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EFEKTIVITAS E-BOOKLET PIJAT OKETANI TERHADAP PENINGKATAN SELF-EFFICACY DAN KELANCARAN PRODUKSI ASI PADA IBU POSTPARTUM DI PUSKESMAS GUNUNG TINGGI Nainggolan, Anna Waris; S, Damayanti; Sinaga, Siti Nurmawan; Siregar, Erin Padilla; Sembiring, Ice Kerisdayanti; Manisah, Iqrah; Pratini, Jasica
JOURNAL OF HEALTHCARE TECHNOLOGY AND MEDICINE Vol 10, No 2 (2024): OKTOBER 2024
Publisher : Universitas Ubudiyah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33143/jhtm.v10i2.4293

Abstract

Profil Kesehatan Indonesia Tahun 2022 menyatakan bahwa ada sebanyak 9 provinsi yang memiliki capaian pemberian ASI eksklusif dibawah target nasional salah satunya adalah Provinsi Sumatera Utara (44,5%). Urgensi Penelitian ini adalah bahwa cakupan ASI Eksklusif berdasarkan profil Puskesmas Gunung Tinggi masih cukup rendah (43,7%) jika dibandingkan dengan target nasional. Salah satu alasan utama tidak tercapainya cakupan pemberian ASI ekslusif adalah karena ASI yang diproduksi ibu tidak lancar. Ketidaklancaran produksi ASI erat kaitannya dengan self-efficacy yang dimiliki oleh ibu postpartum. Self-efficacy merupakan keyakinan diri seorang ibu pada kemampuannya untuk menyusui atau memberikan ASI pada bayinya.. Tujuan penelitian ini adalah: 1)Melakukan pengukuran self-efficacy dengan instrumen Breastfeeding Self-efficacy Scale-Short Form (BSES-SF); 2)Melakukan pengukuran kelancaran produksi ASI dengan instrumen yang tervalidasi; 3)Membuat e-booklet  dan menganalisis efektivitasnya terhadap peningkatan self-efficacy pada ibu postpartum; 4)Mengaplikasikan pijat oketani dan menganalisis efektivitasnya terhadap kelancaran produksi ASI. Metode penelitian ini adalah dengan quasi experiment dengan desain penelitian pre-test dan post-test with control group design. Jumlah sampel dalam penelitian ini adalah 40 orang (20 orang kelompok eksperimen, dan 20 orang kelompok control) yang diambil dengan purposive sampling. Langkah awal dilakukan pretest pada kelompok eksperimen dan kontrol, selanjutnya diberikan intervensi pada kelompok eksperimen, kemudian dilakukan post test pada kelompok eksperimen dan kelompok kontrol. Hasil uji Mann Whitney menunjukkan bahwa nilai p-value <0.05, artinya bahwa pemberian E-booklet pijat oketani efektif dalam meningkatkan self efficacy dan kelancaran ASI Ibu post partum di wilayah kerja Puskesmas Gunung Tinggi. Disarankan kepada ibu postpartum untuk menggunakan e-booklet pijat oketani sebagai sumber pengetahuan yang dapat meningkatkan self efficacy dalam pemberian ASI kepada bayinya.Kata Kunci: pijat oketani, self eficacy, kelancaran ASIThe 2022 Indonesian Health Profile stated that there are nine provinces with exclusive breastfeeding rates below the national target, one of which is North Sumatra (44.5%). The urgency of this research is due to the fact that the coverage of exclusive breastfeeding at Gunung Tinggi Community Health Center is still relatively low (43.7%) compared to the national target. One of the main reasons for the failure to achieve exclusive breastfeeding coverage is that mothers' breast milk production is not smooth. The inefficiency of breast milk production is closely related to the self-efficacy of postpartum mothers. Self-efficacy is a mother's confidence in her ability to breastfeed or provide breast milk to her baby. The objectives of this research are: 1) To measure self-efficacy using the Breastfeeding Self-efficacy Scale-Short Form (BSES-SF) instrument; 2) To measure the smoothness of breast milk production using a validated instrument; 3) To create an e-booklet and analyze its effectiveness in improving self-efficacy among postpartum mothers; 4) To apply Oketani massage and analyze its effectiveness in improving the smoothness of breast milk production. The method of this research is quasi-experimental with a pre-test and post-test with control group design. The sample size for this study is 40 people (20 in the experimental group and 20 in the control group), selected through purposive sampling. Initially, a pre-test was conducted on both the experimental and control groups, followed by an intervention for the experimental group, and then a post-test was conducted on both groups. The results of the Mann-Whitney test showed a p-value of <0.05, indicating that the provision of the Oketani massage e-booklet was effective in improving self-efficacy and the smoothness of breast milk production in postpartum mothers at Gunung Tinggi Community Health Center. It is recommended that postpartum mothers use the Oketani massage e-booklet as a knowledge resource to enhance their self-efficacy in breastfeeding their babies.Keywords: Oketani massage, self-efficacy, smoothness of breast milk production
Edukasi Deteksi Dini Kanker Servik Melalui IVA Tes Kelurahan Menteng Kecamatan Medan Denai Tahun 2024 Simarmata, Mesrida; Padilla Siregar , Erin; Rezeki , Sri; Simanjuntak, Lisdayanti; Azizah, Nur; Elvi Yesya, Sri; Azzahra, Latifa; Srininta Srininta
Jurnal Informasi Pengabdian Masyarakat Vol. 2 No. 4 (2024): November: Jurnal Informasi Pengabdian Masyarakat
Publisher : Institut Nalanda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47861/jipm-nalanda.v2i4.1573

