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Riris Sitorus
Institut Kesehatan Medistra Lubuk Pakam
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Latihan Birthball untuk Penurunan Nyeri Kala I Persalinan di Bidan Praktik Mandiri Juliana Tanjung Morawa Eva Solena; Elvi Era Liesmayani; Riris Sitorus
Jurnal Kesehatan Cendikia Jenius Vol. 1 No. 1 (2023): Desember
Publisher : CV. CENDIKIA JENIUS INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70920/jenius.v1i1.7

Abstract

Childbirth is the process of expelling the products of conception (fetus and placenta) through the birth canal with or without assistance after they have developed enough to live outside the womb (by their own strength). Labor pain is a natural reaction. The pain that will be felt is the same as the birth process. To find out the effect of birthball training on reducing pain in the first stage of labor in women giving birth before doing birthball training at the Juliana Tanjung Morawa Midwife Clinic. This research is quantitative using a quasi-experimental approach with a One Group Pre test and Post test design. Sampling used accidental sampling with a population of 30 respondents in accordance with exclusion and inclusion criteria. In this research, the instrument used was an observation sheet. The results of the statistical test obtained a p-value=0.000 (p<0.05) so it can be concluded that there is an effect of giving birthball exercises on reducing pain in the first stage of labor in mothers giving birth at the Juliana Tanjung Morawa Midwife Clinic in 2023.
Pengaruh Pendampingan Keluarga Terhadap Lama Proses Persalinan Kala I Sitorus, Riris; Damayanti S, Grace Erlyn
Madani: Jurnal Ilmiah Multidisiplin Vol 2, No 3 (2024): Madani, Vol. 2, No. 3 2024
Publisher : Penerbit Yayasan Daarul Huda Kruengmane

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/zenodo.13363611

Abstract

Proses persalinan merupakan salah satu faktor yang dapat menimbulkan kecemasan, karena proses melahirkan bayi tidak selalu bersifat somatik. Akan tetapi, juga bersifat psikosomatis, karena banyak hal yang dapat mempengaruhi kelancaran atau keterlambatan proses persalinan. Pada hakekatnya seorang wanita dalam proses persalinan  mempunyai 5 (lima) kebutuhan yaitu asuhan fisik, psikologis, kehadiran seorang pendamping secara terus-menerus, pengurangan rasa sakit, penerimaan atas sikap. Kondisi psikologis dapat berpengaruh terhadap tenaga ibu dan kelancaran proses persalinan. 97% persalinan adalah persalinan fisiologis namun kecemasan dalam persalinan dapat menimbulkan ketegangan otot-otot polos dan pembuluh darah, sehingga terjadi kekakuan serviks dan hipoksia pada rahim yang menyebabkan impuls nyeri bertambah banyak, impuls nyeri melalui thaloma limbic ke korteks serebri dengan akibat menambah rasa takut, sehingga kontraksi rahim berkurang. Hal ini mengakibatkan persalinan butuh waktu yang lama dan mungkin membutuhkan alat bantu bahkan operasi Caesar. Tujuan penelitian ini adalah untuk mengetahui pengaruh pendampingan keluarga terhadap lama proses persalinan kala I. Penelitian merupakan penelitian pre-eksperimental dengan desain penelitian Posttest-only control design. Populasi pada penelitian ini adalah seluruh ibu bersalin di Desa Pir Trans Sosa III A. Sampel yang diperoleh sebanyak 18 orang dengan teknik accidental sampling. Uji statistik yang digunakan adalah independent t test dengan tingkat kepercayaan 95% (? = 0,05). Hasil penelitian ini menunjukkan ada pengaruh pendampingan keluarga terhadap lama proses persalinan kala I (nilai p 0,001). Maka diharapkan kepada bidan untuk menginformasikan dan memotivasi keluarga mengenai pentingnya pendampingan keluarga bagi ibu dalam proses persalinan.
Yoga Gymnastics Training for Primigravida Pregnant Women in the Third Trimester Sitorus, Riris; Damayanti, Grace Erlyn; Ginting, Samuel
JURNAL PENGMAS KESTRA (JPK) Vol. 4 No. 2 (2024): 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/jpk.v4i2.2425

