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Pengaruh Deep Back Massage Terhadap Penurunan Nyeri Persalinan Kala I Fase Aktive di BPM Pera Kota Medan Tahun 2024 Basaria Manurung; Isyos Sari Sembiring; Emma Dosriamaya Noni Br Simanjuntak; Ninsah Mandala Putri Sembiring
Jurnal Siti Rufaidah Vol. 2 No. 4 (2024): Jurnal Siti Rufaidah
Publisher : PPNI UNIMMAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jasira.v3i1.158

Abstract

Childbirth is a process of expelling the results of conception (fetus and placenta), which can live to the outside world, from the uterus through the birth canal or by other means. During labor, the uterus contracts and pushes the baby down to the cervix. This study aims to determine the Effect of Deep Back Massage on Reducing Pain in the First Stage of Active Labor at BPM Pera, Medan City in 2024. This type of research is Experimental research. A research design used to find a causal relationship with the involvement of research in manipulating the independent variables. The population is 20 mothers giving birth at BPM Pera, Medan City in 2025, namely 10 people in the Treatment Group and 10 people in the Control Group. The data analysis technique uses t-test analysis. The results obtained in this study are the results of the t-test, namely the results of the paired test-test showed p = 0.011 (p <0.05) and t count = 11,768> from t table = 9,200 which proves that there is an effect of giving deep back massage on the level of labor pain in mothers who are giving birth to reduce labor pain.
Effectiveness Of Animation-Based Psychoeducation On Adolescent Mental Health And Risk Behavior: A Quasi-Experimental Study Sinaga, Rosmani; Pangaribuan, Ingka Kristina; Sembiring, Isyos Sari; Simbolon, Marlina Lasmawati; Manurung, Indra Septiady; Hia, Lidia Widarni; Gulo, Fransiska
Journal of Applied Nursing and Health Vol. 8 No. 1 (2026): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v8i1.575

Abstract

Background: Adolescent mental health and risky behaviors, including the KRR TRIAD (Risky Sexual Behavior, Drug Abuse, and HIV/AIDS), remain significant public health challenges in Indonesia that contribute to school dropout rates. This study aimed to evaluate the effectiveness of PENA (Education and Animation)-based psychoeducation in improving knowledge and behavior related to mental health, TRIAD KRR, and dropout prevention. Methods: This quasi-experimental study with a pretest-posttest control group followed the TREND (Transparent Reporting of Evaluations with Nonrandomized Designs) reporting guideline. A sample of 124 students was selected using a simple random sampling technique. The intervention group received PENA-based psychoeducation for a duration of 4 weeks (two sessions per week), while the control group received leaflets. Data were collected using a questionnaire that had been tested for validity and reliability. Data were analyzed using the Mann-Whitney test. Results: The intervention group showed a significant increase in knowledge (Median 80, IQR: 75–85) compared to the control group (Median 45, IQR: 40–50) with $p = 0.015$. Furthermore, the intervention group demonstrated better behavior in preventing TRIAD KRR and school dropout with p < 0.001. Conclusion: PENA-based psychoeducation is more effective than traditional leaflets in improving knowledge and fostering positive behavioral changes among adolescents.
Faktor-Faktor yang Mempengaruhi Ibu Hamil dalam Melakukan Perawatan Payudara di Klinik Pratama Nirmala Medan Tahun 2023 Afnida Zahara; Isyos Sari Sembiring; Lidia Lesti Mastiur; Sri Ermaliani Br Bangun; Nuriani Nuriani
Calory Journal Medical Laboratory Journal Vol. 2 No. 1 (2024): March : Medical Laboratory Journal
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/caloryjournal.v1i4.133

