2 10 2059 https://old-repository.mitrahusada.ac.id/files/original/7ab0643371634eee038006dcd657a146.pdf 344f2f84559687c5413b9c3e023d4928 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 Article 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 3nd International Conference on Public Health 2021 Subject The topic of the resource Penary Schedule Language A language of the resource Indonesia https://old-repository.mitrahusada.ac.id/files/original/87803494d41b4f6d92c276006281f91a.pdf be9704f1151fe86053602befdf5078f5 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 Article 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 Penerapan Teknik Effleurage Massage Dalam Mengatasi Nyeri Afterpains Ibu Postpartum Di Puskesmas Negeri Lama Kecamatan Bilah Hilir Kabupaten Labuhanbatu Tahun 2022 Description An account of the resource Kontraksi uterus menimbulkan nyeri yang berdampak pada penerapan terapi antara lain menghambat pemberian ASI, menghambat bonding ibu dan anak, rasa lelah akibat afterpain yang dirasakan, gangguan istirahat hingga nyeri terus menerus yang menyebabkan resiko terjadinya postpartum blues dan pada bayi berdampak pada kurangnya asupan gizi sehingga dapat menghambat proses tumbuh kembang bayi. Metode yang digunakan dalam kegiatan ini terdiri dari 3 yaitu tahap persiapan, pelaksanaan dan evaluasi, dimulai dengan mengumpulkan peserta yaitu ibu nifas. Dari kegiatan yang dilakukan, seluruh peserta hadir, dimana dari 30 peserta yang terdaftar dalam kegiatan ini, didapatkan hasil bahwa sebanyak 23 peserta (77%) merasa nyaman dan 7 peserta (23%) dengan tidak merasa nyaman menggunakan teknik pijat effleurage. Kemudian tahap evaluasi menunjukkan tingkat nyeri pretest lebih tinggi daripada tingkat nyeri post-test, skor minimum adalah 3 (nyeri ringan) dan nilai maksimum adalah 8 (nyeri berat). Sedangkan pada posttest diperoleh nilai minimal 0 (tidak nyeri), dan nilai maksimal 5 (nyeri sedang). Kesimpulan setelah dilakukan teknik pijat effleurage bahwa ibu nifas yang mengalami afterpains sangat tertarik dan merasa nyaman dengan teknik pijat effleurage Creator An entity primarily responsible for making the resource Herna Manurung, Rosmani Sinaga, Marliani, Juliana Munthe, Bintang Tobing Date A point or period of time associated with an event in the lifecycle of the resource 2022 Language A language of the resource Indonesia https://old-repository.mitrahusada.ac.id/files/original/a4f5fed67c1cde1ec6412317d06ead33.pdf 10f6362ef117dec16f18d777695e0562 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 EFEKTIFITAS FERMENTASI BAWANG PUTIH (BLACK GARLIC) TERHADAP REMAJA YANG OBESITAS DI SMAN 5 KOTA BINJAI PROVINSI SUMATERA UTARA TAHUN 2024 Subject The topic of the resource Black Garlik, Adolescents, Obese Description An account of the resource 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 α 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. Creator An entity primarily responsible for making the resource Erin Padilla Siregar, Sri Rezeki, Lisdayanti Simanjuntak, Anna Waris Nainggolan, Marta Armita Br Silaban, Yesika Ritonga, Zahara Tuljannah Date A point or period of time associated with an event in the lifecycle of the resource 2024 Language A language of the resource English https://old-repository.mitrahusada.ac.id/files/original/8bf4eb9cc7bb044ad2b32c23f136aa3d.pdf 2bb89f6f03cd97a606b2f39968e76c3a 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 RELATIONSHIP OF MOBILIZATION WITH THE DURATION OF POST-LAPARATOMY WOUND HEALING IN PERBAUNGAN GENERAL HOSPITAL IN 2020 Subject The topic of the resource L apparatus , Mobilization , Post-operative Description An account of the resource 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 Creator An entity primarily responsible for making the resource Tani Astuti, Mesrida Simarmata, Lisdayanti Simanjuntak, Elda Wati Sinaga Date A point or period of time associated with an event in the lifecycle of the resource 2020 Language A language of the resource English https://old-repository.mitrahusada.ac.id/files/original/c39edce447a9ba503dce6c8987f99937.pdf 399c296cc98dff653a79eaf4b843cc5f 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 Inovasi Excellent Percepatan Penurunan Tekanan Darah Pada Lansia Hipertensi Dengan Slow Deep Breating dan Kombinasi Bahan Alam (Opium Graveolent dan Black Garlick) di Desa Bangun Rejo Tahun 2024 Subject The topic of the resource Elderly, Hypertension, slow deep opium garlick Description An account of the resource  Hypertension is an increase in systolic blood pressure of more than 140 mmHg and diastolic blood pressure of more than 90 mmHg in two measurements with an interval of five minutes in a resting/calm state. This research is a quasi-experiment research with a two group pretest and posttest design. The population in this study was 50 elderly people in Bangun Rejo Village in 2024. The sampling technique was carried out using a purposive sampling technique so that the total sample was 50 people. Data analysis used the Wilcoxon test. The results of this study show that from the results of the excellent innovation research, the acceleration of blood pressure reduction in hypertensive elderly with deep breathing and a combination of natural ingredients (apium graveolens and black garlic) means that the average blood pressure in the control group at the first examination was 146.12 mmHg and at the second examination The average blood pressure is 149.20 mmHg with a p value (mean) of 0.238 > 0.05, meaning it is not significant. It was concluded that research on Excellent Innovation Accelerated Blood Pressure Reduction in Hypertensive Elderly People Using Slow Deep Breathing and a Combination of Natural Ingredients (Apium Graveolens and Black Garlic) in Bangun Rejo Village in 2024 on 50 elderly people, with 25 elderly people as controls and 25 elderly people as cases, obtained results in the elderly as controls, the average blood pressure at the first examination was 146.12 mmHg, while the average blood pressure at the second examination was 147.28 mmHg. It can be seen that the difference in the mean value between the first and second measurements is -1.26. The statistical test results showed a p value = 0.238 > 0.05, which means there was no significant difference between blood pressure in the first and second measurements in elderly people as controls. Meanwhile, in elderly cases, the average blood pressure result of the first examination was 165.72 mmHg, while the average blood pressure at the second examination was 136.92 mmHg. Creator An entity primarily responsible for making the resource Lisdayanti Simanjuntak, Mesrida Simarmata, Dina Afriani, Rawun Gunawan, Laura Gultom Gunawan, Linda Mardiyanti Waruwu 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/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/a158c8c45cd1d66f497809924107d2e9.pdf bce1033f0fec4737867ffbea8da6fee4 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 Similarity 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/7da05f481a930a81cd564da009a2a943.pdf cac641d99384f024aca2880ef0b1bfc9 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 Similarity 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-MANAGEMENT SUPPORT TERHADAP KUALITAS 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