2 10 134 https://old-repository.mitrahusada.ac.id/files/original/8c5ad9037048955ac4b237b6ce9804e0.pdf 2d43af98425e823be2b6fa894a6e0141 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Surat Persetujuan Etik Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource EFEKTIVITAS AKUPRESUR PADA LANSIA DENGAN GANGGUAN PENCERNAAN DI UPTD PELAYAN SOSIAL LANJUT USIA BINJAI Subject The topic of the resource Acupressure, Elderly, Digestive Disorders, Pain, Gastrointestinal Description An account of the resource Gastrointestinal disorders are common complaints among older adults due to progressive functional degeneration. With the increasing global elderly population, safe and non-pharmacological independent nursing interventions are needed to manage digestive pain. This study aimed to evaluate the effectiveness of acupressure intervention in reducing pain levels among elderly individuals with gastrointestinal disorders at the UPTD Elderly Social Service Center in Binjai. This quantitative study employed a quasiexperimental design using a one-group pretest–posttest approach involving 25 respondents. The intervention was administered through manual pressure on meridian points ST36, ST25, LI4, and CV2. The results showed that most respondents suffered from GERD (36%) and gastritis (32%). Prior to the intervention, 68% of respondents experienced moderate pain; after the intervention, the proportion of moderate pain decreased to 40%, while mild pain increased to 60%. The Wilcoxon Signed Rank Test revealed a p-value of 0.008 (p < 0.05), indicating a significant effect of acupressure on reducing gastrointestinal pain intensity among the elderly. Acupressure therapy is therefore recommended as a holistic nursing care approach to improve the quality of life of older adults Creator An entity primarily responsible for making the resource PETRA DIANSARI ZEGA, ADELINA SEMBIRING, LISDAYANTI SIMANJUNTAK, EMMA DOSRIAMAYA NONI BR SIMANJUNTAK , IIN NINA HASTUTI PADANG , KEVIN BATUBARA, YOMEKA HASIANNASIRAIT Date A point or period of time associated with an event in the lifecycle of the resource 2026 Language A language of the resource Indonesia https://old-repository.mitrahusada.ac.id/files/original/98ac740e9c9b139beff74af38de2cbb8.pdf 902a562e5743b30dc910b4dd4c91eaba Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Surat Persetujuan Etik Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource EFEKTIVITAS APIUM GRAVEOLENS DALAM PEMELIHARAAN KESEHATAN REPRODUKSI DAN PENCEGAHAN HIPERTENSI LANSIA KAMPUNG KB PANGKALAN MASYHUR MEDAN JOHOR TAHUN 2025 Subject The topic of the resource Apium graveolens, Geriatrics, Hypertension, Elderly, Herbal Therapy Description An account of the resource Hypertension is a predominant health issue in the geriatric population, contributing significantly to an increased risk of cardiovascular disease, stroke, and frailty. Major challenges in managing hypertension in the elderly include polypharmacy, declining organ function, and medication adherence. Apium graveolens (celery) contains apigenin and 3-n-butylphthalide, which are known to possess vasodilatory effects. This study aims to evaluate the effectiveness of Apium graveolens administration as a complementary therapy for the prevention and control of stage I hypertension among the elderly in a rural community setting. Methods:This study employed a Quasi-Experimental design with a Pre-test and Post-test Control Group approach, conducted in Bagun Rejo Village from January to March 2025. The subjects comprised 80 elderly individuals (aged 60 years) with grade I hypertension, selected via purposive sampling. Subjects were divided into two groups: the Intervention Group (n=40), which received a standardized dose of Apium graveolens extract for 8 weeks, and the Control Group (n=40), which received standard lifestyle education. The primary parameters measured were changes in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP). Data analysis was performed using the Paired t-test and Independent t-test with a 95% confidence level (=0.05).Results: Baseline characteristics between the two groups were homogeneous. After 8 weeks of intervention, the Intervention Group demonstrated a significant reduction in SBP from a mean of 152.4 mmHg to 138.2 mmHg (p < 0.001) and a reduction in DBP from 94.5 mmHg to 86.1 mmHg ($p < 0.05$). Conversely, the Control Group showed no statistically significant changes. Furthermore, no significant gastrointestinal side effects or electrolyte disturbances were observed in the group consuming Apium graveolens, indicating a favorable safety profile for the elderly. Conclusion:The administration of Apium graveolens proved effective in reducing both systolic and diastolic blood pressure in elderly individuals with grade I hypertension . These findings support the potential of Apium graveolens as a safe and affordable adjuvant therapy in community-based hypertension management strategies, aiming to reduce the burden of polypharmacy in the geriatric population. Integration of this program with the Integrated Healthcare Center for the Elderly (Posyandu Lansia) is recommended for sustainability. Creator An entity primarily responsible for making the resource Lisdayanti Simanjuntak, Dina Afriani, Mastaida Tambun, Adelina Sembiring, Lisbet Gurning, Suci Rani Amalia Date A point or period of time associated with an event in the lifecycle of the resource 2025 Language A language of the resource Indonesia https://old-repository.mitrahusada.ac.id/files/original/4a3c6ece2b0a5659e61bfbf848ca26c5.pdf a5664636930b2665ee030a25483998da Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Surat Persetujuan Etik Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Analisis Efektivitas Self lutanagenent Support Terhadatrl Kuantitas Hidup Pasien Kanker Payudara Subject The topic of the resource Breast Cancer, Quality of Life, Self-Management Support, Medical-Surgical Nursing. Description An account of the resource Breast cancer and its treatments impose a complex symptom burden that negatively affects patients’ quality of life. Self-management support (SMS) is a patient empowerment strategy aimed at enhancing independence in nursing care. This study aimed to analyze the effectiveness of SMS on the quality of life of breast cancer patients at Haji General Hospital Medan. Methods: This study employed a quasi-experimental design with