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The relationship between perceived self-efficacy and cervical cancer screening among health care providers Juwita, Linda; Perwiraningtyas, Pertiwi; Prabasari, Ninda Ayu
Pediomaternal Nursing Journal Vol. 9 No. 2 (2023): VOLUME 9 NO 2 SEPTEMBER 2023
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/pmnj.v9i2.36669

Abstract

Introduction: Cervical cancer ranks second worldwide as a disease that causes death in women. Healthcare providers have low cervical cancer screening behavior with the Pap smear method. This study aimed to analyze the relationship between perceptions of self-efficacy and the behavior of cervical cancer screening using the Pap Smear method for health care providers.Methods: This descriptive observational study, namely case cross-sectional design, was applied in this study. The population in this study were all female healthcare providers at the Gotong Royong Hospital in Surabaya. The sampling method is purposive sampling. The sample in this study was 51 respondents who met the inclusion criteria. The independent variable in this study is perceived self-efficacy, using a questionnaire. The dependent variable is the screening behavior of the pap smear method using the questionnaire. Results: The results of the analysis test were 0.866 > 0.05, which means there is no relationship between perceived self-efficacy on cervical pap smear cancer screening behavior. Spearman Rank test p> 0.05, which means there is no relationship between perceptions of self-efficacy and healthcare providers' screening behavior for cervical smears. Conclusion: There is no relationship between self-efficacy on the behavior of cervical cancer screening using the Pap smear method. Individual intrinsic and extrinsic factors are things that influence screening behavior. So, it is necessary to do other research on the factors influencing screening behavior, both intrinsic (demographics, health beliefs, emotional, and contextual) and extrinsic (husband support, peer support and education). Keywords: cervical cancer; medical personnel; pap smear; paramedics
PENYULUHAN KESEHATAN: GANGGUAN MENSTRUASI PADA REMAJA Perwiraningtyas, Pertiwi; Juwita, Linda
Jurnal LENTERA Vol. 5 No. 1 (2025): Jurnal LENTERA
Publisher : Stikes Yarsi Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Physiologically, adolescent girls experience menstruation every month, but sometimes menstruation is accompanied by disorders. Menstrual disorders can occur in three forms, namely pain (dysmenorrhea) before and during menstruation, menstrual cycles that are too long (oligomenorrhea) or too short (polymenorrhea), and/or excessive bleeding (hypermenorrhea) or too little bleeding (hypomenorrhea). These menstrual disorders can interfere with the quality of life and health of adolescent girls. The purpose of this community service activity is as an effort to reduce morbidity due to menstrual disorders and improve the health and quality of life of adolescent girls. The method used is health education and the provision of leaflets on menstrual disorders which are delivered in one meeting and continued with a discussion. This activity went well and was attended by approximately 40 nursing students. During the discussion process, the participants of the education seemed very enthusiastic, as shown by several questions submitted to the education worker both during the first and last discussion sessions. Educational institutions are expected to be able to organize routine health education activities for adolescent girls from an early age regarding menstrual disorders, as an effort to improve their health and quality of life
Health Belief Model Towards the Utilization of Acetic Acid Visual Inspection Method as an Early Detection Program for Cervical Cancer Juwita, Linda; Perwiraningtyas, Pertiwi
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 13, No 1 (2025): EDITION MARCH 2025
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v13i1.6331

Abstract

Cervical cancer is a disease with high morbidity and mortality rates and ranks 4th highest in the world. Most people are not yet aware of the importance of early detection of cervical cancer, one of which is by visual inspection of acetic acid. The Health Belief Model Theory is needed to make people aware of the importance of Visual Inspection of Acetic Acid. The purpose of this study was to analyze the relationship between the health belief model and early detection of cervical cancer using the visual inspection method of acetic acid. The research design used was a cross-sectional design with a population of all integrated service post cadres in the Jagir Surabaya Health Center working area totaling 84 people. The sampling technique was purposive sampling. The sample consisted of 70 people with the criteria of being married and/or having had sexual intercourse. The instruments used were the Health Belief Model questionnaire and the Visual Inspection of Acetic Acid questionnaire. The analysis test used the Chi-square test, and the Fisher’s exact test as an alternative test, which obtained a p value of 0.714 for susceptibility, 1.000 for seriousness and severity, 0.767 for benefits and 1.000 for obstacles. The results of the study showed no significant relationship between vulnerability, seriousness and severity, benefits and barriers to the use of early detection of the IVA method. So that multivariate testing cannot be carried out. The follow-up plan for further research is to provide interventions for women of childbearing age in order to improve health behavior in early detection of cervical cancer with routine Acetic Acid Inspection examinations.
Dysmenorrhea Exercise Affected The Level of Primary Menstrual Pain of Adolescents Trishinta, Sirli Mardianna; Perwiraningtyas, Pertiwi; Susmini; Pige, Arnelia
Journal of Community Service for Health Vol. 4 No. 1 (2023)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jcsh.v4i1.1132

