Mitra Husada Health Internasional Conference (MIHHICo)

COUNTINUITY OF CARE FOR NY. E WITH TFU DISCREPANCY AT NIAR PRATAMA CLINIC, KEC. MEDAN AMPLAS YEAR 2024

yusnita, Ribur Sinaga, Nur Azizah, Kamelia Sinaga, Rumondang — Wed, 31 Jul 2024 00:00:00 +0000

Background: Measurement of fundus uteri height can be done at 24 weeks of gestation which aims to
determine the gestational age and growth of the fetus in the womb. Fundus height that is not in accordance
with gestational age is related to the nutritional intake of pregnant women so that it affects the level of infant
health, the incidence of low birth weight babies (LBW), and infant mortality. Methods: The research design
used in this study was descriptive research conducted by means of a case study approach with midwifery
documentation of 7 helen varney steps and developmental notes in the form of SOAP. The population in
this study were all pregnant women at the Pratama Niar Clinic, totalling 329 people. The number of samples
taken was 1 respondent with collection techniques, namely primary data and secondary data. Data analysis
by making conclusions from the research conducted by comparing the results of the care provided with the
existing theory. Results: Based on the results of care carried out from pregnancy, childbirth,
postpartum period, newborn, and family planning, it was found that during pregnancy at 32
weeks, the mother's fundus height was 25 cm and according to Mc Donald, the fundus height at
30-32 weeks of pregnancy reached 29.5-30 cm, it can be concluded that there is a gap between
theory and practice, but during childbirth, postpartum, newborn, and family planning, it was
found that there was no gap between practice and theory. Conclusion From the results of the care
provided by the author during the third trimester of pregnancy to family planning, it was found
that the cause of the discrepancy in fundus height was due to unhealthy lifestyle patterns and
nutritional intake. So it is hoped that by carrying out comprehensive midwifery care starting
from pregnancy, childbirth, postpartum, newborns and family planning can follow students in
providing care to clients to improve the quality of better education so as to create more
professional and competitive health workers.

continuty of care for NY. A WITH GRADE I PERINEAL RUPTURE AT ROSLENA CLINIC, KEC. MEDAN JOHOR IN 2024

triwani saragih, Siska Suci Triana Ginting, Nur Ajizah, Kamelia Sinaga — Tue, 30 Jul 2024 00:00:00 +0000

Perineal Rupture is a perineal tear that occurs when the baby is born either spontaneously or with the use of tools or actions. perineal tears generally occur at the midline and can become extensive if the fetal head is born too quickly. perineal tears occur in almost all primiparas and not infrequently in subsequent labor. The exit of the baby through the birth canal mostly causes tears in the vagina and perineum. although it is possible that the tear was deliberately done to widen the birth canal. the risk caused by perineal tears is heavy bleeding the mother will experience a condition of helplessness, weakness, falling blood pressure, severe anemia and weight loss.

The purpose of suturing perineal tears is to suture the wound well layered, by avoiding open tears towards the vagina because it can be clogged with blood clots which will cause wound healing to be long. the purpose of suturing perineal tears is to reunite body tissues and prevent unnecessary blood loss. suturing is done in a longitudinal fashion using chromic thread or cutgut. by giving the mother local anesthesia while suturing the laceration, and repeating the anesthesia if it is still painful. suturing starts one cm from the apex of the wound. suture inside out, from the top until it reaches the bottom of the laceration. make sure the distance of each suture is the same and the injured muscle has been sutured. tie the thread by making

CONTINUOUS MIDWIFERY CARE FOR MRS. H WITH BREAST MILK DAM At PMB RONI BARUS, PERCUT SEI TUAN DISTRICT, DELI SERDANG REGENCY 2024

Thu, 22 Aug 2024 00:00:00 +0000

Continuity of care (COC) is a midwifery service through a continuous service model to mothers during pregnancy, labor, newborn, postpartum and family planning. Breast milk dam in postpartum women is a narrowing of the ducts or lactiferous glands that are not completely emptied and can be caused by abnormalities in the nipples. The purpose of this study was to provide integrated care starting from pregnancy, labor, postpartum, newborn, and family planning and how to care for the breasts of postpartum women who experience breast milk dams. The type of research used is descriptive, which describes the problems that occur now, the actions taken such as action research which includes providing in order to improve the ability and quality of service so as to solve the problems that occur. Continuity of Care (COC) or continuous care on Mrs. H starting from pregnancy, childbirth, postpartum, newborn and family planning and has been given comprehensive care using Helen Varney's seven-step management. There is an effect of breast care on post partum mothers who experience breast milk dams, care that is done properly and regularly can reduce the occurrence of breast milk dams in post partum mothers and can facilitate milk production, so it is necessary to increase breast care to prevent breast milk dams.

MANAGEMENT of POSTPARTUM MIDWIFERY CARE on Mrs. J WITH ENGORGEMENT of THE BREAST

Wed, 21 Aug 2024 00:00:00 +0000

Breast care during the postpartum period is very important for mothers to increase breast milk production to stimulate the breast milk glands. Breast care performed during the puerperium is very beneficial for mothers in addition to increasing breast production and preventing breast sagging during breastfeeding. Breasts are a mother's precious "asset" for her baby, with which she can provide the best and quality food called breast milk. Postpartum breast care is breast care performed on postpartum mothers to improve blood circulation and prevent blockage of the milk ducts so as to facilitate breastfeeding. The implementation of breast care starts as early as possible, namely 1-2 days after the baby is born and is done twice a day.

CONTINUITY OF CARE ON Mrs.A WITH RUPTURE PERINEUM DEGREE II AT PRATAMA NIAR CLINIC KEC. MEDAN AMPLAS KAB. DELI SERDANG YEAR 2024

putri sania, Lidya Natalia Sinuhaji, Siska Suci Triana Ginting, Ribur Sinaga — Wed, 21 Aug 2024 00:00:00 +0000

Background: Globally, the World Health Organization (WHO) maternal mortality rate in developing countries reaches 830 (99%), which occurs during pregnancy and childbirth. The maternal mortality rate in the world has reached 303/100,000 KH and the Infant Mortality Rate in the world has reached 41/1000 KH (Lusiana, 2023). Continuity of Care (COC) is an effort to help monitor and identify possible complications that accompany mothers and babies from pregnancy to the mother's use of contraceptives. Objective: Providing midwifery care services in a Contuinity of Care (COC) manner starting from pregnancy, childbirth, postpartum, newborn and family planning. Method: The method used for comprehensive care for Mrs. A with descriptive research, which systematically describes a phenomenon based on the type used, namely case studies. Results: Checking the completeness of the placenta and the presence of grade II birth canal lacerations from (vaginal mucosa posterior commissure perineal skin to perineal muscles) and the placenta was born complete with a cord length of 50 cm, number of cotyledons 19, diameter 20 cm. Conclusion: Helps to help understand the process of pregnancy to family planning. In Mrs.A when the third trimester of pregnancy began on December 10, 2023 to March 19, 2024, the author conducted COC guidance with the aim of successful care of the countinity of care.

THE FACTORS RELATED TO LOYALTY OF INPATIENTS AT THE LUKAS HOSPITAL IN NIAS

Rahmat Alyakin Dakhi, Lia Rosa Veronika Sinaga — Tue, 20 Aug 2024 00:00:00 +0000

Introduction: The quality of service assessed by patients is an important basis for determining patient satisfaction and loyalty. This study aims to determine the factors associated with the loyalty of inpatients at the Lukas Hospital in Nias.

Methodology: This is a cross-sectional study conducted among patients receiving inpatient health services at the Lukas Hospital in Nias, Indonesia. Hospital is a second-level health service that provides medical services for patients, both outpatient and inpatient. Results: There are 32.65% of respondents stated that health services at Lukas Hospital in Nias are of good quality and 26.53% of responden stated that service image is in a good category. Aspects of satisfaction, there are 30.61% of patients are satisfied with the health services that have been received. Aspects of loyalty there are 35.71% of loyal respondents. There is a relationship between service quality, service image, patient satisfaction, and loyalty of inpatients at the Lukas Hospital in Nias. Conclusion: This study showed that the service quality, the image of the Hospital, and patient satisfaction are related to the loyalty of inpatients at the Lukas Hospital in Nias.

THE RELATIONSHIP OF MOBILIZATION WITH THE DURATION OF POST-LAPARATOMY WOUND HEALING IN PERBAUNGAN GENERAL HOSPITAL IN 2020

Tani Astuti, Mesrida Simarmata, Lisdayanti Simanjuntak, Elda Wati Sinaga — Tue, 20 Aug 2024 00:00:00 +0000

Introduction Surgery is a treatment action that involves making an incision or making a wound in body tissue, with the intention of removing a certain part of the body as a treatment. Operation. Laparotomy is a surgical procedure that involves opening the abdominal wall and chest wall to reach the contents of the abdominal cavity. The digestive surgical procedures that are often performed using a laparotomy incision technique are: herniotomy, gastrectomy, cholecystotomy, hepaterectomy, appendectomy, colostomy, hermorodectomy, cholecystomy, fistulectomy, or fistulectomy . To determine the relationship between early mobilization and the length of wound healing after laparotomy surgery at the Melati Perbaungan General Hospital. 2020. Design Correlative descriptive type research with cross sectional research design cross sectional where data between the dependent variable (early mobilization) and the dependent variable (length of wound healing) are measured at the same time, but not all research subjects are observed on the same day or time . Research methods The data collection method uses primary data, namely the type of questionnaire on the sample. Secondary data is data that supports this research such as health center profiles and annual reports. Results From the statistical test results , the value of p=0.000 was obtained , which means there is a significant relationship between early mobilization and wound healing in patients after laparotomy surgery. Meanwhile, the OR value = 0.067, meaning that respondents who do not carry out early mobilization are likely to have a 0.067 times greater risk of slow healing compared to those who carry out early mobilization. Conclusion Of the 30 respondents, the majority carried out early mobilization, namely 18 people (60%), who experienced rapid healing of wounds after laparotomy surgery, namely 16 people (53.3%) Suggestions Researchers are expected to seek more knowledge about early mobilization and laparotomy

COLLABORATIVE TRANSFORMATION IN EFFORT TO REDUCE MATERNAL MORTALITY RATE IN PMB MESRIDA SIMARMATA, Am Keb IN MEDAN TENGGARA DISTRICT, MEDAN DENAI DISTRICT, 2023

Mesrida Simarmata, Tani Astuti, Eva Ratna Dewi, Sumita — Tue, 20 Aug 2024 00:00:00 +0000

Introduction: SDGs are a global commitment to solving health problems. The SDGs program has a strategy to achieve targets, one of which is collaborative transformation. Many obstetric cases require cross-sectoral treatment and inter-level referrals because a health problem requires expertise and treatment that is diverse and multi-level in terms of complete facilities. A case of Mrs. N, 32 years old, came to the first level of BPM. Objective : To analyze the collaborative transformation that occurs in the treatment of thyroid gland problems. Method : Qualitative descriptive, namely analyzing a midwifery case of increased thyroid production or enlargement of the thyroid gland . This research was conducted at PMB Mesrida Simarmata, amkeb with a sample size of 1 person, namely Mrs N aged 32 years. Results with a diagnosis of hyperthyroidism were completed using a collaborative pathway between referral levels and referrals from services. As a form of collaboration in terms of funds, namely BPJS. Conclusion : With collaborative transformation , Mrs. Suggestion : It would be better to strengthen a collaborative system in terms of screening or disease prevention as well.

THE RELATIONSHIP OF THE INTENSITY OF GADGET USE WITH THE DEVELOPMENT OF SPEECH AND LANGUAGE ASPECTS IN TODDLER AT PEMATANG RAYA HEALTH CENTER SIMALUNGUN DISTRICT IN 2023

Tue, 30 Jul 2024 00:00:00 +0000

Children are an important asset for a nation that will become future successors (Winarti, 2020). Children born after 2010 called the alpha generation, they live side by side with technology and information is developing rapidly. Compared to previous generations, they claimed as generation most intelligent Because interact direct with the internet so that in everyday life it cannot be separated from gadgets (Purnama, 2018). Many factors can influence speech delay , hearing loss, the influence of gadgets, parenting patterns parents, pervasive disorders, lack of communication and interaction, disorders of organs supporting pronunciation, low/high intelligence factors and processing factors, second language factors, infections during pregnancy, family history. The aim of this research is to analyze connection between connection intensity use gadgets with development aspect talk And Language on toddler at Pematang Raya Community Health Center, Simalungun Regency in 2023. Research This use type study analytic observational. Design study use approach cross sectional . Population in study This is child Which aged 2 – 5 year In Pematang Raya Community Health Center , Simalungun Regency, in 2023 there will be 333 children under five.

Keywords: Speech Delay, Gadged, Usage Relationship

CULTURE AND FERTILITY AND ITS IMPACT ON THE QUALITY OF CHILDREN

Jasmen Manurung, Heru Sentosa, Asfriyati, Nurman Achmad — Thu, 22 Aug 2024 00:00:00 +0000

The Batak Toba community is one of the ethnic groups with the highest Total Fertility Rate (TFR) in Indonesia compared to several ethnic groups in Indonesia. This can also be seen from the high TFR of Samosir Regency (4.5) as the place where the Batak Toba community lives. This raises the question, what causes the high TFR in the Batak Toba community? So it is necessary to research to explore fertility in the Batak Toba community and its impact on children's health. This research was conducted as qualitative research with a topic-oriented ethnographic approach. Research begins in March 2022 until April 2024. Information is explored through in-depth interviews and moderate and sometimes passive participant observation. The research informants consisted of mothers who were over 49 years old and had more than 5 children, mothers of Childbearing Age Couples who were of productive age (15 to 49 years) and had 2 children. The determination of informants was determined using purposive techniques and snowball techniques. Research data analysis was carried out interactively. Gender inequality, understanding of religious teachings, large family size, and understanding the value of success in life are four important things related to fertility in the Batak Toba community. High TFR also has an impact on low nutritional requirements for children, which in turn affects the child's health status. The trend of decreasing or shifting beliefs in cultural values raises hopes that there will be a decline in fertility in the Batak Toba community. Education is an important aspect that can be used as a way to accelerate the decline in the strength of belief in cultural aspects which will then have an impact on decreasing fertility in the Batak Toba community.

THE RELATIONSHIP BETWEEN KNOWLEDGE AND MATERNAL FAILURE TO PROVIDE EXCLUSIVE BREASTFEEDING IN THE WORKING AREA OF THE PUJUD HEALTH CENTER, PUJUD SUB-DISTRICT, ROKAN HILIR DISTRICT, RIAU PROVINCE YEAR 2023

Thu, 22 Aug 2024 00:00:00 +0000

Breastfeeding is one of the most effective ways to ensure child health and survival. However, nearly 2 in 3 infants are not exclusively breastfed for the recommended 6 months - a rate that has not improved in 2 decades. The proportion of breastfeeding start times in infants aged 0-5 months was less than 1 hour by 14.98%, 1-6 hours by 30.48%, 7-23 hours by 9.15%, 24-47 hours by 10.59%, >48 hours by 34.79%. This proportion is different between female and male babies, judging from the proportion number, female babies breastfeed more often than male babies. Failure of exclusive breastfeeding can lead to a high frequency of disease incidence. The frequency of disease incidence in the non-exclusive breastfeeding group was 40%, this figure was greater than the exclusive breastfeeding group, which was 23.3%. World cases, such as in the US, show that 57.6% of mothers breastfeed until 6 months of age but only 25% exclusively breastfeed. Data from the World Health Organization (WHO) shows that the average exclusive breastfeeding rate in the world is only 38%, including Indonesia.

EFFECTIVENESS OF BREATHING EXERCISES IN ELDERLY TUBERCULOSIS PATIENTS IN MEDAN

sulaiman, Nurmaini Achamd, Evi Naria, Kintoko R. Rochadi — Thu, 22 Aug 2024 00:00:00 +0000

Introduction. Tuberculosis (TB) is an infectious disease caused by the bacterium Mycobacterium tuberculosis. It is a significant global public health problem. The purpose of this study was to assess the effectiveness of the collaboration of diaphragmatic breathing exercises and pursed lip breathing and medical drugs with medical therapy without breathing exercises on reducing shortness of breath at the Helvetia Lung Specialized Hospital, Medan. Methods. Research design with Quasi Experiment with pretest-posttest approach with two group control, 30 respondents with nonprobability sampling technique with purposive sampling method. Results: after getting medicamentous drugs, the value of tightness decreased with a significance value of p = 0.001 (p = 0.05). After getting drug administration collaborating diaphragm breathing and pursed lip breathing exercise, the value of tightness decreased with a significance value of p = 0.001 (p = 0.05). Respondents who received drug corabolation and diaphragm breathing and pursed lip breathing exercise proved the difference in the value of reducing tightness was higher than patients who were only given medicamentous drug therapy with a significance value of p = 0.011 (p = 0.05). Conclusion: the administration of drugs in collaboration with diaphragm breathing and pursed lip breathing exercise is more effective in reducing shortness of breath compared to the administration of medical drugs without breathing exercises.

