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PSIKOEDUKASI CILUKBA MAMPU MENGOPTIMALKAN PENGETAHUAN IBU DALAM PENCEGAHAN STUNTING : Cilukba Psycoeducation Is Able to Optimize Mother’s Knowledge in Stunting Prevention Sari, Niken Ayu Merna Eka; Mirayanti, Ni Ketut Ayu
Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing) Vol. 10 No. 1 (2024): JIKep | Februari 2024
Publisher : LPPM STIKES Pemkab Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33023/jikep.v10i1.1918

Abstract

Pendahuluan: Masa balita disebut sebagai periode keemasan karena pada masa ini adalah masa pertumbuhan dan perkembangan anak yang jika tidak dimanfaatkan dengan baik terutama pemenuhan asupan nutrisi akan menyebabkan terjadi kerusakan yang bersifat permanen (Window of opportunity). Permasalahan gizi yang dapat dialami oleh anak salah satunya adalah stunting. Salah satu upaya pencegahan stunting yang saat ini sedang marak yaitu penerapan metode CILUKBA. Tujuan: penelitian ini adalah untuk mengetahui pengaruh psikoedukasi tentang metode CILUKBA terhadap pengetahuan dalam pencegahan stunting. Metode: Jenis penelitian ini Pra experimental one group pre dan post test. Populasi dalam penelitian ini adalah ibu yang memiliki anak balita di Desa Dauh Puri Kaja sejumlah 153 orang. Tehnik sampling yang digunakan purposive sampling dengan jumlah sampel 30 orang. Uji analisis bivariat menggunakan uji Wilcoxon. Hasil: Penelitian didapatkan tingkat pengetahuan sebelum intervensi didapatkan sebagian besar reponden memiliki pengetahuan cukup yaitu sejumlah 16 orang (53,3%) dan setelah diberikan intervensi didapatkan sebagian besar memiliki pengethuan baik yaitu sejumlah 27 orang (90%), sedangkan untuk sikap sebelum intervensi didapatkan sebagian besar kategori cukup 23 orang (76,7%) dan setelah intervensi sebagian besar kategori baik sejumlah 27 orang (90%). Hasil Analisa bivariat didapatkan nilai p-value = 0,000 < ? (0,05) maka Ho ditolak dan artinya terdapat pengaruh psikoedukasi metode CILUKBA terhadap pengetahuan ibu dalam pencegahan stunting. Kesimpulan: Disarankan kepada ibu untuk lebih memahami dan dapat menerapkan metode CILUKBA dalam pengasuhan sehari-hari guna mengoptimalkan pertumbuhan dan perkembangan anak sebagai upaya mencegah terjadinya stunting
HUBUNGAN SIKAP IBU DALAM 1000 HARI KEHIDUPAN DENGAN KEJADIAN STUNTING PADA BALITA: The Relationship of Mother's Attitudes in 1000 Days of Life with Stunting Incidents in Toddler Mirayanti, Ni Ketut Ayu; Sari, Niken Ayu Merna Eka
Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing) Vol. 10 No. 2 (2024): JIKep | Juni 2024
Publisher : LPPM STIKES Pemkab Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33023/jikep.v10i2.2154