Abstract

Primary menstrual pain can affect productivity and so it needs to reduce the pain. The purpose of this study was to determine the effect of dysmenorrhea exercise on the level of primary menstrual pain of teenager at the Akhlaqul Karimah Orphanage, Malang City. The design of this study used One-Group Pre-Post Test Design. The population of this study was all teenager at the Akhlaqul Karimah Orphanage, Malang City amounted to 17 people. The sample was all teenager at the Akhlaqul Karimah Orphanage Malang City experienced primary menstrual pain and adjusted to the inclusion criteria with a total of 14 people with purposive sampling technique. The data collection technique used an instrument in the form of a menstrual pain level questionnaire using a numeric rating scale (NRS) (pretest and post-test). Analysis of the data used Marginal Homogeneity. The results showed that the average level of dysmenorrhea pain before the implementation of dysmenorrhea exercise showed that almost half 7 respondents (37.5%) had moderate pain levels, 12 respondents (75.0%) had mild pain level. The results of the analysis of the Marginal Homogeneity test showed that p value = (0.000) < (0.05) so that H1 was accepted, meaning that there was an effect of dysmenorrhea exercise and drinking water on the level of primary menstrual pain of teenager at the Akhlaqul Karimah Orphanage City. Health workers are expected to be able to provide health information about prevention and management of dysmenorrheal pain with dysmenorrhea exercise as a non-pharmacological method.
Hubungan Jenis Metode Kontrasepsi dengan Kehamilan Tidak Diinginkan (KTD) pada Pasangan Usia Subur (PUS) (Correlation between Contraceptive Method and Unwanted Pregnancy in Fertile Age Couple) Perwiraningtyas, Pertiwi; Prasetiyo, Nugroho Aji
JURNAL NERS LENTERA Vol. 4 No. 1 (2016)
Publisher : Fakultas Keperawatan, Universitas Katolik Widya Mandala Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/ners.v4i1.866

Abstract

Pendahuluan: Program KB di Indonesia masih belum mencapai target yang diinginkan. Penggunaan metode kontrasepsi yang kurang tepat dapat meningkatkan AKI. Salah satu faktor penyebabnya adalah PUS yang mengalami KTD. Wanita yang mengalami KTD memiliki resiko tinggi jika tetap mempertahankan maupun mengakhiri kehamilannya. Metode: Studi analitik observasional menggunakan case control design dengan pendekatan retrospective. Diperoleh 30 sampel Ibu hamil di Puskesmas Dinoyo Malang pada bulan Mei tahun 2016 dengan teknik purposive sampling. Kriteria inklusi adalah PUS yang pernah menggunakan alat kontrasepsi, usia 15-49 tahun. Menggunakan instrument kuesioner dan kohort dari Puskesmas Dinoyo Malang. Hasil: Uji statistik dengan Odds Ratio didapatkan hasil bahwa terdapat hubungan antara jenis metode kontrasepsi terhadap KTD pada PUS dengan nilai signifikansi sebesar 0.016
CULTURAL PRACTICES OF FEMALE CIRCUMCISION Anis, Anisa; Perwiraningtyas, Pertiwi; Trishinta, Sirli Mardianna
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 10, No 2 (2022): EDITION JULY 2022
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v10i2.3459

