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Latar belakang: Remaja perempuan mengalami serangkaian perubahan biologis, baik dari anatomis maupun fungsional. Salah satu perubahan biologis pada remaja perempuan adalah pada organ reproduksi yang dipengaruhi oleh perubahan hormon. Keputihan dapat bersifat normal dan tidak normal. Keputihan tidak normal perlu diwaspadai karena merupakan gejala suatu penyakit  reproduksi. Keputihan sering dianggap sebagai hal yang umum dan sepele bagi wanita apalagi remaja. Penyebab keputihan berkaitan dengan cara kita merawat organ reproduksi. Pengetahuan mengenai keputihan sangat diperlukan untuk menentukan sikap yang akan dilakukan. Pendidikan kesehatan perlu diberikan untuk meningkatkan pengetahuan dan dapat mengubah sikap. Tujuan Penelitian: untuk mengetahui apakah ada perbedaan pengetahuan dan sikap siswi sebelum dan sesudah pemberian pendidikan kesehatan. Metode Penelitian: Penelitian ini merupakan penelitian operasional dengan rancangan penelitiannya adalah one-group pratest-posttest design. Penelitian ini menggunakan kuesioner yang telah diuji validitas dan reliabilitas sebagai instrumen penelitian. Sampel penelitian ini meliputi 120 siswi di SMP Kristen Gergaji Semarang dengan menggunakan cluster sampling sebagai teknik pengambilan sampel. Analisa data yang digunakan adalah analisa bivariat Wilcoxon Match Pair Test. Hasil Penelitian: menunjukkan peningkatan jumlah responden yang memiliki pengetahuan tinggi sebelum dan sesudah pendidikan kesehatan sebesar 67,5% dengan p value 0,000, dan terdapat peningkatan jumlah responden yang memiliki sikap baik sebelum dan sesudah pendidikan kesehatan yaitu sebanyak 40,83 % dengan p value 0,000. Hal ini menunjukkan pendidikan kesehatan dapat meningkatkan pengetahuan dan merubah sikap.

Latar belakang: Bahaya merokok bagi kesehatan telah diteliti dan dibuktikan, namun kebiasaan merokok tetap sulit dihilangkan. Zat nikotin pada rokok mengakibatkan perokok mengalami ketergantungan karena munculnya gejala putus nikotin ketika berhenti merokok. Hipnoterapi merupakan salah satu metode untuk mengubah perilaku merokok dengan pemberian sugesti berhenti merokok melalui pikiran bawah sadar sehingga perokok memiliki kendali terhadap ketergantungannya pada rokok. Tujuan : Penelitian ini bertujuan untuk menganalisa pengaruh terhadap tingkat ketergantungan rokok pada perokok aktif. Metode: Rancangan penelitian yang digunakan adalah quasi experimental pretest posttest control group design. Jumlah sampel sebanyak 40 mahasiswa yang diambil dengan teknik purposive sampling dan dibagi ke kelompok intervensi (n=20) dan kontrol (n=20). Bentuk intervensi berupa pemberian hipnoterapi sebanyak 8 kali selama 2 bulan. Instrumen yang digunakan adalah Fagerstorm Test for Cigarette Dependence (FTCD). Data dianalisa dengan uji Mann-Whitney. Hasil: Hasil penelitian menunjukkan penurunan skor tingkat ketergantungan rokok pada kelompok intervensi sebanyak 1,25 setelah perlakuan dengan nilai mean pretest 1,45 (SD=1,132). Hasil uji Mann-Whitney menunjukkan perbedaan bermakna tingkat ketergantungan rokok antara kelompok intervensi dan kontrol dengan p=0,028. Hasil penelitian membuktikan hipnoterapi berpengaruh terhadap tingkat ketergantungan rokok pada perokok aktif. Saran : Hipnoterapi direkomendasikan sebagai intervensi keperawatan dalam program berhenti merokok

