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All Journal Journal of Midwifery and Nursing Studies Jurnal Media Informatika Journal Of Midwifery And Nursing Studies Jurnal Pengmas Kestra (JPK) Madani: Multidisciplinary Scientific Journal
Khaerunisa, Ismah
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Health Education Prevention and Control of Hypertension in the Elderly in Sei Rotan Village, Batang Kuis Working Area of Puskesmas Batang Kuis Deli Serdang Liesmayani, Elviera; Khaerunisa, Ismah; Arisman, Yessy
JURNAL PENGMAS KESTRA (JPK) Vol. 4 No. 2 (2024): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jpk.v4i2.2432

Abstract

Hypertension is one of the common health problems in the elderly and has a significant impact on the quality of life and the risk of complications such as cardiovascular disease and stroke. Prevention and control of hypertension in the elderly requires a holistic approach involving promotive, preventive, curative, and rehabilitative efforts. This Community Service activity aims to provide information to the community, especially the elderly, about the prevention and control of hypertension, with an emphasis on lifestyle interventions, pharmacological treatment, and health education. The method used in this community service is Education on Prevention and Control of Hypertension in the Elderly using lecture and discussion methods and blood pressure checks, blood sugar and cholesterol checks. The socialization was attended by 79 participants, which lasted for 2.5 hours. Educational activities were carried out by delivering the main material, discussion as well as a question and answer discussion and closing. In addition, before the material event began, a blood pressure and blood sugar/cholesterol examination was carried out first. The results of this activity, the elderly who attended received education about the knowledge of Prevention and Control of hypertension (healthy lifestyle, stress management, physical activity), and the results of laboratory tests showed that out of 79 elderly people there were 30 people with normal blood pressure, 28 people positive cholesterol and 21 elderly people with positive blood sugar <200 mg/dl. This health education is expected to be able to detect early increases in cholesterol and uric acid and blood sugar in the elderly. In addition, it is also to increase the knowledge of the elderly about the prevention and control of hypertension in the elderly in the Batang Kuis Deli Serdang Health Center.
Faktor Presdisposing dan Reinforcing Yang Mempengaruhi Penggunaan Metode Kontrasepsi Suntik 3 Bulan Diwilayah Kerja Puskesmas Garung Kabupaten Wonosobo Haryono, Nathasia Elga; Sinaga, Sri Putriani; Ladyvia, Fiyola; Khaerunisa, Ismah
Madani: Jurnal Ilmiah Multidisiplin Vol 3, No 2 (2025): March
Publisher : Penerbit Yayasan Daarul Huda Kruengmane

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/zenodo.14840678

Abstract

The 3-month injectable contraceptive is the most widely used method in the working area of Puskesmas Garung, accounting for 50% of the total active contraceptive coverage, which stands at 78.90%. However, this method has several drawbacks, such as an effectiveness rate of only 98% and a failure risk of 60 per 1,000 users according to WHO, which is higher compared to IUDs, implants, MOW, and MOP. The high usage of the 3-month injectable contraceptive may lead to suboptimal birth control, potentially increasing maternal mortality rates (MMR). This study aims to identify predisposing and reinforcing factors influencing the selection of the 3-month injectable contraceptive. Using a descriptive qualitative method with consecutive sampling involving 9 respondents, data were collected through questionnaires and analyzed univariately. The findings indicate that age, education, and knowledge (predisposing factors) are the most influential factors in choosing this contraceptive method. Therefore, healthcare providers are encouraged to offer in-depth counseling on the effectiveness and drawbacks of the 3-month injectable contraceptive to encourage mothers to switch to long-acting contraceptive methods (LACMs).
PENGARUH DEEP BACK MASSAGE TERHADAP INTENSITAS NYERI PERSALINAN KALA I Khaerunisa, Ismah
Journal Of Midwifery And Nursing Studies Vol. 7 No. 1 (2025): Edisi Mei 2025
Publisher : Akademi Kebidanan Tahirah Al Baeti Bulukumba

