JURNAL KEBIDANAN

Pengetahuan dan sikap ibu hamil terhadap penggunaan alat USG (USG) dalam pemeriksaan antenatal care (ANC) di Desa Waung Kecamatan Boyolangu Kabupaten Tulungagung

maryam, Anindya Ervianti — Mon, 06 Nov 2023 00:00:00 +0000

ABSTRACT

Background : Pregnancy health service programs can be monitored through antenatal care examinations in accordance with service standards, namely a minimum of 6 examinations during pregnancy and a minimum of 2 examinations by a doctor in the first and third trimesters, one of which is an ultrasound examination, as well as 1 midwife examination in the first trimester, 1 time in the second trimester and twice in the third trimester. ANC examinations must be carried out periodically to see progress and identify risk factors in pregnant women early so that pregnancy, childbirth and postpartum can be carried out well. However, in reality, not all pregnant women make ANC visits due to mothers' lack of knowledge about the importance of ANC examinations. The aim is to identify the knowledge and attitudes of pregnant women towards the use of ultrasound (USG) in antenatal care (ANC) examinations in Waung Village, Boyolangu District, Tulungagung Regency..

Method : The design uses descriptive. The population of all pregnant women acceptors was 40. Based on purposive sampling, the sample size was 36 respondents. The research was conducted from 26 December 2022 to 21 January 2023 in Waung village, Tulungagung Regency.

Results : it was obtained from 36 respondents that the majority of respondents (64%) or 23 respondents had sufficient knowledge and a small part of respondents (8%) or 3 respondents had insufficient knowledge. And most of the respondents (56%) or 20 respondents had a positive attitude about the use of ultrasound (USG) in antenatal care (ANC) examinations and almost half of the respondents (44%) or 16 respondents had a negative attitude about the use of ultrasound (USG). at antenatal care (ANC) screeningEnglish literacy were statistically significant (p < 0.001). It was also found that the group of students using English literacy increased student research development with an effect value (ES = 7.60) compared to the group of students who did not use English literacy.

Conclution : it was concluded that respondents with fairly good knowledge would produce or be able to respond positively to problems regarding the use of ultrasound (USG) in antenatal care (ANC) examinations, and vice versa if respondents with insufficient knowledge would respond to these problems unfavorably or negatively.

The The Relationship Between Perception of VIA Check-Up with the Interest Women of Reproductive Age Couples Conducting VIA Check-Up

Elok Diana Lorensa, Susanti Pratamaningtyas, Mika Mediawati, Indah Rahmaningtyas — Mon, 06 Nov 2023 07:09:03 +0000

Cervical cancer commonly experienced by women in Indonesia, the second highest after breast cancer. Almost 70% of the patients are found at advanced stage. This is quite unfortunate because precancerous lesions can be early detected by VIA methods. The scope of VIA check-ups in the District of Kediri (0.3%) is still below the national target (≥80%). The factors likely prevent WCA from conducting VIA test are perceived barriers, lack of information about the test and fearness. The purpose of this study was to determine the relationship between perception of VIA checkups and women's interest in doing VIA checkups. The research design used was correlation analytic with cross sectional approach.. The population are 6,796 women aged 30-50 years, used accidental sampling with 99 women sample size, who met the inclusion criteria. The research instrument used questionnaire; the data were analyzed using the Spearman Rank correlation. The results showed that the majority of respondents had neutral perceptions (72.7%), moderate interest (77.7%), and neutral perceptions that had moderate interest (61.6%). Statistical tests is P-value 0,00. This study concludes that there was a correlation between perceptions of VIA checkups and women's interest in conducting VIA checkups. Continuous information is needed to build positive perceptions of cervical cancer to increase interest in VIA screening.

