8 10 2059 https://old-repository.mitrahusada.ac.id/files/original/2998ea4c16ff0f7b30001dc8fba252d0.pdf f2494cdd0984a25fb78ebc47dca471ed 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 Lampiran Bukti Korespodensi Jurnal Internasional Bereputasi 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/95b507e1239a35542874eef6b109f474.pdf b7da7c5d8bec0623cfa4e5c4b30efa4b 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 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 https://old-repository.mitrahusada.ac.id/files/original/6acf8488df071a848df6d5c77416a6b6.pdf a502214c2da8fbfce8ce4001b3c399b2 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 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/275609b6402fb62ff2b1705ffdf93cf1.pdf c2ed6bb4c582779dcac7b6f8c2edb89b 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 Lampiran Bukti Korespodensi Jurnal Internasional Bereputasi 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 Effectiveness of Health Belief Model-Based Psychoeducation in Enhancing Adolescent Mental Health Accessibility in Indonesia Creator An entity primarily responsible for making the resource Isyos Sari Sembiring, Basaria Manurung, Herna Rinayanti Manurung, Lidya Natalia Sinuhaji, Perkasa Ginting, Grace Laura Fidela Pane, Oktaviani Zebua, Juwita Febriani Pakpahan https://old-repository.mitrahusada.ac.id/files/original/c84adc46119305fda412e43ef4121d92.pdf 12ec80ae16dc106146daf9c069512bbf 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 Mothers’ Perceptions Based on the Health Belief Model Regarding Exclusive Breastfeeding and Stunting Prevention Description An account of the resource Sustainable Development Goal (SDG) number two aims to create a healthy and productive society free from hunger. According to SDG data, the stunting rate among children under five decreased from 24.4% in 2021 to 21.6% in 2022. However, disparities remain across provinces, and national targets have not yet been achieved. Stunting is characterized by a Z-score less than -2 SD (moderate) and less than -3 SD (severe). One of the main obstacles to achieving this goal is the prevalence of malnutrition among children under five, which is a major factor contributing to stunting (1). This study aims to explore mothers' perceptions using the Health Belief Model (HBM) regarding exclusive breastfeeding in preventing. The research method is analytical, using a cross-sectional design with a Chi-Square test to analyze the influence between variables. The population consists of all mothers with toddlers, with a total of 149 visits recorded in the past year. A sample of 60 mothers was selected. Primary data were collected using questionnaires, and secondary data were obtained through interviews. The results showed that most respondents were aged 31-40 years (66.7%), had a high school education (66.7%), and were housewives (91.7%). There was a statistically significant relationship between perceived susceptibility (p=0.009) and perceived severity (p=0.024) with the practice of exclusive breastfeeding in preventing stunting. Conclusion: There is a significant relationship between mothers' perceptions of susceptibility and severity. Educational interventions should focus on enhancing mothers' positive perceptions of the importance of exclusive breastfeeding. Creator An entity primarily responsible for making the resource Ingka Kristina Pangaribuan, Lisa Erwati Sibarani, Rosmani Sinaga, Herna Rinayanti Manurung, Siti Nurmawan Sinaga, dr. Ade Rachmat, Adi Raja Brando Lubis Language A language of the resource Indonesia https://old-repository.mitrahusada.ac.id/files/original/947ea964f94a86f8d87f87accf6edebc.pdf 04c7c889ba08cf982d838317627b0cae 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 Pendampingan Peran Kader dalam Mengurangi Kejadian KEK Pada Ibu Hamil di PMB Sarfina Sembiring Description An account of the resource Cadres play an important role in realizing education as providers of information regarding nutritious food, so that cadres' knowledge is very necessary in changing the nutritional awareness behavior of adolescents of reproductive age, pregnant and postpartum women, which was initially low to higher, so that in the end it will improve nutritious food consumption patterns. The aim of conducting research on cadres at clinic Sarfina Br Sembiring to determine the level of knowledge of cadres in preventing CED. The method used in providing cadre assistance counseling is the lecture method which is a