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The Relationship Between Mother's Knowledge And Exclusive Breast Feeding In The Work Area Of Bingai Public Health Center, Wampu District Langkat Regency Martaulina Sinaga; Nur Afiqah Mohamad; Siti Nurmawan Sinaga; Lidya Natalia Sinuhaji; Risna Yasina Manik; Hepriani Girsang
Jurnal EduHealth Vol. 11 No. 2 (2021): March, Jurnal EduHealth
Publisher : Sean Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (196.751 KB)

Abstract

Mother's Milk (ASI) is the first, main and best food at the beginning of a baby's natural life. According to the Global Strategy on Infant and Young Child Feeding, proper feeding is breastfeeding the baby as soon as possible after birth, exclusive breastfeeding until the age of 6 months, providing proper and adequate complementary food for breastfeeding from the age of 6 months, and continuing breastfeeding until the age of 2. years or more. Exclusive breastfeeding until the baby is 6 months old is very beneficial because it can protect the baby from various diseases that cause infant death. In addition to benefiting the baby, exclusive breastfeeding also benefits the mother, namely reducing postpartum bleeding, reducing blood loss during menstruation, accelerating weight gain, reducing the risk of breast cancer and uterine cancer (Widodo, 2011). According to Lawrence Green (1980) in Notoadmodjo (2015) there are various factors that influence exclusive breastfeeding including mother's knowledge about exclusive breastfeeding, education, psychology, infant abnormalities, breast abnormalities, availability of resources/facilities, affordability of facilities, attitudes and behavior of health workers .
Peningkatan Motivasi Ibu Hamil Trimester III Dalam Memberikan Asi Eksklusif Dengan Audiovisual Rime Listia Tarigan; Kismi Asih Adethia; Siti Nurmawan Sinaga; Eka Falentina Tarigan; Indri Heni Damanik
Indonesian Health Issue Vol. 2 No. 2 (2023): AGUSTUS
Publisher : PublisihingId

