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                  <text>Lampiran Bukti Korespodensi Jurnal Internasional Bereputasi</text>
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                <text>Hubungan Pola Asuh Orang Tua Dengan Kemandirian Anak Usia Prasekolah Di Desa Bangun Rejo Kecamatan Kecamatan Tanjung Morawa Tahun 2024</text>
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                <text>Children  are  small  humans  who  have  potential  that  must  be  developed.  Children  have  certain characteristics that are unique and not the same as adults, they are always active, dynamic and curious about what they see, hear, feel and they never seem to stop exploring and learning. Children are egocentric, and have a  natural  curiosity.  Research  Objectives:  To  determine  the  relationship  between  parenting  patterns  and  the independence  of  preschool-age  children  in  Bangun  Rejo  Village,  Tanjung  Morawa  District.  This  research design uses a correlation study. The  sample  in this study  used a total sampling technique. From  the  results of univariate data analysis, it can be seen that authoritarian parenting patterns for preschool age children are in the non-authoritarian category, namely 26 respondents (26.8%). Democratic parenting styles for children are in the  non-democratic  category,  namely  22  respondents  (53.7%).  The  majority  of  permissive  parenting  styles  for children are in the permissive category, namely 21 people (51.2%). The independence of preschool age children is  mostly  in  the  independent  category,  namely  22  (46.3%).  The  results  of  the  bivariate  data analysis.  The statistical test results show that the p-value is 0.536 ˃ 0.05 so that the null hypothesis (Ho) is accepted, which means there is no significant relationship between authoritarian parenting and the independence of preschool-age  children,  and the  statistical  test  results  show  that  the  p-value -value  0.257  ˃  0.05  so  the  null  hypothesis (Ho)  is  accepted  which  means  there  is  no  significant  relationship  between  democratic  parenting  and  the independence of  preschool  aged  children.  Then  the  results  of  statistical  tests  show  that  the  p-value  is  0.278  ˃ 0.05  so  the  null  hypothesis  (  Ho)  is  accepted,  which  means  there  is  no  significant  relationship  between parenting styles and the independence of preschool-aged children</text>
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                <text>Children  are  small  humans  who  have  potential  that  must  be  developed.  Children  have  certain characteristics that are unique and not the same as adults, they are always active, dynamic and curious about what they see, hear, feel and they never seem to stop exploring and learning. Children are egocentric, and have a  natural  curiosity.  Research  Objectives:  To  determine  the  relationship  between  parenting  patterns  and  the independence  of  preschool-age  children  in  Bangun  Rejo  Village,  Tanjung  Morawa  District.  This  research design uses a correlation study. The  sample  in this study  used a total sampling technique. From  the  results of univariate data analysis, it can be seen that authoritarian parenting patterns for preschool age children are in the non-authoritarian category, namely 26 respondents (26.8%). Democratic parenting styles for children are in the  non-democratic  category,  namely  22  respondents  (53.7%).  The  majority  of  permissive  parenting  styles  for children are in the permissive category, namely 21 people (51.2%). The independence of preschool age children is  mostly  in  the  independent  category,  namely  22  (46.3%).  The  results  of  the  bivariate  data analysis.  The statistical test results show that the p-value is 0.536 ˃ 0.05 so that the null hypothesis (Ho) is accepted, which means there is no significant relationship between authoritarian parenting and the independence of preschool-age  children,  and the  statistical  test  results  show  that  the  p-value -value  0.257  ˃  0.05  so  the  null  hypothesis (Ho)  is  accepted  which  means  there  is  no  significant  relationship  between  democratic  parenting  and  the independence of  preschool  aged  children.  Then  the  results  of  statistical  tests  show  that  the  p-value  is  0.278  ˃ 0.05  so  the  null  hypothesis  (  Ho)  is  accepted,  which  means  there  is  no  significant  relationship  between parenting styles and the independence of preschool-aged children</text>
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                <text>EFEKTIVITAS AKUPRESUR PADA LANSIA DENGAN GANGGUAN PENCERNAAN DI UPTD PELAYAN SOSIAL LANJUT USIA BINJAI</text>
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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>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</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>Eva Ratna Dewi</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>Efektivitas Apium Graveolens Dalam Pemeliharaan Kesehatan Reproduksi Dan Pencegahan&#13;
Hipertensi Lansia Kampung Kb Pangkalan Masyhur Medan Johor Tahun 2025</text>
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                <text>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 &lt; 0.001) and a reduction in DBP from 94.5 mmHg to 86.1 mmHg ($p &lt; 0.05$). 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.</text>
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                <text>Lisdayanti Simanjuntak, Dina Afriani, Mastaida Tambun, Adelina Sembiring, Lisbet Gurning, Suci Rani Amalia</text>
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                <text>ANALISIS EFEKTIVITAS SELF-MANAGEMENT SUPPORT TERHADAP KUALITAS HIDUP PASIEN KANKER PAYUDARA</text>
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                <text>Breast Cancer, Quality of Life, Self-Management Support, Medical-Surgical Nursing</text>
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                <text>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 &lt; 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.</text>
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                <text>Adelina Sembiring, Lisdayanti Simanjuntak, Lisbet Gurning, Sri Mulati Nendah Agreta, Petra Diansari Zega, Abdul Mazid Bancin</text>
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                <text>EFEKTIVITAS APIUM GRAVEOLENS DALAM PEMELIHARAAN KESEHATAN REPRODUKSI DAN PENCEGAHAN HIPERTENSI LANSIA KAMPUNG KB PANGKALAN MASYHUR MEDAN JOHOR TAHUN 2025</text>
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                <text>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 &lt; 0.001) and a reduction in DBP from 94.5 mmHg to 86.1 mmHg ($p &lt; 0.05$). 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.</text>
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                <text>Lisdayanti Simanjuntak, Dina Afriani, Mastaida Tambun, Adelina Sembiring, Lisbet Gurning, Suci Rani Amalia</text>
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                <text>Effectiveness of Health Belief Model-Based Psychoeducation in Enhancing Adolescent Mental Health Accessibility in Indonesia</text>
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                <text>Isyos Sari Sembiring, Basaria Manurung, Herna Rinayanti Manurung, Lidya Natalia Sinuhaji, Perkasa Ginting, Grace Laura Fidela Pane, Oktaviani Zebua, Juwita Febriani Pakpahan</text>
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