Jurnal Pengmas Kestra (JPK) terbit dua kali setahun, yakni periode Januari - Juni, dan Juli - Desember tiap tahunnya. JPK memberikan ruang bagi akademisi dan pengguna hasil pengabdian kepada masyarakat untuk mendiseminasikan, menginformasikan, mendiskusikan dan menggunakan hasil pengabdian sebagai upaya meningkatkan kualitas kebijakan di bidang kesehatan yang berbasis ilmiah dan dapat dipertanggung jawabkan. Jurnal ini menyajikan hasil pengabdian masyarakat bidang kesehatan. Artikel pengabdian masyarakat yang dimuat dalam jurnal ini merupakan topik penting dalam pengembangan ilmu pengetahuan di bidang kesehatan, membantu pemecahan masalah seputar kesehatan dan membantu meningkatkan kualitas hidup manusia. Jurnal Pengmas Kestra (JPK) bersifat independen, ilmiah, memberi kesempatan yang sama kepada akademisi dari berbagai jenjang dan asal pendidikan tinggi. e-ISSN LIPI: 2775-2437 Jurnal Pengmas Kestra (JPK) telah terindex:
Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam
Copyright in each article is the property of the Author.
Education on the Application of Red Rose Aromatherapy for Pain Reduction in the First Stage of Labor
Labor is a critical moment filled with anticipation, emotion, and physiological change for pregnant women. Pain during the first stage of labor is a natural process but often leads to physical discomfort and psychological distress, potentially prolonging labor and increasing complication risks. This community service program (PkM) was designed as an educational seminar aimed at promoting red rose-based aromatherapy as a non-pharmacological approach to alleviate labor pain in the first stage. The seminar involved 30 pregnant women as active participants and was conducted at Nining Pelawati Clinic. Educational content included an introduction to aromatherapy, the therapeutic benefits of red rose essential oil, its sensory mechanisms through the olfactory system, and the correct usage procedures according to standardized operational protocols. Participants’ knowledge was assessed using structured pre-test and post-test questionnaires. The results revealed a notable increase in participants’ understanding, with average scores rising from 55.2 (pre-test) to 88.1 (post-test), indicating a 59.6% improvement. The highest gain (80%) was observed in understanding standard procedures of aromatherapy application. These findings demonstrate that interactive, participatory education combined with supportive media such as leaflets and instructional videos is highly effective in enhancing knowledge. This program is expected to support pregnant women in preparing for childbirth with greater confidence, reduced anxiety, and improved coping mechanisms through natural pain management techniques.
Copyright (c) 2025 Riris Sitorus, Grace Erlyn Damayanti S, Eva Solina Br Barus, Resha Astari https://creativecommons.org/licenses/by/4.0
Seminar and Education on The Evaluation of Antibiotic Use in Acute Respiratory Infection Patients in The Inpatient Room of Granmed Hospital Lubuk Pakam
Acute Respiratory Infection is one of the main causes of death in children in developing countries. ISPA is a disease of the upper or lower respiratory tract that usually infects and can cause various diseases ranging from asymptomatic or mild to severe inflammation. Lethality depends on environmental factors and predisposing factors. Acute Respiratory Infection is still often a major health problem because it is the main cause of death and disease in the world. Upper respiratory tract infection is a cause of death and morbidity in infants and children in Indonesia. The types of antibiotics that are often consumed to treat acute respiratory infections are penicillins and cephalosporins, such as amoxicillin, ceftriaxone, and cefotaxime. The method used for this dedication is the open and community training method or the online lecture method. The purpose of this community service is to provide information about the use of antibiotics to ARI patients at Grandmed Hospital. The activity was carried out in the form of online discussions via zoom with several patients and people who suffer from ISPA. The results obtained in this study were more male patients with ISPA than women. This condition is associated with high physical activity in boys and can quickly worsen physical conditions, including the immune system. In this study, patients were given a questionnaire to ensure that the information conveyed by the presenting team was properly conveyed and understood. In this activity, patients must understand the evaluation of the use of antibiotics in ARI so that in the future patients who suffer from it will get clear information.
Antibiotik;Golongan antibiotik; Penyakit ISPA
Copyright (c) 2025 Novandi Purba, Nur Ulina M Br. Turnip, Novidawati Situmorang, Bagus Alfrisa, Tati Murni Karokaro https://creativecommons.org/licenses/by/4.0
Early Mobilization Education for Families of Postoperative Lower Extremity Fracture Patients to Support Independence in Daily Activities
The incidence of lower extremity fractures is significantly high in healthcare facilities, particularly among elderly patients and those suffering from injuries caused by accidents. Post-surgical patients often experience difficulty performing daily activities such as walking and changing positions. Early mobilization has been shown to facilitate faster physical recovery and reduce the risk of various complications. This community engagement program aimed to enhance the knowledge and skills of patients' families in supporting proper and safe early mobilization. The program employed a participatory educational approach to train family caregivers in early mobilization techniques. The activity began with a pre-test and concluded with a post-test to measure participants' knowledge improvement. Participants were selected through purposive sampling based on inclusion criteria, resulting in a total of 30 participants. The results indicated a 37.8 point increase (72.3%) in participants’ knowledge and a 93% improvement in their practical skills, with most classified as highly capable or adequately capable in performing basic mobilization procedures. Additionally, participants expressed high satisfaction with the educational intervention, with an average satisfaction score of 4.5, reflecting excellence in material clarity, content relevance, media quality, facilitator competence, and overall program benefit. In conclusion, this community service program successfully improved participants’ knowledge by 72.3%, skills by 93%, and satisfaction with the educational activities by a mean score of 4.5.
