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The Effect of Red Guava (Psidium guajava l.) Juice on Hemoglobin Levels During Menstruation in Adolescent Girls Mayasari Putri Ardela; Siti Aminah; Rahma Kusuma Dewi; Raffiky Pinandia Sustamy; Lindha Sri Kusumawati
Journal of Global Research in Public Health Vol. 8 No. 1 (2023): June
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jgrph.v8i1.428

Abstract

Adolescent girls will lose blood which can cause a decrease in hemoglobin levels during menstruation. The function of iron is needed by the body to produce blood. Consumption of foods containing vitamin C plays a role in accelerating the absorption of iron so that it can increase hemoglobin levels during menstruation. Red guava (Psidium guajava l.) has a high vitamin C content of 87 mg/100 grams. This study aims to determine the effect of giving red guava juice on hemoglobin levels during menstruation in adolescent girls at Lirboyo Al-Mahrusiyyah Islamic Boarding School's female dormitory, Kediri, East Java. This research is a true experiment with a randomized pretest-posttest control group design with a sampling technique using simple random sampling. The samples were divided into 4 groups, namely 1 control group (no treatment), and 3 treatment groups with 200 mL/person/day of red guava juice, 250 mL/person/day), and 300 mL/person/day of guava juice. given for 5 days of menstruation. Hemoglobin levels were measured using the Ouik-Check Hemoglobin testing system. The results of the study stated that there was an effect of red guava juice on hemoglobin levels during menstruation (p=0.000). The results of the Tukey HSD test proved that there were differences in hemoglobin levels between groups, namely for the control group with P1 (p=0.004), the control group with P2 (p=0.000), the control group with P3 (p=0.000), P1 and P2 (p = 0.000), and P1 with P3 (p = 0.000). So it can be concluded that giving red guava juice can affect hemoglobin levels during menstruation in adolescent girls.
IMPLEMENTATION OF COMPREHENSIVE SEXUAL EDUCATION (CSE) FOR ADOLESCENTS IN THE SCHOOL EDUCATION CURRICULUM AS AN EFFORTS TO PREVENT CHILD MARRIAGE Pinandia Sustamy, Raffiky; AZIZAH, NUR
ABDIMASNU: Jurnal Pengabdian kepada Masyarakat Vol 5 No 3 (2025): ABDIMASNU
Publisher : Institut Ilmu Kesehatan Nahdlatul Ulama Tuban

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47710/vyzpjq10

Abstract

Background: Adolescence is a transitional period from childhood to adulthood that is associated with various changes, including physical changes, cognitive changes, and psychosocial changes. In Bojonegoro Regency, the high rate of child marriage is caused by several factors, including economic factors, parental matchmaking, marriage by accident (pregnancy outside of marriage), educational factors, environment, and peers Method: This community service activity was carried out in several stages, including: preparation, implementation, namely the implementation of Comprehensive Sexuality Education, as well as evaluation and assessment of the results of the activity. Result: After carrying out this community service activity, it was shown that the level of understanding of adolescents regarding Comprehensive Sexual Education (CSE) was almost half of the adolescents had a poor level of understanding, namely 14 people (46.6%), whereas after carrying out the implementation of Comprehensive Sexual Education (CSE) activities, the level of understanding of adolescents increased, namely 18 people had a good understanding (60%). Conclusion : After carrying out this community service activity, it was shown that the level of understanding of adolescents regarding Comprehensive Sexual Education (CSE) was almost half of the adolescents had a poor level of understanding, namely 14 people (46.6%), whereas after carrying out the implementation of Comprehensive Sexual Education (CSE) activities, the level of understanding of adolescents increased, namely 18 people had a good understanding (60%).
AKTIVITAS BELAJAR PADA REMAJA PUTRI SAAT MENGALAMI MENSTRUASI DI MIN 1 BOJONEGORO Utami, Wiwik; Agung Susanti, Dwi; Pinandia Sustami, Raffiky; Riyani, Arum; sholikhah, Mar'atus; Palupi, Hendri
Asuhan Kesehatan : Jurnal Ilmiah Ilmu Kebidanan dan Keperawatan Vol. 13 No. 2 (2022): Asuhan Kesehatan Jurnal Ilmiah Ilmu Kebidanan dan Keperawatan
Publisher : LPPM STIKES Rajekwesi Bojonegoro

