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Deteksi Dini Kesehatan Remaja dalam Upaya Gerakan Tekan Obesitas dan Anemia pada Remaja Hikmanti, Arlyana; Adriani, Fauziah Hanum Nur; Dewi, Feti Kumala
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 8, No 4 (2025): Volume 8 No 4 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v8i4.18798

Abstract

ABSTRAK Masalah kesehatan remaja adalah masalah yang penting untuk diperhatikan. Remja saat ini mendapatkan banyak tantangan karena secara psikologis remaja sedang mengalami masa peralihan, body image dan konsumsi makanan yang tidak sehat atau kesalahan pola makan dapat memengaruhi kesehatannya. Bila hal tersebut tidak ditangani dapat menimbulkan anemia dan obesitas yang nantinya menjadi manivestasi penyakit dan gangguan kesehatan dimasa mendatang, seperti penyakit kardiovaskuler dan diabetes militus tipe 2. Kegiatan ini bertujuan deteksi dini kesehatan remaja dalam upaya gerakan tekan obesitas dan anemia pada remaja melalui pemeriksaan status gizi, lingkar perut, gula darah sewaktu, lingkar lengan atas, dan kadar hemoglobin remaja. Dengan diketahui status kesehatan remaja tersebut, remaja dapat memahami kondisinya dan dapat melakukan upaya untuk mencegah obesitas dan anemia pada remaja. Metode yang digunakan adalah penjelasan maksud dan tujuan, informed concent, pengukuran tinggi badan, penimbangan berat badan, pengukuran lingkar lengan atas, pengukuran lingkar perut, pemeriksaan gula darah, pemeriksaan kadar hemoglobin dan edukasi secara individu. Hasil kegiatan ini menunjukkan sebagian besar peserta status gizi underweight, lingkar lengan atas normal/tidak KEK, lingkar perut normal/ tidak obesitas, gula darah normal, dan kadar hemoglobin normal/ tidak anemia. Kesimpulan kegiatan ini sesuai dengan sasaran dan berjalan lancer. Saran perlunya upaya untuk meningkatkan kesadaran peserta tentang pentingnya menjaga status gizi termasuk cara diet sehat remaja dan pemantauan minum zat besi pada remaja. Perlu adanya peninjauan lebih lanjut faktor yang memengaruhi Kesehatan remaja. Kata Kunci: Kesehatan, Remaja, Anemia, Obesitas  ABSTRACT Adolescent health issues are important issues to pay attention to. Adolescents currently face many challenges because, psychologically, they are experiencing a transition period; body image and unhealthy food consumption or eating patterns can affect their health. If this is not addressed, it can cause anaemia and obesity, which will later become manifestations of diseases and health disorders in the future, such as cardiovascular disease and type 2 diabetes mellitus. This activity aims to detect adolescent health early in an effort to reduce obesity and anaemia in adolescents through examination of nutritional status, waist circumference, random blood sugar, upper arm circumference, and haemoglobin levels of adolescents. By knowing the health status of adolescents, adolescents can understand their condition and can make efforts to prevent obesity and anaemia in adolescents. The methods used are explanation of the intent and purpose, informed consent, height measurement, weighing, upper arm circumference measurement, waist circumference measurement, blood sugar examination, haemoglobin level examination and individual education. The results of this activity showed that most participants had underweight nutritional status, normal upper arm circumference/not KEK, normal waist circumference/not obese, normal blood sugar, and normal haemoglobin levels/not anaemic. The conclusion of this activity was in accordance with the target and went smoothly. Suggestions for the need to increase participant awareness of the importance of maintaining nutritional status, including how to eat a healthy diet for adolescents and monitoring iron intake in adolescents. Further review of factors that influence adolescent health is needed. Keywords: Health, Teenagers, Anemia, Obesity
Edukasi Dan Implementasi Terapi Murotal Al – Qur’an Terhadap Tingkat Kecemasan Pada Pasien Pre Operasi Sectio Caesarea Di RSUD dr. Soedirman Kebumen Sulisiani; Dwi Novitasari; Arlyana Hikmanti
Borneo Nursing Journal (BNJ) Vol. 7 No. 2 (2025)
Publisher : Akademi Keperawatan Yarsi Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61878/bnj.v7i2.107