Abstract

A pregnant woman is a woman who carries a fetus in her womb after being fertilized BACKGROUND by spermatozoa. Pregnancy is a special situation for a woman as a prospective mother, because during pregnancy there will be physical changes that affect her life. During pregnancy, many changes will occur, both physical, social and mental. Pregnant mothers must have adequate nutrition, because the nutrition they get will be used for themselves and their fetus. For pregnant women, basically all nutrients require supplementation, but what is often lacking is protein energy and several minerals such as iron (Pantiawati in Mulyani, 2017). Breast care is a health behavior. Health behavior (according to Skinner) is: "a person's response to stimuli related to illness and disease, the health service system, eating and drinking, and the environment" (Unimus, 2012). Becker describes health behavior into three domains, namely health knowledge, attitudes towards health, and health practices (Wikipedia, 2012). According to Lawrence Green (1980) in Notoadmodjo (2007) there are 2 factors that influence human behavior in terms of health, namely: internal factors which include knowledge, perception, emotions, motivation, socio-economics and culture, and external factors, namely the environment. So far, from the literature that researchers have examined, there have been many studies that discuss breast care behavior, both during the antenatal period and during pregnancy.OBJECTIVE To analyze the relationship between factors that influence pregnant women in carrying out breast care at the Pratama Nirmala Clinic in 2023. METHOD chi square test p value < 0.05 means H0 is rejected and Ha is accepted as a statistical test result of a significant relationship. RESULTS There is a significant relationship between the factors that influence pregnant women in carrying out breast care at the Pratama Nirmala Clinic in 2023. ADVICE is given for research and for research sites and for educational institutions regarding breast care
Hubungan Pengetahuan Ibu Nifas Tentang Perawatan Luka Post SC Dengan Kejadian Infeksi Luka SC di Desa Multatuli Kec Natal Kab Mandailing Natal Tahun 2023 Rizky Andriani; Isyos Sari Sembiring; Ernawati Napitupulu; Titin Suherni; Elnia Elnia
Calory Journal Medical Laboratory Journal Vol. 2 No. 1 (2024): March : Medical Laboratory Journal
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/caloryjournal.v1i4.134

Abstract

BACKGROUND The exact incidence of infertility is not yet known with certainty, it varies greatly. Birth can occur in two ways, normal or natural (vaginal) and abnormal or delivery which is usually known as caesarean section. SC (Sectio Caesarea) is an artificial birth where the fetus is born through an incision in the abdominal wall and uterus, which can result in bleeding and incision wounds (Meo, 2021). In Indonesia, the number of caesarean sections increases along with the incidence of post-SC wound infections, where around 90% of post-cesarean section morbidity in the data obtained is caused by surgical wound infections. The incidence of caesarean sections (SC) is increasing every year, and according to the World Health Organization the standard for caesarean sections in a country is 5-10% of every newborn in the world (Hastutik, 2020).OBJECTIVE: To analyze the relationship between postpartum mothers' knowledge about post-SC wound care and the incidence of SC wound infections in Multatuli Village, Natal District, Mandailing Natal Regency in 2023. METHOD chi square test p value < 0.05 means H0 is rejected and Ha is accepted, the statistical test results show a significant relationship . RESULTS: There is a significant relationship between the knowledge of postpartum mothers regarding post-SC wound care and the incidence of SC wound infections. Suggestions are given for research and for research sites and for educational institutions regarding Post SC Wound Care
Quasi-experimental study on Aloe Vera Gel As A Phytotherapy to Accelerate Perineal Wound Regeneration In Postpartum Mothers At Bpm Pera Basaria Manurung; Retno Wahyuni; Hariati Eliana Purba; Isyos Sari Sembiring; Eva Ratna Dewi; Nopalina Suyanti Damanik; Titis Jernih Wati Gea
Jurnal Teknokes Vol. 18 No. 4 (2025): Desember
Publisher : Jurusan Teknik Elektromedik, Politeknik Kesehatan Kemenkes Surabaya, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/jteknokes.v18i4.110

