Jurnal Ilmiah PANNMED (Pharmacist, Analyst, Nurse, Nutrition, Midwivery, Environment, Dentist)

CERAMAH AGAMA DAN MUROTTAL AL-QUR’AN SEBAGAI INTERVENSI SPIRITUAL UNTUK PENINGKATAN PSIKOLOGIS PASIEN STROKE

2025-12-03T08:07:55+07:00

This study examines the effectiveness of Islamic spiritual interventions Qur’anic recitation (murottal) and religious sermons

HAMBATAN PEMBERIAN ASI EKSKLUSIF PADA IBU MENYUSUI DI PUSKESMAS DARUSALLAM KOTA MEDAN (POTRET KOMUNITAS)

2025-10-27T08:36:57+07:00

Exclusive breastfeeding during the first six months of life has been proven to significantly reduce infant morbidity and mortality while contributing to the improvement of human resource quality. However, the coverage of exclusive breastfeeding in Indonesia, including Medan City, remains below the national target. This study aimed to identify barriers to exclusive breastfeeding among breastfeeding mothers at Darusallam Public Health Center, Medan. A quantitative descriptive survey design was applied, involving 140 mothers with infants aged 0–6 months. Data were collected using a structured questionnaire that had been tested for validity and reliability. Data analysis included univariate, bivariate (chi-square test), and multivariate (multiple logistic regression). The results showed that only 39.29% of respondents practiced exclusive breastfeeding, while 60.71% did not. The main barriers identified were lack of maternal knowledge (35.0%), employment factors (32.1%), and low family support (18.6%). Bivariate analysis revealed significant associations between maternal education, employment status, family support, and knowledge with exclusive breastfeeding practice (p<0.05). Multivariate analysis demonstrated that maternal knowledge was the most dominant factor with OR=8.17 (p=0.001), followed by family support (OR=5.93), education (OR=3.38), while maternal employment was found to be a barrier (OR=0.23). It can be concluded that maternal knowledge is the most dominant barrier to exclusive breastfeeding practice, along with family support and employment. Therefore, public health interventions should focus on improving maternal knowledge through education and lactation counseling, strengthening family support, and implementing mother-friendly workplace policies that provide adequate lactation facilities.

THE EFFECTIVENESS OF BUTTERFLY PEA (CLITORIA TERNATEA) TEA CONSUMPTION IN REDUCING BLOOD PRESSURE AMONG ELDERLY PATIENTS WITH HYPERTENSION

2025-10-27T08:33:37+07:00

Hypertension is one of the major health problems among the elderly, which poses a high risk of cardiovascular complications. Non-pharmacological interventions such as the consumption of butterfly pea tea ( Clitoria ternatea ) are considered to have potential in lowering blood pressure. This study aimed to examine the effectiveness of butterfly pea tea in reducing blood pressure among elderly patients with hypertension at the Posyandu Lansia in Mabar. This research employed a pre-experimental design with a one-group pretest-posttest approach. A total of 30 elderly respondents with hypertension participated in the study and were given 200 ml of butterfly pea tea daily for seven consecutive days. Blood pressure measurements were taken before and after the intervention and analyzed using the paired t-test . The results revealed a significant decrease in both systolic and diastolic blood pressure. The average systolic pressure decreased by 13.0 mmHg, from 152.3 mmHg to 139.3 mmHg, while the diastolic pressure decreased by 8.03 mmHg, from 93.3 mmHg to 85.27 mmHg. Statistical analysis showed a p-value of 0.000 (p < 0.05), indicating that butterfly pea tea is effective in reducing blood pressure among elderly patients with hypertension.

