Institut Kesehatan Medistra Lubuk Pakam Open Journal System
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Community Education and Mentoring in Optimizing Vector Control to Reduce Dengue Hemorrhagic Fever (DHF) Cases
No full textDengue Hemorrhagic Fever (DHF) remains a major public health problem in Indonesia, particularly in endemic areas, due to the high density of Aedes aegypti vectors and suboptimal community participation in environmental control. Sustainable vector control efforts require active community involvement through improved knowledge and vector control practices. This Community Service Program (CSP) aimed to enhance community knowledge, attitudes, and practices related to dengue vector control through education and direct mentoring. The program was conducted in the working area of UPT Puskesmas Rambung, Tebing Tinggi City, from June to August 2025, involving 120 residents from four neighborhood units (RW). The implementation methods included health education through interactive lectures, discussions, demonstrations of the 3M Plus mosquito breeding site eradication program, household mentoring, and the use of educational media such as leaflets and posters. Evaluation was carried out using a pretest–posttest design to assess changes in knowledge levels and environmental indicators. The results showed an increase in the proportion of participants with good knowledge from 20.8% before the intervention to 65.0% after the intervention. In addition, the House Index decreased from 22% to 12%, while regular weekly mosquito breeding site eradication practices increased from 34% to 78%. These findings indicate that community-based education and mentoring are effective in optimizing vector control and have the potential to reduce the risk of dengue transmission. Therefore, this CSP is recommended as a sustainable promotive and preventive approach in dengue-endemic area
Enhancing Adolescent Mental Well-Being through Family Emotional Support Education
No full textAdolescent depression is a serious mental health issue that can affect quality of life, academic achievement, and social interactions. A key factor influencing adolescents’ psychological well-being is family emotional support, including attention, empathy, effective communication, and motivation to cope with life stressors. Lack of parental awareness regarding the importance of emotional support often results in adolescents experiencing stress or psychological pressure without adequate attention or intervention. Consequently, they are more vulnerable to social isolation, low self-esteem, and behaviors that may endanger themselves. This Community Service Program (PkM) was designed to empower families through interactive education and simulation practices, enabling them to provide appropriate emotional support and prevent depression in adolescents. Respondents included 40 families with adolescents aged 13–18 years, selected through purposive sampling. Activities involved pre-tests, brief lectures, group discussions, emotional communication simulations, post-tests, and evaluations. Results demonstrated significant improvement, with participants exhibiting high knowledge increasing from 12.5% to 70%, high ability from 15% to 65%, and high awareness of depression signs from 15% to 75%. These findings confirm that combining interactive education with simulation practices effectively enhances family understanding, skills, and awareness, playing a crucial role in preventing adolescent depression and supporting their overall mental health
Nanostructured Lipid Carrier (NLC) Based Gel as Patchouli Oil Delivery : Physical Characteristic and In Vivo Skin Irritation Test
No full textPatchouli oil (PO) contained patchoulol, which has antioxidant activity, making it a valuable ingredient in anti-aging products. However, this oil is volatile and chemically unstable. Therefore, it needs to be formulated into a Nanostructured Lipid Carriers based gel (NBG). This study aims to observe the effect of PO’s concentration on the physical characteristics and skin irritation of NBG preparations. NBG consists of 50% NLC and 50% gel. There are three formulas observed in this study, namely NBG-0 (0% PO), NBG-2 (2% PO), NBG-4 (4% PO). NLC prepared using the High Shear Homogenization method. Based on the physical characteristics test, it is known that all formulas have differences in the aroma aspect, where NBG-0 odorless, while NBG-2 and NBG-4 have a patchouli scent. All formula do not have differences in color and consistency. All formula have a pH in the range of 5.92 - 6.21. Statistically, increasing the concentration of PO decreases the pH of NBG. The three formulas have a viscosity in the range of 4.493 - 9.880 cP. Statistically, viscosity of NBG increasased by increasing concentration of PO. Based on in vivo skin irritation tests using white mice, it is known that all formulas have the same IIP (Primary Irritation Index) value. Based on the study, it can be concluded that the concentration of PO (0%, 2%, 4%) affects the aroma, pH and viscosity aspects but does not affect the color and consistency of NBG. Increasing the PO concentration in NBG up to 4% did not cause skin irritation
The Effect of Warm Water Compresson Breast Milk Production Postpartum Mothers at Juliana's Independent Midwifery Practice
