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All Journal Jurnal Keperawatan Priority International Journal of Community Service Implementation
Eka Isranil Laily
Universitas Prima Indonesia
Dentistry Environmental Science Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health Social Sciences Other

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Prevent Stunting Early: Implementing Nutrition Education through a Shared Breakfast Program in Elementary Schools Nurlela Petra Saragih; Almina Rospitaria Tarigan; Eka Isranil Laily; Elfrida Nainggolan; Ruth Sarah Julfrida Saragih; Dewi Sartika Munthe
International Journal of Community Service Implementation Vol. 3 No. 4 (2025): IJCSI DECEMBER 2025
Publisher : CV. AFDIFAL MAJU BERKAH

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55227/ijcsi.v3i3.411

Abstract

Stunting (chronic malnutrition) remains a serious public health challenge in Indonesia, with a prevalence of 21.6% (2022) above the WHO threshold (20%). While interventions are intensive during the First 1000 Days of Life, management during the school-age period (the second golden phase) is often neglected. This study aims to measure the effectiveness of nutritional education intervention and hands-on practice through a Shared Breakfast Program in Elementary Schools (SD) in improving nutritional knowledge and stunting prevention. This community service activity used a simple pre-test and post-test design with a participatory education method on 49 students from grades 1 to 3 at Talang Bukit Hutabayu State Elementary School. The material focused on the dangers of stunting, the concept of Balanced Nutrition (Isi Piringku or My Plate Content), and the importance of breakfast. The results showed a significant increase in students' knowledge levels, with average score improvements ranging from 23.6% to 33.5% between the pre-test and post-test. The greatest improvement occurred in Grade 1 students. The Shared Breakfast Program proved effective as a live laboratory that transformed abstract nutritional concepts into tangible practice. The intervention not only enhanced nutritional literacy but also built awareness of the link between a healthy breakfast and learning concentration. It is recommended that a comprehensive nutrition program, supported by continuous teacher training and active parental involvement, be integrated into the school curriculum to ensure the sustainability of healthy behavior changes
Correlation of Anxiety Level to Cimino Puncture Pain Intensity in Patients Undergoing Regular Hemodialysis Marthalena Siahaan; Eka Isranil Laily; Donisman Bu'ulolo; Murni Aritonang
Jurnal Keperawatan Priority Vol. 9 No. 2 (2026)
Publisher : Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jukep.v9i2.8594

Abstract

Patients with chronic kidney failure who undergo regular hemodialysis experience repeated cannulation of the arteriovenous fistula (Cimino), which produces pain arising not only from the physical trauma of needle insertion but also from the patient’s psychological state, particularly anxiety. This study aimed to analyze the correlation between anxiety level and pain intensity during Cimino puncture among regular hemodialysis patients at a hospital in Medan, Indonesia. A quantitative correlational design with a cross-sectional approach was used. Thirty-three respondents were recruited through purposive sampling. Anxiety was measured using the Hamilton Rating Scale for Anxiety (HRS-A), while pain intensity was assessed with the Numeric Rating Scale (NRS). Data were analyzed using the Spearman Rank correlation test. Most respondents experienced mild anxiety (78.8%), and pain intensity was predominantly moderate (57.6%). The Spearman Rank test showed a strong, statistically significant positive correlation between anxiety level and pain intensity (r = 0.590; p = 0.000; p < 0.05), indicating that higher anxiety was associated with greater pain during Cimino puncture. These findings confirm that psychological factors contribute meaningfully to the pain experienced during invasive hemodialysis procedures. Hemodialysis nurses are recommended to conduct routine anxiety assessment before Cimino cannulation and to apply non-pharmacological interventions, such as distraction and relaxation techniques, to reduce both anxiety and pain during the procedure.
Co-Authors Almina Rospitaria Tarigan Dewi Sartika Munthe Donisman Bu'ulolo Elfrida Nainggolan Lusiana Lusia Sirait Marthalena Siahaan Murni Aritonang Nurlela Petra Saragih Nurlela Petra Saragih Rinawati Rinawati Ruth Sarah Julfrida Saragih Silitonga, Lisbeth Laora