Pengaruh Posisi Miring Kiri terhadap Durasi Persalinan Kala I Fase Aktif

nuri alfina komariyati, Susanti Pratamaningtyas, Dwi Estuning Rahayu — Mon, 06 Nov 2023 00:00:00 +0000

Salah satu intervensi yang dapat membantu mempercepat kemajuan yakni pemberian posisi miring. Memberikan terapi non-invasif pada ibu yang sedang melahirkan cenderung lebih aman dan memiliki risiko dampak negatif yang lebih kecil jika dibandingkan dengan pemberian terapi yang bersifat invasif. Tujuan penelitian untuk menganalisis pengaruh posisi miring kiri terhadap durasi persalinan kala I fase aktif pada ibu bersalin. Metode dalam penelitian ini adalah Quasy Eksperimen dengan desain Pretest posttest control group design dengan memberikan posisi miring kiri pada ibu bersalin kala I fase aktif. Besar sampel penelitian ini ditentukan dengan rumus slovin didapatkan sampel berjumlah 60 dengan tehnik pengambilan sampel accidental sampling. Instrumen penelitian yang digunakan adalah lembar observasi dan lembar partograf. Selanjutnya data di analisis dengan analisis univariat menggunakan mean sedangkan analisis bivariat dengan uji Wilcoxon signed-rank test. Dari hasil uji Wilcoxon pada durasi persalinan saat pretest – posttest pada kelompok intervensi menunjukkan hasil signifikan yaitu p value 0.000<(0,05). Sehingga dapat disimpulkan agar penolong persalinan dapat menerapkan posisi miring pada proses persalinan kala I fase aktif sehingga dapat mempercepat durasi persalinan pada ibu bersalin.

Perbedaan Karakteristik Demografi dan Klinis Ibu Hamil Overweight dan Obesitas Tipe I

Reni Yuli Astutik, Nining Istighosah, Retno Palupi Yoni Siwi — Mon, 06 Nov 2023 07:16:03 +0000

Indonesia is also experiencing a nutritional transition, namely increased overweight and obesity. This trend has a big impact on both mothers and the babies born. There has been no research that reveals differences in the demographic and clinical characteristics of overweight and obese pregnant women, so appropriate management cannot be carried out according to the characteristics of pregnant women. The aim of this study is to explain the differences in demographic and clinical characteristics of overweight and obese type 1 pregnant woman in Kediri City.. This research uses a comparative analytical design. The research was conducted at nine Kediri City health centers, namely Campurejo, Banjarmlati, Pesantren I, Pesantren II, North Region City, South Region City, Ngletih, and Mrican health centers, from June to August 2023. The research population in June was composed of third-trimester pregnant women (102 pregnant women). Determining the sample using a simple random sampling technique, 86 pregnant women were obtained and divided into groups, namely overweight (n = 59) and type 1 obesity (n = 27). The research inclusion criteria include willingness to be a respondent, age 20–35 years, having ANC at least once in the first trimester and once in the second trimester, LILA > 23.5 cm, BMI > 25, and the exclusion criteria is pregnancy with comorbidities. Data analysis in this study used the Mann-Whitney, Fisher Exact, and Chi-Square tests with a significance value of 0.05 using SPSS 26. The research results showed that in the demographic characteristics of the overweight group compared to obesity type I, there were differences in age (p < 0.001), family history of obesity (p = 0.007), and there were no differences in education level (p = 0.0617), employment status (p = 0.096), income level (0.0353), and family support score (p = 0.587). Data on clinical characteristics in the overweight group compared to obesity type I showed differences in the history of hormonal contraceptive use (p = 0.049) and diet (p = 0.035), but there were no differences in gestational age (p = 0.157) or parity (p = 0.530). The differences in demographic and clinical characteristics between the two groups can be used as a reference for service providers so that pregnant women can control weight gain according to their body mass index.

Faktor - faktor yang Berpengaruh Terhadap Kesejahteraan Psikologis Lansia di Pandok Lansia

Heny Nurmayunita Heny, Amin Zakaria Amin, Hengky Irawan Irawan — Mon, 06 Nov 2023 07:17:36 +0000

ABSTRAK

Latar Belakang : Lanjut usia dalam kehidupannya sehari-hari akan banyak mengalami kemunduran dan perubahan. Lansia dapat mengalami permasalahan psikologis, seperti adanya perasaan tak berguna, perubahan pada pola hidup, kecenderungan untuk berpikir bahwa ia tidak dibutuhkan lagi, merasa sedih dan kesepian karena kehilangan teman sebaya, pasangan hidup dan keluarga seperti yang dialami lansia pada umumnya di pondok lansia. Kesejahteraan Psikologis rendah pada lansia dapat menyebabkan depresi, ansietas, gangguan somatisasi. Tujuan penelitian ini adalah Mengetahui Faktor-Faktor Yang Mempengaruhi Kesejahteraan Psikologis Lansia Di Pondok Lansia Al Ishlah Malang.

