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Literature Review Role Of Matrix Metalloproteinase In Cancer Pain Ekawaty Suryani Mastari; Fitri Aidani Ulfa; Ningrum Wahyuni; Noradina Noradina; Meriani HS
The International Science of Health Journal Vol. 1 No. 4 (2023): December : The International Science of Health Journal
Publisher : Sekolah Tinggi Ilmu Kesehatan Kesdam IV, Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/ishel.v1i4.890

Cancer pain occurs in more than half of cancer patients and affects their quality of life. The complexities of proinflammatory molecules in the tumor microenvironment contribute to pain. The MMPs, as proteolytic enzymes involved in cancer cell migration towards the surrounding environment, demonstrate their connection to the development of pain in cancer. As complex molecules, MMPs can be influenced by various cytokines and chemokines, mainly throughout neuroinflammation, which decreases neuron sensitivity and boosts hyperexcitability in pain-controlling mechanisms.

Patient Satisfaction: Assessment Analysis of Service Quality and Trust In Health Facilities Ulfa Hrp, Fitri Aidani
International Archives of Medical Sciences and Public Health Vol. 5 No. 1 (2024)
Publisher : Pena Cendekia Insani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53806/iamsph.v5i1.848

Puskesmas plays an important role in providing the best service to people who want to get health services. However, in the field it is still a classic problem that one of the problems is the aspect of service to patients who are considered less than satisfied. Of course, this must receive attention as an evaluation material regarding the quality of service that needs to be carried out so that patients will again have confidence and be willing to visit the health center, considering that the health center is the first level health facility in the national health insurance program, even resulting in patient satisfaction. The aim of this paper is to analyze the influence of service quality and trust on patient satisfaction at the outpatient installation of Puskesmas X in Labuhan Batu. This research is an analytical observational type using a cross-sectional approach. The sample size was 100 patients seeking treatment at the outpatient installation of Puskesmas X in Labuhan Batu. The sampling technique was carried out using systematic random sampling. Data was obtained directly through patients' perceptions of the perceived quality of service, their trust in the facilities and services received, including the satisfaction felt by patients through questionnaire instruments. The data obtained was then analyzed using binary logistic regression. The results showed that all patients (82%) stated that the overall dimensions of service quality were good, and almost all patients (80%) expressed confidence and almost all respondents (82%) stated that they were satisfied with the service at the Outpatient Installation of Puskesmas X in Labuhan Batu . Then service quality has a significant effect on patient satisfaction (p-value = 0.042) and trust has a significant effect on patient satisfaction (p-value = 0.010). The research conclusion shows that service quality and trust can influence patient satisfaction.

Patient Satisfaction: Assessment Analysis of Service Quality and Trust In Health Facilities Ulfa Hrp, Fitri Aidani
International Archives of Medical Sciences and Public Health Vol. 5 No. 1 (2024)
Publisher : Pena Cendekia Insani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53806/iamsph.v5i1.848

Puskesmas plays an important role in providing the best service to people who want to get health services. However, in the field it is still a classic problem that one of the problems is the aspect of service to patients who are considered less than satisfied. Of course, this must receive attention as an evaluation material regarding the quality of service that needs to be carried out so that patients will again have confidence and be willing to visit the health center, considering that the health center is the first level health facility in the national health insurance program, even resulting in patient satisfaction. The aim of this paper is to analyze the influence of service quality and trust on patient satisfaction at the outpatient installation of Puskesmas X in Labuhan Batu. This research is an analytical observational type using a cross-sectional approach. The sample size was 100 patients seeking treatment at the outpatient installation of Puskesmas X in Labuhan Batu. The sampling technique was carried out using systematic random sampling. Data was obtained directly through patients' perceptions of the perceived quality of service, their trust in the facilities and services received, including the satisfaction felt by patients through questionnaire instruments. The data obtained was then analyzed using binary logistic regression. The results showed that all patients (82%) stated that the overall dimensions of service quality were good, and almost all patients (80%) expressed confidence and almost all respondents (82%) stated that they were satisfied with the service at the Outpatient Installation of Puskesmas X in Labuhan Batu . Then service quality has a significant effect on patient satisfaction (p-value = 0.042) and trust has a significant effect on patient satisfaction (p-value = 0.010). The research conclusion shows that service quality and trust can influence patient satisfaction.

