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PENGARUH KARAKTERISTIK AKSEPTOR KB TERHADAP KETIDAKIKUTSERTAAN PEMILIHAN ALAT KONTRASEPSI IMPLAN DI WILAYAH KERJA PUSKESMAS WONOKROMO bambang suryadi, dwina suprobo; Andarwulan, Setiana; Latifah, Anik
MEJORA Medical Journal Awatara Vol 2 No 1 (2024): JANUARY
Publisher : Awatara Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61434/mejora.v2i1.68

Abstract

Di wilayah Wonokromo jumlah peserta KB aktif yakni, 4.099 akseptor KB. Terdiri dari IUD 754 akseptor, MOW/MOP 768 akseptor, implan 145 akseptor, suntik 1.220 akseptor, pil 29 akseptor, kondom 913 akseptor. Tujuan penelitian ini untuk menganalisis pengaruh karakteristik akseptor KB terhadap ketidakikutsertaan pemilihan alat kontrasepsi Implan di Wilayah Kerja Puskesmas Wonokromo. Desain penelitian observasional analitik dengan pendekatan cross sectional. Jumlah sampel 59 responden menggunakan teknik purposive sampling. Pengambilan data menggunakan kuesioner dengan uji Chi Square Test, Rank Spearman dan Regresi Linear.. Hasil penelitian menunjukkan sebagian besar responden yang tidak memilih KB Implan yaitu sebanyak 68,97% berusia 30-35 tahun. Multipara sebagian besar tidak memilih KB Implan yaitu sebanyak 58,82%. Responden yang tidak memilih Implan sebagian besar berpendidikan SMA yaitu 68,75%. Responden yang tidak memilih KB Implan sebagian besar memiliki pekerjaan sebagai IRT yaitu sebanyak 63,64%. Hasil analisis menunjukkan bahwa adanya pengaruh karakteristik terhadap ketidakikutsertaan pemilihan alat kontrasepsi implan. Analisis multivariat menunjukkan bahwa karakteristik yang paling berpengaruh terhadap ketidakikutsertaan KB Implan jatuh pada paritas dengan nilai R-Square 1000. Diharapkan bagi tenaga kesehatan untuk memberikan informasi mengenai kesehatan guna meningkatkan pengetahuan terhadap pasangan suami istri yang ingin mengguakan alat kontrasepsi melalui sosialisasi program KB dan pemberian paket edukasi tentang KB terutama Implan
Efektivitas Pelvic Tilt dan Esensial Minyak Mawar Terhadap Nyeri Punggung Bawah Ibu Hamil Trimester III Neneng Sri Sulistiya Wati; Setiana Andarwulan; Tetty Rihardini; Yuni Khoirul Waroh
Jurnal Ilmu Kebidanan Vol 14 No 2 (2025): Al-Insyirah Midwifery: Jurnal Ilmu Kebidanan (Journal of Midwifery Sciences)
Publisher : Institut Kesehatan dan Teknologi Al Insyirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35328/kebidanan.v14i2.3000

Abstract

Nyeri punggung bawah merupakan salah satu keluhan umum yang dialami oleh ibu hamil trimester III. Teknik pelvic tilt dan pemberian minyak esensial mawar dinilai sebagai intervensi alternatif yang aman dan efektif dalam mengurangi intensitas nyeri. Penelitian ini bertujuan untuk membuktikan efektivitas kombinasi  teknik pelvic tilt dan esensial minyak mawar terhadap penurunan nyeri punggung bawah pada ibu hamil trimester III. Penelitian desain quasi eksperimen dengan pendekatan two group pre-test post-test non-equivalent control group terdiri dari, 30 responden ibu hamil trimester III dengan keluhan nyeri punggung bawah, terbagi menjadi dua kelompok. Kelompok intervensi 15 dan kelompok kontrol 15. Kelompok Intervensi mendapatkan latihan pelvic tilt selama tiga kali per minggu dengan durasi 3-5 menit/sesi dan aplikasi minyak mawar dua kali sehari selama 1 bulan. Kelompok kontrol hanya diberikan edukasi. Tingkat nyeri diukur menggunakan Numeric Rating Scale (NRS) sebelum dan sesudah intervensi. Hasil analisis menunjukkan terdapat penurunan signifikan pada tingkat nyeri punggung bawah di kelompok intervensi dibandingkan dengan kelompok kontrol (p<0,05). Kombinasi teknik pelvic tilt dan minyak mawar mampu meningkatkan fleksibilitas otot punggung, memperbaiki postur tubuh, serta memberikan efek relaksasi dan analgesik alami melalui kandungan aktif minyak mawar seperti geraniol, citronellol, dan flavonoid. Simpulan penelitian ini menyatakan bahwa kombinasi teknik pelvic tilt dan minyak mawar efektif, aman, dan mudah diterapkan sebagai intervensi komplementer dalam menurunkan nyeri punggung bawah pada ibu hamil trimester III. Diharapkan tenaga kesehatan dapat mengedukasi ibu hamil untuk melakukan pelvic tilt dan menggunakan minyak mawar sebagai asuhan komplementer dalam mengurangi nyeri punggung bawah pada ibu hamil trimester III.
Pengaruh Gymball dan Herbal Compress Terhadap Penurunan Kepala Dan Intensitas Nyeri Kala 1 Persalinan Fase Aktif Setiana Andarwulan; Annah Hubaedah; Miftahul Hakiki
PROFESSIONAL HEALTH JOURNAL Vol. 4 No. 1 (2022)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat (PPPM) STIKES Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/phj.v4i1.380

