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All Journal Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) KONSELI: Jurnal Bimbingan dan Konseling (E-Journal) Elkawnie Abdimas Talenta : Jurnal Pengabdian Kepada Masyarakat International Journal of Nursing and Health Services (IJNHS) Jurnal Kesehatan Jurnal Riset Hesti Medan Akper Kesdam I/BB Medan Al-Asalmiya Nursing: Journal of Nursing Sciences Journal of Telenursing (JOTING) Indonesian Journal of Global Health research OISAA Journal of Indonesia Emas MAHESA : Malahayati Health Student Journal Holistik Jurnal Kesehatan

Nur Asnah Sitohang, Nur Asnah

Universitas Sumatera Utara, Fakultas Keperawatan, Jl. Prof. T. Maas No. 3, Medan, Sumatera Utara 20155, Indonesia

Author-ID : 607997

Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Dentistry Education Engineering Health Professions Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health Social Sciences

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PEMANFAATAN TEPUNG TALAS DAN FORMULA TEMPE SEBAGAI BAHAN PEMBUAT COOKIES Sitohang, Nur Asnah; Siregar, Farida Linda Sari
Jurnal Riset Hesti Medan Vol 2, No 1 (2017)
Publisher : Akademi Keperawatan Kesdam I/Bukit Barisan Medan

Intake of nutritious foods is very important for pre schools in order to grow and develop optimally. One of the food sources of energy (non starch food) is the tuber of taro bogor. Bulbs taro bogor used as food industry materials can be processed into flour taro and made into various processed products such as dry bread, meatballs, and others. While as a source of vegetable protein from beans are soybeans that have been consumed by the community, among others, tempe, soy sauce, and others. Community service method used is education, training of cookie making based on taro flour and tempe formula, early detection and early intervention deviation of child growth and mentoring. This community service aims to empower the mother of pre school age in utilizing taro flour and tempe formula in order to develop food diversity and increase the appropriate knowledge and improve the nutritional status of children. This community service is done at Posyandu Klinik Bersalin Mawar Babar Sari and Posyandu Anggrek 1 Klinik Bersalin Marinta Ulina in Desa Baru, Pancur Batu ,Deli Serdang. The result of this dedication to the community is that mothers are able to make taro flour, tempe formula and process it into cookies well and increase the nutritional status of children. It is therefore advisable for the mother to be diligent in making cookies and making it an additional food for pre schools.Keywords: Cookies, Flour Taro, Formula Tempe, Nutritional Status, Pre school

DETEKSI DINI KANKER SERVIK PADA WANITA USIA SUBUR DENGAN INSPEKSI VISUAL ASAM ASETAT (IVA TEST) DI KLINIK BERSALIN KOTA MEDAN Nasution, Diah Lestari; Sitohang, Nur Asnah; Adela, Cut Adeya
ABDIMAS TALENTA: Jurnal Pengabdian Kepada Masyarakat Vol. 3 No. 2 (2018): ABDIMAS TALENTA: Jurnal Pengabdian Kepada Masyarakat
Publisher : Talenta Publisher