Abstract

Cervical cancer is a malignant condition that occurs in the cervix. Cervical cancer is ranked in the world and 10th in developed countries. In Indonesia, 90-100 cases per 100,000 population. 92% of clinical manifestations of pre-cancerous lesions are asymptomatic. So community service is carried out. Title: Education on Early Detection of Cervical Cancer through Visual Inspection of Acetic Acid (IVA Test) in Women of Childbearing Age in Ward IV, Menteng Village, Medan Denai District, Medan City, North Sumatra Province in 2024. Objective: To help WUS Menteng Medan Denai in increasing knowledge about cervical cancer , early detection through IVA tests, screening indications, outcome categories, and growing interest in WUS for early detection of cervical cancer. Participants: WUS Ward IV, Menteng Village, Medan Denai District, Medan City. Time and Place: July – September 2024 at Environmental Madrasah IV, Menteng Village, Medan Denai District, Medan City. The method used was a lecture and measuring the understanding of community service participants before and after regarding early detection of cervical cancer. Results: before the education was carried out about Visual Inspection of Acetic Acid (IVA Test), the majority was less than 15 people (50%), but after the education was carried out there was an increase in knowledge, the majority was good at 20 people (67%). Conclusion: Education regarding early detection of cervical cancer through the IVA test is effective in increasing knowledge of WUS in Environment IV, Menteng Village, Medan Denai District.
Pengaruh Media Sosial terhadap Kejadian Bulling di Desa Kuala Lama Kec. Pantai Cermin Kab. Deli Serdang Prov. Sumatera Utara Tahun 2023 Sri Rezeki; Erin Padilla Siregar; Amelia Erawaty Siregar
Antigen : Jurnal Kesehatan Masyarakat dan Ilmu Gizi Vol. 2 No. 3 (2024): Agustus : Antigen: Jurnal Kesehatan Masyarakat dan Ilmu Gizi
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/antigen.v2i3.341

Abstract

Cyberbullying is an action intended to embarrass, intimidate, spread ugliness and hatred in cyber media. One of the cyber media is social media ask.fm. Cyberbullying often occurs in teenagers, this can affect the emotions of teenagers who are still quite unstable in controlling their emotions. In this research, the problem formulated is whether there is an influence of cyberbullying on social media ask.fm on the emotional development of teenagers. The aim of this research is to determine the effect of cyberbullying on ask.fm social media on adolescent emotional disorders. The research method used is a survey research method using a questionnaire as a data collection instrument. The catharsis theory used in this research states that catharsis is a clearing of emotional conflict within oneself through talking about it and the deindividuation theory states that there is a feeling of loss of personal identity and the emergence of anonymity in the group. The anonymous feature on ask.fm social media provides opportunities for perpetrators to carry out cyberbullying on ask.fm. The sample in this study was 30 students, who had been victims and perpetrators of cyberbullying. Hypothesis testing shows Tcount ≥ Ttable (3.049 ≥ 1.660) so that H0 is rejected and Ha is accepted, so this means that these two variables have a significant influence. This research showed that teenagers dared to carry out attacks only through the social media ask.fm, with anonymous facilities that made it easy for the perpetrators to express all their frustration without their identities being known. And as victims, teenagers generally reject it by responding emotionally.
Hubungan Karakteristik Ibu Bersalin dengan Kejadian Plasenta Previa di Klinik Pratama Afisyah Kabutapen Deli Serdang Provinsi Sumatera Utara Tahun 2021-2023 Erin Padilla Siregar; Sri Rezeki; Amelia Erawaty Siregar; Mesrida Simarmat
Antigen : Jurnal Kesehatan Masyarakat dan Ilmu Gizi Vol. 2 No. 3 (2024): Agustus : Antigen: Jurnal Kesehatan Masyarakat dan Ilmu Gizi
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/antigen.v2i3.342

