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Pengaruh Hypnobirthing terhadap Tingkat Kecemasan pada Ibu Hamil di Wilayah Kerja Puskesmas Siatas Barita Tahun 2020 Nainggolan, Dimpu Rismawaty; Ujung, Riance Mardiana; Ritonga, Paruhum Tiruon
EMBRIO Vol 13 No 2 (2021): EMBRIO (NOVEMBER 2021)
Publisher : Program Studi S1 Kebidanan - Fakultas Sains dan Kesehatan Universitas PGRI Adi Buana Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36456/embrio.v13i2.3513

Psychological changes in pregnant women include experiencing anxiety which can increase stress and severe stress during childbirth and can cause abnormalities. Childbirth history that is not good can affect the health of the mother and fetus. This situation can cause the muscles in the body to become stiff, especially the perineal muscles to become stiff and hard, making it difficult to adapt to the development and delivery process, unbalanced emotions and even increased and difficult to control. Hypnobirthing is a way that pregnant women do by doing relaxation because it can increase the hormone endorphins that can relieve pain in the body. This study aims to analyze the effect of Hypnobirthing on the anxiety of pregnant women before and after treatment and prove whether there is an impact of hypnobirthing to reduce maternal anxiety. pregnant in the working area of â€‹â€‹the Siatas Barita Health Center. This type of research uses treatment before giving a pre-test to the group. Then the researchers did a hypnobirthing simulation. Next, a post-test was carried out. The population is mothers with gestational age above 12 weeks. Methods Bivariate analysis uses the Wilcoxon test calculation and then the results are described. Based on the calculation results indicate that there is a relevant impact of hypnobirthing on reducing anxiety in respondents (p = 0.016). Before receiving Hypnobirthing treatment, the anxiety level of pregnant women was higher than those who had received treatment.

PENYULUHAN DAN SIMULASI PADA IBU HAMIL DALAM SELF HYPNOSIS MASA PANDEMI COVID 19 WILAYAH KERJA PUSKESMAS HUTABAGINDA TAHUN 2021 Paruhum Tiruon Ritonga; Naomi Isabella Hutabarat; Dimpu Rismawaty Nainggolan
Jurnal Mitra Prima Vol. 4 No. 1 (2022): Jurnal Mitra Prima
Publisher : Mitra prima

Show Abstract | Download Original | Original Source | Check in Google Scholar

Self hypnosis adalah menghipnotis diri sendiri yang bagi ibu hamil berfungsi untuk mengurangi stress, kekhawatiran, kecemasan dalam menghadapi persalinan, mengurangi nyeri saat persalinan dan janin di dalam kandungan terhindar dari fetal distres dan meperbaiki letak lintang pada bayi. Tujuan kegiatan ini adalah memberikan pengetahuan ibu hamil untuk dapat melakukan self hypnosis. Manfaat kegiatan ini adalah peingkatan pengetahuan dan keterampilan dalam pemberian self hypnosis. Sasaran adalah ibu hamil di wilayah kerja Puskesmas Hutabaginda Kecamatan Tarutung Kabupaten Tapanuli Utara. Metode pelaksanaan kegiatan pengabdian adalah melaksanakan pretest dan posttest untuk menilai tingkat kecemasan ibu hamil melalui instrumen Skala HARS, penyuluhan dan simulasi tentang self hypnosis. Hasil yang didapatkan setelah dilakukan self hypnosis selama 1 bulan bahwa ada perbedaan hasil pretest dan posttest yaitu cemas sedang dari 13 orang menjadi 5 orang, Cemas ringan dari 22 orang menjadi 17 orang dan tidak cemas dari 7 orang menjadi 16 orang. Semua ibu hamil berhasil melakukan self hypnosis. Penyuluhan dan diskusi tentang manfaat self hypnosis berjalan lancar dan ibu hamil sangat antusias dan bersemangat melakukan self hypnosis.