Copyright (c) 2025 Arfah May Syara, Dian Anggri Yanti, Putri Diana Lumban Tobing https://creativecommons.org/licenses/by/4.0
Community Education on the Effects of Cigarette Smoke on Lung Tissue and the Preventive Role of Green Apple (Malus domestica) Juice
Cigarette smoke contains a large number of oxidants or free radicals, along with approximately 4,700 harmful chemical substances. An increase in free radical levels in the body can trigger the formation of Reactive Oxygen Species (ROS), which contributes to oxidative stress, especially when there is an imbalance between oxidants and antioxidants. During this process, oxygen (O?) may leak and convert into superoxide radicals (O??), which can stimulate The synthesis of pro-inflammatory mediators like interleukin-6 (IL-6). In this research aims To assess the impact of cigarette smoke exposure on the histological structure of lung tissue in laboratory rats. A Community Service Activity (PkM) involving 70 residents of Pantai Labu Subdistrict Aimed at promoting public awareness regarding the importance of adopting a safe and healthy lifestyle. During the activity, participants received education regarding The damaging influence of cigarette smoke on the body, particularly on, as well as potential of green apple juice as a natural alternative to support lung health. The educational materials included information on the safety and stability of green apple juice consumption, and the importance of maintaining an appropriate acidity level (pH) that aligns with lung health. Through pre-test and post-test assessments, there was a 50% and 30% increase in participants' knowledge, respectively, indicating that the program was effective in improving public understanding of the dangers of cigarette smoke on lung health. In addition, green apple juice was introduced as a promising natural alternative to support the histopathological repair of organs. The PkM team also encouraged the community to adopt a healthier lifestyle, be more selective, and remain cautious about exposure to cigarette smoke in their environment.
Copyright (c) 2025 Chandra Pranata, Yosi Darmirani, Asti Pratiwi https://creativecommons.org/licenses/by/4.0
Intervention of Balanced Nutrition Education for Adolescents to Prevent Obesity and Degenerative Diseases at SMP Swasta 102114244 Nusantara Lubuk Pakam
Background: Changes in lifestyle and consumption patterns of Indonesian adolescents in recent years have shown an increasing trend towards a diet high in calories, fat, sugar, and salt and low in fiber. This condition has led to an increase in the rate of adolescent obesity, which is a major risk factor for degenerative diseases in adulthood. Based on the 2023 Riskesdas, the prevalence of adolescent obesity in Indonesia reached 18.7%, up from 13.5% in 2018. One of the effective promotive-preventive efforts is through balanced nutrition education in the school environment. Objective: This activity aims to improve the knowledge, attitudes, and behavior of adolescents about the principles of balanced nutrition and encourage the implementation of healthy eating patterns to prevent obesity and degenerative diseases. Methods: The activity was carried out through the stages of preparing educational materials, implementing interactive education, demonstrating the contents of my plate, and evaluating using pre-test and post-test. Results: The balanced nutrition education activity held at SMP Swasta 102114244 Nusantara Lubuk Pakam successfully attracted the attention and interest of all students. The participants' enthusiasm was evident from the start of the activity, from the presentation of the material, the question and answer session, to the simulation of preparing a balanced nutrition menu based on the “Isi Piringku” guidelines. This is shown by the results of an increase in knowledge of 41.12% with a p value of <0.001. Conclusion: Balanced nutrition education is proven to be effective in increasing knowledge and forming healthy eating habits in adolescents. This program should be implemented sustainably in schools to prevent obesity and degenerative diseases
Copyright (c) 2025 Siti Aisyah, Winda Rizki Pebrina Batubara, Jelita Manurung, Anna Tirawani Ambarita, Fikriyah Arfina Nainggolan https://creativecommons.org/licenses/by/4.0
Health Education: the Effective Handwashing for Early Childhood at Al-Shafa Kindergarten Deli Serdang Regency in 2024
habits have not reached their full potential. Washing hands properly is one of the important yet sometimes overlooked hygiene and healthy living practices. Initial observations at Al-Shafa Kindergarten revealed that most students were unable to perform efficient handwashing techniques according to health standards and were unaware of critical times to wash their hands. This can increase the possibility of disease transmission from unclean hands. The purpose of community service is to build good living habits that can stop the spread of disease through dirty hands. The activity method uses an educational and participatory approach through interactive counseling methods, demonstrations, and direct practice, which are designed according to the characteristics of early childhood. Community service was carried out at Al-Shafa Kindergarten, Lubuk Pakam, Deli Serdang Regency, with 16 children. The results of the Community Service activity showed that 81.3% of children were able to mention important times to wash their hands and 75% of children were able to follow the six steps to wash their hands correctly. This shows that this Community Service activity has achieved a success rate (78.15%) in forming children's understanding and basic skills about PHBS. Health education activities on effective hand washing at Al-Shafa Kindergarten have succeeded in increasing the knowledge and skills of early childhood in maintaining hand hygiene. Interactive, fun, and age-appropriate learning approaches have proven effective in forming clean living behaviors from an early age. The involvement of teachers and the school environment is an important supporting factor in the success of this activity. It is hoped that this education can be the beginning of positive habits that are sustainable in the school environment and at home.
Health Education; Hand Washing; Kindergarten; Community Service
Copyright (c) 2025 Aya Sofia Diaz, Keleng Ate Ginting, Rahmad Ramadhan Ritonga, Regina Elianda Tampubolon, Sri Ulina Purba https://creativecommons.org/licenses/by/4.0
Education About Posture Disorders In Elementary School Children
Postural disorders in children are abnormalities in body alignment that can lead to long-term musculoskeletal health issues. Poor posture can cause muscle imbalance, chronic pain, and even growth problems. Contributing factors include incorrect sitting habits, excessive gadget use, lack of physical activity, and heavy school bags. Education for children and parents on proper posture is an important strategy to prevent these issues. This community service activity was conducted in Sidodadi Village, Beringin District, involving elementary students and their parents. The results showed that the majority of participants were unaware of ideal posture and the importance of early detection of disorders such as kyphosis, scoliosis, and lordosis. Through this education, participants gained awareness about the importance of maintaining good daily habits to support healthy posture.