THE RELATIONSHIP OF KNOWLEDGE OF WOMEN OF FERTILIZING AGE (WUS) AND THE USE OF IUD CONTRACEPTION IN THE SIBANGGOR PUSKESMAS KEC. PUNCAK SORIK MARAPI MANDAILING NATAL REGENCY YEAR 2023

Tue, 30 Jul 2024 00:00:00 +0000

Contraception is an attempt to regulate pregnancy and prevent pregnancy. (Prawirohardjo, 2010). Of the many contraceptive methods, one of the rational, effective and efficient contraceptives is the IUD which plays a role in the success of National Family Planning (BKKBN, 2009). The choice of contraception is largely determined by the acceptor's knowledge of the contraceptive. Apart from that, factors that influence the use of contraception include reviewing the physical condition, economic, social situation, level of education and history of the family planning acceptor's parity. Meanwhile, around 12 million PUS have not used contraception due to limited access, as well as lack of knowledge, fear of side effects and social, cultural and religious problems (BKKBN, 2009). This research uses a descriptive correlation research design with a cross sectional approach which is a study of the relationship between two variables in a situation or group of subjects which was carried out to see the relationship between one variable and another, which aims to determine the relationship between knowledge of women of childbearing age (WUS) and the use of IUD contraception at the Puskesmas in Sibanggor District Health Center. Puncak Sorik Marapi Kab. Mandailing Christmas in 2023. The results of statistical analysis using the chi square test stated that there was a relationship between knowledge of women of childbearing age (WUS) and the use of IUD contraception at the Sibanggor District Health Center. Puncak Sorik Merapi Regency. Mandailing Christmas 2023 with a p-value of 0.006 (p-value 0.05). Frequency distribution of knowledge of Women of Childbearing Age (WUS) about IUD from 45 respondents. It was found that the majority of respondents had less knowledge, 21 people (65.6%), and a minority of respondents 11 people (34.4%) had good knowledge.

Keywords: Women of Fertilizing Age (WUS), IUD Contraception

THE RELATIONSHIP OF FAMILY SUPPORT AND EXCLUSIVE BREAST MILK

Tue, 30 Jul 2024 00:00:00 +0000

One of the goals of the third Sustainable Development Goals (SDGs) in the second target is to end preventable deaths of babies and toddlers by 2030. Therefore, UNICEF WHO recommends that babies receive exclusive breast milk for 6 months, and continue breastfeeding for up to 2 years. Based on data obtained from the Directorate General of Public Health, Indonesian Ministry of Health in 2021, in Aceh Province exclusive breastfeeding coverage was 59.2%. This study aims to determine the relationship between family support and exclusive breastfeeding at the Seubadeh Health Center, Bakongan Timur District, South Aceh Regency in 2023. The population in this study were all mothers who had babies (toddlers aged 07-12 months) in May-June 2023. people 53 people. Smapling technique with total sampling so the number of samples is 53 people. Data collection used a questionnaire instrument. Data analysis used the chi square test with a significance level of α = 0.05. The results of the data analysis test using the Chi Square test obtained a p-value of 0.001 < 0.005, so it can be concluded that there is a relationship between family support and exclusive breastfeeding. It is recommended that the baby's family always update their knowledge regarding nutrition for babies, especially at the beginning of the baby's life, namely exclusive breastfeeding, not to be satisfied just based on sharing/experiences of parents and families who are considered successful in raising children in the past.

Key words: Family Support, Exclusive Breast Milk

THE RELATIONSHIP BETWEEN NUTRITIONAL STATUS AND ECONOMIC STATUS AND THE INCIDENCE OF STUNTING IN TODDLERS IN THE WORK AREA UPTD SIMPANG KIRI HEALTH CENTER SIMPANG KIRI DISTRICT SUBULUSSALAM CITY IN 2024

Ricca Nophia, Rizka Sititah Rambe, Fitriani Bancin — Tue, 30 Jul 2024 00:00:00 +0000

Stunting is a condition when a child's height is shorter than the standard age due to long- term malnutrition. Based on the Indonesian Nutrition Status Survey (SSGI) of the Ministry of Health, the prevalence of stunting among children under five in Indonesia reached 21.6% in 2022. Subulussalam City is the area with the highest stunting prevalence in Aceh in 2022, reaching (47.9%). The purpose of this study was to determine the Relationship between Nutritional Status and Economic Status with the Incidence of Stunting in Toddlers in the Working Area of the Simpang Kiri Health Center, Simpang Kiri District, Subulussalam City in 2024.

The type of research used in this study is correlational analysis with a cross sectional approach using primary data and secondary data. The population in this study is all toddlers who are stunted as many as 225 toddlers in the Working Area of the UPTD Simpang Kiri Health Center, Subulussalam City in 2024. The sampling technique in this study uses total sampling. The measuring tool used is a questionnaire.

Based on research conducted using the Chi Square test with a confidence level of 95%, the results were obtained namely nutritional status (0.000<0.05), and economic status (0.000<0.05), which means that there is a significant relationship between nutritional status and economic status with the incidence of stunting in the Working Area of the UPTD Simpang Kiri Health Center, Subulussalam City in 2024.

It is hoped that health workers can further improve the quality of midwifery services, especially counseling about stunting in toddlers with the message ABCDE, A (Actively take tablets to increase blood), B (Pregnant women regularly check pregnancy at least 6 times), C (Consume enough animal protein), D (Come to the Posyandu every month), E (Exclusive breastfeeding for 6 months).

THE RELATIONSHIP OF PREGNANT WOMEN'S KNOWLEDGE ABOUT MCH BOOK MATERIALS AND THE COMPLETENESS OF ANTENATAL CARE (ANC) EXAMINATIONS AT POSKESDES MAKMUR JAYA, SIMPANG KIRI DISTRICT SUBULUSSALAM CITY IN 2024

rizka Sititah Rambe, Ricca Nophia Amra, Fitriani Bancin — Tue, 30 Jul 2024 00:00:00 +0000

Pregnancy is a time of transition, namely a period between life before having a child and life after the child is born. According to (SDKI) in 2020 the proportion of pregnancy checks in Indonesia reached 97.2%. This result is not in accordance with previous achievements which targeted the proportion of pregnancy checks at 98%, while K4 visits reached 76.8%. The aim of this research is to determine the relationship between knowledge of pregnant women about KIA book material and the completeness of Antenatal Care (ANC) examinations at Poskesdes Makmur Jaya, Simpang Kiri District, Subulussalam City in 2024.

This type of research is Correlation Analysis with a cross sectional approach using primary and secondary data. The population in this study were all pregnant women at the Makmur Jaya Health Post. The sampling technique used purposive sampling totaling 32 respondents. The measuring instrument used is a questionnaire.

Based on the results of statistical tests using chi-square, a p-value of 0.039 <0.05 was obtained, it can be concluded that there is a significant relationship between the knowledge of pregnant women regarding KIA book material and the completeness of Antenatal Care (ANC) examinations at the Makmur Jaya Village Health Post, District. Subulussalam City Left Crossing in 2024.

It is hoped that in this research, health workers, cadres and village officials can play an active role in health services, especially antenatal care (ANC) services by increasing outreach activities and approaching the community about health, including the importance of carrying out pregnancy checks.

LITERATUR REVIEW OF RADIOGRAPHIC MANAGEMENT EXAMINATION OF THE URINARY SYSTEM

shelly, Riana Riau Azzahra — Tue, 30 Jul 2024 00:00:00 +0000

The urinary system is an organ system that produces, stores and drains urine. Disorders of the urinary system are one of the disorders that are often found in Indonesia. Radiology is usually used as a support to detect abnormalities in the urinary system. One of the examinations carried out is a radiographic examination using contrast media. There are several types of examination techniques that are often used to diagnose diseases related to the urinary system, namely blast nier overzicht intravenous pyelography (BNO-IVP), bipolar voiding urethrocystography (BVUC), retrograde urethrography, and cystography. The aim of this research is to determine the management of radiographic examinations of the urinary system, as well as to determine the reasons for the differences found between theory and previous research. This type of research is a literature review using descriptive qualitative research methods. This research used 13 research journals which were analyzed according to the research objectives. This research was conducted from March to May 2024. The results of this research show that 13 journals provide complete information regarding the management of radiographic examinations of the urinary system, including patient preparation, preparation of tools and materials, and the examination techniques carried out. Finding differences between theory and research that has been carried out, it can be concluded that the differences in patient preparation, preparation of tools and materials, as well as examination techniques have the aim of assisting doctors in maximally establishing a diagnosis.

Keywords: Urinary system, Radiographic Examination, Contrast Media

FACTORS INFLUENCING THE OCCURRENCE OF PENDING INPATIENT CLAIMS IN HOSPITALS

Windy Suganda, Anastasya Shinta Yuliana, Anastasya Shinta Yuliana — Tue, 30 Jul 2024 00:00:00 +0000

Social Security is a form of social protection that allows everyone to meet their basic life needs. Social security includes all social welfare efforts aimed at improving the quality of human life and overcoming backwardness, dependency, neglect and poverty. One form of social health security in Indonesia is the social security violation agency or commonly known as BPJS. In the implementation of the use of BPJS Health, claims will be made, which will be carried out after the patient has completed treatment, in the process of submitting claims from the Hospital to BPJS Health with several stages of verifying the completeness of files both in terms of membership administration, service administration and health service verification. The aim of this research is to determine the factors that influence pending claims for inpatient care at home. Pending claims that occur are caused by several factors, namely, inappropriate or incomplete filling in of items in the patient's medical record, such as a mismatch between the diagnosis and the medical resume, then the therapy given does not match the existing diagnosis that has been made by the patient. doctor in charge of the patient (DPJP). This research is descriptive qualitative in nature, which was carried out at the hospital from April 2024 to May 2024. Data collection was carried out by interviewing several related informants and from secondary data in the form of recapitulation data of pending inpatient treatment. Based on the results obtained from secondary data in the form of recapitulation data for pending inpatient care and the results of interviews with several informants in the casemix unit, it was found that there were factors causing claims for pending inpatient care at the hospital, one of which was incomplete patient administration files. This is also supported by data from interviews conducted with 5 informants in the casemix unit, 1 inpatient cashier, and 2 nurses, as well as observations made which showed that there were still several patient administration files that were incomplete, where assembling was always coordinate with the relevant service unit and search for and complete incomplete files in the medical record.

Keywords: pending claims, BPJS claims, BPJS inpatient care

THE RELATIONSHIP OF HEALTH OFFICERS' WORK MOTIVATION TO THE COMPLETENESS OF FILLING IN ELECTRONIC MEDICAL RECORDS AT KIJANG HEALTH CENTER

Masriani, Dinda Astya Monique — Tue, 30 Jul 2024 00:00:00 +0000

Incompleteness and inaccuracy in filling out medical records has a negative impact on the health service process for patients, because the time from the registration process until medical action is carried out takes a long time. In addition, analysis of previous medical history and previous medical procedures cannot be carried out properly due to incomplete data in the patient's medical record. According to the Ministry of Health, medical records must be made completely and clearly, both in writing and electronically. Therefore, it is necessary to evaluate the motivation of health workers in carrying out their duties so that medical records can be filled in 100% completely according to the expected quality indicators. The aim of this research is to determine the relationship that influences the work motivation of health workers with the completeness of filling out electronic medical records at the Kijang Community Health Center. The research method used is quantitative descriptive. The results of this research are that there is a significant relationship between the motivation of health workers and the completeness of the contents of electronic medical records based on statistical tests using Chi Square with a p-value of 0.029.

Keywords: Motivation, completeness, electronic medical records

The Relationship Between Gravity and Nutritional Status with Hyperemesis Gravidarum

Tue, 30 Jul 2024 00:00:00 +0000

Nausea and vomiting typically occur only in the first trimester, but 20% of women experience these symptoms throughout their entire pregnancy. Pregnant women with hyperemesis gravidarum can suffer from a deficiency in fat and carbohydrate reserves, which are essential for the body's energy needs. Due to incomplete fat oxidation, ketosis occurs, leading to the formation of acetoacetic acid. Dehydration happens as a result of fluid deficiency and excessive vomiting. The aim of this study is to determine the relationship between gravidity and nutritional status in pregnant women during the first trimester with the incidence of hyperemesis gravidarum at Pratama Niar Clinic, Medan City, in 2019. This research used an analytical survey with a cross-sectional design. The population of this study consisted of pregnant women who visited the ANC at Pratama Niar Clinic in June-July 2019. The sample included 46 respondents, selected using a probability sampling technique. The inclusion criteria were pregnant women with hyperemesis gravidarum and a gestational age of less than 20 weeks. Data analysis used the chi-square test, and the study found a significant relationship between gravidity with a p-value of 0.002 and poor nutritional status with the incidence of hyperemesis gravidarum with a p-value of 0.001. These significant results suggest that there is a relationship between gravidity and nutritional status with the incidence of hyperemesis gravidarum. Adequate and balanced nutrition can influence the occurrence of hyperemesis gravidarum in primiparous pregnant women.

Keywords: hyperemesis gravidarum, nausea, vomiting, gravidity, nutritional status

CONTINUOUS MIDWIFERY CARE FOR PREGNANT WOMEN NY D WITH GRADE I BIRTH CANAL LACERATION AT RONI MIDWIFE INDEPENDENT PRACTICE BARUS SUB-DISTRICT PERCUT SEI TUAN REGENCY DELI SERDANG YEAR 2024

Tue, 30 Jul 2024 00:00:00 +0000

The process of pregnancy, postpartum labor, newborn, and contraceptive services is a natural or physiological process. In this process, there are also several conditions that can endanger or threaten life and can result in death. Therefore, health workers or midwives play an important role in this matter, both in health services to the safety of mothers and their babies. The purpose of this study was to perform continuous midwifery care on Mrs. D with grade I birth canal laceration at the Independent Practice of Midwife Roni Barus Kec. Percut Sei Tuan Kab. Deli Serdang using descriptive research methods. The results of the study starting from pregnancy (ANC) were carried out 4 times starting from the gestational age of 30 weeks to the gestational age of 39 weeks 2 days, in this process no pathological problems were found, in the process of labor from stage I to stage III all went smoothly, until at the stage of labor precisely in stage IV there was a grade I birth canal laceration, where the perineal tear started from the vaginal mucosa to the perineal skin. So that it is emphasized on continuous midwifery care for Mrs. D with grade I birth canal laceration to perform suturing performed with mattress technique, treatment of perineal wounds, It is expected that health workers will provide education about maintaining personal hygiene, especially in the perineal wound area where these actions aim to reduce the discomfort felt by the mother due to perineal wounds, prevent infection, and accelerate the wound healing process. by using the Helen Varney seven-step approach method. It is expected that health workers can conduct health education and also appropriate care in cases of birth canal laceration according to SOPs and patient needs.

FACTORS INFLUENCING POSTPARTUM MOTHERS' KNOWLEDGE ABOUT NEONATAL JAUNDICE IN BABIES AGED 0-7 DAYS AT THE HAMPARAN PERAK DISTRICT HEALTH CENTER IN DELI SERDANG

Tue, 30 Jul 2024 00:00:00 +0000

Pendahuluan: Ikterus neonatorum merupakan suatu keadaan klinis pada bayi yang ditandai dengan adanya bercak kuning (jaundice) pada kulit dan sklera akibat penumpukan bilirubin tak terkonjugasi yang berlebihan (Lissauer, 2022). Di Jakarta dilaporkan sebanyak 32,19% menderita penyakit kuning. Angka kejadian penyakit kuning terdapat pada 60% bayi cukup bulan dan 80% pada bayi kurang bulan. Tujuan penelitian ini adalah untuk mengetahui pengetahuan ibu tentang penyakit kuning neonatus . . Metodologi: Penelitian ini menggunakan penelitian kuantitatif, dengan rancangan penelitian non eksperimen. Sedangkan metode penelitian yang digunakan dalam penelitian ini adalah analitik observasional dengan pendekatan cross sectional. Metode pengambilan sampel menggunakan accidental sampling. Analisis data menggunakan analisis univariat dan bivariat korelasi Spearman’s Rho dengan taraf kepercayaan 95% (alpha = 0,05) untuk menganalisis hubungan antar variabel . . Hasil: Berdasarkan hasil penelitian diperoleh bahwa pengetahuan ibu berdasarkan karakteristik umur ibu, pendidikan dan paritas. Ibu umur 20-35 tahun lebih banyak yang berpengetahuan cukup (62,5%), ibu dengan pendidikan SLTP lebih banyak yang berpengetahuan cukup (64,7%), sedangkan menurut paritas hanya ibu primipara yang berpengetahuan baik (18,2%). Kesimpulan: Tidak ada hubungan antara pengetahuan ibu tentang penyakit kuning neonatus dengan umur ibu dengan nilai p=0,668 (>α 0,05), pendidikan p=0,788 (>α 0,05) dan paritas dengan nilai p=0,088 (>α 0,05).