PEMBERIAN SARI KACANG HIJAU DAN MADU TERHADAP PENINGKATAN KADAR HEMOGLOBIN PADA IBU HAMIL

2025-12-03T08:14:48+07:00

Latar belakang : Menurut World Health Organization (WHO) diperkirakan sebanyak 52,5% wanita di Asia Tenggara mengalami anemia. Hasil Riset Kesehatan Dasar (Riskesdas) tahun 2022 bahwa sekitar 21,7% penduduk Indonesia mengalami anemia, 48,9 % terjadi pada ibu hamil, meningkat dibandingkan di tahun 2020 sebesar 37,1%. Anemia kehamilan adalah kondisi tubuh dengan kadar hemoglobin dalam darah <11 g/dl. Pencegahan anemia dapat dilakukan dengan farmakologi dan non farmakologi, farmakologi dengan mengkonsumsi tablet tambah darah selama masa kehamilan, non farmakologi dengan mengkonsumsi makanan yang mengandung zat besi seperti sari kacang hijau dan madu. Tujuan : Bagaimana pengaruh pemberian sari kacang hijau dan madu terhadap peningkatan kadar hemoglobin ibu hamil trimester I dan II di Desa Pasir Mijen Demak? Metode : Desain penelitian yang digunakan yaitu pretest-posttest with control group design. Hasil Penelitian : Gambaran kejadian anemia pada ibu hamil sebelum dilakukan penelitian ibu hamil pada kelompok intervensi mengalami anemia sebanyak 15 responden (83,3%) dan ibu hamil yang tidak anemia sebanyak 3 responden (16,7%). Ada pengaruh yang Hasil uji fisher’s exact test didapatkan nilai p=0,045 maka nilai p < 0,05 sehingga dapat disimpulkan ada pengaruh yang signifikan antara konsumsi buah sari kacang hijau dan madu terhadap kejadian anemia pada ibu hamil di Desa Pasir Mijen Demak. Convidence Interval (CI) 0,542-0,962 (95%), hasil nilai relative risk (OR) 0,722 Kesimpulan : Hasil uji fisher’s exact test didapatkan nilai p=0,045 maka nilai p < 0,05 dapat disimpulkan ada pengaruh yang signifikan antara konsumsi buah sari kacang hijau dan madu.

KAJIAN LITERATUR : PERAN PERAWAT KOMUNITAS DALAM PENINGKATAN KEPATUHAN MINUM OBAT OAT PADA PASIEN TUBERKULOSIS DI LAHAN BASAH

2025-12-03T08:10:14+07:00

Tuberculosis is a chronic, infectious disease caused by the bacterium Mycobacterium tuberculosis, which can cause respiratory problems. Therefore, to prevent the risk of developing TB, regular medication intake is essential for tuberculosis patients. Non-adherence to treatment in pulmonary TB patients is influenced by several factors, one of which is nurses. Community nurses emphasize health promotion and prevention activities as crucial. The environment is one contributing factor to the disease, in this case. Wetlands are considered a source of disease, such as mosquito breeding grounds, leading to the spread of many diseases, such as malaria, dengue fever, yellow fever, and other wetland-related diseases. This literature review aims to examine the role of community nurses in improving adherence to anti-tuberculosis medication in patients with tuberculosis in wetlands. Articles were searched using databases including PubMed and Google Scholar, with the following inclusion criteria: full-text articles, published between 2014 and 2025, and with a DOI. The literature search revealed that community nurses play a crucial role in improving adherence to anti-tuberculosis medication management in TB patients. Furthermore, the effectiveness of OAT drug management in TB patients is also supported by nurses as healthcare workers and families as the smallest community unit involved in TB patient care.

EFEKTIVITAS SERBUK DAUN PEPAYA (CARICA PAPAYA) SEBAGAI LARVASIDA AEDES AEGYPTI TAHUN 2025

2025-10-27T08:37:32+07:00

Dengue hemorrhagic fever (DHF) is an infectious disease that remains a public health problem in Indonesia. One control strategy is the use of larvicides. This study aims to determine the effectiveness of papaya leaf powder (Carica papaya) as a larvicide against Aedes aegypti larvae. The study design was a laboratory experiment with variations in concentration of 20 g, 40 g, and 60 g of papaya leaf powder and a control, with 6 replicates. The results showed that larval mortality increased with concentration and exposure time. The 60 g concentration resulted in the highest mortality (55%). The ANOVA test showed p=0.000, indicating a significant difference between treatments. Probit analysis yielded an LC50 value of 3.73% and an LC90 value of 7.55%. Conclusion: papaya leaf powder is effective as a natural larvicide and can be used in dengue vector control.

