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                  <text>Surat Persetujuan Etik</text>
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                <text>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</text>
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                <text> Elderly, Hypertension, slow deep opium garlick</text>
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                <text>Â 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 &gt; 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.Â  The statistical test results showed a p value = 0.238 &gt; 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.</text>
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                <text>Lisdayanti Simanjuntak, Mesrida Simarmata, Dina Afriani, Rawun Gunawan, Laura Gultom Gunawan, Linda Mardiyanti Waruwu</text>
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                <text>EFEKTIVITAS AKUPRESUR PADA LANSIA DENGAN GANGGUAN&#13;
PENCERNAAN DI UPTD PELAYAN SOSIAL LANJUT USIA BINJAI</text>
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                <text>Gastrointestinal disorders are common complaints among older adults due to&#13;
progressive functional degeneration. With the increasing global elderly population, safe&#13;
and non-pharmacological independent nursing interventions are needed to manage&#13;
digestive pain. This study aimed to evaluate the effectiveness of acupressure intervention&#13;
in reducing pain levels among elderly individuals with gastrointestinal disorders at the&#13;
UPTD Elderly Social Service Center in Binjai. This quantitative study employed a quasiexperimental design using a one-group pretest–posttest approach involving 25&#13;
respondents. The intervention was administered through manual pressure on meridian&#13;
points ST36, ST25, LI4, and CV2. The results showed that most respondents suffered from&#13;
GERD (36%) and gastritis (32%). Prior to the intervention, 68% of respondents&#13;
experienced moderate pain; after the intervention, the proportion of moderate pain&#13;
decreased to 40%, while mild pain increased to 60%. The Wilcoxon Signed Rank Test&#13;
revealed a p-value of 0.008 (p &lt; 0.05), indicating a significant effect of acupressure on&#13;
reducing gastrointestinal pain intensity among the elderly. Acupressure therapy is&#13;
therefore recommended as a holistic nursing care approach to improve the quality of life&#13;
of older adults</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 HASIANNASIRAIT</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>Apium graveolens, Geriatrics, Hypertension, Elderly, Herbal Therapy</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 lutanagenent Support Terhadatrl Kuantitas Hidup Pasien Kanker Payudara</text>
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                <text>Breast Cancer, Quality of Life, Self-Management Support, Medical-Surgical Nursing.&#13;
&#13;
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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 AKUPRESUR PADA LANSIA DENGAN GANGGUAN&#13;
PENCERNAAN DI UPTD PELAYAN SOSIAL LANJUT USIA BINJAI</text>
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                <text> Gastrointestinal disorders are common complaints among older adults due to&#13;
progressive functional degeneration. With the increasing global elderly population, safe&#13;
and non-pharmacological independent nursing interventions are needed to manage&#13;
digestive pain. This study aimed to evaluate the effectiveness of acupressure intervention&#13;
in reducing pain levels among elderly individuals with gastrointestinal disorders at the&#13;
UPTD Elderly Social Service Center in Binjai. This quantitative study employed a quasiexperimental design using a one-group pretest–posttest approach involving 25&#13;
respondents. The intervention was administered through manual pressure on meridian&#13;
points ST36, ST25, LI4, and CV2. The results showed that most respondents suffered from&#13;
GERD (36%) and gastritis (32%). Prior to the intervention, 68% of respondents&#13;
experienced moderate pain; after the intervention, the proportion of moderate pain&#13;
decreased to 40%, while mild pain increased to 60%. The Wilcoxon Signed Rank Test&#13;
revealed a p-value of 0.008 (p &lt; 0.05), indicating a significant effect of acupressure on&#13;