THE RELATIONSHIP OF MOTHER'S KNOWLEDGE ABOUT THE MOVEMENTS OF THE FIRST 1000 DAYS OF LIFE (HPK) AND THE INCIDENT OF STUNTING IN TODDLER IN THE WORKING AREA OF THE SINGKOHOR PUSKESMAS UPTD, 2024

Fitriani Bancin, Ricca Nophia Amra, Rizka Sititah Rambe — Tue, 30 Jul 2024 00:00:00 +0000

Stunting or often called stunting is a condition of impaired growth (body and brain growth) in children under 5 years old (toddlers) due to chronic malnutrition and recurrent infections, especially during the First 1000 Days of Life (HPK). The aim of this research is to find out Relationship between mother's knowledge regarding the first 1000 days of life (HPK) movement in the UPTD work area of Singkohor Community Health Center in 2024. The design of this research is analytical with a cross-sectional approach using primary and secondary data. The sampling technique in this research used simple random sampling, totaling 95 respondents. The measuring instrument used is a questionnaire. Data collection using observation sheets then analysis using a computerized system. The results of statistical tests using the chi-square test with a confidence level of 95% df 1, obtained a p-value of 0.000<0.05, meaning Ho was rejected, so it was concluded that there was a relationship between maternal knowledge about the First 1000 Days of Life (HPK) movement and the incidence of stunting in toddlers in the UPTD Working Area of Singkohor Community Health Center, Singkohor District, Aceh Singkil City in 2024. It is hoped that from the results of this research mothers can increase information, counseling and knowledge about preventing stunting in toddlers by means of nutritional interventions aimed at the first 1000 days of life (HPK).

THE EFFECT OF HUSBAND'S ACCOMPANYING ON REDUCING ANXIETY IN THE DELIVERY PROCESS OF PRIMIGRAVIDA MOTHERS TIME I AT PEUREULAK HEALTH CENTER EAST ACEH IN 2023

Ester Simanullang, Endriani, Rumondang — Tue, 30 Jul 2024 00:00:00 +0000

Childbirth is an important event that is eagerly awaited by every married couple. So all moral and material support is provided by the husband, family and even all members of society, for the welfare of the mother and fetus. The presence of a companion during childbirth can have a positive effect on childbirth, namely reducing morbidity, reducing pain, shortening labor, and reducing the number of deliveries by surgery, including caesarean section. Based on an initial survey conducted by researchers at the Peureulak Health Center, East Aceh, data on the number of primigravida mothers giving birth from January to April 2023 was 30 people. Among the 30 primigravida patients, interviews were conducted with 18 patients, of which 11 primigravida mothers were not accompanied by their husbands when they were about to give birth. The type of research used in this research is observational analytical research with a cross sectional approach. The location of this research was the Peureulak Health Center, East Aceh. The reason for choosing the Peureulak Health Center in East Aceh as the research site was because the number of primiparous women giving birth at the clinic was quite large. This research starts from the preparation of the thesis to the research plan from April to June 2023. The data used in this research are primary data and secondary data. This data was collected by distributing questionnaires. The majority of husbands' assistance during the birth process of primigravida mothers in the first stage was good. The anxiety level of mothers in the first stage of labor is mostly mild anxiety. There is an influence of husband's assistance on reducing anxiety during the first stage of labor for primigravida mothers at the Peureulak Health Center, East Aceh in 2023 with a p value <0.05. Through this research, it is hoped that health services can facilitate assistance to husbands and families during the first stage of labor and pay more attention to the anxiety of mothers in the first stage of labor.

THE INFLUENCE OF HUSBAND'S ACCOMPANYING ON THE INTENSITY OF ANXIETY IN THE DELIVERY PROCESS OF PRIMIGRAVIDA MOTHERS 1ST TIME AT PMB RINI DELI SERDANG IN 2023

Ester Simanullang, Ratna Sari Sembiring, Lisa Putri Utami Damanik — Tue, 30 Jul 2024 00:00:00 +0000

Apart from being impatient to see your baby being born into the world, fear and anxiety about the birthing process are raging in your mind. Based on 2020 World Health Organization data, there were 216 maternal deaths per 100,000 live births due to complications of pregnancy and childbirth. Meanwhile, the maternal mortality rate in developing countries reaches 239 per 100,000 live births, 20 times higher than in developed countries. The anxiety experienced by mothers in labor will increase over time as contractions in the abdomen become more frequent so that this situation will create stress for the mother during labor. The psychological stress experienced by mothers when giving birth causes increased pain and anxiety. The type of research used in this research is observational analytical research with a cross sectional approach. The location of this research was the PMB Rini Deli Serdang. This research starts from the preparation of the thesis to the research plan from April to June 2023. The sample used in this research was all 38 primigravida mothers who gave birth at PMB Rini Deli Serdang. The data used in this research are primary data and secondary data. Data analysis is univariate and bivariate analysis data which is then processed using the SPSS 22.0 for Windows program. Through research classification data, it is known that the majority of respondents are >24 years old, namely 15 respondents (39.47%), the education level of junior high school respondents is 18 respondents (47.37%), the majority are not working, 30 respondents (78.95%). The results of the research showed that the majority (50.63%) of first-stage mothers experienced mild anxiety, and it was known that the majority (81.58%) of first-stage mothers received good support from their husbands. Through this research, it is hoped that health services can facilitate assistance to husbands and families during the first stage of labor and pay more attention to the anxiety of mothers in the first stage of labor

HIV CASES AND POPULATION DENSITY (WITH SPATIAL ANALYSIS APPROACH)

Tue, 30 Jul 2024 00:00:00 +0000

The HIV epidemic has become a major health problem worldwide. Human Immunodeficiency Virus is an infectious disease whose number of sufferers continues to increase. Its spread extends from major cities to remote villages. The purpose of the study is to determine the relationship between the incidence of HIV cases and population density in North Sumatra province per city district with a spatial analysis approach. The study design used is an ecological study using aggregate analysis units. The data used is new HIV cases per district/city sourced from the BPS website of North Sumatra province in 2022. Population density data is taken from the BPS website of North Sumatra province in 2022, dividing the number of people per city district by the area of the area. The distribution of high-category HIV cases in North Sumatra is in 4 district/city, namely Simalungun, Asahan, Deli Serdang and Medan City, while the distribution of medium category HIV cases in district/city in 2022 is in 24 district/city and the HIV distribution category where there are no cases is 5 districts/cities. The distribution of population density in the dense category in North Sumatra province is found in 4 district/city while the distribution of population density in the rare category in North Sumatra province in 2022 is found in 25 district/city and 4 district/city with low population density. There is no relationship between population density and HIV cases in North Sumatra Province.

CONTINUOUS MIDWIFERY CARE (CONTIUNITY OF CARE) ON Mrs.M WITH DEGREE I BIRTH CIRCUMSTANCES LASERATION AT PRACTICE BIDAN MANDIRI PERA CITY OF MEDAN 2024

Wed, 31 Jul 2024 00:00:00 +0000

Continuity Of Care (COC) is midwifery care provided from the beginning of the third trimester of pregnant women and continued with care during labor, postpartum, newborn, and family planning. The purpose of antenatal care (ANC) is to prepare as well as possible physically and mentally during pregnancy, labor and the postpartum period so as to obtain a healthy mother and child. The type of method used for continuous care on Mrs. M is Descriptive Research, which describes systematically a phenomenon as it is, the type used is Case Study.. The results of the assessment and delivery assistance according to 58 APN steps, the baby was born spontaneously pervagina on December 23, 2023 at 23.25 wib labor went normally and without complications but there was a 1st degree birth canal laceration starting from (posterior commissure of the vaginal mucosa to the skin of the perineum) but has been done penghectingan using the mattress technique (dotted). The conclusion drawn by the author is that from a case study entitled Continuous Midwifery Care for Mrs.M aged 25 years at the Pera Independent Practice Midwife Kec. Medan Tuntungan Medan City Year 2024 there is a difference between the two.

THE EFFECT OF PREGNANCY GYMNASTICS ON THE REDUCTION OF LOW BACK PAIN IN PREGNANT WOMEN TM III INDEPENDENT PRACTICE OF MIDWIFE NOVIA BR KARO KEC. SUNGGAL REGENCY, DELI SERDANG 2024

Wed, 28 Aug 2024 00:00:00 +0000

The incidence of spinal pain in pregnant women has been proven to be more than 50% in developed countries such as the United States, Canada, Iceland, Turkey, and Korea. Non-Scandinavian countries such as North America, Africa, the Middle East, Norway, Hong Kong, and Nigeria are also affected. Bone discomfort affects anywhere between 21% and 89.9% of people. According to research findings on pregnant women in various regions of Indonesia, back pain affects 60-80 percent of them. In East Java, around 65 percent of pregnant women experience low back pain This study uses an experimental research design. Experimental research is a type of research that involves changing independent variables to find causal relationships. A single-group pretest-posttest design was adopted in this investigation. This type of research is characterized by the discovery of a causal relationship involving a group of peopleThe results of Evi Sulistyana's research in Turi Lamongan district in 2011 on the effect of pregnancy gymnastics on low back pain in pregnant women III. The findings revealed that some pregnant women in the third trimester experienced 45.8% moderate pain and 54.2% mild pain before pregnancy exercises, but 41.7 percent mild pain and 58.3 percent no pain were reduced after pregnancy activity. The Wilcoxon signed rank test with a 0.05 produced a p 0.000 which showed that the effect of pregnancy exercises on the reduction or intensity of back pain was significantBased on the results of the research conducted and the data obtained at the Independent Practice of Midwives Novia Br KaroKec. Sunggal Regency Deli Serdang in 2023 can be concluded as follows: Before doing pregnancy exercises against pain in pregnant women at the Independent Practice of Midwife Novia Br KaroKec. In 2023, the majority of respondents experienced moderate pain, after doing pregnancy exercises for pain in pregnant women at the Independent Practice of Midwife Novia Br KaroKec. Sunggal Regency Deli Serdang In 2023, the majority of respondents experienced mild pain

FACTORS AFFECTING MENTAL HEALTH TEENEGER

Ilda Nahar, Mira Agusthia, Rachmawaty M.Noer, Bayu Hangara — Tue, 30 Jul 2024 00:00:00 +0000

ABSTRACT

Mental health issues in adolescents should also be a major concern for the government. Mental health issues that can occur in adolescent life phases include Napza/Gadget abuse, peer pressure, school demands, disorientation and sexuality, media influence, risky sexual relationships and violent behavior.The risk of having a mental health disorder will be higher for children who often experience conflicting families, violence experienced by family members, and negative experiences. Bad environmental factors such as the influence of the Internet, negative experiences at home or in the school environment experienced by children can have a negative impact on their cognitive and emotional development. This research aims to identify the factors that affect mental health in teenagers in the UPT Puskesmas Sambau Working Area. This research design is quantitative descriptive with crossectional. The sample in this study is 10 to 18 years old teenagers who are in the UPT Puskesmas work area that have been detected have mental health problems of a total of 80 people using purposive sampling techniques. Analysis of this research data using chi-square. The results revealed that there was a relationship between family factors and mental health in adolescents in UPT Puskesmas Sambau with a p-value of 0,013. There was a relation between environmental factors and psychological health in teenagers in the UPT Sambau working area with a value of 0,036. Advice to health care can be helpful for routine screening of the child's development. In addition, children who are suspected of mental health disorders are expected to be referred to for examination and therapy.

Keywords: Factors, Mental Health, Adolescents

COLLABORATIVE STRATEGY TO IMPROVE MATERNAL AND CHILD HEALTH: APPROACHES TO THE CHALLENGES AND SDGS 2030

Tue, 30 Jul 2024 00:00:00 +0000

Collaborative strategies are an important approach in improving maternal and child health, especially in the context of achieving Sustainable Development Goals (SDGs) 2030. This article explores the various challenges faced in implementing this collaborative strategy, as well as an analysis of its impact on maternal and child health. Effective collaborative methods and resulting discussions on implementing these strategies are also discussed in this article, with the aim of providing practical guidance for health practitioners and policy makers

THE RELATIONSHIP BETWEEN KNOWLEDGE AND ATTITUDE OF MENSTRUAL HEALTH MANAGEMENT AMONG ADOLESCENT GIRLS IN RURAL AREA

Yulianti Wulandari, Rachmawaty M. Noer, Alifia Nur Anniza, Fitri Juliana — Tue, 30 Jul 2024 00:00:00 +0000

ABSTRACT

Menstrual health management is a way to maintain cleanliness and health when women are menstruating, poor knowledge and attitudes can lead to poor Menstrual Health Management which can cause diseases of the female reproductive organs. Objective: This study is to determine the relationship between knowledge and attitudes of adolescent girls with menstrual health management at the adolescent health post in the working area of Baran Timur village. Methods: This study is a quantitative study with a cross-sectional approach. the population in this study were adolescent girls who had menstruated with a total of 87 respondents who were taken through total sampling. Data collection using questionnaires and data analysis using chi- square test. Results: Bivariate analysis showed a p value of 0.016 for the relationship between knowledge and menstrual health management and a p value of 0.029 for the relationship between attitude and menstrual health management where the value is less than 0.05 so that Ha is accepted which means there is a relationship between knowledge and attitude of adolescent girls with menstrual health management. Conclusion: It is expected to further improve the knowledge of menstrual health management so that attitudes become better.

Keywords: Menstrual health management, knowledge, attitude, adolescent girls

ANALYSIS OF IRON TABLET CONSUMPTION ON CHRONIC ENERGY DEFICIENCY AND ANEMIA IN PREGNANT WOMEN IN THE WORKING AREA OF LABUHAN DELI PUBLIC HEALTH CENTER

Agnes Purba, Linca Vinci Hulu — Tue, 30 Jul 2024 00:00:00 +0000

Nutrition is a determining factor for the growth and development of pregnancy. Therefore during pregnancy, it is very important for the mother to fulfill nutritional intake. The main factor that causes Chronic Energy Deficiency (CED) in pregnant women is a lack of calories and protein for a long time (chronic), while the main cause of anemia is low intake of iron contained in food. The research design used is observational analytics with a cross sectional approach where the research location is in the working area of Labuhan Deli Public Health Center. The population in this study was 110 pregnant women recorded in the working area of Labuhan Deli Public Health Center, while the sample was 72 pregnant women whose gestational age was in the 2nd trimester, where the sampling technique was purposive sampling. After the data was collected, data analysis was carried out using the chi-square test. The results of data analysis of pregnant women in the working area of Labuhan Deli Public Health Center showed a significant relationship between regular consumption of iron tablets and the incidence of CED (p value = 0.003) and anemia (p value = 0.002). Pregnant women must regularly consume a balanced diet and iron tablets given by health workers since the second trimester.

THE RELATIONSHIP BETWEEN ENVIRONMENTAL HEALT FACTORS AND THE INCIDIENCE OF DIARRHEA IN TODDLERS IN WORKING AREA OF THE UPTD PUSKESMAS GUNUNGSITOLI IDANOI

Debora Mendrofa, Rahmat Alyakin Dachi, Asima Sirait — Tue, 30 Jul 2024 00:00:00 +0000

The environmental conditions in the homes of toddlers suffering from diarrhea show that most of the clean water facilities do not meet health requirements, for example they are not protected from sources of pollution. Likewise, most of the latrine facilities do not have waterproof floors, are slippery, and flow directly into the river. Waste management is still far from health requirements and most rubbish bins do not have covers, there is no separation of organic and inorganic waste. Household waste water drainage channels are still close to the house, which creates a breeding ground for vectors that can carry disease. The aim of this research is to analyze the relationship between clean water facilities, latrine facilities, waste management, waste water drainage management and the incidence of diarrhea in the work area of the UPTD Puskesmas Gunungsitoli Idanoi District. The type of research is quantitative and cross sectional research, researchers analyzed data from 4,485 families, obtained through questionnaire and observation methods, data were analyzed using the chi- square test with a confidence level of 95%. Results through statistical tests showed that all variables were related to the incidence of diarrhea in toddlers in the UPTD work area of the Gunungsitoli Idanoi District Health Center.All variables studied are related to the incidence of diarrhea, so various efforts need to be madethe role of the community and health workers in improving the quality of a healthy environmentwhich is related to the incidence of diarrhea in the UPTD work area of the Gunungsitoli Idanoi District Health Center.

THE EFFECTIVENESS OF RED BETEL LEAVES ON HEALING PERINEAL WOUNDS AT THE KENANGAN HEALTH CENTER DELISERDANG REGENCY YEAR 2022

Tue, 30 Jul 2024 00:00:00 +0000

The use of betel leaves can accelerate the healing of perimium wounds, there is a significant difference in the healing time of perimetry wounds between the experimental and control groups. Based on these results, it can be said that the use of betel leaves is effective in accelerating the healing of periamium wounds. The effectiveness of red betel leaf in the treatment of perineal wounds can be concluded that the average healing time of perineal wounds using red betel leaf infusion is 3-4 days, while the average healing time using iodine is 5-6 days. This means that the treatment of perineal wounds in postpartum mothers is more effective using red betel infusion than iodine. This type of research is a Quasi experiment (pseudo-experiment) research using a quantitative approach that aims to explain, test the relationship between variables and to find the effectiveness of red betel leaf on the healing of perineal wounds. The research design that the author will use in this study is a Pretest-posttest design using two research groups (One Group Pretest-posttest Design). The development is by means of one measurement in front (pretest) before the treatment and after that another measurement is carried out (post-test). The initial measurement provides a pre-test using the observation method to see directly how wide the birth canal wound is. It is known that of the 19 respondents, the majority of respondents are in the age group of 19 years - 30 years, namely as many as 17 respondents (89.5%) and 2 respondents (10.5%) in the age group of 31 years - 45 years.