Abstract

Pendahuluan :     Stunting merupakan permasalahan gizi nasonal yang sampai saat ini belum dapat teratasi. Permasalahan pemenuhan nutrisi pada 1.000 hari pertama kehidupan (HPK) yang dihadapi oleh ibu di Indonesia merupakan salah satu penyebab masalah pada pertumbuhan dan perkembangan anak salah satunya stunting. Pengetahuan 1.000 HPK menjadi hal penting terutama pada masa pertumbuhan dan perkembangan anak yang terhitung mulai dari 0 hari kehamilan sampai   berusia 2 tahun. Pengetahuan akan meningkat seiring dengan sikap ibu terkait pemenuhan nutrisi seimbang. Tujuan: penelitian ini adalah untuk mengetahui hubungan sikap ibu dalam 1000 hari kehidupan dengan kejadian stunting pada balita. Metode: Jenis penelitian ini adalah penelitian deskriptif kuantitatif dengan pendekatan cross sectional.  Penelitian ini dilakukan di Desa Yangapi Kecamatan Tembuku Bangli. Populasi dalam penelitian ini adalah ibu yang mempunyai balita usia 0-24 bulan sebanyak 237 orang. Teknik pengambilan sampel yang digunakan adalah non-probability sampling dengan jenis purposive sampling. Analisis data menggunakan uji Korelasi Rank Spearman dengan tingkat kesalahan 5% (0,05). Hasil: Penelitian didapatkan sebagian besar responden memiliki sikap positive yaitu sejumlah 87 responden (58,5%) dan sebagian besar balita dalam kategori normal yaitu sejumlah 135 balita (90,6%). Hasil analisis didapatkan nilai P value 0,016 dimana p value kurang dari 0,05 maka Ho ditolak artinya terdapat hubungan antara sikap ibu dalam 1000 hari kehidupan dengan kejadian stunting pada balita. Berbagai faktor yang mempengaruhi sikap diantaranya usia, dan pengetahuan. Mayoritas responden berusia 20-30 tahun. Kesimpulan: Usia berkaitan dengan pengalaman, semakin matang usia maka semakin banyak pengalaman untuk memiliki sikap terbaik guna mencapai tujuan yang baik. Pengalaman yang dimiliki oleh ibu sangat memberi pengaruh bagi pemberian asupan gizi pada bayi dan balita.
The Relationship Between Adolescent Social Determinants Factors at the Various Parental Activities on Self-Efficacy for Choosing Healthy Foods Abadi, Moh Fairuz; Wati, Ni Made Nopita; Prasetya, Didik; Prihatiningsih, Diah; Idayani, Sri; Mirayanti, Ni Ketut Ayu; Pamungkas, Mohammad Adreng
Public Health of Indonesia Vol. 10 No. 3 (2024): July - September
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v10i3.814

Abstract

Background:Adolescent self-efficacy in choosing healthy foods is closely related to the incidence of obesity. According to WHO data, the obesity rate among children and adolescents increased from 18% to 19.3% between 2016 and 2021, and this rising trend is also observed in Indonesia. Understanding the factors that influence adolescents' eating habits is essential for comprehending their behavior in selecting healthy foods and designing effective interventions to promote healthier eating habits among this age group. Objective:This study aimed to determine the level of adolescent self-efficacy in choosing healthy foods and to examine the relationship between various social determinants such as gender, class, age, and parental activities and adolescent self-efficacy in selecting healthy foods. Additionally, this study tested parental activities as a moderating variable for factors significantly influencing adolescent self-efficacy in choosing healthy foods. Methods:A quantitative descriptive design was employed for this study. The population consisted of high school students, with a total of 408 respondents selected through non-probability cluster sampling. Data were analyzed using univariate, bivariate, and multivariate regression statistical tests. Results:The findings revealed that 57.8% of respondents exhibited a moderate level of self-efficacy in choosing healthy foods, 35.5% showed a strong level of self-efficacy, and 6.6% demonstrated a low level of self-efficacy. Age was the only variable significantly influencing adolescents' ability to choose healthy foods, with a significance level of 0.039 (P < 0.05). Parental activities were not found to significantly moderate the relationship between age and the level of self-efficacy in choosing healthy foods. Conclusion:Age is a significant factor influencing adolescent self-efficacy in choosing healthy foods. However, parental activities do not significantly moderate the relationship between age and adolescent self-efficacy in food selection. Keywords:Adolescent, Feeding Behavior, Meals, Parents, Social Determinants of Health.
Gambaran Tingkat Atensi Pasien Stroke Pasca Mengalami Serangan Berulang Dewi, Ni Luh Putu Thrisna; Wati, Ni Made Nopita; Lisnawati, Ketut; Mirayanti, Ni Ketut Ayu
Jurnal Ilmiah Keperawatan STIKES Hang Tuah Surabaya Vol 17 No 2 (2022): October Edition
Publisher : Sekolah Tinggi Ilmu Kesehatan Hang Tuah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30643/jiksht.v17i2.174