way of explaining and explaining an idea, understanding or message verbally to the target group. The evaluation was carried out by measuring the level of knowledge of cadres through pretest and post test questionnaires regarding knowledge of CED prevention and the benefits of peanut honey to reduce CED and stunting. Based on the results of the outreach activities carried out, results were obtained in increasing knowledge of CED prevention among cadres at PMB Sarfina Br Sembiring. This is proven by the results of the questionnaire increasing cadres' knowledge from the pre-test results which showed that 73.33% of cadres answered questions correctly, then after counseling this increased to 90%. And the results obtained apart from increasing knowledge of cadre attitudes also increased from the pre-test results which showed that 63.33% of cadres answered questions correctly, then after counseling this increased to 80%. Creator An entity primarily responsible for making the resource Juliana Munthe, Febriana Sari, Ninsah Mandala Putri, Siti Nurmawan Isyos Sari Sembiring, Lisa Putri Utami, Mediana Sembiring, Sarfina Sembiring Language A language of the resource Indonesia https://old-repository.mitrahusada.ac.id/files/original/627397a7496b8fe667ada232d3d65b9b.pdf 8fe1e623243998c78651c9f5a601683d 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 Factors Associated with the Irregularity of Antenatal Care Visits at the Amandraya Health Center in South Nias Regency in 2022 Description An account of the resource Antenatal care is an activity of supervising pregnant women to prepare pregnant women as well as possible both physically and mentally, as well as saving mothers and babies during pregnancy, childbirth and the postpartum period. In South Nias District the coverage of Antenatal Visits 1 (K1) was 87.10% in 2019 and K4 was 73.32. At the Amandraya Health Center the coverage of K1 to K4 in 2021 has not reached the expected target of 95%.The aim of this study was to find out the factors associated with the irregularity of antenatal care visits at the Amandraya Health Center in South Nias Regency in 2022. This type of research is an analytic observational study using a cross sectional approach. The population was all pregnant women at the Amandraya Health Center in South Nias Regency, namely 217 people. The sample in this study were 73 people obtained through simple random sampling technique. Data analysis was carried out to determine the distribution of frequencies and percentages of each variable to be studied which included: age, education, employment, parity, income and staff support. Data analysis was performed by statistical test using chi-square.There is a relationship between knowledge ($p=0.001$) and income ($p=0.007$), mothers and irregular antenatal care visits at the Amandraya Health Center in South Nias Regency in 2022. There is no relationship between mother's education, number of children and health workers and irregular antenatal care visits. It is suggested to the staff of the Amandraya Health Center in South Nias Regency to increase counseling activities so that pregnant women's knowledge about antenatal care increases and antenatal care visits can be carried out regularly from the 1st to the 3rd trimester. Creator An entity primarily responsible for making the resource Surya Meistin Kristianti Hondro, Veronika Sinar Open Pasaribu, Edy Marjuang Purba, Herna Rinayanti Manurung, Eva Ratna Dewi, Marliani Date A point or period of time associated with an event in the lifecycle of the resource 2022 Language A language of the resource English https://old-repository.mitrahusada.ac.id/files/original/296dc8b183bc56569f0491c54a451d56.pdf 9cf0ef71be36500e4b76bf1931803f99 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 Peran Kelas Ibu Balita Sebagai Media Peran Kelas Ibu Balita Sebagai Media Edukasi Dalam Meningkatkan Pengetahuan Pencegahan Stunting di Puskesmas Ketol Description An account of the resource Menurut World Health Organization (WHO), stunting merupakan gangguan pertumbuhan kronis yang bersifat irreversible dan umumnya disebabkan oleh asupan nutrisi yang tidak memadai serta paparan infeksi berulang, terutama selama periode kritis 1000 hari pertama kehidupan. Berdasarkan data Dinas Kesehatan Kabupaten Aceh Tengah tahun 2021, prevalensi stunting tertinggi tercatat di wilayah kerja Puskesmas Kekuyang, Kecamatan Ketol, yaitu sebesar 30,8% (145 balita). Sementara itu, di wilayah Puskesmas Ketol pada