Abstract

The cultural practice of female circumcision in Kalimantan, is not only based on local traditions and culture, but is also a must for the Muslim community. The circumcision is believed to be a worship that must be carried out, although religious guidance regarding female circumcision is still a matter of debate. The purpose of the study was to find out how the cultural practice of female circumcision.  This study used a descriptive qualitative design. The research was carried out in Kalimantan. The participants are parents, traditional healers, and health workers. The sampling technique was purposive with the inclusion criteria of living in the research area for at least 10 years and having seen firsthand the practice of circumcision against women. The collected data is then analyzed using the concepts proposed by Miles and Huberman. Most of the participants really respect the existence of female circumcision on the basis of religion or because of the words of parents who say that the girl must be circumcised. Most of the participants said they were not aware of the controversy about female circumcision, even heard that was prohibited. They believe that circumcision is mandatory and do not know that if it is done carelessly, it will be fatal. The cultural practice of female circumcision is still carried out from generation to generation because it is believed to be able to cleanse one's body from all dirt or najis.
Asuhan Keperawatan Nyeri Kronis Pada Pasien Lanjut Usia Hiperkolesterolemia Dengan Terapi Jus Jambu Biji Merah Ulinnuha, Lu’lu’ Luthfiatun; Cahyaningrum, Ika; Perwiraningtyas, Pertiwi
Nursing News : Jurnal Ilmiah Keperawatan Vol 8, No 2 (2024)
Publisher : Tribhuwana Tunggadewi University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/nn.v8i2.2938

Abstract

Hiperkolesterolemia merupakan peningkatan kandungan kolesterol dalam darah dan seringkali dialami lanjut usia. Hiperkolesterolemia menjadi faktor resiko terjadinya hipertensi, jantung dan penyakit berbahaya lainnya. Masalah keperawatan yang muncul pada pasien lanjut usia hiperkolesterolemia adalah nyeri kronis. Tujuan penelitian adalah menganalisis hasil pengkajian, menegakkan diagnosis keperawatan, melaksanakan intervensi dan implementasi keperawatan pada pasien dengan pemberian jus jambu biji merah, serta menganalisis hasil evaluasi kepada ketiga pasien lanjut usia dengan hiperkolesterol di RA – AL Griya Asih Lawang. Desain penelitian studi kasus dengan asuhan keperawatan. Subjek penelitian ini adalah 3 pasien lanjut usia hiperkolesterolemia dengan masalah keperawatan nyeri kronis. Instrumen penelitian ini yaitu format pengkajian lanjut usia, alat pemeriksaan fisik, dan alat bahan untuk membuat jus jambu biji merah. Setelah dilakukan asuhan keperawatan pada 3 pasien selama tiga hari  dengan memberikan terapi komplementer jus jambu biji merah sebanyak 150 gram dengan 100 ml air, sebanyak 2 kali 1 gelas per hari, didapatkan hasil nyeri kronis pada ketiga pasien teratasi sebagian. Jus jambu biji merah dapat menurunkan nyeri pasien dan menurunkan kadar kolesterol total dibuktikan adanya penurunan kolesterol total pada ketiga pasien, dengan rata-rata penurunan kolesterol sebesar 58,7 mg/dL
Pemberian Topikal ASI Terhadap Resiko Infeksi Tali Pusat Neonatus: Studi Kasus Perwiraningtyas, Pertiwi; Cahyaningrum, Ika; Leton, Elisabet Masan
Nursing News : Jurnal Ilmiah Keperawatan Vol 8, No 3 (2024)
Publisher : Tribhuwana Tunggadewi University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/nn.v8i3.3193