Abstract

Placenta previa is a placenta that is abnormally located, namely in the lower segment of the uterus so that it covers part or all of the internal uterine ostium. Based on data obtained by the World Health Organization (WHO) in 2008, quoted by Wahyu 2019, the prevalence of placenta previa is around 458 out of 100,000 births each year, while the prevalence of placenta previa according to WHO in 2009 is around 320 out of 100,000 births. This type of research is descriptive and aims to find out the relationship between the characteristics of mothers giving birth and the incidence of placenta previa at Pratama Afisyah Clinic. This research instrument is the medical record. Editing, coding, data entry, tabulating and analyzing data. The research results from 103 respondents, the majority of birth mothers who experienced bleeding were 79 respondents (76.7%), the minority who did not experience bleeding were 24 respondents (23.3%). The majority at risk age were 77 respondents (74.8), the majority at risk parity were 91 respondents (88.3), the majority had a history of SC delivery as many as 79 respondents (76.7%). From the results of the statistical tests, the Odd ratio (OR) = 3.500 was obtained. 95% CI = 1.196-10.240 and P value 0.032 < 0.05, which means there is a significant relationship between maternal age characteristics and the incidence of placenta previa. The results of the statistical test obtained an Odd ratio (OR) = 0.121. 95% CI = 0.015-0.979 and P value 0.026 < 0.05, which means there is a significant relationship between maternal parity characteristics and the incidence of placenta previa. The results of the statistical test obtained an Odd ratio (OR) = 0.350. 95% CI = 0.137-0.895 and P value 0.046 < 0.05, which means there is a significant relationship between the characteristics of the mother's birth history and the incidence of placenta previa. For mothers who give birth with placenta previa, to further increase knowledge about placenta previa by knowing the causes and impacts.
Penyuluhan Narkoba Dan Bahaya Merokok Sri Rezeki; Erin Padilla Siregar; Amelia Erawaty Siregar
Jurnal Pelayanan dan Pengabdian Masyarakat Indonesia Vol. 2 No. 4 (2023): Desember : Jurnal Pelayanan dan Pengabdian Masyarakat Indonesia
Publisher : Sekolah Tinggi Ilmu Administrasi Yappi Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jppmi.v2i4.1014

Abstract

Introduction: Cases of drug abuse and smoking are increasing rapidly in Indonesia, even though the government and society have made various efforts. Drug and cigarette abuse is difficult to eradicate. What can be done is to prevent and control it so that the problem does not spread, thereby harming the future of the nation, due to the decline in the quality of human resources, especially the younger generation. Method: counseling, pre-test and post-test on targets are carried out orally. Results: Participants in this activity were 61 teenagers in Sumber Rejo village. Conclusion: From the pre-test results, the target generally does not know enough about reproductive health regarding the dangers of drugs and smoking. After carrying out verbal post-test counseling, teenagers generally know and have increased abilities on how to maintain reproductive health. This community service has been carried out from August-September 2023, for exactly 3 months
Pencegahan Anemia dengan Pemberian Zat Besi (Fe) pada Ibu Hamil Amelia Erawaty Siregar; Sri Rezeki; Erin Padilla Siregar
Jurnal Pelayanan dan Pengabdian Masyarakat Indonesia Vol. 3 No. 2 (2024): Juni : Jurnal Pelayanan dan Pengabdian Masyarakat Indonesia
Publisher : Sekolah Tinggi Ilmu Administrasi Yappi Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jppmi.v3i2.1439