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Abstract

ABSTRAK Setiap wanita yang berusia akil balik pasti mengalami menstruasi. Tidak jarang selama menstruasi juga ada beberapa keluhan, diantaranya yang paling sering adalah dismenotra. Dismenore merupakan rasa nyeri saat menstruasi yang sering mengganggu wanita. Tujuan penelitian ini mengidentifikasi gambaran aktivitas belajar pada remaja putri di MIN 1 Bojonegoro saat mengalami dismenore. Desain penelitian dekriptif, pendekatan survei, populasi seluruh remaja putri kelas 6 MIN 1 Bojonegoro sejumlah 85 responden, sampling yang di gunakan purposive samplings sebanyak 66 responden, Dengan variabel aktivitas belajar pada remaja putri saat mengalami disminore, pengumpulan data menggunakan kuesioner kemudian dilakukan editing, coding, scoring, tabulating setelah itu disajikan dengan bentuk tabel atau grafik. Hasil penelitian dari 66 responden remaja putri usia 11 – 13 tahun yang sudah menstruasi dan mengalami disminore di MIN 1 Bojonegoro diperoleh hasil bahwa lebih dari sebagian responden dismenorea tidak mengganggu pelajaran (53%), sedangkan kurang dari sebagian aktivitas belajar meningkat (35%), dan kurang dari sebagian aktivitas belajar berkurang (12%). Sebaiknya saat menstruasi responden tetap wajar dalam belajarn, menjaga kesehatan mental dan fisik dengan mengkonsumsi nutrisi gizi seimbang sehingga dapat beradaptasi dengan nyeri haid. Kata Kunci : Dismenore, Remaja , Aktivitas belajar
PENGARUH DISTRAKSI AUDIO VISUAL TERHADAP ANXIETY PADA PASIEN PRE SIRKUMSISI Wiwik Utami; Ahmad Maftukhin; Raffiky PS; Heni Erlina
Asuhan Kesehatan : Jurnal Ilmiah Ilmu Kebidanan dan Keperawatan Vol. 16 No. 1 (2025): Asuhan Kesehatan Jurnal Ilmiah Ilmu Kebidanan dan Keperawatan
Publisher : LPPM STIKES Rajekwesi Bojonegoro

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Abstract

Rekomendasi kebutuhan gizi pada ibu hamil kekurangan energi kronis (KEK) berbasis website Sustamy, Raffiky Pinandia; Indriani, Ririn; Utami, Wiwik; Azizah, Nur
Holistik Jurnal Kesehatan Vol. 19 No. 9 (2025): Volume 19 Nomor 9
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i9.1848