CONTINUOUS MIDWIFERY CARE CONTINUITY OF CARE NY.N WITH BREAST MILK DAM AT PRATAMA TUTUN SEHATI CLINIC TANJUNG MORAWA DISTRICT DELI SERDANG REGENCY IN 2024

Tue, 30 Jul 2024 00:00:00 +0000

A Preliminary Survey was conducted at the Tutun Sehati Primary Clinic which is located in Tanjung Morawa District, Deli Serdang Regency and has conducted communication interpersonal with the Clinic Leader to conduct research on Tutun Clinic patients. From the results of the survey that has been carried out, data obtained from pregnant women who make 620 visits, 315 deliveries, 300 postpartum women with postpartum visits (KF 1) and there were 6 postpartum women who experienced breast milk dams, for the number of LBW there were 315 babies, and patients who made family planning visits were 150 people. And when the author conducted a survey from December 5, 2023 to February 11, 2024, the data obtained were 30 pregnant women, 10 deliveries, 9 postpartum mothers, 9 LBW babies and 2 family planning visits. Of the 30 pregnant women there was 1 pregnant woman who was willing to be carried out and given continuous care during the study, namely on behalf of NY.N age 26 years.

EXCELLENT GERONTIC NURSING CARE FOR NY.L WITH OSTEOPOROSIS AT UPTD SOCIAL SERVICES FOR ELDERLY AGE BINJAI YEAR 2023

Tue, 30 Jul 2024 00:00:00 +0000

Osteoporosis is a condition in which bones become brittle and susceptible to fracture due to significant loss of bone mass and changes in bone structure. The term "osteoporosis" itself comes from Greek, where "osteo" means bone and "porous" means holes or porous. The prevalence of osteoporosis has increased significantly worldwide, with projected incidence rates increasing in the future. WHO predictions show that the number of osteoporosis sufferers is expected to reach 6.3 million people by 2035, highlighting the urgency of treating and preventing this condition. The prevalence figure reaching 19.7% of the entire population or around 3.6 million people shows the large impact of osteoporosis in Indonesia. Data shows that the prevalence of osteoporosis is higher in women compared to men in Indonesia, especially in the elderly group. This is consistent with the general pattern of osteoporosis where women are more susceptible to this condition, especially after menopause due to decreased levels of the hormone estrogen. (Suarni, 2019). From the data we collected at UPTD. Binjai Elderly Social Services, we obtained data on 189 elderly people, and data on 10 people suffering from osteoporosis at the Anyelir homestead.

RISK FACTORS OF LOW BIRTH WEIGHT, A COHORT RETROSPECTIVE STUDY HOSPITAL BASED AT REFERRAL HOSPITAL BAUCAU TIMOR-LESTE

Livio Da Conceicao Matos, Hari Kusnanto, Detty Siti Nurdiaty — Tue, 30 Jul 2024 00:00:00 +0000

Low birth weight (LBW) is currently identified as a serious public health problem entire the world. There was because of the LBW babies are commonly facing a further harmful impact in the future. LBW children are higher risk to die within the first five years than the normal birth weight. When LBW children survive within the first five years, they will face a various constraints during their life compared to normal birth weight (WHO SEARO 2009). The main objective of the research was to identify the risk factors of LBW in Timor-Leste. This research was conducted in the Baucau Referral Hospital which is located in the eastern part of Timor-Leste. The hospital was assigned for referral patients from 16 Community Health Centers (CHCs) from three district health service area. The type of the research was cohort retrospective study where 109 LBW babies and 158 normal birth weight (NBW) babies were assigned as subjects of the research during January – June 2010. The mothers from both LBW and NBW were interviewed to trace their record on related risk factors of LBW. To identify association between risk factors and LBW we used odds ratio approach with 95% confidence interval. There were some factors identified through X² test which have an association with LBW. The factors mentioned were height of mother which lower than 145 cm (p-value: 0.008, OR: 2.05), mother worked during pregnancy (p-value: 0.034, OR: 5.35), mother which suffered from fever during pregnancy, (p-value: 0.000, OR: 25.7), inadequate ANC visited to the health facility (p-value: 0.000, OR: 4.02), smoking habits of mothers (p-value: 0.034, OR: 5.35), husband smoker (p-value: 0.000, OR: 56.3), upper arm boundary less than 23.5 cm (p-value: 0.000, OR: 8.54), mother living in the rural area (p-value: 0.000, OR: 7.39), interval pregnancy less than two years (p-value: 0.007, OR: 3.06). Among the risk factors mentioned, only six factors identified as predominant factors of LBW. They were husband smoker, mother which suffered from fever during pregnancy, mother living in the rural area, mother working during pregnancy, upper arm boundary less than 23.5 cm, and interval pregnancy less than two years. Enhancement of accessibility of health services particularly for pregnant women and growing of food and agriculture local production are identified as the main factors which are needed to be considered together with localized free smoking area for those who need, to decrease the LBW babies in Timor-Leste.

A Literature Review On Adolescent Mental Health Management

Netty Purba netty, Erika Fariningsih, Devi Khiran Novelina — Tue, 30 Jul 2024 00:00:00 +0000

Adolescent health and well-being during adolescence and adulthood depend on preventing adversity, fostering socioemotional learning and psychological well-being, and guaranteeing access to mental health care. The formative years of adolescence are critical for the development of social and emotional skills necessary for mental health. Adoles Mental health is impacted by several variables. The possible impact on adolescents' mental health increases with the number of risk factors they are exposed to. Adversity, peer pressure, and identity exploration are some of the factors that can lead to stress during adolescence. The aim of this research is to review literature, articles and research documents that identify adolescent mental health management. The method used in this research is a literature review method where researchers critically examine the ideas contained in the literature for a particular topic. In this study, researchers examined adolescent mental health management. The data used in this research comes from reputable online journal articles published on the internet. The journal search used a database with medium and high quality criteria by entering the keywords Mental Health Management, Adolescent Mental Health Disorders, Trends in Adolescent Mental Health Cases. The articles used were 10 articles published in the last ten years (2015-2024). The results of a review of 10 research sample journals used show that several adolescent mental health management interventions, namely Psychosocial intervention, Mental Health Literacy, Expressive-creative intervention, Psychosocial skills-based interventions, with this intervention can improve adolescent mental health, and can also be preventive against adolescent mental health problems. The choice of methods and media can be adjusted to the targets and goals. Each intervention has its own advantages and disadvantages, and the level of effectiveness varies.

THE RELATIONSHIP OF KNOWLEDGE ABOUT HIV/AIDS WITH PROMISCUOUS SEX BEHAVIOR IN ADOLESCENTS AL-ULUM MEDAN PRIVATE HIGH SCHOOL

wilda yunita — Tue, 30 Jul 2024 00:00:00 +0000

The progress of the times and the influence of globalization have caused real changes in the joints of human life, especially in the field of health. The absence of borders between one country and another makes it easy to reduce diseases and increase infectious diseases. One of the infectious diseases that has worried a lot about the world community in general and Indonesian society, especially because of its rapid spread, is HIV/AIDS.

The results showed that the majority of HIV/AIDS knowledge was sufficient, namely 36 people (55.4%), good knowledge as many as 2 people (3.1), bad sex behavior as many as 50 people (76.9%), and bad sex behavior as many as 15 people (23.1%). There was a significant relationship of p Value < α (0.018<0.05) between HIV/AIDS knowledge and free sex behavior in al-ulum private high school in Medan.

It is hoped that adolescents understand free sex behavior well to avoid HIV/AIDS. And looking for scientific information that can be useful in learning materials and as a resource for adolescent knowledge about HIV/AIDS with promiscuous sexual behavior in adolescents. For researchers, it is hoped that this research will be used as a reference for future research with the same topic. And there is a need for more research on promiscuous sex behavior in adolescents.

ADOLESCENT KNOWLEDGE ABOUT HIV/AIDS AT SMA KARTIKA I-2 MEDAN

Nurhaida Br.Kaban — Tue, 30 Jul 2024 00:00:00 +0000

HIV/AIDS (Human Immunodeficiency Virus/Acquired Immune Deficiency Syndrome) is a health problem in the world since 1981, this disease has developed in a pandemic. Medicines and vaccines to overcome this problem have not been found, which can result in losses not only in the health sector but also in the social, economic, political, cultural and demographic fields (MOH RI 20I9).The design used in this research is descriptive in a quantitative manner, this research was conducted at SMA Kartika I-2 Medan starting from April - June 2024. The sampling technique used in this research was Simple Random Sampling with a sample of 77 people. The instrument used is a questionnaire, the analysis used is univariate. The results of this research show that knowledge about HIV/AIDS among teenagers at SMA Raksana Medan is known to respondents aged 14-16 years, namely 74.0%, respondents from the Batak tribe, namely 35.1%, respondents from the Muslim and Christian religions, namely 27 each. .3%, all respondents obtained information about HIV/AIDS from the mass media, 76.6% of respondents had a high school education, 50.6% of respondents' parents worked as entrepreneurs. And the majority of respondents had sufficient knowledge, namely 66 respondents (85.7%) and a small number of respondents had insufficient knowledge, namely 3 respondents (3.9%). This means that teenagers at Raksana High School only have sufficient knowledge about HIV/AIDS. It is hoped that the school will be more active in increasing efforts to prevent HIV AIDS in schools by increasing direct education to students at SMA Kartika I-2 Medan.

OVERVIEW OF ADOLESCENT KNOWLEDGE ABOUT THE IMPACT OF ABORTION AT AL ULUM HIGH SCHOOL MEDAN

Anita Yasmin Yasmin — Tue, 30 Jul 2024 00:00:00 +0000

Unwanted pregnancies in teenagers can trigger abortion. Psychologically, when teenagers experience pregnancies outside of marriage, they tend to take solutions such as aborting the pregnancy or having an abortion (Kusmiran E, 2021). To find out an overview of knowledge about the impact of abortion at SMA AL ULUM Medan. The design used is a descriptive design which aims to describe teenagers' knowledge about the impact of abortion at SMA AL ULUM Medan. The population in this research is 52 female students in class X and XI of SMA AL ULUM Medan. This sampling technique is total sampling, namely by taking the entire population as a sample (Hidayat 2020). The data that has been collected is grouped and coded according to the conditions set by the researcher, then transferred to a tabulation card. Data calculations for analysis purposes use statistical tests using computer software. Of the 52 respondents, 28 respondents (53.8%) obtained quite a lot of training, 24 respondents (46.2%) lacked student training. From the results of research conducted at SMA AL ULUM Medan, it can be concluded that: the knowledge of female students at SMA AL ULUM Medan is still lacking regarding the impact of abortion due to the information received by female students regarding the impact of abortion

THE INFLUENCE OF HEALTH EDUCATION ABOUT NUTRITION IN THE ELDERLY ON BODY WEIGHT IN THE MEDAN AREA PUSKESMAS

Heni Triana Triana, Khoirun Nisa Nst — Tue, 30 Jul 2024 00:00:00 +0000

Monitoring nutritional status is related to regular body weight weighing at least once a week, be aware of weight gain or weight loss of more than 0.5 kg/week. An increase in weight of more than 0.5 kg in 1 week is a risk of being overweight and a weight loss of more than 0.5 kg / week indicates being underweight

The general aim of the research is to analyze the effect of health education on nutrition for the elderly on body weight at the Medan Area Health Center.

This type of research is quantitative using a quasi-experimental design, a group design without a control group using the method (one group pre test and post test design). The total sampling technique was 65 people.

The research results showed that the description of knowledge before Health Education Using Posters about nutrition at the Medan Area Health Center was found to be less than 44 people (67.79%) and after Health Education Using Posters about nutrition at the Medan Area Health Center it was found to have increased to the good category of 54 people (83.1%). The Influence of Education Health Using Using Posters about nutrition at the Medan Area Community Health Center was found to have an influence with a p value of 0.000 and t-test 20.121 and the Effect of Health Education Using Using Posters about nutrition on body weight at the Medan Area Community Health Center was found to have an influence with a p value of 0.000 and t-test 10.732

For the elderly, they can apply the information they have obtained to consume food according to nutritional standards. For the Community Health Center, carry out regular outreach programs at the Community Health Center in the education program about nutrition for the elderly at the Community Health Center.

DETERMINE EFFECT OF HYPNOBIRTHING ON THE LEVEL OF ANXIETY IN THIRD TRIMESTER PREGNANT WOMEN IN FACING CHILDBIRTH AT PUBLIC HEALTH BLANGKEJEREN TOWN

Angelina, Lasmarina Sinura, Masri Saragih, Marthalena Simamora — Tue, 30 Jul 2024 00:00:00 +0000

During pregnancy, pregnant women usually experience many disorders such as emotional disorders namely anxiety. If Pregnant women who experience anxiety has not treated seriously, they will get an impact and influence on the physical and psychic, both on the mother and fetus, because it will affect the hypothalamus to stimulate the endocrine glands that regulate the pituitary gland. This study aims to determine the effect of Hypnobirthing on the level of anxiety in third trimester pregnant women in facing childbirth at public health Blangkejeren town. This research method used a quantitative approach with the Quasy Experiment model one group pre-test post-test design. The population of this study were 45 respondents. The number of samples of this study were 16 respondents taken by Random Sampling. The data collection tool used was a questionnaire. Data processing with statistical Paired Sampel Test. The results of the study showed that the anxiety level of pregnant women decreased by (P value 0.000) < (0.05) which means Ha was accepted and Ho was rejected or there were significant changes before and after being given the Hypnobirthing technique. It is hoped that the implementation of Hypnobirthing to the pregnant women could help to reduce the level of anxiety in facing of childbirth, so that it can help the childbirth process run smoothly. Hypnobirthing made childbirth time became faster than those who didn’t get Hypnobirthing

THE INFLUENCE OF EDUCATION ON THE RULES OF THE HIGH CARE UNIT ON FAMILY COMPLIANCE IN PATIENT CARE IN THE CISADANE ROOM AT DR. SAIFUL ANWAR MALANG REGIONAL HOSPITAL

luluk aini, Putu Sintya Arlinda Arsya, Saturi — Tue, 30 Jul 2024 00:00:00 +0000

Unhealthy behavior of visitors, namely non-compliance with rules and regulations, disturbs hospital management and endangers patients, especially due to the emergence of nosocomial infections which can be transmitted through hands. The aim of this research is to determine the effect of education on HCU room rules and regulations on patient family compliance in undergoing treatment in the Cisadane Room at RSUD dr. Saiful Anwar Malang. Two Group Pretest Posttest research design, the population is all families of patients undergoing treatment in the Cisadane Room at RSUD dr. Saiful Anwar Malang 200 people. With a sample of 132, a number were selected using purposive sampling. The independent variable in this research is: education on High Care Unit room rules. The dependent variable in this study is the compliance of the patient's family in undergoing treatment in the Cisadane Room, RSUD dr. Saiful Anwar Malang. Research time 19 May 2023-26 May 2023 in the Cisadane HCU Room, RSUD dr. Saiful Anwar Malang. Data analysis used the Spearman Rank test. The results show that Pvalue 0.024 < 0.05 means accepting H1 and rejecting H0. The conclusion is that there is an influence of education on the rules of the HCU Room on the patient's family's compliance in undergoing treatment in the Cisadane Room at RSUD dr. Saiful Anwar Malang Providing education if it is in accordance with the philosophy of meeting the needs of the patient/family, the patient's physical needs and by focusing one by one on the patient's safety needs and love and appreciation will provide an experience that can lead to the patient's self-actualization, and also have a direct impact on patient compliance. family in carrying out the rules at the hospital. Suggestions require the provision of waiting rooms and sanctions for families of patients who do not heed hospital rules.

SUSTAINABLE MIDWIFE CARE MANAGEMENT (Continuity Of Care) AT NY.N WITH GRADE II PERINEUM RUPTURE AT PMB AZRI YANI KEC.DELI TUA KAB.DELI SERDANG FIELD CITY IN 2024

Fri, 20 Sep 2024 00:00:00 +0000

Background : According to WHO in 2019, the maternal mortality rate (MMR) in the world is 303,000, the maternal mortality rate (MMR) in ASEAN is 235 per 100,000 live births. According to the Indonesian Demographic and Health Survey Data, the Maternal Mortality Rate (MMR) is 305 per 100,000 live births and the Infant Mortality Rate is 24 per 1000 live births. The number of maternal deaths in Indonesia in 2020 was 4,627 deaths and in 2021 the number of maternal deaths increased by 7,389 deaths. Based on the data obtained in North Sumatra, the maternal mortality rate is 119 cases for infant mortality is 299 cases. To reduce MMR and IMR, midwifery care management can be carried out to solve problems from assessment, identification of problems and needs, anticipation of potential problems, immediate action, planning, implementation, and evaluation. In addition, Continiuty Of Care (COC) is an effort to provide continuous care starting from pregnancy, childbirth, postpartum, newborn and family planning. This care aims to monitor the condition of mothers and babies as an effort to reduce maternal mortality rates (MMR) and infant mortality rates (IMR) Methodology : The type used is a case study or Case Study, which is an observational study to obtain an overview of health phenomena or current cases related to life, especially in context boundaries and phenomena that are not clear. Results : From the results of research conducted during pregnancy, childbirth, newborn, postpartum to family planning, there were no gaps in the provision of care. Conclusion : Midwifery care is carried out to overcome the patient's complaints, namely pain in the waist by providing health services, by encouraging the mother to have adequate rest patterns by resting when feeling tired, encouraging the mother to take a 1-2 hour nap and 7-8 hours of sleep at night and to reduce activities that are too heavy, during the postpartum period and after the postpartum period the mother did not experience any complaints, all normal, there were no complications during the postpartum period. Monitoring of newborns is also done to find out if there are abnormalities in the baby. the use of maternal contraceptives with the MAL method.

