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Asuhan Kebidanan Pada Ibu Hamil Dengan Anemia Ringan sunarni, neli
2-TRIK: TUNAS-TUNAS RISET KESEHATAN Vol 14, No 4 (2024): Oktober-Desember 2024
Publisher : FORUM ILMIAH KESEHATAN

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Abstract

 Nationally, the cause of the highest maternal mortality rate (MMR) is bleeding. While anemia in pregnant women is the main cause of bleeding. Anemia in pregnant women is a risk condition that affects maternal mortality. The number of pregnant women in Ciamis Regency in 2021 is 20,051 with an anemia prevalence of 2,309 or 11.5% of the number of pregnancies. According to data from the TPMB Titin Kusumahningrum from January-March 2022 from 23 pregnant women, 30.4% of pregnancies with anemia. The effects of anemia include bleeding and infection in the mother, in infants it can cause IUGR, low birth weight and asphyxia. Meanwhile, the cause of anemia in pregnant women is a lack of iron, folic acid and other nutrients. The purpose of this study was to provide an overview of the midwifery care provided to 4 pregnant women with anemia. This research method uses a qualitative description method with a case study approach. This care is carried out on February 25 – March 17, 2022. Midwives have carried out midwifery care for pregnant women with mild anemia in accordance with their standards and authorities, starting from assessment, formulation of midwifery diagnoses, planning, implementation and evaluation.Keywords: Pregnant women; anemiaSecara nasional penyebab Angka Kematian Ibu (AKI) paling tinggi adalah perdarahan. Sementara anemia pada ibu hamil menjadi penyebab utama terjadinya perdarahan. Anemia pada ibu hamil adalah suatu keadaan risiko yang berpengaruh terhadap angka kematian ibu. Jumlah ibu hamil di Kabupaten Ciamis pada tahun 2021 sebanyak 20.051 dengan prevalensi anemia sebanyak 2.309 atau 11,5% dari jumlah kehamilan. Menurut data di TPMB Titin Kusumahningrum dari bulan Januari-Maret 2022 dari 23 ibu hamil, kehamilan dengan anemia sebanyak 30,4%. Dampak anemia diantaranya pada ibu terjadi perdarahan dan infeksi, pada bayi dapat menyebabkan IUGR, BBLR dan Asfiksia. Sementara itu, penyebab anemia pada ibu hamil adalah kekurangan zat besi, asam folat dan zat gizi lainnya. Tujuan penelitian ini adalah untuk memberikan gambaran asuhan kebidanan yang diberikan kepada 4 orang ibu hamil yang mengalami anemia. Metode penelitian ini menggunakan metode deskripsi kualitatif dengan pendekatan studi kasus. Asuhan ini dilaksanakan pada tanggal 25 Februari – 17 Maret 2022. Bidan telah melaksanakan asuhan kebidanan pada ibu hamil dengan anemia ringan sesuai dengan standar dan kewenangannya, mulai dari pengkajian, perumusan diagnosis kebidanan, perencanaan, implementasi dan evaluasi.Kata kunci: ibu hamil; anemia.
Case Study: Evaluation of Menstrual Cycle Changes and Anxiety in Mothers Who Are Family Planning Acceptors Using Injectable Contraceptives Roslianti, Elis; Fitri, Amelia; Sunarni, Neli; Srinayanti, Yanti
Jurnal Vocational Nursing Sciences (VNUS) Vol 7 No 1 (2025): JURNAL VNUS (Vocational Nursing Science)
Publisher : LPPM STIKes Muhammadiyah Ciamis