FAKTOR YANG MEMPENGARUHI KELENGAKAPAN IMUNISASI DPT-HB PADA ANAK DI PUSKESMAS SIPAHUTAR Urhuhe Dena Siburian; Janner Pelanjani Simamora; Emilia Silvana Sitompul; Paruhum Tiruon Ritonga
coba Vol 9 No 2 (2021): Mei 2021
Publisher : Akademi Keperawatan Dharma Husada Kediri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32831/jik.v9i2.319

Pendahuluan: Kasus difteri masih ada peningkatan secara siginifikan di Indonesia setiap tahunnya. Ini disebabkan karena masih belum optimalnya dilakukan upaya pencegahan imunisasi difteri secara maksimal. Hipotesisi dalam penelitian adalah adanya pengaruh pengetahuan, sikap dan dukungan petugas dan kepercayaan terhadap kelengkapan imunisasi DPT-HB pada anak di wilayah kerja Sipahutar. Metodologi: Penelitian bersifat kuantitatif analitik bertujuan untuk menganalisis faktor apa saja mempengaruhi pemberian DPT-HB khususnya DPT-Booster 1 pada anak. Dengan pendekatan cross sectional.populasi dalam penelitian ini adalah seluruh ank usia 2-5 tahun. Sampel pada penelitian ini adalah 72 orang. Analisis data dalam penelitian ini menggunakan uji chi-square dan regresi logitik berganda. Hasil: Penelitian ini menunjukkan hasil adanya pengaruh pengetahuan (p=0,012), sikap (p=0,048) dan kepercayaan (p=0,005) terhadap kelengkapan DPT-HB pada anak di wilayah kerja Puskesmas Sipahutar. faktor yang paling dominan adalah kepercayaan. Diskusi: Diharapkan kepada ibu untuk meningkatkan pengetahuannya tentang imunisasi agar tingkat kepercayaan tentang imunisasi merupakan program dalam meningkatakan kualitas kesehatan anak sehingga rasa ketidakpedulian terhadap pemberian imunisasi dan rasa cemas setelah anak imunisasi dapat dihilangkan, sehingga tidak ada kendala dari pihak ibu untuk memberikan imunisasi DPT-HB secara lengkap kepada anak Kata Kunci: Pengetahuan, Sikap, Kepercayaan, Imunisasi DPT-HB

Pengaruh Hypnobirthing terhadap Tingkat Kecemasan pada Ibu Hamil di Wilayah Kerja Puskesmas Siatas Barita Tahun 2020 Dimpu Rismawaty Nainggolan; Riance Mardiana Ujung; Paruhum Tiruon Ritonga
EMBRIO: Jurnal Kebidanan Vol 13 No 2 (2021): EMBRIO: Jurnal Kebidanan (NOVEMBER)
Publisher : Program Studi S1 Kebidanan - Fakultas Ilmu Kesehatan Universitas PGRI Adi Buana Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36456/embrio.v13i2.3513

Psychological changes in pregnant women include experiencing anxiety which can increase stress and severe stress during childbirth and can cause abnormalities. Childbirth history that is not good can affect the health of the mother and fetus. This situation can cause the muscles in the body to become stiff, especially the perineal muscles to become stiff and hard, making it difficult to adapt to the development and delivery process, unbalanced emotions and even increased and difficult to control. Hypnobirthing is a way that pregnant women do by doing relaxation because it can increase the hormone endorphins that can relieve pain in the body. This study aims to analyze the effect of Hypnobirthing on the anxiety of pregnant women before and after treatment and prove whether there is an impact of hypnobirthing to reduce maternal anxiety. pregnant in the working area of the Siatas Barita Health Center. This type of research uses treatment before giving a pre-test to the group. Then the researchers did a hypnobirthing simulation. Next, a post-test was carried out. The population is mothers with gestational age above 12 weeks. Methods Bivariate analysis uses the Wilcoxon test calculation and then the results are described. Based on the calculation results indicate that there is a relevant impact of hypnobirthing on reducing anxiety in respondents (p = 0.016). Before receiving Hypnobirthing treatment, the anxiety level of pregnant women was higher than those who had received treatment.

