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Perceived and Objective Quality of Life Among Pregnant Women: Mixed-Methods Research on Chronic Energy Deficiency Apriyanti, Fitri; Wulandari, Diah; Hamidi, M. Nizar Syarif
Jurnal Penelitian Pendidikan IPA Vol 11 No 5 (2025): May
Publisher : Postgraduate, University of Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jppipa.v11i5.11252

Abstract

Chronic Energy Deficiency (CED) in pregnant women is a substantial public health issue in Indonesia.  This research examines the divergence between objective and subjective quality of life in pregnant women with CED in Kampar District, Riau Province.  A sequential explanatory design with mixed methodologies was used.  The quantitative phase included 150 pregnant women with chronic energy deficiency (mid-upper arm circumference <23.5 cm) from 10 community health centers (out of 31 in Kampar District), selected using a strategy that guarantees a blend of urban and rural regions.  Evaluations included WHOQOL-BREF, anthropometric assessments, and clinical exams.  The qualitative phase included comprehensive interviews and focus group discussions with 30 intentionally chosen individuals.  Data integration was executed by joint display analysis. Quantitative results indicated poor objective quality of life scores: physical domain: 54.3±12.7; psychological: 58.6±11.4; social: 64.2±13.8; environmental: 52.1±10.9.  Nonetheless, 73% of interviewees regarded their quality of life as "good" or "excellent."  Qualitative analysis revealed four themes: "normalization of adversity" (CED seen as typical during pregnancy), "family sacrifice" (prioritization of familial needs), "social support as resilience" (help from family and community), and "spiritual coping" (religious beliefs as a source of strength).  Key determinants affecting the disparity in quality of life were social support (β=0.432, p<0.001), psychological resilience (β=0.387, p<0.001), healthcare access (β=0.256, p<0.05), and health literacy (β=0.198, p<0.05). Despite unfavorable objective health indicators, pregnant women with CED in Kampar District maintain good perspectives of quality of life, facilitated by robust social support, cultural normalization, and spiritual coping strategies.  Effective therapies must amalgamate biological strategies with psychological assistance, taking into account local cultural factors.  Programs must fulfill dietary requirements while concurrently enhancing community support structures and advancing health literacy to reconcile the disparity between objective health status and subjective well-being.
Hubungan PHBS dengan Kejadian ISPA Di Desa Tarai Bangun Wilayah Kerja Puskesmas Tambang Nurlinda, Nurlinda; Apriyanti, Fitri; Alini, Alini
Evidence Midwifery Journal Vol. 2 No. 2 (2023): APRIL 2023
Publisher : LPPM Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/emj.v2i2.19575

Abstract

Acute respiratory infections (ARI) are still a world health problem, acute respiratory tract diseases are easily transmitted to toddlers who in their environment do not meet the criteria for clean and healthy living and this is a problem that is often encountered in the surrounding community. The purpose of the study was to determine the relationship between clean and healthy living behavior (PHBS) with the incidence of acute respiratory infections (ARI) in toddlers in Tarai Bangun Village, Tambang Health Center Work Area. This type of research is quantitative with a cross sectional design. The population of this study were all parents of children under five who visited the posyandu in July 2022 with a total sample of 117 and taken using the total sampling technique. The data collection tool uses a questionnaire. Analysis of the data used is univariate and bivariate analysis with chi-square test. Based on univariate analysis were obtained from 117 parents of children under five, there were 67 parents of children under five (57.3%) who were not good at implementing PHBS and as many as 69 children under five (59.0%) experience ARI.The results of statistical tests showed that there was a relationship between clean and healthy living behavior (PHBS) and the incidence of acute respiratory infections (ARI) in children under five in Tarai Bangun Village, Mining Health Center Working Area (P-value = 0.000). It is hoped that parnts of toddlers in Tarai Bangun Village, Tambang health center work area can implement clean and healthy living behavior (PHBS) by getting used to living clean and healthy.
Asuhan Kebidanan Pada Bayi Baru Lahir Di PMB Nelly Suryani Wilayah Kerja Puskesmas Kuok Enjelika, Enjelika; Apriyanti, Fitri; Miftahurrahmi, Miftahurrahmi
Evidence Midwifery Journal Vol. 2 No. 3 (2023): JULI 2023
Publisher : LPPM Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/emj.v2i3.19582