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52221/jvnus.v7i1.578

Abstract

Family planning is a health service that helps individuals and couples control fertility, prevent unplanned pregnancies, and determine the number and spacing of children. According to the World Health Organization (WHO), injectable contraceptives are the most widely used method globally, accounting for 35.3% of contraceptive users. Despite their effectiveness, injectable contraceptives are associated with side effects, including changes in the menstrual cycle, which can lead to anxiety among users. This case study aims to scientifically document nursing care for mothers using injectable contraceptives, focusing on the biological, psychological, social, and spiritual aspects. It emphasizes the importance of comprehensive nursing assessment, diagnosis, planning, intervention, evaluation, and documentation to support maternal and family health. The descriptive case study method was applied to explore changes in the menstrual cycle and anxiety in mothers using injectable contraceptives. Data collection involved interviews, physical examinations, observation, document review, demographic data, and quality of life questionnaires. Data validity was maintained using credibility, transferability, dependability, and confirmability criteria. Ethical considerations included informed consent, anonymity, and confidentiality. Data were analyzed systematically to identify key findings. Findings indicated that menstrual disturbances in mothers were linked to the hormonal effects of injectable contraceptives, specifically the impact of progesterone on the hypothalamic-pituitary axis, leading to suppression of ovulation and alteration of menstrual patterns. Nursing interventions contributed to a reduction in anxiety and improvement in menstrual regulation. Proper nursing care, guided by structured assessment and ongoing evaluation, can address anxiety and menstrual issues related to injectable contraceptive use. Continued documentation is essential for ensuring the effectiveness and continuity of care.
The Effect of Nutrition Education on the Knowledge of Pregnant Women in Preventing 1000 HPK Stunting in Kertasari Urban Village Anggraeni, Risma; Srinayanti, Yanti; Sukmawati, Ima; Roslianti, Elis; Sunarni, Neli; Litasari, Resna
Asy-Syifa : Journal of Science and Technology Nursing Vol. 3 No. 2 (2025): Asy-Syifa: Journal of Science and Technology Nursing
Publisher : LPPM STIKes Muhammadiyah Ciamis

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52221/asyjstn.v3i2.945

Abstract

Purpose:The purpose of this study was to determine the effect of nutrition education on pregnant women’s knowledge regarding stunting prevention during the first thousand days of life (HPK 1000). Methods: This study employed a quantitative approach with a pre-experimental design using a one-group pre-test and post-test model. The research subjects consisted of 11 pregnant women selected through random sampling from a total population of 28 pregnant women in Kertasari Village. Results: The results showed that after the implementation of nutrition education, all respondents (100%) were classified in the good category of nutritional knowledge. This finding indicates an improvement in pregnant women’s understanding of nutrition and its role in stunting prevention. Conclusions: The conclusion of this study demonstrates that nutrition education has a positive impact on pregnant women’s knowledge related to stunting prevention. Adequate nutritional knowledge during pregnancy is an important factor in supporting optimal fetal growth and development and plays a significant role in preventing stunting during the first thousand days of life.
The Effectiveness of Psychoeducation on Menstrual Disorders in Adolescent Girls: A Systematic Literature Review Sukmawati, Ima; Rahayu, Yuyun; Rosmiati, Rosmiati; Nur Fauziyah, Diny; Endang Purwati, Ayu; Solihah, Rosidah; Sunarni, Neli; Litasari, Resna
Nurul Ilmi : Journal of Health Sciences and Midwifery Vol. 3 No. 2 (2025): Nurul Ilmi: Journal of Health Sciences and Midwifery (September 2025)
Publisher : LPPM STIKes Muhammadiyah Ciamis