Knowledge of Pregnant Women About Breast Care with Compliance with Breast Care in the Butar Health Center Area, Pagaran District, North Tapanuli Regency in 2020 Urhuhe Dena Siburian; Paruhum Tiruon Ritonga
Science Midwifery Vol 9 No 1, Oktober (2020): Science Midwifery
Publisher : Institute of Computer Science (IOCS)

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Health development is carried out based on humanity, empowerment and independence, fair and equitable, as well as prioritizing and benefiting with special attention to vulnerable populations, including mothers, infants, children, the elderly, and poor families (Ministry of Health, 2010). Based on data obtained from the Butar Health Center, Pagaran District, the number of pregnant women in the third trimester in 2014 was 60 people. In Sipultak dolok village 7 people, in Lumban ina-ina village 5 people, in parhorboan village 9 people, in Banua Luhu village 9 people, in Dolok saribu village 7 people and in other villages 17 people.The results of the Chi-square test showed a value of or 0.001 <0.05, there was a relationship between the knowledge of pregnant women in the third trimester about breast care and adherence to breast care.

PENGARUH KELAS IBU HAMIL TERHADAP KECEMASAN MENGHADAPI PERSALINAN PADA IBU HAMIL BERESIKO Ganda Agustina Hartati; Urhuhe Dena Siburian; Paruhum Tiruon Ritonga
Jurnal Endurance Vol. 6 No. 1 (2021): Jurnal Endurance : Kajian Ilmiah Problema Kesehatan
Publisher : LLDIKTI Wilayah X

Risk factors for pregnancy cause anxiety in the mother which can interfere with the pregnancyprocess and even the delivery process. The existence of a Class program for pregnant women canincrease the knowledge and skills of mothers regarding pregnancy, childbirth, postpartum care andnewborn care, and physical activity during pregnancy is expected to reduce maternal anxiety indealing with childbirth. This study aims to determine the effect of class of pregnant women on reducing anxiety levels in pregnant women. Quantitative research design with non-equivalent prepost-test control group design with a sample size of 30 in the experimental group and 30 in the control group. The research was conducted in the Sipahutar Community Health Center. The resultsshowed that there was a significant effect of class treatment of pregnant women on the level ofmaternal anxiety in facing childbirth, with a mean value of 36.10 and a standard deviation of 9.397and p value = 0.00. The conclusion of the study was that participation in the class of pregnant womenhad an effect on reducing maternal anxiety in dealing with labor

Edukasi Pencegahan Hepatitis Pada Anak Sekolah dan Cuci Tangan Bersih di SD Negeri 174567 Pancurnapitu Kabupaten Tapanuli Utara Tahun 2022 Paruhum Tiruon Ritonga; Urhuhe Dena Siburian; Enda Harani Siregar
COMSERVA : Jurnal Penelitian dan Pengabdian Masyarakat Vol. 2 No. 6 (2022): COMSERVA : Jurnal Penelitian dan Pengabdian Masyarakat
Publisher : Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/comserva.v2i6.376

Pregnant women have a low immune system, making them more susceptible to illness or infection. Pregnant women have an increased risk of becoming severe if infected with Covid-19, especially for pregnant women with certain medical conditions. So you have to get vaccinated against Covid-19. The thing that needs to be reminded is that giving the Covid-19 vaccine does not fully protect pregnant women from the Corona virus. Therefore, pregnant women still need to implement health protocols, so that the risk of pregnant women being exposed to Covid-19 can be minimized. Participants in the activity were 60 people who were taken randomly from 5 classes, 6 people each. To find out the increase in knowledge of elementary school children, a pretest and posttest were held. Implementation of activities in February to June 2022. The output of this community service implementation is scientific articles published in national scientific journals and IPR. The target is to increase the knowledge of elementary school children about preventing hepatitis, teaching hand washing and maintaining health protocols. Based on the results of the pre test and post test, there was an increase in the number of students who had good knowledge from 8 people (27 to 17 people (56%) after the post test. With sufficient knowledge from 12 people (40%) in the post test to 11 people (36%). Students who have less knowledge than 10 people (33%) become 2 people (8%). In the implementation of clean hand washing, students who previously did not understand how to wash their hands properly and were able to carry out how to wash their hands according to what was taught by the Service Team, namely "7 Steps to Washing Hands Correctly".

