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All Journal Jurnal Keperawatan dan Fisioterapi (JKF) JURNAL KEBIDANAN KESTRA (JKK) JURNAL PENELITIAN KEBIDANAN & KESPRO Jurnal Antara Abdimas Kebidanan Jurnal Pengmas Kestra (JPK)
Dwi Handayani
Institut Kesehatan MEDISTRA Lubuk Pakam
Dentistry Health Professions Immunology & microbiology Library & Information Science Nursing Physics Public Health Social Sciences Other

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The Relationship of Psychological Stress With Breast Milk Production to Breastfeeding Mothers Post Delivery in the Clinic Wulandari Medan in 2021 Desideria Yosepha Ginting; Layari Tarigan; Dwi Handayani; Lasima Hotma Sitio
JURNAL KEBIDANAN KESTRA (JKK) Vol. 4 No. 2 (2022): 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.v4i2.821

Abstract

Postpartum mothers are mothers in the postnatal period, postpartum mothers often experience psychological stress which usually occurs in the first week to the sixth week after delivery. Mother's psychological stress usually occurs due to hormonal factors, family support, new roles, busy taking care of babies and lack of knowledge. Breast milk is a very important source of nutrition to meet the needs of babies, one of the factors that affect breast milk production is psychological stress. The purpose of this study was to identify the relationship between psychological stress and breast milk production in postpartum breastfeeding mothers at the Wulandari Clinic, Medan. This type of research is quantitative research with a correlation research design with a cross-sectional approach. The sampling technique in this study was total sampling with 38 respondents. The measuring instrument in this study used a questionnaire sheet. Data analysis was performed using the chi-square test. The result of this study is that the p-value of 0.000 is smaller than a significant value of 0.05, so there is a relationship between psychological stress and milk production in breastfeeding mothers after childbirth at the Wulandari Clinic, Medan in 2021.
Provision Of Fish Steak And Color Fruit Service In Increasing Iron And Hemoglobin Levels Patients Of Hiv/Aids Dwi Handayani; Iskandar Markus Sembiring
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

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkf.v5i1.1406

Abstract

HIV (Human Immunodeficiency Virus) is a microorganism in the form of a virus that enters the human body that attacks the immune system so that it weakens the body's ability to fight diseases. To overcome the problem of anemia in HIV patients, additional foods can be given that contain high protein, iron (Fe), Zn and vitamin C which can help absorb iron, one of which is the provision of cork fish steak which is used as a snack or snack and juice. colored fruit juice. Giving snakehead fish steak combined with colored fruit juice has the potential to increase iron and hemoglobin levels in HIV/AIDS sufferers to reduce anemia. This study aims to determine the effect of giving snakehead fish steak and colored fruit juice to increase iron (Fe) and hemoglobin (Hb). This study uses a quantitative method with the type of Pre-Experiment which is designed in a one group pre-test post-test design and the population is all 20 inpatients. The results of the paired t-test obtained p-value = 0.000. The conclusion is that there is an effect of giving snakehead fish steak and colored fruit juice to increase iron (Fe) and hemoglobin (Hb). It is recommended for people with HIV/AIDS who have problems with low levels of iron (Fe) in the blood and hemoglobin (Hb) in order to take advantage of snakehead fish steak as food/snack and colored fruit juice as a drink. So that way, people with HIV / AIDS can always be fresh and fit in carrying out activities in their lives.
SOSIALISASI MINUMAN KUNYIT ASAM SEBAGAI TERAPI PENURUNAN INTENSITAS NYERI MENSTRUASI PADA REMAJA PUTRI Ika Nur Saputri; Dwi Handayani; Basyariah Lubis; Irma Nurianti; Sri Melda Bangun; Jurpia Yasara
Jurnal Antara Abdimas Kebidanan Vol 4 No 2 (2021): Jurnal Antara Abdimas Kebidanan
Publisher : Sekolah Tinggi Ilmu Kesehatan Abdi Nusantara

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (494.121 KB) | DOI: 10.37063/pengmas.v4i2.601

Abstract

ABSTRAK Pendahuluan: Pada wanita yang normal setiap bulan akan mengalami menstruasi. Menstruasi adalah proses keluarnya darah dari vagina akibat pelepasan jaringan endometrium karena tidak ada sel telur yang matang yang dibuahi oleh sperma. Banyak perempuan yang mengalami masalah menstruasi walaupun pada dasarnya menstruasi merupakan proses yang alami. Salah satu masalah menstruasi yang sering terjadi adalah nyeri menstruasi atau dismenorea. Dismenorea adalah terjadinya nyeri di bagian panggul selama menstruasi dan produksi prostaglandin. Dismenorea pada umumnya dimulai sejak mengalami menstruasi pertama (menarchea). Pemberian minuman asam jawa merupakan salah satu penatalaksanaan nyeri menstruasi secara non farmakologis. Metode: Pengabdian masyarakat ini dilakukan pada remaja putri. Persiapan pertama yang dilakukan sebelum terjun kelapangan yaitu mendiskusikan materi yang akan disosialisasikan kepada remaja putri. Persiapan selanjutnya membuat spanduk yang mempermudah proses sosialisasi. Hasil: Minuman kunyit asam terbukti dapat menurunkan nyeri menstruasi pada remaja putri. Kesimpulan: Minuman kunyit asam dapat diolah sebagai obat untuk menurunkan nyeri menstruasi. Selain itu hasil olahan minuman kunyit asam ini bisa dijual agar menghasilkan pendapatan bagi remaja putri
PENYULUHAN PELAKSANAAN TEKNIK BIRTH BALL TERHADAP KEMAJUAN PERSALINAN PADA IBU HAMIL TRIMESTER III Wilda Wahyuni Siregar; Dwi Handayani; Damayanti .; Diah Evawanna Anuhgera; Juni Mariati Simarmata; Raisha Octavariny
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