FACTORS RELATED TO THE UTILIZATION OF HEALTH SERVICES IN THE SINUNUKAN HEALTH CENTER IN MANDAILING NATAL DISTRICT OF 2023

Angel thesalonica, Eviyanti Simanjuntak , Herna Rinayanti Manurung — Tue, 30 Jul 2024 00:00:00 +0000

Health services are any efforts carried out individually or jointly within an organization to prevent and improve health, maintain and cure disease and restore the health of individuals, groups and families. The aim of the research is to analyze factors related to the utilization of health services at the Sinunukan Community Health Center, Mandailing Natal Regency in 2023. The research method used is descriptive with a quantitative approach and a cross-sectional research design. The sample in this study was residents in the Sinunukan Community Health Center working area, Mandailing Natal Regency. The sample collection method used was the Lameshow formula. The results of statistical tests using Chi Square obtained a p-value = 0.032 (p < 0.05), so Ho was accepted, namely that there was a relationship between age and the use of health services at the Community Health Center. The use of health services by respondents is not only based on the use by the respondents themselves but also by family members of different ages. The results of the statistical test obtained a p-value = 0.01 (P < 0.05), so Ho was accepted so it could be concluded that there was a relationship between education and the use of health services at the Community Health Center. So, it can be concluded that the need for health services can occur regardless of age and education.

THE RELATIONSHIP BETWEEN KNOWLEDGE AND COMPLIANCE WITH FE TABLET CONSUMPTION WITH THE INCIDENCE OF ANEMIA IN PREGNANT WOMEN AT THE KABANJAHE HEALTH CENTER, KABANJAHE SUB-DISTRICT, KARO DISTRICT KARO YEAR 2023

Thu, 22 Aug 2024 00:00:00 +0000

World Health Organization (WHO) in 2014 the Maternal Mortality Rate (MMR) in the world was 289,000. The number of maternal deaths decreased from 385 in 1990 to 216 in 2015 per 100,000 live births. the prevalence of anemia in pregnant women in the world is around 40.1 percent. The percentage has increased from 2015 by 39.8 percent and 2014 by 39.6 percent (WHO, 2016).Objectives of the study: The purpose of this study was to analyze the relationship between knowledge and compliance of Fe tablet consumption with the incidence of anemia in pregnant women at the Kabanjahe Health Center, Kabanjahe District, Karo Regency in 2023. analytical survey research using a cross sectional study to study the influence between the independent variable and the dependent variable through hypothesis testing. The population of this study were pregnant women at the Kabanjahe Health Center, Kabanjahe District, Karo Regency in 2023 as many as 46 people, total sampling determined the number of samples according to the needs of the study The results of statistical tests with a p value = 0.011 mean that there is a significant relationship between parity on the incidence of anemia in pregnant women. the results of statistical tests with a p value = 0.007 mean that there is a significant relationship between knowledge on the incidence of anemia in pregnant women. the results of the study of the variable adherence to Fe tablet consumption on the incidence of anemia in pregnant women obtained statistical test results with a p value = 0.000, meaning that there is a significant relationship between adherence to Fe tablet consumption on the incidence of anemia in pregnant women. Can be a source of information, motivation for health services and midwives against the incidence of anemia in pregnant women.

CONTINIUTY OF CARE ON NY. N WITH BREAST MILK DAM AT THE CLINIC PRATAMA TUTUN SEHATI KEC. TANJUNG MORAWA KAB. DELI SERDANG YEAR 2024

Tue, 30 Jul 2024 00:00:00 +0000

This health development plan is also for the national medium term (2020-2024). MMR is the number of maternal deaths during pregnancy, childbirth and postpartum which is used as an indicator of women's health. The composition of the SDGS in 2020 is to reduce the maternal mortality rate (MMR) to 70 per 100,000 live births and reduce the infant mortality rate (IMR) by 12 per 1000 KH. (Goals, S. D. 2019). In the health profile of Deli Serdang district in 2022, health services for pregnant women will increase from 2021 to 2022 from 94.26% to 94.89%. Data on competition increased from 97.75% to 97.39% carried out by health facilities. Coverage of postpartum visits kf1 to kf4 increased from 87.78% to 91.17%. Then data on birth control contraception is 45.67%, pill birth control is 25.67%, the lowest use of birth control is the MOP type of birth control 0.27%.

Breast milk dams are dams that occur due to obstructed venous flow due to breast milk collecting in the breast. Symptoms that often appear when breast milk dams occur are breast edema, hardness, pain

SUSTAINABLE MIDWIFERY CARE (Continuity Of Care) IN NY. I WITH II DEGREE PERENNIUM RUPTURE AT THE ROSLENA CLINIC, MEDAN CITY YEAR 2024

henitalumbantoruan, Rosmani Sinaga, Nur Azizah, Eva Ratna Dewi — Thu, 22 Aug 2024 00:00:00 +0000

Midwifery care management is a problem solving process starting from improvement, formulation, midwifery diagnosis, implementation planning, evaluation, recording, midwifery care or includes 6 steps in Continuity Of Care (COC) midwifery management where integrated services are provided to mothers and children namely starting from pregnancy, childbirth, postpartum, BBL and family planning. Care is carried out to monitor the development of the condition of the mother and baby. This care is usually called continuous care, because it is carried out in stages, and this care is provided by the community through outpatient care, hospitals, clinics, health centers and other health facilities.

Vaginal tears during childbirth are also called lacerations or perenium tears, which occur when the baby's head enters through the vaginal opening at a size that is too large so that the vagina cannot stretch and can also occur when the baby's head is of normal size but the vagina does not stretch easily. Tears can range from just affecting the skin around the vagina to affecting the anal sphincter (Emi Kusumawardani, et al 2024)

CONTINUITY OF CARE IN Mrs.E WITH BIRTH CANAL LACERATION DELIVERY DEGREE I AT BPM RONI BARUS FIELD CITY YEAR 2024

Tue, 30 Jul 2024 00:00:00 +0000

Continuity of care (COC) is care provided by midwifes on an ongoing basis to patients starting during pregnancy, maternity, puerperium, until the use of contraceptives or family planning to prevent complications. The purpose of this care is to provide continuous midwifery care from the 3rd trimester of pregnancy, maternity, postpartum period, neonates, to family planning at BPM Roni Barus with a midwifery management approach. The type of research used is a case study. By conducting interviews, observations, and documentation using the midwifery care assessment format starting in pregnancy, maternity, postpartum, neonates, and family planning. The respondent of this continuity of care research is Mrs.E, 22 years old, G1P0A0 starting from the 3rd trimester of pregnancy, maternity, postpartum, neonates and family planning. The care given has been successfully carried out. At the time of maternity the mother had a first degree birth canal laceration and was treated with hecing. It is hoped that the continuity of care provided to Mrs.E during her pregnancy can be applied to her next pregnancy to prevent complications.

CONTINUOUS MIDWIFERY CARE (continuity of care) For Mrs.F WITH GRADE II BIRTH CANAL LACERATION AT PERA INDEPENDENT PRACTICE MIDWIFE MEDAN CITY IN 2024

Wed, 21 Aug 2024 00:00:00 +0000

Birth canal tears that occur in mothers during childbirth are a condition where the cervix is lateralized in more than half of vaginal deliveries. Most tears are less than 0.5 cm in size. Meanwhile, deep tears may extend into the upper third of the vagina. If the birth canal laceration is not treated immediately, it can cause bleeding. The purpose of this study was to apply continuous midwifery care to Mrs. F with Grade II Birth Canal Laceration at Pera independent practice midwife, Kec.Medan tuntungan, Kota medan Tahun 2024. The research method used is descriptive research. The subject of the study was Mrs. F with a second degree Perenium Tear at the Medan tuntungan independent practice midwife in 2024. The results of this study are that continuous midwifery care has been carried out on Mrs. F with Grade II birth canal laceration by providing perineal care to the mother.

THE INFLUENCE OF HEALTH PROMOTION ON INCREASING THE KNOWLEDGE OF MOTHERS OF TODDLERS ABOUT ROTAVIRUS IMMUNIZATION

Desi Meliana Gultom, Supriati — Tue, 20 Aug 2024 00:00:00 +0000

In frame achieving the SDGs2030 target, the Indonesian Government is committed tall For protect all over public from pain, disability and death consequence diseases dangerous that can be prevented with immunization, one of them with add new antigen immunization into the immunization program national. Influencing factors immunization There is two that is, the encompassing factors knowledge (age, level education, occupation, number children, culture, beliefs society, and income family) and behavior (perception, motivation and attitude to health). Focus transformation of the primary health care system, namely get closer Health services through networking until level villages and hamlets, incl For strengthen promotion and prevention as well as resilience to pandemic. So study This will carried out at Posyandu Teratai 1, Ujung Padang Village, Padangsidimpuan City. With variable study Influence Health Promotion About Rotavirus immunization against Enhancement Knowledge of Mothers of Toddlers About Rotavirus with amount sample of 32 respondents. Taking sample done method taking probability sampling sample, namely technique that gives opportunity or chance The same for every element or member population For chosen become sample, and use technique accidental sampling ie made respondents when respondents present moment counseling held. Analysis done using SPSS statistical tests with using the T-Test test. Research result show that respondents who have knowledge not enough before done promotion very high health that is knowledge before done promotion health about Rotavirus immunization showed that 26 respondents (81.2%) were knowledgeable not enough. Knowledge after done promotion health obtained ata part big respondents knowledgeable Good as many as 20 respondents (62.5%), and no There is respondents (0%) who are knowledgeable not enough. There is a significant influence because p value = 0.0000 < α = 0.05 between difference knowledge public about Rotavirus immunization before and after done promotion health.

Health System Transformation and collaborative working in imprving the quality of life mothers and children towards SDGs 2030

Aknes Simanullang, Lisdayanti Simanjuntak, Dina Afriani — Tue, 20 Aug 2024 00:00:00 +0000

Digital literacy is a fundamental ability that integrates the use of information and communication technology (ICT) to access, manage, and effectively utilize information. Its role in achieving the Sustainable Development Goals (SDGs) by 2030 is crucial as a means of sustainable community empowerment. This research aims to analyze how digital literacy can facilitate the achievement of various SDGs and identify challenges and solutions in its implementation. Digital literacy enables broader access to education through digital learning resources, strengthens public health through more accessible health information, and supports an inclusive economy by opening up new economic opportunities through the digital economy. This directly contributes to poverty alleviation, improved quality of education, and gender equality. Furthermore, digital literacy also strengthens social and political participation, reduces inequality, and promotes fair peace and justice. Through this approach, digital literacy can become a powerful tool in achieving the SDGs, leading us toward a more sustainable and inclusive future where technology plays a key role in empowering the global community

A DON’T IGNORE THE MENTAL HEALTH PROBLEMS OF POSTPARTUM MOTHERS

risatantry gultom — Tue, 20 Aug 2024 00:00:00 +0000

Background : Pregnant and postpartum women are more sensitive to mental health issues such as anxiety disorders, postpartum blues, stress, sleep problems, depression, and post-traumatic stress disorder (PTSD). This mental health issue is one of the consequences of the Covid-19 pandemic, which has affected modifications in hospital medical treatment. Purpose : Analyzing midwives' understanding of mental health problems in pregnant and postpartum women during. Method : This research design method is a mixed method (Mixed Method) using an Embedded Design approach. Quantitative data was collected using a Google form questionnaire, while qualitative data was gathered through in-depth interviews. In quantitative analysis, a design description is used, while in qualitative analysis, Nvivo 12 Plus is used. Results : Midwives have good knowledge as many as 13 people (76.5%) and sufficient knowledge as many as 4 people (23.5%). Based on the results of the interview, it said that the understanding of midwives still did not understand how to analyze the psychological status of mothers effectively because of the unavailability of special measuring tools for mental health problems and the lack of training to increase human resources for mental health problems for pregnant and postpartum women. Conclusion : The majority of midwives have good knowledge. Midwives' understanding reveals more about the factors that cause mental disorders from the incidence of pregnancy outside marriage and KTD. The IEC technique used by the midwife is able to analyze the mental health status of the mother and the obstacles experienced by the midwife, namely the lack of information support and instrumental support from the hospital.

Keywords: mental disorders, pregnancy, postpartum, knowledge of midwives, understanding of midwives

SUSTAINABLE MIDWIFERY CARE Continuity Of Care (COC) IN NY,D 25 YEARS AGE WITH BREAST MILK DOMAIN AT PMB LUSIANA SIREGAR KEC. MEDAN RELELAN IN 2023/2024

Tue, 20 Aug 2024 00:00:00 +0000

According to the 2021 health scientific journal, breast milk dams occur due to several factors, including incorrect breastfeeding techniques, inverted nipples, babies unable to suck on the nipple and areola, mothers who do not breastfeed their babies as often as possible or babies who do not suck actively. Among the several causal factors above, if not treated immediately it will result in mastitis. Correct latching is one of the keys to the success of a baby breastfeeding at the mother's breast. If the breasts are sore, it could be a sign that the baby is not latching well when breastfeeding. Generally, the mother will correct the latching position by releasing the baby's mouth while breastfeeding and attaching it again. The importance of breast care for post partum mothers is one way to increase breast milk production because breast milk is an important intake for the growth and development and health of babies.

According to WHO data in 2018, the percentage of breastfeeding women who experienced breast milk dams reached an average of 87.06% or reached 8242. Indonesian Demographic and Health Survey data in 2015 stated that there were 35,985 or (15.60%) postpartum mothers who experienced breast milk dams and in 2016 as many as 77,231 or (37.12%) postpartum mothers experienced breast milk dams (Oroza, 2019)

THE EFFECT OF WOOLWICH MASSAGE ON BREAST MILK PRODUCTION IN POSTPARTUM MOTHERS AT PRATAMA MADINA CLINIC, PERCUT SEI TUAN DISTRICT, DELI SERDANG REGENCY IN 2023

Tue, 20 Aug 2024 00:00:00 +0000

The cause of low coverage of exclusive breastfeeding during the first 6 months of a baby's life is due to one of the mothers who lack confidence that the breast milk they have can cover their nutritional needs and the problems that often occur faced by postpartum mothers are the lack of breast milk that comes out and even the milk does not come out, causing unsuccess in exclusive breastfeeding and mothers must give formula milk to their babies (Sukriana, 2018). Efforts that can be made to increase breast milk production by doing massages such as woolwich massage or stimulation given to the mother can cause a sense of relaxation and comfort so that it can increase the hormones Prolactin and Oxytocin and the production of oxytocin by the pituitary which plays a role in squeezing milk out of the alveoli (Arkha, 2018). The 2016 Indonesian Health Data Profile shows that the coverage of breast milk in Indonesia is still low compared to the Indonesian Health Profile data in 2015 with a percentage of 55.7% of infants who exclusively breastfeed 0-6 months to 54% in 2016. According to an initial survey conducted by the author at the Pratama Madina Clinic, Percut Sei Tuan District, Deli Serdang Regency, many postpartum mothers complained that their breast milk was little or even did not come out, during interviews with several postpartum mothers said that they were worried that during the breastfeeding process the breast milk did not come out properly. Based on the background described above, the researcher is interested and motivated to discuss further whether there is an effect of woolwich massage on breast milk production in postpartum mothers at the Pratama Madina Clinic, Percut Sei Tuan District, Deli Serdang Regency in 2023.
Keywords: Breast Milk, Post Partum,Woolwich Massage

EFFECTIVENESS OF USING A BIRTH BALL WITH CLASSICAL MUSIC THERAPY ON THE PAIN LEVEL OF MOTHERS IN THE 1ST STAGE OF BIRTH

Sharfina Haslin, Dhea Agatha Pasaribu — Tue, 30 Jul 2024 00:00:00 +0000

Childbirth is the process of expelling a full-term baby, and physiological labor pains accompany the placenta. Labor pain can cause complications in the mother and fetus, such as increased pain intensity, stuck/long partus, distress in the fetus, which leads to fetal asphyxia, bleeding, and death of the mother and baby. Birth ball and classical music therapy are nonpharmacological methods that can reduce labor pain. The study aimed to determine the effectiveness of using birth balls with classical music therapy on the pain stage 1 of maternity mothers at Tanjung Clinic. This study used the quasy experiment method with a sampling technique using total sampling with a sample of 16 primigravida mothers, 8 people getting birth ball intervention and 8 people getting classical music therapy intervention by collecting data using observation sheets. The results showed that the use of a birth ball was more effective than classical music therapy with a difference in score of 7.75 and the results of statistical tests obtained p-value = 0.001 (p < 0.05) so it can be concluded that there is effectiveness of using a birth ball with classical music therapy on the pain stage 1 of maternity mothers at Tanjung Clinic. This nonpharmacological method is expected to be applied in obstetric service facilities to reduce labor pain.