Abstract

Background: Nutrition counseling/education provided to pregnant women with Chronic Energy Deficiency (CED) by nutritionists and midwives is not optimal due to the continued use of conventional methods. A technology-based information system is recommended by the World Health Organization (WHO) for service delivery. Purpose: To analyze the effect of personalized nutritional recommendations for pregnant women with Chronic Energy Deficiency (CED) based on a website. Method: The study design used a quasi-experimental nonequivalent pretest-posttest with a control group. A sample size of 30 participants was divided into two groups: 15 participants in the intervention group and 15 pregnant women in the control group. The intervention group received nutrition education through a website application, while the control group received education through flyers. The study instruments included a knowledge questionnaire and a 24-hour food recall to measure energy intake. Data were analyzed using the Wilcoxon and Mann-Whitney tests with a significance level of p < 0.05. Results: Personalized nutritional recommendations through a website application significantly influenced the knowledge level of pregnant women with CED, with an α value of 0.0001 (< 0.05). The use of website applications has been proven to be more effective in improving nutritional understanding and energy consumption patterns of pregnant women with chronic energy deficiency (CED) compared to conventional print media. Conclusion: Website-based digital educational media can be a strategic alternative in promoting nutritional health for pregnant women to reduce the risk of CED and prevent stunting during pregnancy.   Keywords: Chronic Energy Deficiency (CED); Nutritional Needs; Pregnant Women; Website Media.   Pendahuluan: Pemberian konseling/edukasi gizi pada ibu hamil Kekurangan Energi Kronis (KEK) oleh tenaga gizi maupun bidan belum optimal karena masih menggunakan metode konvensional, sistem informasi berbasis teknologi merupakan rekomendasi World Health Organization (WHO) dalam memberikan pelayanan. Tujuan: Untuk menganalisis pengaruh personalisasi rekomendasi kebutuhan gizi pada ibu hamil kekurangan energi kronis (KEK) berbasis website. Metode: Desain penelitian menggunakan quasi experimental nonequivalent pretest-posttest with control group dengan jumlah sampel 30 partisipan yang dibagi menjadi dua kelompok, masing-masing 15 partisipan pada kelompok intervensi dan 15 partisipan kelompok kontrol. Kelompok intervensi diberikan edukasi gizi melalui aplikasi website, sedangkan kelompok kontrol memperoleh edukasi dengan media flyer. Instrumen penelitian meliputi kuesioner pengetahuan dan food recall 24 jam untuk mengukur asupan energi. Data dianalisis menggunakan uji Wilcoxon dan Mann-Whitney dengan tingkat signifikansi p < 0.05. Hasil: Adanya personalisasi kebutuhan gizi dengan aplikasi website memiliki pengaruh yang signifikan terhadap tingkat pengetahuan ibu hamil KEK dengan nilai α yaitu 0.0001 (< 0.05). Penggunaan aplikasi website terbukti lebih efektif meningkatkan pemahaman gizi dan pola konsumsi energi ibu hamil KEK dibandingkan media cetak konvensional. Simpulan: Media edukasi digital berbasis website dapat menjadi alternatif strategis dalam promosi kesehatan gizi ibu hamil untuk menurunkan risiko KEK dan mencegah stunting sejak masa kehamilan.   Kata Kunci: Ibu Hamil; Kebutuhan Gizi; Kekurangan Energi Kronis (KEK); Media Website.
PENDAMPINGAN IBU HAMIL MELALUI EDUKASI BUKU KIA DAN DEMONSTRASI SENAM HAMIL UNTUK KESIAPAN PERSALINAN DI DESA BULU: Support for Pregnant Women through KIA Book Education and Pregnancy Exercise Demonstrations for Childbirth Readiness in Bulu Village Pinandia Sustamy, Raffiky; Zuli Oktavia, Eva; Suharti; Ihsanti; Yuliana, Prita; choirunnisa, Aulia; Nurlaily, Mifta
Jurnal Ilmiah Kesehatan Vol. 6 No. 2 (2025): Jurnal Ilmiah Kesehatan
Publisher : Sekolah Tinggi Ilmu Kesehatan Rajekwesi Bojonegoro