Abstract

Anemia is a widespread public health problem associated with increased mortality and morbidity, especially in pregnant women. In both developed and developing countries, some women experience anemia during pregnancy. Usually non-pregnant women have normal hemoglobin of 12-15%. According to WHO, the incidence of anemia in pregnancy ranges from 20% to 89% by setting HB <11 gr% (h/dl). The rate of anemia in pregnancy occurs 3.8% in the first trimester, 13.6% in the second trimester and 24.8% in the third trimester (Manuaba, 2012). The counseling method on preventing anemia by providing iron (Fe) to pregnant women is used in the community service program. The community service event was presented by twenty pregnant women from Bangun Rejo Village aged 20 to 35 years. After the counseling activity, pregnant women from Bangun Rejo Village understood more about anemia in pregnant women. This can be seen from the increase in their post-test scores compared to their pre-test. The pre-test results showed that most participants answered incorrectly, with an average score of 35; the post-test results showed an increase in knowledge, with an average score of 80. After attending the counseling and completing the post-test, the last participants underwent an Hb examination, which was guided by a gymnastics instructor and documented via video.
OPTIMALISASI PRE EDUCATION YANG EXCELLENT PADA IBU NIFAS DALAM UAPAYA PROMOTIF DAN PREVENTIF STUNTING MELALUI PEMBERIAN ASI EKSKLUSIF DI DESA BANGUN REJO KECAMATAN TANJUNG MORAWA KABUPATEN DELI SERDANG PROVINSI SUMATERA UTARA TAHUN 2025 Br.Manjorang, Novita Andriani; Erin Padilla Siregar; Sri Rezeki; Ade Rachmatb Yudianto; Plora Novita Sinaga
Jurnal Pengabdian Vol. 4 No. 2 (2025): Juli-Desember
Publisher : Bengkulu Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58222/jp.v4i2.1422

Abstract

In Bangun Rejo Village, Tanjung Morawa District, Deli Serdang Regency, North Sumatra Province, this community service project is to raise postpartum mothers' awareness of stunting prevention and promotion measures through exclusive breastfeeding by 2025. Breastfeeding exclusively for the first six months of life can help avoid stunting, a chronic nutritional issue that affects children's physical and cognitive development. The phases of planning, carrying out, assessing, and reporting are all included in the implementation approach. In addition to giving postpartum moms educational media, educational activities are offered in the form of counseling, interactive conversations, and simulations of proper nursing procedures. Pre- and post-tests were used for evaluation in order to gauge participants' knowledge growth. According to the findings, postpartum moms now have a better awareness of the value of exclusive breastfeeding, appropriate nursing practices, and how they relate to preventing stunting. By enabling postpartum moms to nurse exclusively, this activity is anticipated to help lower stunting rates
Determinan Faktor Kejadian Anemia Pada Ibu Hamil Di Klinik Bersalin Suriani Kecamatan Medan Johor Kelurahan Kwala Bekala Provinsi Sumatera Utara Tahun 2025 Sitorus, Damayanty; Marta Armita Silaban; Ade Rachmat Yudiyanto; Erin Padilla Siregar; Sri Rezeki; Hazizah Sabilah Siagian
Jurnal Vokasi Kesehatan Vol 4 No 2 (2025)
Publisher : Gayaku Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58222/juvokes.v4i2.1401

Abstract

Anemia ditandai dengan kadar hemoglobin (Hb) darah di bawah normal. Fungsi jaringan dapat terganggu akibat kekurangan oksigen. Misalnya, gejala seperti kesulitan berkonsentrasi dan kurangnya kebugaran untuk melakukan aktivitas dapat disebabkan oleh kekurangan oksigen di otak dan otot. Penelitian yang digunakan adalah kuantitatif. Proses penemuan pengetahuan kuantitatif mencakup survei retrospektif yang menggunakan data numerik untuk menilai informasi tentang apa yang dicari. Sampel pada penelitian ini adalah 54 orang ibu hamil yang terkena anemia dengan keriteria inklusi dan eksklusi. Dari hasi uji chi Square terhadap usia ibu nilai p value 0,016 (p < α=0,05), Dari hasi uji chi Square terhadap paritas ibu nilai p value 0,032 (p < α=0,05), Dari hasi uji chi Square terhadap Paritas nilai p value 0,017 (p < α=0,05), Dari hasi uji chi Square terhadap Paritas nilai p value 0,003 (p < α=0,05). Kesimpulan ddiapatkan bahwa kejadian anemia pada ibu hamil dipengaruhi oleh beberapa faktor determinan utama yaitu terdapat pada ibu yang mengalami KEK
The Effect of Antenatal Yoga on Lower Back Pain in Third-Trimester Pregnant Women at Ertitawati Siregar’s Independent Midwifery Practice in Olora Village, Gunungsitoli City Lubis, Desi Handayani; Rezeki, Sri; Siregar, Erin Padilla; Lumbantobing, Pratiwi
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 7, No 2 (2025): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v7i2.25289