THE RELATIONSHIP OF ACTIVITY IN PARTICIPATING IN CHRONIC DISEASE MANAGEMENT PROGRAM ACTIVITIES (PROLANIS) WITH THE QUALITY OF LIFE OF DIABETES MELLITUS PATIENTS IN THE ONAN HASANG COMMUNITY HEALTH CENTER WORKING AREA, NORTH TAPANULI DISTRICT YEAR 2024

Fatimah Pasaribu, Rahmat Alyakin Dachi, Hotman Manurung, Rosetty Sipayung — Tue, 30 Jul 2024 00:00:00 +0000

Non-Communicable Diseases (NCDs), which are the highest cause of death in Indonesia, include Diabetes Mellitus (DM). The aim of the research is to analyze the relationship between activeness in participating in Prolanis activities and the quality of life of DM sufferers. The type of research is quantitative research with a cross-sectional research design approach. The research was conducted in the Onan Hasang Community Health Center working area, North Tapanuli Regency from December 2023 to March 2024. The research population was all Prolanis Program participants who suffered from DM in the Onan Hasang Community Health Center working area, North Tapanuli Regency, namely 103 people. The number of samples was determined using the Slovin formula and the accidental sampling method as many as 82 people. Primary data collection was carried out directly through questionnaires and secondary data was obtained from the Onan Hasang Community Health Center, North Tapanuli Regency. Data analysis was carried out univariate and bivariate. Univariate analysis was carried out to obtain a description of the research variables and bivariate analysis was carried out to test the hypothesis of the relationship between activeness in participating in Prolanis activities and the quality of life of DM sufferers. Hypothesis testing uses the Chi-square statistical test. The research results showed that the activeness in participating in Prolanis activities in the Onan Hasang Community Health Center working area, North Tapanuli Regency was 47.6% not good, 30.5% not good, and 22.0% good. The quality of life of DM sufferers was 67.1% poor and only 32.9% good. The results of hypothesis testing show that there is a relationship between activeness in participating in Prolanis activities and the quality of life of DM sufferers in the Onan Hasang Community Health Center working area, North Tapanuli Regency. This research provides recommendations to further increase participants' active motivation in participating in prolanis activities

THE EFFECTIVENESS OF USING E-BOOKLETS ABOUT COMPLEMENTARY FEEDING IN INCREASING THE KNOWLEDGE AND ATTITUDES OF MOTHERS OF BABIES IN SEMBAHE BARU VILLAGE

Edy Marjuang Purba, Anna Waris Nainggolan, Saut Purba, Lusiatun Lusiatun — Tue, 30 Jul 2024 00:00:00 +0000

Good nutritional intake will support rapid growth and development, whereas inappropriate nutritional intake will cause babies to experience malnutrition which will ultimately have an impact on increasing morbidity and infant mortality rates. Complementary breastfeeding is given in stages according to the child's age, starting from soft to soft form until the child gets used to family food. Low maternal knowledge and attitudes are factors related to incorrect provision of complementary breastfeeding. This research aims to determine the Effectiveness of Using E-Booklets about Complementary Feeding in Increasing the Knowledge and Attitudes of Mothers of Babies in Sembahe Baru Village. This research uses a quasi-experimental design (Quasy experiment) with a pretest-posttest research design without control group design. The population in this study were all mothers who had babies aged 6-11 months in Sembahe Baru Village. The sample size used was 44 people. The instruments used in this research were identity questionnaires, knowledge questionnaires, attitude questionnaires and booklets. Data analysis was carried out using the Wilcoxon test because the data was not normally distributed. The research results showed that the characteristics of respondents were more likely to be 20-35 years old (61.4%), more highly educated (56.8%), more likely to have parity <=2 (65.9%). The average mother's knowledge score about complementary breastfeeding before using the E-booklet was 12.65, increasing after being given the E-booklet, namely 17.48. The average score of mothers' attitudes about complementary breastfeeding before using the E-booklet was 13.84, increasing after being given the E-booklet, namely 17.92. Research results show that the use of E-booklets is effective in increasing Mother's Knowledge (0.001) and Attitudes (0.001) in Providing complementary breastfeeding. It is recommended for Health officers in Sembahe Baru Village to provide education about complementary breastfeeding using e-booklet media because it is effective in increasing maternal knowledge and attitudes so that mothers of babies can apply it correctly in making and giving complementary breastfeeding.

TITLE OF MIHHICO ARTICLE 2024 THE RELATIONSHIP BETWEEN EFFECTIVE MIDWIFE COMMUNICATION AND THE LEVEL OF SATISFACTION WITH ANTENATALCARE SERVICES FORMOTHERS PREGNANT AT PRACTEC BEE NURHAYANI KEC. KAMPUNG RAKYAT REGENCY. BERTH BATU SELATAN

Tue, 30 Jul 2024 00:00:00 +0000

The goal of the SDGs is a healthy and prosperous life with the achievement of improving health services towards universal health coverage, especially strengthening basic health services (Primary Health Care) (Ministry of National Development Planning/Bappenas, 2020) As many as 99 percent of maternal deaths due to pregnancy, childbirth or birth problems occur in developing countries. The AKI ratio is still considered quite high as targeted to be 70 per 100,000 live births by 2030 (WHO, 2019). The WHO estimates that more than 585,000 mothers die annually during pregnancy or childbirth. In southern Asia, women are 1 in 18 likely to die from pregnancy or childbirth during their lifetime. More than 50% of deaths in developing countries can actually be prevented with existing technology and relatively low cost of pregnancy and childbirth, with an AKI rate of 216 per 100,000 live births (WHO, 2019) (Saifudin 2018). Antenatal Care is an early prevention effort from pregnancy risk factors. Antenatal services are health services by health workers for mothers during their pregnancy, carried out in accordance with the antenatal service standards set out in the midwifery service standards. Antenatal services according to standards include anamnesis of physical examinations (general and obstetric), laboratory examinations for indications, and basic and special interventions according to (Ministry of Health of the Republic of Indonesia, 2018).

Kata Kunci : Sustainable Development Goals, Primary Health Care, Antenatal Care

EFFORTS TO IMPROVE AND TRANSFORM THE HEALTH SYSTEM FOR THE QUALITY OF LIFE OF MOTHERS AND CHILDREN

Tue, 30 Jul 2024 00:00:00 +0000

One of the Sustainable Development Goals targets is reducing the maternal mortality rate to less than 70 per 100,000 live births by 2030. In 2021, 42 cases of maternal death were recorded in Bantul Regency, and this is the highest case in the last five years. Bantul Regent Regulation number 38 of 2021 concerning the Acceleration of Reducing Maternal and Infant Mortality Rates in Bantul Regency, health facilities are obliged to record and report on the maternal and child health information system, as well as the family health website. Utilization of information systems can anticipate delays in handling pregnant and postpartum women. One system evaluation model is assessing the level of digital maturity to identify gaps and determine improvement plans using the Stages of Continuous Improvement (SOCI) framework. Efforts to improve public health are in fact not easy with enormous problems Complex especially in reducing maternal mortality. For this reason, health information is disseminated through health education and coaching with the aim of increasing health levels to the maximum. (Indonesian Ministry of Health)

THE EFFECT OF INFANT MASSAGE ON IMPROVEMENT DURATION OF BREASTFEEDING IN BABIES AGED 0 – 3 MONTHS NURUL HASANAH HOSPITAL 2024

Eva Nurseptiana Sinulingga, Purnama Sari Cane , Uci Lestari — Tue, 30 Jul 2024 00:00:00 +0000

Baby massage can be a choice of physical activity that functions to increase the duration and frequency of the baby's breastfeeding. Baby Massage is an art of health care and treatment that has been known since the beginning of humans in the world and has been practiced for centuries by traditional birth attendants. Babies quickly become hungry or want to eat because their digestion becomes smoother. Mother's milk (ASI) is the main nutritional intake for babies, especially babies 0-3 months.

Breast milk is produced as a result of the combined work of the hormones Oxytocin, Prolactin and the Let Down Reflex. So maternal psychological factors and baby factors are closely related to breast milk production. This research is an analytical research with the type of research used, namely Quasy experimental (quasi-experiment) which seeks to reveal the causal relationship between the independent variable (predictor) and the dependent variable (effect) within a certain time period. The population in this study were all babies 0-3 months at Nurul Hasanah Hospital. Sampling was taken using Purposive Sampling technique.

The research results showed that there was an influence between baby massage and the frequency of breastfeeding in babies with a P value (0.000) and there was an influence between baby massage and the duration of breastfeeding in babies (P value 0.000). It is hoped that midwives can continue to motivate mothers to do baby massage so that it will increase the frequency of breastfeeding for their babies and motivate them to continue providing exclusive breast milk to their babies.

NURSING CARE FOR MR. A WITH SOCIAL ISOLATION IN THE BUKIT BARISAN ROOM OF THE MENTAL HOSPITAL Prof. Dr. MUHAMMAD ILDREM IN 2024

Tue, 30 Jul 2024 00:00:00 +0000

Mental Health is a condition when the mind is in a state of peace and calm so that it allows a person to enjoy daily life and appreciate others around him. Skizofrenia is a psychotic condition that affects various aspects of a person's life, including the ability to think, communicate, and have difficulty receiving, feeling, and expressing emotions. Skizoferenia affects about 24 million people or 1 in 300 people (0.32%) worldwide. The highest prevalence in the Southeast Asian region is occupied by Thailand 12.8%, Indonesia 11.0%, Myanmar 11% and Malaysia 3.0%. The aims to provide psychiatric nursing care to Mr. A with social isolation in the Bukit Barisan Room of Prof. Dr. Muhammad Ildrem Mental Hospital in 2024. The type of research used in this Scientific Paper uses descriptive research with case studies. In the case study using one sample, namely Mr. A. The evaluation obtained was that the patient experienced an improvement in the process of interacting with other people, was able to get acquainted with two or more people and was able to carry out the Social Isolation Implementation Strategy.

Keywords: Mental Health, Skizofrenia and Isolasi Sosial

FACTORS RELATED TO THE INCIDENT OF ANEMIA IN THE THIRD TRIMESTER OF PREGNANT WOMEN AT SIMPANG KIRI HEALTH CENTER SUBULUSSALAM CITY IN 2023

Ulfa Maqfirah, Irma Noviana, Riana Angriani — Tue, 30 Jul 2024 00:00:00 +0000

Anemia is known by lay people as anemia. Anemia is a disease where the hemoglobin (Hb) level in the blood is less than normal. Pregnancy anemia, namely pregnant women with Hb levels <11 gr% in the first and third trimesters or Hb <10 gr% in the second trimester. The World Health Organization (WHO) in 2017 reported that the global prevalence of anemia in pregnant women throughout the world was 41.8%. It is known that the prevalence of anemia in pregnant women in Asia is 48.2% based on the results of basic health research. The incidence of anemia in Indonesia is still high, there are 37.1% of pregnant women who are anemic. The aim of this study was to determine the factors associated with the incidence of anemia in pregnant women at the Simpang Kiri Community Health Center, Subulussalam City in 2023.

This research uses a qualitative research type with an analytical survey research design and a cross-sectional approach. The population in this study was 30 pregnant women and the sample taken in this study used the total population. Data analysis was carried out using the Chi-square statistical test.

The results of this study show that there is a relationship between knowledge and anemia with statistical test results obtained (p-value 0.002), there is a relationship between regular consumption of Fe tablets and anemia (p-value 0.024), there is a relationship between family income and anemia (p-value 0.343).

THE RELATIONSHIP BETWEEN ADOLESCENTS' KNOWLEDGE ABOUT MARRIAGE AGE MATURITY (MMA) AND THE RISK OF EARLY MARRIAGE IN THE WORK AREA OF TABAK KANILAN COMMUNITY HEALTH CENTER IN 2024

Tue, 30 Jul 2024 00:00:00 +0000

Background: Adolescence, according to the Health World Organization (WHO), is a time when a person experiences changes since they first show sexual changes. This is marked by a transition from the pattern of development and psychological identification of children to adults and socio-economic independence due to being independent. Individuals aged 10 to 19 years are classified as adolescents. Purpose of the study: To Analyze the Relationship between Adolescent Knowledge about the Maturation of Marriage Age (PUP) and the Risk of Early Marriage. The type of research is descriptive analytical, with a Cross Sectional Study design. The results of the study were 55 respondents, the results of this study consisted of univariate and bivariate analysis. Conclusion: The majority of lower back pain in pregnant women in the second and third trimesters before the 55 respondents obtained a significant result of 0.003, which means that there is a Relationship between Adolescent Knowledge about the Maturation of Marriage Age (PUP) and the Risk of Early Marriage in the Tabak Kanilan Health Center Work Area in 2024.

The Relationship between Knowledge and Attitudes of Pregnant Women Regarding Danger Signs of Pregnancy and the Use of Maternal and Child Health (KIA) Books in the UPTD Working Area of Longkib Health Center Subulussalam City 2024

Rahayu Ningsih, Ricca Nophia Amra, Rizka Sititah Rambe — Tue, 30 Jul 2024 00:00:00 +0000

Utilization of maternal and child health services is still hampered by low knowledge and attitudes of mothers regarding the danger signs of pregnancy regarding the use of maternal and child health (MCH) books. According to RISKESDAS in 2020, analysis results showed that 60% of mothers brought MCH books during pregnancy control, while 10% did not bring MCH books, and there were also 30% who did not have MCH books at all. One effort to reduce MMR is with the KIA Book program. The aim of this research is to determine the relationship between knowledge and attitudes of pregnant women regarding the danger signs of pregnancy and the use of maternal and child health (MCH) books in the UPTD work area of Longkib Health Center, Subulussalam City in 2024.

The type of research used in this research is analytical with a cross-sectional approach using primary and secondary data. The population in this study were all pregnant women who had KIA books in the Longkib Health Center UPTD working area, totaling 542 people. This sampling technique uses random sampling, totaling 84 respondents. The measuring instrument used is a questionnaire.

Based on the results of research conducted on 84 respondents, it can be seen that there were 35 respondents who had good knowledge (41.7%), and 43 respondents who had a negative attitude (48.8%). Statistical test results using the Chi-square test with a confidence level of 95% on df 1, show that there is a significant relationship between Knowledge (0.004<0.05) and Attitudes (0.004<0.05) of Pregnant Women Regarding Danger Signs of Pregnancy By Utilizing Maternal and Child Health (KIA) Books in the UPTD Working Area of Longkib Health Center, Subulussalam City in 2024.

It is hoped that health workers can provide health counseling and education by educating pregnant women about the danger signs of pregnancy and the benefits of KIA books.

FACTORS RELATED TO MOTHER'S NON-COMPLIANCE WITH CONSUMPTING FE TABLETS IN PREGNANT WOMEN IN JONTOR HEALTH CENTER SUBULUSSALAM CITY YEAR 2023

Irma Noviana, Ulfa Maqfirah, Rizka Sititah Rambe — Tue, 30 Jul 2024 00:00:00 +0000

The standard for consuming Fe tablets in pregnant women has not yet been achieved, namely 60 Fe tablets per day during the second trimester, starting at 14 weeks of gestation, the third trimester starting at 28 weeks of gestation until the 40th week of pregnancy. Recommendations from the World Health Organization (WHO) This was then developed by the Indonesian Ministry of Health to a minimum of 90 tablets during pregnancy. This target was not achieved due to the mother's non-compliance in consuming Fe tablets, which resulted in the consumption of Fe tablets being taken not meeting the recommended amount.

Research method: this type of research is analytical with a cross sectional approach. The research was carried out from February to July 2023. The samples taken were 54 pregnant women in the second trimester and third trimester who had their pregnancies checked at the Community Health Center. The sampling technique uses accidental sampling. Data analysis was carried out using the chi-square test with a CI of 95% and significance was determined if (p value < 0.05). Data processing was carried out using SPSS.

Research results: obtained p value = 0.000, it is concluded that there is a relationship between knowledge and non-compliance with consuming Fe tablets. The p value = 0.000, so there is a relationship between attitude and non-compliance with consuming Fe tablets. The p value =

0.001 means there is a relationship between the role of health workers and non-compliance with consuming Fe tablets. The statistical test results obtained a p value = 0.000, so there is a relationship between family support and non-compliance with consuming Fe tablets. The statistical test results obtained a p value = 0.002, so there is a relationship between information about pregnant women and non-compliance with consuming Fe tablets.

Conclusion: from each of the variables Knowledge, Attitude, Family Support, Role of Health Workers, information about pregnant women in consuming Fe tablets, there is a significant relationship between knowledge and non-compliance with consuming Fe tablets at the Jontor Community Health Center, Subulussalam City in 2023. So that pregnant women increase compliance in consuming Fe tablets during pregnancy to maintain her health and that of her posyandu.

