Institut Kesehatan Medistra Lubuk Pakam Open Journal System
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    The Influence of Betawi Cultural and Social Factors on Food Choices Among Breastfeeding Mothers at the Cilincing Subdistrict Public Health Center, North Jakarta

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    Background : Food choices among breastfeeding mothers are influenced by various factors, including the socio-cultural background of the surrounding community. Objective : This study aims to examine the socio-cultural factors of the Betawi ethnic group related to food selection among breastfeeding mothers in the working area of the Cilincing Subdistrict Public Health Center, North Jakarta. Research Methode : This research employed a mixed method design. The quantitative component used an observational analytic approach with a cross-sectional design, involving 66 breastfeeding mothers selected through purposive sampling. Data were collected using questionnaires and analyzed using chi-square and logistic regression tests. The qualitative data were obtained through in-depth interviews with three main informants and two key informants, then analyzed thematically and presented in narrative form. Result : The quantitative findings revealed significant associations between food choices and family support (p=0.002), knowledge (p=0.018), education (p=0.039), and socioeconomic status (p=0.001). Socioeconomic status emerged as the most dominant factor based on multivariate analysis (p<0.05). The qualitative findings identified several major themes: dietary restrictions imposed by family members, dependence on traditional information, belief in myths, and economic limitations affecting food and beverage choices during the breastfeeding period. It is recommended that future research further explore other local cultural factors influencing breastfeeding mothers' dietary behaviors and develop nutrition education strategies rooted in local wisdom

    The Relationship Between Balanced Nutrition Knowledge and Food Choices Through Online Food Delivery Applications Among Students of Universitas Muhammadiyah Surakarta

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    The development of digital technology has a significant role in transforming societal patterns in fulfilling food needs, including the emergence of online food delivery applications that are increasingly popular among university students. Various factors influence food choice decisions, one of which is the level of nutritional knowledge that is expected to encourage healthy and balanced eating behavior. The study aimed to determine the relationship between balanced nutrition knowledge and food choices made through online food delivery applications among students of Universitas Muhammadiyah Surakarta. The research employed a quantitative approach with a cross-sectional design, involving 108 respondents selected using a purposive sampling technique. Data on balanced nutrition knowledge and food choices were collected using a questionnaire that had been tested for validity and reliability. The results of the study show that most respondents have a low level of nutrition knowledge (76,9%) and tend choose foods that are not nutritionally balanced (93,5%). No significant relationship is found between balanced nutrition knowledge and food choices made through online food delivery applications (p=0,725). The findings of this study highlight the importance of improving nutrition literacy and developing balanced eating habits so that students not only possess nutritional knowledge but also are able to apply it in making healthy food choices through online food delivery application

    A Comparative Study of the Effectiveness of Art Therapy and Play Therapy in Developing Cognitive Abilities among Preschool Children with a History of Stunting

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    Stunting is a serious nutritional problem that adversely affects children's physical and cognitive development. This study aimed to compare the effectiveness of Art Therapy and Play Therapy in enhancing cognitive abilities of preschool-aged children with a history of stunting in the Lawe Sumur Public Health Center working area. A quasi-experimental design with a control group was employed involving 80 preschool children randomly assigned to either the Art Therapy group (n = 40) or the Play Therapy group (n = 40). The intervention consisted of 12 sessions over six weeks, and cognitive abilities were assessed using the Preschool Cognitive Ability Scale (SKKP-15) before and after the intervention. Results indicated that Art Therapy was more effective than Play Therapy in improving cognitive abilities. Children receiving Art Therapy were 3.4 times more likely to achieve high cognitive ability compared to those receiving Play Therapy (p = 0.02; OR = 3.444; 95% CI: 1.310–9.058). Family environment factors, including maternal education level, employment status, family size, frequency of home stimulation, and quality of sleep, also influenced cognitive development. Nonetheless, Art Therapy consistently produced positive effects, even for children from families with limited stimulation and lower parental education. In conclusion, Art Therapy is an effective, practical, and inclusive non-pharmacological intervention for supporting the cognitive development of preschool children with a history of stunting. These findings provide a basis for health professionals, educators, and policymakers to integrate arts-based approaches into child development intervention programs in community health settings

    Implementation of Environmental Sanitation and Occupational Health Protection for Catfish Hatchery Workers in Sidomukti Village,West Kisaran District, Asahan Regency