Abstract

Pregnancy is a process in which a woman carries a fetus after it occurs. In the process of labor, anxiety often arises in the prospective mother so it is recommended that the mother do light exercise such as yoga. Yoga is a recommended choice in preparation for labor, because this exercise is able to control breathing and relax the mind. Yoga breathing exercises will accelerate the blood flow rate so that oxygen is fulfilled for the mother and her fetus. In addition, yoga is also able to control anxiety so that it can achieve better health during childbirth. Training activities were given to 20 pregnant women participants at the Matahari clinic. The increase in knowledge of PkM participants was assessed based on the average pre- and post-test scores after being given material, demonstrations, and direct training. Yoga exercises for pregnant women were carried out based on standard SOPs, which were assisted by the PkM team in their implementation. The results of the training showed that PkM participants were able to carry out yoga exercises according to the SOP. In addition, participants also received direct benefits in the form of physical and mental health. Through this training, it can also be seen that there has been an increase in participants' knowledge about yoga exercises in overcoming anxiety with a pre-test score of 5.95 to a post-test score of 7.55. Yoga exercises have been proven to improve participants' knowledge and skills in carrying out yoga exercises which are useful in maintaining health and controlling anxiety when giving birth.
The Effect Of Yoga Exercise On Anxiety In Third Semester Primigravida Pregnant Women Sitorus, Riris; S, Grace Erlyn Damayanti; Ginting, Samuel; Diah Evawanna Anugerah
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 7 No. 1 (2024): 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.v7i1.2301

Abstract

Primigravida mothers are mothers who are experiencing pregnancy for the first time. Primigravida mothers are usually not ready to face pregnancy because it is something new to experience. The unpreparedness of primigravida mothers occurs both physically and psychologically. Anxiety is a feeling of discomfort manifested by restlessness, worry or fear. This is a manifestation of psychological and physiological factors. The third trimester is a time of alertness where at this time, pregnant women understand that their child can be born at any time. Mothers also feel impatient with the birth of the baby which makes mothers alert and vigilant. Anxiety during pregnancy can trigger changes in physical activity, sleep and nutrition. This can have an impact on fetal development and changes in the mother's mood. Yoga is a complementary therapy that can be an option to overcome anxiety in pregnant women, especially primigravida mothers in the third trimester. The design of this study was One Group Pretest and Posttest with the population being all primigravida pregnant women in the third trimester who checked their pregnancy at the Matahari Clinic. This study was tested on 17 samples taken using a purposive sampling technique. The results of the study showed that there was an average decrease in anxiety of 7.0000 and a p value of 0.000, which means that yoga exercises have an effect on reducing anxiety in pregnant women. So it is expected that midwives in the clinic are expected to apply yoga exercises to overcome anxiety in pregnant women, especially primigravida pregnant women in the third trimester.
Education on the Application of Red Rose Aromatherapy for Pain Reduction in the First Stage of Labor Sitorus, Riris; S, Grace Erlyn Damayanti; Br Barus, Eva Solina; Astari, Resha
JURNAL PENGMAS KESTRA (JPK) Vol. 5 No. 1 (2025): 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/cc4ak897

