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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>Causative Factors, Post Partum, Baby Blues</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>Lampiran Bukti Korespodensi Jurnal Internasional Bereputasi</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</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>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>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>Parenting Patterns, Child Concepts, Independence of Preschool Age 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>Indra Agussamad, Lisdayanti Simanjuntak, Martaulina Sinaga, Adelina Sembiring,VinsenKripeni Manik, Yessy Winata Hutagalung</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>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>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>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>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>Lampiran Bukti Korespodensi Jurnal Internasional Bereputasi</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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