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    Background: Aquaculture is a strategic sector with significant potential to support Indonesia’s economic growth. Its development is highly dependent on hatchery quality, as hatchery activities represent the initial stage that determines production success. High-quality hatcheries, both in terms of seed quantity and quality, are essential for sustainable aquaculture development. Moreover, aquaculture activities are closely associated with proper environmental sanitation and the protection of workers’ health. Objective: This program aimed to improve capacity and provide education for the community, particularly catfish hatchery workers, in order to enhance production quality and produce healthier, higher-quality catfish. Methodology: A participatory approach was implemented through group and individual activities. Assistance and coordination with partners were carried out through training sessions using lectures, discussions, regular monitoring, and hands-on practice on the application of proper environmental sanitation in catfish production, as well as occupational health and safety measures for workers. Monitoring was conducted monthly or adjusted to partners’ needs, accompanied by continuous motivation and information sharing to promote a clean and healthy production environment. Results: The program led to increased environmentally friendly catfish farming productivity, improved community health status, enhanced hatchery skills among participants, and the availability of wastewater treatment facilities and occupational health and safety infrastructure. Conclusion: The community service program produced tangible benefits for partner groups, including more regular and well-planned catfish hatchery operations, increased seed production, and reduced technical risks. In addition, it fostered a strong awareness and culture of occupational health and safety and created a more conducive aquaculture environment that is cleaner and free from pollutants and ammonia odors through the application of environmental sanitation principles

    Enhancing Community Digital Health Literacy through Education and Assistance in the Use of Online Registration Applications for Health Services

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    Background: The digitalization of health services, including online registration systems, is a strategic effort to improve service efficiency and quality. Online registration applications allow patients to independently reserve services, obtain queue numbers, and reduce waiting times at healthcare facilities. However, the utilization of online registration applications remains low, including in Sekip Village, Lubuk Pakam District. Objective: This community service program aimed to enhance community digital health literacy through education and assistance in using online registration applications. Methode: The methods used included interactive lectures, demonstrations, and individual assistance to 45 participants. Evaluation was carried out through pre-tests and post-tests. This Community Service Program activity was carried out in Sekip Village, Lubuk Pakam District, Deli Serdang Regency, targeting productive age communities, the elderly, health service users, and community groups with limited digital literacy. Result: The results showed an increase in participants’ knowledge from an average of 48% (pre-test) to 87% (post-test). A total of 82% successfully downloaded the application independently, 71% created an account and logged in, and 67% completed a full registration simulation. Participants also demonstrated positive changes in perception, with 89% stating the activity was highly beneficial and 84% expressing their intention to use the application in future healthcare visits. This program effectively improved digital literacy, technical skills, and community readiness to adopt digital health services. The initiative contributes significantly to supporting digital health transformation at the community level

    Education and Assistance on Breast Care for Postpartum Mothers to Prevent Breast Engorgement and Improve Breastfeeding Success

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    Breast engorgement is a common problem experienced by postpartum mothers, particularly primigravida women, mainly due to ineffective breastfeeding practices, delayed milk flow, and limited knowledge and skills related to breast care. This condition can cause pain, discomfort, psychological distress, and may interfere with successful breastfeeding, including exclusive breastfeeding. Therefore, promotive and preventive efforts through comprehensive and sustainable education are essential. This community service activity aimed to improve postpartum mothers’ knowledge and skills in breast care as a preventive measure against breast engorgement and to support smooth breastfeeding. The activity was conducted using an educational and participatory approach involving 30 postpartum mothers in the working area of a primary healthcare facility. The implementation methods included health education using educational media, interactive discussions, as well as demonstrations and hands-on assistance in breast care practices. Evaluation was carried out through pretest and posttest assessments of knowledge and observation of breast care skills. The results showed a significant improvement in mothers’ knowledge, with the proportion of participants in the good knowledge category increasing from 30% before the intervention to 86.7% after the intervention. Breast care practice skills also increased markedly from 26.7% to 90%, while complaints of breast engorgement decreased from 60% to 16.7%. In conclusion, education and assistance in breast care are effective in improving postpartum mothers’ knowledge and skills and in reducing complaints of breast engorgement. This activity is recommended to be integrated sustainably into postpartum maternal health services to support breastfeeding success and improve the quality of maternal and infant health

    Relationship Between Family Support And Active Participation Of The Elderly Attending Elderly Health Posts In Tanjung Raja Village Deli Serdang District, 2025

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    The elderly are a group that is vulnerable to health problems, thus requiring extra attention to maintain their quality of life. One measure taken is to increase active participation in the Elderly Posyandu programs. This study aims to identify the relationship between family support and the level of participation og the elderly in Posyandu activities in Tanjung Raja Village, Deli Serdang Regency, in 2025. The study applied a quantitative approach with a cross-sectional design. The research subjects were 42 elderly  individuals selected using a total sampling technique. Data collection was conducted using questionnaires and attendance lists, and then analyzed using the Chi-square test. The study findings revealed that most respondents received family support (59,5%), but the majority of elderly were classified as less actively involved in Posyandu activities (69,0%). Statistical analysis resulted in a p-value of 0.060. Statistical analysis yielded a p-value of 0.060, indicating no significant relationship between family assistance and elderly participation. It is recommended that families continue to provide full support, while posyandu cadres reinforce education to families about the importance of elderly involvement in posyandu programs