Kanker rahim di Indonesia menduduki peringkat pertama, 65%. Kondisi pasiennya dalam stadium lanjut. Pada penelitian di tiga belas laboratorium patologi anatomi didapatkan jumlah penderita kanker serviks sekitar 18,5%. Ditemukan sejak umur 25-34 tahun dengan puncaknya terbanyak berada pada umur 45-54 tahun. Data di RS.H.Adam Malik Medan tahun 2011 ditemukan jumlah pasien kanker serviks sebanyak 367 orang. Keluhan utama yang paling banyak dialami penderita adalah perdarahan pervaginam (77,9%), sedangkan stadium terbanyak adalah IIIb (39,5%). Pengabdian kepada masyarakat ini ini bertujuan untuk memberikan komunikasi,edukasi dan informasi (KIE) kanker serviks dan melakukan deteksi dini gejala kanker servik pada wanita usia subur untuk menurunkan morbiditas dan mortalitas dan memotivasi melakukan pemeriksaan IVA Test sekali dalam 3 tahun. Pengabdian masyarakat ini dilaksanakan di dua (2) Klinik bersalin yaitu rumah bersalin SAM (20 orang) dan Klinik Bersalin Sari (20 orang). Metode pendekatan yang dilaksanakan menggunakan komunikasi informasi edukasi (KIE) dan pemeriksaan serviks dengan metode IVA test. Metode analisis data menggunakan dependent t test. Hasil kegiatan diperoleh data mayoritas WUS berusia 26-30 tahun (40%), suku batak (13%),agama islam (95%),menikah pertama kali (77.5%), pendidikan SMA/diploma/sarjana (80%),IRT (77.5%),pekerjaan suami karyawan (52.5%),umur pertama menikah 26-30 tahun(40%) dan tidak merokok (80%); menggunakan alat kontrasepsi suntik (42.5%);riwayat obstetri mayoritas WUS melahirkan 2 kali (42.5%),tidak pernah periksa (80%),tidak ada saudara yang sakit(75%),kanker payudara (10%),tidak banyak keputihan (65%),tidak ada sakit di bawah perut(70%), tidak ada perdarahan saat bersenggama (90%) dan tidak mengalami haid tidak teratur (55%);hasil IVA Test WUS adalah negatif (80%),radang (17,5 %) dan positif (2.5%);pengetahuan WUS sebelum diberi Komunikasi Edukasi Informasi (KIE) tentang kanker serviks dan IVA Test rata â€“rata = 13.58,SD =3.012 dan sesudah diberi KIE rata â€“rata= 14.30, SD = 3.275. Hasil uji statistik diperoleh beda mean = 0.725 dan nilai P=0,016,maka dapat disimpulkan ada pengaruh yang signifikan KIE terhadap pengetahuan WUS tentang kanker serviks dan IVA Test.

Effectiveness of education information concelling of knowledge women of age about cancer cancer and visual acetic acid inspection as early detection Cut, Adeya Adella; Sitohang, Nur Asnah
ABDIMAS TALENTA: Jurnal Pengabdian Kepada Masyarakat Vol. 4 No. 2 (2019): ABDIMAS TALENTA: Jurnal Pengabdian Kepada Masyarakat
Publisher : Talenta Publisher

Cervical cancer is cancer that occurs in the cervix , an area in the female reproductive organs which is the entrance to the uterus, located between the uterus and the intercourse or vagina. The main cause of cervical cancer is Human Papilloma Virus (HPV) infection. Cervical cancer usually attacks women aged 35-55 years. Visual Inspection with Acetic Acid (IVA) is a visual inspection of the cervix using vinegar with the eye to detect abnormalities after applying 3-5% vinegar. This community service aims to: (1) provide communication, education and information (IEC) about cervical cancer and the benefits of IVA Test, (2) conduct IVA Test, (3) measure the knowledge of women of childbearing age about cervical cancer and IVA test. Implemented at Klinik Bersalin Sari Medan (30 people). Data analysis using Wilcoxon test. The results of the activity obtained the majority of data aged 37-39 years (43.3%), Javanese (40%), Islamic religion (90%), first married age 21-23 years (43.3%), the number of births 3 times (30% ), the IVA test results are negative (90%), inflammation / cervicitis (10%). The knowledge before being given Information Education Communication (IEC) averaged = 14.57; SD = 3,633 and after being given IEC average = 23.60, SD = 1,589. Statistical test results obtained mean difference = 9.03 and P value = 0.001, it can be concluded that there is a significant influence of IEC on women of childbearing age knowledge about cervical cancer and IVA tests. It is recommended to midwives to socialize the benefits of IVA tests and carry them out as early detection of cervical cancer.

The Effect of Hatha Yoga Therapy on the Blood Pressure of Primary Hypertension Patients of Productive Age Tamba, Darwin; Dharmajaya, Ridha; Sitohang, Nur Asnah
Jurnal Keperawatan Soedirman Vol 16, No 1 (2021)
Publisher : Jurusan Keperawatan FIKES UNSOED

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2021.16.1.1543

Untreated hypertension can lead to serious complications. One of the nonpharmacological therapies for treating hypertension is hatha yoga. The study aimed to determine the effect of hatha yoga therapy on the blood pressure of those of productive age among primary hypertension patients. The research type was a quasi-experiment with pre-posttest with control group design. The number of study samples was 64 respondents consisting of 32 respondents in the intervention group (who were given 35 minutes of hatha yoga therapy and Amlodipine 5mg/day for 4 weeks) and 32 respondents in the control group who received Amlodipine 5mg/day for 4 weeks. The data analysis used the dependent test (paired t test). The results showed that the mean of systolic and diastolic of blood pressure before the therapy in primary hypertension patients in the intervention group was 161.84 / 93.25 mmHg, while in the control group it was 161.66 / 93.37 mmHg. The mean of the systolic and diastolic blood pressure after therapy in the primary hypertensive patients in the intervention group was 122.87 / 71.69 mmHg, and in the control group it was 127.66 / 73.13 mmHg. The statistical tests using paired t-test showed that the p value was <? = 0.05. In conclusion, hatha yoga therapy has the effect of lowering blood pressure for those of productive age among primary hypertension patients.