Metode : Penelitian ini menggunakan metode Crossecsional. Sampel dipilih dengan menggunakan teknik purposive sampling dengan kriteria inklusi dan eksklusi dan didapatkan sampel sejumlah 32 lansia. Variabel yang digunakan pada penelitian ini adalah Faktor usia, social ekonomi, dukungan sosial dan kesejahteraan psikologis lansia. Setelah data terkumpul kemudian dilakukan pengolahan data melalui tahapan editing, coding, scoring, uji statistic, dan kesimpulan. Uji statistik yang digunakan adalah menggunakan regresi linear berganda.

Hasil : Hasil penelitian menunjukkan ada hubungan yang signifikan antara usia dengan kesejahteraan psikologis lansia (p=0,01), ada hubungan yang signifikan antara social ekonomi dengan kesejahteraan psikologis lansia (p=0,019), ada hubungan yang signifikan antara dukungan sosial dengan kesejahteraan psikologis lansia (p=0,02)

Kesimpulan : Melihat hasil penelitian ini diharapkan lansia dapat meningkatkan kesejahteraan psikologis dengan menggunakan strategi yang dirasa mampu untuk dilakukan oleh lansia secara mandiri maupun berkelompok dalam kegiatan rutin dan perawat yang ada dipanti secara terus menerus melakukan follow up terhadap upaya peningkatan kesejahteraan psikologis lansia dan memberikan umpan balik yang positif

Kata Kunci: Terapi Dzikir, Kesejahteraan Psikologis, Lansia

ABSTRACT

Background : Older people in their daily lives will experience many setbacks and changes. Elderly can experience psychological problems, such as feelings of uselessness, changes in lifestyle, tendency to think that they are not needed anymore, feeling sad and lonely because of the loss of peers, spouses and families, as experienced by the elderly in general in nursing home. Low psychological well-being in the elderly can cause depression, anxiety, somatization disorders. The purpose of this study was to determine the factors that influence the psychological well-being of the elderly in nursing home of Al-Islah Malang.

Methods : This study uses the Cross-sectional method. The sample was selected using a purposive sampling technique with inclusion and exclusion criteria and a sample of 32 elderly. The variables used in this study are age, socioeconomic, social support and psychological well-being of the elderly. After the data is collected, data processing is then carried out through the stages of editing, coding, scoring, statistical testing, and conclusions. The statistical test used is using multiple linear regression.

Results: The results showed that there was a significant relationship between age and the psychological well-being of the elderly (p=0.01), there was a significant relationship between socio-economic and the psychological well-being of the elderly (p=0.019), there was a significant relationship between social support and the psychological well-being of the elderly (p=0.019). p=0.02)

Conclusion : Look at the results of this study, it is hoped that the elderly can improve psychological well-being by using strategies that are felt capable of being carried out by the elderly independently or in groups in routine activities and nurses in the nursing homes continuously follow up on efforts to improve the psychological well-being of the elderly and provide positive feedback

Keywords: Dhikr Therapy, Psychological Well-being, Elderly

Correlation Between History of Type of Childbirth and Early Initiation of Breastfeeding with Exclusive Breastfeeding

Farica Emiliana, Koekoeh Hardjito, Ira Titisari, Rahajeng Siti Nur Rahmawati — Mon, 06 Nov 2023 00:00:00 +0000