Abstract

Kecemasan pada pasien pre operasi sectio caesarea merupakan masalah psikologis yang sering dialami dan dapat mempengaruhi proses pemulihan pasien. Penelitian ini bertujuan untuk memberikan edukasi dan mengimplementasikan terapi murotal Al-Qur’an sebagai metode non-farmakologis untuk mengurangi tingkat kecemasan pada pasien pre operasi bedah caesar di RSUD dr. Soedirman Kebumen. Metode penelitian yang dipergunakan ialah pre dan post test. Intervensi terapi murotal Al-Qur’an diberikan setelah edukasi mengenai manfaat terapi ini kepada pasien. Pengukuran tingkat kecemasan dilakukan menggunakan kuesioner APAIS sebelum serta sesudah intervensi. Temuan penelitian mengindikasikan karakteristik peserta didominasi oleh usia 28-34 tahun sebanyak 16 peserta (59.3%), tingkat pendidikan yang paling banyak yaitu SMA dengan 13 peserta (48.1%) serta pasien dengan riwayat sc yang paling banyak yaitu pernah mencapai 17 orang (63,0%). Kesimpulan terdapat penurunan signifikan tingkat kecemasan pada pasien setelah diberikan terapi murotal Al-Qur’an. Terapi ini terbukti efektif sebagai metode komplementer dalam mengurangi kecemasan pada pasien pre operasi, sekaligus meningkatkan kenyamanan dan ketenangan pasien. Kesimpulannya, edukasi dan implementasi terapi murotal Al-Qur’an dapat dijadikan alternatif dukungan psikologis bagi pasien sectio caesarea di RSUD dr. Soedirman Kebumen.
Indeks Massa Tubuh, Rasio Lingkar Pinggang, Tinggi Badan terhadap Sindrom Metabolik pada Stunted Obesity Fauziah Hanum Nur Adriyani; Arlyana Hikmanti; Feti Kumala Dewi
Midwifery Care Journal Vol 6, No 2 (2025): April 2025
Publisher : Politeknik Kesehatan Kementrian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/micajo.v6i2.12372

Abstract

 Stunted was a major nutrition problem in Indonesia. Obesity caused metabolic changes caused by endothelial dysfunction and oxidative stress mechanisms defined by waist size, HDL, triglycerides, calm blood glucose, and blood pressure. The purpose of this study is to determine the relationship between stubborn obesity and metabolic syndrome in female adolescents. Study design was case control with 150 students in the Banyuma district. Subject selection was performed using multistage random samples. The case group was 75 students who inhibited obesity, and the control group was 75 students with stunted and non-attended. Determine nutritional status by measuring size, weight and waist size. Metabolic syndrome was determined using three criteria: obesity, blood glucose level above 100 mg/dL, and lipid profile. Triglyceride levels ≥150 mg/dL and HDL levels ≤ 0 mg/dL; Data were analyzed on a descriptive test for univariate analysis and a Chi-square test for determining relationships.The mean values of HDL levels (39.80 ± 3.96 mg/dL), fasting blood sugar (112.6 ± 8.75 mg/dL), and triglycerides (102.34 ± 17.54 mg/dL) in the case group were higher than the mean values in the control group. There is a relationship between Stunted obesity and the incidence of metabolic syndrome in adolescents with ρ = 0.0479. This indicates that there is a higher risk of experiencing metabolic syndrome in the case group.
Metode Speos (Stimulasi Pijat Endorphin, Oksitosin dan Sugestif) untuk Meningkatkan Produksi ASI pada Ibu Nifas Nurjanah, Sifa Siti; Dewi, Feti Kumala; Hikmanti, Arlyana
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 8, No 8 (2025): Volume 8 No 8 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v8i8.21259