PERSEPSI IBU NIFAS DAN DUKUNGAN BIDAN DALAM PELAKSANAAN INISIASI MENYUSU DINI (IMD) DENGAN ONSET LAKTASI DI PMB LILI AMBARWATI, AM.KEB,KOTA MEDAN TAHUN 2025

2025-12-03T08:12:01+07:00

Inisiasi Menyusu Dini merupakan pemberian Air Susu Ibu (ASI) kepada bayi dalam satu jam pertama setelah lahir, dimana bayi di letakkan di dada ibu dan membiarkan bayi sampai menemukan puting susu ibunya. Inisiasi menyusu dini penting dilakukan segera setelah lahir untuk mendorong keberhasilan ASI esklusif mempercepat timbulnya laktasi dan didukung oleh persepsi ibu serta peran aktif tenaga kesehatan. Penelitian ini bertujuan untuk mengetahui hubungan persepsi ibu nifas dan dukungan bidan dalam pelaksanaan IMD dengan permulaan laktasi, menggunakan rancangan observasional dengan pendekatan cross sectional . Populasi adalah ibu nifas di PMB Lili Ambarwati, Am.Keb sebanyak 36 orang dan semua dijadikan sampel (total sampling). Analisis data menggunakan uji chi-square . Hasil penelitian menemukan terdapat hubungan yang signifikan antara persepsi ibu nifas terhadap pelaksanaan IMD dengan onset latasi dengan p-value 0.000 dan ada hubungan yang signifikan antara dukungan bidan terhadap pelaksanaan IMD dengan onset laktasi dengan p-value 0.001. Diharapkan bidan dapat memperkuat edukasi kepada ibu hamil mengenai pentingnya IMD dan menyusui ekslusif seja masa antenatal.

PENGARUH KOMPRES HANGAT DALAM MENURUKAN INTENSITAS NYERI PADA PERSALINAN KALA I FASE AKTIF DI KLINIK PRATAMA NIAR PATUMBAK

2025-12-03T08:12:34+07:00

Pain during labor is common and experienced by almost 90% of mothers. It can be traumatic, causing some mothers to fear pregnancy and childbirth again, fearing the same experience. Applying warm compresses can be an efficient way to help mothers relieve pain and provide comfort during labor. This study aimed to assess the effect of warm compresses on pain levels in the active phase of first stage labor. This study was a quantitative pre-experimental study with a one-group pretest-posttest design using purposive sampling. Thirty-eight mothers giving birth at Klinik Pratama Niar Patumbak were sampled. Data were collected using an assessment sheet and analyzed using a paired t-test with a p value of > 0.05.

SARI BUAH BIT (BETA VULGARIS) DAN SKOR PLAK ALTERNATIF HERBAL DALAM PERAWATAN KESEHATAN GIGI

2025-12-03T08:12:59+07:00

Dental plaque has a thin, colorless layer that cannot be seen clearly with the naked eye. Some of the ingredients commonly used as disclosing solutions are chemical ones, namelyfucshin, iodinesolution and mercurochrome, but theuseof these ingredients can be detrimental because they can color the oral cavity for hours and have an unpleasant taste. The aim of this research was to determine the plaque score after applying disclosing beet juice to class VII students at UPT SMPN 03 Negeri Agung Way Kanan. The research method and research design used descriptive research methods. In this research, what is described is a description of applying beetroot as a disclosing solution to plaque. The results of the plaque score data using beetroot juice are known. The research results in this study contained a very good score of 0 respondents (0%) a good score of 13 respondents (22.8%) a moderate score of 28 respondents (59.9%) a bad score of 16 respondents (28.1%). The conclusion of this study is that the plaque score results show a median value of 2.8 with the highest plaque score being 28 respondents (49.1%) with amedium plaque score. Beetroot juice can be used as a natural ingredient for plaque examination. The suggestionis that the Tanjungkarang Health Polytechnic Dental Health Department can use beets as an alternative for plaque examination by taking beet juice to be used in plaque examination. It is hoped that this research canserve as input for conducting further research to develop research using fruit or other natural dyes.