Copyright (c) 2025 Siti Sarah Bintang Sarah Bintang, Elvida Rahmi Zein, Miftahul Jannah, Dwi Handayani https://creativecommons.org/licenses/by/4.0
Community Education on the Benefits of Natural Antioxidants in Green Tea Leaf-Based Sunscreen Gel for Skin Protection
Ultraviolet (UV) radiation is one of the key contributors to the deterioration of skin structure and function. Its harmful effects include premature aging, hyperpigmentation, and increased risk of skin cancer. One of the underlying mechanisms of this damage is the formation of free radicals, which trigger oxidative stress, compromise cellular integrity, and reduce the skin’s natural defense capacity. The use of skin protection products such as sunscreen serves as a preventive measure in daily skincare routines. This community service (PkM) activity was conducted through an interactive model of education and demonstration, aimed at enhancing public knowledge and awareness regarding the benefits of natural antioxidants available in sunscreen gel formulations derived from green tea leaf extract. The program was designed with an educational and participatory approach, in which the materials were delivered through theoretical explanations and simple practical demonstrations. The participants consisted of 25 individuals, both male and female, aged between 17 and 40 years, residing in the Lubuk Pakam area. The results of the activity showed a significant improvement in participants’ knowledge, with an average post-test score of 89.98 compared to a pre-test score of 56.05 indicating a substantial knowledge gain of 33.93 points, which falls into the "very high" category. This community outreach proved effective in increasing public understanding of the use of natural antioxidants in sunscreen products. Furthermore, participant satisfaction was remarkably high, with an average satisfaction rating of 96.4%, categorized as "Very Satisfied." In conclusion, this PkM activity successfully enhanced the participants’ knowledge regarding natural skin protection strategies, and participants expressed strong satisfaction with the implementation of the program.
Copyright (c) 2025 Jhon Patar Sinurat, Reh Malem Br Karo https://creativecommons.org/licenses/by/4.0
Antenatal Care Education as an Initial Step Toward Maternal and Child Well-Being
Maternal and infant mortality remain significant public health challenges in Indonesia, particularly in rural areas where awareness and access to healthcare are limited. This community service aimed to improve pregnant women’s understanding of the importance of antenatal care (ANC) as a preventive measure to enhance maternal and child well-being. The program was conducted at Klinik Pratama Rawat Inap Mars Deli Serdang and involved 35 pregnant women. Education was delivered through direct counseling sessions that included materials on ANC visit schedules, early detection of pregnancy complications, nutrition, and birth preparedness. Pre- and post-tests were used to evaluate changes in knowledge and attitudes. The results show a marked increase in the participants’ understanding of ANC, with a rise in knowledge from 40% to 88% after the session. Participants expressed greater motivation to attend routine ANC visits and actively engaged in discussions. The findings suggest that community-based education significantly enhances awareness and fosters positive behavioral change regarding ANC compliance. Collaboration between healthcare professionals, clinics, and academic institutions is crucial to sustain and expand such initiatives for long-term maternal and child health improvement.
Copyright (c) 2025 Novita Br Ginting Munthe, Iskandar Markus Sembiring https://creativecommons.org/licenses/by/4.0
Enhancing Awareness of Gastritis Risk Due to Excessive Coffee Consumption Among Generation Z at Grandmed Hospital Lubuk Pakam
Coffee is one of the most favored beverages globally, including in Indonesia. High work pressure and busy daily activities have encouraged increased coffee consumption, particularly among Generation Z, to maintain alertness and performance. However, excessive coffee intake may elevate the risk of gastritis. Gastritis is an inflammation of the gastric mucosa, which can be triggered by various factors, including high caffeine consumption. This Community Service (PkM) program aimed to raise awareness among Generation Z regarding the potential risk of gastritis due to uncontrolled coffee intake. The activity was conducted using a participatory educational approach, enabling participants to engage actively in the learning process. Educational content was delivered through lectures, discussions, and the distribution of informative leaflets to enhance participants’ knowledge. The activity began with a pre-test and concluded with a post-test to assess knowledge improvement. The participants consisted of Generation Z adolescents aged 17 to 25, who were visitors or interns at Grandmed Hospital, Lubuk Pakam. The results revealed that 17 participants (85%) regularly consumed at least one cup of coffee daily, and 15 participants (75%) frequently experienced gastric discomfort following coffee consumption. After the educational session, there was an average knowledge increase of 28.5 points, and 19 participants (95%) showed improved scores and expressed satisfaction with the PkM program. This community service activity has proven effective in increasing public awareness, promoting proper coffee consumption behavior, and potentially reducing the risk of gastritis.
Copyright (c) 2025 Anita Sri Gandaria Purba, Muhammad Reza, Yuni Suharnida, Ria Aprilia Waruwu, Syahfaradila Syahfaradila https://creativecommons.org/licenses/by/4.0
Counseling on Insulin Injection Timing Management for Type II Diabetes Mellitus Patients at Grandmed Hospital Lubuk Pakam
Type II Diabetes Mellitus (DM) is a chronic condition whose prevalence continues to rise in Indonesia. Although insulin therapy is commonly administered to patients, their knowledgeparticularly regarding the appropriate timing of insulin injection remains relatively low. This limited understanding may contribute to unstable blood glucose levels, highlighting the need for personalized management strategies, especially in the scheduling of insulin administration. This community engagement program was implemented through health education and counseling methods aimed at promoting a more proactive and preventive approach in the management of Type II DM. The educational strategy adopted was both informative and interactive, designed to enhance the comprehension of 18 outpatient participants diagnosed with Type II DM. The findings demonstrated that participants showed strong enthusiasm throughout the intervention, driven by a recognized need to better understand insulin injection timing and postprandial glucose control. Moreover, there was a measurable improvement in knowledge, with an average increase of 27.7 points from pre-test to post-test assessments. This outcome affirms the effectiveness of the health education activity in achieving the intended objectives of the program. Participants also expressed interest in the continuation of similar educational efforts in the future. Additionally, the distribution of educational materials in the form of leaflets containing guidance on insulin injection schedules, meal timing, and adherence to effective insulin therapy protocols served as a practical tool for application at home. In conclusion, this educational initiative successfully enhanced patient health literacy and provided effective guidance to support diabetes self-management. Furthermore, the activity contributed to improving the overall quality of life for patients by supporting better glycemic control and preventing long-term complications.