Abstract

Pregnancy-related low back pain (LBP) is prevalent in late gestation and can negatively affect physical comfort and psychological well-being. Non-pharmacological interventions such as antenatal yoga are increasingly incorporated into routine care; however, pragmatic evidence from community-based settings remains limited. This study examined within-subject changes in LBP severity among third-trimester pregnant women participating in a structured antenatal-yoga program delivered at a community midwifery clinic. Researchers conducted a single-group pre-experimental pretest–posttest study at an independent midwifery clinic in Gunungsitoli, Indonesia. Forty pregnant women ≥28 weeks’ gestation were recruited through purposive sampling. The intervention consisted of supervised prenatal-yoga sessions held three times per week over four weeks. Pain intensity was assessed before and after the program using the Numeric Rating Scale (NRS) and categorical severity bands (mild, moderate, severe). Pre–post differences were analysed using the Wilcoxon signed-rank test. Participation in antenatal yoga was associated with a clinically meaningful reduction in pain severity. Prior to the intervention, 62.5% of participants reported moderate pain and 37.5% reported mild pain; no cases of severe pain were observed. Following the intervention, 82.5% reported mild pain and 17.5% reported moderate pain. The change in NRS scores was statistically significant (p < 0.001). In this pragmatic third-trimester cohort, engagement in a structured antenatal yoga program was linked to reduced LBP severity and a shift toward milder pain categories. These findings support the feasibility of integrating antenatal yoga into routine prenatal care as a non-pharmacological option. Future controlled studies incorporating effect sizes, confidence intervals, functional outcomes, adherence andsafety monitoring, and short-term follow-up are recommended to strengthen casual inference and inform optimal program design. Keywords: Antenatal Yoga, Pregnancy, Third Trimester, Low Back Pain, Non-Pharmacological Intervention, Community Midwifery, Pretest–Post-test.
Optimizing menarche readiness through video and leaflet health education interventions among primary school girls Siregar, Erin Padilla; Manjorang, Novita Andriani Br; Artiani, Litri; Sembiring, Noviani
Jurnal Kesmas Prima Indonesia Vol. 9 No. 2 (2025): July Edition
Publisher : Program Studi Sarjana Kesehatan Masyarakat Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jkpi.v9i2.7357

Abstract

The counseling process requires engaging media to effectively enhance understanding and promote behavioral change within the target population. This study aimed to evaluate the impact of health counseling delivered through video and leaflet media on adolescents’ readiness to face menarche. A quasi-experimental design with a nonequivalent control group was employed. The study population consisted of students in grades 4 to 6 at SDN 101816, totaling 136 individuals. From this population, 60 respondents were selected and divided equally into two groups: one group (n = 30) received counseling via video media, while the other group (n = 30) received counseling through leaflets. Results indicated that adolescents' readiness to face menarche increased following health counseling with video media, with mean scores rising from 26.47 pre-intervention to 31.20 post-intervention, representing an improvement of 4.73 points. Statistical analysis confirmed a significant effect of video-based counseling on readiness (p < 0.001). Similarly, counseling using leaflet media resulted in an increase in readiness, with mean scores improving from 24.73 before intervention to 27.10 after, an increase of 2.34 points, also statistically significant (p < 0.001). Furthermore, comparison between the two groups revealed a significant difference in the effectiveness of video versus leaflet counseling approaches, favoring video media (p = 0.002). These findings suggest that health workers should prioritize the use of engaging media, such as videos, in health promotion efforts aimed at preparing adolescents for menarche.