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (514.402 KB) | DOI: 10.35451/jpk.v1i2.761

Abstract

In the first stage of labor, pain is a physiological factor with the cervical dilatation process, uterine muscle hypoxia when it contracts, stretching of the lower uterine segment. Birth ball counseling activities can be carried out to pregnant women in the third trimester. The purpose of this community service is to help relieve the pain and anxiety of the first stage of labor. This can be done in order to maintain and reduce anxiety and stress in third trimester pregnant women. Birth ball can be done with caca sitting on the birth ball, leaning on the ball by kneeling, leaning on the bed with a birth ball. The implementation of this community service lasted for 2 days at the Hamidah Pratama Clinic. This activity begins with checking blood pressure, followed by education about birth balls, the benefits of birth balls, how to use birth balls, along with the provision of leaflets about birth balls, demonstrations on the implementation of birth ball therapy and leaflets on how to use them. . The organizers of the activity also conducted discussions and asked questions to pregnant women in the third trimester related to the implementation of the birth ball which had been socialized. the implementation of counseling conducted on 32 third trimester pregnant women, all respondents experienced a decrease in anxiety and stress and pain in the waist and back and they also already knew that with this technique at the time of delivery it would speed up the first stage process so that the pain experienced would be shorter.
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

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (240.767 KB) | DOI: 10.35451/jpk.v2i1.914

Abstract

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.
The Relation Between Breast Care And The Incidence Of Breast Milk Dams (Engorgement) In Postpartum Mothers Titin Novayanti Dey; Dwi Handayani; Siti Sarah Bintang; Nurviza Arianti Azma
JURNAL KEBIDANAN KESTRA (JKK) Vol. 5 No. 2 (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.v5i2.1617

Abstract

Breastfeeding is a natural event that occurs after childbirth for a woman which is beneficial for both mother and baby. Breastfeeding problems that can occur during the puerperium or lactation are breast engorgement or also called breast milk dams. Breast milk dams occur due to superior lactiferous ducts or glands that are not emptied completely, lack of information and services provided regarding breast care. Based on the 2017 Indonesian Demographic and Health Survey (IDHS) data, it was stated that there were 77,231 postpartum mothers who experienced breastfeeding dams or (37.12%) postpartum mothers. The purpose of this study was to determine the relationship between breast care and the incidence of breastfeeding dams in postpartum mothers at the Pratama Nining Pelawati Clinic, Kec. Lubuk Pakam Kab. Deli Serdang in 2022. Research Methods The type of research used is descriptive analytical using the Cross Sectional method, which is a method of collecting data at the same time. The population of this study found 41 postpartum mothers. The sample in this questionnaire was collected by 37 postpartum mothers using the purposive technique. Data analysis using Chi-Square test. The results of the study of 37 respondents, most of whom had poor breast care were 26 people (70.3%) postpartum mothers, the majority of postpartum mothers who experienced breastfeeding were 24 people (64.9%). There is a relationship between breast care and the incidence of breast milk engorgement for postpartum mothers, obtained p-value 0.003 <0.05. Postpartum mothers already know about information about breast care, it is hoped that postpartum mothers will also be more diligent in carrying out breast care after giving birth and postpartum mothers will add more insight and knowledge about breast care to prevent breast milk damming.
Implementation of Online Patient Reservation Registration at Hospital Irmayani Irmayani; Rosita Ginting; Surya Darma; Dwi Handayani
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/gctz8n88