Pengembangan Sistem Penyediaan Air Bersih dengan Metode Appropriate Technology di Kelurahan Mekar Sari Kecamatan Rambutan Pemko Tebing Tinggi Isranuri, Ikhwansyah; Sitohang, Nur Asnah
Jurnal Riset Hesti Medan Vol 6, No 1 (2021)
Publisher : Akademi Keperawatan Kesdam I/Bukit Barisan Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34008/jurhesti.v6i1.230

Planning for a clean water supply system is a community service program carried out by USU in collaboration with the Dinas Pemberdayaan Masyarakat dan Desa(PMD) of the Pemko Tebing Tinggi. The problem encountered is the unavailability of clean water. This condition can interfere with people's daily activities such as the need for households. The clean water supply system that is implemented is the application of appropriate technology in the sense that it is easy to operate and all components are easy to care for by the public. The purpose of this activity is to provide clean water that meets health requirements, namely colorless, tasteless and odorless. This system is also planned to provide clean water for the next few years. The projection of population growth is also a consideration, which is calculated based on the average population growth data. Based on the Indonesian National Standard (SNI), the need for clean water for a population with a population of 300 households with the household category is 120 liters per person per day, so the water requirement is 1.67 liters/second. The source of water is obtained by digging 15 meters deep by installing 15 concrete rings with a diameter of 80 cm and a height of 100 cm. Then a pump is installed to suck water and then it is pumped into a poly tank (capacity 2100 liters) storage tank which is located at a height of 5-6 meters. Before flowing from the tankÂ to the pipe, the water is filtered using a filter. For this purpose, a piping installation complete with a valve and a float is designed to automatically close the pipe when the tank is full. The result of water from this system is clean water and suitable for consumption by residents.

PARENT’S PERSPECTIVES OF SCHOOL-AGE ANXIETY RESPONSES GET IV INSTALLATION Indira Mastura Pulungan; Nur Asnah Sitohang
Jurnal PPI Dunia Vol 4 No 2 (2021)
Publisher : OISAA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52162/jie.2021.004.02.6

The IV installation procedure is an invasive procedure that children fear because of the use of needles. The IV procedure can cause anxiety for the child. Children's anxiety is indicated by worry, anxiety, and physical complaints. This study aims to determine how child's anxiety responds to get IV installation based on the parents’ perspectives. This research method is a cross-sectional descriptive study. The sampling technique in this study was total sampling with 69 respondents. Respondents in this study were parents who had school-age children with IV installation experience for a maximum of the last 2 years. The questionnaire was given via Google Form because of the research period on coronavirus pandemic. The results showed that the majority of school-age children showed a response with fear in 71%, closed their eyes in 67%, and showed a tense and pale facial expression when the IV installation was inserted in 67%. School-age children require the presence of parents in dealing with hospital procedures, especially IV installation. School-age children also need an explanation regarding the procedures given. The children will feel calmer when they know how the procedure is given.

The Prevention of Ulcers Decubitus with Mobilization and The Usage of Olive Oil on Stroke Patients Siti Cahaya Meliza; Kiking Ritarwa; Nur Asnah Sitohang
Elkawnie: Journal of Islamic Science and Technology Vol 6, No 2 (2020)
Publisher : Universitas Islam Negeri Ar-Raniry Banda Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22373/ekw.v6i2.6925

