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Jasmen Manurung
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Tour Health Journal
Published by Yayasan Akupun Tour Indonesia
ISSN : -     EISSN : 28305515     DOI : -
Core Subject : Health,
Health Professions Medicine & Pharmacology Nursing Public Health
Tour Health Journal bertujuan untuk memudahkan para peneliti khususnya di bidang kesehatan untuk menyebarluaskan hasil penelitiannya. Dan menyebarluaskan pengetahuan untuk membangun pengetahuan baru kepada masyarakat umum.Jurnal ini memuat naskah Ilmu Kesehatan yang meliputi: Keperawatan, Kebidanan, Kesehatan Masyarakat, Farmasi, dan Analis kesehatan.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 7 Documents
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Search results for , issue "Vol. 2 No. 2 (2023): TOUR HEALTH JOURNAL" : 7 Documents clear
Midwifery Care for Mrs.S Aged 24 Years With Prolonged First Stage Parturition Etty, Christina Roos; Elsarika Damanik; Indah Trimuliani Gowasa
TOUR HEALTH JOURNAL Vol. 2 No. 2 (2023): TOUR HEALTH JOURNAL
Publisher : Akupun Tour Publisher

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Abstract

Salah satu penyulit dalam persalinan adalah kala I yang berlangsung memanjang. Proses persalinan kala I dapat dikatakan memanjang ketika melebihi 24 jam pada primigravida dan 18 jam pada multigravida, dimana kontraksi uterus atau his tidak adekuat sehingga dilatasi serviks menjadi lambat dan persalinan membutuhkan waktu yang lama. Penyebab utama terjadinya kala I memanjang adalah his tidak adekuat yang dipengaruhi oleh faktor 3 P (Passage, Power dan Passanger) yang merupakan faktor utama dan 4 P (Posisi, Psikis, Plasenta dan Penolong) yang merupakan faktor pendukung dalam persalinan. Komplikasi yang ditimbulkan dari persalinan kala I memanjang pada ibu perasaan gelisah, lelah, yang mengakibatkan ibu tidak kuat mengejan pada kala II. Pada akhir persalinan beresiko menyebabkan ruptur uteri, robekan jalan lahir, dan cidera otot-otot dasar panggul, hingga adanya perdarahan yang dapat merenggut nyawa ibu. Pada janin mengalami asfiksia karena kekurangan oksigen dan meminum air ketuban yang bercampur mekonium. Kepala janin mengalami trauma yaitu adanya caput succedaneum akibat penekanan yang lama di dasar panggul. Persentase kejadian persalinan lama di Indonesia yang menyebabkan AKI sebanyak 16% dan AKB sebesar 9% sesuai hasil Survei Kesehatan Rumah Tangga (SKRT) tahun 2012. Asuhan kebidanan yang diberikan pada Ny ”S” dengan partus kala I memanjang menggunakan pendekatan manajemen Hellen Varney dan Subjektif, Objektif, Assesment, Planning (SOAP) bertujuan untuk mengetahui faktor resiko yang menyebabkan terjadinya partus kala I memanjang dan penatalaksanaan yang tepat terhadap kasus.
Determinants of Utilization of Antenatal Care Services by Pregnant Women at the Berastagi Health Center in Karo District in 2019 Sibagariang, Eva Ellya; Marlinang I. Silalahi
TOUR HEALTH JOURNAL Vol. 2 No. 2 (2023): TOUR HEALTH JOURNAL
Publisher : Akupun Tour Publisher

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Abstract

Purpose: One of the risk factors for maternal mortality and morbidity is the undetected danger signs during pregnancy due to irregular ANC visits. The coverage of health services for visits by pregnant women K1 and K4 at the Berastagi Health Center has not reached the target set by the Karo District Health Office. Based on data for the last 3 months at the Berastagi Garden Health Center in 2019, the coverage of ANC services with the target number of pregnant women was 1158 (100%) (K1 and K4), namely in April K1 87 (7.5%) and K4 81 (7.0%), in in May KI 82 (7.1%), K4 80(6.9%), in June K1 80 (6.9%) K4 79 (6.8%). This coverage has not yet reached the minimum district/city health service standards. This study aims to determine whether "Determinants of Utilization of Antenatal Care Services by Pregnant Women at the Berastagi Health Center in Karo District in 2019". Method: This study used the Cross Sectional method with an analytical survey, with a total sample of 71 people. This study used the chi-square test data analysis method to determine a significant relationship between knowledge, husband/family support and health worker support. Results: The results of this study indicate that there is a relationship between knowledge, husband/family support (p=0.000), and health worker support (p=0.001) towards the utilization of antenatal care services where the p-value is below 0.05. Disscusion and Conclusion: In response to this, it is suggested to health workers, especially midwives, to remain active in providing support and motivation as well as counseling about the benefits of routine prenatal checks for pregnant women so that pregnant women have the willingness to have their pregnancies checked at the puskesmas.
The Relationship Between Mother's Knowledge And Exclusive Breast Feeding To Infants In Medan Labuhan Public Health Center Sinaga, Taruli Rohana; Sri Dearmaita Purba; Asima Sirait; Agnes Purba; Lasria Kartika
TOUR HEALTH JOURNAL Vol. 2 No. 2 (2023): TOUR HEALTH JOURNAL
Publisher : Akupun Tour Publisher