HUBUNGAN UMUR DAN PARITAS DENGAN LAMA KALA I PERSALINAN

2025-12-03T13:24:21+07:00

Childbirth is a complex physiological process that involves regular uterine contractions leading to complete cervical dilation. The duration of the first stage of labor varies greatly among individuals and is influenced by various factors, such as the strength of contractions, fetal position, psychological condition, maternal age, and parity. This study aimed to determine the relationship between maternal age and parity with the duration of the first stage of labor. This research was a quantitative study with a correlational design to analyze the relationship between age, parity, and the duration of the first stage of labor. The sampling technique used in this study was consecutive sampling, in which all subjects who came and met the inclusion criteria were included until the required number of participants was reached. The total sample consisted of 50 respondents. The inclusion criteria were singleton pregnancy, third-trimester gestational age, and the absence of obstetric complications. Most respondents were aged 21–35 years (40 participants), which is considered the healthy reproductive age range. Most respondents were multiparous in the intervention group (36 participants). The majority experienced a labor duration of 2–5 hours (84%). There was a significant relationship between maternal age and the duration of the first stage of labor (p-value = 0.029 < 0.05). There was also a significant relationship between parity and the duration of the first stage of labor (p-value = 0.002). These findings indicate that maternal age and parity are associated with the duration of the first stage of labor.

PENGGUNAAN MEDIA LEAFLET DENGAN GAME KARPET DALAM MENINGKATKAN PENGETAHUAN KESEHATAN GIGI SISWA/I KELAS V SEKOLAH DASAR NEGERI TANJUNG ANOM

2025-12-03T08:15:55+07:00

Dental and oral hygiene is a condition where the teeth in the oral cavity are clean, free from plaque and other dirt on the surface of the teeth such as debris, tartar, and food remains and there is no bad breath. Efforts to increase respondents' knowledge include outreach using carpet media (question cards) and leaflets. The type of research used is quantitative with a quasi-experiment. The sample in this study was all class V, totaling 30 respondents at SDN 104219 Tanjung Anom sub-district with a sampling technique using total sampling. This research uses univariate and bivariate data analysis with the Wilcoxon test and the Man-Whitney test. The statistical test results of this research show that there was a significant difference in increasing knowledge before and after counseling using carpet media (question cards) with a p-value <0.05. There was also a significant difference in the group that used leaflet media between before and after counseling with a p-value <0.05. This research concludes that health promotion using carpet games (question cards) and leaflets is effective in increasing students' knowledge of dental and oral health. It is recommended for dental health workers to develop further research with more research respondents to increase knowledge about maintaining students' oral and dental health.

PENERAPAN AROMATERAPI LAVENDER PADA LANSIA HIPERTENSI DENGAN GANGGUAN POLA TIDUR

2025-12-03T08:16:57+07:00

Hypertension is defined as a systolic blood pressure (SBP)more than 140 mmHg or a diastolic blood pressure (DBP)more than 90 mmHg. Hypertensive patients often complain of difficulty sleeping and heart palpitations, leading to body aches, headaches, fatigue, and disturbed daily activities in the morning. This is caused by an increase in cortisol hormone, which destabilizes blood pressure, potentially leading to complications and impairing the patient's quality of life. A non-pharmacological approach to reduce sleep pattern disturbances due to hypertension is the use of lavender aromatherapy. This study aims to determine whether lavender aromatherapy is effective in reducing sleep pattern disturbances experienced by hypertensive patients experienced. Case Study Methods: This was a qualitative descriptive study using a case study approach with two female participants over 55 years old who experienced hypertension with sleep pattern disturbances. The research was conducted in Sipan Village, Sarudik Sub-district, Central Tapanuli Regency, in 2025. Data collection involved PSQI observation, interviews, physical examinations, and documentation review. Results: A decrease in sleep pattern disturbances was observed after 7 days of therapy for both patient one and patient two. Patient one's score decreased from 15 to 2, and patient two's score decreased from 15 (poor sleep quality) to 2, indicating good sleep quality for both participants. Conclusion and Recommendation: The effectiveness of lavender aromatherapy in reducing sleep pattern disturbances in hypertensive patients has been proven. It is expected that this therapy continues to be used for its effectiveness in addressing sleep complaints.