Abstract

Stroke causes several physical and psychological symptoms. Early strokescontribute to a very significant risk of recurrent attacks. If there iscognitive impairment, it can affect one of the cognitive functions such asattention. This study aims to determine the description of the level of attentionof stroke patients after experiencing repeated attacks. The method and design ofthis study were a descriptive study using frequency distribution, with a cross-sectional research approach. The samples were 67 post-stroke patients whoexperienced repeated attacks, using non-probability sampling techniques withpurposive sampling techniques based on inclusion and exclusion criteria anddata collection using the TMT (trail making test A and B) questionnaire. Theresults of this study describe that most of the respondents have less attention inthe category of 56 people (83, 6%). Factors that can affect attention are age, theolder a person gets, the worse his or her attention after a stroke is coupled withthe degenerative process experienced by stroke sufferers. Prolonged stressand psychological conditions and the inability to adapt to new conditions greatlyinterfere with the recovery process because on average stroke patients not onlyexperience sequelae after an attack but also unstable psychological conditionsthat can worsen their physical condition. Conclusions: Identification respondents'attention has a poor attention category mostly, it is necessary to carry outpreventive, curative, or rehabilitative promotive prevention in stroke patients bymodifying a healthy lifestyle to prevent recurrent attacks
Hubungan Efikasi Diri dan Tingkat Atensi Dengan Activity Daily Living (ADL) Pasien Pasca Stroke Dewi, Ni Luh Putu Thrisna; Mirayanti, Ni Ketut Ayu; Lisnawati, Ketut; Merlin, Ni Made
Jurnal Ilmiah Keperawatan STIKES Hang Tuah Surabaya Vol 18 No 2 (2023): October Edition
Publisher : Sekolah Tinggi Ilmu Kesehatan Hang Tuah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30643/jiksht.v18i2.267

Abstract

Sudden changes in a person's life after a stroke can cause various negative things in the sufferer, ranging from psychological and behavioral symptoms, including anxiety, feelings of helplessness, mood disorders, low self-efficacy, and impaired attention levels. Psychological problems cause a serious reduction in mobility, because they hinder performance and daily activities or fulfillment of ADLs. This can cause stroke patients to experience job loss and the inability to carry out their social activities. The purpose of this study is the relationship between the self-efficacy of stroke patients and the level of attention to the activity of daily living of post-stroke patients.  This study used a correlational analytic method with a Cross-Sectional approach. This research was conducted in one of the private hospitals in Bali, which was held from October 01 - December 30, 2022. With a sample size of 80 respondents of post-stroke patients who control at X Hospital Poly using the Non-probability sampling technique, purposive sampling. The results of this study were that most stroke respondents who experienced low efficacy had a total level of dependence on activity and daily living, as well as stroke who had less attention had a total level of dependence. The results of the correlation test between the two obtained a p-value <0.005 which means there is a significant relationship between efficacy and the level of ADL dependence. This can be an illustration that the psychological condition of post-stroke patients will greatly affect their physical condition. The basis of stroke treatment is of course not only optimizing physical recovery but must also be accompanied by paying attention to the psychological aspects in order to get maximum rehabilitation results.
PEMBERDAYAAN KADER LANSIA DALAM MANAJEMEN PERAWATAN HIPERTENSI LANSIA BERBASIS TERAPI KOMPLEMENTER: Empowerment of Elderly Cares in Elderly Hypertension Management Based on Complementary Therapy Candrawati, Sang Ayu Ketut; Andini, Ni Komang Sukra; Citrawati, Ni Ketut; Subhaktiyasa, Putu Gede; Mirayanti, Ni Ketut Ayu
Jurnal Sinergi Kesehatan Indonesia Vol. 1 No. 1 (2023): Jurnal Sinergi Kesehatan Indonesia
Publisher : Yayasan Lentera Mitra Lestari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55887/jski.v1i1.3