Abstract

Labor is a critical moment filled with anticipation, emotion, and physiological change for pregnant women. Pain during the first stage of labor is a natural process but often leads to physical discomfort and psychological distress, potentially prolonging labor and increasing complication risks. This community service program (PkM) was designed as an educational seminar aimed at promoting red rose-based aromatherapy as a non-pharmacological approach to alleviate labor pain in the first stage. The seminar involved 30 pregnant women as active participants and was conducted at Nining Pelawati Clinic. Educational content included an introduction to aromatherapy, the therapeutic benefits of red rose essential oil, its sensory mechanisms through the olfactory system, and the correct usage procedures according to standardized operational protocols. Participants’ knowledge was assessed using structured pre-test and post-test questionnaires. The results revealed a notable increase in participants’ understanding, with average scores rising from 55.2 (pre-test) to 88.1 (post-test), indicating a 59.6% improvement. The highest gain (80%) was observed in understanding standard procedures of aromatherapy application. These findings demonstrate that interactive, participatory education combined with supportive media such as leaflets and instructional videos is highly effective in enhancing knowledge. This program is expected to support pregnant women in preparing for childbirth with greater confidence, reduced anxiety, and improved coping mechanisms through natural pain management techniques.
Pengaruh Transfer Pricing dan Sales Growth Terhadap Tax Avoidance dengan Profitabilitas Sebagai Variabel Moderating widiyantoro, Cahya Sukma; Sitorus, Riris
Media Akuntansi Perpajakan Vol 5, No 1 (2020): Media Akuntansi Perpajakan
Publisher : Universitas 17 Agustus 1945 Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52447/map.v5i1.4182

Abstract

Penelitian ini bermaksud untuk mendeteksi pengaruh transfer pricing dan sales growth terhadap tax avoidance dengan profitabilitas sebagai variabel moderating. Dimana transfer pricing dan sales growth sebagai variabel independen sebaliknya tax avoidance sebagai variabel dependen serta profitabilitas sebagai variabel moderasi. Populasi dalam observasi ini yakni perusahaan manufaktur pada sektor industri barang konsumsi yang tercantum di Bursa Efek Indonesia (BEI). Mekanisme pengambilan sampel dalam observasi ini menggunakan teknik purposive sampling dan terdapat 16 sampel perusahaan yang berhasil masuk sebagai kriteria selama tahun 2014-2018. Pemeriksaan dalam hipotesis ini memmanfaatkan program STATA sebagai alat uji.Mekanisme analisis dalam data diuji dengan uji statistik deskriptif, korelasi, uji moltikolinearitas, uji heteroskedastisitas, dan uji autokorelasi. Uji hipotesis dapat mempertimbangkan dari hasil analisis regres. Hasil obeservasi dalam riset ini membuktikan bahwa transfer pricing berpengaruh negatif dan tidak signifikan terhadap tax avoidance, sales growth berpengaruh negatif dan tidak signifikan terhadap tax avoidance, profitabilitas berpengaruh negatif dan tidak signifikan terhadap tax avoidance, moderasi profitabilitas tidak mampu memperkuat hubungan transfer pricing terhadap tax avoidance serta moderasi profitabilitas tidak mampu memperkuat hubungan sales growth terhadap tax avoidancePenelitian ini dilakukan dengan tujuan untuk mengetahui pengaruh perencanaan pajak dan penilaian risiko pajak pada kepatuhan wajib pajak dengan pengetahuan pajak sebagai moderasi. Metode yang digunakan adalah metode pengukuran dengan menyebarkan kuesioner dan data yang didapat diolah menggunakan Smart PLS.Kata Kunci : transfer pricing, sales growth, tax avoidance, dan profitabilitas
The Effect of Giving Cinnamon Infusion with Honey on Primary Dysmenorrhea Pain in Adolescents Riris Sitorus; Desideria Yosepha Ginting; Grace Erlyn Damayanti S; Mayang Citra Hariati
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 8 No. 2 (2026): 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: 10.35451/317gzr74

