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                <text>ASUHAN PERSALINAN DAN BAYI BARU LAHIR</text>
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                <text>PERSALINAN DAN BAYI BARU LAHIR</text>
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                <text>Materi dalam buku ini disusun secara sistematis berdasarkan pendekatan praktik berbasis bukti (evidence-based practice), sehingga diharapkan dapat menjadi referensi yang&#13;
relevan dalam dunia pelayanan kesehatan. Buku ini mencakup berbagai aspek penting dalam asuhan persalinan, mulai dari persiapan persalinan, teknik asuhan yang aman dan&#13;
bermartabat, hingga tindakan penatalaksanaan komplikasi. Selain itu, penanganan bayi baru lahir juga dibahas secara detail, termasuk langkah-langkah resusitasi, perawatan tali pusat, pemberian ASI eksklusif, hingga deteksi dini tanda- tanda bahaya.</text>
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                <text>Ester Simanullang, Riska Susanti Pasaribu, Siska Suci Triana Ginting, Nur Azizah,&#13;
Lisdayanti Simanjuntak.</text>
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                <text>The Behavior of Postpartum Mothers and Acehnese Families in Postpartum Care at Beutong Health Center, Naganraya Regency, Aceh Province in 2024</text>
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                <text>Acehnese families, Beutong Health Center, Family attitude, Postpartum care, Postpartum mothers</text>
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                <text>The postpartum period is a critical time for both the mother and newborn, where healthcare is essential to avoid the risk of mortality. This study aims to analyze the behavior of postpartum mothers and Acehnese families in postpartum care at the Beutong Health Center, Nagan Raya Regency in 2024. A quantitative research method with a descriptive design was used, and the sampling technique applied was total sampling, with a population of 40 postpartum mothers. Data collection was carried out through interviews using a questionnaire. The results showed that 77.5% of mothers and families were aware of the nutrition needed for postpartum mothers, 58.3% understood the process of uterine involution, and 100% of postpartum mothers knew daily activities to accelerate recovery. The family's supportive attitude towards postpartum care was evident in their recommendations, such as providing vegetables (83.3%) and fish (80.5%), forbidding the mother from leaving the house (100%), and administering algae (88.9%). However, 30.6% of postpartum mothers did not consume vegetables regularly. These findings highlight the importance of improving family understanding and support in postpartum care to accelerate the recovery of mothers and babies. The implication of this research is expected to improve postpartum care programs at Beutong Health Center.</text>
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                <text>Febriana Sari, Fadilla Sutia, Siti Nurmawan, Lisa Putri Utami Damanik, Dyanti SR Barubatur, Sitti Nuraisyah, Ermarni</text>
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                <text>Hubungan Pemanfaatan Buku KIA dengan Perilaku Pencegahan Komplikasi Kehamilan pada Ibu Hamil di Klinik Pratama Sarfina Kota Medan Tahun 2025</text>
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                <text>Buku Kesehatan Ibu dan Anak (KIA) berfungsi secara strategis sebagai alat pendukung dalam layanan antenatal dan sebagai sumber informasi yang membantu meningkatkan pengetahuan ibu hamil tentang cara mencegah komplikasi selama kehamilan. Meskipun demikian, penggunaan buku ini masih belum optimal di antara sebagian ibu hamil, yang dapat memengaruhi sikap dan tindakan mereka dalam mencegah komplikasi. Tujuan: Penelitian ini bertujuan untuk menilai kaitan antara pemakaian Buku KIA dan sikap pencegahan komplikasi kehamilan pada wanita hamil yang menjalani pemeriksaan di Klinik Pratama Sarfina Kota Medan pada tahun 2025. Metode: Penelitian ini menggunakan pendekatan kuantitatif dengan desain studi potong lintang (cross-sectional). Sebanyak 52 calon ibu dipilih sebagai responden dengan menggunakan teknik purposive sampling. Data dikumpulkan melalui kuesioner, dan analisis data dilakukan dengan uji Chi Square pada tingkat signifikansi 5% (α = 0,05). Hasil: Analisis statistik mengindikasikan bahwa terdapat hubungan yang signifikan antara tingkat penggunaan Buku KIA dan perilaku pencegahan komplikasi selama kehamilan (nilai p = 0,003; p&lt;0,05). Ibu hamil yang secara aktif memanfaatkan Buku KIA cenderung menunjukkan perilaku yang lebih baik dalam melakukan tindakan pencegahan komplikasi dibandingkan dengan ibu yang tidak memaksimalkannya.</text>
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                <text>Sonia Novita Sari, Friza Novita Sari Simatupang, Yesica Geovany Sianipar, Febriana Sari, Imarina Tarigan</text>
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                <text>2025</text>
