ANALISIS EFEKTIVITAS SELF-MANAGEMENT SUPPORT TERHADAP KUALITAS HIDUP PASIEN KANKER PAYUDARA
Breast Cancer, Quality of Life, Self-Management Support, Medical-Surgical Nursing
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.
Adelina Sembiring, Lisdayanti Simanjuntak, Lisbet Gurning, Sri Mulati Nendah Agreta, Petra Diansari Zega, Abdul Mazid Bancin
Catin Behavior Assesment Based on Premarital Screening for Healthy Families Readiness at the Religious Affairs Office in Medan, Johor District Year 2023
Ninsah Mandala Putri Sembiring, Juliana Munthe, Srilina Br Pinem, Parningotan Simanjuntak, Basaria Manurung, Isyos Sari Sembiring
Catin Behavior Assessment Based on Premarital Screening for Healthy Families Readiness at the Religious Affairs Office in Medan, Johor District Year 2023
Nutritional status before pregnancy plays an important role in fetal growth, infant health and survival as well as long-term child development. This research is a quantitative study for catin behavior assessment with a crosssectional approach, namely filling out premarital screening-based questionnaires. This research was conducted from June to August 2023. The research subjects were female prospective brides (Catin) who were willing to be samples. Patient data collection was carried out at KUA Medan Johor sub-district. The results of the study showed that the majority of respondents of healthy reproductive age 20-35 years were 30 people (90.9%), multigravidas were 3 people (9.1%). Based on normal hemoglobin (Hb) levels, there were 29 respondents (87.9%) and those with moderate anemia were 4 respondents (12.1%). based on TT status, 23 respondents (69.7%) had received TT injections and 10 respondents (30.3%) did not receive TT injections. The results of the analysis of the chi-square statistical test data obtained a significance value (ρ) of 0.008 ( <0.05) so that it can be concluded that Ha is accepted and Ho is rejected, which means that there is a relationshipbetween catin behavior in HB examinations and Family Readiness, the significance value (ρ) is 0.005 (<0.05) so it can be concluded that Ha is accepted and Ho is rejected which means there is a relationship between catin behavior in TT injections and family readiness.
Ninsah Mandala Putri Sembiring, Juliana Munthe, Srilina Br Pinem, Parningotan Simanjuntak, Basaria Manurung, Isyos Sari Sembiring, Jamaliyah
Characteristics of Postpartum Mother with Perineum Scars at Trismalia Deli Serdang Clinic, 2020
Mesrida Simarmata, Lisdayanti Simanjuntak
Design And Implementation Of Android And Gps Based Friend Application In Mitigation Efforts And Early Emergency Aid For Disaster Victims In Maternal And Neonatal Parents
This study aims to analyze the design and implementation of the Friend application based on Android and GPS as an effort to mitigate and respond to early emergency situations for disaster victims, especially pregnant women and newborns. This vulnerable group often faces high risks during disasters due to limited mobility and lack of access to effective information and communication. This study uses a qualitative method with an observation and interview approach to the community in disaster-prone areas, health workers, and related parties at the Kampung Baru Health Center, Medan. The application development uses the UML (Unified Modeling Language) system, including use cases, activity diagrams, and sequence diagrams. The results of the study show that the Friend application is able to integrate emergency reporting, mapping of disaster-prone areas, and direct communication with health workers and the Regional Disaster Management Agency (BPBD). The trial showed that the application can determine the user's position with an average accuracy of 12.9 meters and a response time of 1.49 seconds, allowing for rapid handling of pregnant women and babies in emergency conditions. The implications of this study indicate that the application of digital technology in disaster mitigation can increase the effectiveness of emergency responses for vulnerable groups, as well as accelerate coordination between the community, medical personnel, and authorities. Friend is expected to be an innovative solution in improving the safety of mothers and babies in disaster situations.