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57170/jmns.v7i1.168

Abstract

Abstrak Nyeri saat persalinan merupakan proses fisiologis yang dapat berdampak pada kondisi fisik dan psikologis ibu. Salah satu pendekatan nonfarmakologis yang terbukti efektif dalam meredakan nyeri persalinan adalah teknik deep back massage. Penelitian ini bertujuan untuk mengevaluasi pengaruh deep back massage terhadap tingkat nyeri pada fase pertama persalinan. Studi ini menggunakan desain pra-eksperimen dengan pendekatan one-group pretest-posttest design. Penelitian dilaksanakan di wilayah kerja Puskesmas Garung pada tanggal 22 Agustus hingga 4 September 2023, dengan melibatkan delapan ibu bersalin kala I yang dipilih melalui teknik total sampling. Tingkat nyeri diukur sebelum dan sesudah intervensi menggunakan Numeric Rating Scale (NRS). Hasil menunjukkan bahwa rata-rata intensitas nyeri sebelum diberikan intervensi adalah 7,25, dan menurun menjadi 4,38 setelah intervensi, dengan selisih penurunan sebesar 2,87. Uji statistik menggunakan Paired Sample T-Test menghasilkan nilai p = 0,000 (? = 0,05), yang menunjukkan adanya pengaruh signifikan dari deep back massage terhadap penurunan nyeri persalinan kala I. Teknik ini bekerja berdasarkan teori Gate Control, di mana stimulasi pada kulit dapat menghambat transmisi impuls nyeri menuju otak, sehingga persepsi nyeri berkurang. Selain itu, deep back massage juga merangsang pelepasan endorfin yang berfungsi sebagai analgesik alami dan membantu meningkatkan relaksasi. Oleh karena itu, deep back massage dapat dijadikan sebagai alternatif nonfarmakologis yang efektif dalam manajemen nyeri selama persalinan.
PENGARUH DEEP BACK MASSAGE TERHADAP INTENSITAS NYERI PERSALINAN KALA I Khaerunisa, Ismah
Journal Of Midwifery And Nursing Studies Vol. 7 No. 1 (2025): Edisi Mei 2025
Publisher : Akademi Kebidanan Tahirah Al Baeti Bulukumba

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57170/jmns.v7i1.168

Abstract

Abstrak Nyeri saat persalinan merupakan proses fisiologis yang dapat berdampak pada kondisi fisik dan psikologis ibu. Salah satu pendekatan nonfarmakologis yang terbukti efektif dalam meredakan nyeri persalinan adalah teknik deep back massage. Penelitian ini bertujuan untuk mengevaluasi pengaruh deep back massage terhadap tingkat nyeri pada fase pertama persalinan. Studi ini menggunakan desain pra-eksperimen dengan pendekatan one-group pretest-posttest design. Penelitian dilaksanakan di wilayah kerja Puskesmas Garung pada tanggal 22 Agustus hingga 4 September 2023, dengan melibatkan delapan ibu bersalin kala I yang dipilih melalui teknik total sampling. Tingkat nyeri diukur sebelum dan sesudah intervensi menggunakan Numeric Rating Scale (NRS). Hasil menunjukkan bahwa rata-rata intensitas nyeri sebelum diberikan intervensi adalah 7,25, dan menurun menjadi 4,38 setelah intervensi, dengan selisih penurunan sebesar 2,87. Uji statistik menggunakan Paired Sample T-Test menghasilkan nilai p = 0,000 (? = 0,05), yang menunjukkan adanya pengaruh signifikan dari deep back massage terhadap penurunan nyeri persalinan kala I. Teknik ini bekerja berdasarkan teori Gate Control, di mana stimulasi pada kulit dapat menghambat transmisi impuls nyeri menuju otak, sehingga persepsi nyeri berkurang. Selain itu, deep back massage juga merangsang pelepasan endorfin yang berfungsi sebagai analgesik alami dan membantu meningkatkan relaksasi. Oleh karena itu, deep back massage dapat dijadikan sebagai alternatif nonfarmakologis yang efektif dalam manajemen nyeri selama persalinan.
Optimizing the Mother–Toddler Class to Address Wasting Through the Tangan Baliku Program Towards a Healthy and High-Quality Generation in the Working Area of Purbaratu Primary Health Center Ladyvia, Fiyola; Khaerunisa, Ismah; Leandra, Maulinda Nur Amalina; Siagian, Rosmawaty Irma Suryani; Yatini, Yatini
JURNAL PENGMAS KESTRA (JPK) Vol. 5 No. 1 (2025): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/w0t01y29