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Purpose : Exclusive breastfeeding is breast milk given to babies from birth for six months without adding or replacing it with other foods or drinks. Methode : Exclusive breastfeeding should be provided for the first six months of life to achieve optimal growth, development and health. The purpose of this study was to determine the relationship between mother's knowledge and exclusive breastfeeding for infants at the Medan Labuhan Public Health Center. The type of research used is Quantitative Analytical with a cross sectional approach. The population in this study were all mothers who had babies aged 7-24 months who were in the working area of the Medan Labuhan Puskesmas. The sample in this study were 84 respondents, with the sampling technique using Accidental Sampling. Data collection used a questionnaire, and data were analyzed using the chi-square test. Results : The results of this study indicate that the majority of mothers' knowledge about exclusive breastfeeding is lacking and the majority of exclusive breastfeeding to infants is not given in the Medan Labuhan Health Center work area. Disscusion and Conclusion: The conclusion is that there is a relationship between mother's knowledge about exclusive breastfeeding and exclusive breastfeeding for babies in the working area of the Labuhan Health Center.
The Relationship Between Smoking Habits And Nutritional Status With Ari Incidence In The Working Area Of Onan Hasang Health Center, 2023 Munthe, Seri Asnawati; Agnes N; Lia Rosa Veronika Sinaga; Jasmen Manurung
TOUR HEALTH JOURNAL Vol. 2 No. 2 (2023): TOUR HEALTH JOURNAL
Publisher : Akupun Tour Publisher

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ISPA can be caused by three factors, namely the individual's childhood factors, behavioral factors, and environmental factors. Individual childhood factors include: child's age, birth weight, nutritional status, vitamin A, and immunization status. Behavioral factors include behavior to prevent and control CI in infants, or the active role of the family/community in fighting CI. Environmental factors include: indoor air pollution (cigarette smoke and high concentrations of cooking fuel smoke), house ventilation and residential density (Prabu, 2009). The habit of parents smoking inside the house makes babies become passive smokers who are constantly exposed to cigarette smoke. Homes with parents who have smoking habits have the opportunity to increase the incidence of ARI by 7.83 times compared to homes where parents do not smoke in the house. Meanwhile, the number of smokers in the family is quite large (Rahmayatul, 2013). Onan Hasang Medical Center that ISPA is a disease that ranks in the top 10 every year, based on this, researchers are interested in conducting research. This type of research is quantitative with a cross-sectional design which aims to determine the relationship between nutritional status and smoking with the incidence of ISPA at the Onan Hasang Health Center in 2023. The population is all mothers who have toddlers who visit the Onan Hasang Health Center. The data will be processed using a computer and presented in a narrative and tabular manner and then analyzed using univariate and bivariate. The statistical test used is the chi-square test. After conducting research, it was found that there was a relationship between smoking and nutritional status with the incidence of ARI at the Onan Hasang Health Center, for this reason it was suggested that families avoid smoking and maintain the nutritional status of their children.
Relationship Between Knowledge And Compliance Of Pregnant Women In Consuming Blood Supplement Tablets Sinaga, Taruli Rohana; Sri Dearmaita Purba; Agnes Purba; Hokkop Perawati Sinaga
TOUR HEALTH JOURNAL Vol. 2 No. 2 (2023): TOUR HEALTH JOURNAL
Publisher : Akupun Tour Publisher