Abstract

ABSTRAK Masalah yang umum terjadi selama masa nifas adalah pengeluaran ASI yang dapat mengakibatkan kegagalan pemberian ASI eksklusif. Data survei bulan Mei-Juli 2024 di Puskesmas Purwanegara I Kabupaten Banjarnegara, terdapat 30% ibu nifas mengalami ASI tidak lancar. Di Puskesmas sudah diberikan edukasi teknik menyusui, anjuran pemenuhan gizi, dan saran istirahat yang cukup. Metode SPEOS (Stimulasi Pijat Endorphin, Oksitosin dan Sugestif) belum pernah diterapkan sebelumnya, sehingga perlu diadakan kegiatan pengabdian kepada masyarakat dalam bentuk pelatihan metode tersebut. Tujuan pengabdian yaitu menambah pengetahuan, keterampilan, dan meningkatkan produksi ASI. Metode yang diterapkan dalam pengabdian ini mencakup pengkajian data, penyuluhan, pelatihan metode SPEOS, pengukuran produksi ASI, serta pretest dan posttest. Pelaksanaanya dengan memberikan pelatihan selama 15 menit pada keluarga. Sasaran PkM ini adalah 10 pasangan yang terdiri dari ibu nifas dengan keluhan ASI  tidak lancar dan keluarga. Hasil pengabdian kepada masyarakat yang sudah diberikan menunjukan karakteristik ibu nifas sebanyak 9 responden (90%) berusia 20-35 tahun, multipara 6 responden (60%). pendidikan SMA 6 responden (60%), pekerjaan IRT 9 responden (90%). Pretest pengetahuan sebagian besar kategori cukup 7 responden (70%) keterampilan kategori cukup 9 responden (90%), posttest pengetahuan kategori baik 10 responden (100%) keterampilan kategori sangat baik 4 responden (40%). Selisih peningkatan produksi ASI dari hari ke 1 dan hari ke 7 didapatkan rata-rata 34,5 ml dengan peningkatan minimum 15 ml dan peningkatan maksimum 70 ml. Kesimpulannya penyuluhan serta pelatihan metode SPEOS efektif meningkatkan pengetahuan, keterampilan dan produksi ASI pada ibu nifas. Sarannya diharapkan dapat dijadikan informasi dan gambaran bagi puskesmas khususnya dibagian kebidanan untuk meningkatkan pengetahuan dan keterampilan pada ibu nifas tentang metode SPEOS untuk meningkatkan produksi ASI.  Kata Kunci: Ibu Nifas, Produksi ASI, SPEOS   ABSTRACT One common problem after childbirth was low breast milk production. This could lead to failure in giving exclusive breastfeeding. A survey from May to July 2024 at the Purwanegara I Health Center in Banjarnegara District showed that about 30% of postpartum mothers had poor milk flow. The health center had already given education about breastfeeding techniques, good nutrition, and enough rest. However, the SPEOS method (Stimulation of Endorphin, Oxytocin, and Suggestive Massage) had never been used before. So, a community service activity was held to provide training on this method. The goal was to improve mothers’ knowledge, skills, and breast milk production. The activities included data analysis, counseling, SPEOS training, measuring milk production, and giving pre- and post-tests. The training lasted 15 minutes and involved the mothers and their families. This program targeted 10 couples (postpartum mothers with low milk production and their families). The results showed that 9 mothers (90%) were aged 20–35, 6 (60%) were multiparous, 6 (60%) had a high school education, and 9 (90%) were housewives. Before the training, 7 mothers (70%) had enough knowledge, and 9 (90%) had enough skills. After the training, all 10 mothers (100%) had good knowledge, and 4 (40%) had very good skills. The average increase in breast milk from day 1 to day 7 was 34.5 ml, with a minimum increase of 15 ml and a maximum of 70 ml. In conclusion, the counseling and SPEOS training successfully improved the mothers’ knowledge, skills, and milk production. The suggestion was expected to serve as information and illustration for the health center, particularly in the midwifery division, to enhance the knowledge and skills of postpartum women regarding the SPEOS method for increasing breast milk production. Keywords: Postpartum Mothers, Breast Milk Production, SPEOS
Gambaran Mean Arterial Pressure (MAP) pada Pasien Sectio Caesarea dengan Spinal Anestesi di RSUD Dr. Soedirman Kebumen. Fissilmy, Mualief Ainun; Mixrova Sebayang, Septian; Hikmanti, Arlyana
Khatulistiwa Nursing Journal Vol. 7 No. 2 (2025): Juli 2025
Publisher : STIKes YARSI Pontianak