Copyright (c) 2025 Pitriani Pitriani, Kardina Hayati, Abdi Lestari Sitepu https://creativecommons.org/licenses/by/4.0
Integration of Pharmaceutical Science in the Education of Healthy and Functional Food Preparation at SMK Negeri Pantai Labu
The modernization of lifestyle among today’s adolescents has led to significant changes in daily consumption patterns. Many teenagers tend to prefer fast food that is high in sugar, salt, and fat, but low in nutritional value. This condition may lead to various long-term health problems if not accompanied by adequate nutritional education and awareness. This community service activity aims to integrate pharmaceutical science concepts into the education of healthy and functional food preparation at SMK Negeri Pantai Labu. The implementation method consisted of several stages: initial observation of students’ knowledge and habits, delivery of interactive educational materials, hands-on practice in preparing functional food products, and evaluation through pre-test and post-test instruments. This activity involved 30 students from the culinary arts department. Evaluation results showed a significant improvement across all aspects: knowledge of healthy food increased from 55.0 to 85.3; understanding of functional food from 47.5 to 82.0; understanding of active compounds from 41.2 to 78.5; food preparation skills from 50.4 to 80.6; and awareness of food safety from 52.8 to 86.7. The average overall improvement reached 67.3%. This community service activity concludes that an educational approach based on pharmaceutical science, when applied through culinary practice, is proven to be effective in enhancing students’ competencies, not only in terms of academic knowledge and health awareness but also in fostering entrepreneurial potential in the field of local food.
Copyright (c) 2025 Barita Aritonang, Hasni Yaturramadhan Harahap, Shofian Syarifuddin, Debi Meilani, Dicky Yuswardi Wiratma https://creativecommons.org/licenses/by/4.0
Analysis of Community Involvement in Hypertension Prevention Program in Perbarakan Village Pagar Merbau District
Hypertension has become one of the non-communicable diseases with the most affected case growth rate in the contemporary era, especially in rural areas. Community involvement is very important in the success of hypertension prevention programs. The elderly are susceptible to hypertension because body functions decline with age. Other factors that play a role are unhealthy lifestyles, such as the tendency to consume junk food, smoke, drink alcohol, and rarely exercise. Junk food is usually high in calories, fat, salt (sodium), and low in fiber, which can trigger high blood pressure. Cigarettes are also dangerous because the nicotine content can stimulate the release of adrenaline, which can trigger adrenaline secretion. Analysis of community involvement to see the extent to which the community of Perbarakan Village, Pagar Merbau District, participates in the hypertension prevention program. Activities through counseling, blood pressure checks, and training of posyandu cadres. The method used is participatory and directly involves residents, especially the elderly and health cadres. Activities are carried out through health counseling, blood pressure checks, and training of posyandu cadres. Data were collected through observation, interviews, and questionnaires to determine community understanding and participation. The result is that the community already understands hypertension well enough, but active involvement still needs to be improved with a pre-test score of 16.20, while after counseling it increased to 18.86. Therefore, a stronger communication and empowerment strategy is needed so that the community wants to live a healthy life sustainably.
Hipertensi 1; Keterlibatan masyarakat 2; pencegahan hipertensi 3; pemberdayaan 4.
Copyright (c) 2025 Sri Putriani Sinaga, Elvi Era Liesmayani, Dinar Manalu, Sunengsih Sunengsih https://creativecommons.org/licenses/by/4.0
The Effects of Trunk Muscle and Cawthorne Cooksey Exercises on Reducing Fall Risk Among Older Adults
Background: Falls are a common health challenge experienced by the elderly and can significantly affect their quality of life. The leading causes of falls include decreased trunk muscle strength and disturbances in the vestibular system. Ironically, many older adults are unaware that these risks can be reduced through simple and regular physical activity. Therefore, interventions in the form of education and structured exercise, delivered directly at the community level, are considered a strategic approach to promote preventive behavior. Objective: This Community Partnership Program (PKM) aimed to improve the knowledge, practical skills, and motivation of elderly individuals in preventing fall risks through trunk muscle exercises and Cawthorne-Cooksey exercises. Method: The activity was conducted at Pagar Jati Public Health Center, Lubuk Pakam, involving 20 elderly participants. It consisted of two main sessions: an educational session covering the causes of falls, the role of trunk muscles, and the body's balance system; and a practical session where participants performed both exercises under the guidance of the implementation team. Evaluation was carried out through initial discussions, observation of participant engagement, and a simple pre-test and post-test. Results: The program showed a significant impact. A total of 85% of participants demonstrated improved understanding of fall risk and its prevention, 78% were able to perform the exercises correctly, and 90% expressed a commitment to continue the exercises independently at home. Participant satisfaction reached 92%. The elderly showed high enthusiasm throughout the activity, with many stating that this was the first time they realized the importance of light exercises in maintaining balance. Conclusion: This activity successfully enhanced the cognitive and motor skills of elderly participants in fall prevention. The combination of trunk muscle exercises and Cawthorne-Cooksey exercises proved effective in improving postural control, vestibular adaptation, and overall body stability. This hands-on approach is highly effective and recommended for sustainable implementation within community-based health promotion and prevention programs for the elderly.
Trunk Muscle Exercise; Cawthorne-Cooksey Exercise; Fall Risk; Elderly; Balance
Copyright (c) 2025 Isidorus Jehaman, Redi Tantangan, Simson Sinuhaji, Rabiatun Nasution, Raynald Ignasius Ginting https://creativecommons.org/licenses/by/4.0
Mental Health Literacy for Teenagers through Interactive Education in Schools
Adolescent mental health is an important aspect in optimal growth and development, but mental health literacy among students is still low. This community service activity aims to improve students' mental health literacy through interactive education at SMA Muhammadiyah 16 Lubuk Pakam. The method used is a participatory education approach with a combination of pretest-posttest, discussion, games, and educational videos. The activity was carried out in May 2025 involving 30 grade XI students who were selected purposively. The pretest results showed that only 33% of students had a good understanding of mental health. After the intervention, there was a significant increase, with 90% of students reaching the "good" category and the average score increasing from 39.6 to 92.0. Qualitative evaluation showed that 83% of students felt better able to recognize symptoms of stress, and 70% were interested in forming regular discussion groups. This activity also encouraged students' openness to counseling and received appreciation from the school. The discussion emphasized that interactive-based education is effective in increasing understanding and positive attitudes towards mental health. However, the limited duration of the activity is an obstacle in deepening the material. Therefore, it is recommended that similar programs be conducted periodically and integrated into the school guidance and counseling system through peer counselor training and mental health clubs. Overall, this educational approach proves that schools can be a strategic place to build psychological literacy in adolescents systematically and sustainably.
