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Ratih Subekti
Polytechnic of Banjarnegara

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ANALISIS FAKTOR YANG MEMPENGARUHI KEJADIAN PRETERMDI PUSKESMAS KABUPATEN BANJARNEGARA Ratih Subekti; Lia Aria Ratmawati
Jurnal Ilmiah Medsains Vol 10 No 02 (2024): Jurnal Ilmiah Medsains
Publisher : Unit Penelitian dan Pengabdian Masyarakat Politeknik Banjarnegara

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Preterm labor is labor that occurs at a gestational age of <37 weeks or 259 days from the first day of the last menstruation. The incidence of preterm labor refers to the birth of a premature baby.  The main difficulty in premature babies is care, this is due to the immaturity of the body systems and other organs to function so that it can cause complications such as respiratory distress syndrome (RDS), intraventricular bleeding, bronchopulmonary dysplasia (BPD), ductus arteriosus patem (PDA), necrotizing entero cilitis (NEC), sepsis, apnea and retinopathy of prematurity (ROP). These complications in premature babies can further increase neonatal morbidity and mortality. The aim of this research is to determine the relationship and magnitude of the risk of preterm events at the Banjarnegara Regency Health Center. The research instrument uses an observation sheet. Type of analytical survey research with a case control approach. The independent variables in this study were maternal age, gestational spacing, parity, twin pregnancy, premature rupture of membranes, antepartum bleeding, history of abortion and previous history of preterm, the dependent variable was preterm delivery. The sampling technique used the total sampling method using secondary data from 3 Community Health Centers in Banjarnegara Regency with the highest cases of preterm birth in 2023, the number of cases was 56 respondents and controls were 112 respondents. Bivariate analysis uses the chi square test. Research results show that twin pregnancies are associated with preterm events (p-value 0.043), respondents with twin pregnancies have 8.538 times the risk of experiencing preterm events compared to respondents with non-twin pregnancies (95% CI 0.931-78.298), previous preterm history was associated with preterm pregnancies. (p-value 0.04), respondents with a previous history of preterm had a 3,857 times risk of experiencing a preterm event compared to respondents who had no previous history of preterm (95% CI 1.079-13.790). Conclusion of the research is pregnancy pregnancies and a previous history of preterm are associated with the incidence of preterm at the Banjarnegara district health center.
GAMBARAN PEMENUHAN GIZI MAKRONUTRIEN PADA KASUS STUNTING DI DUSUN 4 DESA KINCANG, KECAMATAN RAKIT KABUPATEN BANJARNEGARA Lia Aria Ratmawati; Ratih Subekti
Jurnal Ilmiah Medsains Vol 8 No 01 (2022): Jurnal Ilmiah Medsains
Publisher : Unit Penelitian dan Pengabdian Masyarakat Politeknik Banjarnegara

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Food intake is related to the nutrients (nutrients) contained in the food eaten. To achieve optimal growth, it is necessary to fulfill nutritional needs, especially in meeting macronutrients. Macronutrients are nutrients that provide calories or energy, needed for growth, metabolism and other body functions. These macronutrients are needed by the body in large amounts, consisting of carbohydrates, proteins, and fats. Unbalanced food intake is related to the lack of fulfillment of nutrients in food so that it becomes one of the factors causing stunting. The purpose of this study was to describe the need for protein, fat and carbohydrates in stunting toddlers. The type of research used is quantitative research with a descriptive approach. The population in this study were all toddlers in the village of 81 toddlers. Sampling technique with a total sampling of 12 respondents who experienced stunting. Analysis of the data used is univariate analysis. In this analysis only produces a frequency distribution. The data collection method in this study was carried out through primary data, namely taking data on measurements of weight, height and calculating the nutritional needs of toddlers using the ADIME formula. The results of this study indicate that stunting toddlers have inadequate protein requirements by 100%, the need for adequate fat is 58.33% and the need for carbohydrates is inadequate at 58.33%.
ANALISIS FAKTOR RISIKO KEJADIAN RUPTUR PERINEUM DI PUSKESMAS MADUKARA 2 KABUPATEN BANJARNEGARA Ratih Subekti; Dewie Sulistyorini
Jurnal Ilmiah Medsains Vol 7 No 02 (2021): Jurnal Ilmiah Medsains
Publisher : Unit Penelitian dan Pengabdian Masyarakat Politeknik Banjarnegara

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Ruptur perineum merupakan perlukaan jalan lahir yang terjadi pada saat kelahiran bayi baik menggunakan alat maupun tidak menggunakan alat. Ruptur perineum disebabkan oleh paritas, jarak kelahiran, berat badan bayi, pimpinan persalinan tidak sebagaimana mestinya, ekstraksi cunam, ekstraksi fakum, trauma alat dan episiotomi. Kejadian ruptur perineum berdasarkan paritas paling banyak terjadi pada primipara yaitu sebesar 62% dan berdasarkan berat badan bayi paling banyak pada berat badan >3500 gram yaitu sebesar 46%. Tujuan penelitian ini adalah untuk mengetahui adakah hubungan antara paritas dan berat badan lahir bayi dengan kejadian ruptur perineum di Puskesmas Madukara 2 Kabupaten Banjarnegara. Jenis penelitian yang gunakan adalah survei analitik dengan pendekatan crosss sectional. Populasi  dalam penelitian ini adalah seluruh ibu bersalin di Puskesmas Madukara 2, Kabupaen Banjarnegara. Teknik pengambilan sampel dengan metode consecutive sampling, besar sampel sebanyak 36 ibu bersalin. Teknik analisis menggunakan uji Chi-Square. Hasil penelitian menujukan bahwa 66,7% responden multipara, dan 63.9% memiliki bayi dengan berat badan lahir <3500 gram. Terdapat hubungan antara paritas (p=0,001<0.05, α= 95%), berat badan lahir bayi (p=0,000<0.05, α= 95%) dengan kejadian rupture perineum. Ada hubungan yang bermakna antara paritas dan berat badan lahir bayi dengan kejadian rupture perineum. Ibu diharapkan dapat melakukan ANC secara teratur sehingga taksiran berat badan janin dapat terpantau melalui pengukuran TBJ dan informasi terkait tentang persiapan persalinan seperti bagaimana cara mengejan yang benar dan posisi dalam mengejan.
GAMBARAN PENGETAHUAN, SIKAP DAN PERILAKU PENDERITA ISPA DI WILAYAH KERJA PUSKESMAS PURWANEGARA 2 KABUPATEN BANJARNEGARA Barni; Ratih Subekti
Jurnal Ilmiah Medsains Vol 7 No 01 (2021): Jurnal Ilmiah Medsains
Publisher : Unit Penelitian dan Pengabdian Masyarakat Politeknik Banjarnegara

