Institut Kesehatan Medistra Lubuk Pakam Open Journal System
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The Effect of Health Promotion on Adolescents’ Knowledge Regarding Breast Self-Examination (BSE) at Trisakti Junior High School Lubuk Pakam in 2025
No full textBreast cancer remains one of the leading causes of mortality among women globally. Early detection through Breast Self-Examination (BSE) is an essential preventive measure to reduce the risk of late diagnosis. Nevertheless, the level of knowledge among adolescents regarding BSE is still relatively low, indicating the need for effective health promotion interventions to enhance understanding and foster positive attitudes toward early detection. Educational media-based health promotion is expected to improve adolescents’ awareness and encourage autonomous practices in performing BSE. This study aimed to evaluate the effectiveness of health promotion delivered through leaflet and animated video media in improving adolescents’ knowledge, attitudes, and practices regarding BSE in a junior high school setting. The research applied a pre-experimental design with a one-group pre-test–post-test approach. A total of 41 students from Trisakti Private Junior High School, Lubuk Pakam, participated as respondents. The intervention consisted of health education using leaflet and animated video media. Data were collected through questionnaires measuring knowledge, attitudes, and practices before and after the intervention. The Wilcoxon signed-rank test was employed to analyze the significance of differences between pre- and post-intervention scores. The findings revealed a statistically significant improvement across all measured variables, particularly in adolescents’ knowledge about BSE (p = 0.000). The mean knowledge score increased from 6.07 prior to the intervention to 7.44 afterward. Moreover, significant enhancements were also observed in attitudes and practices following the intervention. These results indicate that health promotion using leaflet and animated video media is effective in increasing adolescents’ knowledge, attitudes, and practices toward performing BSE. Continuous implementation of such educational programs is recommended to foster awareness and proactive health behavior among adolescents in early breast cancer detection
Empowering Sufferers, Families, and Health Cadres To Understand Hypertension and Its Treatment Through Integrated Socialization
No full textHypertension is a serious health problem in communities worldwide. Patients' non-compliance with hypertension management will negatively impact their health. Partner communities who are less compliant with hypertension management and limited accessibility of promotive-preventive services can exacerbate hypertension in their partner communities. This community service aims to improve the capacity for holistic hypertension management at the patient, family, and community levels by strengthening the understanding of patients, families, and health cadres. The activity was implemented through integrated socialization (interactive lectures) and demonstrations of complementary therapy exercises. Educational materials included hypertension management emphasizing the prevention of complications, how to monitor signs and symptoms of hypertension, management, and the importance of the role of families and health cadres in psychological support for patients and their families, routine check-ups, diet, and regular medication administration. At the end of the implementation phase, the team demonstrated brisk walking exercises. Evaluation of the activity was conducted before and after the presentation of the activity material and observation of independent practice of the exercises that had been delivered. The evaluation results showed a difference in the average pre- and post-test scores. The average pre-test score was 14.45, while the average post-test score was 18.3. Further analysis showed an increase in the average score, namely 3.85. The community service program successfully increased the participants' understanding of hypertension management. This understanding is crucial for controlling hypertension mortality and morbidity
Training on the Implementation of SMK3 Procedures for Non-Medical Health Workers at Grandmed Hospital, Lubuk Pakam, to Improve aSafe and Healthy Work Environment
No full textThe implementation of SMK3RS in Indonesia still shows significant disparities with ideal standards and faces various operational challenges. SMK3RS in various hospitals is not fully aligned with the mandate of Permenkes 66/2016. Non-medical health workers are a work group that has a high occupational safety and health (K3) risk in hospitals, but often have not received optimal training in the Occupational Safety and Health Management System (SMK3). This community service activity aims to improve the knowledge, skills, and attitudes of non-medical health workers in implementing SMK3 procedures in the hospital environment. The activity was carried out in March 2025 at Grandmed Hospital Lubuk Pakam involving 25 non-medical health workers from the cleaning, administration, logistics, and technical units. The activity design used an educational-participatory approach with a pre-post intervention method. Training was conducted through lectures, interactive discussions, demonstrations, and simulations of SMK3 implementation. Evaluation was carried out by comparing the level of knowledge and attitudes of participants before and after the training. The evaluation results showed a significant increase in all indicators. Understanding of basic OHSMS concepts increased from 36% to 88%, the ability to identify occupational hazards and risks increased from 44% to 92%, and understanding of the use of personal protective equipment increased from 40% to 96%. Furthermore, understanding of waste and hazardous materials handling increased from 36% to 88%, knowledge of emergency response procedures increased from 28% to 80%, and positive attitudes toward OHS culture increased from 52% to 96%. Training on the implementation of OHSMS procedures was effective in improving the OHS competency of non-medical healthcare workers and contributed to strengthening OHSMS implementation and creating a safe and healthy hospital work environment
Counseling on nutritious food and healthy snacks for children at course institutions