Exclusive breastfeeding means breastfeeding until six months of age with no other additives except vitamins and medicine. Exclusive breastfeeding coverage in Kediri District (34.30%) is still below the national target (45%). Low breastfeeding coverage rates are influenced by many factors, including the history of childbirth and early initiation of breastfeeding. To prevent problems due to the failure of exclusive breastfeeding, this study was conducted to determine the relationship between the history of childbirth and early initiation of breastfeeding with exclusive breastfeeding. The sample size of the research was 49 respondents. The sampling method for this study used simple random sampling. The statistical test of chi square is used for data analysis. The results showed that most respondents had a history of spontaneous labor (69.4%) and early initiation of breastfeeding (69.4%), and also most respondents provided exclusive breastfeeding (51%). Statistical tests showed that there was no correlation between history of childbirth and exclusive breastfeeding (P 0.051) and there was a correlation between and early initiation of breastfeeding and exclusive breastfeeding (P 0.010). Therefore, it has been found that mothers who received early initiation of breastfeeding measures had a greater chance of being able to provide exclusive breastfeeding. Through early initiation of breastfeeding, babies were able to learn to suckle and become accustomed to sucking on nipples, and also helping mothers to prepare their bodies to produce breast milk so they could start providing breast milk to their babies as early as possible and increasing the chances of successful exclusive breastfeeding.

Determinan Sosial Perilaku Hidup Bersih Dan Sehat Pada Keluarga Balita Berbasis Precede Proceed Model

Moh Alimansur, Eko Winarti, Susmiati Susmiati — Mon, 06 Nov 2023 07:21:11 +0000

Tiga masalah kesehatan yakni penyakit menular yang jumlahnya masih tinggi, penyakit tidak menular yang semakin meningkat prevalensinya, serta penyakit yang dulunya sudah teratasi muncul kembali atau munculnya penyakit baru. Berdasarkan Riskesdas 2018, menunjukkan prevalensi penyakit tidak menular mengalami kenaikan jika dibandingkan dengan Riskesdas 2013, antara lain penyakit kanker, stroke, penyakit ginjal kronis, diabetes mellitus, dan hipertensi. Sedangkan beberapa penyakit menular lain seperti pneumonia, TB paru, diare, hepatitis, filariasis juga menunjukkan kecenderungan meningkat kembali. Profil kesehatan Kabupaten Kediri 2021 menunjukkan prevalensi penyakit menular maupun tidak menular juga masih tinggi. Derajat kesehatan masyarakat yang masih belum optimal tersebut dipengaruhi oleh kondisi lingkungan, perilaku masyarakat, pelayanan kesehatan, dan genetika. Meningkatnya berbagai penyakit ini dipengaruhi oleh pola hidup yang tidak sehat. Berdasarkan hasil survey tahun 2021 di Kabupaten Kediri capaian keluarga dengan perilaku hidup bersih dan sehat hanya 51% masih jauh dari target yang telah ditetapkan sebesar 70%. Rendahnya PHBS masyarakat ini memerlukan pendekatan pemecahan masalah perubahan perilaku yang holistik dan komprehensif. Tujuan penelitian untuk mengidentifikasi Faktor Determinan Perilaku Hidup Bersih Dan Sehat (PHBS) Pada Keluarga Balita. Penelitian ini merupakan studi kualitatif dengan in-depth interview melalui Focus Group Disccusion. Wawancara dilakukan semi-structured yang mengacu pada kerangka PRECEDE-PROCEED. Analisis data dilaksanakan dengan metode content analysis dengan pendekatan deduktif. Berdasarkan in-depth interview, ditemukan bahwa determinan perilaku hidup bersih dan sehat adalah kurangnya pengetahuan, pemahaman dan kesadaran Masyarakat, keterbatasan sumber daya manusia, Kebiasaan merokok, kurangnya Inovasi dalam Edukasi, dan Akses Informasi mengenai hidup bersih dan sehat. Hal tersebut yang mempengaruhi perilaku hidup bersih dan sehat pada keluarga balita..