Abstract

Newborn normally or commonly called neonates is a baby born with a gestational age of more than 37 weeks with a weight of 2500-4000 grams. Providing midwifery care by using the midwifery management approach to newborns. A in PBM Nelly Suryani Kuok Village, Kuok District in 2022. The design of this research is descriptive, which is to describe or describe the description of the level of knowledge in newborn mothers in PMB Nelly, Kuok Village, Kuok District. This study is the study and collection of basic data which is the initial stage of midwifery management is carried out using SOAP with Varney's mindset, namely subjective data assessment, objective data assessment, analysis and management in accordance with the problems complained of by. Ny. A is a normal newborn baby. Based on the monitoring given for 8 days, the care given to Ny. A went smoothly and there was a decrease in pain felt by Ny. A During the provision of care and care provided has been running comprehensively.
Asuhan Kebidanan Pada Ibu Pasca Persalinan Di PMB Nelly Suryani Wilayah Kerja Puskesmas Kuok Dwi Mawardi, Nira; Apriyanti, Fitri
Evidence Midwifery Journal Vol. 2 No. 4 (2023): OKTOBER 2023
Publisher : LPPM Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/emj.v2i4.20995

Abstract

Postpartum is a critical period where a series of changes occur in the mother which have physical, psychological and social impacts. To optimize the health of mother and baby, postnatal care must be an ongoing process, with care and support tailored to the needs of each postpartum mother so that the care provided can help the mother through the postpartum period. Postnatal care consists of monitoring and examination. Examination materials include measuring the body temperature and pulse of the birthing mother, recording blood pressure, examining the breasts, assessing uterine involution, monitoring lochea. The aim of this case is to determine the midwifery care given to Mrs. U aged 19 years P1A0H1, good changes from day to day, at 6 (six) hours after delivery the mother complained of pain in the stitched wound area, on the 6th (sixth) day the mother still feel pain in the stitched wound area, at the 2nd (second) week the mother starts to feel no pain in the stitched wound area, and at the 6th (sixth) week the mother no longer feels pain in the stitched wound area. From the results of this research, it is hoped that postpartum mothers will always maintain proper perineal hygiene. In this way, the care given to the patient went well.
Hubungan Pengetahuan Dan Pola Menstruasi Dengan Kejadian Anemia Pada Remaja Putri Di SMA Negeri 1 Perhentia Raja Tahun 2022 Yanis, Heri; Apriyanti, Fitri; Hastuty, Milda
Evidence Midwifery Journal Vol. 2 No. 4 (2023): OKTOBER 2023
Publisher : LPPM Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/emj.v2i4.21000

Abstract

Anemia in adolescents is a health problem where the hemoglobin (HB) level in the blood is lower than the normal value for the age group and gender, in female adolescents the normal hemoglobin (HB) is 12 gr/dl and in males 13 gr/dl. The aim of the research is to analyze the relationship between knowledge and menstrual patterns and the incidence of anemia in young women at SMA Negeri 1 Perhantian Raja, Kampar Regency in 2023. The type of research is quantitative analytical research with a cross sectional design. The research was conducted on June 16-June 19 2023 with a sample of 205 young women at SMA Negeri 1 Perhentian Raja, Kampar Regency, using total sampling data collection techniques. Data collection uses a questionnaire. The data analysis used was univariate and bivariate analysis with the Chi Square test. The results of the final assignment report showed that there was a relationship between knowledge and menstrual patterns and the incidence of anemia in young women at SMA Negeri 1 Perhentian Raja, Kampar Regency (p value = 0.010) knowledge, (p value = 0.000). The conclusion is that there is a significant relationship between knowledge and menstrual patterns and the incidence of anemia in young women at SMA Negeri 1 Perhentian Raja, Kampar Regency. It is hoped that the SMAN 1 Perhentian Raja school can collaborate with the Health Service through the Community Health Center to further improve UKS (Health and School Business) and PIKR (Youth Information and Counseling Center). As well as reviving the PKPR (Youth Care Health Services) program with more frequent intensity
Hubungan Usia dan Paritas Ibu Bersalin dengan Kejadian Partus Prematurus di RSIA Husada Bunda Kabupaten Kampar Tahun 2022 Natasya, Lidiya; Arvan, Arvan; Apriyanti, Fitri
Evidence Midwifery Journal Vol. 2 No. 4 (2023): OKTOBER 2023
Publisher : LPPM Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/emj.v2i4.21002