No full textIt is important for students to have the knowledge to make nutritious and safe snack choices. Providing children with an understanding of healthy and unhealthy foods is crucial. We understand that what a person understands can impact their actions and views. Knowledge plays a significant role in shaping behavior. Adequate and high-quality nutritional intake is crucial to support the optimal growth and development of school-age children. Malnutrition can cause disorders in various organ systems in their bodies. At school age, children begin to show a desire to make their own food choices. Holding health education activities regarding healthy snacks and the dangers of unhealthy foods is one solution that can be implemented. Therefore, the author conducted education activities about nutritious foods and healthy snacks for children at a course institution, with the aim of providing knowledge to school-age children studying at the Universal Technology Computer course institution, so that these children understand nutritious foods and healthy snacks and no longer eat or snack carelessly. The methods used were interactive lectures, discussions and questions and answers, pre-test and post-test evaluations. The results of the counseling conducted at the Universal Technology Computer course institution showed that the counseling program was able to improve the knowledge of the participants. The highest score was 86.7% after the counseling, compared to only 20% before the counseling. Therefore, with the knowledge gained, the counseling participants were able to choose nutritious foods and healthy snacks for their consumption
Competitive Advantage Strategies to Improve the Business Performance of PT. XYZ's Cosmetic Products
No full textThis study aims to analyze and formulate a competitive business strategy for PT. XYZ to enhance its corporate performance. The research employs a qualitative descriptive method with a quantitative approach. Primary data were obtained through FGDs and in-depth interviews with ten informants, while secondary data were sourced from literature and company reports. Data processing involved four interrelated methods: the IFE and EFE matrices to analyze internal and external factors, the SWOT, IE, and Grand Strategy matrices to determine alternative business strategies, and the QSPM method to establish strategic priorities. The findings indicate that PT. XYZ's strategies include affordable pricing, product variations, branding, and extensive distribution. Internal and external factor analysis resulted in IFE and EFE scores of 2.60, placing the company in the "Hold and Maintain" quadrant, with a focus on product development and market penetration. The grand strategy matrix positions the company in Quadrant 1, highlighting its potential to capitalize on opportunities through an aggressive business strategy. Competitive analysis identifies PT. Mandom Indonesia as the strongest competitor, with a score of 3.3. The SWOT analysis produced seven key competitive strategies, including optimizing machinery for product innovation, external collaboration, sales system integration, internal coaching, strengthening digital media presence, utilizing locally sourced materials with international quality standards, and adaptive planning for regulatory changes. The highest QSPM score (5.40) was achieved by the strategy of optimizing custom machinery for innovative and hard-to-replicate products. It is recommended to maintain the existing strategy, monitor performance, and continuously innovate
The Relationship Between the History of Providing Complementary Foods Under 6 Months and the Incidence of Stunting in Toddlers
No full textThe health and well-being of infants throughout their lives are significantly influenced by adequate nutrition. Nutritional deficiencies, often associated with stunting, can negatively impact a child's physical growth, motor development, and cognitive abilities. Infants who receive complementary foods (MPASI) before 6 months of age are at higher risk of experiencing essential nutrient deficiencies. This study aims to determine the relationship between the history of MPASI provision under 6 months of age and the incidence of stunting in toddlers in the Lumpue Community Health Center (Puskesmas) work area. The method used was a quantitative study with a cross-sectional design. The study population included all toddlers registered at the Lumpue Community Health Center in May 2025, totaling 97 children, with a sample size of 78 toddlers. The research instrument was a questionnaire, while data analysis used the chi-square test. The analysis results showed a p-value of 0.000, so the alternative hypothesis (Ha) was accepted and the null hypothesis (H0) was rejected. Thus, there is a significant relationship between the provision of MPASI before 6 months of age and the incidence of stunting in toddlers. It is hoped that further research will be able to examine in more depth other factors such as the quality of complementary feeding, parenting patterns, and the role of health education in shaping the behavior of providing complementary feeding
Health Benefits Of Pectin: A Review Of Scientific Evidence And Consumption Dosage Recommendations
No full textPectin is a soluble dietary fiber component commonly found in plant cell walls and has garnered significant attention in the field of functional foods due to its diverse health benefits. This article aims to systematically review scientific evidence regarding the health benefits of pectin and its recommended consumption dosage. The method used is a literature review by collecting articles from various scientific databases such as Google Scholar and PubMed within the range of 2014–2024. The review findings indicate that pectin has positive effects in lowering LDL cholesterol, triglycerides, and blood glucose levels. Additionally, pectin shows potential as an anti-cancer agent through the inhibition of Galectin-3, as well as demonstrating immunomodulatory activity and a key role in maintaining gut health. Pectin has also been shown to be safe as a biomaterial based on cytotoxicity tests on human cell cultures. The recommended dosage of pectin varies depending on its intended use, with an effective range in humans between 15–30 grams per day. However, excessive intake may cause mild digestive discomfort such as bloating or gas; therefore, gradual consumption is advised. In conclusion, pectin holds great potential as a functional food component and therapeutic agent. Nevertheless, further research is needed to evaluate its effectiveness in human populations, determine optimal dosage, and explore its interactions with other dietary components. In addition, the development of high-bioavailability pectin-based products could be a strategic approach to maximizing its health benefits