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47134/inhis.v2i2.47

Abstract

     Latar Belakang: Air Susu Ibu (ASI) adalah makanan terbaik untuk bayi yang baru lahir. Berdasarkan data WHO tahun 2015 hanya 44 persen dari bayi baru lahir di dunia yang mendapat ASI dalam waktu satu jam pertama sejak lahir, bahkan masih sedikit bayi dibawah usia enam bulan masih disusui secara esklusif.  Tujuan: Untuk Mengevaluasi Peningkatan Motivasi Ibu Hamil dalam Memberikan ASI Eksklusif dengan Audiovisual. Metode: Jenis penelitian ini penelitian kuantitatif dengan Quasi eksperimen dengan rancangan design penelitian pretest posttest with control group design. Populasi dalam penelitian ini seluruh ibu hamil Trimester III pada bulan April berjumlah 48 orang. Sampel dalam penelitian ini berjumlah 48 orang ibu hamil Trimester III, tehnik pengambilan sampel dilakukan dengan tehnik purposive sampling. Hasil: Distribusi frekuensi motivasi ibu hamil dalam memberikan ASI Eksklusif pada kelompok kontrol pretest mayoritas rendah yaitu 14 (58,3 %) dengan mean 2,4583 dan pengukuran saat postest mayoritas tetap memiliki motivasi yang rendah yaitu 12 (50,0 %) dengan mean 2,3333. Distribusi frekuensi motivasi ibu hamil dalam memberikan ASI Eksklusif pada kelompok intervensi pretest mayoritas rendah yaitu 11 (45,8 %) dengan mean 2,2500 dan pengukuran saat postest mayoritas ibu hamil memiliki motivasi yang tinggi yaitu menjadi 13 (27,1 %) dengan mean 1,5417. Untuk analisis bivariat dilakukan uji Mann-Whitney diperoleh hasil untuk P Value = 0,000 artinya p <  0,05. Kesimpulan: Audiovisual dapat meningkatkan Motivasi Ibu Hamil dalam Memberikan ASI Eksklusif. Diharapkan bagi Pimpinan Puskesmas agar bekerjasama dengan  tenaga kesehatan dalam melakukan sosialisasi manfaat Audiovisual yang dapat meningkatkan Motivasi Ibu Hamil dalam Memberikan ASI Eksklusif. Background: According to WHO data for 2015, only 44% of babies worldwide are Breast Milk within the first hour after birth, and some babies under the age of 6 months are still exclusively Breast Milk. Purpose : Evaluation of increased motivation of pregnant women in giving exclusive Breast Milk audiovisually. Method: This type of research is a quantitative study with a quasi-experimental design with a pretest and posttest design with a control group design. The population of this study was third trimester pregnant women in April totaling 48 people. The sample in this study was 48 third trimester pregnant women, the sampling technique was carried out by purposive sampling technique. Results: The frequency distribution of the motivation of exclusive Breast Milk pregnant women according to the pretest control group was the majority low, namely 14 (58.3%) with a mean of 2.4583 and measurements during the posttest, the majority still had low motivation, namely 12 (50.0%) with a standard of 2, 3333. The frequency distribution of cause for exclusive Breast Milk in the pretest intervention group is primarily low, namely 11 (45.8%) with a mean of 2.2500 and measurements during the post-test, the majority of pregnant women have high motivation, which is 13 (27.1%) with a mean of 1.5417. The Mann-Whitney test was used for bivariate analysis to obtain results for P Value = 0.000, meaning p <0.05. Conclusion: Audiovisual can increase the motivation of pregnant women in giving exclusive Breast Milk. It is hoped that the leadership of the Puskesmas will cooperate with health workers in socializing the benefits of Audiovisual, which can increase pregnant women's motivation to provide exclusive Breast Milk.
Efektivitas Aplikasi TUKKOT ASI Dalam Peningkatan Breastfeeding Self-Efficacy dan Sikap Ibu Hamil Dalam Kesiapan Pemberian ASI Eksklusif di Wilayah Kerja Puskesmas Gunung Tinggi Anna Waris Nainggolan; Imarina Tarigan; Siti Nurmawan Sinaga; Humaida Hanim; Imran Surbakti; Edy Marjuang Purba
Journal of Innovative and Creativity Vol. 6 No. 1 (2026)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/joecy.v6i1.8444

Abstract

Exclusive breastfeeding is the most effective public health intervention for reducing infant morbidity, mortality, and the risk of stunting; however, global and national coverage rates remain below established targets, partly due to low breastfeeding self-efficacy and suboptimal maternal attitudes during the antenatal period. This study aimed to analyze the effectiveness of the TUKKOT ASI Application, which is based on the Batak local wisdom of “Mambosuri,” in improving breastfeeding self-efficacy and pregnant women’s attitudes toward readiness for exclusive breastfeeding. A quasi-experimental design with a pretest–posttest control group approach was employed involving 40 third-trimester pregnant women in the working area of Gunung Tinggi Public Health Center in 2025, selected through purposive sampling. The instruments used were the Breastfeeding Self-Efficacy Scale–Short Form (BSES-SF) and a validated attitude questionnaire based on the Theory of Planned Behavior. Data were analyzed using the Wilcoxon test and chi-square test at a significance level of p<0.05. The results showed a significant increase in breastfeeding self-efficacy (mean 10.1±3.7 to 16.8±2.2; p=0.001) and attitudes (mean 5.7±1.4 to 7.9±1.5; p=0.003) following the intervention. Significant associations were found between self-efficacy (p=0.028) and attitudes (p=0.001) with readiness for exclusive breastfeeding. Mothers with higher self-efficacy and positive attitudes were more likely to demonstrate better readiness. It is concluded that the TUKKOT ASI Application is an effective culturally based digital intervention model to enhance pregnant women’s readiness for exclusive breastfeeding and has the potential to be integrated into primary healthcare services.
The Relationship Between Family Support and Adherence to Hypertension Care Among Older Adults in a Rural Community Tahan Tahan; Imran Saputra Surabakti; Siti Nurmawan Sinaga; Eko Murdianto; Wara Valegis; Vina Enita Noviani
Jurnal Kesehatan dan Kedokteran Vol. 5 No. 1 (2026): Februari: Jurnal Kesehatan dan Kedokteran
Publisher : Asosiasi Dosen Muda Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56127/jukeke.v4i2.2142