Abstract

Childbirth in a woman begins when the uterus contracts with an increasingly frequent intensity. Labor that occurs in women who will give birth causes changes in the cervical area and affects the discharge of blood and mucus. Gymball is physical therapy or simple exercises using a ball. This exercise is applied to mothers who are pregnant, giving birth and postpartum. The ball used during labor in the active phase 1 has a big role in advancing labor, lowering the head or lowest fetal position, and reducing pain. The method used is a quantitative study, using a one group approach research design with a posttest only control design. In this design one group performs an assessment before and after being given treatment for a certain period of time. The population of mothers who gave birth was 40 respondents, with a sample of 34 respondents. With the sampling technique that is simple random sampling. Furthermore, prerequisite tests were carried out in the form of data normality tests and data linearity tests. If the prerequisite test is met, it can be continued with the T test. The results of the study obtained a pre-test normality test of 0.244 and a post-test of 0.200. The significance value is greater than 0.05 so that the data is normally distributed. The linearity test shows that the calculated value is greater than 0.05, namely p = 0.429. So that the prerequisite test is fulfilled. For the value of the T. test results of 0.000, p value <0.05, so there is an effect of gymball and herbal compresses on pain intensity. It is hoped that midwives and other health workers can apply non-pharmacological treatments, namely gymballs and herbal compresses to provide comfort to mothers who are giving birth.
Hubungan Pengetahuan Orang Tua Tentang Tumbuh Kembang Dengan Perkembangan Anak Usia 4 – 6 Tahun Di Desa Sumberjati Kabupaten Banyuwangi Miftahul Hakiki; Setiana Andarwulan
PROFESSIONAL HEALTH JOURNAL Vol. 5 No. 1sp (2023): Special Issue Outcome PDP
Publisher : Pusat Penelitian dan Pengabdian Masyarakat (PPPM) STIKES Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/phj.v5i1sp.451