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                <text>Perilaku Komunikasi Terapeutik Perawat terhadap Kepuasan Pasien dalam Pemenuhan Kebutuhan Dasar di RS Mitra Sejati Medan</text>
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                <text>Komunikasi Terapeutik, Kepuasan Pasien, Rawat Inap, Keperawatan Dasar</text>
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                <text>Komunikasi terapeutik merupakan keterampilan esensial perawat dalam membantu pasien beradaptasi terhadap stres dan gangguan psikologis, serta membangun hubungan interpersonal yang efektif. Keberhasilan kondisi ini menjadi salah satu indikator penentu kepuasan pasien terhadap asuhan keperawatan. Penelitian ini bertujuan untuk menganalisis hubungan antara tahap komunikasi terapeutik perawat dengan tingkat kepuasan pasien di Instalasi Rawat Inap RSU Mitra Sejati Medan melalui pendekatan kuantitatif dengan desain cross-sectional. Menggunakan teknik consecutive sampling, diperoleh 71 responden sebagai sampel penelitian yang datanya dikumpulkan melalui kuesioner dan dianalisis menggunakan uji korelasi Spearman’s Rho (alpha = 0,05). Hasil uji statistik menunjukkan terdapat hubungan yang signifikan antara tahap orientasi (p = 0,000) dan tahap kerja (p = 0,003) terhadap kepuasan pasien, namun tidak ditemukan hubungan yang signifikan pada tahap terminasi (p = 0,265). Hal ini menunjukkan bahwa kepuasan pasien lebih dominan dipengaruhi oleh impresi awal dan kualitas interaksi saat pemberian tindakan keperawatan dibandingkan fase akhir interaksi yang sering kali terhambat durasi singkat saat pemulangan. Disimpulkan bahwa penguatan kompetensi komunikasi perawat di setiap fase interaksi sangat diperlukan untuk menjamin asuhan keperawatan yang berkesinambungan dan holistik demi mengoptimalkan pengalaman pasien.&#13;
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                <text>Rolasnih Lilista Simbolon, Dina Afriani, Petra Dansari Zega, Herna Rinayanti,Dewi Sarita Hutabarat, Elisabet Manik, Risna</text>
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                <text>Effect of Brasisca Oleracea Biscuit Suplementation on Immunity and Hemoglobin Levels in Pregnant Woman: A-Quasi -Experimental Study</text>
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                <text>regnancy; Anemia; Iron-Deficiency; Brassica; Functional Food; Hemoglobin; Immune System</text>
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                <text>Background: Maternal mortality remains a major concern, with anemia as a key contributing factor during pregnancy. Limited adherence to iron supplementation highlights the need for alternative approaches. Brassica oleracea rich in essential nutrients, may support immune function and hemoglobin synthesis. This study aimed to evaluate the effect of this product in biscuit form on immunity and hemoglobin levels in pregnant women.&#13;
&#13;
Methods: A quasi-experimental study with a pre-test-post-test control group design was conducted. Eighteen interventions were divided into both intervention and control groups. The intervention group received biscuits in addition to standard care, while the control group received standard care alone. Measurements were obtained before and after treatment.&#13;
&#13;
Results: There was a statistically significant difference in immune status between the intervention and control groups (p = 0.044). However, no significant difference in hemoglobin levels was observed between groups (p = 0.560).&#13;
&#13;
Conclusion: Brassica oleracea biscuit supplementation significantly improved immune status in pregnant women but did not result in a statistically significant difference in hemoglobin levels compared to standard care. These findings suggest that Brassica oleracea-based functional foods may serve as a complementary strategy to enhance maternal immunity during pregnancy.</text>
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                <text>Febriana Sari, Rolasnih Lilista Simbolon, Edi Subroto, Trisnawani, Oca Floren Simanullang, Kartika Ovalia Ginting</text>
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                <text>Faktor – faktor Penyebab Ibu Post Partum dengan Kejadian Depresi Baby Blues di Klinik PBM Elsi Ramayana Tahun 2023</text>
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                <text>Postpartum blues is a normal condition, and mothers themselves don't realize that they are experiencing postpartum blues. The aim is to find out the factors that cause post partum mothers to experience baby blues depression at the PBM Elsi Rahayana Clinic in 2023. Pre-Experimental Designs research method. All post  partum mothers who gave birth at the PBM Elsi Rahayana Clinic during February – May 2023 were 38 people. Wilcoxon Signed Ranks Test statistical test. The results of the Wilcoxon Signed Ranks Test showed that the p value was &lt;0.05. The research results showed that the majority of respondents with baby blues depression were 36 respondents (94.7%) and the majority of respondents aged &lt; 20 years were 2 respondents (5 .3%). then the results of the Wilcoxon statistical test obtained p (0.001) &lt; 0.005, so it can be concluded that the null hypothesis is rejected, meaning that the majority of respondents with baby blues depression aged 20-35 years were 36 respondents (94.7%) and the minority of respondents aged &lt; 20 years were 2 respondents (5.3%). Based on research results, to determine the factors that cause postpartum mothers to experience baby blues.</text>