Abstract

Preterm labor is the presence of uterine contractions accompanied by changes in the cervix before 37 weeks of gestation and can cause premature birth. Every year, it is estimated that 1 in 10 babies are born prematurely. Premature birth can cause serious complications including death. Premature birth is a problem with a high prevalence in the world. The aim of the research was to determine the relationship between the age and parity of the mother at birth and the incidence of premature parturition. This research method is quantitative with a Case Control design. The population of the case group was all mothers who experienced preterm labor, totaling 120 mothers and the control group of mothers who gave birth at term, totaling 920 mothers. The research samples were in 2 groups 1: 1, namely 120 cases and 120 controls. The case sample technique was taken using total sampling while the control group used systematic random sampling. Data analysis used univariate and bivariate with the chi-square test. The statistical test results showed that the p value = 0.000 (? 0.05), which means there is a relationship between the age and parity of the mother at birth and the incidence of premature parturition. It is hoped that pregnant women will always carry out routine antenatal care checks so that the risk of premature labor can be prevented and treated as early as possible
Hubungan Preeklamsia Pada Ibu Hamil Dengan Kejadian Asfiksia Neonatorum Di Rsud Bangkinang Tahun 2021-2022 Jannah, Fitri Khafidhatul; Apriyanti, Fitri; Harmia, Elvira
Evidence Midwifery Journal Vol. 3 No. 1 (2024): JANUARI 2024
Publisher : LPPM Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/emj.v3i1.21400

Abstract

Neonatal asphyxia is the failure of a newborn baby to breathe spontaneously and regularly, causing further problems. The emergence of asphyxia in babies with preeclamptic mothers is caused by high blood pressure causing reduced blood delivery to the placenta, this will reduce the supply of oxygen and food for the baby. As a result, the baby's development becomes slow, and intrauterine hypoxia occurs. The impact that occurs in babies with neonatal asphyxia will have an impact on the central nervous system, blood digestion, hypoxic ischemic encephalopathy, respiratory distress, heart failure, necrotizing, enterocolitis, acute kidney failure, lungs, entercolitis. Apart from that, it can also cause death in babies, the long-term impacts that will be experienced by children can result in mental retardation and neurological disorders. The aim of this research is to determine the correlation between preeclampsia in pregnancy and the incidence of Neonatal Asphyxia at Bangkinang District Hospital in 2021-2022. This research design uses quantitative research methods with a case control approach. Case samples were taken using total sampling technique and control samples using simple random sampling. The research was carried out at Bangkinang Regional Hospital. The research population of all newborns at Bangkinang District Hospital from 2021-2022 from January-September was 487 babies. There were 75 babies who experienced neonatal asphyxia and 75 babies who did not experience neonatal asphyxia. The research uses a secondary data checklist sheet. Univariate and Bivariate data analysis using the Chi-Squere test. These results indicate that there is a relationship between preeclampsia in pregnant women and the incidence of neonatal asphyxia obtained (P value 0.000) < (0.05). There is a relationship between preeclampsia in pregnant women and the incidence of neonatal asphyxia at Bangkinang District Hospital in 2021-2022 from January-September
Hubungan Status gizi dengan kejadian anemia pada ibu hamil di wilayah kerja UPT Puskesmas Sawah Tria padna, Alkeke; Apriyanti, Fitri; Dhilon, Dhini Anggraini
Evidence Midwifery Journal Vol. 3 No. 1 (2024): JANUARI 2024
Publisher : LPPM Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/emj.v3i1.21464

