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                <text>Efektivitas Pemberian Teknik Relaksasi Nafas Dalam Terhadap Penurunan Nyeri Dismenore Pada Remaja Putri SMP Swasta Era Ibang Kota Medan Johor Tahun 2022</text>
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                <text>Dismenore merupakan kejadian yung sering terjadi pada wanita sewaktu menstruasi yang dapat menggangu aktivitas dan menimbulkan rasa nyeri dibagian daerah abdomen ataupun pinggul. Nyeri yang terjadi saat menstruasi diakibatkan oleh hormon prostaglandin yung membuat kerja otot rahim berkontraksi. Penelitian ini bertujuan untuk mengetahui efektivitas pemberian teknik relaksasi nafas dalam terhadap penurunan nyeri dismenore pada remaja putri smp swasta cra ibang kota medan Metode: Metode ini adalah kuantitatif berdasarkan jenisnya yang digunakan di dalam penelitian adalah Eksperimen semu (Quasi Experimental ) dengan bentuk rancangan one group pretest - posttest. Sampel yang diambil dalam penelitian ini adalah 40 responden dengan menggunakan Purposive Sampling, dianalisis menggunakan Uji Paired T- test, dan waktu penelitian dilakukan pada bulan Mei sampai Juni. Hasil: Hasil penelitian didapatkan sesudah diberikan teknik relaksasi nafas dalam, dengan nilai p-value = 0,000 (p &lt; 0,05) artinya Ha diterima yang berarti ada efek signifikan sesudah diberikan teknik relaksasi nafas dalam. Kesimpulan: Diharapkan kepada remaj putri dapat mempraktikkan teknik relaksasi nafas dalam sebagai upaya penanganan dalam menurunkan nyeri dismenore sehingga tidak mengganggu aktifitas pada saat menstruasi. Kata Kunci: Menstruasi Nyeri Dismenore, Teknik Relaksasi Nafas Dalam</text>
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                <text>Anemia pada kehamilan masih menjadi masalah kesehatan di global dengan tingkat kejadian yang tinggi, salah satunya akibat ketidakpatuhan ibu hamil dalam mengonsumsi tablet tambah darah (TTD). Promosi kesehatan merupakan strategi penting untuk meningkatkan efikasi diri dan kepatuhan ibu hamil dalam mengonsumsi TTD. Penelitian ini bertujuan untuk mengetahui efektivitas promosi kesehatan terhadap self-efficacy, kepatuhan, dan konsumsi tablet tambah darah di Klinik Sarfina melalui pendekatan kuantitatif dengan quasi experiment desain pendidikan intervensi digital. Subjek penelitian berjumlah 20 ibu hamil yang menerima suplementasi tablet tambah darah (TTD). Instrumen yang digunakan adalah kuesioner MMAS-8 dan media leaflet. Analisis data menggunakan uji wilcoxon. Hasil menunjukkan bahwa terdapat peningkatan signifikan tingkat self-efficacy, kepatuhan, dan konsumsi TTD pada kelompok intervensi setelah diberikan promosi kesehatan melalui media leaflet secara signifikan (p&lt;0,05). Promosi kesehatan yang dilakukan dengan media leaflet secara digital efektif dalam meningkatkan efikasi diri, kepatuhan dan konsumsi TTD pada ibu hamil. Saran bagi bidan dan tenaga kesehatan agar memberikan promosi kesehatan yang lebih terstruktur dan terukur, salah satunya melalui media leaflet dan dilakukan secara rutin dalam pelayanan antenatal care.</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;
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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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