Abstract

Hypertension is often referred to as a silent killer because many individuals are unaware of their elevated blood pressure until serious complications occur. This condition is particularly concerning among older adults due to age-related physiological changes that increase vulnerability to chronic diseases. Objective: This study aimed to analyze the relationship between family support and adherence to hypertension care among elderly individuals in Bangun Rejo Village, highlighting the importance of family involvement in chronic disease management. Methods: This research used a quantitative approach see more with a descriptive correlational design and cross-sectional method. A total of 91 respondents were selected using total sampling. Data were collected through structured questionnaires measuring family support and adherence to hypertension care, and analyzed using descriptive statistics and the Chi-Square test. Results: The results showed that most respondents were aged over 66 years (51.6%) and predominantly male (71.4%). Half of the participants reported good family support (50.5%), while the majority demonstrated low adherence to hypertension care (59.3%). Statistical analysis revealed a significant relationship between family support and adherence (p-value < 0.05). Implications: These findings indicate that strengthening family involvement can improve adherence to hypertension treatment among elderly individuals. Family-centered interventions and education programs in primary healthcare settings are recommended to enhance disease management outcomes. Originality: This study provides localized empirical evidence from a rural community, emphasizing the role of family support in influencing treatment adherence among older adults. It contributes to the development of context-specific strategies for family-based chronic disease management.
Manajemen Asuhan Keperawatan Keluarga Service Excellent Pada Ny. U dengan Diabetes Melitus Tipe Ii di Desa Bangun Rejo Tahun 2026 Kelsi Wati Pakpahan; Tahan Tahan; Siti Nurmawan Sinaga; Erika Erika; Misno Misno
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.v10i4.61858

Abstract

Diabetes Melitus (DM) Tipe II merupakan penyakit kronis dengan prevalensi yang terus meningkat dan berpotensi menimbulkan komplikasi apabila tidak dikelola secara adekuat. Peran keluarga sebagai unit pelayanan primer menjadi kunci keberhasilan pengelolaan penyakit ini, sehingga pendekatan asuhan keperawatan keluarga yang berorientasi pada service excellent sangat diperlukan. Penelitian ini bertujuan menerapkan manajemen asuhan keperawatan keluarga yang service excellent pada Ny. U dengan Diabetes Melitus Tipe II di Desa Bangun Rejo, Kecamatan Tanjung Morawa, Kabupaten Deli Serdang, Provinsi Sumatera Utara Tahun 2026. Metode yang digunakan adalah studi kasus deskriptif dengan pendekatan proses keperawatan meliputi pengkajian, penetapan diagnosis, perencanaan, implementasi, evaluasi, dan dokumentasi. Pengumpulan data dilakukan melalui wawancara, observasi, pemeriksaan fisik, dan kunjungan rumah selama 13–23 Februari 2026. Hasil pengkajian menunjukkan Ny. U berusia 54 tahun mengeluhkan polidipsia, polifagia, poliuria terutama pada malam hari, kelelahan, dan kesemutan pada kedua kaki dengan kadar glukosa darah puasa 331 mg/dL. Diagnosis keperawatan yang ditegakkan meliputi ketidakstabilan kadar glukosa darah, defisit pengetahuan, dan manajemen kesehatan tidak efektif. Intervensi disusun berdasarkan SIKI dengan pendekatan lima tugas kesehatan keluarga meliputi edukasi kesehatan, pengaturan diet, aktivitas fisik, senam kaki diabetes, pemantauan glukosa darah, dan kepatuhan pengobatan. Evaluasi menunjukkan diagnosis defisit pengetahuan dan manajemen kesehatan tidak efektif teratasi, sedangkan ketidakstabilan kadar glukosa darah teratasi sebagian. Penerapan asuhan keperawatan keluarga berbasis service excellent terbukti meningkatkan pengetahuan, keterlibatan, dan kemandirian keluarga dalam pengelolaan Diabetes Melitus Tipe II.
Analisis Determinan Kejadian Abortus Pada Ibu Hamil di RSUP H. Adam Malik Medan Provinsi Sumatera Utara Repi Mariska Purba; Siti Nurmawan Sinaga; Pitri Indriani Purba; Nora Candina Lumbantoruan; Jumroh Jumroh
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.v10i4.61468