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One of the diseases that are often encountered is an acute respiratory infection (ARI). The incidence of ARI always ranks first of the 10 most common diseases in Indonesia. Factors causing ARI are environmental factors and behavioral factors. Health profile data for 2020 shows that ARI is ranked first out of the top 10 most common diseases in the work area of ​​Purwanegara 2 Health Center, Banjarnegara. The purpose of this research was to describe the knowledge, attitudes and behavior of patients with acute respiratory infections (ARI) in the working area of ​​Purwanegara 2 Public Health Center, Banjarnegara Regency in 2021. This research is quantitative descriptive. The research was carried out in the Purwanegara 2 Health Center Work Area, Banjarnegara Regency with a sample of 34 patients with ARI disease in April 2021. Sampling using purposive sampling technique. Data collection techniques used interviews with questionnaires regarding the level of knowledge, attitudes and behavior of patients with ARI. Analysis of the data used is descriptive statistics. The results showed that ARI patients who had knowledge level in the Good category were 6.47%, Enough as much as 2.94%, and Less as much as 70.59%. The attitudes of ARI sufferers are categorized as Good (100%), as well as the behavior of ARI patients are also in the Good category (100%). The conclusion of this study is that most of the knowledge possessed by patients is still lacking but their attitudes and behavior are in the good category. Therefore, it is necessary to make efforts to increase knowledge about ARI so that their attitudes and behavior are stronger based on proper knowledge of ARI. The conclusion of this study is that most of the knowledge possessed by patients is still lacking but their attitudes and behavior are in the good category. Therefore, it is necessary to make efforts to increase knowledge about ARI so that their attitudes and behavior are stronger based on proper knowledge of ARI.
GAMBARAN PERILAKU TERHADAP ROKOK PADA WARGA DI KELURAHAN SOKANANDI KABUPATEN BANJARNEGARA Barni; Ratih Subekti
Jurnal Ilmiah Medsains Vol 6 No 02 (2020): Jurnal Ilmiah Medsains
Publisher : Unit Penelitian dan Pengabdian Masyarakat Politeknik Banjarnegara

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Smoking is a dangerous form of bad behavior for health. Consumption Cigarettes can cause various diseases such as lung cancer, heart disease, narrowing of blood vessels and others. Amount smoker in Indonesia is increasing from year to year. The purpose of this study is to describe behavior to cigarettes on residents in Sokanandi Village, Banjarnegara Regency. This research is a descriptive research with cross sectional method. The research was carried out in Sokanandi Village, Banjarnegara Regency. Data collection was done with observation and interview techniques. Analysis of the data used is univariate analysis. Amount a sample of 30 respondents. The results obtained showed that some of the respondents did not smoke 86.7%, behaved avoiding cigarette smoke 63.3%, behaved reprimanding when disturbed by cigarette smoke, 73.3%, behaved reminding their families not to smoke 66.6%. Various the form of behavior towards smoking shows that more than half of the informants have implemented good behavior. Therefore, it is hoped that health agencies will continue to strengthen the campaign no smoking so that public awareness to avoid the dangers of smoking increases.
STUDI DESKRIPTIF PENGETAHUAN IBU POSTPARTUM NORMAL MENGENAI MANAJEMEN LAKTASI DI PUSKESMAS PONED KABUPATEN BANJARNEGARA Ratih Subekti; Reni Sumanti
Jurnal Ilmiah Medsains Vol 6 No 01 (2020): Jurnal Ilmiah Medsains
Publisher : Unit Penelitian dan Pengabdian Masyarakat Politeknik Banjarnegara

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Lactation is the whole process of breastfeeding from breast milk produced to the process of babies sucking and swallowing breast milk. The success of the breastfeeding process can be achieved by applying good lactation management. Lactation management starts from pregnancy (antenatal), immediately after giving birth (natal) and breastfeeding (post-natal). The purpose of this study was to determine the description of the knowledge of normal postpartum mothers regarding lactation management at the PONED Community Health Center in Banjarnegara District. This type of research is quantitative research with a descriptive approach. Sampling using consecutive sampling, the sample size is 60 normal postpartum mothers. Analysis of the data used is univariate analysis. In this analysis only produces a frequency distribution. The research instrument used a questionnaire sheet containing the characteristics of respondents and regarding lactation management which consisted of six indicators namely knowledge about breastfeeding, breast care, IMD, correct breastfeeding techniques, breastfeeding on demand and breast milk. The results of this study show a picture of normal postpartum maternal knowledge about lactation management with good knowledge of 20 people (33.3%), enough that is 34 people (56.7%) and less than 6 people (10.0%).
Co-Authors Barni Dewie Sulistyorini Lia Aria Ratmawati Reni Sumanti