PENGARUH KELAS IBU HAMIL TERHADAP KECEMASAN MENGHADAPI PERSALINAN PADA IBU HAMIL BERESIKO Ganda Agustina Hartati; Urhuhe Dena Siburian; Paruhum Tiruon Ritonga
Jurnal Endurance Vol. 6 No. 1 (2021): Jurnal Endurance : Kajian Ilmiah Problema Kesehatan
Publisher : LLDIKTI Wilayah X

Risk factors for pregnancy cause anxiety in the mother which can interfere with the pregnancyprocess and even the delivery process. The existence of a Class program for pregnant women canincrease the knowledge and skills of mothers regarding pregnancy, childbirth, postpartum care andnewborn care, and physical activity during pregnancy is expected to reduce maternal anxiety indealing with childbirth. This study aims to determine the effect of class of pregnant women on reducing anxiety levels in pregnant women. Quantitative research design with non-equivalent prepost-test control group design with a sample size of 30 in the experimental group and 30 in the control group. The research was conducted in the Sipahutar Community Health Center. The resultsshowed that there was a significant effect of class treatment of pregnant women on the level ofmaternal anxiety in facing childbirth, with a mean value of 36.10 and a standard deviation of 9.397and p value = 0.00. The conclusion of the study was that participation in the class of pregnant womenhad an effect on reducing maternal anxiety in dealing with labor

Pencegahan Covid-19 Pasca Vaksinasi dan Pemberdayaan Ibu Hamil dalam Pemeliharaan Kadar Hemoglobin di Wilayah Kerja Puskesmas Hutabaginda Urhuhe Dena Siburian; Paruhum Tiruon Ritonga
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 6, No 6 (2023): Volume 6 No 6 Juni 2023
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v6i6.9602