Abstract

Latar Belakang: Proses menua merupakan proses tubuh mengalami berbagai perubahan akibat menurunnya kapasitas, fungsi organ dan immunitas tubuh, sehingga lansia rentan mengalami penyakit tidak menular seperti hipertensi. Kader kesehatan lansia memiliki peran penting dalam pengawasan penatalaksanaan hipertensi. Tujuan: Kegiatan pengabdian masyarakat ini bertujuan meningkatkan pengetahuan, sikap dan keterampilan melalui pemberdayaan kader lansia dalam manajemen perawatan hipertensi lansia berbasis terapi komplementer. Metode: Pelaksanaan kegiatan pengabdian masyarakat dilakukan di Desa Blahbatuh, Kecamatan Blahbatuh Kabupaten Gianyar Bali. Pendekatan pengabdian menggunakan Participatory Learning and Action. Kegiatan yang dilakukan berupa penyuluhan kesehatan serta pelatihan pemeriksaan fisik dan terapi komplementer sederhana (bekam, acupressure dan massage). Pengabdian ini diikuti oleh kader lansia sejumlah 27 orang. Alat kesehatan dan instrumen pengukuran yang digunakan yaitu kuisioner tingkat pengetahuan hipertensi dan terapi komplementer, leaflet edukasi, alat terapi bekam, acupressure, dan massage. Hasil: Sebagian besar pengetahuan kader lansia sebelum diberikan penyuluhan yaitu cukup sebanyak 12 orang (44.45%) sedangkan setelah diberikan terapi komplementer sebagian besar tingkat pengetahuan kader lansia menjadi baik sebanyak 16 orang (59.26%). Kader mampu mendemonstrasikan terapi terapi bekam, acupressure, dan massage. Kesimpulan: Kegiatan pemberdayaan kader kesehatan dalam manajemen hipertensi berbasis komplementer mampu meningkatkan kemampuan kader memahami hipertensi, melakukan edukasi, serta memberikan terapi komplementer sederhana.
Edukasi Pentingnya 1000 Hari Pertama Kehidupan dalam Manejemen Peningkatan Status Gizi Anak melalui Pendekatan Terapi Komplementer Mirayanti, Ni Ketut Ayu; Andini, Ni Komang Sukra; Candrawati, Sang Ayu Ketut; Citrawati, Ni Ketut; Subhaktiyasa, Putu Gede
Communautaire: Journal of Community Service Vol. 2 No. 1 (2023)
Publisher : Al-Qalam Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61987/communautaire.v2i1.174

Abstract

The 1000 HPK period is the early period of life while still in the womb for the first 2 years of life. 1000 HPK is very important because it greatly affects the condition of growth and development of children. The focus of handling nutrition in the 1000 HPK is to prevent malnutrition which is a major health problem in toddlers because it can hinder the process of growth and development and contribute to child morbidity and mortality. Stunting is a chronic nutritional problem due to inadequate nutritional intake within the 1000 HPK period resulting in impaired growth in children. service activities carried out through the collaboration of health education institutions and health institutions, one of which aims to increase mother's knowledge about 1000 HPK, fulfill the nutritional needs of mothers and toddlers, and balanced nutrition and change in good nutritional behavior. In addition, education for cadres must also be carried out so that cadres can provide ongoing education to mothers who have toddlers.
Optimalisasi Kemandirian Lansia dengan Penyakit Kronis dalam Penurunan Tingkat Kecemasan melalui Terapi Mindfulness Andini, Ni Komang Sukra; Candrawati, Sang Ayu Ketut; Citrawati, Ni Ketut; Mirayanti, Ni Ketut Ayu; Subhaktiyasa, Putu Gede
Communautaire: Journal of Community Service Vol. 2 No. 1 (2023)
Publisher : Al-Qalam Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61987/communautaire.v2i1.177