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53399/knj.v7i2.336

Abstract

Background: To deliver the fetus, placenta, and amniotic fluid, a cesarean section is a surgical operation that involves making an incision in the uterus and abdominal wall. Systolic and diastolic blood pressure measurements can be used to detect hypotension. The Mean Arterial Pressure (MAP) measurement, which measures the average arterial pressure that sustains constant blood flow to bodily tissues during the cardiac cycle, is typically used to evaluate hypotension in post-spinal anesthesia situations. Objective: This study aims to describe the MAP in patients undergoing cesarean section with spinal anesthesia technique. Method: Descriptive observational methodology using a cross-sectional approach is employed. Using the entire sampling technique, 80 patients made up the research sample. Result: The majority of respondents, according to the data, were between the ages of 20 and 35, had a normal body mass index, and had no medical history. The majority of individuals had normal MAP levels prior to spinal anesthesia. After spinal anesthesia, at minutes 1, 2, and 3, the majority of patients experienced MAP in the optimal category. The decrease in MAP was caused by the effects of spinal anesthesia affecting vascular tone. The results of this study are expected to serve as a basis for decision-making in intraoperative hemodynamic monitoring. Conclusion: There are changes in MAP values in patients undergoing Sectio Caesarea after receiving spinal anesthesia. Before anesthesia, most MAP values were within the normal range. However, after the application of spinal anesthesia, the majority of patients showed optimal MAP values.
PEMBERIAN TEH CHAMOMILE DAN GERAKAN YOGA CHILD’S POSE TERHADAP PERUBAHAN SKALA NYERI DISMENORE PRIMER PADA MAHASISWI TINGKAT 3 UNIVERSITAS HARAPAN BANGSA Widiarti, Lena; Hikmanti, Arlyana; Adriyani, Fauziah Hanum Nur
Jurnal Kesehatan Tambusai Vol. 6 No. 3 (2025): SEPTEMBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v6i3.46912