Abstract

Wasting in children under five remains a significant public health problem, especially in developing countries like Indonesia, where nutritional issues such as wasting, stunting, and underweight are still prevalent. This study aimed to develop and implement a community-based innovation program named Tangan Baliku (Integrated Management of Underweight Children) to address the high incidence of wasting in the working area of Purbaratu Primary Health Center. This innovation was designed and implemented in April 2022 through cross-sectoral collaboration, focusing on promotive, preventive, curative, and educational approaches. The methodology used was a descriptive participatory approach involving community empowerment through optimizing the existing mother–toddler class, home visits, nutrition counseling, supplementary feeding, and regular monitoring. The results show that Tangan Baliku effectively increases early detection and management of underweight children, improves mothers' knowledge of nutrition, and encourages higher participation in toddler health services. It also helps in reducing the number of children with poor nutritional status through structured follow-up and referral systems. In conclusion, the Tangan Baliku program is a comprehensive and sustainable strategy that addresses wasting by strengthening maternal involvement, community participation, and cross-sector collaboration in child nutrition improvement. This program contributes to better health outcomes for children under five and supports the development of a healthy and high-quality future generation.
Efektivitas Sari Daun Jambu Biji terhadap Frekuensi Diare pada Balita: The Effectiveness of Guava Leaf Juice on the Frequency of Diarrhea in Toddlers Silviana, Vivi; Yulianti, Yulianti; Sugiharti, Rosi Kurnia; Khaerunisa, Ismah
Jurnal Media Informatika Vol. 6 No. 5 (2025): Edisi Sep - Oktober 2025
Publisher : Lembaga Dongan Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55338/jumin.v6i5.7184

Abstract

Diare akut merupakan salah satu penyebab utama morbiditas dan mortalitas pada anak, khususnya di negara berkembang. Berdasarkan survei pendahuluan di RS Cenka pada Maret–April 2025, tercatat 202 kasus diare pada balita yang mengalami peningkatan signifikan akibat faktor infeksi, malabsorpsi, serta penggunaan antibiotik yang tidak tepat. Penelitian ini bertujuan untuk mengetahui pengaruh pemberian sari daun jambu biji terhadap frekuensi diare pada balita. Desain penelitian menggunakan pra-eksperimental dengan pendekatan one group pretest-posttest. Populasi adalah seluruh balita dengan diare di wilayah kerja RS Cenka, dengan pengambilan sampel secara consecutive sampling selama periode 1 Juli–1 Agustus 2025. Intervensi berupa pemberian sari daun jambu biji, sedangkan variabel dependen adalah frekuensi buang air besar per hari. Data dikumpulkan melalui observasi selama tiga hari dan dianalisis menggunakan uji Wilcoxon Signed Rank Test. Hasil penelitian menunjukkan adanya penurunan signifikan frekuensi diare dari kategori sedang–berat pada hari pertama menjadi kategori ringan pada hari ketiga. Uji statistik menghasilkan nilai Z = -4,833 dengan p < 0,001, yang berarti terdapat perbedaan bermakna sebelum dan sesudah intervensi. Disimpulkan bahwa sari daun jambu biji efektif menurunkan frekuensi diare pada balita dan berpotensi menjadi terapi komplementer yang aman serta terjangkau.
Co-Authors Haryono, Nathasia Elga Ladyvia, Fiyola Leandra, Maulinda Nur Amalina Liesmayani, Elviera Siagian, Rosmawaty Irma Suryani Silviana, Vivi Sinaga, Sri Putriani Sugiharti, Rosi Kurnia Yatini, Yatini Yessy Arisman Yulianti Yulianti