Hubungan Usia Menarche dan Siklus Mentruasi dengan Dismenore

Elvi Destariyani, Intan Kurnia Apsara, Dwi Yunita Baska — Mon, 06 Nov 2023 07:24:10 +0000

More than 50% of women in every country experience dysmenorrhea. Thus study was to determine the relationship between age of menarche and menstrual cycle with dysmenorrhea ini female student at Bengkulu City. This study has an analytic survey research design with a case cotrol approach. The population is all female student who have menstruated at Bengkulu city with a sample of case 30 cases and 30 controls. Tes data analysis using the chi-square test. The result of the study were that most of the respondents with menarche were< 12 tahun years old and had normal menstrual cycles. There is a relationship between the age of menarche and the occurance of dysmenorrhea p value=0,020 and the menstrual cycle with the occurrence of dysmenorrhea p value = 0,026. It is hoped that UKS officers can provide an explanation of the risk factor for dysmenorrhea and efforts to prevent and manage of dysmenorrhea

Hubungan Lama Pemakaian Kontrasepsi Suntik Hormonal Kombinasi dengan Kejadian Hipertensi di Kelurahan Mojoroto

Desy Rahmawati, Susanti Pratamaningtyas, Ira Titisari — Mon, 06 Nov 2023 07:22:27 +0000

Hipertensi terjadi saat tekanan darah lebih dari normal sistolik ≥ 140 mmHg dan diastolik ≥ 90 mmHg. Hipertensi mengakibatkan berbagai penyakit kardiovaskuler seperti stroke, penyakit jantung, dan infark miokard yang dapat mengancam kesehatan. Penggunaan kontrasepsi suntik hormonal kombinasi mengandung hormon estrogen dan progesteron sintetis selama 5 tahun atau lebih, secara signifikan dapat meningkatkan tekanan darah. Tujuan penelitian diketahuinya hubungan lama pemakaian kontrasepsi suntik hormonal kombinasi dengan kejadian hipertensi. Desain penelitian cross sectional, dengan sampel 43 orang menggunakan teknik purposive sampling. Instrumen penelitian menggunakan sphygmomanometer digital untuk mengukur tekanan darah dan lembar observasi untuk mendokumentasikan hasil pengukuran lama pemakaian kontrasepsi. Analisis menggunakan Spearman Rank Correlation yang menunjukkan nilai P hitung (0,000) < taraf kesalahan (0,1) terdapat hubungan lama pemakaian kontrasepsi suntik hormonal kombinasi dengan kejadian hipertensi. Dengan demikian hal tersebut dapat menjadi bahan pertimbangan bagi Pasangan Usia Subur (PUS) untuk menggunakan kontrasepsi suntik hormonal kombinasi kurang dari 5 tahun, dan memeriksakan tekanan darah secara berkala.

Hubungan Jenis Kelamin, Lama Tinggal, Komunikasi Dengan Teman, Kepuasan Lingkungan Pondok Dan Kebutuhan Tidur Dengan Status Kesehatan Pada Santri Di Pondok Pesantren

Yuni Asri, Rahma Novita Asdary, Dian Pitaloka Priasmoro, Indari Indari — Mon, 06 Nov 2023 07:25:24 +0000

pengetahuan agama bagi para santri. Kesehatan santri menjadi faktor penting yang memengaruhi kualitas hidup, pembelajaran, dan perkembangan mereka. Tujuan penelitian ini adalah untuk mengetahui mengetahui hubungan jenis kelamin, lama tinggal, komunikasi dengan teman, kepuasan lingkungan pondok dan kebutuhan tidur dengan status kesehatan pada santri di pondok pesantren Jawa Timur Indonesia. Desain dalam penelitian ini adalah cross sectional, penelitian ini dilakukan di beberpa Pondok Pesantren di Malang, Jombang, Mojokerto dan Bojonegoro, dengan teknik pengambilan sampel menggunakan purposive sampling dan didapatkan sejumlah 425 responden di pondok pesantren Jawa Timur. Instrumen pengukuran ini menggunakan kuesioner dan hasil analisis bivariat menggunakan chi-square. Hasil uji statistik menunjukkan bahwa terdapat hubungan yang signifikan antara jenis kelamin, lama tinggal, komunikasi dengan teman, kepuasan lingkungan pondok dan kebutuhan tidur dengan status kesehatan pada santri di pondok pesantren dengan nilai p-value < 0,05. Diharapkan pemahaman yang lebih baik tentang sttaus kesehatan dapat membantu pengelola pondok pesantren dan pihak terkait dalam mengembangkan strategi untuk meningkatkan kesejahteraan santri secara keseluruhan.