Abstract: Decubitus ulcers are one of the problems experienced by bed rest patients, such as stroke patients, caused by immobilization. Prevention of decubitus ulcers can be done with mobilization and topical application of olive oil. Olive oil contains saturated fatty acids, unsaturated fatty acids, vitamin E, and phenols which are healthy for the skin. This research aims to identify the effects of mobilization and application of olive oil on the prevention of decubitus ulcers in stroke patients. A control group pretest-posttest quasi-experimental design was used in the research. Convenience (non-probability) sampling was also carried out, resulting in 64 research samples. Mobilization intervention of right-left oblique positions and application of olive oil on the area prone to decubitus ulcers were then executed for seven days. Data analysis using the Wilcoxon signed-rank test showed the effects of mobilization and application of olive oil on the preventions of decubitus ulcers in stroke patients with a value of P= <0,05. Abstrak: Ulkus dekubitus merupakan salah satu masalah yang dialami pasien tirah baring seperti pasien stroke, dengan faktor penyebabnya adalah immobilisasi, tindakan pencegahan ulkus dekubitus dapat dilkukan dengan mobilisasi dan pemberian bahan oles seperti minyak zaitun, minyak zaitun kandungannya terdiri dari asam lemak jenuh, asam lemak tak jenuh, vitamin E dan fenolik yang baik untuk kesehatan kulit. Penelitian ini bertujuan untuk mengidentifikasi pengaruh mobilisasi dan penggunaan minyak zaitun terhadap pencegahan ulkus dekubitus pada pasien stroke. Penelitian menggunakan desain Quasi-experimental dengan pretest- posttest with countrol gruopdesign.Convenience (Non-probability) dilakukan untuk pengambilan sampel, jumlah sampel penelitian 64. Intervensi mobilisasi miring kanan dan kiri kemudian bagian yang akan terjadi ulkus dekubitus diolesi minyak zaitun,intervensi dilakukan selama tujuh hari. Analisa data wilcoson signed -rank test menunjukan adanya pengaruh mobilisasi dan penggunaan minyak zaitun terhadap pencegahan ulkus dekubitus pada pasien stroke dangan nilai P= <0,05. Mobilisasi miring kanan dan kiri penggunaan minyak zaitun dapat mencegah ulkus dekubitus.

Living Experience of Tobanese Etnict with Post- Coronary Artery Bypass Graft in Medan, Indonesia Amnita Anda Yanti Ginting; Nurmaini Nurmaini; Nur Asnah Sitohang
International Journal of Nursing and Health Services (IJNHS) Vol. 3 No. 1 (2020): International Journal of Nursing and Health Services (IJHNS)
Publisher : Alta Dharma Publisher

Coronary heart disease (CHD) is the leading cause of death and disability worldwide. The study aimed to explore patients experience postoperative coronary artery bypass graft among the Toba tribe. A qualitative study design with a descriptive phenomenology approach was applied in this study. Fifteen participants were selected by purposive sampling based on the criteria inclusion people. Two central themes were obtained from the analysis, including 1) lifestyle changed and 2) Cultural Traditions Batak Toba. Participants felt better after undergoing CABG surgery. They change a better lifestyle by eating healthy, reducing cholesterol-containing foods such as Toba Batak ethnic foods, and not consuming alcoholic beverages (wine). Also, they exercise regularly, stop smoking and prevent stress. Toba Batak cultural traditions after CABG surgery get mangupa-upa tradition by giving the whole diarsik goldfish, giving Ulos sampetua, Boras warden nitondi aimed to nourish the spirits and souls of participants who are recovering from illness. The results of this study can be input to the nurse in the care of patients post-CABG Batak Toba.

Pengetahuan dan Sikap Remaja Anak Jalanan tentang Dismenore Primer dan Senam Dismenore di Komunitas Peduli Anak Jalanan Medan Nur Asnah Sitohang; Diah Lestari Nasution
Jurnal Riset Hesti Medan Vol 6, No 2 (2021)
Publisher : Akademi Keperawatan Kesdam I/Bukit Barisan Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34008/jurhesti.v6i2.249

Primary dysmenorrhea is defined as cramping pain in the lower abdomen that occurs at the start of menstruation in the absence of identifiable pelvic disease. It is one of the most common gynecological symptoms among adolescents and adult women with a prevalence of 45%-95%. Overproduction of uterine prostaglandins is the most widely accepted explanation for the pathogenesis. Excessive release of prostaglandins, especially prostaglandin F2 alpha, which is derived from endometrial secretions from menstrual fluid, is believed to cause the condition. Primary dysmenorrhea has different degrees of negative impact on women's physical, psychological and social functioning, which can result in adolescent and adult women being out of school and absent from work. The purpose of this study was to identify the knowledge and attitudes of street children towards primary dysmenorrhea and dysmenorrhea exercise. The research design is descriptive. The sampling technique is total sampling. The number of samples is 45 people. The sample criteria for street children are teenage girls aged 10-18 years, unmarried, already menstruating, can read and write well. Data analysis is descriptive. The results of the study obtained that the majority of street children's knowledge of adolescents was good (53.3%), dysmenorrhea intensity was moderate pain with a score range of 4-7 (68.9%) and adolescent attitudes were negative (71.1%). Knowledge of respondents still needs to be improved to form a positive attitude. It is recommended to the head of KOPA to cooperate with health workers to conduct health education about primary dysmenorrhea on a regular basis to adolescent street children.