Ultra-Processed Food (UPF) Consumption and The Risk of Mental Health Problems among Adolescents: A Narrative Review
No full textBackground: Mental health problems are increasing among adolescents. One modifiable risk factor is diet, particularly the consumption of ultra-processed foods (UPF), which is notably high in this age group. Objective: This narrative review aims to summarize recent scientific evidence on the association between UPF consumption and the risk of mental health problems in adolescents. Methods: A literature search was conducted using two major databases (Google Scholar and PubMed) with the keywords (“ultra-processed food” OR “UPF”) AND (“adolescents” OR “teenagers” OR “youth”) AND (“depression” OR “anxiety” OR “mental health issues”). After a selection process involving title, abstract, and full-text screening, 11 articles were included in the narrative analysis, which involved identifying patterns, similarities, differences, and links between UPF consumption and adolescent mental health outcomes. Results: Most studies showed that high UPF consumption is associated with an increased risk of mental health issues among adolescents, including depression, anxiety, anxiety-induced sleep disturbance, internalizing and externalizing symptoms, and reduced quality of life. Some studies reported varying results based on gender, assessment tools, and population characteristics. Conclusion: High consumption of UPF may be a potential risk factor for mental health problems in adolescents. Nutrition education and policies limiting UPF intake should be considered as part of preventive and promotive strategies for adolescent mental health. Further longitudinal and interventional studies are needed to strengthen causal evidence and evaluate the effectiveness of preventive efforts
Workshop on Improving the Quality of Nursing Services for Post-SC Patients Using JKN-PBI at Grandmed Hospital, Lubuk Pakam
No full textThe increasing number of Caesarean Section (CS) deliveries in hospitals demands high-quality, safe, and patient-centered post-operative care. In the context of the National Health Insurance system, patients receiving Premium Assistance (JKN-PBI) are a vulnerable group to disparities in service quality, including in post-CS nursing care. Nurses play a strategic role in ensuring the quality of nursing care for post-CS patients through the implementation of service standards, patient safety, and empathetic and equitable therapeutic communication. Therefore, improving nurses' competence and understanding is crucial in efforts to improve the quality of hospital services. This community service activity aims to increase nurses' knowledge regarding the quality of nursing care for post-CS patients using JKN-PBI at Grandmed Hospital Lubuk Pakam. The method used was a participatory workshop with an educational and applied approach. The activity was carried out through preparation, implementation, and evaluation stages, involving nurses in the inpatient obstetrics and post-operative care wards. The results of the activity showed an increase in nurses' knowledge after attending the workshop. The proportion of participants with good knowledge increased from 30.0% in the pre-test to 80.0% in the post-test, while those with poor knowledge decreased to 0%. The workshop was effective in increasing nurses' understanding of post-cesarean nursing care standards, patient safety, and equitable nursing services for JKN-PBI patients. It was concluded that the workshop on improving the quality of nursing services contributed positively to increasing nurse capacity and has the potential to improve the quality of nursing services for post-cesarean patients using JKN-PBI. This activity is recommended for ongoing implementation as part of the hospital's quality improvement and human resource development strategy
Health Education and Practice of Warm Water Compress Therapy in Reducing Dysmenorrhea Pain among Female Students at Nusantara Private Senior High School, Lubuk Pakam
No full textAdolescent girls are in a developmental phase marked by the maturation of the reproductive system, one of which is indicated by the onset of menstruation. However, menstruation is often accompanied by dysmenorrhea, which may cause discomfort, reduce learning concentration, and interfere with school activities. Dysmenorrhea remains a prevalent reproductive health problem, including in North Sumatra Province. One safe, simple, and easily applicable non-pharmacological method to alleviate menstrual pain is the use of warm compresses, although adolescents’ knowledge and skills in applying this method correctly are still limited. This Community Service Program aimed to improve knowledge and skills and to reduce the intensity of dysmenorrhea through health education and hands-on practice of warm compress application. The activity was conducted at SMA Swasta Nusantara Lubuk Pakam and involved 10 female students experiencing dysmenorrhea, selected using purposive sampling. The program stages included a pretest, reproductive health education, demonstration, hands-on practice of warm compress application, and posttest evaluation. Instruments used comprised a participant characteristics questionnaire, a Numeric Rating Scale (NRS) for pain assessment, a knowledge questionnaire, and an observation checklist for skills evaluation. The results showed that the mean pain score decreased from 5.6 (moderate pain) to 2.2 (mild pain), indicating a reduction of 3.4 points. The proportion of participants with good knowledge increased from 30% to 80%, and all participants demonstrated improved understanding. In terms of skills, 80% of participants achieved a very good category and 20% a good category. These findings indicate that education combined with hands-on practice is an effective and feasible approach for managing dysmenorrhea among adolescent girls