Hypertension is an abnormal increase in blood pressure in the arteries continuously over a period of time. A person is said to be hypertensive if the systolic blood pressure is equal to or above 140 mmHg and/or the diastolic blood pressure is equal to or above 90 mmHg. The high prevalence of hypertension is one of the problems that affect public health status. The purpose of this study was to determine the effect of giving celery leaf decoction on blood pressure in hypertension patients in Mahawu, Manado This research design is a pre-experimental research design (one-group pre-post test design). The population in this study amounted to 53 patients with the sample used was 17 respondents. The sampling technique used is Accidental Sampling. Data collection using blood pressure observation sheet. The results of the study found that giving boiled celery leaves before giving boiled celery leaves were 12 respondents (70.6%). And after giving boiled celery leaves, 13 respondents (76.5%). The result of p value 0.000 (<0.05) so Ha is accepted. There is an effect of giving boiled celery leaves on blood pressure in hypertensive patients in Mahawu, Manado. The conclusion in this study is that there is an effect of giving celery leaf decoction on blood pressure in hypertension patients in Mahawu, Manado. Suggestions to respondents who often experience hypertension can do their own treatment when high blood pressure by boiling celery leaves.

This study aims to evaluate the impact of ergonomic training on blood pressure in hypertension sufferers in Hamlet I, Tanjung Anom Village, Pancur Batu District. The research method used One Group Pre-test – Post with purposive sampling technique and 10 respondents from a population of 50 met the criteria. Data was collected through ordinal scales and observation instruments. The results of the Wilcoxon Signed Ranks Test analysis with SPSS showed a significance of <0.05 (p=0.00), indicating the influence of ergonomic exercise on reducing blood pressure. The conclusion of this study states that ergonomic exercises are effective in reducing blood pressure in hypertension sufferers in Hamlet I, Tanjung Anom Village, Pancur Batu District in 2022.

This increase in the elderly population makes the government need to formulate policies and programs aimed at elderly population groups so that they can play a role in building public health. One of the government policies is that health services are provided at health centers, such as providing good and quality services, giving priority to elderly people and providing safe and easily accessible facilities, providing support or guidance to the elderly and their families on an ongoing basis. The purpose of this study was to determine the relationship between the role of health workers and the participation level of Posyandu for the elderly in Esandom one, Tombatu Timur District, Southeast Minahsa Regency. The study used a cross sectional analytic descriptive research method. The sample of respondents was 88 people using purposive sampling. Data collection using questionnaires and observation sheets. Analyzed with the chi square statistical test. The results of the study were 68 respondents (77.3%) with the highest age, 73 respondents (83.0%) had the highest education. Chi square test results obtained p value <? 0.05. The conclusion in this study is that there is a relationship between the role of health workers and the participation level of the Posyandu for the elderly in Esandom one, Tombatu Timur District, Southeast Minahsa Regency. Suggestions are expected that the Puskesmas can use this research as one of the bases in health promotion for the elderly.. Suggestions are expected that the Puskesmas can use this research as one of the bases in health promotion for the elderly. 

Background: The prevalence of hypertension in Indonesia continues to increase, especially in women. The incidence rate reached 28.8% higher than the incidence of hypertension in men which is 22.8%. There are factors that make women more at risk of hypertension than men. Namely the use of hormonal contraception in women whose users reach 47.54%. Purpose: to analysis Correlational hormonal contraceptive use and hypertension. Methods: This research is an observational survey research, case-control design. Held in the Work Area of the Medan City Primary Health Center. Conducted from March-June 2019. The population were all women of productive age (15-49 years) totaling 572 people. The size of the case sample was 35 people and 35 controls. Case samples were taken by means of consecutive sampling, control samples were taken by convenient sampling. Data analysis was performed univariately and bivariately using the Chi Square statistical test (?2) with a significance level of 0.05. Results: In the hypertension group, 77.1% used hormonal contraception and 22.9% did not use hormonal contraception. Whereas in the non hypertensive group 62.9% did not use hormonal contraception only 37.1% used hormonal contraception. There is a relationship between hormonal contraceptive use and hypertension in women of reproductive age. A value (OR = 5.7; 95% CI 2,008-16,244) means that women of reproductive age are at risk of experiencing hypertension 5.7 times greater if women of reproductive age use hormonal contraception than those who do not use hormonal contraception. Conclusion: Women of reproductive age are at risk of developing hypertension when using hormonal contraception. Therefore, it is recommended that women of reproductive age prefer non-hormonal contraception or natural contraception. If using hormonal contraception to keep monitoring blood pressure regularly at least 3 months after using hormonal contraception and immediately stop using hormonal contraception if there is a hypertensionKeyword: Hormonal contraception; Hypertension; Women at Reproductive age