Abstract

The development of information technology has encouraged digital transformation in healthcare services, including patient registration systems in hospitals. The implementation of online registration systems aims to improve service efficiency, reduce patient waiting times, and facilitate public access to healthcare services. Grandmed Hospital Lubuk Pakam has implemented an online patient registration system through the Mobile JKN application and the E-Reservation Grandmed system. However, the utilization of this system is still not optimal compared to direct registration at the hospital counter. This study aimed to analyze the implementation of the online patient reservation registration system at Grandmed Hospital Lubuk Pakam based on system quality, information quality, and service quality aspects. This study employed a qualitative approach using a case study design. Data were collected through in-depth interviews, observation, and documentation. The informants were selected using purposive sampling and consisted of three participants. The collected data were analyzed using qualitative analysis through the stages of data reduction, data presentation, and conclusion drawing. The results showed that the implementation of the online patient reservation registration system at Grandmed Hospital Lubuk Pakam has generally been well implemented. In terms of system quality, the use of the Mobile JKN application and E-Reservation Grandmed facilitates patient registration and helps reduce queues at the registration counter. Regarding information quality, the information provided by the system is relatively clear and easy for patients to understand, although real-time updates are not fully implemented. In terms of service quality, the online registration system improves service efficiency and provides convenience for patients in scheduling hospital visits. In conclusion, the implementation of the online patient reservation registration system at Grandmed Hospital Lubuk Pakam has a positive impact on improving healthcare service efficiency. Therefore, improving system stability, updating information regularly, and increasing patient education regarding the use of the online registration system are necessary to optimize its utilization.
Differences In The Effect Of Motor Control Exercise And William Flexion Exercise On Pain In Low Back Pain Miogenic Patients At Ambalat Sesko Tni Clinic, Bandung Siti Sarah Bintang; Karnirius Harefa; Sabirin Berampu; Dwi Handayani; Titin Novayanti Dey; Pratiwi Simarmata; MHD Yoppy
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 6 No. 2 (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.v6i2.2077

Abstract

Changes in the background needs and welfare of human life have led to a shift in modern lifestyle patterns. The growing population has resulted in increased work productivity, along with various types of work activities and a rise in complaints of symptoms like low back pain. Low back pain, or lower back pain, is a complaint where the pain can be local pain (inflammation) or radicular pain in the lower back. This pain can radiate to other areas, or the pain can be felt in the lower back, or it can be felt on a different side of the body from the center of the pain and can be felt in a variety of ways. Occupation is one of the factors causing LBP. Incorrect work postures, for example, sitting static for a long time and not using ergonomic sitting positions, are one of the factors in the occurrence of LBP (WHO, 2013). The purpose of this research is to find out if there is a comparison of the differences in the effect of motor control exercise and William flexion exercise on pain in myogenic low back pain patients at the Ambalat Sesko TNI Bandung clinic in 2023. The design in this study was a quasi-experiment with a control approach of two groups, pre-test and post-test, used to compare two independent groups, namely group I (motor control exercise) and group II (William flexion exercise). The research location was at the Ambalat clinic, Sesko TNI, with a total sample of 20 people. The research data was carried out using the normality test with the Shapiro-Wilk test. After the data was normally distributed, a hypothesis test was carried out using the independent paired sample t-test to obtain a p-value of 0.901 > (? = 0.05). The results of the analysis showed that the intervention of motor control exercise and William flexion exercise had the same effect on reducing pain, and there was no significant difference between giving myogenic low back pain at the Ambalat Sesko TNI Bandung clinic in 2023.
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.
Encouraging Students to Speaks English through Daily English Program at Elementary School Fitri Ramadani; Dwi Handayani; Yuri Widhianto; Butet Marthalina Saragih; Tedty Rohaya Tinambunan
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/w0rkvv79

Abstract

The ability to speak English is an important skill that needs to be developed from primary school onwards as preparation for global communication in the future. However, in reality, primary school students still face various obstacles in using English orally, such as limited vocabulary, inaccurate pronunciation, and low confidence in speaking. This community service activity aims to encourage students to be more active and confident in speaking English through the implementation of a Daily English Programme in primary schools. The method of implementation includes several stages, namely socialising the programme to the school, training and mentoring teachers in implementing English language habits, implementing the use of English in daily activities at school, and evaluating the activity through pre-tests and post-tests. The subjects of this community service activity were 28 primary school students. The results of the activity showed a significant improvement in the students' English speaking skills, as indicated by an increase in the average score from 47.6 on the pre-test to 73.5 on the post-test. In addition to the improvement in test results, the students also showed positive developments in terms of their courage to speak, active participation in activities, and confidence in using English. Thus, the Daily English Programme is considered effective as an effort to create a communicative learning environment and support the continuous improvement of elementary school students' English speaking skills.
Co-Authors Anuhgera, Diah Evawanna Berampu, Sabirin Butet Marthalina Saragih Damayanti . Debi Dinha Octora Sitepu Diah Evawanna Fitri Ramadani Fitriani . Ginting, Desideria Yosepha Ika Nur Sapurtri Ika Nur Saputri Irma Nurianti Irmayani Irmayani Iskandar Markus Sembiring Juliana . Juni Mariati Simarmata Jurpia Yasara Karnirius Harefa Lasima Hotma Sitio Layari Tarigan Lubis, Basyariah Maharani Nazmi Nasution MHD Yoppy Munthe, Novita Br Ginting Nia Surtika Gulo Nikma Jalilah Nikmah Jalilah Ritonga Nita Triana Saragih Nurviza Arianti Azma Pratiwi Simarmata Raisha Octavariny Riris Sitorus Rosita Ginting Siregar, Wilda Wahyuni Siti Sarah Bintang Sri Melda Bangun Supran Hidayat Sihotang Surya Darma Tedty Rohaya Tinambunan Titin Novayanti Dey Titin Novayanti Dey Yuri Widhianto