Copyright (c) 2025 Irmayani Irmayani, Rosita Ginting, Sri Melda Bangun, Jul Asdar Putra Samura, Luci Riani Ginting, Surya Darma https://creativecommons.org/licenses/by/4.0
Education on the Benefits of Warm Water Consumption Prior to Nebulizer Therapy in Improving Airway Patency Among Asthma Patientsat Grandmed Hospital Lubuk Pakam
Asthma is a respiratory disorder characterized by inflammation, airway narrowing, and excessive mucus production, which leads to shortness of breath. A commonly applied therapy during acute asthma attacks is the use of a nebulizer, which delivers medication in the form of vapor inhaled directly into the airways. The effectiveness of nebulizer therapy is influenced by the physiological condition of the patient’s airway prior to the treatment. Warm water consumption has been shown to support respiratory function by maintaining mucosal hydration and softening mucus secretions. This community service program aimed to educate the public on the potential benefits of warm water consumption in enhancing the effectiveness of nebulizer therapy in relieving airway obstruction among asthma patients. The program was implemented with 25 participants, all of whom were asthma patients at Grandmed Hospital in Lubuk Pakam. The educational activity included delivering the intervention material, followed by interactive sessions such as Q & A and group discussions. Knowledge improvement was assessed by comparing post-test scores with pre-test scores. The results demonstrated a notable increase in participants’ knowledge, with an average score improvement of 34.1 points or 64.6%. Additionally, approximately 98% of participants reported that the educational session was beneficial and easy to understand. Participants showed improved comprehension of nebulizer mechanisms and recognized the importance of warm water intake prior to therapy. The educational intervention successfully enhanced participants understanding and encouraged the application of warm water consumption before nebulizer therapy, potentially leading to more effective treatment outcomes.
Copyright (c) 2025 Juni Mariati Simarmata, Angriawan Angriawan, Fery Juliardi, Elfrida Simanjuntak https://creativecommons.org/licenses/by/4.0
Education on the Benefits of Ethanol Extract Gel Preparation from Kelakai Leaves as a Burn Wound Treatment in Pantai Labu District
Skin care is essential to protect the skin from damage, which can be achieved through healthy dietary intake and the direct application of topical products. The wound healing process plays a vital role in restoring tissue integrity and normal function. This process occurs in several phases, namely inflammation, proliferation, and maturation. The leaves of the kelakai plant have been utilized as the active ingredient in topical gel formulations due to their perceived safety and effectiveness. A gel formulation with a 15% w/w concentration has been proven to be the most effective, capable of reducing burn wound area by up to 13.75%, particularly in severe burn cases. These findings indicate the strong potential of kelakai leaf extract gel as an alternative treatment for burn injuries. A community service activity (PkM) involving 97 residents of Pantai Labu District was conducted with the aim of increasing public awareness regarding the proper and safe selection of topical medications. Participants were educated on the benefits, safety, and stability of the kelakai leaf extract gel, including the importance of appropriate pH levels that are compatible with human skin. Post-activity assessments revealed an increase in participants’ knowledge by 50% and 30% based on pre-test and post-test results, respectively, indicating the success of the program in enhancing understanding of plant-based topical gels as an alternative burn treatment. The PkM team also encouraged participants to be more selective and cautious when using similar products. This educational initiative successfully improved public knowledge regarding the use of medicinal plants as herbal remedies for burn wounds.
Copyright (c) 2025 Aminah Syarifuddin, Wilda Dani Syahfitri, Yayuk Rahayu Suyudi https://creativecommons.org/licenses/by/4.0
Strengthening the Role of Family in the Management of Pressure Ulcers in Stroke Patients at Grandmed Hospital, Lubuk Pakam
Stroke is a type of catastrophic illness characterized by high incidence and disability rates. It significantly impairs physical function and increases the risk of developing pressure ulcers. Pressure ulcers, or decubitus ulcers, occur due to prolonged pressure, friction, and moisture exposure, leading to skin tissue damage in areas of the body that bear weight during periods of immobility. Family support plays a crucial role in the rehabilitation of stroke patients, particularly in providing basic care, assisting with mobility, and preventing complications. This community engagement program (PkM) aimed to enhance family capacity in managing pressure ulcers through educational and practical interventions. Family involvement was facilitated through structured education and hands-on training to encourage active participation in supporting comprehensive patient recovery. The PkM activities were delivered using an educational and participatory approach to 25 participants, all of whom were family members of stroke patients currently hospitalized at Grandmed Hospital, Lubuk Pakam. The program implementation consisted of four stages: preparation, sample selection, execution, and evaluation. The results showed a significant improvement in participants’ knowledge, with an average increase of 32.6 points (59.1%) regarding the role of families in pressure ulcer care. Additionally, 92% of participants demonstrated competency in performing basic stroke care, and 96% expressed high satisfaction with the program. This PkM initiative effectively strengthened the role of families in managing pressure ulcers in stroke patients, thereby contributing to increased patient motivation and improved quality of life.
Copyright (c) 2025 Syatria Wati, Yovi Fauzan, Samuel Ginting, Pratiwi Christa Simarmata, Debi Dinha Octora Sitepu https://creativecommons.org/licenses/by/4.0
Enhancing Awareness of Healthy Lifestyles to Prevent Obesity in Women of Reproductive Age: A Study at Perbarakan Village
Currently, nutritional problems remain a significant public health concern in Indonesia. Economic conditions and increased food consumption levels among the population have contributed to the rising prevalence of obesity. Obesity is a nutritional disorder characterized by excessive fat accumulation in the body. This condition leads to abnormal fat distribution, resulting in decreased muscle mass, quality, and strength. The development of obesity is influenced by poor lifestyle habits, genetic predisposition, and hormonal imbalances. This community service program (PkM) aimed to educate the public on strategies to reduce the risk of obesity by promoting the adoption of healthy lifestyles. The intervention specifically targeted women of reproductive age (WRA), encouraging them to improve their lifestyle practices to prevent obesity-related complications. The program was delivered through lectures, active discussions, and practical field sessions, with a total of 30 participants.During the activity, the PkM team provided health education materials, facilitated interactive question-and-answer sessions, and conducted hands-on training. As a result, there was a significant increase in both knowledge and practical skills among participants. The findings showed a 30-point (51.4%) increase in participants’ knowledge, and 97% of them expressed a strong commitment to adopting healthier behaviors. Moreover, 97% of participants reported high satisfaction with the program, citing the usefulness of the content, engaging materials, and effective delivery methods.This PkM initiative demonstrated its effectiveness in enhancing knowledge and shaping positive attitudes among women of reproductive age regarding healthy lifestyle practices to prevent obesity.