    Physical Stability Test of Anti-Acne Cream from Ethanol Extract of Seruni Leaves (Spaghneticola trilobata) on Different Bases

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    One of the formulations commonly used in treating acne is cream. However, most creams contain chemicals that can irritate the skin. Therefore, an alternative solution should be to use natural antibacterial ingredients. There is scientific evidence that chrysanthemum leaves (Spaghneticola Trilobata) have antimicrobial activity due to their secondary metabolite content consisting of terpenoids, flavonoids, steroids, tannins, saponins, and alkaloids. In this study, Chrysanthemum Leaf extract will be formulated into a physically stable anti-acne cream. To make chrysanthemum leaf ethanol extract cream, the concentration of stearic acid and TEA was varied. The amount of extract used to make the cream is 2.5%. Different concentrations of TEA:Stearic acid, namely F1 (0.2%:5%), F2 (0.4%:10%), and F3 (0.6%:15%). Type M/A cream that extracts ethanol from chrysanthemum leaves produces a semi-solid texture, olive green color, and characteristic odor of chrysanthemum leaves. After homogeneity test, the cream is said to be homogeneous because there are no coarse particles. The pH value of this cream is around 6-7, so it is safe to apply on the face. The spreadability test of Formula I, which reached 5.65 cm, met the standard for good cream spreadability, and the stickiness test, which lasted for 4.57 seconds, showed that this cream met the criteria for good stickiness. Formula I (F1) is the best formula that meets the criteria for a quality cream, according to the physical stability test results

    The Application of Swedish Massage to Reduce Peripheral Neuropathy Pain in Breast Cancer Clients with A History of Chemoterapy

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    Peripheral neuropathy pain is one of the manifestations of peripheral nervous system disorders in breast cancer clients with a history of chemotherapy. Peripheral neuropathy pain affects the daily activities and quality of life of breast cancer clients, even after chemotherapy treatment is completed. The purpose of this case study is to determine the effect of the application of Swedish massage on peripheral neuropathy pain of breast cancer clients. The method applied in this case study is descriptive research with a case study approach. The sampling technique in this case study used a non-probability sampling approach with purposive sampling method. The subjects used in this case study were three breast cancer clients with a history of chemotherapy who lived in the working area of the Ngesrep Community Health Center. Swedish massage intervention was implemented three times each week for two weeks with a 30 minutes duration on the foot and hand area that experienced peripheral neuropathy pain. The instrument used is the Numeric Rating Scale (NRS) questionnaire. Data were analyzed through narrative case reflections. The results of the case study showed a decrease in the scale and intensity of peripheral neuropathy pain in the three clients from moderate to mild. Swedish massage is expected to be applied independently and continuously as a supportive therapy, so that clients can be adaptive in managing peripheral neuropathy pain

    The Effectiveness of the Combination of Basil Leaf Decoction and the Health Belief Model in Preventing Pathological Vaginal Discharge among Women of Reproductive Age

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    Pathological vaginal discharge is caused by infections from pathogens such as Trichomonas vaginalis, Candida species, Chlamydia trachomatis, and Neisseria gonorrhoeae. Pathological vaginal discharge can cause discomfort, and if left untreated for a long time, it may lead to pelvic inflammatory disease, infertility, and cervical cancer. The Health Belief Model (HBM) is the most commonly used model to guide individuals toward engaging in preventive health behaviors. The application of HBM in preventing pathological vaginal discharge is important because it helps increase awareness and promote preventive behaviors. The use of natural ingredients to address pathological vaginal discharge is becoming more familiar among the community compared to synthetic products due to their safety and affordability.Research Objectives: To analyze the effectiveness of basil leaf decoction, evaluate the influence of HBM on preventing pathological vaginal discharge, and determine the effectiveness of the combination of basil leaf decoction and HBM.Methods: This study employed a quasi-experimental design with a pre-test and post-test control group conducted in Lubuk Pakam village. Respondents were divided into three groups with a total sample size of 150 individuals.Results: Pre-test results showed that initial scores were almost the same across all groups, indicating no significant differences before the intervention. After six weeks, the basil decoction group showed a 24.6% improvement in preventive behavior, the HBM group showed a 33.4% increase, and the combination group showed a 45.7% increase. These findings indicate that the combination of basil leaf decoction and HBM education is more effective than single interventions.The HBM model proved effective in enhancing awareness and preventive behavior, especially when combined with biological intervention such as basil leaf decoction. This combination produced a synergistic effect that encouraged higher compliance and stronger behavioral change compared to single interventions.The combination of basil leaf decoction and education based on the Health Belief Model (HBM) was found to be the most effective in improving preventive behaviors against pathological vaginal discharge in women of reproductive age compared to single interventions. This intervention significantly increased knowledge, perception, and motivation to carry out preventive actions. Therefore, this combined biological and educational approach is recommended for widespread implementation in women's reproductive health programs

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