HUBUNGAN PENGETAHUAN DAN SIKAP MASYARAKAT TERHADAP PENGGUNAAN JAMU TOLAK ANGIN DALAM KEMASAN YANG DI JUAL PEDAGANG JAMU GEROBAK KECAMATAN MEDAN JOHOR

2025-12-03T08:17:43+07:00

Jamu is a traditional medicine, resulting from the experience and culture of an area that continues to develop and change.
Even though modern medicine is developing, the consumption of herbal medicine has not been abandoned by Indonesian people and is still frequently consumed, one of which is Tolak Angin. The purpose of this study was to determine the correlation of people's knowledge and attitudes towards the consumption

EFEKTIFITAS SELF CLEANSING MENGUNYAH BUAH SEMANGKA (CITRULLUS LANATUS) DAN BENGKUANG (PACHYRHIZUS EROSUS) TERHADAP DEBRIS INDEKS PADA SISWA/I KELAS IV SD NEGERI 067247 LAU CIH KECAMATAN MEDAN TUNTUNGAN

2025-12-04T14:50:25+07:00

Dental and oral health can be affected by a decrease in plaque, a decrease in plaque, and a decrease in the debris index, as well as a decrease in oral hygiene. This study used a descriptive survey method to determine the effectiveness of self-cleansing by chewing semaingkai (Citrullus iatus) and jicama (Paichyrhizus erosus) fruit on the debris index of students at SD Negeri 067247 Laiu Cih, Kecaimaitain Medain Tuntungain.The results of this study showed that the 15 respondents' debris index before chewing semaingkai fruit was 2.2 ml (very low), and after chewing semaingkai fruit it became 8.6 ml (normal). The debris index of 15 respondents before chewing bengkuaing fruit was 2.3 ml (very low), and after chewing bengkuaing fruit it became 6 ml (normal). The debris index of 15 respondents before chewing semaingkai fruit was 1.2 (moderate) and after chewing semaingkai fruit it became 0.3 (good). The debris index of 15 respondents before chewing jicama fruit was 1.34 (fair) and after chewing it increased to 0.47 (good).The conclusion from this study is that self-cleansing occurs, increasing the level of debris index after chewing jicama fruit. According to the respondents, consuming jicama fruit as a self-cleansing method maintains dental and oral hygiene.

GAMBARAN PENGETAHUAN REMAJA TENTANG SEKSUAL PRANIKAH DI SMA NEGERI 1 MEDAN TAHUN 2025

2025-12-03T13:24:51+07:00

Teenager is a crucial transitional phase in human life, marked by physical, emotional, and social changes, including the emergence of interest in sexual activity. A lack of knowledge about premarital sex can increase the risk of unhealthy sexual behavior. This study aims to describe the knowledge of teenager about premarital sex at 1 Senior High School Medan in 2025. This research used a quantitative method with a descriptive design. The study population included all 432 11th-grade students, and a sample of 208 students was selected using a purposive sampling technique. Data were collected using a questionnaire. The results showed that the majority of respondents had good knowledge of premarital sex, with 137 people (65.9%), followed by the sufficient category with 59 people (28.3%), and the poor category with 12 people (5.8%). Factors influencing teenager knowledge included information media, the role of parents, and peer influence. The conclusion of this study is that most adolescents at 1 Senior High School Medan have good knowledge of premarital sex. It is hoped that the school and parents will continue to play an active role in providing appropriate sexual education to improve knowledge and promote healthy and responsible sexual behavior among teenager.

GAMBARAN PENGETAHUAN MENGGUNAKAN MEDIA VIDEO ANIMASI TENTANG MENYIKAT GIGI TERHADAP DEBRIS INDEKS PADA SISWA/I KELAS IV SD NEGERI 101818 KEC. PANCUR BATU

2025-12-10T08:42:21+07:00

Knowledge encompasses knowing, understanding, application, analysis, synthesis, and evaluation.
To increase awareness and change students' attitudes and behavior regarding proper tooth brushing,
this study aims to describe the impact of animated video media on tooth brushing knowledge and its
effect on the debris index.This descriptive research used a survey method, with a sample of 32 fourth-grade students
at SDN 101818, Pancur Batu Sub-district. Data were collected through questionnaires and debris index examinations both
before and after an educational intervention using a 1-minute animated video. The results showed an increase in students'
knowledge after the intervention. Before the education, only 28.2% of students had good knowledge, which increased to 83.3%
afterward. Meanwhile, those in the poor category decreased from 21.8% to 0%. For the debris index, before the education,
none met the good criterion, 43.7% were moderate, and 56.3% were poor. After the education, 62.5% met the good criterion,
37.5% were moderate, and none were poor. Animated video media proved effective in increasing students' knowledge about tooth
brushing and reducing their debris index scores. It is hoped that this media can be more widely used in dental health education in elementary schools.