reducing gastrointestinal pain intensity among the elderly. Acupressure therapy is&#13;
therefore recommended as a holistic nursing care approach to improve the quality of life&#13;
of older adults</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 HASIANNASIRAIT</text>
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                <text>Percakapan dengan Gemini&#13;
Ketik ulang&#13;
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Berikut adalah pengetikan ulang teks yang terdapat dalam gambar Screenshot_2026-05-28-08-24-54-086_cn.wps.moffice_eng.jpg:&#13;
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OPTIMALISASI KELAS IBU HAMIL MELALUI PELATIHAN TERAPIFOOT SOAK LEMONGRASSTERHADAP PENURUNAN TEKANAN DARAH IBU HAMIL&#13;
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Friza Novita Sari Situmorang, Herna Rinayanti Manurung, Ade Rachmat Yudianto, Ariska Fauzianty, Juliana Munthe, Sarfina Br Sembiring, Pitri Indriani Purba&#13;
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^1 Kebidanan Program Sarjana, Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan, Indonesia&#13;
^2 Klinik Pratama Rawat Inap Sarfina, Sumatera Utara&#13;
Corresponding Author: frizanovita@mitrahusada.ac.id&#13;
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Jurnal Masyarakat Madani Indonesia&#13;
https://syadani.onlinelibrary.id/index.php/JS/article/view/694&#13;
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Evaluasi Awal &amp; Invoice&#13;
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Sulistiyanto (chief_editor)&#13;
Friza Novita Sari Situmorang (frizanovita)&#13;
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Messages&#13;
Note	From&#13;
Yth. Friza Novita Sari Situmorang, Herna Rinayanti Manurung, Ade Rachmat Yudianto, Ariska Fauzianty, Juliana Munthe, Sarfina Sembiring, Pitri Indriani Purba,&#13;
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Berikut adalah hasil pengetikan ulang dari teks dokumen yang terdapat pada gambar Screenshot_2026-05-28-08-28-17-558_cn.wps.moffice_eng.jpg:&#13;
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Optimalisasi Kelas Ibu Hamil Melalui Pelatihan Terapi Foot Soak Lemongrass Terhadap Penurunan Tekanan Darah Ibu Hamil&#13;
INFO ARTIKEL	ABSTRAK&#13;
Diserahkan:&#13;
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11 Februari 2025&#13;
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Direvisi:&#13;
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diisi oleh editor&#13;
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Diterima&#13;
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diisi oleh editor&#13;
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Hipertensi dalam kehamilan merupakan risiko medis serius yang memerlukan penanganan tepat guna mencegah preeklamsia. Upaya penanganan hipertensi ini merupakan langkah nyata dalam mendukung Sustainable Development Goals (SDGs) target ke-3 dan visi nasional Asta Cita poin ke-4 terkait penguatan kualitas layanan kesehatan dan kemandirian bangsa. Di Klinik Pratama Rawat Inap Sarfina, manajemen hipertensi pada ibu hamil masih dominan menggunakan terapi farmakologis, sementara potensi bahan alam lokal belum dimanfaatkan secara optimal. Kegiatan pengabdian masyarakat ini bertujuan untuk mengoptimalisasi peran Kelas Ibu Hamil melalui pelatihan mandiri terapi foot soak (rendam kaki) menggunakan rebusan air sereh (lemongrass) sebagai intervensi nonfarmakologis. Mitra sasaran adalah 30 orang ibu hamil yang terdaftar di Klinik Pratama Sarfina. Metode pelaksanaan menggunakan pendekatan partisipatif yang meliputi edukasi teori, demonstrasi prosedur pembuatan, dan praktik mandiri (redemonstrasi). Hasil kegiatan menunjukkan capaian yang signifikan secara kuantitatif, yaitu peningkatan rata-rata skor pengetahuan sebesar 27,6% dan penurunan rata-rata tekanan darah sistolik sebesar 9,3 mmHg serta diastolik 7,7 mmHg setelah intervensi. Secara kualitatif, peserta mampu mendemonstrasikan teknik foot soak secara mandiri sesuai SOP dan merasakan efek relaksasi yang instan. Kendala utama berupa keterbatasan alat ukur suhu diatasi dengan edukasi teknik uji suhu manual. Optimalisasi Kelas Ibu Hamil melalui pelatihan ini terbukti efektif dalam meningkatkan keterampilan psikomotorik ibu hamil untuk melakukan perawatan mandiri berbasis etnofarmaka yang ekonomis dan mudah diakses.</text>
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