No full textBackground: The smooth process of breast milk (ASI) production and secretion is often an obstacle for postpartum mothers, and this condition can affect the success of the exclusive breastfeeding program. One of the non-pharmacological approaches that can be applied to overcome this problem is by giving warm compresses to the breast areola area. Objective: This study aims to evaluate the effect of warm compresses on breast milk secretion in postpartum mothers at the independent midwifery practice of Juliana. Method: This study used a pre-experimental design with a one-group pretest-posttest model. A total of 35 postpartum mothers were selected as samples using purposive sampling techniques. The Shapiro-Wilk normality test showed that the data were not normally distributed; therefore, hypothesis testing was conducted using the Wilcoxon Signed-Rank test. Results: Before the intervention, all respondents (100%) experienced insufficient breast milk secretion. After applying warm compresses, 28 respondents (80%) showed improvement with smooth milk secretion. The Wilcoxon test yielded a value of Z = -5.292 and p-value = 0.000 (p < 0.05), indicating a significant difference before and after the intervention. Conclusion: The administration of warm compresses proved to have a significant effect on improving breast milk secretion in postpartum mothers. This intervention can serve as a simple, effective, and easily applicable non-pharmacological alternative to support successful breastfeeding
Factors Associated With Carpal Tunnel Syndrome (CTS) Complaints in Betel Nut Split and Sort Workers In Cv. Indokara
No full textBackground: The work of splitting and sorting areca nuts is done manually with repetitive movements for a long duration. Inappropriate work postures that are not ergonomic and repetitive movements for a long time are one of the risk factors that can trigger Carpal Tunnel Syndrome (CTS). Purpose: This study aims to identify factors that contribute to the emergence of CTS complaints in areca nut splitting and sorting workers at CV. Indokara in 2024. Research methods: This study used an analytical observational design with a quantitative approach and a cross-sectional plan. All workers in the areca nut splitting and sorting section at CV. Indokara became the study population, with a sample size of 38 people obtained through the total sampling technique. Results and discussion: The prevalence rate of CTS complaints found in workers at CV. Indokaraa reached 55.3%. The results of statistical analysis showed that there was a relationship between age (p = 0.031), length of service (p = 0.011), work posture (p = 0.031) and repetitive movements (p = 0.029) with CTS complaints. However, there was no correlation between nutritional status (p = 1,000) and CTS complaints. Conclusion: Age, length of service, work posture, and repetitive movements are related to CTS complaints in areca nut splitting and sorting workers at CV. Indokara in 2024. Therefore, workers are advised to use their break time to stretch their hands regularly. In addition, a policy regarding routine exercise once a week can be implemented and create a posture regarding stretching movements that need to be done by workers
The Relation Between Physical Activity and Mental Health in Health Faculty and Non-Health Faculty Students
No full textBackground: College students are individuals who study at university. Academic workload, cumulative grade point average (GPA) competition, parents' expectations, living away from home, and the environment trigger the mental problems on students. Students often engage in physical activities during coursework, influencing their non-academic routines. Faculty differences lead to varying academic loads and lifestyles, affecting mental health management and physical activity levels. Objective: Study aimed to know the physical activity and mental health of the Health Sciences (FIKES) and Non-Health Sciences (Non-FIKES) Faculties students. Methods: This research applied a quantitative method, with an observational analytic study design. The sampling was performed by purposive sampling technique, with the total of 520 respondents. The research instruments used were the International Physical Questionnaire-Short Form (IPAQ-SF) and Depression, Anxiety, Stress, Scale 21 (DASS-21). The data analysis was conducted by a univariate analysis; normality test; bivariate analysis used Rank-Spearman test; and Mann-Whitney test. Result: Rank-Spearman correlation showed that there was a significant relation between physical activity and depression, anxiety, and stress (r=-0.365, p=0.000, r=-0.294, p=0.000, r=- 0.270, p=0.000). The Mann-Whitney test on physical activity, depression, anxiety, and stress on FIKES and Non-Fikes Students had a significant difference (p=0.000, p=0.000, p=0.000, p=0.000). Conclusion: There is a significant relation between physical activity and mental health for FIKES and Non-FIKES Students, and there is a significant difference between physical activity and mental health for FIKES and Non-FIKES Students
The Effect of Exercise Therapy on Amyotrophic Lateral Sclerosis Patients: A Literature Review
No full textWeakness caused by motor neuron degeneration in Amyotrophic lateral sclerosis (ALS) can result in avoidance of physical activity, resulting in deconditioning and decreased health-related quality of life. The literature review that the author obtained from previous research has a role in shaping the character of thinking in this study. The articles used in this study were obtained from three databases, namely PubMed, Science Direct and Google Scholar. The keywords used during the search were ALS, Exercise, Therapy, Exercise Therapy, Amyotrophic Lateral Sclerosis, carried out a maximum of 2019. Out of 10 articles, there are 7 articles stated that aerobic exercise therapy and strength training had a positive effect on ALS. While 3 other articles showed changes but were not significant. The results of this preliminary ALSFRS-R study support the safety and feasibility of 12 sessions of supine whole-body stepping in individuals with ALS. This respiratory EMST training program was well tolerated and resulted in positive changes in respiratory and bulbar function in ALS. Our prospective CPET study measured significantly reduced exercise capacity in ALS via non-invasive CPET. Genetically predicted physical activity was not significantly associated with risk of neurodegenerative disorders. A 12-week combined aerobic and strength training program was significantly superior to freezing alone in improving respiratory function, mobility, and well-being in ambulatory ALS patients