Description of Cervical Cancer Case at Dr. Pirngadi Hospital Medan Hrp , Fitri Aidani Ulfa
Jurnal Kesehatan, Rekam Medis dan Farmasi (JUK-Medifa) Vol. 3 No. 01 (2024): JUK-Medifa (Jurnal Kesehatan, Rekam Medis dan Farmasi), November 2024
Publisher : SEAN Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58471/juk-medifa.v3i01.521

Cervical cancer is one of the diseases that causes broad psychosocial impacts, especially for patients and their families. According to Racmadahniar (2005), in 2000 about 80% of cervical cancer. The lack of public knowledge about cervical cancer is caused by things such as lack of awareness and willingness of the public to check themselves or consider doing an examination requires expensive costs. The cervix is part of the uterus. The type of research used in this study is to describe how cervical cancer cases. The data collection technique in this study is using secondary data. From the results of research cases of cervical cancer based on age with the age of >35 years as many as 41 people (100%). Cervical cancer cases are based on the majority of education with high school education as many as 17 people (41.47%). Cervical cancer cases based on the majority of occupations with IRT/self-employed jobs as many as 18 people (72%). Cervical cancer cases are based on majority parity with parity 3-5 as many as 41 people (100%). Cervical cancer cases are based on the majority of treatment with therapeutic treatment as many as 35 people (85.37%). To increase the knowledge of every adult (fertile) woman about cervical cancer.

The Relationship Of Knowledge With The Attitude Of Pregnant Women About The Benefits Of Folic Acid At Haji Medan Hospital Hrp, Fitri Aidani Ulfa
Jurnal Kesehatan, Rekam Medis dan Farmasi (JUK-Medifa) Vol. 2 No. 01 (2023): JUK-Medifa (Jurnal Kesehatan, Rekam Medis dan Farmasi), November 2023
Publisher : SEAN Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58471/juk-medifa.v2i01.522

This study is entitled the relationship of knowledge with attitudes of pregnant women about the benefits of folic acid. In general, this study aims to find out the picture of knowledge of pregnant women about the benefits of folic acid, and specifically this study aims to find out the picture of knowledge of pregnant women about the benefits of folic acid based on age, education, occupation, and sources of information. This type of research is descriptive research. This research was conducted at Haji Medan hospital. The population in this study was 30 pregnant women and the entire population was sampled in this study. A total of 20 questionnaires were distributed to respondents. And from the results of data analysis found the results of research that showed: The level of knowledge of mothers about giving folic acid in general is categorized as quite good. Maternal knowledge about folic acid administration based on the age of the majority of mothers aged 20-35 years with sufficient knowledge categories as many as 7 respondents (23.33%) and the minority of mothers aged >35 years with less knowledge categories as many as 1 respondent (3.33%) Maternal knowledge about folic acid administration based on the education of the majority of mothers with junior high school education levels with sufficient knowledge categories as many as 7 respondents (23.33%) and the minority of mothers with elementary school education with categories Good knowledge as much as 1 respondent (3.33%). Mothers' knowledge about folic acid administration based on the work of the majority of mothers with housewives work with good knowledge category as many as 7 respondents (23.33%) and the minority of mothers with housewife work also with good knowledge category as many as 2 respondents (6.67%). Mothers' knowledge about folic acid administration based on information sources, the majority of mothers with information sources from print/advertising media with sufficient knowledge categories as many as 7 respondents (23.33%) and the minority of mothers with information sources from neighbors with good and sufficient knowledge categories as many as 1 respondent each (3.33%).

Dampak Penggunaan Gadget Pada Kesehatan Mental Remaja Di SMA Swasta Nur Ihsan Medan Ekawaty Suryani Mastari; Fitri Aidani Ulfa Hrp; Fahmi Irsan Nasution; Ahmad Yayang Saputra; Jane Alesha
Marsipature Hutanabe: Jurnal Pengabdian Kepada Masyarakat Vol. 1 No. 01 (2024): Marsipature Hutanabe: Jurnal Pengabdian Kepada Masyarakat
Publisher : CV. Devi Tara Innovations