Efektivitas Konseling Informasi Edukasi Terhadap Pengetahuan Wanita Usia Subur Tentang Kanker Servik dan Inspeksi Visual Asam Asetat Sebagai Deteksi Dini Cut Adeya Adella; Nur Asnah Sitohang
Jurnal Riset Hesti Medan Vol 5, No 1 (2020)
Publisher : Akademi Keperawatan Kesdam I/Bukit Barisan Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34008/jurhesti.v5i1.182

Kanker serviks merupakan kanker yang terjadi pada serviks atau leher rahim, suatu daerah pada organ reproduksi wanita yang merupakan pintu masuk ke arah rahim, letaknya antara rahim (uterus) dan liang senggama atau vagina. Penyebab utama kanker leher rahim adalah infeksi Human Papilloma Virus (HPV). Kanker serviks biasanya menyerang wanita berusia 35-55 tahun. Inspeksi Visual dengan Asam Asetat (IVA) adalah pemeriksaan leher rahim secara visual menggunakan asam cuka dengan mata telanjang untuk mendeteksi abnormalitas setelah pengolesan asam cuka 3-5%. Pengabdian kepada masyarakat ini ini bertujuan:(1)memberikan komunikasi,edukasi dan informasi (KIE) tentang kanker serviks dan manfaat IVA Test;(2) melakukan IVA Test;(3) mengukur pengetahuan WUS tentang kanker serviks dan IVA test. Dilaksanakan di Klinik bersalin Sari Medan (30 orang). Anlisis data menggunakan Wilcoxon test. Hasil kegiatan diperoleh data mayoritas berusia 37-39 tahun (43.3%), suku Jawa (40 %), agama islam (90%), menikah pertama kali usia 21-23 tahun (43.3.%), jumlah melahirkan 3 kali (30%), hasil IVA Test WUS adalah negatif /serviks normal (90%), radang/servisitis (10%). Pengetahuan WUS sebelum diberi Komunikasi Edukasi Informasi (KIE) rata –rata = 14,57; SD =3.633 dan sesudah diberi KIE rata –rata= 23.60, SD = 1.589. Hasil uji statistik diperoleh beda mean = 9.03 dan nilai P=0,001, maka dapat disimpulkan ada pengaruh yang signifikan KIE terhadap pengetahuan WUS tentang kanker serviks dan tes IVA. Disarankan kepada bidan agar mensosialisasikan manfaat tes IVA dan melaksanakannya sebagai deteksi dini kanker serviks

Co-Authors Adela, Cut Adeya Adela, Cut Adeya Amnita Anda Yanti Ginting Ardinata, Dedi - Barutu, Exodus Maruaba Cut Adeya Adela CUT ADEYA ADELLA, CUT ADEYA Dewi Elizadiani Suza Dharmajaya, Ridha Diah Lestari Nasution Dudut Tanjung Effendy De Lux Putra, Effendy De Lux Ikhwansyah Isranuri Indira Mastura Pulungan Karo, Evi Indri Br Kiking Ritarwa Kiking Ritarwan M. Harwansyah Putra Sinaga Manullang, Evi Sara Hotmauli Manurung, Romatua Juliana Maraksa, Deddy Wandra Marbun, Agnes Putri S Mula Tarigan Nasution, Diah Lestari Nur Asiah Nurmaini Nurmaini Nurwijayanti Oktari, Rina Suryani Purba, Jenny Marlindawani Rimadeni, Yeni Rizaldi Nanda Wiguna Rizki Wan Oktabina Saragih, Maria Uli Marselina Sari, Dewi Keumala Sari, Farida Linda Sianipar, Helpvina Lestari Sinaga, M. Harwansyah Putra Sirait, Diyan Marsella Siti Cahaya Meliza Tamba, Darwin Tanjung, Muhammad Sukri Wiguna, Rizaldi Nanda

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