Abstract

Inflammation of the umbilical cord is one of the triggers of morbidity and mortality in newborns worldwide. Various preventive and curative efforts are made to reduce this incident. This case study aims to improve the provision of nursing care for newborns with infection risk problems. A case study design was used in this study. The research subjects were selected using the accidental sampling method. The study was conducted on three neonates aged 7 days with the condition that the umbilical cord had not yet come off in the postpartum room of Dr. R. Soedarsono Pasuruan Hospital on February 23-28, 2022. The focus of the problem was the risk of infection. The intervention carried out on the umbilical cord using breast milk. The results of the study showed that the umbilical cords of all babies were wet on the first day. The application was by applying the base of the umbilical cord with a cotton bud that had been given 1-2 drops of breast milk, done 2 times in the morning and evening after bathing. After two days of treatment, the nursing problem of infection risk was resolved. This was indicated by the umbilical cord which tended to be dry and there were no signs of inflammation such as: no redness, odor, pus, edema, and tenderness. The results of this case study serve as a guideline for providing nursing care for newborns, especially those at risk of experiencing inflammation of the umbilical cord. Peradangan yang terjadi pada tali pusat menjadi salah satu pencetus morbiditas dan mortalitas bayi baru lahir di seluruh dunia. Berbagai upaya preventif maupun kuratif dilakukan untuk menekan kejadian tersebut.  Studi kasus ini bertujuan sebagai upaya peningkatan pemberian asuhan keperawatan pada bayi baru lahir dengan masalah resiko infeksi.  Desain studi kasus digunakan dalam penelitian ini. Subjek penelitian dilakukan dengan metode accidental sampling. Penelitian dilakukan terhadap tiga neonatus usia 7 hari dengan kondisi tali pusat belum terlepas di di ruang nifas RSUD dr. R. Soedarsono Pasuruan tanggal 23-28 Februari 2022. Fokus permasalahan adalah resiko infeksi. Intervensi yang dilakukan pada tali pusat dengan menggunakan ASI. Hasil penelitian menunjukkan tali pusat seluruh bayi dalam keadaan basah pada hari pertama. Penerapannya dengan mengoleskan pangkal tali pusat dengan cotton bud yang sudah diberi tetesan ASI sebanyak 1-2 tetes, dilakukan 2 kali pagi dan sore setelah mandi. Setelah perawatan selama dua hari, masalah keperawatan resiko infeksi teratasi. Hal ini ditandai dengan tali pusat yang cenderung kering dan tidak ada tanda-tanda peradangan seperti: tidak ada kemerahan, berbau, pus edema dan nyeri tekan. Hasil studi kasus ini, menjadi salah satu pedoman dalam pemberian asuhan keperawatan bayi baru lahir khususnya yang beresiko mengalami peradangan pada tali pusat
Low Salt Diet Counseling as an Effort to Increase Knowledge of Hypertension Patients Sutriningsih, Ani; Perwiraningtyas, Pertiwi; Metrikayanto, Wahyu Dini
Journal of Community Service for Health Vol. 2 No. 2 (2021)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jcsh.v2i2.ART.p034-037

Abstract

The prevalence of hypertension has increased throughout the year. Hypertension spreads widely because of the lack of knowledge and a healthy lifestyle. People's lifestyle which is more practical has an impact on the implementation of inappropriate hypertension diets and triggers various diseases. Based on this phenomenon, it is necessary to increase public knowledge about hypertension diets. The purpose of this activity was to provide counseling about a low-salt diet as an effort to increase knowledge of hypertension patients. The method was done by giving counseling about low salt diet through lectures to 30 hypertension patients who were routinely monitored at the Panti Rahayu Clinic. The pre test showed that almost all of the hypertension patients (80%) were in the poor category of knowledge. The post test showed that after being given counseling the knowledge of hypertension patients increased almost half (46%) were in the good category. Knowledge of hypertension patients increased after getting information through counseling activities about a low salt diet. Suggestions for clinics are expected to hold regular and periodic health education or promotion programs to provide information so as to increase the knowledge of hypertension patients
Non-Pharmacological Management of Pruritus in Chronic Kidney Disease Patients at Panti Waluya Sawahan Hospital Perwiraningtyas, Pertiwi; Sutriningsih, Ani; Metrikayanto, Wahyu Dini
Journal of Community Service for Health Vol. 2 No. 2 (2021)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jcsh.v2i2.ART.p038-041

Abstract

Patients of chronic kidney disease require long-term hemodialysis therapy. However, this therapy has various complications, one of which is pruritus. Pruritus can interfere with individual activities, cause sleep disturbances, lesions and hyperpigmentation on the skin, to impact the patient's quality of life. So that non-pharmacological management is needed to treat pruritus. The design was cross sectional. The population in this community service was chronic kidney failure patients undergoing hemodialysis therapy in the hemodialysis room. The sample was patients who experience pruritus and undergo hemodialysis therapy at least 1x / week as many as 45 people. The variables were health education related to non-pharmacological management and pruritus. The instruments used leaflets and counseling program units for health education, while for pruritus used the Numeric Rating Scale. The average patient experienced pruritus on a scale of 5, which was a moderate category where itching was felt by frequent scratching. After health education, patients understand how to deal with pruritus with non-pharmacological methods so that the patient's quality of life becomes better