Abstract

Abstract Knowledge is something that comes from the five senses and experience by reason that arises spontaneously. As for its nature consists of 3 things, namely, spontaneous, subjective and intuitive. Thus knowledge is also true/honest because it is in accordance with the existing reality. Growth and development is a dynamic process throughout human life. So that development monitoring needs to be done early on so that you can immediately recognize disorders in the development of movement, speech and language abilities as well as socialization and independence in children that take place optimally according to their age. Like children aged 4-6 years who are able to run and jump, jump with big steps, swing, climb, and even somersault. This is a correlation analytic study with a Cross Sectional approach and Simple Random Sampling technique. The research sample consisted of 70 kindergarten children aged 4-6 years and their mothers using questionnaires and KPSP. Furthermore, scoring, tabulating and statistical analysis were carried out. The results showed that 65% of mothers had good knowledge and 65% of Kindergarten children aged 4-6 years had developments appropriate to their age. Spearman rank statistical results 0.000 <0.005 level Sig. (2-Tailed) which means that there is a significant relationship between mother's knowledge about growth and development and the development of kindergarten children aged 4-6 years in Curahjati Village, Banyuwangi Regency in 2023. Good mother's knowledge about child growth and development will be able to monitor the development of her child. It is recommended to provide education to mothers about children's growth and development according to their age so that children's development is more controlled Keywords: Knowledge, growth and development Abstrak Pengetahuan merupakan suatu hal yang berasal dari panca indra dan pengalaman oleh akal yang timbul secara spontan. Sedangkan untuk sifatnya terdiri dari 3 hal yaitu, spontan, subjektif dan intuitif. Dengan demikian pengetahuan juga bersifat benar / jujur karena sesuai dengan realitas yang ada. Tumbuh kembang yaitu suatu proses yang dinamik sepanjang kehidupan manusia. Sehingga pemantauan perkembangan perlu dilakukan sejak dini agar dapat segera mengenali gangguan perkembangan kemampuan gerak, bicara dan bahasa serta sosialisasi dan kemandirian pada anak yang berlangsung secara optimal sesuai dengan umur mereka. Seperti anak usia 4 – 6 tahun yang mampu untuk berlari dan melompat, melompat dengan langkah besar, mengayun, memanjat, dan bahkan jungkir balik. Ini adalah penelitian analitik korelasi dengan pendekatan Cross Sectional dan tekhnik Simple Random Sampling. Sampel penelitian sebanyak 70 responden anak TK usia 4 – 6 Tahun beserta ibunya menggunakan lembar kuisioner dan KPSP. Selanjutnya dilakukan scoring, tabulating dan analisis statistik. Hasil penelitian menunjukkan 65% ibu memiliki pengetahuan baik dan 65% anak TK usia 4 – 6 Tahun yang memiliki perkembangan yang sesuai dengan usianya. Hasil statistic rank spearman 0,000 < 0,005 level Sig. (2-Tailed) yang artinya ada hubungan yang signifikan antara pengetahuan ibu tentang tumbuh kembang dengan perkembangan anak TK usia 4-6 tahun di Desa Curahjati Kabupaten Banyuwangi Tahun 2023. Pengetahuan ibu yang baik tentang tumbuh kembang anak maka akan dapat memantau perkembangan anaknya. Disarankan dapat memberikan edukasi kepada ibu tentang tumbuh kembang anak sesuai dengan usianya sehingga perkembangan anak lebih terkontrol. Kata kunci : Pengetahuan, tumbuh kembang dan perkembangan
Pemanfaatan “SAKESI” Sari Kedelai Melancarkan Produksi ASI Ningrum, Nyna Puspita; Nuraini, Indria; Hubaedah, Annah; Andarwulan, Setiana
Jurnal Pengabdian kepada Masyarakat Wahana Usada Vol. 6 No. 2 (2024): Desember: Jurnal Pengabdian kepada Masyarakat Wahana Usada
Publisher : Sekolah Tinggi Ilmu Kesehatan KESDAM IX/Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47859/wuj.v6i2.531

Abstract

Background: WHO and UNICEF recommend that newborns receive exclusive breastfeeding for 6 months in early life until the age of two years. The low level of exclusive breastfeeding in the community is caused by various challenges such as the assumption that the supply of breast milk is insufficient and the lack of knowledge about natural methods to increase breast milk production. Community service is carried out in RW II, Siwalankerto, Surabaya. Method: Using a natural approach, educational workshops and direct training in preparing soy milk, aimed at mothers, pregnant women, and posyandu cadres. This program focuses on the use of soy-based products, especially "SAKESI" (Soy Milk), as a natural method to increase lactation. Pre- and post-intervention surveys were conducted to assess changes in knowledge and behavior regarding exclusive breastfeeding and the use of soy products. The study findings showed significant improvements in both knowledge and practical application of these methods, indicating the effectiveness of the program in promoting breastfeeding practices. Conclusion: The project highlights the potential of an affordable local resource such as soybeans to address public health challenges related to maternal and child nutrition and also the importance of ongoing community education and support to sustain these improvements.
Provision Of Additional Food As An Effort To Handling Stunting In Children In Siwalankerto District Surabaya Hubaedah, Annah; Andarwulan, Setiana
Basic and Applied Nursing Research Journal Vol 1 No 2 (2020): Basic and Applied Nursing Research Journal (BANRJ)
Publisher : Future Science

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (278.148 KB) | DOI: 10.11594/banrj.01.02.01