ABSTRAK Pemberian vaksin Covid 19 tidak melindungi ibu hamil sepenuhnya dari virus Corona. Walaupun ibu sudah mendapat vaksinasi, ibu hamil harus tetap menjalankan protokol kesehatan. Agar risiko ibu hamil terkena Covid 19 dapat diminimalisir. Sebagai dampak pandemi Covid-19 diperoleh informasi bahwa ada ibu yang mengalami anemia. Tujuan penelitian ini untuk meningkatkan pengetahuan ibu tentang pencegahan Covid-19 setelah mendapat vaksinasi dan meningkatkan pengetahuan ibu untuk memelihara kadar Haemoglobin (Hb) sehingga terhindar dari anemia. Sasaran penelitian adalah ibu hamil yang datang ke kelas ibu hamil berjumlah 60 orang. Peningkatan pengetahuan diukur dengan pretest dan postest setelah penyuluhan tentang pencegahan Covid-19 dan anemia, selanjutnya dilakukan pengukuran kadar Hb. Hasil penelitian menunjukkan terlihat adanya peningkatan pengetahuan ibu tentang pencegahan Covid-19 pasca vaksinasi dimana pengetahuan baik dari 93% menjadi 98%, pengetahuan cukup dari 7% menjadi 2% dan tidak ditemui lagi pengetahuan kurang. Pengetahuan tentang anemia meningkat dari pengetahuan baik 35% menjadi 63%, pengetahuan cukup dari 42% menjadi 37% dan pengetahuan kurang dari 20% menjadi tidak ada yang berpengathuan kurang. Terjadi peningkatan kadar Hb dimana dari kadar Hb normal dari 88% menjadi 95%, anemia ringan dari 10% menjadi 5% dan anemia sedang dari 2% menjadi tidak yang anemia sedang. setelah diberikan penyuluhan, terjadi peningkatan pengetahuan tentang pencegahan Covid-19 dan tentang anemia. Dari pengukuran kadar Hb, diperoleh hasil adanya peningkatan kadar Hb ibu. Diharapkan kepada ibu hamil supaya tetap mematuhi protokol kesehatan dan mengkonsumsi makanan seimbang dan tablet Fe untuk mencegah terjadinya anemia pada ibu hamil. Kata Kunci: Pengetahuan, Covid-19, Vaksinasi, Kadar HB ABSTRACT Giving the Covid 19 vaccine does not fully protect pregnant women from the Corona virus. Even though the mother has received vaccinations, pregnant women must still follow the health protocol, so that the risk of pregnant women getting COVID-19 can be minimized. As a result of the Covid-19 pandemic, information was obtained that some mothers had anemia. To increase mother's knowledge about Covid-19 prevention after receiving vaccination and increase mother's knowledge to maintain Hb levels so as to avoid anemia. The target is 60 pregnant women who come to the class of pregnant women. Prior to counseling on the prevention of Covid-19 and anemia in pregnant women, a pretest was held, followed by a measurement of hemoglobin levels. In the implementation of the class for pregnant women the following month, a posttest was carried out to see an increase in knowledge. Then the measurement of hemoglobin levels was carried out again. there was an increase in mother's knowledge about post-vaccination Covid-19 prevention where knowledge was good from 93% to 98%, sufficient knowledge from 7% to 2% and no lack of knowledge was encountered. Knowledge about anemia increased from 35% to 63% good knowledge, sufficient knowledge from 42% to 37% and less than 20% knowledge to no one with less knowledge. There was an increase in hemoglobin levels from normal Hb levels from 88% to 95%, mild anemia from 10% to 5% and moderate anemia from 2% to not moderate anemia. After being given counseling, there was an increase in knowledge about preventing Covid-19 and about anemia. From the measurement of Hb levels, the result was an increase in maternal Hb levels. It is expected that pregnant women will continue to comply with health protocols and consume a balanced diet and Fe tablets to prevent anemia in pregnant women. Keywords: Knowledge, Covid-19, Vaccination, HB Levels

The Effectiveness of Hypnobirthing Practices and the Use of Whatsapp Groups in Increasing Pregnant Women's Knowledge of Hypnobirthing Paruhum Tiruon Ritonga; Urhuhe Dena Siburian
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 5, No 2 (2023): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v5i2.14951

Approaching childbirth, physiologically, the mother experiences fear, anxiety and worry which, if excessive, can increase the risk that can harm the mother and fetus, so the mother needs relaxation, one of which is hypnobirthing. During a pandemic, social media can be utilized, namely the WhatsApp Group. This study aims to find out whether there are differences in the effectiveness of hypnobirthing practices compared to using WhatsApp Groups in increasing pregnant women's knowledge about hypnobirthing. The type of research is experimental, namely quasi-experimental (quasi-experimental) by giving treatment to hypnobirthing practices and using WhatsApp Groups, each consisting of 15 pregnant women. Data collection was carried out during the class of pregnant women in Sitompul Village, Panggabean Village and Simorangkir Village. Univariate analysis method by looking at the factors and distribution of the independent and dependent variables. Bivariate analysis to determine the relationship between the two variables. The effectiveness of the treatment is known by the T test to see which factors are most effective in influencing knowledge. The results showed that the majority of respondents were of healthy reproductive age (20-35 years), third trimester of pregnancy, primi para and multipara, housewife occupations. Hypnobirthing practice is effective in increasing knowledge with p-value = 0.000 <0.05. The use of WhatsApp groups is effective in increasing knowledge with p-value = 0.009 <0.05. There is no difference in the effectiveness of hypnobirthing practices and the use of WhatsApp Groups in increasing knowledge with the Mann Whitney T test where p-value = 0.446 >0.05). It was concluded that there was an increase in knowledge about hypnobirthing after implementing hypnobirthing practices and after becoming a member of the WhatsApp Group. There is no difference in increasing knowledge of hypnobirthing practices by using WhatsApp Groups. Keywords: Hypnobirthing, Knowledge, Practice, WhatsApp Group

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