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                <text>Elsi Ramayana, Lisdayanti Simanjuntak, Dina Afriani, Eva Ratna Dewi, Parningotan Simanjuntak</text>
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                <text>Pemberdayaan Ibu Hamil dalam Pencegahan Kekurangan Energi Kronik (KEK) melalui Edukasi Kesehatan di BPM Deby Cintya Yun</text>
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                <text>Ibu hamil merupakan kelompok yang rentan mengalami permasalahan gizi, khususnya Kekurangan Energi Kronik (KEK), yang dapat berdampak negatif terhadap kesehatan ibu dan janin, termasuk meningkatkan risiko komplikasi kehamilan, bayi berat lahir rendah, dan stunting. Meskipun berbagai upaya perbaikan gizi telah dilakukan, kasus KEK masih ditemukan di BPM Deby Cintya Yun, yang menunjukkan bahwa program promotif dan preventif belum sepenuhnya efektif menjangkau kebutuhan masyarakat. Kondisi tersebut dipengaruhi oleh berbagai faktor, seperti rendahnya pengetahuan ibu hamil, kondisi sosial ekonomi keluarga, paritas, serta riwayat penyakit infeksi. Kegiatan pengabdian kepada masyarakat ini dilaksanakan dengan pendekatan edukatif dan partisipatif yang bertujuan meningkatkan pengetahuan dan kesadaran ibu hamil dalam pencegahan KEK. Sasaran kegiatan adalah 20 ibu hamil yang aktif melakukan pemeriksaan kehamilan di BPM Deby Cintya Yun. Metode pelaksanaan meliputi tahapan identifikasi masalah, pemberian edukasi gizi dan kesehatan, serta evaluasi kegiatan. Identifikasi awal dilakukan melalui wawancara terstruktur dan kuesioner sederhana untuk menggali karakteristik dan faktor risiko KEK. Hasil evaluasi pengetahuan ibu hamil sebelum dan sesudah kegiatan edukasi di BPM Deby Cintya Yun menunjukkan peningkatan yang signifikan. Pada pretest, mayoritas ibu hamil memiliki pengetahuan kurang (85%), sedangkan cukup 10% dan baik 5%. Setelah diberikan edukasi, jumlah ibu hamil dengan pengetahuan baik meningkat menjadi 80%, cukup 5%, dan kurang menurun menjadi 15%. Temuan ini menunjukkan bahwa edukasi kesehatan yang dilakukan secara partisipatif mampu meningkatkan pemahaman ibu hamil mengenai pencegahan Kekurangan Energi Kronik (KEK), sekaligus mendorong kesadaran dan kesiapan mereka dalam menerapkan perilaku gizi sehat selama kehamilan. Kegiatan ini menghasilkan pemetaan awal faktor risiko KEK yang dapat digunakan sebagai dasar tindak lanjut program kesehatan ibu secara berkelanjutan dengan melibatkan tenaga kesehatan setempat.</text>
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                <text>Eva Ratna Dewi</text>
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                <text>Implementation Penurunan Tensi Lansia Slow Deep Breating ( Apium Graveolens &amp;Black Garlick) Desa Bangun Rejo Tahun 2025</text>
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                <text>Tensi, Slow Deep Breating , Apium Graveolens &amp;Black Garlick</text>
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                <text>Hipertensi  pada  lansia  merupakan suatu    keadaan    dimana    seseorang    mengalami peningkatan  tekanan  darah  di  atas  normal  baik tekanan   systolic   atau   diastolic. Jenis penelitian ini adalah kuantitatif dengan pendekatan quasi eksperimen (eksperimen semu). Penelitian ini dilakukan untuk mengetahui efektivitas kombinasi metode slow deep breathing dan konsumsi Apium graveolens (seledri) serta black garlic (bawang hitam) terhadap penurunan tekanan darah pada lansia. Desain yang digunakan adalah pretest-posttest with control group design, di mana terdapat dua kelompok: Kelompok intervensi: Mendapatkan terapi slow deep breathing serta konsumsi Apium graveolens dan black garlic. Kelompok kontrol: Tidak diberikan intervensi atau hanya perawatan standar. Hasil menunjukkan bahwa tekanan darah sistolik rata-rata berkisar antara 150 mmHg hingga 160,06 mmHg, sedangkan tekanan darah diastolik rata-rata berkisar antara 97,29 mmHg hingga 101,29 mmHg selama periode tujuh hari. Fluktuasi harian terlihat, dengan tekanan darah tertinggi tercatat pada hari ketujuh (160,06/101,29 mmHg) dan terendah pada hari kedua (155,06/97,29 mmHg). Menariknya, standar deviasi untuk tekanan sistolik (9,098 mmHg) dan diastolik (7,051 mmHg) konsisten di seluruh pengukuran, menunjukkan variabilitas yang stabil dalam sampel. Implementasi program penurunan tensi menggunakan metode Slow Deep Breathing dan pemberian Apium graveolens serta Black Garlic terbukti efektif menurunkan tekanan darah lansia di Desa Bangun Rejo tahun 2025. Program ini berpotensi diterapkan lebih luas di desa-desa lain sebagai pendekatan promotif-preventif dalam penanganan hipertensi lansia</text>
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                <text>Lisdayanti Simanjuntak,Mastaida Tambun,Indra Agussamad,Tahan Tahan,Dina Afriani&#13;