Abstract

Stunting (dwarf) is a condition where toddlers have a length or height that is less than age. This condition is measured by size or size which is more than minus two median, standard deviations of the child growth standard of the WHO. Stunting toddlers include chronic nutrition problems caused by many factors such as socio-economic conditions, maternal nutrition during pregnancy, pain in infants, and lack of nutritional intake in infants. The type of research use is pre – experimental with one group design pretest posttest design where the design is no control group. The population of this studi were children who ages under 59 month. Technique samping uses probability sampling with purposive sampling method. Weight measurements were carried out before and after the supplementary food intervention, during the supplementary food intervention and keeping in mind the energy and protein consumption of food other than the supplementary food. he results showed that changes in weight status of children under five according to age indicated that there was a change in weight status of children, namely 2 children became malnourished and 13 others were still in the category of acute malnutrition. The results showed that there were differences in the Weight for Age (WAZ) index status before and after complementary foods.
The Effect of the Emotional Demonstration Method of Mealing Schedule on the Knowledge of Mothers to Children in Posyandu V Mulyorejo Surabaya Nurvitriana, Nidya Comdeca; Andarwulan, Setiana
Basic and Applied Nursing Research Journal Vol 2 No 1 (2021): Basic and Applied Nursing Research Journal (BANRJ)
Publisher : Future Science

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (211.034 KB) | DOI: 10.11594/banrj.02.01.04

Abstract

Background of research on mother's knowledge of toddlers in providing feeding schedules, especially snacks. Giving snacks that are not right on schedule will have an influence on the growth and development of infants. Through the Emotional Demontration method, eating schedule for snacking can be controlled. Emotional Demonstration is the provision of education not only through lectures but also through games so that the key messages conveyed can be remembered by mothers of toddlers in Posyandu V Mulyorejo Surabaya. The Emo Demo method is one solution to reduce the stunting rate. In 2017 the stunting rate in Indonesia reached 22.2%. Based on the results of the survey conducted through interviews with nutritionists, it was explained that there were 16 stunting toddlers in Posyandu V Surabaya. Quantitative Research Methodology, a quasi-experimental research design method with one group pretest posttest approach. The population in this study were all mothers of children under five in Posyandu V Mulyorejo Surabaya as many as 36 people, samples as many as 36 mothers of toddlers. With a total sampling technique. Analyze data with Paired T-test. The results showed the mean value of the pre test was 6.06, the mean value after the post test reached 8.16. While the significance value of p value = 0,000 with α = 0.05 through the Paired T-test. The conclusion is that there are differences in the knowledge of pre and post test among mothers of children under five in Posyandu V Mulyorejo Surabaya, p value = 0,000 with α = 0.05. Suggestions for health workers to continue to make improvements in practicing emotional demonstration to participants because it is very useful in increasing knowledge to prevent increased stunting rates.
Literature review: The Effect of Using Non-Herbal Panty Liners on Abnormal Vaginal Discharge in Adolescent Girls Sofiyah, Shohebatuz; Andarwulan, Setiana
Basic and Applied Nursing Research Journal Vol 2 No 2 (2021): Basic and Applied Nursing Research Journal (BANRJ)
Publisher : Future Science

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (216.263 KB) | DOI: 10.11594/banrj.02.02.05

Abstract

Teenagers are very vulnerable to experiencing problems such as vaginal discharge and because of that teenage girls often wear panty liners outside of their menstrual period. Improper use of panty liners will make vaginal discharge abnormal. Therefore, this literature review aims to find out how to use non-herbal panty liners so that they can cause abnormal vaginal discharge. This research usesliterature review with data sources from the PubMed, Research Gate, and Google Scholar databases with a range of 2018-2021. The results of this literature review contained 4 journals which stated that the effect of using panty liners could cause vaginal discharge but under normal conditions and 4 journals also stated that abnormal vaginal discharge was caused by panty liners. It can be concluded that abnormal vaginal discharge is caused by a different way of using panty liners and the lack of information about using panty liners properly.
The Effectiveness of Lemongrass (Cymbopogon Nardus) Aromatherapy on the Level of Labor Pain in the Active Phase 1 Andarwulan, Setiana; Waroh, Yuni Khoirul; Hubaedah, Annah
Basic and Applied Nursing Research Journal Vol 4 No 1 (2023): Basic and Applied Nursing Research Journal (BANRJ)
Publisher : Future Science