Abstract

Salah satu keluhan nyeri paling sering dialami remaja sudah menstruasi yang disebabkan oleh kejang otot uterus akibat sekresi prostaglandin meningkat adalah pengertian dari dismenorea. Sebagian besar remaja mengalami dismenore primer, sedangkan sisanya adalah tipe sekunder. Pemberian terapi teh chamomile dan gerakan yoga child’s pose efektif untuk menurunkan skala nyeri dismenore. Tujuan dari studi kasus ini adalah untuk memahami karakteristik responden serta pre dan post skala nyeri diberikannya terapi teh chamomile dan gerakan yoga child’s pose. Metode yang digunakan yaitu studi kasus dan dengan reponden berjumlah 5 dilaksanakan pada bulan Desember. Teknik pengumpulan data dengan memberikan informed consent kepada responden, pemberian terapi teh chamomile dan gerakan yoga child’s pose selama 2 hari, mengobservasi skala nyeri sebelum dan sesudah diberikan terapi. Rata-rata skala nyeri sebelum diberikan terapi pada hari pertama yaitu 3,6 dalam kategori nyeri sedang dan 2,8 pada hari kedua dalam kategori nyeri ringan. Rata-rata skala nyeri setelah diberikan terapi yaitu 1,8 pada hari pertama dan 1,4 pada hari kedua dalam kategori ringan. Rata-rata penurunan skor skala nyeri pada hari pertama 1,8 dan kedua adalah 1,4. Terdapat 3 responden memiliki riwayat keluarga dengan dismenore, 2 dengan IMT gemuk, dan 2 dengan kurangnya aktivitas fisik. Dapat disimpulkan bahwa terapi teh chamomile dan gerakan yoga child’s pose dapat menurunkan skala nyeri dismenore.
PEMBERIAN MINUMAN JUS TOMAT UNTUK MENURUNKAN BERAT BADAN PADA AKSEPTOR KB SUNTIK 3 BULAN Putri, Vilsa Adisty; Hikmanti, Arlyana; Hanum N.A, Fauziah
Jurnal Kesehatan Tambusai Vol. 6 No. 3 (2025): SEPTEMBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v6i3.49396

Abstract

KB suntik merupakan alat kontrasepsi yang sering digunakan di Indonesia. Alat Kontrasepsi suntik 3 bulan ini atau bisa disebut dengan DMPA (Depo Medroksi Progesteron Asetat) memiliki Efek samping yang paling banyak dirasakan oleh pengguna di lapangan adalah kenaikan berat badan, hal tersebut terjadi diakibatkan terdapat kandungan hormon progesterone yang bisa merangsang pengendalian nafsu makan di hipotalamus. Fenomena tersebut dibutuhkan intervensi pengendalian berat badan dengan cara menerapkan terapi komplomenter berupa mengonsumsi minuman jus tomat. Tujuan penelitian ini adalah untuk melakukan studi kasus pemberian minuman jus tomat pada akseptor KB suntik 3 bulan sebagai upaya untuk mengurangi dari efek samping KB suntik yaitu kenaikan berat badan. Metode yang digunakan ialah studi kasus di Puskesmas Mandiraja 1 dengan memberikan minuman jus tomat pada subyek penelitian yaitu 5 pengguna KB suntik 3 bulan yang mengeluhkan kenaikan berat badan. Teknik pengumpulan data menggunakan cara anamnesa, pemeriksaan fisik, observasi dan dokumentasi. Hasil yang diperoleh setelah responden mengonsumsi minuman jus tomat selama 7 hari terdapat 1 responden mengalami penurunan sebanyak 1 kg, terdapat dua responden yang mengalami kenaikan berat badan dan dua responden yang berat badannya stabil. Kesimpulanya kenaikan berat badan karena efek samping dapat diminamilisir dengan jus tomat dan olahraga secara teratur. Kata kunci: Berat badan, KB suntik, tomat
Hubungan Usia Menarche Dengan Kejadian Dismenorea Pada Remaja Arlyana Hikmanti; Nur Adriani, Fauziah Hanum; Yanti, Linda
Indonesian Health Issue Vol. 4 No. 2 (2025): AGUSTUS
Publisher : Indonesian Journal Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47134/inhis.v4i2.119