Abstract

Elderly with chronic disease in Indonesia has a fairly high number. As many as 28.53% of elderly aged 60-69 years have health complaints related to chronic diseases. This percentage continues to increase in older age groups. Chronic disease can have an impact on the health of the elderly, in this case mental health, namely anxiety. Anxiety management is an effort to deal with disturbing anxiety but does not mean eliminating anxiety, but reducing it so that it does not create obstacles for someone in living their life. Anxiety can also be used as a motivation for someone to be better and positive. One of the popular complementary therapies for dealing with anxiety is mindfulness meditation. The method is carried out with lectures, discussions and simulations via video with the elderly.
HUBUNGAN PERAN KADER KESEHATAN JIWA DENGAN KEKAMBUHAN SKIZOFRENIA DI WILAYAH KERJA PUSKESMAS II DENPASAR TIMUR: RELATIONSHIP OF THE ROLE OF MENTAL HEALTH CADRES WITH RECURRENCE OF SCHIZOPHRENIA Parwati, Anak Agung Ketut; Mirayanti, Ni Ketut Ayu; Citrawati, Ni Ketut
Bali Medika Jurnal Vol 5 No 1 (2018): Bali Medika Jurnal Vol 5 No 1 July 2018
Publisher : Stikes Wira Medika Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36376/bmj.v5i1.25

Abstract

Gangguan jiwa merupakan salah satu masalah kesehatan masyarakat di Indonesia. Prevalensi gangguan jiwa berat, seperti skizofrenia di Indonesia mencapai sekitar 400.000 orang atau sebanyak 1,7 per 1.000 penduduk. Seseorang yang pernah mengalami gangguan skizofrenia akan kembali kambuh karena kondisi yang tidak terkontrol dan tidak meminum obat secara rutin. Pemberdayaan masyarakat seperti kader kesehatan jiwa bermanfaat untuk mengidentifikasi dan mengatasi masalah serta mempertahankan kesehatan jiwa masyarakat. Penelitian ini bertujuan untuk mengetahui hubungan peran kader kesehatan jiwa dengan kekambuhan skizofrenia. Jenis penelitian ini termasuk penelitian observasional dengan pendekatan cross sectional. Penelitian dilakukan di wilayah kerja Puskesmas II Denpasar Timur, teknik pengambilan sampel menggunakan consecutive sampling dengan sampel sebanyak 52 responden. Hasil penelitian didapatkan, kekambuhan skizofrenia sebanyak 30 orang (57,7%) tidak kambuh dan sebanyak 22 orang (42,3%) kambuh, untuk peran kader kesehatan jiwa kategori kurang sebanyak 31 orang (59,6%) dan kategori baik sebanyak 21 orang (40,4%). Hasil uji chi-square didapatkan angka p value sebesar 0,947 (p>0,05), menunjukkan tidak ada hubungan peran kader kesehatan jiwa dengan kekambuhan skizofrenia di wilayah kerja Puskesmas II Denpasar Timur. Berdasarkan hasil penelitian ini disarankan untuk meningkatkan pemberdayaan kader kesehatan jiwa untuk membantu masyarakat mencapai kesehatan jiwa yang optimal. Kata kunci : peran kader, kekambuhan skizofrenia ABSTRACK Mental disorder is one of the public health problems in Indonesia. The prevalence of severe psychiatric disorders, such as schizophrenia in Indonesia reaches about 400.000 people or as many as 1.7 per 1.000 inhabitants. A person who has experienced schizophrenic disorder will recur because of uncontrolled conditions and not taking medication regularly. Community empowerment such as mental health cadres is useful to identify and solve problems and maintain the mental health of the community. The study aims to determine the relation of the role of mental health cadres with recurrence of schizophrenia. This type of research includes observational research with cross sectional approach. This research was conducted in the working area of Puskesmas II Denpasar Timur, sampling technique using consecutive sampling with the samples of 52 respondents. The result of the research showed that recurrence of schizophrenia as many as 30 people (57,7%) did not relapse and as many as 22 people 42,3%) relapse, for the role of mental health cadre of less category as many 31 people (59,6%) and category both as many as 21 people (40,4%). chi-square test results obtained p value of 0,947 (P>0.05), showed no correlation role of mental health cadres with recurrence of schizophrenia in work area Puskesmas II Denpasar Timur. Based on the results of this study suggested to improve empowerment of mental health cadres to help people achieve optimal mental health. Key words : role of cadres, recurrence of schizophrenia
FAKTOR-FAKTOR YANG MEMPENGARUHI KADAR ASAM URAT PADA USIA PRODUKTIF DI DESA NONGAN, KABUPATEN KARANGASEM: FACTORS AFFECTING URIC ACID LEVEL AT PRODUCTIVE AGE IN NONGAN VILLAGE, KARANGASEM REGENCY Astari, Rai Wiwik Dwi; Mirayanti, Ni Ketut Ayu; Arisusana, I Made
Bali Medika Jurnal Vol 5 No 2 (2018): Bali Medika Jurnal Vol 5 No 2 Desember 2018
Publisher : Stikes Wira Medika Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36376/bmj.v5i2.43