Background: Anxiety is a feeling of discomfort, a feeling of fear caused by anticipation of danger. The impact of anxiety is bad for mother and fetus, so it needs to do intervention for resolving the anxiety. Pregnant gymnastics is one way to reduce anxiety in pregnant women. The purpose of this study knowing the effect of pregnancy exercise on the level of anxiety in prenatal mothers in the third trimester at the RSIA Cahaya Bunda Gerokgak Tabanan.Method: The desaign used the pre-experimental design of one pretest posttest group, the research subjects were prenatal mothers in the third trimester, with non probability sampling used a purposive sampling method. The research instrument with the HARS questionnaire. Statistical tests used the Wilcoxon Test, with a confidence level of 95% and p <0.05.Results: The results of the pretest were moderate anxiety of 63.3% and severe anxiety 36.7%, after the intervention, the results of the posttest score were mild anxiety (60.0%), no anxiety (36.7%) and moderate anxiety (3.3%). The Wilcoxon analysis test results get a value of ? = 0,000 and the value of ? is smaller than ? (5%) or 0.05, it means there is a significant effect of pregnancy exercise on the level of anxiety in prenatal mothers in the third trimester.Conclusion: There was a decrease in the level of anxiety before the intervention was given and after the intervention was given, so that there was the influence of pregnancy exercise on the anxiety level of prenatal pregnant women in the third trimester.Keywords: Anxiety leve;, Pregnant gymnastic; Prenatal in the third trimester

Background: Stunting rates in Badung Regency show an upward trend while information on funding and utilization and who is the beneficiary is still very limited. Therefore, through the District Health Account, it is expected that decision makers will be able to overcome the problem of adequacy, equity, efficiency, effectiveness and sustainability. Objective: to analyze the cost of stunting prevention using the District Health Account Approach. Method: This research is descriptive using cross-sectional studies, data collection through in-depth interviews to the manager of the District Health Office in Bandung District and the manager of the Provincial Health Department of Bali Nutrition and documentation studies. Results: Most stunting prevention costs came from the central government (70.16%), and the highest proportion of the budget was managed by puskesmas (56.74%). Most of the stunting prevention funding was used for operational expenditure (79.43%), and the financing was mainly directed towards all age groups (48.53%). In the lowest 40% (poor families) the average monthly expenditure is only Rp.438,944 or equivalent to 1,962.55 Kcal per person per day, this figure is below the stipulated calorie adequacy rate of 2,200 - 2,500 Kcal per person per day. Conclusion: The cost of stunting prevention program is only sourced from the government, where most costs come from the central government (70.16%), far exceeding the Badung Regency Government (21.16%) and the Provincial Government of Bali (8.69%). The cost of puskesmas stunting prevention program is used for operational expenses for the bottom 40% (poor families) whose average monthly expenditure is only equivalent to consuming 1,962.55 Kcal of food per person per day. Badung Regency Government to increase the financing of stunting prevention which is prioritized for the lowest 40% population (poor population).Keywords: Stunting; Financing; Badung Regency

Backgroud: Public services perfomed by government officials in various sectors at this time are still found weaknesses. Weaknesses that occur when providing public services certainly have an impact on the quality of services received by the community. One of the public services performed by professional organizations is carried out by the branch manager of the Indonesian Midwives Association (IBI), Buleleng Regency. As for the form of public service provided is the management and extension of the midwife registration certificate (STRB) for the midwife. Purpose: The purpose of this study is to measure the midwife satisfaction index of public services conducted by the branch manager of the Indonesian midwives’ branch of the Buleleng branch. Method: The research design used is descriptive research. The population in this study were all members of STRB. The sampling technique used is probability sampling technique with simple random sampling. Data collection techniques using a questionnaire with 14 closed questions. The questionnaire was distributed through WhatsApp IBI Buleleng group by providing a link for filling out the questionnaire on google form. Result: The results of this study of the 14 elements are almost entirely namely 13 elements that are in the good category and only one element that is in the category of not good enough category in the speed of service. Conclusion: Thus, it can be concluded that the portrait of the midwife satisfaction index of public services in the Buleleng Regency is in the good category, so it can be said that the quality of the services of the IBI PC on the Buleleng Regency is also in the good category.Keywords: Administration; Midwife; Society Satisfaction Index; Public Services