Abstract

Perineal wounds are one of the most common complications in postpartum women, causing pain, increasing the risk of infection, and delaying recovery. The lack of effective, safe, affordable, and easily accessible therapies highlights a gap in perineal wound care practices, particularly in primary care. Aloe vera, which contains anti-inflammatory compounds and regenerative bioactives, has the potential to serve as an alternative phytotherapy, but clinical evidence of its effectiveness in perineal wounds remains limited. This study aimed to evaluate the effectiveness of aloe vera gel in accelerating perineal wound healing in postpartum women. The contribution of this research is to strengthen the practice of phytotherapy-based wound care that is safe, affordable, and applicable in primary health care facilities. The study used a quasi-experimental pre-post study design with a control group. Thirty postpartum women with grade I–II perineal wounds were divided into a treatment group (Aloe vera) and a control group (standard care). Healing was evaluated using the REEDA scale, and pain intensity was assessed using a Visual Analogue Scale (VAS) over seven days. Analysis was performed using an independent t-test with a significance level of 0.05. The results showed a significant difference between the two groups. The average healing time for the Aloe vera group was 4.20 days (SD 0.95), faster than the control group, which took an average of 7.00 days (SD 1.20). Statistical tests showed a p-value = 0.001, indicating significant effectiveness of Aloe vera application in accelerating tissue healing. In addition, REEDA and VAS scores on the seventh day were consistently lower in the treatment group, indicating a faster reduction in inflammation and pain. Implicitly, these findings provide a clinical contribution to strengthening safe and affordable phytotherapy-based wound care practices for postpartum mothers, particularly in primary healthcare facilities. This study concluded that aloe vera gel is an effective complementary therapy for accelerating perineal wound healing and improving maternal comfort.
Optimalisasi Masa 1000 Hari Pertama Kehidupan untuk Mewujudkan Zero Stunting di Desa Bangun Rejo Provinsi Sumatera Utara Tahun 2026 Yesica Geovany Sianipar; Basaria Manurung; Isyos Sari Sembiring; Dewi Shinta; Emma Dosrimaya Simanjuntak; Siti Fadilah
Jurnal Masyarakat Madani Indonesia Vol. 5 No. 3 (2026): Agustus
Publisher : Alesha Media Digital

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59025/4p4fxb30

Abstract

Stunting di Desa Bangun Rejo, Kecamatan Tanjung Morawa, masih menjadi masalah kesehatan prioritas akibat triple burden of malnutrition yang dialami balita dan ibu hamil, serta rendahnya literasi keluarga tentang pentingnya optimalisasi masa 1000 Hari Pertama Kehidupan (HPK). Kegiatan pengabdian masyarakat ini bertujuan meningkatkan pengetahuan ibu hamil, ibu balita, dan kader kesehatan mengenai optimalisasi 1000 HPK guna mendukung target Zero Stunting tahun 2026. Metode yang digunakan adalah penyuluhan kesehatan yang dilaksanakan pada bulan Februari 2026 kepada 45 peserta, meliputi ceramah, tanya jawab, dan demonstrasi pemanfaatan Buku KIA serta pemberian makanan tambahan (PMT) berbasis pangan lokal, dengan evaluasi menggunakan pre-test dan post-test. Hasil kegiatan menunjukkan peningkatan rata-rata skor pengetahuan dari 56,4 (kategori kurang) menjadi 84,7 (kategori baik), dengan peningkatan sebesar 28,3 poin (50,2%) yang signifikan secara statistik. Disimpulkan bahwa penyuluhan kesehatan efektif meningkatkan pengetahuan dan kesiapan masyarakat Desa Bangun Rejo dalam mendukung pencegahan stunting melalui optimalisasi 1000 HPK. Kegiatan ini diharapkan menjadi model intervensi promotif-preventif yang berkelanjutan melalui penguatan peran kader dan pemanfaatan Posyandu secara rutin.
Faktor-Faktor Yang Mempengaruhi Ibu Hamil Dalam Melakukan Perawatan Payudara Di Bidan Praktek Mandiri Bena Handayani Desa Lama Kec Hamparan Perak Tahun 2023 Ratna Metasari Sembiring; Isyos Sari Sembiring; Basaria Manurung; Rumiati Sinaga; Rosmaida Barutu; Hertika Yantina Silaen
Journal Clinical Pharmacy and Pharmaceutical Science Vol. 2 No. 2 (2023): Oktober : Journal of Clinical Pharmacy and Pharmaceutical Science
Publisher : Prodi D3 Farmasi Politeknik Katolik Mangunwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61740/jcp2s.v2i2.34