The Factors Influencing the Lack of Interest Among Mothers in Choosing Effective Implant Contraception at PMB Nur’aini Helvetia in 2024

Tue, 30 Jul 2024 00:00:00 +0000

Determining new candidates for contraceptive users to choose the right prevention technique cannot be separated from individual behavioral factors. From the beginning, it is known that this may be the mother's impression of contraceptive use based on her understanding. Additionally, the benefits for the mother in using contraceptives also allow her to make a decision, even though the chosen contraceptive method may not be entirely appropriate. The purpose of this study is to identify the factors influencing the lack of interest among mothers in choosing contraceptive methods. This research is an analytical survey with a cross-sectional approach, analyzing the relationship between risk factors and effect factors. The study was conducted at PMB Nur’aini Helvetian, Medan, North Sumatra Province, from March to July 2024. The population in this study consisted of women of childbearing age who were contraceptive acceptors at PMB Nur-Aini Helvetia, totaling 102 people, using a purposive sampling technique. Based on the Slovin formula, a sample of 50 respondents was obtained. The data analysis used was the chi-square test. The research results showed with a p-value of 0.05 that there is a significant relationship between knowledge (p=0.018), attitude (p=0.014), husband's support (p=0.025), and PUS (Women of Childbearing Age) culture (p=0.025) with the selection of contraceptive methods among PUS. Conclusion: The selection of contraceptive methods among PUS at PMB Nur’aini Helvetia found that husband's support, knowledge, attitude, and culture are related to the choice of contraception.

THE RELATIONSHIP OF THE CHRONIC DISEASE MANAGEMENT PROGRAM (PROLANIS) AND HYPERTENSION IN THE WORKING AREA OF THE DARUSSALAM PUSKESMAS MEDAN CITY YEAR 2024

Tue, 30 Jul 2024 00:00:00 +0000

Prolanis is a program for managing chronic diseases such as hypertension and diabetes mellitus which is quite effective and efficient, but there are still many people who have not utilized this service. Hypertension is considered a serious health problem because it often occurs without complaints and can cause death (silent killer). The aim of this research is to analyze the relationship between the chronic disease management program (Prolanis) and hypertension in the work area of the UPT Puskesmas Darussalam Medan City in 2024. This type of research is quantitative with a cross-sectional research design approaches. The number of samples was determined using the Slovin formula as many as 93 people. Primary data collection was carried out directly through questionnaires and secondary data was obtained from the Darussalam Health Center, Medan City. Data analysis was carried out using univariate and bivariate methods. Univariate analysis was carried out to obtain a description of the research variables and bivariate analysis was carried out to test the hypothesis of the relationship between Prolanis and hypertension. Hypothesis testing uses the Chi-square statistical test. Based on statistical analysis, medical consultation was obtained (p=0.000), group education (p=0.000), SMS gateway reminder (p=0.000), home visit (p=0.001), health status monitoring (p=0.000). All variables studied are related to whether blood pressure is controlled or not, where these various variables, if implemented properly, will be beneficial for the stability of blood pressure. It is hoped that this research can provide recommendations for further improving chronic disease management programs to achieve a more optimal quality of life.

Keywords: Prolanis and Hypertension

MIDWIFERY CARE FOR PREGNANCY, CHILDBIRTH, POSTPASRTUM, AND NEONATUS, FOR Mrs. N AT PMB DELIANA SARAGIH, S. KEB YEAR 2024

Silva Rahmadhani, Zurhayati, Desmariyenti, Yesi Arisonaidah — Tue, 30 Jul 2024 00:00:00 +0000

Comprehensive care is the care provided to mothers starting from pregnancy, childbirth,
postpartum, and neonates, this obstetric care is carried out at Mrs. N 32 years old, this care is carried
out 8 times, namely during ANC 2 times, childbirth, postpartum 3 times, and neonatal visits 3 times.
This care will be carried out from April 24 – June 10, 2024, the purpose of this midwifery care is to
improve the ability to provide comprehensive midwifery care services in accordance with midwifery
standards by using the varney management method and SOAP documentation. ANC visits were carried
out on April 24, 2024 and May 13, 2024 with complaints of low back pain. The care provided by
counseling about normal pegel occurs in pregnant women in the third trimester and about adequate rest
and nutritious meals. APN childbirth assistance Babies born spontaneously, fit at 11.30 WIB, female
gender, weight 3100 grams, body length 50 cm, IMD for 1 hour, complete birth placenta after active
management phase III, maternal condition is good, Phase IV care is carried out at 11.52 WIB. On May
15, 2024, KF I and KN I were carried out at PMB, the baby was in good health, KF 2 and KN 2 on May
19, 2024, the baby umbilical cord had not broken, there was no bleeding, there were no signs of
infection, the mother and baby were in good and healthy condition, on June 10, 2024, KF 3 and KN 3
postpartum visit, 3 weeks postpartum, the mother and baby were in good health.
Keywords: Pregnancy, Childbirth, Postpartum, and Neonate

THE EFFECT OF COUNTERPESURE MASSAGE TECHNIQUE IN REDUCING LABOR PAIN IN PARTICULAR MOTHERS IN THE 1ST ACTIVE PHASE AT THE RATNA SARI SEI CLINIC SENDING IN 2023

Ester Simanullang, Marlina Nababan, Zulkarnaen Batubara — Tue, 30 Jul 2024 00:00:00 +0000

CASES OF PULMONARY TUBERCULOSIS AND POPULATION DENSITY (WITH SPATIAL ANALYSIS APPROACH)

Tue, 30 Jul 2024 00:00:00 +0000

Tuberculosis (TB) is a disease caused by the bacterium microbacterium tuberculosis. Mycrobacterium tuberculosis belongs to gram-positive, rod-shaped bacilli with a length of 1-10 microns, a width of 0.2-0.6 microns. Mycobacterium tuberculosis is transmitted by a person through coughing and sneezing, people affected by TB if not treated can die. The purpose of the study is to determine the relationship between the incidence of pulmonary tuberculosis cases and population density in North Sumatra Province per district/city with a spatial analysis approach. The study design used is an ecological study using aggregate analysis units. The data used is new cases of Pulmonary TB per district/city sourced from the North Sumatra Province BPS website in 2022. Population density data (the number of people per city district divided by the area of the area) is sourced from the North Sumatra Province BPS website in 2022. The districts/cities with the largest number of TB cases in North Sumatra province are dominated by districts/cities with a high population density, namely Medan city with 2697 cases, Simalungun district with 1178 cases, Binjai city with 1457 cases, Deli Serdang Regency with 2967 cases. Population density based on the administrative area in each district/city in North Sumatra province cannot be used as an indicator of the high incidence of TB in the area.

THE EFFECTIVENESS OF MIXED MEDIA PAINTING ACTIVITIES ON IMPROVING CHILDREN'S FINE MOTOR SKILLS AT SBB AL-MANNAN PALOH KINDERGARTEN NORTH ACEH DISTRICT 20

Tue, 30 Jul 2024 00:00:00 +0000

Motor development is a process of maturity or movement that directly involves muscles to move and a neural process that enables a person to move their body. WHO states that 20-40% of children experience delays, while Indonesia reaches 16%. One method that can be used to meet the needs for motor development is by stimulating through the drill method in Mixed Media painting activities. The aim of this research is to see that the treatment carried out can improve the motor development of children aged 3-5 years at SBB Al-Mannan Paloh Kindergarten. This research design uses a Pre- Experimental Design with a One Group Pretest-Posttest Design. The population in this study were all children aged 3-5 years with a sampling technique using Non Probability Sampling selected using Perposive Sampling consisting of 30 respondents. The variable measured in this research is the child's fine motor development. This study used the Wilcoxon signed rank test (a<0.05). The results of the study showed that the increase in children's fine motor skills after the painting activity was higher than before. with p value = 0.003. Thus, it can be concluded that the hypothesis is accepted, meaning that there is an influence of the activities carried out on improving children's fine motor skills. It is recommended for health workers to develop promotion and education about mixed media painting activities to the public, especially to parents, to improve children's fine motor development.

THE RELATIONSHIP OF BREASTFEEDING WITH THE INCIDENT OF NEONATORY JAUNDICE IN NEWBORN BABIES 0-7 DAYS AT PEGAJAHAN HEALTH CENTER, SERDANG BEDAGAI DISTRICT 2023

Tue, 30 Jul 2024 00:00:00 +0000

One of the goals of health development is to reduce the number of infant deaths. The World Health Organization (World Health Organization) in 2005 stated that the under-five mortality rate in the world was 42%, while in Indonesia the infant mortality rate was 34/1000 live births, the under-five mortality rate was 44/1000 live births (Indonesian Ministry of Health in Fatimah, 2017 ). Infant mortality is death that occurs when a baby is born until the baby is not exactly one year old. Many factors are associated with infant mortality. Broadly speaking, in terms of causes of infant death, there are two types, namely endogenous and exogenous. Endogenous infant death or what is commonly called neonatal death is infant death that occurs in the first month after birth and is generally caused by factors introduced during pregnancy. Exogenous infant death or post-neonatal death is infant death that occurs after the age of one month until approaching the age of one which is caused by factors related to the influence of the external environment.The Infant Mortality Rate (IMR) is one of the main indicators of a country's health status. IMR also indicates the ability and quality of health services, capacity of health services, quality of education and community knowledge, quality of environmental health, socio-culture and barriers to gaining access to health services. The most common cause of death in infants and toddlers is due to lack of nutrition, namely 58% (WHO in Fatimah, 2017). Breastfeeding is not optimal in treating 45% of deaths due to neonatal infectious diseases, 30% of deaths due to diarrhea and 18% of deaths due to acute respiratory problems in toddlers. The deaths of 30,000 children.

CONTINUITY OF MIDWIFERY CARE (Continuity Of Care) TO MATERNITY MRS. E WITH RUPTURE PERINEUM DEGREE I AT PRATAMA CLINIC NIAR MEDAN CITY, NORTH SUMATRA 2024

Tue, 30 Jul 2024 00:00:00 +0000

Midwifery care is an activity or intervention carried out by midwives to clients, who have needs or problems, especially in KIA or family planning. Midwifery care is the application of the functions, activities and responsibilities of midwives in providing services to clients who have obstetric needs or problems including pregnancy, childbirth, postpartum, newborns and family planning including women's reproductive health and public health services (Abarca, 2021).. The Purpose of the Study is to describe the care of the continuity of care services for pregnant women, originating, postpartum, BBL and family planning in Mrs. E at the Niar Primary Clinic, Medan Amplas District, North Sumatra in 2023 by conducting midwifery care management in accordance with the competence of midwives. The population of the research activities in midwifery care in pregnant women in Mrs. E age 21 years G1P0A0 starts from 28 weeks 3 days gestation.

THE RELATIONSHIP BETWEEN CERVICAL CANCER SCREENING FREQUENCY AND EARLY DETECTION OUTCOMES AMONG WOMEN OF CHILDBEARING AGE

Lenny Irmawaty Sirait, Elis Evi Saputri, Syntia Amilia Lorensyah — Tue, 30 Jul 2024 00:00:00 +0000

Introduction: Cervical cancer is one of the leading causes of death among women of childbearing age. Approximately 500,000 women worldwide are diagnosed with cervical cancer, and over 250,000 women die from the disease each year. The pathophysiology involves a precursor condition known as cervical intraepithelial neoplasia (CIN) before the onset of cervical cancer. The number of cervical cancer cases is expected to increase annually, with estimates reaching 12 million cases by 2030. Screening for precancerous lesions can detect cervical cancer early. Objective: To determine the relationship between cervical cancer screening frequency and early detection outcomes among women of childbearing age at the Public Health Center in Makassar District in 2019.Method: This study utilized a descriptive correlational method with a quantitative approach, employing quota sampling technique. The sample size consisted of 61 WCA aged 15-45 years. Primary data were used in this research. Results: There was a significant relationship between cervical cancer screening frequency and early detection outcomes among women of childbearing age (WCA) at the Public Health Center in Makassar District in 2019 (P-value = 0.001). Conclusion: Cervical cancer screening frequency is associated with early detection outcomes of cervical cancer.

Model of Short Wave Diathermy Therapy and Mc Kenzie Therapy in Reduces Myogenic Low Back Pain

Anggriani — Tue, 30 Jul 2024 00:00:00 +0000

Background. Myogenic low back pain is low back pain caused by disorders or abnormalities in the moskuloskaletal elements without accompanying neurological disorders.

Objective. To determine the effect of shortwave diathermy (SWD) and Mc. Kenzie on reducing myogenic low back pain. Methods. This research is a type of preexperimental one group pretest and posttest research to determine the effect of an intervention carried out on the object of research. The sample consisted of 30 respondents at the Siti Hajar Physiotherapy Clinic in Medan. Samples were grouped in one treatment given short wave diathermy (SWD) intervention and Mc. Kenzie. Results. The results of the wilcoxon signed rank test hypothesis test before and after the intervention were p value 0.003 where p <0.05. Conclusion. short wave diathermy (SWD) and Mc. Kenzie can reduce myogenic low back pain, there is an effect of giving short wave diathermy (SWD) and Mc. Kenzie on reducing myogenic low back pain at Siti Hajar Physiotherapy Clinic in Medan.

THE RELATIONSHIP BETWEEN KNOWLEDGE OF PREGNANT WOMEN AND THE INCIDENCE OF ABORTION AT THE TANJUNG TIRAM HEALTH CENTER, REGENCY BATUBARA IN 2023

Tue, 30 Jul 2024 00:00:00 +0000

Background: A complication that often occurs in early pregnancy is imminence abortion which is characterized by bleeding from the uterus before 20 minutes of gestation accompanied by contractions where the result of conception is still intact in the uterus and the ostium is closed (Nurbaiti, et al., 2019).

Objective: The purpose of this study is to explore the relationship between the knowledge relationship of pregnant women and the incidence of abortion at the Tanjung Tiram Health Center, Batubara Regency in 2023.

Research Method: This study uses a Cross Sectional approach. Data analysis uses the Chi Square Test method. This research was carried out at the Tanjung Tiram Batu Bara Health Center with a population of 46 people.

Research Results: The majority of respondents aged <20 years were 11 respondents (23.9%), the majority of respondents with secondary education were 32 respondents (69.6%), the majority of respondents were not working as many as 37 respondents (80.4%), and the majority of pregnant women with grandemultipara parity status were 27 respondents (58.7%). The majority of respondents had insufficient knowledge as many as 26 respondents (56.5%), and the majority of pregnant women who did not have an abortion were 21 respondents (45.7%).

Conclusion: There is a significant relationship between the knowledge of pregnant women and the incidence of abortion at the Tanjung Tiram Batubara Health Center with a p value of < 0.05 (0.004).

THE RELATIONSHIP OF POSYANDU CADRES PERFORMANCE WITH TODDLER MOTHER'S SATISFACTION IN POSYANDU SERVICES IN THE WORKING AREA OF THE SUKARAMAI PUSKESMAS UPT. MEDAN CITY YEAR 2024

Tue, 30 Jul 2024 00:00:00 +0000

The decrease in the number of visits by mothers of toddlers at the posyandu in the working area of the UPT Puskesmas Sukaramai is something that needs to be paid attention to by health workers or cadres who work at the posyandu. The aim of this research is to determine the relationship between the performance of posyandu cadres and the satisfaction of mothers of toddlers in posyandu services in the Sukaramai Community Health Center UPT Working Area, Medan City in 2024. The type of research is quantitative research with a cross sectional research design. The research was conducted at the posyandu in the working area of the Sukaramai Health Center, Medan City, starting from December 2023- June 2024. The population of this study was the number of mothers who made regular visits to the posyandu in the working area of the UPT. Sukaramai Health Center, namely 507 toddlers. The number of samples was determined using the Slovin formula and the accidental sampling method as many as 84 people. Hypothesis testing used the Chi-square statistical test. The research results showed that the performance of posyandu cadres in the Sukaramai Health Center UPT Working Area, Medan City, was mostly (42.9%) in the poor category, 33.3% said the cadre performance was sufficient and only 23.8% said it was good. The majority of mothers (36.9%) felt dissatisfied with the satisfaction of mothers of toddlers who received services at posyandu in the working area of the UPT Puskesmas Sukaramai Medan City, 35.7% felt quite satisfied, and only 27.4% felt satisfied with the performance of the cadres. in providing services. The results of the hypothesis test show that there is a relationship between the performance of Posyandu cadres and the satisfaction of mothers of toddlers in posyandu services in the working area of the UPT Puskesmas Sukaramai with a value of p=0.003 (p<0.05). Seeing that there is a relationship between the performance of posyandu cadres and the satisfaction of mothers of toddlers with posyandu services in the work area of the UPT. Puskesmas Sukaramai, it is necessary to make various efforts to improve the performance of posyandu cadres, such as training cadres to increase the satisfaction of mothers of toddlers with posyandu services. This will have an impact on increasing visits by mothers of toddlers to posyandu activities.

FACTORS RELATING TO MOTHER'S KNOWLEDGE IN PROVIDING COMPLETE FOODS WITH MOTHER'S MILK (MP-ASI) AT SEI MENCIRIM HEALTH CENTER, SUNGGAL DISTRICT, DELI SERDANG DISTRICT 2024

Yulia Safitri Safitri, Sonya Aulia Putri — Tue, 30 Jul 2024 00:00:00 +0000

Breast Milk (ASI) as the only nutritional baby until the age of 6 months is considered very important role for child growth. But in fact the child has been given MP-ASI before the age of 6 months. The provision of MP-ASI is too early to be expected because of the lack of knowledge of breastfeeding mothers who assume that their baby will not be satisfied if only consuming breast milk alone. The purpose of this research is to know the factors related to mother's knowledge in complementary feeding of mother's milk (MP-ASI). This research is a quantitative research with cross sectional approach. The research was conducted at Puskesmas Sei Mencirim, Kecamatan Sunggal, Deli Serdang Regency. Time of research in January 2024. The study population of 392 people and samples obtained 80 people. The data were analyzed by univariate and bivariate using chi-square test at 95% confidence level ( = 0,05). Based on the result of research indicate that factors related to mother's knowledge in complementary feeding of milk at Sei Mencirim Health Center Kecamatan Sunggal Regency of Ddeli Serdang year 2024 are age (p = 0,018), education (p = 0,000) , and the source of information (p = 0,000). It is suggested to the nurse at Puskesmas Sei Mencirim to improve the motivation of good work so that in carrying out the work done seriously, diligently, and actively in reaching the goal set by the puskesmas.