a pre–post test control group approach. The sample consisted of 60 respondents (30 in the intervention group and 30 in the control group), selected using purposive sampling. The intervention group received structured education and self-monitoring guidance for 8 weeks. The research instrument used was the EORTC QLQ-C30 questionnaire. Data were analyzed using Paired T-test and Independent T-test. Results: There was a significant increase in the mean quality of life score in the intervention group, from 52.3 to 75.6 (p < 0.001), while the control group showed no significant change (p = 0.125). Intergroup comparison after the intervention revealed a statistically significant difference (p = 0.000). The emotional functioning and pain management domains showed the most substantial improvements. Conclusion: Self-management support is effective in improving the quality of life of breast cancer patients. This intervention is recommended to be integrated into standard oncology nursing care to promote patient independence in managing treatment-related side effects. Creator An entity primarily responsible for making the resource Adelina Sembiring, Lisdayanti Simanjuntak, Lisbet Gurning, Sri Mulati Nendah Agreta, Petra Diansari Zega, Abdul Mazid Bancin Date A point or period of time associated with an event in the lifecycle of the resource 2026 Language A language of the resource Indonesia https://old-repository.mitrahusada.ac.id/files/original/f44076dc66ed3403de2c6f433b5957f5.pdf 56d15f6ce60229a2c4f520a60b43ca34 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Surat Persetujuan Etik Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Socioeconomic and Health-Related Factors Associated with Chronic Energy Deficiency among Pregnant Women: A Cross-Sectional Study Creator An entity primarily responsible for making the resource Eva Ratna Dewi Date A point or period of time associated with an event in the lifecycle of the resource 2025 Language A language of the resource Indonesia https://old-repository.mitrahusada.ac.id/files/original/4a0c6dc4da2c1703573de7fa577a2933.pdf 018643a956a8b85847fcca3175e35210 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Surat Persetujuan Etik Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Potential Of Rosella Hibiscus Sabdariffa L) As A Herbal lMedicine For Health Creator An entity primarily responsible for making the resource Sri Muliana Putri Bakara, Siti Nurmawan Sinaga, Herna Rinayanti Manurung, Oktavania Damanik, Cristoboy Vasius Bakara, Paslina GuLo Date A point or period of time associated with an event in the lifecycle of the resource 2024 Language A language of the resource Indonesia https://old-repository.mitrahusada.ac.id/files/original/eadfbca93d7d4f4c6f91e4d583377cec.pdf 0a09faf1a543983a1531999491c23442 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Surat Persetujuan Etik Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource The Association of Age and Parity with The Incidenee of Ovarian Cancer in Women of Childbearing Age at RSUP H. Adam Malik Year 2023 Creator An entity primarily responsible for making the resource Median Jelita Lahagu, Herna Rinayanti Manurung, Febriana Sari, Lisa Putri Utami Damanik Date A point or period of time associated with an event in the lifecycle of the resource 2024 Language A language of the resource Indonesia https://old-repository.mitrahusada.ac.id/files/original/ef6184722710ab1b3ac26502db2d217b.pdf dc8e104f0cb5faea78e60d1bf4c503b8 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Surat Persetujuan Etik Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource E f e k t i f i t a s K e c e p a t a n Pengeluaran Kolostrum Dengan P i j a t Oksitosin Dan Perawatan TotokPayudara Pada Ibu Postpartum Di Rumah Sakit Mitra Sejati Medan Subject The topic of the resource Pijat Oksitosin Creator An entity primarily responsible for making the resource Febriana Sari Publisher An entity responsible for making the resource available STIKes Mitra Husada Medan Date A point or period of time associated with an event in the lifecycle of the resource 2019 Language A language of the resource Infonesia https://old-repository.mitrahusada.ac.id/files/original/e83e7dfbc4bf1933834294cebe36f73a.pdf 6f16122d8ce6b7fa6d0e3844c87321ff Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Surat Persetujuan Etik Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Design and implementation of android and Gps Based Fried Aplication Mitigation Efforts and Early Emergency Aid for Disaster Victims in Maternal and Neonatal Parents Creator An entity primarily responsible for making the resource Juliana Munthe Date A point or period of time associated with an event in the lifecycle of the resource 2024 Language A language of the resource Indonesia https://old-repository.mitrahusada.ac.id/files/original/3d013fc0158f689db8b53116d09fa9de.pdf 730449aa2ae61fe5a25d99fdd217b978 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Surat Persetujuan Etik Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Pengaruh Efektivitas Alat Permainan Puzzel Terhadap Perkembangan Motorik Halus Pada Anak Usia 4-5 Tahun di Ypi Zaky River Falley Kabupaten Deli Serdang Tahun 2020 Subject The topic of the resource Perkembangan Motorik Source A related resource from which the described resource is derived Srilina Br Pinem Publisher An entity responsible for making the resource available STIKes Mitra Husada Medan Date A point or period of time associated with an event in the lifecycle of the resource 2021 Language A language of the resource English Creator An entity primarily responsible for making the resource Srilina Br Pinem https://old-repository.mitrahusada.ac.id/files/original/d498ffda3a7d33b6e45bb519b93748a1.pdf fafe81d5377b352f75ea406f23269150 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Surat Persetujuan Etik Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource The Effectiveness of Celery Juice to Reduce Blood Pressure on Elderly With Hypertension in The Simalingkar Health Center Subject The topic of the resource Hypertension Creator An entity primarily responsible for making the resource Srilina Br Pinem, Nurhamidah Fithri Publisher An entity responsible for making the resource available STIKes Mitra Husada Medan Date A point or period of time associated with an event in the lifecycle of the resource 2021 Language A language of the resource English