Background: Premarital sexual behavior is one of the result of promiscuity. This problem tends to be carried out by middle adolescent groups (15-18 years). Around 63% of junior high school, high school and university-age adolescents in Indonesia claimed to have had premarital sex. Some permissive dating behaviors performed by adolescents include holding hands when dating (92%), kissing (82%), and petting (63%). Purpose: This purpose ostudy aims to determine the relationship of parental supervision and information media with premarital sexual behavior in adolescents at State High School No 1 Kotamobagu. Method: This study applied an analytic cross-sectional design with a sample of 299 school-age adolescents aged 14-18 years. The sampling technique used was stratified random sampling. Data were collected by direct interviews with respondents and analyzed univariately and bivariately using the chi square test. Results: The results of the study based on the chi square test showed that there was a relationship between parental supervision (p=0.006) and information media (p=0.001) with premarital sexual behavior in adolescents. Conclusion: There was a relationship between parental supervision and information media with sexual behavior in adolescents at State High School No 1 Kotamobagu. It is recommended to the relevant parties to play an active role in conducting supervision and providing sexual education early on so that students avoid premarital sexual behavior.Keywords: Information Media; Parental Supervision; Premarital Sexual Behavior

Background: Surgery is an invasive procedure by making an incision due to certain indications. Patients who will undergo surgery tend to have high anxiety. Purpose: This study aims to determine the effect of music therapy on preoperative patient anxiety at RSUD Dr. M. Yunus Bengkulu. Method: The study design used a pre-experimental design with one group pretest post test. The population in this study were all preoperative patients in the Flamboyan room of RSUD Dr. M. Yunus Bengkulu. Samples in the study of pre-operative patients who were met during the study were 32 people. the sampling technique uses accidental sampling. Sample criteria include: preoperative patient major surgery. Data collection techniques using primary data in the form of preoperative questionnaires for anxiety measurement. Anxiety questionnaire that HARS (Hamilton Anxiety Rating Scale). The statistical test used is the t-test. Results: The results showed that p = 0,000 <0.05 was significant. There is a significant influence of musik therapy on surgery patient anxiety in Dr. M. Yunus Bengkulu. Conclusion: Musik therapy provides a relaxation response to the body so that it can reduce anxiety levels. It is hoped that nurses can provide modality therapies such as musik therapy to preoperative patients, in order to reduce anxiety that occurs during the operating room.Keywords: Anxiety; Classical musik therapy; Preoperativ

Background: Anxiety is a psychological problem that often occurs in the elderly. Anxiety is a feeling of worry whose object is biased or unclear towards something that is not certain. This is often related to the various physical, social, and economic changes that occur in the elderly due to the aging process. Laser acupoint is an alternative intervention developed from acupuncture and acupressure using low-energy laser light which aims to balance body energy and homeostasis. Purpose: The aims of this study was to analyze the effect of laser acupoint on anxiety in the elderly. Methods: This type of research is pre-experimental, one group pre-post test design with a total sample of 26 respondents. Data were collected using the Geriatric Anxiety Inventory (GAI). The points used on the Laser Acupoint are He Ku (Li. 4), Sen Men (HT.7), Tai Chong (LR.3) and Sing Cien (LR. 2). The intervention was carried out for 20 minutes, with a frequency of 2 times a week, and carried out for 6 times of therapy. Data analysis used the Wilcoxon sign rank test. Result: the result of p = 0.00 with a confidence level of 95%. This shows the effect of laser acupoint on anxiety in the elderly. Conclusion: Acupoint laser can be used as an alternative intervention in overcoming anxiety in the elderly.Keywords: Laser acupoint; Anxiety; Elderly