Copyright (c) 2025 Ika Nur Saputri, Irma Nurianti https://creativecommons.org/licenses/by/4.0
Improving Cervical Cancer Awareness Among Reproductive-Age Couples:An Educational Approach Using Visual Inspection with Acetic Acid (IVA)
Cervical cancer is one of the leading causes of death among women in developing countries, primarily due to delays in early detection. According to data from the World Health Organization, there are more than 342,000 cervical cancer-related deaths each year, with 90% of these cases occurring in low- and middle-income countries. In Indonesia, cervical cancer ranks as the second most common cancer after breast cancer, with over 36,000 new cases annually and a death toll reaching 18,000. Visual Inspection with Acetic Acid (IVA) is a simple and affordable screening method that can be performed at primary healthcare facilities. This community service activity aims to increase the knowledge, attitudes, and readiness of couples of reproductive age (CoRA) in conducting early detection of cervical cancer through family-based education. The activity was carried out using lectures supported by media such as leaflets and videos. A total of 30 CoRA participants from the Sukorame health center area took part in the program. The education was delivered through lectures, interactive discussions, and educational video screenings. The education on VIA screening for couples of reproductive age proved effective in improving their understanding, attitudes, and readiness to carry out early detection of cervical cancer. Prior to the education, most participants lacked awareness about the importance of VIA screening. However, after the session, there was a significant increase in knowledge (86.67%), willingness to undergo screening (66.67%), and shared awareness between partners (60%) about the importance of early detection.This interactive and contextual educational approach was effective in building awareness and encouraging preventive action at both family and community levels.
Copyright (c) 2025 Nathasia Haryono, Wilda Wahyuni Siregar, Raisha Octavariny, Kurniawati Kurniawati, Khomaina Aula https://creativecommons.org/licenses/by/4.0
Healthy Lifestyle Education for Prevention of Pulmonary TB at Sialang Health Center
Pulmonary Tuberculosis is a contagious infectious disease caused by the bacteria Mycobacterium tuberculosis and attacks the lungs. Pulmonary TB is spread through phlegm droplets that come out when the sufferer coughs, sneezes, or talks. This disease is characterized by the main symptoms of a cough with phlegm that lasts for more than two weeks, sometimes accompanied by blood, fever, night sweats, weight loss, and weakness. Pulmonary TB is a serious public health problem because of its high transmission rate and can cause serious complications if not treated properly. Prevention and control of Pulmonary TB can be done through early detection, regular and complete treatment, and the implementation of clean and healthy living behaviors. Educational activities on healthy living behavior for the prevention of Pulmonary Tuberculosis were carried out at the Sialang Health Center, involving families and Pulmonary TB sufferers. The implementation of the activity used lecture methods, discussions, and the provision of educational media on the prevention of Pulmonary Tuberculosis. From the results of the activity, there was an increase in public knowledge about the prevention of Pulmonary Tuberculosis, namely from 55% before education to 85% after education. This increase was also accompanied by improvements in the attitudes and behavior of participants, such as being more active in using masks when coughing, maintaining home ventilation, maintaining personal hygiene, and seeking health services earlier if symptoms suspected of Pulmonary Tuberculosis appear. Participants also showed a better understanding of symptoms, transmission methods, and the importance of maintaining healthy living behavior in the family and community environment. This proves that education that is carried out in a structured and interactive manner can be an effective means of increasing public awareness and knowledge. Thus, education is an important and inexpensive approach that can improve the quality of life and create a healthy, independent, and prosperous society.
Education; ; Healthy Lifestyle; Pulmonary TB
Copyright (c) 2025 Rahmad Gurusinga https://creativecommons.org/licenses/by/4.0
Assisting Pregnant Women in Reducing Anxiety and Lower Back Painwith Progressive Muscle Relaxation
Anxiety in pregnancy often occurs due to psychological changes and physical changes that cause discomfort, causing the mother to become anxious. One of the physical changes that occurs rapidly during pregnancy is the increasing gestational age, causing the pregnant woman to experience physiological lordosis to lower back pain. Assistance during pregnancy by introducing, demonstrating and monitoring the process of implementing progressive muscle relaxation will make pregnant women more confident in overcoming anxiety and lower back pain during pregnancy so that the mother is able to empower herself during pregnancy. The purpose of this service is to provide assistance to pregnant women with progressive muscle relaxation actions in reducing anxiety and lower back pain during pregnancy. This activity is carried out using the lecture method, question and answer, demonstration, and activity evaluation. The assistance activity was carried out 4 times. The implementation procedure includes socialization, training, lectures, question and answer, demonstration, and activity evaluation. The results of the assistance activity increased knowledge from 16.6% to 75% after assistance. The skills of pregnant women also increased in practicing progressive muscle relaxation by 66.66% after assistance. Assistance efforts can be carried out with a longer duration of time and with innovative method updates such as the use of digital media. This activity is effective to be implemented for pregnant women as a form of self-empowerment during pregnancy.. should be minimum.