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Purpose : Anemia is the most common and potentially serious public health problem in the world. Groups that are prone to anemia are women of childbearing age and pregnant women. Pregnant women are prone to iron deficiency anemia because the need for oxygen in pregnant women is higher, triggering an increase in erythropoietin production. Because of this, the plasma volume increases and the red blood cells (erythrocytes) increase. Method: The government's efforts to overcome iron deficiency anemia in pregnant women are focused on giving iron tablets to pregnant women. The administration of iron supplement tablets is integrated with the service of visiting pregnant women (antenatal care). The implementation of giving blood-boosting tablets still has many obstacles that are often experienced, one of which is the adherence of pregnant women to taking blood-added tablets as recommended. This research aims to find out the relationship between knowledge and compliance of pregnant women in consuming blood supplement tablets in the working area of the Lontung Health Center. This type of research is analytic with a cross sectional research design. The population in this study was the study population, all pregnant women who had received blood supplement tablets in the working area of the Lontung Health Center, there were 39 people with the total sample in this study being the total population. The data collection method used a questionnaire, and the data was analyzed using the Chi Square test. Results: The results of the study showed that there was a significant relationship between knowledge about blood-supplementing tablets (TTD) and adherence to blood-supplementing tablet consumption in the Lontung Health Center area (p-value = 0.003). Disscusion and Conclusion: In conclusion, knowledge is significantly related to adherence of pregnant women in taking iron tablets in the working area of the Lontung Health Center. when taking blood-boosting tablets and monitoring or monitoring pregnant women when taking blood-boosting tablets.
Analysis Of Pratama Hospital Health Promotion Implementation Strategies North Nias District Bulolo, Septalia
TOUR HEALTH JOURNAL Vol. 2 No. 2 (2023): TOUR HEALTH JOURNAL
Publisher : Akupun Tour Publisher

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Background: Based on (Permenkes RI No. 004, 2012) concerning Technical Guidelines for Hospital Health Promotion, it states that, Hospital Health Promotion (HHP) is a hospital effort to improve the capabilities of patients, clients and community groups, so that patients can be independent in accelerating healing and rehabilitation. A number of programs under the auspices of the HHP program have been implemented, for example advocacy, developing a program for HHP, and carrying out outreach about the HHP program to directors of Government Hospitals. The aim of Hospital Health Promotion is to create a hospital community that is able to implement Clean and Healthy Living Behavior through changing the knowledge, attitudes and behavior of hospital patients as well as maintaining the hospital environment and being able to take advantage of all the services provided by the hospital properly. Purpose: The focus of this research is the strategy for implementing Health Promotion at the Pratama Hospital of North Nias Regency. Method: In this research, researchers used a qualitative descriptive method with a phenomenological study approach aimed at digging deeper into the implementation of the HHP strategy. This research was conducted at the Pratama Hospital of North Nias Regency. The informants in this study were 6 people, namely 4 people from hospital employees, and 2 people from Pratama Hospital patients. In this research, researchers used in-depth interview methods conducted with informants to assist researchers in collecting accurate and effective data. Results: Based on the description of the research results and discussions that have been carried out, the researchers can draw the following conclusions: the implementation of the HHP strategy at Pratama Hospital has not been optimal due to obstacles in understanding with patients in its implementation, less conducive use of the waiting room, one of the places where HHP is implemented and a lack of friendliness. and politeness of staff in serving patients. Disscusion and Conclusion: It is recommended to increase the implementation of advocacy strategies, building atmosphere, community empowerment and HHP partnerships
Factors Associated With The Performance Of Family Planning Field Officers In Providing Kb Services In Samosir District Year 2023 Manik, Desta Minarma
TOUR HEALTH JOURNAL Vol. 2 No. 2 (2023): TOUR HEALTH JOURNAL
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Background: One of the efforts to create a quality family is through the Family Planning (KB) programme. Family Planning Field Officers (PLKB) are district / city government employees in the village / kelurahan in charge of implementing / managing, mobilising, empowering and mobilising and developing partnerships with various parties in the implementation of family planning service programmes. Purpose: The purpose of this study was to determine the factors related to the performance of PLKB. Method: The research method used descriptive analytic with cross sectional approach. Data collection was done by using questionnaire. Subjects were 34 respondents and analysed using Chi Square test. Results: The results of univariate analysis showed that the majority of respondents aged 38 - 48 years were 19 respondents, the majority of high motivation were 24 respondents, the majority of good leadership were 21 respondents and the majority of good performance were 29 respondents. The results of bivariate analysis showed that none of the 3 variables studied had a relationship with PLKB performance, namely age p=0.370, motivation p=0.104 and leadership p=0.278. Disscusion and Conclusion: The Department of Women's Empowerment and Child Protection as well as Population Control and Family Planning (DP3APPKB) Kab. Samosir should continue to improve PLKB knowledge through training, seminars, further education and others.

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