Abstract

Anemia is a condition in which the number of red blood cells or the amount of hemoglobin (oxygen transport protein) is below normal. Most pregnant women experience anemia which is not dangerous. In pregnant women, anemia can increase the risk of complications during pregnancy and childbirth. Antepartum and postpartum hemorrhage are more common in anemic women and are more often fatal, because anemic women cannot tolerate blood loss. The impact of anemia on pregnancy varies from very mild complaints to disruption of pregnancy continuity (abortion, immature or premature birth), disruption of the labor process (inertia, atonia, prolonged labor, atonic bleeding), disorders during the postpartum period (uterine sub-involution, endurance against infection and stress, low breast milk production), and disorders of the fetus (abortion, dysmaturity, microsomy, LBW, perinatal death). The aim of this research is to determine the correlation between nutritional status and the incidence of anemia in pregnant women in the UPT work area of ??the Sawah Community Health Center in 2022. This research design uses quantitative research methods with a case control approach. Case samples were taken using a retrospective approach. The samples were some pregnant women in the working area of ??the Sawah Community Health Center and the research population included all data on pregnant women in the working area of ??the Sawah Community Health Center in 2022 as many as 376 people. There were 57 normal pregnant women who were not anemic and 57 pregnant women with anemia. This research uses a check list sheet. Univariate data analysis with Chi-Squere test. The results of this study showed that there was a relationship between nutritional status and the incidence of anemia in pregnant women (P value 0.001) < (0.05). There is a relationship between nutritional status and the incidence of anemia in pregnant women in the UPT work area of ??the Sawah Community Health Center in 2022
Faktor–Faktor Yang Menyebabkan Terjadinya Hipertensi Pada Ibu Hamil Di RSIA Husada Bunda Nurul Afifah; Luthfi , Amir; Apriyanti, Fitri
Evidence Midwifery Journal Vol. 3 No. 2 (2024): APRIL 2024
Publisher : LPPM Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/emj.v3i2.25943

Abstract

Hypertension for pregnant women (gestational) is the cause of 10-15% of complications in pregnancy and is part of the triad of complications besides bleeding and infection. The aim of the research is to find out the factors that cause high blood pressure in pregnant women at RSIA Husada Bunda in 2022. This type of research is quantitative research with a case control design. The number of respondents in this research was 47 cases (pregnant women with high blood pressure) and 47 controls (normal pregnant women without high blood pressure) using random sampling techniques. Data collection uses a checklist sheet. The data analysis used was univariate and bivariate analysis with the Chi Square test. The results of the univariate analysis showed that 49 respondents (52.1%) had normal nutritional status, 49 respondents (52.1%) had parity that was not at risk, as many as 58 respondents (61.7%) had jobs that were not at risk, and as many as 47 respondents (50.0%) had high blood pressure. The results of the Chi Square test, P value, namely 0.000 < 0.05, means that a link was found between nutritional status and cases of high blood pressure for pregnant women in the RSIA Husada Bunda area in 2022. RSIA Husada Bunda area in 2022, Pvalue is 0.000, meaning that a link between work and cases of high blood pressure was found for pregnant women in the RSIA Husada Bunda area in 2022.
Hubungan kehamilan gemeli dengan kejadian berat badan lahir rendah (BBLR) di RSUD bangkinang kabupaten kampar Herlena, Herlena; Apriyanti, Fitri; Syahda, Syukrianti
Evidence Midwifery Journal Vol. 3 No. 2 (2024): APRIL 2024
Publisher : LPPM Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/emj.v3i2.26557

Abstract

The Infant Mortality Rate (IMR) is the first indicator in determining a child's health status as a reflection of the health status and basic needs of society. One of the causes of high infant mortality rates is low birth weight (LBW). Low Birth Weight (LBW) is a low birth weight baby born with a body weight of less than 2500 grams. LBW is a health problem that needs to be treated seriously because LBW contributes to neonatal death. Babies with low birth weight are 20 times more likely to die than normal babies. The aim of the research is to analyze the relationship between happy pregnancies and the incidence of low body weight (LBW) at Bangkinang District Hospital in 2022. The type of research is analytical research with a case control design. The research was conducted in August 2023 with a total of 62 respondents (babies who experienced low birth weight) and 62 controls (babies who did not experience low birth weight) using random sampling techniques. Data collection uses a checklist sheet. The data analysis used was univariate and bivariate analysis with the Chi Square test. The results of univariate analysis showed that 52 respondents (46.5%) had uneventful pregnancies. The results of the Chi Square test show a relationship between LBW pregnancies and the incidence of low birth weight (LBW) (p value = 0.002) at Bangkinang District Hospital in 2022. The suggestion of this research is to minimize the incidence of LBW and improve health services even better by providing counseling to pregnant women to prevent the occurrence of LBW in newborn babies