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52221/nuri.v3i2.924

Abstract

Introduction: Menstrual disorders such as dysmenorrhea and premenstrual syndrome (PMS) are common among adolescent girls and often cause physical discomfort and psychological distress that interfere with academic performance and daily functioning. Within the context of adolescent-centered health promotion, psychoeducation has been increasingly recognized as a non-pharmacological strategy to improve menstrual health and emotional well-being. Objective: This study aims to systematically review and synthesize evidence regarding the effectiveness of psychoeducational interventions in alleviating menstrual symptoms and improving psychological outcomes among adolescent girls. Specifically, it evaluates outcomes related to pain severity, premenstrual symptoms, emotional regulation, and illness perception. Method: A systematic search was conducted in PubMed, Google Scholar, ScienceDirect, Taylor & Francis, ProQuest, Wiley Online Library, JSTOR, SAGE Journals, and Springer Nature for randomized controlled trials (RCTs) published between 2015 and 2025. Eligible studies included adolescent girls aged 10–19 years who received psychoeducational interventions for menstrual disorders. The interventions varied in structure, duration, and theoretical basis, including models such as Leventhal’s Self-Regulation Model, Cognitive Behavioral Therapy (CBT), and psychodrama-based approaches. Study selection followed PRISMA 2020 guidelines.Methodological quality was appraised using the Critical Appraisal Skills Programme (CASP) checklist. Result: Five RCTs with a total of 395 participants met the inclusion criteria. The findings consistently demonstrated that psychoeducation significantly reduced menstrual pain severity and premenstrual symptoms while enhancing emotional regulation and illness perception. Most interventions were delivered in small-group formats across three to seven sessions, combining cognitive and behavioral components. Conclusion: Psychoeducation is an effective, feasible, and complementary intervention for managing menstrual disorders in adolescent girls. Integrating psychoeducational programs into school-based and primary healthcare settings can enhance adolescent reproductive health outcomes and promote holistic well-being through preventive and evidence-based approaches.
Pengenalan Sistem Pencernaan Anatomi Tubuh Manusia Pada Anak Prasekolah TK MGI Ciamis Sandriani, Sandriani; Asmarani, Sri Utami; Dewi, Sri Wulan Ratna; Purwati, Ayu Endang; Nurherlyany, Metty; Sunarni, Neli; Litasari, Resna
Daarul Ilmi: Jurnal Pengabdian Kepada Masyarakat Vol. 3 No. 2 (2025): Daarul Ilmi: Jurnal Pengabdian Kepada Masyarakat (Juli-Desember 2025)
Publisher : LPPM STIKes Muhammadiyah Ciamis

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52221/daipkm.v3i2.974

Abstract

Introduction: Young children have extraordinary learning abilities, especially in early childhood. The function of stimulus for early childhood is to provide various efforts for children's basic knowledge. The digestive system is one of the vital organ systems that processes food into substances useful for children's growth, energy, and health, so a basic understanding of this system is relevant to introduce from an early age. Through creative, interactive, and fun educational strategies supported by innovative learning media and age-appropriate scientific approaches, it is hoped that children can build a better understanding of the human digestive system and sustainable healthy living behaviors. Objective: The objectives of this community service program are to improve children's basic knowledge of anatomy and the digestive system, encourage children's interest in learning and curiosity about science, develop basic health awareness in children from an early age, and provide support and resources to teachers in teaching science creatively. Method: The methods used in implementing this activity were lectures, discussions, question and answer sessions, and demonstrations with 168 participants aged 5-6 years old on average. Result: The implementation of the activity showed that preschool children at MGI Ciamis Kindergarten responded very positively to the material introducing the anatomy of the body and the digestive system. After being educated through play-based learning methods, demonstrations using anatomical models, visual media, and picture stories, there was a gradual increase in the children's understanding. Conclusion: The community service program has been successfully implemented and has made a positive contribution to improving early childhood understanding of the human body and the digestive system. In addition to benefiting children, this community service program has also benefited teachers and the school environment, particularly in enriching basic health and science teaching methods and media at the preschool level.
Android-Based Childcare Booklet as an Educational Medium to Improve Mothers’ Knowledge and Attitudes Litasari, Resna; Sunarni, Neli; Fauzi, Aulia Ridla; Sandriani
JURNAL KESEHATAN STIKes MUHAMMADIYAH CIAMIS Vol. 12 No. 2 (2025): Jurnal Kesehatan (Oktober 2025)
Publisher : LPPM STIKes Muhammadiyah Ciamis

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52221/jurkes.v12i2.972

Abstract

The knowledge and attitudes of mothers as primary caregivers are key factors in implementing optimal parenting patterns. The use of technology-based educational media, such as Android-based booklets, is one innovation in maternal and child health education. This study aims to determine the effect of education using Android-based parenting booklets on improving the knowledge and attitudes of mothers of toddlers. This study is a quantitative study with a pre-experimental one-group pretest-posttest design. The study sample consisted of 60 mothers who had children aged 37–60 months at the Lembah Medina Health Centre in Ciamis Regency and were selected using total sampling technique. The research instruments were questionnaires on mothers' knowledge and attitudes. Data analysis was performed using the Friedman test. The results showed an increase in mothers' knowledge from the adequate category (65.0%) to the good category (90.0%) and a change in attitude from poor (60.0%) to positive (93.3%) after the intervention. The Friedman test showed a significant difference before and after the intervention (p < 0.05). It was concluded that the Android-based child care booklet was effective as an educational medium for improving the knowledge and attitudes of mothers of toddlers.