ANALISIS FAKTOR KEJADIAN TUBERKULOSIS DI WILAYAH KERJA PUSKESMAS PANDAN KABUPATEN TAPANULI TENGAH

2025-12-03T13:25:37+07:00

Tuberculosis (TB) is a very important and serious public health problem worldwide and is a disease that causes a global emergency. TB is the 13th leading cause of death globally and the leading cause of death from infectious diseases after the Covid-19 virus, even higher than HIV/AIDS. The WHO found that the number of TB patients worldwide reached 10.6 million in 2022. Indonesia is the second-largest contributor of TB cases (10%) after India (27%). The estimated TB incidence in Indonesia in 2021 was 969,000 or 354 per 100,000 population. Deaths due to TB are estimated at 144,000 or 52 per 100,000 population. The Tapanuli Tengah District Health Office recorded 750 TB cases in 2022. For the Pandan Community Health Center, the number of TB cases in 2022 was 38 with 2 deaths. The occurrence of TB is strongly influenced by host and environmental factors. This study aims to identify the risk factors for TB occurrence in the Working Area of Pandan Community Health Center, Central Tapanuli Regency. The outcomes of this study include publications in nationally accredited journals and learning modules. The results of the study indicate that the risk factors for TB occurrence in the Working Area of Pandan Community Health Center, Central Tapanuli Regency, are gender (p value = 0.438, OR = 1.714), knowledge (p value = 0.034, OR = 3.755), and residential density (p value = 0.747, OR = 1.522), ventilation area (p value= 0.045, OR= 6.000), and type of floor (p value= 1.000, OR= 1.144). Meanwhile, factors that are not considered risk factors for TB occurrence in the Pandan Community Health Center Work Area, Central Tapanuli Regency are age (p value= 0.182, OR= 0.306), nutritional status (p value= 0.144, OR= 0.345), and smoking status (p value= 0.211, OR= 0.412). It is expected that future researchers will examine in more depth the variables that are not associated with TB occurrence in this study. Keywords: tuberculosis, risk factors.

PENERAPAN HYGIENE SANITASI MAKANAN PADA DAPUR MBG DI KABUPATEN X

2025-12-05T15:47:40+07:00

Improving the nutritional quality of schoolchildren is a key government priority, and the Free Nutritious Meal Program (MBG) has been implemented in District X to support this effort. Ensuring proper food hygiene and sanitation is essential to safeguard food safety and program sustainability. This descriptive observational study examined the implementation of hygiene and sanitation practices in the MBG Program, including raw material selection, food processing, packaging, distribution, and cleanliness. The study also assessed the knowledge and attitudes of food handlers responsible for preparing 3,300 daily portions for kindergarten, elementary, junior high, and senior high school students. Data were collected through surveys, observations, and interviews with 14 representatives of the MBG kitchen team in District X. Most food handlers demonstrated good knowledge (78.6%) and supportive attitudes (92.9%) toward hygiene and sanitation. However, handwashing practices and the use of personal protective equipment (PPE) were inconsistently applied, and the use of closed footwear was low (35.7%). Key challenges included inadequate food storage practices, serving times exceeding standards, high workloads, and limited facilities. Although the MBG Program is functioning relatively well, continuous training, additional staffing, improved facilities, and better scheduling systems are required to strengthen food safety and enhance program quality..

PENGARUH PENDIDIKAN, KEBIASAAN MEROKOK, DAN KEPATUHAN AKTIVITAS FISIK TERHADAP RISIKO HIPERTENSI DI WILAYAH KERJA PUSKESMAS RASAU JAYA

2025-12-10T08:43:01+07:00

Hypertension is a chronic health problem that often goes undetected and can lead to serious complications such as stroke, heart failure, and kidney disorders. This study aims to analyze the relationship between educational level, physical activity, and smoking habits with the incidence of hypertension in the working area of Rasau Jaya Public Health Center. A quantitative design with a cross-sectional approach was used, involving 252 respondents who were all included as the study sample. Data were collected through questionnaires and interviews, then analyzed using the Chi-Square test with a significance level of 0.05. The results showed that the majority of respondents were female (82.1%), adults, and had a low educational level (93.7%). A total of 59.5% of respondents had uncontrolled hypertension. Bivariate analysis revealed a significant relationship between educational level and hypertension control status (p = 0.034), with respondents who had lower education being more likely to experience uncontrolled hypertension. In contrast, no significant relationship was found between physical activity and hypertension (p = 0.294), nor between smoking habits and hypertension (p = 1.000). In conclusion, educational level influences the ability of individuals to manage their hypertension, while physical activity and smoking habits do not show significant associations in this study population.