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                  <text>Similarity</text>
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          <element elementId="50">
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            <description>A name given to the resource</description>
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                <text>EFEKTIVITAS AKUPRESUR PADA LANSIA DENGAN GANGGUAN PENCERNAAN DI UPTD PELAYAN SOSIAL LANJUT USIA BINJAI</text>
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            <description>The topic of the resource</description>
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                <text>Akupresur, Lansia, Gangguan Pencernaan, Nyeri, Gastrointestinal</text>
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            <description>An account of the resource</description>
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                <text>Gangguan gastrointestinal merupakan keluhan umum pada lanjut usia akibat proses degenerasi fungsional yang progresif. Seiring dengan peningkatan populasi lansia global, diperlukan intervensi mandiri keperawatan yang aman dan non-farmakologis untuk mengatasi keluhan nyeri pencernaan. Penelitian ini bertujuan untuk menilai efektivitas intervensi akupresur terhadap penurunan tingkat nyeri pada lansia dengan gangguan pencernaan di UPTD Pelayanan Sosial Lanjut Usia Binjai. Jenis penelitian ini adalah kuantitatif dengan rancangan quasi-experiment menggunakan desain one-group pretest-posttest pada 25 responden. Intervensi dilakukan melalui penekanan manual pada titik meridian ST36, ST 25, LI4, dan CV2. Hasil penelitian menunjukkan mayoritas responden menderita GERD (36%) dan gastritis (32%). Sebelum intervensi, sebanyak 68% responden mengalami nyeri sedang, namun setelah intervensi, angka nyeri sedang menurun menjadi 40% dan nyeri ringan meningkat menjadi 60%. Uji statistik Wilcoxon Signed Rank Test menunjukkan nilai p-value = 0,008 (p &lt; 0,05), yang menyimpulkan bahwa terdapat pengaruh signifikan pemberian akupresur terhadap penurunan intensitas nyeri gastrointestinal pada lansia.Terapi ini direkomendasikan sebagai asuhan keperawatan holistik untuk meningkatkan kualitas hidup kelompok lanjut usia</text>
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                <text>Petra Diansari Zega, Adelina Sembiring, Lisdayanti Simanjuntak, Emma Dosriamaya Noni Br Simanjuntak, Iin Nina Hastuti Padang, Kevin Batubara, Yomeka Hasianna Sirait&#13;
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                <text>2026</text>
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            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
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                <text>Indonesia</text>
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        <src>https://old-repository.mitrahusada.ac.id/files/original/f5e4cb6b8b2bb8e85fa8971af2bf0544.pdf</src>
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              <name>Title</name>
              <description>A name given to the resource</description>
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                  <text>Similarity</text>
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                <text>Portrait of Chronic Energy Deficiency in Pregnant Women: Study of Factors That Play a Role</text>
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                <text>Background: Pregnant women are one of the groups of people who are very vulnerable to nutritional problems, especially Chronic Energy Deficiency (CED). In 2020, the number of pregnant women experiencing Chronic Energy Deficiency (CED) was recorded at 1,200 people. This figure decreased to 1,000 people in 2021, and decreased again to 800 people in 2022. This decrease reflects efforts to improve health services for pregnant women in the area. The prevalence of Chronic Energy Deficiency (CED) in pregnant women in the work area of the Atu Lintang Health Center is still high&#13;
Methods: The type of research is an analytical survey with a Case Control approach. Population: all women aged 27-45 years at the Atu Lintang Health Center amounting to 60 people, the entire population is used as a sample. Bivariate analysis is an analysis to determine whether there is a relationship between independent variables can be used chi square test.&#13;
Result: The results of the study showed that there was a relationship between Education, Income, Parity and history of infectious diseases with the incidence of Chronic Energy Deficiency (CED) where the p-value was 0.008 for maternal education, 0.007 for occupation and Parity, and History of Infectious Diseases 0.016 ($p &lt; 0.05$)&#13;
Conclusion: The prevalence of Chronic Energy Deficiency (CED) in pregnant women in this area is still relatively high, indicating that chronic nutritional problems in pregnant women are a significant health issue in the area</text>
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                <text>Eva Ratna Dewi</text>
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