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All Journal Jurnal Kesehatan Caring : Indonesian Journal of Nursing Science
Nur Asnah Sitohang
Faculty of Nursing, Universitas Sumatera Utara, Medan, Indonesia
Health Professions Nursing Public Health

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The Application of Menstrual Hygiene Management towards the Elementary Students Hygiene Personal Attitude during Menstruation Nur Asnah Sitohang; Diah Lestari; Cut Adeya Adella; Nu Asiah
Caring: Indonesian Journal of Nursing Science Vol. 7 No. 2 (2025): Vol 7 No 2 2025 Caring: Indonesia Journal of Nursing
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/ijns.v7i2.21794

Abstract

The main problem among adolescents related to menstruation is the lack of knowledge about Menstrual Health Management (MHM) and poor water sanitation. This study aims to determine the effectiveness of MHM on the knowledge and personal hygiene behavior of elementary school students in Medan. The research employed a quasi-experimental design with a one-group pretest-posttest approach. The population is all elementary school students in grades 4 and 5. The sample included 67 female and 43 male students, totaling to 110 participants. Data were collected using a questionnaire administered before the intervention (pretest), followed by a health education program consisting of lectures, discussions, and role plays, supported by LCD/PowerPoint presentasions, leaflets, and videos, and then after the intervention (posttest).The sampling technique used was total sampling. Dependent t-test analysis was utilized to assess the data. The results showed a significant difference in respondents’ knowledge before and after the intervention. For attitudes, the mean difference was 3.440 with a p-value of 0.000, indicating a significant effect of the intervention on respondents’ attitudes. Specifically, for male students, the mean difference in knowledge was 7.721 (p = 0.000), and the mean difference in attitudes was 1.628 (p = 0.000), confirming a significant improvement in both knowledge and attitudes after the intervention. Therefore, it is recommended that health workers implement MHM education programs to improve adolescent reproductive health status. Keyword: Menstrual hygiene knowledge, Attitude, Elementary student management
Phase I Cardiovascular Rehabilitation, Risk Stratification, and Length of Hospitalization in Post-Percutaneous Coronary Intervention (PCI) Patients Muhammad Sukri Tanjung; Dudut Tanjung; Nur Asnah Sitohang; Dedi Ardinata
Jurnal Kesehatan Vol 15 No 3 (2024): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v15i3.4732

Abstract

Percutaneous Coronary Intervention (PCI) is one of the most effective actions for patients with Acute Coronary Syndrome (ACS), which can improve prognosis and minimize hospitalization time. To optimize medical therapy programs, PCI must be complemented with further preventive measures, such as cardiovascular rehabilitation, including lifestyle modification and risk stratification. This study aims to analyze the relationship between phase I cardiovascular rehabilitation, risk stratification, and length of hospitalization in post-PCI patients. The study design was a retrospective cohort sourced from electronic medical record data. Respondents were divided into groups: those exposed and those not exposed to phase I cardiovascular rehabilitation. Risk stratification and length of hospitalization were studied as study outcomes. Among 201 patients who were followed up during hospitalization, high-risk stratification was more in the unexposed group: exposed group (92.2%: 90.8%; RR 0.85, 95%CI 0.340-2.104). Length of hospitalization ≥3 days was more in the unexposed group: exposed group (63.1%: 59.2%; RR 0.904 95%CI (0.639-1.279). Length of hospitalization ≥3 days was more in the high stratification group: low stratification (63.6%: 35.3%; RR 0.555 95%CI (0.289-1.066). Phase I cardiovascular rehabilitation was not associated with risk stratification and length of hospitalization. Patient risk stratification was related to the length of hospitalization of post-PCI patients. Phase I cardiovascular rehabilitation is an integral part of medical therapy that can reduce adverse events in post-PCI patients.
Medication Adherence by Pill Count Method and Changes in Mean Arterial Pressure Among Community Members with Hypertension: A Pre-Experimental Study Ikhsanuddin; Elnika Saragih; Nur Asnah Sitohang; Mula Tarigan; Lilis Nuriyanti Tambun
Caring: Indonesian Journal of Nursing Science Vol. 8 No. 1 (2026): Vol 8 No 1 2026 Caring: Indonesia Journal of Nursing Science
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/ijns.v8i1.23315

Abstract

Poor medication adherence contributes to inadequate blood pressure control and increases the risk of hypertension-related complications. The pill count method using a pill box is a simple, objective, and low-cost strategy for monitoring medication adherence in community settings. Therefore, this study aimed to evaluate medication adherence using the pill count method and explore the association with short-term changes in mean arterial pressure (MAP). A pre-experimental one-group pretest–posttest study was conducted among 33 hypertensive patients. Medication adherence was monitored for seven consecutive days using a pill box. Systolic blood pressure (SBP), diastolic blood pressure (DBP), and MAP were measured before and after the observation period, then collected data were analyzed with the Wilcoxon Signed-Rank test. A total of 28 participants (84.8%) showed high medication adherence, with a median adherence of 100% (IQR: 86–100). Significant reductions were observed in SBP (median change: −3.0 mmHg, p = 0.014), DBP (−3.0 mmHg, p = 0.006), and MAP (−3.3 mmHg, p = 0.006). However, these reductions were modest over the seven-day observation period. High medication adherence was followed by modest short-term reductions in blood pressure parameters.  These findings should be regarded as exploratory rather than confirmatory and should not be interpreted as evidence of a causal relationship because of the pre-experimental design. Nevertheless, the pill count method appears to be a practical, objective, and low-cost approach for monitoring medication adherence in community-based hypertension management. Keyword: Hypertension, Medication Adherence, Pill Count Method, Mean Arterial Pressure
Co-Authors Cut Adeya Adella Dedi Ardinata Diah Lestari Dudut Tanjung Elnika Saragih Ikhsanuddin Lilis Nuriyanti Tambun Muhammad Sukri Tanjung Mula Tarigan Nu Asiah