PENGARUH FAKTOR INDIVIDU, ORGANISASI DAN PSIKOLOGI TERHADAP KINERJA TENAGA GIZI DALAM PROGRAM PEMBINAAN GIZI BALITA DI KABUPATEN ACEH SELATAN

2025-10-27T08:32:11+07:00

Nutrition improvement program is one of development national program priorities to reducing the prevalence of infant malnutrition and undernourishment, increasing the percentage of infants were weighed into, and increasing the percentage of exclusive breastfeeding. The results of Riskesdas in 2020 showed the prevalence of infant malnutrition and malnutrition reached 19.6%, the percentage of infants weighed at 65.7% and the percentage of infants aged 0-6 months received exclusive breastfeeding is only 52.3% in 2014.

GAMBARAN FAKTOR RESIKO TERJADINYA KANKER PAYUDARA DI RUMAH SAKIT UMUM PUSAT HAJI ADAM MALIK MEDAN

2025-12-10T15:31:17+07:00

In 2022, breast cancer will be the first most common cancer in the world with 2.3 million cases (11.7%). The incidence of breast cancer has increased by 1% from 2 million cases of breast cancer in 2020 to 2.3 million cases in 2022. The number of new cases of breast cancer was 68,858 cases (16.6%) out of a total of 396,914 new cases of cancer in Indonesia. With the number of deaths reaching more than 22.4 thousand cases, when compared with the death rate in 2020, there will be a decrease in the death rate due to breast cancer by around 1.4% in 2022 from 22.6 thousand deaths in 2020 to 22.4 thousand deaths in 2022. to determine the risk factors for breast cancer at Haji Adam Malik General Hospital, Medan in 2024. This research was a descriptive study with a cross-sectional design. Samples were taken using a simple random sampling technique and 86 respondents were obtained. The results of the study showed that the risk factors for breast cancer were the majority of age (> 50 years), 39 sufferers (68.4%), 36 sufferers (78.3%) at menarche < 12 years old, 42 sufferers (76.4%) had a history of using hormonal contraceptives (76.4%). family history of 37 sufferers (68.5%), parity of not having children as many as 22 sufferers (68.8%). Midwives are expected to be able to provide early breast cancer screening, both self-breast examination and clinical breast examination, especially those who have a family history of breast cancer.

PENGARUH BULI-BULI HANGAT TERHADAP NYERI PUNGGUNG PADA IBU HAMIL TRIMESTER III DI KABUPATEN TAPANULI TENGAH TAHUN 2025

2025-12-10T09:21:35+07:00

Background: Pregnant women in their third trimester generally experience back pain. The intensity of pain will increase with increasing gestational age due to shifts in the center of gravity and changes in body posture. Back pain during pregnancy occurs in the lumbosacral area. Because of the increasing weight of the fetus, the posture of the pregnant woman also changes, and this causes back pain. The aim of research: This study aims to determine the effect of using a warm flask on back pain in pregnant women in the third trimester. Method: This study used a quantitative design with a descriptive correlational approach. The sample of the study was pregnant women in the third trimester in Central Tapanuli Regency. The population in this study were all pregnant women in the third trimester in Central Tapanuli Regency in 2025. The purpose of the study was to determine the scale of pain before and after being given a warm bladder compress to pregnant women in the third trimester and to determine the effect of warm bladder compresses on back pain in pregnant women in the third trimester. The sampling technique used was purposive sampling. Univariate and bivariate data analysis (paired t test) The data analysis carried out to see the effect used the Wilcoxon formulation. Expected Results: The effect of using a warm bladder on back pain in pregnant women in the third trimester was obtained. This study is also expected to be the basis for the development of preventive education on pain in pregnant women in the third trimester. Conclusion: The results of this study are expected to contribute to the health sector, especially in pregnant women in the third trimester and the prevention of severe pain and pain that is at risk of being experienced for a longer time.