Abstract

Primary dysmenorrhea is a condition that may reduce adolescents’ quality of life, as it can interfere with daily activities and increase the risk of absenteeism from school or work. The management of this condition remains suboptimal, as most adolescents tend to rely on analgesic medications, while the long-term use of chemical drugs is associated with potential adverse effects, including disorders of the gastrointestinal system, kidneys, and liver. Therefore, safer alternative therapies are needed, one of which is the use of natural ingredients such as cinnamon and honey. This study aimed to analyze the effect of administering a cinnamon infusion combined with honey on the intensity of primary dysmenorrhea pain in adolescents. A quantitative approach with a quasi-experimental design using a pretest-posttest control group design was employed. The study population consisted of 60 students experiencing primary dysmenorrhea, with a sample of 38 respondents selected using purposive sampling technique. Data analysis was performed using the independent sample t-test with a 95% confidence level (α = 0.05). The results showed a significant effect of administering a cinnamon infusion combined with honey on reducing primary dysmenorrhea pain in adolescents (p < 0.001). In conclusion, a cinnamon infusion combined with honey was proven to be effective in reducing primary dysmenorrhea pain; therefore, healthcare providers, particularly midwives, as well as schools are recommended to promote this intervention as an alternative management for dysmenorrhea pain in adolescents.
The Effect of Progressive Muscle Relaxation on Low Back Pain And Anxiety in Primiparas Diah Evawanna Anuhgera; Nikma Jalilah; Riris Sitorus; Dwi Handayani; Debi Dinha Octora
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 7 No. 2 (2025): 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.v7i2.2379

Abstract

Pregnancy changes that result in looseness and instability of joints in the third trimester of pregnancy often cause lower back pain in mothers. This certainly disturbs the mother's discomfort and causes anxiety. Progressive muscle relaxation is a combination of deep breathing and progressive muscle relaxation techniques by stretching and relaxing the muscles systematically. The purpose of this study was to analyze the effect of progressive muscle relaxation on lower back pain and anxiety in primigravida pregnancies. This study used all experiments with a pretest-posttest controlled group design for primigravida pregnant women with a gestational age of 28-36 weeks at the Misriah Galang Clinic as many as 28 respondents. The sampling technique used was simple random sampling. There were two groups in this study, namely the intervention group with progressive muscle relaxation and the control group. The research instruments used were VAS (Visual Analog Scale), Hamilton Anxiety Rating Scale (HARS) and questionnaires. Data analysis used was the dependent t-test and independent t-test to measure pain intensity and the Wilcoxon test with Mann Whitney to measure anxiety. There was a difference in the intensity of pain and anxiety before and after the progressive muscle relaxation intervention with a value of p = 0.001 and 0.004. The percentage of pain reduction after the intervention was 45.71%. There was a difference in the average pain and anxiety after the intervention between the control and intervention groups with a value of p = 0.000; p = 0.002. Progressive muscle relaxation has been proven effective in reducing the intensity of lower back pain and anxiety. Obstetric practitioners can apply this method to pregnant women who experience lower back pain and anxiety. The progressive muscle relaxation method can be used as material in Complementary Therapy in Pregnancy to develop obstetric science.
The Effect of Aromayoga on Body Weight of Contraceptive Injection Acceptors Experiencing Side Effects Riris Sitorus; Grace Erlyn Damayanti Sihotang; Resha Astari; Eva Solina Br. Barus
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 8 No. 1 (2025): 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/tc8z0977