Abstract

BACKGROUND: According to Huliana (2013), breast care is carried out to prevent blockage of the milk ducts thereby facilitating the release of breast milk. This is confirmed by the results of research by Sholichah (2011) which found a relationship between breast care for pregnant women and the smooth production of breast milk. In this study, mothers who had good breast condition with good breast care had good breast milk production. If the condition of the mother's breasts is in poor condition and the care is not good then it can more or less disrupt the lactation process. Breast care is carried out during pregnancy (antenatal) to get the effect of producing breast milk more quickly. This was obtained from the results of research by Astari (2018) that mothers who had breast care during the antenatal period produced breast milk after giving birth faster than mothers who did not have breast care during the antenatal period. OBJECTIVE To analyze the relationship between factors that influence pregnant women in carrying out breast care at the Bena Handayani Independent Practicing Midwife in 2023. METHOD chi square test p value < 0.05 means H0 is rejected and Ha is accepted as a statistical test result of a significant relationship. RESULTS: There is a relationship between education, age, parity, knowledge and attitudes towards breast care at the Bena Handayani independent practice midwife in 2023. Suggestions are given for research and for research sites and for educational institutions regarding breast care.
Pengaruh Kelas Ibu Hamil Terhadap Kecemasan Ibu Primigravida Di Puskesmas Tarabintang Kec Tarabintang Kab Humbang Hasundutan Tahun 2023 Rosmaida Barutu; Isyos Sari Sembiring; Emma Dosriamaya Noni Br. Simanjuntak3; Ninsah Mandala Putri Sembiring; Basaria Manurung; Sonia Novita Sari
Journal Clinical Pharmacy and Pharmaceutical Science Vol. 2 No. 2 (2023): Oktober : Journal of Clinical Pharmacy and Pharmaceutical Science
Publisher : Prodi D3 Farmasi Politeknik Katolik Mangunwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61740/jcp2s.v2i2.35

Abstract

BACKGROUND First pregnancy for a prospective mother is a new journey marked by physical and psychological changes resulting in various psychological problems. One of the psychological aspects that influences pregnancy is anxiety. Apart from that, anxiety arises in pregnant women, influenced by the physical changes that occur during pregnancy, namely the stomach getting bigger and the body getting fatter (Utami, 2017). The pregnant women's class program in Indonesia started in 2010 and implementation at the Tarastar Community Health Center, Tarastar District, Humbang Hasundutan Regency began in 2012. One of the expected results from the implementation of the pregnant women's class is an understanding, change in attitudes and behavior of pregnant women so that pregnant women can undergo their pregnancy calmly and comfortably, avoiding physical and mental illness, and childbirth can take place normally, which ultimately contributes to reducing maternal mortality. PURPOSE: To determine the effect on anxiety of primigravida mothers at the Tarastar Community Health Center, Tarastar Subdistrict, Humbang Hasundutan Regency in 2023. The quasi-experimental design METHOD with the normality test of this data uses the Shapiro Wilk Test because it is adapted for small research samples. RESULTS: The conclusion of this study is that there is a difference in the level of anxiety between primigravida mothers who took the class for pregnant women and those who did not take the class for pregnant women. Suggestions are given for research and for research sites and for educational institutions regarding factors related to knowledge and attitudes of post partum mothers regarding Pregnancy Mother classes.
Asuhan Manajemen Berkelanjutan Pada Ny. M dengan Ruptur Perineum Derajat II Evi Masri Rumaijuk; Siska Suci Triana Ginting; Siti Nurmawan Sinaga; Isyos Sari Sembiring; Elvi Diana
Jurnal Ners Vol. 10 No. 4 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i4.62481