Scientific study activities on tourism, mice, and marketing communications. The activities carried out are in the form of participating in discussions and assigned to attend seminars, aiming to enrich knowledge about tourism, mice and marketing communications. This activity is a practice to process vendor data that will collaborate with the office into one in the service provider partner file. Both transportation, accommodation, restaurants, logistics and human resources. Aims to collect data on cooperation partners so that the data is neat and can be searched at any time when needed

Disasters are events either natural or non-natural that cannot be predicted in advance. The impact of natural disasters can be in the form of comprehensive environmental damage that can cause mass human deaths. Fires can occur anywhere and at any time, fire management needs to be understood so that when a fire occurs there are no casualties. Thus, preparedness is needed to face disasters. Indonesia is one of the disaster-prone countries. The age groups that are vulnerable to this problem are babies and toddlers. Disaster management specifically for this age group includes the Infant and Child Feeding (IYCF) program. The aim of this service is to meet the nutritional needs of the infant and toddler age group in the Maccini Sawah Community Health Center Working Area, so that it can prevent nutritional problems due to disasters and can handle nutritional problems. The method used in service activities is demonstrating IYCF to the community and also providing IYCF counseling at disaster sites. The results achieved were that IYCF education ran smoothly so that feeding services for the infant and toddler groups were carried out well in phase one of the emergency. IYCF is mandatory in disaster situations to prevent and treat acute nutritional problems during disasters

Breast cancer is the first cancer in Indonesia and is one of the first contributors to death caused by cancer. Breast cancer reached 68,858 cases out of a total of 396,914 new cases in Indonesia. Unfortunately, around 70% of cases are detected too late and are at an advanced stage. The impact for Indonesia is of course not only an economic double burden but also the level of public health. Therefore, there is a need for pro-active efforts by academics to help reduce breast cancer cases. One way is through health promotion by educating people about the dangers of breast cancer. Group counseling method. Counseling participants with a population of 35 people. The media used were power points and leaflets, which lasted approximately 50 minutes. The results of community service show that after education, 77.5% of people can answer questions about breast cancer well. And there is enthusiasm in asking questions in detail. Counseling participants can understand and increase their insight into the dangers of breast cancer. Counseling can be done at a later time.

Pregnancy can cause the body to be very susceptible to low hemoglobin levels, which during pregnancy require sufficient iron for the body. If the body loses iron, anemia will occur, because the body requires the intake of foods that contain iron. Anemia itself where the value of the hemoglobin level is less than the normal value or below the normal value. So if a pregnant woman has a hemoglobin level below the normal value, she will be prone to anemia. The risk of anemia during pregnancy can occur in the fetus because it can affect the growth and development of the fetus and baby, as well as babies born prematurely or with reduced body weight. Dates are a fruit which contains many benefits for the body, one of which is to prevent anemia. The content of the date palm itself contains nutrients for the body such as protein, vitamin A, vitamin C, thiamine, ribovalfin, nicotinic acid, and iron. To determine hemoglobin levels in pregnant women before and after giving dates. The research method used this time was preexperimental with a one-group pre-test post-test research design. While the examination using the cyanmethemoglobin method. The results of the study of hb levels before being given dates with an average result of 11.94 and after being given dates the average result was 12.65 which showed an increase in hb levels. Data analysis using the Paired Sample Test statistical test obtained the results of sig (2 tailed) of 0.207 or > 0.05. From the results of the statistical analysis of the Paired Sample Test, it can be said that Ho is accepted, which means that there is no significant effect on the administration of dates on hemoglobin levels before and after.  

Background: The prevalence of isolated systolic hypertension (HST) is expected to occur approximately 25% in the age group of 60-90 years, and found as much as 59.1% in males and 61.9% in females. This research aims to determine the factors related to the incidence of hypertension in the elderly. Methods: This study uses a descriptive analytical design with the Cross Sectional approach. The research samples used are seniors aged ? 60 years and older with Consecutive Sampling technique in the working area of Puskesmas III North Denpasar. Data retrieval takes place from April to May 2012 by filling out questionnaires, measuring weight, height and blood pressure. The Data obtained is analyzed univariate and bivariate using Chi-Square test. Results: Based on the analysis gained that the factors associated with the occurrence of hypertension in the elderly are The age factor (OR: 10,833; 95% CI: 1,961-59,834), Gender factor (OR: 7,467; 95% CI: 1,400-39,837), Genetic factor (OR: 10,083; 95% CI: 1,658-61,330), Activity factors (OR: 0,095; 95% CI: 0,017-0,529), and the habit of drinking coffee (OR: 15,556; 95% CI: 2,586-93,571). Conclusion: Age, gender, genetic, activity and coffee habits are factors related to hypertension in the elderly. Expected parties are more promoting health programs in the elderly, especially on hypertensive diseasesKeywords: hypertension; elderly; activities; drinking coffee