Abstract

Miscarriage remains one of the major pregnancy complications contributing to maternal morbidity and potentially increasing the risk of maternal mortality if not managed appropriately. Maternal characteristics and obstetric history are considered important factors associated with miscarriage; therefore, identifying its determinants is essential to improve preventive strategies and maternal healthcare services. This study aimed to analyze the determinants of miscarriage among pregnant women at H. Adam Malik General Hospital, Medan, North Sumatra Province. A quantitative observational analytic study with a retrospective case-control design was conducted involving 120 respondents, comprising 60 cases and 60 controls. Secondary data were obtained from medical records using a structured checklist and analyzed using univariate analysis, Chi-square test, and binary logistic regression. The results showed that maternal age (p=0.020), occupation (p=0.036), gravida (p=0.013), parity (p=0.028), and previous miscarriage history (p=0.016) were significantly associated with miscarriage. Multivariate analysis identified maternal age (OR=2.842), occupation (OR=2.433), parity (OR=2.742), and previous miscarriage history (OR=3.730; p=0.012) as independent determinants, with previous miscarriage history being the strongest predictor. It was concluded that previous miscarriage history was the strongest determinant of miscarriage, highlighting the importance of strengthening maternal risk screening and obstetric history assessment through comprehensive antenatal care.
Determinan Risiko Preeklampsia pada Ibu Hamil di Puskesmas Titi Papan Kecamatan Medan Deli Kota Medan Tahun 2026 Nisa Arisma; Siti Nurmawan Sinaga; Erfiyani Erfiyani; Rohmi Yuni Andriani; Aulia Febri Andesma
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.v10i4.61534

Abstract

Preeklampsia merupakan salah satu komplikasi kehamilan yang masih menjadi penyebab utama morbiditas dan mortalitas maternal di Indonesia. Berbagai faktor maternal diduga berperan terhadap terjadinya preeklampsia sehingga identifikasi determinan risiko diperlukan sebagai upaya deteksi dini dan pencegahan komplikasi kehamilan. Penelitian ini bertujuan untuk menganalisis determinan risiko preeklampsia pada ibu hamil di Puskesmas Titi Papan Kecamatan Medan Deli Kota Medan Tahun 2026. Penelitian menggunakan desain observasional analitik dengan pendekatan case-control. Sampel berjumlah 106 responden yang terdiri atas 53 kelompok kasus dan 53 kelompok kontrol. Teknik pengambilan sampel menggunakan total sampling pada kelompok kasus dan simple random sampling pada kelompok kontrol. Data diperoleh dari rekam medis dan register Kesehatan Ibu dan Anak (KIA), kemudian dianalisis secara univariat, bivariat menggunakan uji Chi-Square, dan multivariat menggunakan regresi logistik biner. Hasil penelitian menunjukkan bahwa usia (p=0,038; OR=3,120), paritas (p=0,006; OR=3,016), riwayat penyakit (p<0,001; OR=18,667), pekerjaan (p=0,030; OR=3,585), dan tingkat pendidikan (p<0,05) berhubungan signifikan dengan risiko preeklampsia, sedangkan status gizi tidak berhubungan signifikan (p=0,480; OR=0,716). Analisis multivariat menunjukkan bahwa riwayat penyakit merupakan determinan paling dominan terhadap risiko preeklampsia. Temuan ini menunjukkan pentingnya identifikasi ibu hamil berisiko sejak kunjungan antenatal pertama agar intervensi dan pemantauan dapat dilakukan lebih dini sehingga kejadian preeklampsia dapat dicegah
Determinan Risiko Kejadian Anemia Pada Ibu Hamil Trimester III di Puskesmas Titi Papan Kota Medan Tahun 2026 Nia Habeahan; Siti Nurmawan Sinaga; Yossy Juwita Veronica Surbakti; Purnamanita Purnamanita; Tasya Lamtiur Simanjuntak
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.v10i4.61631

