. It is hoped that the Community Health Center can implement and provide information on the provision of classical music therapy as a therapy to reduce anxiety levels in third trimester pregnant women.
Pengaruh Senam Nifas Terhadap Produksi Asi Pada Ibu Nifas
Riris Sitorus;
Grace Erlyn Damayanti S;
Desika Wali Pardede;
Luci Riani Ginting
Madani: Jurnal Ilmiah Multidisiplin Vol 1, No 4 (2023): Mei
Publisher : Penerbit Yayasan Daarul Huda Kruengmane
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DOI: 10.5281/zenodo.8288985
ASI merupakan nutrisi ideal untuk bayi yang mengandung zat gizi paling sesuai dengan kebutuhan bayi dan mengandung seperangkat zat perlindungan untuk memerangi penyakit. Pemberian ASI Ekslusif selama enam bulan tidak sesederhana yang dibayangkan. Banyak kendala yang timbul dalam upaya memberikan ASI Eksklusif selama enam bulan pertama kehidupan bayi. Kendala dalam pemberian ASI secara dini yaitu dikarenakan produksi dan ejeksi ASI lebih sedikit pada hari pertama setelah melahirkan. Salah satu usaha untuk memperbanyak ASI adalah dengan melakukan senam nifas. Senam nifas bermanfaat untuk memperbaiki sirkulasi darah, bentuk atau postur tubuh, mengencangan otot tonus terutama otot rahim dalam proses involusi uteri serta membantu ibu untuk lebih rilek , nyaman dan segar. Tujuan penelitian ini adalah untuk mengetahui pengaruh senam nifas terhadap produksi ASI pada ibu nifas di Wilayah Kerja Puskesmas Berohol Tebing Tinggi. Penelitian ini merupakan penelitian pre-eksperimental dengan rancangan desain penelitian Posttest-only control design. Populasi pada penelitian ini adalah seluruh ibu nifas di wilayah Kerja Puskesmas Berohol. Sampel yang diperoleh sebanyak 18 orang dimana kelompok kontrol dan intervensi masing-masing 9 orang dengan teknik purposive sampling. Uji statistik yang digunakan adalah independent t test dengan tingkat kepercayaan 95% (α = 0,05). Hasil penelitian ini menunjukkan ada pengaruh senam nifas terhadap produksi ASI pada ibu nifas di Wilayah Kerja Puskesmas Berohol Tebing Tinggi (nilai p 0,000). Maka diharapkan kepada bidan untuk mengajarkan ibu dan keluarga untuk melakukan senam nifas dan menganjurkan untuk dilakukan di rumah setelah nifas.
EDUCATION ON THE UTILIZATION OF MORINGA LEAVES DECIL IN INCREASING BREAST MILK PRODUCTION: EDUCATION ON THE UTILIZATION OF MORINGA LEAVES DECIL IN INCREASING BREAST MILK PRODUCTION
Anuhgera, Diah Evawanna;
Ritonga, Nikmah Jalilah;
Sitorus, Riris;
Simarmata, Juni Mariati;
Handayani, Dwi
JURNAL PENGMAS KESTRA (JPK) Vol. 2 No. 2 (2022): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam
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DOI: 10.35451/jpk.v2i2.1440
thing in the growth and development of babies. Education that utilizes natural plants and has benefits for mothers and babies can be given to the community to help practice increasing breast milk through consumption of Moringa leaves. The aim of this education is to help mothers use Moringa oleifera leaves as a natural ingredient to increase breast milk. The target for this service is breastfeeding mothers using Leaflet media, video tutorials and Moringa leaves. The methods used are lecture, discussion, and PLA (Participatory Learning and Action) methods. The desired output is to increase education in breastfeeding by increasing milk production by consuming Moringa leaves by 20%. Implementation of dedication is given by doing a pretest and posttest. The results of the implementation showed that the average pretest score was 56.4, the posttest average score after education was 79, the average increase in score was 22.6. This shows that education can increase the utilization of Moringa leaves to increase breast milk production by 40%.