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Abstract

ABSTRAK Angka Kematian Ibu (AKI) masih menjadi permasalahan kesehatan yang serius di Indonesia dan memerlukan upaya berkelanjutan melalui pendekatan promotif dan preventif. Salah satu faktor yang berkontribusi terhadap tingginya AKI adalah kurangnya pengetahuan ibu hamil mengenai tanda bahaya kehamilan serta kesiapan fisik dan mental menjelang persalinan. Pengabdian kepada masyarakat ini bertujuan untuk meningkatkan pengetahuan dan keterampilan ibu hamil melalui pemanfaatan Buku Kesehatan Ibu dan Anak (KIA) serta pelatihan senam hamil sebagai upaya persiapan persalinan yang aman dan optimal. Metode yang digunakan meliputi penyuluhan interaktif tentang isi dan manfaat Buku KIA, demonstrasi senam hamil, serta pendampingan langsung dalam penggunaan Buku KIA sebagai sumber informasi kesehatan ibu dan anak. Kegiatan ini dilaksanakan di Posyandu Desa Bulu dengan sasaran sebanyak 15 ibu hamil. Hasil kegiatan menunjukkan adanya peningkatan pengetahuan ibu hamil yang signifikan, ditunjukkan oleh peningkatan skor pre-test dari 60% menjadi 90% pada post-test. Selain itu, ibu hamil mengalami peningkatan keterampilan dalam melakukan gerakan senam hamil secara mandiri dan benar. Kesimpulan dari kegiatan ini adalah pendampingan terpadu melalui edukasi Buku KIA dan latihan fisik senam hamil efektif dalam meningkatkan kesiapan fisik dan mental ibu hamil dalam menghadapi persalinan.. Kata Kunci : Angka Kematian Ibu; Buku KIA; Senam hamil; ABSTRACT Maternal Mortality Rate (MMR) remains a major public health challenge in Indonesia and requires continuous efforts through promotive and preventive approaches. One of the contributing factors to high MMR is the lack of maternal knowledge regarding danger signs during pregnancy and inadequate physical preparation for childbirth. This community service activity aimed to improve pregnant women’s knowledge and skills through the utilization of the Maternal and Child Health (MCH) Handbook and pregnancy exercise training as part of childbirth preparation. The methods included interactive health education, demonstration of pregnancy exercises, and direct assistance in using the MCH Handbook as a health information guide. The activity was conducted at the Posyandu in Bulu Village and involved 15 pregnant women. The results showed a significant increase in participants’ knowledge, indicated by an improvement in pre-test scores from 60% to 90% in the post-test. In addition, participants demonstrated improved skills and confidence in independently performing pregnancy exercise movements correctly. In conclusion, integrated assistance combining education on the MCH Handbook and pregnancy exercise training effectively enhances both mental and physical readiness of pregnant women in facing childbirth. Keywords: Maternal mortality; MCH Handbook; Pregnancy exercise
PENGARUH AROMATERAPHY LEMON TERHADAP PENURUNAN FREKUENSI MUAL MUNTAH IBU HAMIL TM 1 DI DESA SUMBER TLASEH BOJONEGORO TAHUN 2025: THE EFFECT LEMON AROMATHERAPY ON REDUCING THE FREQUENCY OF NAUSEA AND VOMITING IN PREGNANT WOMEN IN THE 1ST TEMPO IN BAURENO VILLAGE, BOJONEGORO IN 2025 Zuli Oktavia, Eva; Pinandia Sustamy, Raffiky; Suharti; Yuliana Irnawati , Prita; choirunnisa, Aulia; Nur Kholifah, Liliana; ihsanti
Jurnal Ilmiah Kesehatan Vol. 6 No. 2 (2025): Jurnal Ilmiah Kesehatan
Publisher : Sekolah Tinggi Ilmu Kesehatan Rajekwesi Bojonegoro