THE RELATIONSHIP OF THE IMPLEMENTATION OF SERVICE STANDARDS WITH THE LEVEL OF PATIENT SATISFACTION IN THE SUSUA HEALTH CENTER, NIAS SELATAN DISTRICT, 2024

Falentina Wau, Seri Asnawati Munthe — Tue, 30 Jul 2024 00:00:00 +0000

Health service standards are health service guidelines for officers in providing the best service according to the expected level of performance. The aim of the research is to analyze the relationship between the implementation of health service standards and the level of patient satisfaction. The type of research is quantitative research with a cross-sectional research design approach. The research was conducted at the Susua Health Center, South Nias Regency from December 2023 to June 2024. The research population was 38 people who visited the Susua Health Center, South Nias Regency on average per month. The number of samples was determined by a total sampling of 38 people. Primary data collection was carried out directly through questionnaires and observation and secondary data collection were obtained from the Susua Health Center, South Nias Regency. Data analysis was carried out univariate and bivariate. Univariate analysis was carried out to obtain a description of the research variables and bivariate analysis was carried out to test the hypothesis of the relationship between the implementation of service standards (registration, general clinic and pharmacy) with the level of patient satisfaction. Test the hypothesis using the Chi-square test. The results of the hypothesis test show that there is a significant relationship between the application of registration service standards and the level of patient satisfaction obtained by a p-value of 0.000<0.05, there is a significant relationship between the application of general poly service standards and the level of patient satisfaction obtained by a p-value of 0.004< 0.05 and there is a significant relationship between the implementation of pharmaceutical service standards and the level of patient satisfaction obtained by a p-value of 0.027<0.05. This research provides recommendations for improving the quality of registration services, general polyclinic services and pharmaceutical services through training, implementing good standard operational procedures and adequate facilities and infrastructure to increase patient satisfaction at Susua health centers.

THE RELATIONSHIP OF PUSKESMAS HEAD'S LEADERSHIP STYLE AND WORK MOTIVATION WITH EMPLOYEE JOB SATISFACTION AT UPT PUSKESMAS SUKARAMAI MEDAN YEAR 2024

Wed, 31 Jul 2024 00:00:00 +0000

This research aims to determine the relationship between the leadership style of the head of the Community Health Center and the work motivation of the Sukaramai Community Health Center employees. To determine the relationship between the leadership style of the head of the community health centerand the job satisfaction of employees of the Sukaramai Community Health Center Technical Services Unit. This type of research is quantitative research with a sample of 34 respondents. The data collection method used in data processing is using a direct questionnaire. The data processing technique uses the Chi Square test. The results of this research show that there is a relationship between leadership style and job satisfaction with a significant value of 0.000 which is smaller than 0.05. The research results also showthatthere is a relationship betweenworkmotivationandjobsatisfactionwitha significant value of 0.000, which is smaller than 0.05. Based on the results of the hypothesis test, there is a significant influence between the leadership style variables on the job satisfaction of the Sukaramai Community Health Center Technical Services Unit employees. The results of the research show that the leadership style of the head of the community health center and work motivation are related to employee job satisfaction in the Sukaramai Community Health Center Technical Services Unit, so it is necessary to improve the quality of leadership through leadership training. Likewise, work motivation requires giving awards, opportunities to increase career levels, providing incentives and other efforts to increase job satisfaction.

INNOVATION AND COLLABORATION FOR MATERNAL AND CHILD HEALTH TOWARDS THE 2030 SUSTAINABLE DEVELOPMENT GOALS

feronika silalahi, Indra Agussamad, Jista Maria Sitompul — Tue, 30 Jul 2024 00:00:00 +0000

Maternal and child health is a key aspect in achieving the Sustainable Development Goals (SDGs) 2030. This article discusses various innovations in healthcare services and cross-sector collaboration strategies that can enhance access and quality of health services for mothers and children. Innovative methods such as telemedicine technology and mobile applications have been implemented to improve pregnancy monitoring, neonatal care, and child health monitoring. Collaboration among governments, private sectors, NGOs, and educational institutions is also a major focus of this article. Discussions on the outcomes of these innovations and partnerships support the conclusion that they play a crucial role in realizing SDGs 2030 for maternal and child health.

CONTINUITY OF CARE Mrs.R DIFFERENCE OF TFU WITH PREGNANCY AGE AT TUTUN PRATAMA CLINIC SEHATI IN 2024

Siti Roslina, Rosmani Sinaga, Eva Ratna Dewi, Herna Rinayanti Manurung — Tue, 30 Jul 2024 00:00:00 +0000

This study aims to provide continuous midwifery care for pregnant women, maternity, newborns, postpartum and family planning on an ongoing basis or Continuity of Care (COC). The subjects taken in this study were physiological pregnant women TM III at the first tutun sehati clinic on Mrs. R 24 years old G1P0A0. The method used in this study uses 7 Varney steps based on Hellen Varney including assessment, data interpretation of problems and needs, potential problems, action plans, implementation, evaluation and documentation using the SOAP method. Data collection techniques using primary data include interviews, observation, examination. Based on the results of data research, it can be concluded that in carrying out continuous midwifery care Continuity of Care (CoC) there is no gap between theory and practice.

THE EFFECT OF AURASOMA THERAPY ON PATIENTS' FAMILY ANXIETY IN THE EMERGENCY INSTALLATION RSU BANDUNG MEDAN

Dahlia Purba, Vitri Rokhima, Youlanda Sari, Rina Rahmadani Sidabutar — Tue, 30 Jul 2024 00:00:00 +0000

Emergency conditions not only bring anxiety and tension to patients experiencing critical situations but also induce anxiety in the accompanying family members. One type of therapy believed to reduce the level of anxiety in family members is Aurasoma therapy. The aim of this research is to determine the influence of Aurasoma therapy on the anxiety levels of family members of patients. This study follows a Pre-Experimental design with a one-group pretest- posttest approach. The research was conducted in the Emergency Installation of Bandung Medan General Hospital. The study's population consisted of 150 individuals, with 32 selected as samples through purposive sampling. Data analysis was carried out univariately and bivariately using the paired sample t-test at a 95% confidence level (α=0.05).The research results indicate that the anxiety levels of family members before Aurasoma therapy, descriptively expressed in the average anxiety score, were 52.00±10.302, while after Aurasoma therapy, the average anxiety score was 35.38±4.233. Aurasoma therapy significantly influenced the reduction of anxiety in family members of patients in the Emergency Installation of Bandung Medan General Hospital, with a p-value of 0.000 < 0.05.It is recommended for medical personnel in the Emergency Installation of Bandung Medan General Hospital to educate and provide understanding to the family members of patients in the emergency department, enabling them to manage their anxiety using Aurasoma therapy as one of the techniques to reduce anxiety

EXPLORATION OF POTENTIAL ANTIBACTERIAL PLANTS IN HERBAL CONDITIONS AGAINST (STAPHYLOCOCCUS EPIDERMIDIS) THE CAUSE OF BODY ODOR

yuliana, Windiyati, Nurul Arriza, Nurul Arriza, Melyani, Alexander — Tue, 30 Jul 2024 00:00:00 +0000

Introduction: herbal concoctions from beluntas leaves, betel leaves, ginger and kandis acid are known to have activity against the bacteria that causes body odor, Staphylococcus epidermidis, so it is possible that it can be used to eliminate body odor. Method: Quasi Experimental research type with Pretest-Posttest Nonequivalent Control Group Design. Held at the STIKES Panca Bhakti Pontianak Dormitory on 14-28 November 2023. The sample was 26 female students at the Stikes Panca Bhakti dormitory and had body odor problems, the respondents were randomly divided into 2 groups, teenagers in the intervention group were given herbal body odor test materials with a dose of 1x1 suchet (25 grams) and teenagers in the control group were given the comparison agent Detol, the research was carried out for 14 days. Results: organoleptic test regarding the taste of body odor herbal medicine, almost all panelists liked the taste of body odor herbal medicine, namely 20 people (77%), regarding the aroma of body odor herbal medicine, most of the panelists liked the aroma of body odor herbal medicine, namely 16 people (61.6 %), regarding the form of body odor herbal medicine, some of the panelists really liked the form of body odor herbal medicine, namely 11 people (42.3%) and the P-value was 0.000 < 0.005 which shows that there is a difference in the effectiveness of providing body odor herbal medicine in the intervention and fluid administration groups. detol in the control group. Conclusion: Body odor herbal medicine (exploration of beluntas leaves, ginger, green betel and kandis acid) is effective in reducing body odor in adolescents

ANALYSIS ON THE FACTOR OF SOCIO-CULTURE WHICH INFLUENCES THE PSYCHOSOCIAL ADAPTATION OF MENOPAUSE WOMEN AT MEDAN AREA PUSKESMAS

pratiwi syah — Tue, 30 Jul 2024 00:00:00 +0000

Menopause is a physiological (normal) process undergone by every woman. By the time women begin to undergo menopause, they will undergo clinical and psychological symptoms which disturb their daily activities and bring about negative impact on their life quality and self-confidence which cause anxiety. The objective of the research was to analyze socio-cultural factors which influenced psychosocial adaptation of menopause women at Medan Area Puskesmas, in 2024.

The research used analytic method with cross sectional design. The samples were 47 menopause women. The data were processed by using univariate analysis and bivariate analysis with chi square test.

The result of the research showed that there was the influence of socio-culture on psychosocial adaptation of menopause women in age (Sig < α (0.036 < 0.05), education (0.020 < 0.05), occupation (0.024 < 0.05), custom (0.019 < 0.05), and knowledge (0.010 < 0.05).

The conclusion was that there was the influence of socio-cultural factors on psychosocial adaptation of menopause women at Medan Area Puskesmas, in 2024. It is recommended that health care providers, especially nurses, motivate cadres to provide counseling in order to be able to carry out health programs and counseling for menopause women and do any activities which can support their health physically and psychologically such as gymnastics regularly once a week.

THE RELATIONSHIP OF INFORMATION SOURCES WITH THE LEVEL OF KNOWLEDGE ABOUT HIV/AIDS IN AL ULUM PRIVATE HIGH SCHOOLS IN 2024

tika ayu pratiwi, Monna Ratu Darse Wina Purba — Tue, 30 Jul 2024 00:00:00 +0000

Psychological development of teenagers is a group at risk of promiscuity, sex and drugs, because at that age the desire to know about sexual matters is very great and they have a great desire to experiment so they are vulnerable to contracting diseases such as HIV/AIDS. The aim of this research is to determine the description of students' knowledge about HIV/AIDS.This type of research is analytical with a cross-sectional design. The research was conducted at Al-Ulum Private High School. The population in this study was 240 people and the sample was 71 people. Data were analyzed univariately and bivariately using the Chi-Square test at a confidence level of 95% (The research results showed that the majority of teenagers' knowledge about HIV/AIDS was in the sufficient category, 42 people (59.2%). The source of information about HIV/AIDS was mostly obtained by respondents from the mass media, 34 people (47.9%). The source of information is significantly related to the level of knowledge about HIV/AIDS at Al Ulum Private High School in 2024, p = 0.015 < 0.05.It is recommended that Al-Ulum Private High School teachers provide special material about HIV/AIDS or relate other subject matter to HIV/AIDS, for example in biology, physical education and religious studies.

MANAGEMENT of POSTPARTUM MIDWIFERY CARE on Mrs. J WITH ENGORGEMENT of THE BREAST

Tue, 30 Jul 2024 00:00:00 +0000

IMPLEMENTATION OF STANDARD OPERATIONAL PROCEDURES TO PREVENT THE RISK OF FALLS IN THE INPATIENT ROOM SUNDARI RSU MEDAN

Tue, 30 Jul 2024 00:00:00 +0000

Fall Score (MFS) was one of the assessments of risk of falls prevention efforts which was one of the principles of ability and behavior ofnurses in doing work appropriate duties related to compliance implementation Standard Operating Procedures (SOP). One of the factors that influence nurse compliance in the implementation of SOP i.e. motivation and perceptions of nurse against their work. Motivation was one of the important things forsomeone in doingforefront where increasing motivation will lead to increased performance of nurses.This study aimed to know the implementation compliance of standard operating procedures of the risk of fall prevention inpatient care. This study used This study used a qualitative method with phenomenological approach that analysis was used with Collaizi method. The study was done to 5 informants, nurse with a minimum duration of 3 years, education level D3 – S1 Ners. From the analysis results obtained four main themes. The four main themes are : comprehensive assessment of general assessment, patient safety management regulation is not available, uniform headroom initiatives related to patient safety management and the impact of inadequate patient safety management regulation. The implementation of the fall prevention assessment has not been done because the facilities and policy regulations have not been provided by the management patient safety Sundari Hospital of Medan.

MOTHER GIVE DELIVERY IN HEALTH CARE FACILITY

ELFRIDA LAMTAMA SITUMORANG, Anna waris Nainggolan, Lusiatun, Imarina Tarigan — Tue, 30 Jul 2024 00:00:00 +0000

This article discusses the importance of the mother’s role in the childbirth process within healthcare facilities. Utilizing adequate healthcare facilities can enhance the safety of both mothers and babies during delivery. This research analyzes various factors influencing mothers’ decisions to choose birthing locations, including accessibility, quality of services, and family support. Data were collected through surveys and interviews with mothers who delivered in several hospitals. The results indicate that emotional support and accurate information significantly impact mothers' childbirth experiences. Additionally, facilities with trained medical staff contribute to mothers’ satisfaction. This article recommends enhancing educational programs for expectant mothers regarding the importance of selecting healthcare facilities. By raising this awareness, it is hoped that maternal and infant mortality rates can be reduced. In conclusion, the choice of a suitable birthing location is key to a safe and positive childbirth experience. Further research is needed to explore the long-term impacts of birthing location choices on maternal and child health.

THE INFLUENCE OF PRIMARY SERVICES AT THE COMMUNITY HEALTH CENTER, ONE OF WHICH IS THE ROLE OF NURSES IN PROVIDING COUNSELING IN THE FORM OF EDUCATION ABOUT ISPA AT THE KEDAI DURIAN COMMUNITY HEALTH CENTER MEDAN JOHOR DISTRICT IN 2024

Tue, 30 Jul 2024 00:00:00 +0000

puskesmas plays a central role in driving health development with a focus on empowering families and communities, as well as being the primary health service provider at the first level. As part of the structure of the District/City Health Service, Puskesmas has responsibility for managing health development in its area. According to the World Health Organization (WHO), around 4.25 million deaths are caused by Acute Respiratory Infections (ISPA) every year throughout the world. In Indonesia, ISPA is consistently the main cause of death in infants and toddlers. ISPA data at the durian shop health center based on the total number of patients visiting from January-December 2023 reached 1928 and from the results of observations ISPA occurred due to air pollution, one of which was due to the presence of factories. ISPA can be transmitted through direct contact or droplets that are spread in the air when coughing or sneezing, and can infect other people through the eyes, mouth and nose. To reduce the incidence of ISPA at the Kedai Durian Community Health Center, the role of nurses is very important, one of which is carrying out several steps during field practice including preparing an Outreach Event Unit (SAP), making leaflets about ISPA, as well as presentations that educate the public about the definition of ISPA, causes, symptoms, risk factors. , prevention, and complications that may arise. These steps aim to increase public understanding of ISPA and encourage the adoption of effective prevention practices.

THE RELATIONSHIP OF KNOWLEDGE OF WOMEN OF FERTILIZING AGE (WUS) AND THE USE OF IUD CONTRACEPTION IN THE SIBANGGOR PUSKESMAS KEC. PUNCAK SORIK MARAPI MANDAILING NATAL REGENCY YEAR 2023

Tue, 30 Jul 2024 00:00:00 +0000

used contraception due to limited access, as well as lack of knowledge, fear of side effects and

social, cultural and religious problems (BKKBN, 2009). This research uses a descriptive

correlation research design with a cross sectional approach which is a study of the relationship between two variables in a situation or group of subjects which was carried out to see the

relationship between one variable and another, which aims to determine the relationship

between knowledge of women of childbearing age (WUS) and the use of IUD contraception at

the Puskesmas in Sibanggor District Health Center. Puncak Sorik Marapi Kab. Mandailing Christmas in 2023. The results of statistical analysis using the chi square test stated that there

was a relationship between knowledge of women of childbearing age (WUS) and the use of IUD contraception at the Sibanggor District Health Center. Puncak Sorik Merapi Regency. Mandailing Christmas 2023 with a p-value of 0.006 (p-value 0.05). Frequency distribution of knowledge of Women of Childbearing Age (WUS) about IUD from 45 respondents. It was found that the majority of respondents had less knowledge, 21 people (65.6%), and a minority of respondents 11 people (34.4%) had good knowledge.