Abstract

Pendahuluan: Usia produktif dengan rentang usia dari 18-45 tahun, merupakan usia dimana manusia sudah matang secara fisik dan biologis. Tidak sedikit masyrakat dengan usia produktif yang sudah merasakan beberapa gejala adanya penyakit degeneratif yaitu contohnya penyakit asam urat. Penyakit asam urat adalah jenis arthiritis yang sangat menyakitkan yang disebabkan oleh penumpukan kristal persendian. Tujuan Penelitian mengetahui faktor–faktor yang mempengaruhi kadar asam urat darah pada usia produktif di Desa Nongan, Kabupaten Karangasem. Metode: Jenis penelitian ini adalah korelasional dan pendekatan yang digunakan adalah cross-sectional. Jumlah sampel pada penelitian ini adalah 58 responden dengan Non- probability sample yaitu dengan Random sampling. Hasil: Hasil analisis statistik dengan menggunakan rank spearman menunjukan bahwa dari 4 variabel yaitu makanan dengan p value = 0,000, aktifitas fisik dengan p value = 0,001, tingkat pengetahuan dengan p value = 0,000, jenis kelamin dengan p value = 0,000 lebih kecil dari pada 0,05 maka ada hubungan yang bermakna antara makanan, tingkat pengetahuan, aktifitas fisik, jenis kelamin dengan Kadar Asam Urat pada Usia Produktif di Desa Nongan. Kata Kunci: asam urat, usia produktif ABSTRACT Introduction: Productive age with age range from 18-45 years old, is the age which is human are mature physically and biologidally. Not afew peoples with productive age who al ready feel some sign of degenative disease for example uric acid disease. Uric acid disease is the arthritis type that very painfull uaused by cumulation of crystal joint. The purpose of this study to know factors that influence blood uric acid levels in productive age at Nongan village, Kabupaten Karangasem. Method: The type of this study is cross – sectional. The amount sample of this study is 58 respondents with Non –probability sample thatis Random sampling technique. Result: Statistical analysis results using rank spearman show that from 4 variables that is food with p value = 0,000 , physical activity with p value = 0,001, knowledge levels with p value = 0,000 , gender with p value = 0,000 smaller than 0,05 so there is a meaning ful correlation between food, knowledge levels, physical activity, gender with Uric acid levels in productive age at Nongan village. Keywords: uric acid, productive age