Education of Ginger Drink and Accupresure as Theraphy to Relieving Primary Dismenorrhea
Anuhgera, Diah Evawanna;
Nikmah Jalila Ritonga;
Sitorus, Riris
JURNAL PENGMAS KESTRA (JPK) Vol. 3 No. 1 (2023): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam
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DOI: 10.35451/jpk.v3i1.1742
Pain that comes with primary dysmenorrhea during menstruation often interferes with daily activities. Many dysmenorrhea sufferers do not understand how to control the pain that comes and many also use analgesic drugs in each menstrual period. Consumption of red ginger drinks and acupressure can reduce menstrual pain during primary dysmenorrhea. Provision of health education by utilizing non-pharmacological therapies, namely red ginger powder drink and acupressure for women of childbearing age can empower women to manage menstrual pain which will always be there every month. The purpose of this community service is to increase the knowledge and understanding of women of childbearing age in dealing with primary dysmenorrhea. The activity was carried out at the student dormitory of the Nutrition Study Program, Faculty of Public Health Medistra Institute of Health Lubuk Pakam. The partners in this dedication were 45 students in the first semester of the Nutrition Study Program, Faculty of Public Health, Medistra Institut of Health Lubuk Pakam. Implementation of activities begins with planning, implementation and evaluation. The educational method used is lectures and demonstrations with data collection starting from the pretest and posttest. The results of education in this activity before it was carried out the average of respondents who had good knowledge was 31.12% and after education it increased to 95.55 respondents who had good knowledge. The education implementation was going well, the respondents seemed to listen well and actively asked questions during the question and answer session. Health education is one of the activities that can increase the level of knowledge in women of childbearing age regarding the management of primary dysmenorrhea consuming red ginger drinks and doing acupressure during menstrual periods.
Empowering Mothers in Preventing Post Partum Depression Through Giving Meridian Accupoint Masssage
Anuhgera, Diah Evawanna;
Nikmah Jalila Ritonga;
Sitorus, Riris
JURNAL PENGMAS KESTRA (JPK) Vol. 3 No. 2 (2023): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam
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DOI: 10.35451/jpk.v3i2.1982
Post partum depression is a serious disorder that occurs during the post partum period and can disrupt the activities of the mother and baby for a long period of time. One strategy to prevent post partum depression is by giving meridian accupoint massage. This intervention can be given during the normal postpartum period starting on the first day. Prevention is the best action that can reduce the mother's risk of developing post partum depression. The aim of this service community is to help pregnant women and post partum mothers empower themselves by knowing how to prevent post partum depression through meridian accupoint massage intervention. The target of this research was pregnant women and post partum mothers who were at the Nining Pelawati Lubuk Pakam Clinic, totaling 27 participants. The activity method was carried out twice by giving a pre-test, lecture, question and answer and role play and continued with the post-test by filling in a questionnaire. Evaluations were carried out on mothers by conducting interviews regarding their understanding of preventing postnatal depression. The results achieved in this activity are that people gain knowledge about postnatal depression. There was a change in the value of understanding knowledge before being given education, 8.85 and after being given health education, it became 15.6. It is hoped that this service activity will provide benefits to mothers in carrying out meridian accupoint massage interventions to prevent post partum depression. Midwives can apply meridian accupoint massage as a form of preventing post partum depression during the post partum period.
Education of Birth Ball Training as Therapy to Relieving Labor Pain
Sitorus, Riris;
S, Grace Erlyn Damayanti;
Telova, Yurizki;
Arisman, Yessy;
Liesmayani, Elvi Era
JURNAL PENGMAS KESTRA (JPK) Vol. 4 No. 1 (2024): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam
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DOI: 10.35451/jpk.v4i1.2207
Labor pain arises because of the mother's physical and psychological response. Emotions become unstable due to anxiety and fear which worsen the condition of labor pain. The pain experienced by the mother during labor can give rise to fear which makes her anxious and often leads to panic attacks. This condition causes a physiological response that can disrupt the condition of the uterus when it contracts so that the impact of labor will last a long time. Usually, the mother who is about to give birth will find it difficult to adjust to the conditions of labor pain, so that uterine contractions cannot be controlled which causes the first stage to lengthen and the fetus to be disturbed. A prolonged labor process is a type of birth complication that is worrying, complicated, and unpredictable. A non-pharmacological method that can reduce labor pain is birth ball therapy. Research that has been conducted has found that birth ball exercises affect reducing labor pain. PkM is implemented through educational activities where there are 30 PkM participants. The results of the PkM implementation show that the PkM participants have been successfully educated through this PkM activity so that they can apply birth ball exercises to reduce labor pain in mothers. Due to the implementation of this PkM activity, it is hoped that there will be an increase in the knowledge of midwives who play a role in initial level services to provide appropriate steps in dealing with labor pain in mothers using complementary therapy, and birth ball exercises.