Juliana Munthe, Siti Nurmawan Sinaga, Herna Rinayanti Manurung, Lidya Natalia Br Sinuhaji, Indra Manurung, Cantik Marlin Batee, Lisa Erawati Sibarani, Monica Situngkir, Nadya Nabila, Noni Indriani
Development of Health Promotion-Based Education Methods to Increase Accessibility of Adolescent Mental Health
Good health and well-being are still significant problems in the world of health and are top priorities in health goals in the short and long term. Mental health disorders or depression are mental problems that are one of the factors that have not achieved a level of health in Indonesia and the world, so the transformation of adolescent mental health continues to be carried out throughout the world (1). Mental health is very vulnerable to teenagers. WHO data (2022) states that 1 in 7 children aged 10-19 years are known to experience psychological problems. The prevalence rate for mental health disorders in Asia ranges from 1.81% to 23.3%. (2) Data in Indonesia shows that 6.1% of the Indonesian population aged 15 years and over experiences mental health disorders. According to the 2022 Indonesian National Adolescent Mental Health Survey (I-NAMHS), as many as 15.5 million or 1 in 3 adolescents (34.8%) in Indonesia experience mental health. This research aims to analyze the development of health promotion-based education methods to increase the accessibility of adolescent mental health in Bangun Rejo Village. (b) To determine the feasibility of health promotion-based education methods to increase the accessibility of adolescent mental health in Bangun Rejo Village. The research method used is Research and Development, with stages of analyzing the method to be developed, the method development process, product testing, and the revision and evaluation stage to improve method weaknesses. The research results on developing health promotion-based education methods to increase mental health accessibility among adolescents in Bangun Rejo Village show that the results of the first hypothesis test are accepted, namely that there is an influence between self awareness and self-awareness. Emotional and mental regulation of teenagers in Sudi Rejo Village, Tanjung Morawa District, means higher self-awareness. A person has higher emotional and mental regulation, and the development of Health Promotion-Based Education Methods, namely self-awareness and self-efficacy, increases the accessibility of adolescent mental health.
Isyos Sari Br Sembiring, Lidya Natalia Br Sinuhaji, Basaria Manurung, Nopalina Suyanti Damanik, Perkasa Ginting, Ingka Kristina Pangaribuan , Ninsah Mandala Putri Sembiring, Lusia Sadarni Gulo8
Differences in the Effectiveness of Pelvic Rocking and Rebozo Movements in the Lowering of the Fetal Head during First Stage of Maternity at the Clinic in Kwala Bekala Village
and physiological event. Despite the inherent pain experienced by the mother and the extended duration of complete opening, some opt for alternative interventions, such as cesarean sections. Additionally, pharmacological drugs may be administered to facilitate the timely expulsion of the fetus and placenta. Aim: The purpose of this study was to analyze the effectiveness of pelvic rocking and rebozo movements in lowering the fetal head in women in the first stage of labor. Methods: This study used a quantitative analytic method with a quasi-experimental research design with a two group comparison of pretest-posttest design. Results: The results of the study showed that before and after the pelvic rocking movement was carried out, the asymptote sig value was obtained. The 2-tailed was found to be 0.000 less than the alpha level of 5% (0.05), so it can be concluded that there is a significant difference in decreasing the fetal head. An asymptote sig value was found for the rebozo movement. The fetal head's descent varied significantly before and after the rebozo movement, as shown by the 2-tailed statistic's finding that it was 0.003 less than the 5% alpha threshold (0.05). Conclusion: The conclusion of this study was that the significance value of pelvic rocking was 0.000, which was smaller than the rebozo significance value of 0.003, which means that the pelvic rocking group was more effective in decreasing the fetal head compared to the rebozo group. So, it is very useful if the pelvic rocking movement service is carried out when passing through the first stage of labour. Keywords: First Stage of Labour; Pelvic Rocking; Rebozo
Ester Simanullang, Santhna Letchmi Panduragan, Ingka Kristina Pangaribuan, Sandeep Poddar
Edukasi Deteksi Dini Demensia Pada Lansia Melalui Brain Gym Di Desa Bangun Rejo Kecamatan Tanjung Morawa Kabupaten Deli Serdang Tahun 2023
Demensia adalah hilangnya kemampuan mental yang disebabkan oleh gangguan otak yang mempengaruhi memori, daya pikir, perilaku dan penilaian. Penyebab paling umum dari demensia, terutama pada orang tua, adalah penyakit Alzheimer. Hal tersebut mengakibatkan sampai 70% kasus demensia. Urgensi Pengabdian ini adalah untuk peningkatan peran serta masyarakat dalam peningkatan Kesehatan di lingkungan masyarakat desa bangun rejo, dengan menggunakan pendekatan edukatif pada lansia. Tujuan Pengabdian ini untuk membantu Masyarakat para lansia agar di masa tua tidak mengalami demensia sehingga para lansia masih bisa berproduktifitas di masa tua nya dengan baik dan Bahagia tanpa kesulitan dalam mengingat semua pengetahuan-pengetahuan yang selama ini dia miliki khususnya para lansia di Desa Bangun Rejo ini. Hasil yang diperoleh dalam pelaksanaan edukasi deteksi dini demensia melalui brain gym ini dari 40 lansia yang mengikuti ada 27 lansia (67,5%) yang sudah memahami pentingnya mengetahui demensia pada usia yang sudah lanjut. Bagi lansia kagiatan senam otak ini bisa dikaukan secara mandiri dirumah agar manfaat dari senam otak ini dapat dirasakan langsung oleh para lansia. Bagi mitra pengabdian hendakanya didesa ini menjadikan senam otak atau brain gym sebagai kegiatan yang seminimal mungkin pelaksanaannya dilakukan untuk meningkatkan kesejahteraan Kesehatan para lansia.