Abstract

Anemia pada ibu hamil masih menjadi masalah kesehatan yang dapat meningkatkan risiko komplikasi maternal dan neonatal. Penelitian ini bertujuan menganalisis determinan risiko kejadian anemia pada ibu hamil trimester III di Puskesmas Titi Papan Kota Medan Tahun 2026. Metode penelitian ini menggunakan desain observasional analitik dengan pendekatan case-control. Data sekunder diperoleh dari rekam medis dan register Kesehatan Ibu dan Anak (KIA). Sampel berjumlah 102 ibu hamil trimester III yang terdiri atas 51 kasus dan 51 kontrol dengan rasio 1:1. Analisis dilakukan secara univariat, bivariat menggunakan uji Chi-square, dan multivariat menggunakan regresi logistik berganda. Hasil terdapat hubungan antara usia (p<0,001; OR=4,613), paritas (p=0,022; OR=2,670), status gizi (p=0,002; OR=3,684), dan pendidikan (p=0,036; OR=2,466) dengan kejadian anemia. Pekerjaan tidak berhubungan secara signifikan (p=0,477). Pada analisis multivariat, usia dan status gizi tetap signifikan (masing-masing p=0,004). Kesimpulan usia, paritas, status gizi, dan pendidikan berhubungan dengan kejadian anemia, sedangkan pekerjaan tidak. Usia dan status gizi merupakan determinan independen dalam model multivariat.
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.
Mothers’ Perceptions Based on the Health Belief Model Regarding Exclusive Breastfeeding and Stunting Prevention Ingka Kristina Pangaribuan; Lisa Erawati Sibarani; Rosmani Sinaga; Herna Rinayanti Manurung; Siti Nurmawan Sinaga; Ade Rachmat; Adi Raja Brando Lubis
Journal of Maternal and Child Health Sciences (JMCHS) Vol 5 No 2 (2025): Journal Of Maternal And Child Health Sciences
Publisher : Poltekkes Kemenkes Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/maternalandchild.v5i2.3742

Abstract

Sustainable Development Goal (SDG) number two aims to create a healthy and productive society free from hunger. According to SDG data, the stunting rate among children under five decreased from 24.4% in 2021 to 21.6% in 2022. However, disparities remain across provinces, and national targets have not yet been achieved. Stunting is characterized by a Z-score less than -2 SD (moderate) and less than -3 SD (severe). One of the main obstacles to achieving this goal is the prevalence of malnutrition among children under five, which is a major factor contributing to stunting (1). This study aims to explore mothers' perceptions using the Health Belief Model (HBM) regarding exclusive breastfeeding in preventing. The research method is analytical, using a cross-sectional design with a Chi-Square test to analyze the influence between variables. The population consists of all mothers with toddlers, with a total of 149 visits recorded in the past year. A sample of 60 mothers was selected. Primary data were collected using questionnaires, and secondary data were obtained through interviews. The results showed that most respondents were aged 31–40 years (66.7%), had a high school education (66.7%), and were housewives (91.7%). There was a statistically significant relationship between perceived susceptibility (p=0.009) and perceived severity (p=0.024) with the practice of exclusive breastfeeding in preventing stunting. Conclusion: There is a significant relationship between mothers' perceptions of susceptibility and severity. Educational interventions should focus on enhancing mothers’ positive perceptions of the importance of exclusive breastfeeding