Abstract

Background: The three-month injectable contraceptive remains a popular hormonal method owing to its convenience and efficacy. Nevertheless, weight gain is a common adverse effect that often prompts discontinuation. Aromayoga—a therapeutic combination of aromatherapy and yoga—has emerged as a potential non-pharmacological strategy to mitigate this problem by restoring hormonal balance, relieving stress, and improving metabolic activity. Objective: This study sought to examine the impact of aromayoga on body weight among women using the three-month injectable contraceptive who experienced weight gain as a side effect. Methods: A quasi-experimental design employing a pretest–posttest control group approach was implemented. The study involved 30 women of reproductive age using the three-month injectable contraceptive, equally divided into an intervention group (n = 15) and a control group (n = 15). The aromayoga sessions were administered over a four-week period, three times weekly, with each session lasting 30 minutes. Statistical analyses were performed using paired-sample and independent t-tests.Results: The intervention group demonstrated a significant reduction in body weight with a mean decrease of 1.5 kg (p = 0.002), whereas the control group exhibited a mean weight increase of 0.3 kg (p = 0.084). Independent t-test analysis revealed a statistically significant difference between the two groups following the intervention (p = 0.015). Conclusions: The findings indicate that aromayoga is an effective non-pharmacological intervention for reducing weight gain among users of the three-month injectable contraceptive. Incorporating aromayoga into community health programs could promote user comfort and support the continued use of contraceptive methods.
Early Detection and Preventive Education of Anemia in Pregnant Women through the Consumption of Purple Sweet Potato Biscuits at Sahabat Bunda Clinic Sri Wulan; Riris Sitorus; Nawa Kurnia Anggraini Siregar; Dea Febriana
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: 10.35451/6686a563

Abstract

Anemia among pregnant women remains a significant public health concern both globally and in Indonesia, with serious consequences for maternal and fetal health. This condition may lead to complications during pregnancy and childbirth and can adversely affect fetal growth and development. Therefore, comprehensive preventive efforts are needed, including enhanced health education, regular early screening, and appropriate nutritional interventions to reduce the prevalence of anemia and improve maternal health outcomes. This community service activity aimed to improve pregnant women’s knowledge about anemia, conduct early detection, and provide nutrition intervention based on local food sources. The activity was conducted at Klinik Sahabat Bunda, Deli Serdang Regency, involving 12 pregnant women. The methods used included hemoglobin (Hb) level examination, health education through lectures and interactive discussions, and the provision of purple sweet potato biscuits as a nutritious supplementary food. The results showed that 4 out of 12 pregnant women were anemic (Hb <11 g/dL). After the educational session, participants demonstrated improved understanding, indicated by active participation in discussions and the ability to re-explain the material. The purple sweet potato biscuit intervention also received positive responses as an alternative nutritional source. This activity demonstrates that the combination of early detection, health education, and the utilization of local food is effective in increasing awareness and knowledge of pregnant women regarding anemia prevention. It is expected that similar programs can be continuously developed as a sustainable effort to reduce the prevalence of anemia in pregnant women.
Co-Authors Anita Sri Gandaria Purba Anuhgera, Diah Evawanna Astari, Resha Br Barus, Eva Solina Damayanti . Damayanti Damayanti Damayanti S, Grace Erlyn Damayanti, Grace Erlyn Dea Febriana Debi Dinha Octora Sitepu Desika Wali Pardede Diah Evawanna Diah Evawanna Anugerah Diah Evawanna Anuhgera Dwi Handayani Dwi Handayani Eka Defi Mulyani Eva Solena Eva Solina Br. Barus Ginting, Desideria Yosepha Ginting, Samuel Grace Erlyn Grace Erlyn D. Sitohang Grace Erlyn D.S Grace Erlyn Damayanti S Grace Erlyn Damayanti S Grace Erlyn Damayanti Sihotang Grace Erlyn Damayanti` S Hani Amaliah Majidah Juni Mariati Simarmata Kardina Hayati Liesmayani, Elvi Era Luci Riani Ginting Mayang Citra Hariati Munthe, Novita Br Ginting Nawa Kurnia Anggraini Siregar Nikma Jalilah Nikmah Jalila Ritonga Nikmah Jalilah Ritonga Nikmah Jalilah Ritonga Nining Pelawati Pitriani P Pulungan, Susi Andriany Raisha Octavariny Resha Astari Ritonga, Nikmah Jalilah Rizky Yolanda S, Grace Erlyn Damayanti Simarmata, Juni Mariati Siregar, Wilda Wahyuni Sri Wulan Telova, Yurizki widiyantoro, Cahya Sukma Yessy Arisman Yuni Sartika Limbong ⁠Mayang Citra Hariati