Eva Ratna Dewi, Ingka Kristina P, Marliani , Nur Azizah, Wahyu Lydia Marpaung, Lilis Hartati Berutu, Petra Dian Sari, Mesrida Simarmata
EFEKTIFITAS FERMENTASI BAWANG PUTIH (BLACK GARLIC) TERHADAP REMAJA YANG OBESITAS DI SMAN 5 KOTA BINJAI PROVINSI SUMATERA UTARA TAHUN 2024
The prevalence of obesity, which is a global health problem, is increasing in developing countries due to changes in food and lifestyle. Obesity is a major cause of disease and death. This is difficult to overcome because of its association with an increased risk of Metabolic Syndrome, Cardiovascular disease, Heart Attack, Hypertension, Diabetes Mellitus and various types of cancer.According to WHO data, the figure for excess body weight in children and adolescents (5-19 years) is 103 million (10%) for men, and 72 million (8%) for women. In Indonesia, excess weight can affect many things, including other physical health, decreased quality of activities and productivity. The cause of obesity is the energy balance between consumption and calories burned and lack of physical activity The general aim of this research is to determine the effectiveness of fermented garlic (black garlic) on obese adolescents at SMAN 5 Binjai City, North Sumatra Province in 2024, his research is a quantitative type with a pre-experiment design whose design uses the one group pretest-posttest design The sample in this research was 20 teenagers who were obese, Data processing and analysis with Editing, Data entry, data analysis, Cleaning. Based on the table data above. It turns out that the Sig values in the normality test all show numbers that are greater than the Î± value of 0.05. This means that the data distribution of the two sample data before and after the Garlic Fermentation therapy treatment, all come from a normally distributed population. It is hoped that teenagers can reduce their weight by living a healthy life, namely by exercising and eating balanced nutrition to avoid various diseases.
Erin Padilla Siregar, Sri Rezeki, Lisdayanti Simanjuntak, Anna Waris Nainggolan, Marta Armita Br Silaban, Yesika Ritonga, Zahara Tuljannah
Efektifitas Kecepatan Pengeluaran Kolostrum Dengan Pijat Oksitosin Dan Perawatan Totok Payudara Pada Ibu Postpartum Di Rumah Sakit Mitra Sejati Medan
Totok Payudara, Pijat Oksitosin, Kolostrum
Latar Belakang: Penyebab kematian anak di Indonesia adalah dikarenakan faktor nutrisi yaitu gizi kurang. 53% kematiaan bayi diakibatkan karena diare sebesar 15%. Selain itu diare, pneumonia, campak, malaria dan nutrisi merupakan 70% penyakit Balita. hal ini dapat diturunkan, baik morbiditas dan mortalias. Melalui pemberian kolostrum sedini mungkin dan pemberian ASI sampai anak berumur 6 bulan. WHO merekomendasikan pemberian ASI pada bayi selama 6 bulan pertama (Asi Eksklusif) dan pemberian makanan pendamping ASI (MP-ASI) setelah umur 6 bulan dengan ibu tetap memberikan ASI sampai anak berumur minimal 6 bulan. Permasalahan dalam penelitian ini adalah tidak lancarnya ASI (ASI awal atau yang disebut dengan kolostrum) yang diakibatkan karena ASI susah keluar yang mengakibatkan orangtua maupun keluarga memberikan susu formula yang tentunya hal ini akan berdampak pada target ketidakberhasilan ASI eksklusif Tujuan: mengetahui Efektifitas Kecepatan Pengeluaran Kolostrum Dengan Pijat Oksitosin Dan Perawatan Totok Payudara Pada Ibu Postpartum Di Rumah Sakit Mitra Sejati Medan taahun 2020. Metode: Banyaknya sampel dalam penelitian ini 30 ibu post-partum yang memenuhi kriteria inklusi yang dibagi dalam 2 kelompok yakni 15 responden dengan intervensi, dan 15 lainnya dalam kelompok totok payudara. Uji Perbedaan lama pengeluaran kolostrum pada kelompok pijat oksitosin dan totok payudara dengan menggunakan mann whitney karena data berdistribusi normal. Hasil: Berdasarkan uji mann whitney didapatkan nilai p=0,001 < 0,005 yang menunjukkan adanya perbedaan lama pengeluaran kolustrum pada kelompok metode pijat oksitosin dan totok payudara. Kesimpulan: metode pijat oksitosin lebih efektif dalam pengeluaran kolustrum terlihat dari nilai mean rank metode pijat oksitosin lebih rendah dibandingkan dengan metode totok payudara.
Srilina Br Pinem, Lasria Simamora, Herna Rinayanti Manurung, Rosmani Sinaga,Adelina Sembiring