assistace; anxiety; low back pain; pregnancy
Copyright (c) 2025 Diah Evawanna Anuhgera, Damayanti Damayanti, Nikmah Jalilah Ritonga https://creativecommons.org/licenses/by/4.0
Counseling on the Negative Impacts of Frequent Glue Sniffing Behavior in Children and Adolescents
Repeatedly sniffing glue can cause serious negative impacts, both physically, psychologically, and socially. Medically, chemicals in glue such as toluene or other solvents can damage the central nervous system, cause respiratory disorders, liver and kidney damage, and reduce cognitive function. In the long term, this habit can have an impact on decreased learning ability, emotional disorders, and even a tendency towards criminal acts. Education and socialization about the negative impacts of sniffing glue need to be carried out continuously as a preventive measure. Therefore, the author conducted educational activities in the form of counseling about the negative impacts of frequent glue sniffing behavior on children and adolescents at LKP Universal Technology Computer. This activity is a community service activity that aims to provide children with an understanding of the dangers of using glue as a substance that is abused, as well as to encourage the formation of a healthy and safe environment for children's growth and development. Counseling activities are carried out using the lecture method as the main approach in delivering the material. The percentage value of the questionnaire acquisition of the counseling participants before being given the material exposure is still in the low to moderate range where the most in the low value group with the percentage value of the questionnaire acquisition achieved from the low value group is 85% (17 participants), the moderate value group is 15% (3 participants), while the high value group is 0%. (0 participants). Furthermore, the percentage value of the questionnaire acquisition of the counseling participants after being given the material exposure obtained an increase in knowledge, namely in the moderate to high range, where the most in the high value group, with the low value group being 0% (0 participants), in the moderate value group being 45% (9 participants), then in the high value group being 55% (11 participants). This shows that the counseling activities carried out are able to increase the knowledge of counseling participants about the negative impacts of the behavior of often sniffing glue. Furthermore, it is hoped that with the delivery of this material, counseling participants can avoid and not engage in deviant behavior such as often sniffing glue (ngelem).
Copyright (c) 2025 Riri Safitri https://creativecommons.org/licenses/by/4.0
Early Detection Counseling for Cervical Cancer in Perbarakan Village, Pagar Merbau District
Counseling on early detection of cervical cancer is an important effort to increase public awareness and knowledge, especially Women of Childbearing Age (WUS), regarding the dangers and prevention of cervical cancer. Cervical cancer is a serious health problem that is the second leading cause of death among women with cancer. Cervical cancer is dangerous because it can cause death if not detected early. This disease damages reproductive organs, reduces quality of life, and causes pain and abnormal bleeding. In addition, treatment is expensive and carries the risk of infertility as well as psychological and social impacts for sufferers. This counseling activity was held in Perbarakan Village, Dusun 1 on Friday, May 2, 2025, at 16.00 WIB and was attended by 35 participants. The material presented in the activity included the definition of cervical cancer, risk factors, signs and symptoms, the importance of early detection, prevention methods, maintaining reproductive organ hygiene, healthy sexual relations, and the importance of HPV vaccination. Before the counseling, the level of knowledge of participants regarding cervical cancer and early detection efforts was relatively low (below 50%). However, after the activity took place, there was a significant increase in knowledge (more than 80%). The success of the activity was seen from the high enthusiasm of the participants during the discussion and question and answer sessions, which created an interactive and effective learning atmosphere. With cooperation between the community, families, and health workers, it is hoped that similar activities can continue to be carried out to reduce the incidence and mortality due to cervical cancer and create a healthy and quality generation of women.
Counseling; Early Detection of Cervical Cancer; WUS
Copyright (c) 2025 Sri Wulan, Amanda Maulida Nasution, Meri Livina, Cindy Artika Harahap https://creativecommons.org/licenses/by/4.0
Improving Education and Prevention of HIV/AIDS Transmission Among Transgender Women Through Integrated Services at Lubuk Pakam Public Health Center, Deli Serdang Regency
Transgender women are one of the key populations highly vulnerable to HIV/AIDS transmission due to risky sexual behaviors, limited access to friendly health services, and high levels of social stigma. To address this issue, a community service initiative was carried out at the Lubuk Pakam Public Health Center (Puskesmas), Deli Serdang Regency, aimed at increasing knowledge and preventive efforts related to HIV/AIDS among transgender women through educational approaches and integrated services. The methods included needs assessment through observation and interviews, development of locally relevant educational materials, interactive counseling sessions, voluntary HIV testing (VCT), and training for healthcare providers. A total of 25 transgender participants joined the education session, and 15 underwent VCT accompanied by pre- and post-test counseling. The results showed an average increase in knowledge of 35.4% based on pre-test and post-test scores. Additionally, an inclusive HIV service corner was established, and anti-stigma communication training was conducted for healthcare workers. This approach proved effective in enhancing community engagement and improving awareness of HIV prevention among transgender individuals. Success factors included the use of visual media, community-based education, local language delivery, and strong institutional support from the health center. These findings highlight the importance of replicating similar programs in other regions, involving community peer educators as key partners. Sustained, locally tailored education is essential for effective HIV/AIDS control among marginalized populations such as transgender women.
Copyright (c) 2025 Reni Aprinawaty Sirait, Maria Silaban https://creativecommons.org/licenses/by/4.0
Optimizing the Mother–Toddler Class to Address Wasting Through the Tangan Baliku Program Towards a Healthy and High-Quality Generation in the Working Area of Purbaratu Primary Health Center
Wasting in children under five remains a significant public health problem, especially in developing countries like Indonesia, where nutritional issues such as wasting, stunting, and underweight are still prevalent. This study aimed to develop and implement a community-based innovation program named Tangan Baliku (Integrated Management of Underweight Children) to address the high incidence of wasting in the working area of Purbaratu Primary Health Center. This innovation was designed and implemented in April 2022 through cross-sectoral collaboration, focusing on promotive, preventive, curative, and educational approaches. The methodology used was a descriptive participatory approach involving community empowerment through optimizing the existing mother–toddler class, home visits, nutrition counseling, supplementary feeding, and regular monitoring. The results show that Tangan Baliku effectively increases early detection and management of underweight children, improves mothers' knowledge of nutrition, and encourages higher participation in toddler health services. It also helps in reducing the number of children with poor nutritional status through structured follow-up and referral systems. In conclusion, the Tangan Baliku program is a comprehensive and sustainable strategy that addresses wasting by strengthening maternal involvement, community participation, and cross-sector collaboration in child nutrition improvement. This program contributes to better health outcomes for children under five and supports the development of a healthy and high-quality future generation.