Abstract

Menurut World Health Organization (WHO), setiap harinya sekitar 830 ibu di seluruh dunia meninggal akibat komplikasi yang terjadi selama kehamilan dan persalinan. Di Indonesia, sekitar 75% kematian ibu disebabkan oleh perdarahan, hipertensi, dan infeksi (Kementerian Kesehatan Republik Indonesia, 2019). Data Kementerian Kesehatan tahun 2022 menunjukkan bahwa angka kematian ibu (AKI) di Indonesia mengalami peningkatan dari tahun ke tahun. Pada tahun 2021, jumlah kematian ibu meningkat hingga 59,69% dibandingkan tahun sebelumnya, dengan penyebab utama yang paling banyak adalah perdarahan sebanyak 1.330 kasus.(KEMENKES, 2022). Berdasarkan laporan profil kesehatan ibu dan anak, pada tahun 2020 tercatat sekitar 6 juta persalinan,dengan 30% diantaranya mengalami pendarahan tersebut adalah robekan perenum yang menyumbang sekitar 305 dari kasusperdarahan Tujuan memberikan asuhan kebidanan yang komperehensif secara berksinambungan (continuity of care ) pada ibu hamil, bersalin,ibu nifas, bayi baru lahir, dan keluarga berencana melalui pendekatan dan pengkajian dengan menggunakan 7 langkah helen varney dan dokumentasi SOAP. Metode desain penelitian yang digunakan yaitu deskriptif dan jenis penelitian studi kasus. Subyek penelitian adalah ibu hamil normal dengan usia kehamilan 28  minggu 5 hari. Waktu penelitian dilakukan pada Bulan oktober sampai dengan januari  2026. Hasil adanya terjadi kasus pada ny.m pada persalinan kala IV dengan rupture perenium derajat II dan telah teratasi. Saran: Bagi klinik pratama elvi diana diharapkan dapat lebih meningkatkan pelayanan kesehatan ibu hamil, bersalin, nifas, dan bayi baru lahir sehingga menjadi klinik yang lebih baik.
Co-Authors Afnida Zahara Agussamad, Indra Arifah Arta, Herly Asnika Asnika Asnita Sinaga Astaria Br Ginting Astaria Ginting Ayudiah Astuti Ayudiah Astuti Barus, Emika Berliana Br Basaria Manurung Besty Agustina Silitonga Cindi Hidayat Devita Purnama Sari Devita Purnamasari Dewi Shinta Edi Subroto Elnia Elnia Elnia Elnia Elvi Diana Emma Dosria Emma Dosriamaya Noni Br Simanjuntak Emma Dosriamaya Noni Br. Simanjuntak Emma Dosriamaya Noni Br. Simanjuntak3 Emma Dosrimaya Simanjuntak Epi Ida Lestari Samosir Ernawati Napitupulu Ernawati Napitupulu Eva Ratna Dewi Evi Masri Rumaijuk Falma Rossa Fazila Itawari Febriana Sari, Febriana Fera Susanti Fitriani Fitriani Ginting, Astaria Br Ginting, Perkasa Gulo, Fransiska Gultom, Esra Agustina Gultom Habib Nabawi Hafizah pandiangan Halimatun Sakdiyah Hariati Eliana Purba Henny Rista Herna Rinayanti Manurung Hertika Yantina Silaen Hia, Lidia Widarni Indah Falina Ingrid Valentin Irma Agustina Juliati Lestari Pasaribu Jumining Jumining Jumining Jumining Kamelia Sinaga Khairunnisa Situmorang Kristina Pangaribuan, Ingka lamtiar, Lamtiar Pasaribu Lidia Lesti Mastiur Lisa Putri Damanik Lyly Irayani magdalena Barus Mandala Putri Sembiring, Ninsah Mandala Putri, Ninsah Manurung, Basaria Manurung, Herna Rinayanti Manurung, Indra Septiady Marliani Marliani Marliani Marliani Marliani Marliani Marlina Lamawati Simbolon Mediyana Sembiring Monica Magdalena Munthe, Juliana Nainggolan Natalia Br Sinuhaji, Lidya Ninsah M Putri Sembiring Ninsah Mandala Putri Sembiring Nita Indrayani Nita Indrayani Nopalina Suyanti Damanik Nur Azizah Nur Azizah Lubis Nuriani Nuriani Nuriani Nuriani Nurmawan, Siti Pakpahan, Juwita Febriani Pane, Grace Laura Fidela Pangaribuan, Ingka Kristina Pretty, Clara Maha Pristiwanti Putri Utami, Lisa Ratna Dewi, Eva Ratna Metasari Ratna Metasari Sembiring Rehulina Natalia Sembiring Retno Wahyuni Retno Wahyuni Retno Wahyuni Rizky Andriani Rizky Andriani Rosmaida Barutu Rosmelina Buulolo Rumiati Sinaga sadarni gulo, Lusia Sartika Hutabarat, Dewi Sembiring, Mediana Sembiring, Sarfina Simamora, Lasria SIMANJUNTAK, PARNINGOTAN Simarmata, Mesrida Simbolon, Marlina Lasmawati SINAGA, ROSMANI Sinuhaji, Lidya Natalia Sisca Suci Triana Ginting Siska Suci Ginting Siska Suci Triana Ginting Siti Fadilah Siti Nurmawan Sinaga Sonia Novita Sari Sri Ermaliani Br Bangun Sri Ermaliani Br Bangun Sri Muliana Putri Bakkara Sri Wahyu srininta Sulastri Sulastri Sulastri Sulastri Surbakti, Imran Surya Dani Susanti Susi Wahyuni Suyanti Damanik, Nopalina Tiainsyah Tiainsyah Titin Suherni Titin Suherni Titis Jernih Wati Gea Vitalia Hanako Murni Simanjuntak Yani, Azri Yenni Wulandari Yesica Geovany Sianipar Zebua, Oktaviani