The Relationship Between Self-Esteem and Family Support with Social Isolation in Patients with Diabetes Mellitus at Puskesmas Deli Tua
No full textIndividuals with chronic illnesses, particularly diabetes mellitus, often encounter psychological challenges such as a tendency toward social isolation. Several factors contribute to this condition, including self-esteem and the level of family support. This study aimed to examine the relationship between self-esteem and family support with social isolation among patients with diabetes mellitus at Deli Tua Health Center. An analytical research design with a cross-sectional correlational approach was employed. A total of 54 respondents were selected using simple random sampling. Data were collected through structured questionnaires and analyzed using the Chi-Square test. The findings revealed a significant association between self-esteem and social isolation (p = 0.000; < 0.05). These results indicate that individuals with higher self-esteem are less likely to experience social isolation.. This confirms that psychological resilience plays an important role in maintaining social functioning amid chronic illness. In conclusion, self-esteem serves as a key factor in reducing social isolation among patients with diabetes mellitus. Therefore, efforts to improve self-esteem through psychosocial support and nursing interventions should be prioritized to prevent social withdrawal in these patients
The Effect of Warm Water Compresses on the Intensity of Dysmenorrhea Pain Scale Among Adolescents at Nusantara Private Senior High School, Lubuk Pakam
No full textDysmenorrhea is a menstrual pain condition commonly experienced by adolescent girls, often interfering with daily activities both in school and social environments. The high prevalence of dysmenorrhea makes it one of the reproductive health issues that requires attention, particularly among adolescents. Management of dysmenorrhea can be carried out through pharmacological and non-pharmacological approaches. One of the non-pharmacological methods that is simple, inexpensive, and easy to apply is warm water compress therapy. The mechanism of warm compresses involves vasodilation of blood vessels, improved blood circulation, muscle relaxation, and reduction of pain perception, making it effective in alleviating dysmenorrhea symptoms. This study aimed to determine the effect of warm water compresses on the intensity of dysmenorrhea pain among adolescent girls at Nusantara Private Senior High School, Lubuk Pakam. The research design was pre-experimental using a one-group pretest–posttest approach. A total of 19 respondents were selected using purposive sampling. Data were analyzed using the Wilcoxon test. The results showed a significant reduction in pain intensity after the intervention, with Z = -3.873 and p-value = 0.000 (p < 0.05). The mean pain scale decreased from 2.68 to 1.89. It can be concluded that warm water compress therapy is effective in reducing the intensity of dysmenorrhea pain among adolescent girls. These findings suggest that warm compresses may serve as a recommended non-pharmacological nursing intervention to alleviate menstrual pain in adolescents
Evaluation of Risk Management Implementation in the Radiotherapy Unit of Grandmed Hospital, Lubuk Pakam, in 2023
No full textRadiotherapy installations are among the high-risk healthcare service units due to the use of ionizing radiation in cancer treatment. Evaluating the implementation of risk management is essential to ensure the safety of patients, healthcare workers, and the surrounding environment. This study aims to evaluate the extent to which risk management has been implemented in the Radiotherapy Installation at Grandmed Hospital Lubuk Pakam in 2023. A descriptive qualitative method was used through observations, interviews with healthcare personnel, and document analysis of standard operating procedures (SOPs) and incident reports. The results of the study indicate that risk management practices have been implemented, but not yet optimally, particularly in aspects such as incident reporting and regular training. Strengthening the reporting system, continuous training, and internal audits are necessary to improve the effectiveness of risk management in the facility.This study employed a descriptive approach using qualitative methods. Data were collected through in-depth interviews with radiotherapy unit staff, direct observations, and document reviews related to the risk management system. The evaluation was conducted based on the ISO 31000 risk management standard and guidelines from the Nuclear Energy Regulatory Agency (BAPETEN).The evaluation results indicated that most hospitals have implemented the basic components of risk management, such as hazard identification, risk analysis, and risk control. However, it was found that the processes of risk monitoring and evaluation have not been carried out systematically. In addition, not all installations had complete risk documentation or conducted regular training updates.The implementation of risk management in radiotherapy installations is at a promising early stage, but improvements are still needed, particularly in the areas of documentation and the strengthening of safety culture. Strong management commitment and ongoing training are essential to enhance the effectiveness of the risk management system to ensure the safety of both patients and medical personne