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

Mental health problems have become an unresolved health problem in the midst of society, both at the global and national levels. Especially during the COVID-19 pandemic, mental health problems will be increasingly difficult to solve. The increasingly worrying condition of people's mental health will affect national productivity. According to WHO, mental health refers to a person's well-being condition, when a person is aware of his or her abilities, is able to manage his or her stress and adapts well, can work productively, and contributes to his environment. Current technological developments also affect mental health, including the use of gadgets. Gadgets make it easy to access information, communicate with others, and do various online activities. However, excessive use of gadgets can have a negative impact on the mental and physical health of users, especially at the age of children and adolescents, The influence of gadgets can result in children being hampered in interacting even in the family environment, easily bored and difficult to concentrate, especially in learning, and interfering with their cognitive development. According to a survey in Indonesia according to Research by Kominfo and the United Nations Children's Fund (2014), the use of social media and digital is an integrated part of the daily life of young people in Indonesia. The study found that 98% of the children and adolescents surveyed knew about the internet and that 79.5% of them were internet users. In addition, there are still few parents who supervise their children when accessing the internet or playing layer media. Prevention and handling of metal health disorders due to the use of gadgets requires the role of various parties, including government policies, parents and families, and the role of the school environment. Socialization in the environment around children, especially schools, is one of the keys.

Edukasi Pentingnya Menjaga Kesehatan Mental Pada Anak Remaja Di SMA Negeri 3 Binjai Fitri Aidani Ulfa Hrp; Ekawaty Suryani Mastari; Ningrum Wahyuni; Emilia Putri Tarigan; Farhah Kamilatun Nuha
Marsipature Hutanabe: Jurnal Pengabdian Kepada Masyarakat Vol. 1 No. 01 (2024): Marsipature Hutanabe: Jurnal Pengabdian Kepada Masyarakat
Publisher : CV. Devi Tara Innovations

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

Mental health problems have become unresolved health problems in society, both at the global and national levels. Especially during the COVID-19 pandemic, mental health problems will be more difficult to solve. The increasingly concerning condition of people's mental health will affect national productivity. This could hinder Indonesia from transitioning into a developed country by 2045. Mental health services are crucial and require the same attention as physical health. According to the Indonesia-National Adolescent Mental Health Survey 2022, 15.5 million (34.9 percent) adolescents experience mental problems and 2.45 million (5.5 percent) adolescents experience mental disorders. Of that number, only 2.6 percent accessed counseling services, both emotional and behavioral. The government has been thinking about mental health, but it has not been a priority. Access to mental health services is expensive and not inclusive. Meanwhile, attention to mental and physical health has not been equal in national health insurance. In Indonesia, we know many cases of adolescents aged 15-17 who experience excessive anxiety resulting in depression and suicide.

INTERVENSI EDUKASI GIZI BERBASIS KADER TERHADAP KEPATUHAN DIET LANSIA DENGAN HIPERTENSI DI WILAYAH PERDESAAN Ulfa Hrp, Fitri Aidani; Hutagalung, Suzanne C
Jurnal Kesehatan Tambusai Vol. 6 No. 2 (2025): JUNI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v6i2.45804

Hipertensi banyak dialami lansia, terutama di daerah perdesaan yang minim akses informasi dan tenaga kesehatan. Salah satu cara mengendalikan tekanan darah adalah melalui diet rendah garam dan bergizi seimbang. Penelitian ini bertujuan mengetahui apakah edukasi gizi yang dilakukan oleh kader kesehatan bisa meningkatkan kepatuhan diet lansia hipertensi. Penelitian dilakukan di dua desa terpencil dengan 80 lansia, dibagi menjadi dua kelompok: intervensi dan kontrol. Kelompok intervensi mendapat edukasi dari kader selama 8 minggu, sementara kelompok kontrol hanya mendapat penyuluhan satu kali dari tenaga kesehatan. Kepatuhan diet dan tekanan darah diukur sebelum dan sesudah intervensi. Hasilnya, kelompok intervensi lebih patuh pada diet dan mengalami penurunan tekanan darah yang lebih besar. Kader juga menunjukkan peningkatan kemampuan dalam memberi edukasi. Kesimpulannya, pendekatan ini efektif dan layak diterapkan di wilayah yang kekurangan tenaga kesehatan. Hypertension is a major non-communicable disease affecting older adults, especially in rural areas with limited access to health services and nutritional education. Compliance with a low-sodium and balanced diet is essential in managing blood pressure, yet remains low among the elderly in remote regions. This study aimed to assess the effectiveness of a cadre-based nutritional education intervention in improving dietary compliance among elderly patients with hypertension in rural settings. A quasi-experimental study with a pre-post control group design was conducted involving 80 elderly individuals with hypertension from two remote villages. Participants were selected using purposive sampling and divided equally into intervention and control groups. The intervention group received structured nutritional education from trained community health cadres over 8 weeks, while the control group received a single educational session by health professionals. Dietary compliance was measured using a modified Food Frequency Questionnaire (FFQ), and systolic blood pressure was recorded before and after the intervention. The intervention group showed a significant improvement in dietary compliance scores (p < 0.01) and a greater reduction in systolic blood pressure (mean decrease of 8.5 mmHg) compared to the control group (2.1 mmHg). Furthermore, cadre training improved communication skills and nutritional knowledge among local health volunteers. Cadre-based nutritional education is effective in enhancing dietary compliance and reducing blood pressure among hypertensive elderly individuals in rural areas. This community-based approach offers a practical and sustainable strategy for health promotion in underserved regions.