Abstract

Background: The prevalence of dysmenorrhea in adolescents is reported to be very high in various countries, causing disruption to adolescent activities. Objective: This study aims to determine the prevalence of dysmenorrhea in adolescents and examine the relationship between age at menarche and current age of adolescents with the incidence of dysmenorrhea as an effort to support effective reproductive health strategies among adolescent girls. Methods: This study used a quantitative descriptive study with a survey approach to describe the age at menarche and the incidence of dysmenorrhea in adolescents. This study was conducted in high schools in the Purwokerto area, from January to March 2025. The population was all 21,245 adolescent girls in the Purwokerto area. Data collection used primary data, namely respondents completing a questionnaire regarding current age, age at menarche, and the incidence of dysmenorrhea. Results: The majority of respondents were aged 14-16 years (54.4%), experienced early menarche (93.5%), and 72.3% experienced dysmenorrhea. There was no relationship between age at menarche and the incidence of dysmenorrhea. Conclusion: Most respondents aged 14-16 years, with a high school education level, experienced early menarche and dysmenorrhea, and there was no significant relationship between age of menarche and the incidence of dysmenorrhea.
Gambaran Post Operative Nausea and Vomiting Pada Pasien Sectio Caesarea Dengan Metode Enhanced Recovery Caesarean After Surgery Di RSUD Ajibarang Widiyastuti, Widiyastuti; Sebayang, Septian Mixrova; Hikmanti, Arlyana
JUKEJ : Jurnal Kesehatan Jompa Vol 4 No 2 (2025): JUKEJ: Jurnal Kesehatan Jompa
Publisher : Yayasan Jompa Research and Development

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57218/jkj.Vol4.Iss2.1894

Abstract

Caesarean delivery has complications, one of which is Post Operative Nausea and Vomiting (PONV). Over time, new methods have been applied to reduce PONV complications, using the Enhanced Recovery After Caesarean Surgery (ERACS) method. This study aims to describe the occurrence of Post Operative Nausea and Vomiting (PONV) in patients undergoing Caesarean Section (CS) delivery at Ajibarang Regional General Hospital. The research design is a descriptive study with a cross-sectional approach, involving 83 patients selected by purposive sampling according to inclusion criteria. The research instrument used the RINVR observation sheet, and data were collected from primary and secondary sources, then analyzed univariately. The results showed that the majority of patients were aged 26-35 years (45.8%), had no history of PONV or motion sickness (69.9%), fasted less than 6 hours (91.6%), and most patients underwent surgery lasting 1 hour (62.7%). Additionally, most patients experienced PONV symptoms that were mild (10.8%), with no moderate, severe, or very severe symptoms found. This study concludes that the application of the ERACS method at Ajibarang Regional General Hospital is proven effective in minimizing the incidence and severity of PONV in CS patients, with most patients experiencing no PONV or only mild symptoms (10.8%).
Indeks Massa Tubuh, Rasio Lingkar Pinggang, Tinggi Badan terhadap Sindrom Metabolik pada Stunted Obesity Nur Adriyani, Fauziah Hanum; Hikmanti, Arlyana; Dewi, Feti Kumala
Midwifery Care Journal Vol. 6 No. 2 (2025): April 2025
Publisher : Politeknik Kesehatan Kementrian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/micajo.v6i2.12372

Abstract

 Stunted was a major nutrition problem in Indonesia. Obesity caused metabolic changes caused by endothelial dysfunction and oxidative stress mechanisms defined by waist size, HDL, triglycerides, calm blood glucose, and blood pressure. The purpose of this study is to determine the relationship between stubborn obesity and metabolic syndrome in female adolescents. Study design was case control with 150 students in the Banyuma district. Subject selection was performed using multistage random samples. The case group was 75 students who inhibited obesity, and the control group was 75 students with stunted and non-attended. Determine nutritional status by measuring size, weight and waist size. Metabolic syndrome was determined using three criteria: obesity, blood glucose level above 100 mg/dL, and lipid profile. Triglyceride levels ≥150 mg/dL and HDL levels ≤ 0 mg/dL; Data were analyzed on a descriptive test for univariate analysis and a Chi-square test for determining relationships.The mean values of HDL levels (39.80 ± 3.96 mg/dL), fasting blood sugar (112.6 ± 8.75 mg/dL), and triglycerides (102.34 ± 17.54 mg/dL) in the case group were higher than the mean values in the control group. There is a relationship between Stunted obesity and the incidence of metabolic syndrome in adolescents with ρ = 0.0479. This indicates that there is a higher risk of experiencing metabolic syndrome in the case group.