Copyright (c) 2025 Fiyola Ladyvia, Ismah Khaerunisa, Maulinda Nur Amalina Leandra, Rosmawaty Irma Suryani Siagian, Yatini Yatini https://creativecommons.org/licenses/by/4.0
Education On Breast Self Examination (SADARI) as Early Detection of Breast Cancer in Adolescent Girls at SMP Negeri 3 Lubuk Pakam
Breast cancer (Ca Mammae) is a group of abnormal cells in the breast that continue to multiply, forming a lump in the breast. The body contains millions of cells. One of them is the abnormal cell or metaplastic cell, which is a cell that can change but is still within normal limits. Breast cancer is not a very frightening specter for all women, including teenagers. One way to detect breast cancer is through self-breast examination, SADARI, which is an examination of one's own breast to find lumps that may be present. This community service activity is conducted through a series of lectures and demonstrations using educational media in the form of materials, educational videos, and direct demonstrations to students, followed by a question-and-answer session and a redemonstration for participants on self-breast examination (SADARI). This activity was held on May 22, 2025, and was attended by 26 female students of SMP Negeri Lubuk Pakam. The activity lasted for 1 hour and 30 minutes. This educational event emphasized the importance of self-breast examination and how to perform it. As a result of this activity, the female students of SMP Negeri 3 Lubuk Pakam have a good understanding of self-breast examination and how to perform the examination correctly. The conclusion of this activity is that all female students are also committed to routinely performing self-breast examinations (SADARI) and to support the continuity of information and education, there needs to be ongoing guidance and also promotional and educational actions so that all women can live healthily if abnormalities in the breasts are detected earlier.
Copyright (c) 2025 Mayang Citra Hariati; Rani Cahya https://creativecommons.org/licenses/by/4.0
Health Education and Uric Acid Examination for the Elderly in Region IV Pasar 0, Working Area of Lubuk Pakam Health
Hyperuricemia, or elevated uric acid levels in the blood, is a common condition among the elderly and may lead to gout arthritis, a painful inflammatory joint disease. This condition is closely related to other degenerative diseases such as hypertension, diabetes mellitus, metabolic syndrome, and cardiovascular disorders. Global data indicate that the prevalence of gout in the elderly reaches 2,505.4 per 100,000 people, making it a significant public health concern. In Indonesia, the prevalence of hyperuricemia in the elderly varies by region, with some reporting up to 18.6%. In Deli Serdang Regency, specifically in Namorih Village, Pancur Batu Subdistrict, a study found that 42.5% of elderly individuals had elevated uric acid levels .This community service aimed to increase awareness and knowledge among the elderly about the prevention and management of hyperuricemia through health education. The method used was an interactive educational session that included lectures and discussions. The activity took place on Apr22, 2025, in Region IV under the working area of Lubuk Pakam Health Center, involving 20 elderly participants.The results showed a significant increase in participants' understanding regarding healthy lifestyle choices, including low-purine diets, regular physical activity, and the importance of regular uric acid screening. Active engagement during discussions demonstrated the participants' enthusiasm to apply the knowledge in their daily routines. .In conclusion, health education using lecture and discussion methods proved effective in enhancing elderly awareness regarding hyperuricemia prevention and control. Similar activities are recommended to be conducted regularly in other regions to improve elderly quality of life .
Copyright (c) 2025 Astri Ulina Saragih, Desideria Yosepha Ginting, Meria Turnip, Risky Yulanda, Santa Natalia https://creativecommons.org/licenses/by/4.0
Educating the Elderly to be Healthy and Independent by Doing Elderly Gymnastics to Improve Community Health Elderly in Perbarakan Village
As the elderly are getting older, this means they need special attention, especially in the areas of health and independence. Therfore, a way is needed to handle this problem so that it can be resolved immediately. By providing on healthy and independent elderly people by doing elderly gymnastics, this is one of the effort that is one of the efforts that can be made to solve this problem. The aim of this community service is to make the elderly aware of the importance of health, especially in old age. The community service methode used is by providing counseling followed by discussion sessions with the elderly to solve the health problems they are currently facing. The ecpected results of this community service is for the elderly know the benefits and importance of doing elderly gymnastics to maintain the health of the elderly. After this community service activity was held, especially the elderly are now willing to do physical activities independently and do elderly gymnastics regularly to improve their health. Thus, now the elderly can do their daily activities independently without expecting help from family or others. Therefore, it is necessary ti develop more useful and interesting activities, so that the elderly are more enthusiastic in increasing life expectancy and creating more productive and independent elderly.
Copyright (c) 2025 Sari Desi Esta Ulina Sitepu, Selamat Tuahta Sipayung, Raini Panjaitan https://creativecommons.org/licenses/by/4.0
Application of Chemical Principles in the Preparation of Infused Water as an Educational Effort to Prevent Hyperglycemia at SMK Negeri Pantai Labu
Hyperglycemia is characterized by elevated blood glucose levels that can trigger chronic diseases such as diabetes mellitus. Early prevention through science-based education is essential, particularly for adolescents who are vulnerable to unhealthy lifestyles and metabolic disorders. This community service activity aimed to introduce basic chemistry principles through the preparation of infused water as a preventive effort against hyperglycemia and to promote the habit of consuming healthy beverages that can be easily adopted in daily life. The methods used included interactive counseling, demonstrations, and hands-on practice with an applied and participatory approach. The educational content covered concepts such as diffusion, solutes, and solvents, and the extraction process of active compounds from natural ingredients like lemon, cucumber, cinnamon, and mint leaves, which are readily available in the local environment. Evaluation was carried out through pre-tests and post-tests, and observation of participants' engagement during the activity. The results showed a significant increase in participants' understanding, with an average post-test score of 85.2, rising by 32.3 points (61.1%) from the pre-test average of 52.9. A total of 92.86% of participants showed improvement, highlighting the effectiveness of this educational approach. Such initiatives are expected to be continued sustainably and collaboratively to expand their positive impact.
Copyright (c) 2025 Ahmad Hafizullah Ritonga, Herlina Herlina, Fitri Ramadani Harahap, Rotua Sumihar Sitorus, Karnirius Harefa https://creativecommons.org/licenses/by/4.0