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/banrj.04.01.05

Abstract

Background: Labour pain causes hyperventilation, increasing the need for oxygen and blood pressure and reducing intestinal motility and urinary bladder. These conditions will interfere with uterine contractions, which can cause uterine inertia, prolonged labour, inadequate baby oxygenation that results in foetal distress, and maternal and/or foetal death. if labour pain is not treated. Aromatherapy is a therapeutic action that uses essential oils. which is beneficial in improving one's physical and psychological condition to be better. Each essential oil has unique pharmacological effects, such as antibacterial, antiviral, sedative, and stimulates the adrenals. Methods The type of research used in this research is quantitative with a quasi-experimental research design. The research design used was a two-group prepost-test design, a research activity that gave an initial test (pretest) before treatment, after treatment, and then a final test (post-test). The population in this study were all 29 primigravida mothers. The sample was 21 mothers with primigravida. The independent variable in this study was lemongrass aromatherapy, which was measured using standard operating procedures for aromatherapy. The dependent variable in this study was the reduction in pain measured using the NRS scale. The data analysis technique used was univariate data analysis using frequency descriptions and bivariate statistical tests using Wilcoxon signed. Results: The value of p = 0.002 (α < 0.05) was obtained. Therefore, it was concluded that there were differences in pain changes before and after the lemongrass aromatherapy group. Giving lemongrass aromatherapy to pain in the first stage of labour is effective. Conclusion: A woman giving birth during the first active phase needs support to maintain her motivation to birth normally and cope with any discomfort she may experience. Lemongrass aromatherapy, given as a gift, can be used to ease the discomfort of labor, improving both the mother's experience and her ability to trust the process.
THE RELATIONSHIP OF YOGA THERAPY TO INSOMNIA IN ASTHMA'S YOGA GYMNASTIC GROUP Surabaya Andarwulan, Setiana; Hubaedah, Annah
JI-KES (Jurnal Ilmu Kesehatan) Vol. 4 No. 2 (2021): JI-KES (Jurnal Ilmu Kesehatan)
Publisher : LPPM Universitas Hafshawaty Zainul Hasan Probolinggo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33006/ji-kes.v4i2.199

Abstract

AbstrakPerubahan usia yang terjadi menyebabkan kemampuan fisik menjadi menurun salah satu penyebabnya adalah penurunan kekuatan fisik dalam fase tidur lansia. Cara pengobatan yang ditempuh dengan penggunaan konsumsiobat penenang dengan harapan cepat tertidur, namun mengkonsumsi obat jangka panjang dapat memberikan efek kimia di dalam tubuh, sehingga pemakaian obat–obatan terbuat dari bahan alam menjadi salah satu solusi dalam menunkan insomnia. Alternatif lainnya dengan melakukan olahraga. Salah satu olahraga yang direkomendasikan adalah yoga. Yoga yang dilakukan secara rutin dapat digunakan dalam menurunkan insomnia. Metode yang digunakan dalam penelitian adalah preeksperimental, dengan uji statistik yang digunakan yaitu uji chisquare. Hasil penelitian yang di dapatkan melalui perhitungan SPSS.20 menunjukkan nilai Asymp. Sig ( 2-sided ) sebesar 0,044. Nilai hasil uji statistik ini lebih kecil dari α=0,05. Sehingga dari hasil penelitian dapat disimpulkan adanya hubungan yang signifikan antara terapi senam yoga yang rutin terhadap insomnia. Terapi senam yoga yang diberikan secara rutin secara efektif dalam menurunkan insomnia pada lansia.  Kata kunci: terapi, senam, yoga, insomnia, lansia  Abstract The age changes decreased physical abilities is one of the causes of decreasing in physical strength in the sleep phase of the elderly. The method of treatment is the use of sedative drugs to lead falling asleep quickly, but taking long-term drugs can have a chemical effect in the body, so the use of drugs made from natural ingredients is one solution in reducing insomnia. Another alternative is to do sports. One of the recommended sports is yoga. Yoga that is done regularly can be used to reduce insomnia. The method used in this research is pre-experimental, with the statistical test used is the chi-square test. The research results obtained through the calculation of SPSS.20 show the value of Asymp. Sig (2-sided) is 0.044. The value of this statistical test result is smaller than α = 0.05. So from the results of the study, it can be concluded that there is a significant relationship between routine yoga therapy toward insomnia. Yoga exercise therapy that is given regularly is effective in reducing insomnia in the elderly. Keywords:  therapy, gymnastics, yoga, insomnia, elderly