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Abstract

ABSTRAK Emesis gravidarum merupakan keluhan fisiologis yang sering terjadi pada trimester pertama kehamilan dan ditandai dengan mual serta muntah yang dapat mengganggu aktivitas ibu hamil. Kondisi ini dipengaruhi oleh peningkatan hormon human chorionic gonadotropin (hCG), estrogen, dan progesteron, serta perubahan sistem saraf pusat. Jika tidak ditangani dengan baik, emesis gravidarum dapat menurunkan asupan nutrisi dan berdampak pada kesehatan ibu dan janin. Salah satu terapi non-farmakologis yang dapat digunakan adalah aromaterapi lemon. Penelitian ini bertujuan untuk menganalisis pengaruh aromaterapi lemon terhadap penurunan frekuensi mual dan muntah pada ibu hamil trimester pertama di Desa Sumber Tlaseh, Kabupaten Bojonegoro. Penelitian ini menggunakan desain pre-eksperimental dengan pendekatan one group pretest-posttest. Sampel terdiri dari 19 ibu hamil yang mengalami emesis gravidarum dan dipilih dengan teknik purposive sampling. Intervensi dilakukan dengan pemberian aromaterapi lemon melalui inhalasi. Frekuensi mual dan muntah diukur sebelum dan sesudah intervensi, kemudian dianalisis menggunakan uji Wilcoxon. Hasil penelitian menunjukkan penurunan rerata frekuensi mual muntah dari 9,23 kali menjadi 5,13 kali per hari dengan nilai p = 0,000 (p < 0,05). Kesimpulan penelitian ini menunjukkan bahwa aromaterapi lemon efektif dalam menurunkan frekuensi mual dan muntah pada ibu hamil trimester pertama. Kata Kunci : Emesis gravidarum; Aromaterapi lemon; Ibu hamil trimester pertama ABSTRACT Emesis gravidarum is a common physiological condition occurring in the first trimester of pregnancy and is characterized by nausea and vomiting that may interfere with daily activities of pregnant women. This condition is influenced by increased levels of human chorionic gonadotropin (hCG), estrogen, and progesterone, as well as changes in the central nervous system. If not properly managed, emesis gravidarum may reduce nutritional intake and negatively affect maternal and fetal health. One non-pharmacological therapy that can be applied is lemon aromatherapy. This study aimed to analyze the effect of lemon aromatherapy on reducing the frequency of nausea and vomiting in first-trimester pregnant women in Sumber Tlaseh Village, Bojonegoro Regency. This study employed a pre-experimental design with a one-group pretest–posttest approach. The sample consisted of 19 pregnant women experiencing emesis gravidarum, selected using purposive sampling. The intervention was administered through inhalation of lemon aromatherapy. The frequency of nausea and vomiting was measured before and after the intervention and analyzed using the Wilcoxon test. The results showed a significant decrease in the mean frequency of nausea and vomiting from 9.23 to 5.13 times per day, with a p-value of 0.000 (p < 0.05). In conclusion, lemon aromatherapy is effective in reducing the frequency of nausea and vomiting among first-trimester pregnant women. Keywords : Emesis gravidarum; Lemon aromatherapy; First-trimester pregnancy
HEALTHY, INTEGRATED AND INNOVATIVE ADOLESCENT REPRODUCTIVE SERVICES Pinandia Sustami, Raffiky; Puji Lestari; shefia rahmanda; AZIZAH, NUR
ABDIMASNU: Jurnal Pengabdian kepada Masyarakat Vol 6 No 1 (2026): ABDIMASNU
Publisher : Institut Ilmu Kesehatan Nahdlatul Ulama Tuban

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47710/yz5fwp44

Abstract

Background: Adolescence is a critical period for improving mental health because more than half of mental health problems begin in adolescence and some persist into adulthood. Method: This community service activity is carried out in several stages, including: preparation, implementation which includes: Health check-up services for adolescents, Education and discussion on adolescent reproductive health in an effort to increase adolescent understanding in maintaining their reproductive health, Socialization and discussion on adolescent mental health, namely early recognition of adolescent anxiety and management of mental health disorders in adolescents. as well as evaluation and assessment of activity results.Result: After carrying out this community service activity, it was shown that the health status of adolescents was normal and the level of understanding of adolescents regarding reproductive health was mostly good, namely 72%, and almost half of adolescents had good mental health. Conclusion : Based on the results of the community service activities held at Al Amanah Plus Middle School in Dander District, Bojonegoro Regency, it can be concluded that the integrated and innovative healthy youth services implemented have successfully improved adolescents' understanding of reproductive health comprehensively. This effort is crucial in implementing Holistic Midwifery Care to improve adolescent understanding and ultimately prevent child marriage