Background: Hypertension is the highest cause of death in Indonesia. Non-pharmacological therapy that could reduce blood pressure was decoction of avocado leaves. This study aims to determine effectiveness decoction of avocado leaves to blood pressure of hypertensive patients in Siwalankerto Health Center Surabaya. Methods: This research used Quasy experimental one groups pre test-posttest with control design with a quantitative approach. Sampling techniques used was probability sampling with simple random sampling which obtained sample of 30 respondents aged 26-45 years old.15 respondents in the avocado leaves decoction intervention groups and 15 respondents in the control groups. Data analysis was carried out with the help of computer programs by using Paired T-Test. Result: result of the Paired T-Test of systolic and dyastolic blood pressure obtained p = 0,000 with a significance level (p<0,05), meaning that there was an influence between before and after giving treatment of avocado leaves decoction to blood pressure of hypertensive patients in Siwalankerto Health Center Surabaya. Conclusion: The research implication showed that complementary therapies provided by nurses could be a motivation to achieve the goals of hypertension self care.  

Background: Social and emotional development of young children is affected by many stimulating factors, and one of those factors is early childhood education however, not all preschool children have the opportunity to attend early childhood education. This study was aimed at comparing children’s social and emotional development of those who attend and do not attend early childhood education. Method: This comparative study was carried out using cross sectional approach among 72 participants divided into 2 groups: 36 participants who attend early childhood education and 36 participants who do not attend early childhood education. Consecutive sampling technique was applied to select samples. Results: Non-parametric statistical test employed was Mann Whitney test, whose comparison value of children attending and not attending early childhood education was Pvalue 0.000; the emotional comparison value was Pvalue 0.040, so it can be concluded that there were differences in social and emotional development between children who attend early childhood education and those who do not attend early childhood education. Conclusion: Early childhood education can help stimulate development on children. Parents should pay more attention to their children’s social and emotional development, whereas if parents cannot be the medium to support children’s social and emotional development, they should engage their children to early childhood education.         

Community service is carried out to the general public, and the target of the service is the al-bayyinah Muslim study group, Yosorati Village, Kec. Sumberbaru Kab. Jember. This service is in the form of training in reading the Koran properly and correctly through the Qira'ati method, the executor first surveys the field what are the current needs of the community. In an effort to popularize the Koran, currently there are various methods that are quite helpful in facilitating the process of learning to read the Koran properly and correctly. However, the general problems encountered in teaching the Koran today are: Quality of Education, Qualifications of Ustad Teachers, Uncertain Study Time, Learning Methods used are lacking/not mastered. Based on the implementation of good and correct Qur'an reading training through the Qira'ati method in Krajan Lor Hamlet, Yosorati Village, Kec. Sumberbaru Kab. Jember is the standard for the quality of learning outcomes for mothers who are not the same. Between one and another, due to differences in educational background and also the family environment, each Muslim congregation must be different in absorbing material, it shouldn't be 100% uniform. but the levels of differences that are too far apart indicate that something is lacking in the learning process, be it from the elements, teacher, means, or methods used. The development of various methods of reading the Koran at this time indeed enriches the variety of the learning process, but if the use of the method chosen by the Koran teacher or institution does not comply with the standards required by the method maker, then from the learning process to the product produced it is definitely not standard. It is often found in our society that the ratio of the teacher of the Koran to the number of students is not balanced. The number of Koran teachers is less than the students who are ready to be taught, and even then the quality of teachers is not evenly distributed, there are even ustad who are reckless because there are no Koran teachers who are ready to teach.