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All Journal Jurnal Kesehatan Budi Luhur: Jurnal Ilmu-Ilmu Kesehatan Masyarakat, Keperawatan, dan Kebidanan
Rudi Karmi
STIKes Budhi Luhur Cimahi
Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences

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Pre–Post Changes in Anemia Knowledge and Attitudes Following HPM-Informed E-Booklet Education Among Adolescent Girls Wulan Novika Ambarsari; Ayu Apriyani; Rudi Karmi; Rahayu Savitri
Jurnal Kesehatan Budi Luhur: Jurnal Ilmu-Ilmu Kesehatan Masyarakat, Keperawatan, dan Kebidanan Vol. 19 No. 2 (2026): July 2026
Publisher : STIKes Budi Luhur Cimahi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62817/jkbl.v19i2.519

Abstract

Anemia is a reduction in hemoglobin concentration below an age-, sex-, and physiological-status-specific threshold and may result from nutritional deficiencies, blood loss, inflammation, inherited disorders, or other causes. Menstruating adolescent girls are a priority population for prevention and educational interventions. This study aimed to assess immediate pre-post changes in knowledge and attitudes toward anemia following an e-booklet educational intervention informed by Pender's Health Promotion Model (HPM). A quantitative one-group pretest-posttest study was conducted among 77 adolescent girls at SMK Pasundan 3 Cimahi. Participants were selected from a population of 327 students using proportionate stratified random sampling. Recruitment and consent/assent were followed by a pretest assessment, standardized e-booklet education, and an immediate posttest. Knowledge was categorized as good, fair, or poor, while attitudes were categorized as positive or negative. Data were analyzed using the Marginal Homogeneity and McNemar tests. The proportion of participants with good knowledge increased from 16.9% to 79.2% (absolute change: +62.3 percentage points), while poor knowledge decreased from 58.4% to 2.6% (p < 0.001). Positive attitudes increased from 54.5% to 76.6% (absolute change: +22.1 percentage points; p = 0.005). Knowledge and attitude categories were more favorable immediately after the e-booklet intervention. Because the study lacked a comparison group and assessed outcomes only immediately after the intervention, controlled studies with validated continuous measures and longer follow-up are needed to establish the effectiveness and sustainability of the observed changes.
Weight Gain Following Kangaroo Mother Care in Low Birth Weight Infants at Bayu Asih General Hospital Fitri Rahmawati; Rudi Karmi; Damai Yanti
Jurnal Kesehatan Budi Luhur: Jurnal Ilmu-Ilmu Kesehatan Masyarakat, Keperawatan, dan Kebidanan Vol. 19 No. 2 (2026): July 2026
Publisher : STIKes Budi Luhur Cimahi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62817/jkbl.v19i2.534

Abstract

Kangaroo Mother Care (KMC) supports thermoregulation, breastfeeding, and physiological adaptation in low birth weight (LBW) infants. This study evaluated changes in body weight following a seven-day KMC program in the Neonatal Unit of Bayu Asih General Hospital, Purwakarta, from January to February 2026. A pre-experimental one-group pretest-posttest design was used with total sampling of 15 stable LBW infants. Most infants were born at 35 or 36 weeks of gestation (5 infants [33.3%] in each gestational age group). Mothers performed nurse-supervised KMC for 1–2 hours daily. Infant body weight was measured using a calibrated digital scale before the intervention and on day 7. The mean baseline body weight was 1,625.0 ± 152.4 g, with a median of 1,550 g. After KMC, the mean body weight increased to 1,805.3 ± 169.9 g, with a median of 1,725 g. The mean weight gain was 180.3 g, the median difference was 175 g, the relative increase was 11.3%, and the average daily weight gain was approximately 25 g/day. The Wilcoxon signed-rank test demonstrated a statistically significant difference between pre- and post-intervention body weight (p = 0.001). An exact paired 95% confidence interval and rank-based effect size could not be calculated because the retained analysis output did not include the standard deviation of the paired differences or the Wilcoxon Z statistic. Kangaroo Mother Care was associated with short-term body weight gain in stable LBW infants. However, causal interpretation should be made cautiously because of the absence of a control group and the potential influence of unmeasured feeding practices and other co-interventions.
Co-Authors Ayu Apriyani Damai Yanti Fitri Rahmawati Rahayu Savitri Wulan Novika Ambarsari