TINGKAT PENGETAHUAN REMAJA TERHADAP BAHAYA PERILAKU SEKS BEBAS DI SMK JAMBI MEDAN Hrp , Fitri Aidani Ulfa
Pengabdian Kepada Masyarakat Indonesia SEAN (ABDIMAS SEAN) Vol. 2 No. 01 (2024): Pengabdian Kepada Masyarakat Indonesia SEAN (ABDIMAS SEAN), Februari 2024
Publisher : SEAN Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58471/abdimassean.v2i01.520

Pengabdian masyarakat ini bertujuan untuk mengkaji tingkat pengetahuan remaja di SMK Jambi Medan terhadap bahaya perilaku seks bebas. Pengetahuan yang baik mengenai konsekuensi perilaku seks bebas dapat menjadi landasan untuk pencegahan dan pengendalian dampak negatif pada kesehatan fisik dan mental remaja. Metode penelitian melibatkan survei kuesioner yang menilai pemahaman remaja terkait risiko dan konsekuensi perilaku seks bebas. Hasil penelitian ini diharapkan dapat memberikan gambaran mendalam tentang tingkat pengetahuan remaja di SMK Jambi Medan. Selain itu, pengabdian ini juga melibatkan kegiatan penyuluhan dan edukasi untuk meningkatkan pemahaman remaja mengenai bahaya perilaku seks bebas dan alternatif perilaku yang lebih sehat. Peningkatan pengetahuan diharapkan dapat membantu remaja membuat keputusan yang lebih bijak terkait kehidupan seksual mereka. Dengan demikian, pengabdian masyarakat ini tidak hanya berfokus pada analisis tingkat pengetahuan, tetapi juga pada implementasi solusi edukatif yang dapat berdampak positif pada perilaku remaja. Dengan upaya ini, diharapkan dapat mengurangi angka perilaku seks bebas di kalangan remaja SMK Jambi Medan dan meningkatkan kesejahteraan mereka secara keseluruhan.

Pengembangan Program Aktivitas Fisik Terarah untuk Meningkatkan Kesehatan Jantung pada Lansia Ridwan Angkasa; Vivi; Fitri Aidani Ulfa Hrp; Helena Br. Tarigan; Muhammad Habib
Media Pengabdian Kesehatan Indonesia Vol. 2 No. 2 (2025): JULY
Publisher : Kabar Gizi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62358/1rfvkx17

Lansia merupakan kelompok usia yang rentan mengalami penurunan fungsi jantung sehingga membutuhkan intervensi promotif yang tepat. Gaya hidup pasif dan minimnya kesadaran tentang pentingnya aktivitas fisik memperburuk kondisi kesehatan kardiovaskular lansia. Program ini bertujuan untuk meningkatkan kesehatan jantung lansia melalui pengembangan aktivitas fisik terarah yang sesuai dengan kemampuan fisik mereka. Metode pengabdian yang digunakan adalah pendekatan partisipatif berbasis komunitas dengan melibatkan lansia, keluarga, kader posyandu, dan tenaga kesehatan. Edukasi dilakukan melalui penyampaian materi dan praktik langsung gerakan fisik sederhana yang aman. Lansia juga mendapatkan pendampingan rutin dari keluarga dan kader untuk memastikan keberlanjutan aktivitas fisik di rumah. Hasil kegiatan menunjukkan peningkatan pemahaman dan kepercayaan diri lansia dalam menjaga kesehatan jantung. Selain itu, kader dan keluarga memperoleh keterampilan baru dalam mendampingi lansia secara efektif. Program ini turut memberikan model intervensi komunitas yang dapat direplikasi di daerah lain. Kesimpulannya, kolaborasi lintas sektor dan edukasi aktif terbukti efektif dalam mendorong perubahan perilaku sehat pada lansia.

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