kecamatan yang sama, angka stunting tercatat sebesar 10,1%, atau sekitar 74 balita. Penelitian ini bertujuan untuk mengkaji peran Kelas Ibu Balita sebagai media edukatif dalam meningkatkan pengetahuan ibu mengenai pencegahan stunting di wilayah kerja Puskesmas Ketol. Metode yang digunakan adalah quasi-experiment dengan desain one group pre-test and post-test, di mana pengukuran dilakukan sebelum dan sesudah intervensi pada satu kelompok yang sama. Desain ini memungkinkan peneliti untuk mengevaluasi dampak edukasi terhadap perubahan pengetahuan responden. Uji statistik yang digunakan adalah paired t-test guna mengetahui signifikansi perbedaan pengetahuan sebelum dan sesudah mengikuti kelas. Hasil penelitian menunjukkan bahwa terdapat pengaruh yang signifikan dari keikutsertaan dalam Kelas Ibu Balita terhadap peningkatan pengetahuan ibu mengenai pencegahan stunting. Dari total 42 responden yang terlibat, diperoleh nilai p-value sebesar 0,000, yang menunjukkan adanya hubungan yang bermakna secara statistik. Temuan ini mengindikasikan bahwa pelaksanaan Kelas Ibu Balita di Puskesmas Ketol efektif dalam meningkatkan kesadaran dan pemahaman ibu tentang pentingnya pencegahan stunting sejak dini. Oleh karena itu, diharapkan Puskesmas Ketol dapat terus mengembangkan dan mengoptimalkan kegiatan Kelas Ibu Balita sebagai bagian dari strategi promotif dan preventif dalam penanggulangan stunting. Penyuluhan dan layanan edukatif yang terstruktur dan berkelanjutan menjadi kunci dalam memperkuat peran ibu sebagai pengambil keputusan utama dalam praktik pengasuhan dan pemberian gizi yang optimal bagi balita. Creator An entity primarily responsible for making the resource Eva Ratna Dewi, Diaz Fauziah, Febriana Sari, Eka Purnamasari, Ingka Kristina Pangaribuan, Rosmey Linda Language A language of the resource Indonesia https://old-repository.mitrahusada.ac.id/files/original/50593085c2e283b90e95a535a8033b24.pdf 5fba41afebef0a0b676ca2526f440051 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 Lampiran Bukti Korespodensi Jurnal Internasional Bereputasi 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 between midwife communication and the level of satisfaction women in antenatal care services at the UPTD Kotanopan Health Center, Mandailing Natal Regency, North Sumatra Province in 2024 Creator An entity primarily responsible for making the resource Kamelia Sinaga, Rolasnih Lilista Simbolon, Herna Rinayanti Manurung, Sri Muliani Putri Bakara, Rinny Niska Language A language of the resource Indonesia https://old-repository.mitrahusada.ac.id/files/original/e9b4c2bdf27912d7ad6dcd8a104383bf.pdf 6b5d9b014a2ae6dae7952e1a711c3a87 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 The relationship between midwife communication and the level of satisfaction women in antenatal care services at the UPTD Kotanopan Health Center, Mandailing Natal Regency, North Sumatra Province in 2024 Description An account of the resource World Health Organization (WHO) data on national health status in achieving the Sustainable Development Goals (SDGs) targets states that globally around 830 women die every day due to complications during pregnancy and childbirth, with an MMR of 216 per 100,000 live births (WHO, 2019). As many as 99 percent of maternal deaths due to pregnancy, childbirth or birth problems occur in developing countries. The MMR ratio is still considered quite high as targeted to be 70 per 100,000 live births in 2030 (WHO, 2019). WHO estimates that more than 585,000 mothers die each year during pregnancy or childbirth. Research Objectives: The Relationship Between Effective Midwife Communication and the Level of Satisfaction with Antenatal care Services in Pregnant Women at the Kotanopan Health Center UPTD, Mandailing Natal Regency, North Sumatra Province in 2024. Quantitative research method using a Cross Sectional approach. This study uses an extensive dataset to see many cases and relationships between variables. The results of the study showed a significant relationship between midwife attitudes (P value = 0.000 < α value = 0.05) and midwife communication (P value = 0.000 < α value = 0.05) with satisfaction with antenatal care services for pregnant women at the Community Health Center. Creator An entity primarily responsible for making the resource Kamelia Sinaga, Rolasnih Lilista Simbolon, Herna Rinayanti Manurung, Srimuliani Putri Bakara, Nova Cristina Sianturi, Rinny Niska 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