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Metabolic Profile of Female Student in Senior High School of Metro City, Lampung, Indonesia Aprina, Aprina; Astuti, Titi; Sulistianingsih, Eka
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6, No 4: December 2021
Publisher : Universitas Aisyah Pringsewu

Adolescent girls are a crucial period in a woman's life. Health and nutritional status during adolescence are important for physical maturity, according to data from Riskesdas (2018) Metro City has a prevalence of very thin 1.2%, underweight 8.9%, normal 88.5, and obese 1.4%. is basic research that produces new theories, methods, or policy principles that are used for scientific development, namely the description of the Metabolic Profile of Young Women Against the Menstrual Cycle at SMA Negeri Metro City. The type of quantitative research with a quantitative research design with a descriptive approach to the population in this study were young women at Senior high school public Metro City. The instruments used in this study were questionnaires and Anthropometric (BMI) examination tools, Hb, Lipid Profile (Triglycerides, HDL, LDL and cholesterol) and GDS, data analysis in this study was a Univariate test. The results showed that there were 28 (18.5%) adolescents with low HB less than 12 g/dL, 25 (16.6%) adolescents with high cholesterol less than 200 mg/dL, 25 (16.6%) adolescents with metabolic status. skinny (-3 SD for SD less than-2) as many as 51 (33.8%), teenagers with less energy as much as 65 (43.0%), lack of fat as much as 55 (36.4%) lacking protein as much as 5 (33.8 %), and less carbohydrates as much as 26 (17.2%), it is hoped that the school will cooperate with the local Health Office and local health centres to provide counselling about anemia and obesity in order to reduce the prevalence of anemia in adolescent girls and its incidence. obesity and it is necessary to educate adolescents about obesity prevention for reproductive health.

Yoga Gymnology of Process Involution Uterus Mom Post-Partum Sunarsih, Sunarsih; Astuti, Titi
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6, No 2: June 2021
Publisher : Universitas Aisyah Pringsewu

Post-partum haemorrhage is the main cause of maternal morbidity and mortality, among others, due to the failure of the uterine involution process, which is influenced by physical and psychological adaptations, marked by hormonal changes. Attempts are made with yoga exercises so that post-partum mothers focus on physical exercise, breathing, muscle strengthening pelvic floor and relaxation. Data obtained by researchers in the working area of the long inpatient health centre in Bandar Lampung, it is known that in 2019 the number of post-partum mothers was 754 people. From the results of the interview, it was found that 8 (80%) mothers had never been taught yoga exercises to accelerate uterine involution. Nursing care for post-partum mothers given only standards from the Ministry of Health. The purpose of this study is to know the effect of yoga exercises on uterine involution in the working area of the long inpatient health centre in Bandar Lampung. This study using a quantitative design with an analytical design using a Quasi-experimental approach with one group pre-posttest design. The research site will be carried out in the work area of the Puskesmas inpatient Bandar Lampung. In this study, the researchers identified the sample used as 60 post-partum mothers as respondents. Then the researchers determined the sample based on the researchers' own considerations according to the desired criteria. Divided into 30 post-partum mothers in the intervention group and 30 post-partum mothers in the control group. The sampling method used was the purposive sampling technique. The study used a t-test (t-test). The results obtained were based on statistical tests, there was a difference in uterine involution in the intervention group and control with p-value = 0.000, the result was the effect of yoga gymnastics on uterine involution in post-partum mothers in the Puskesmas Panjang p-value. 0.000 less than 0.005 means that there is an effect of yoga exercise on the postpartum uterine involution process. Suggestions from health centre staff for maternity nurses and midwives can provide yoga exercises to post-partum mothers according to the yoga exercise booklet that researchers have provided. Health cadres can work together with post-partum mothers in practising yoga exercises for post-partum mothers.Abstrak: erdarahan post partum merupakan penyebab utama morbiditas dan mortalitas ibu antara lain akibat kegagalan proses involusi uterus yang dipengaruhi oleh adaptasi fisik dan psikis yang ditandai dengan perubahan hormonal. Upaya yang dilakukan dengan latihan yoga agar ibu post partum fokus pada latihan fisik, pernapasan, penguatan otot dasar panggul dan relaksasi. Data yang diperoleh peneliti di wilayah kerja Puskesmas Rawat Inap Lama Bandar Lampung diketahui pada tahun 2019 jumlah ibu nifas sebanyak 754 orang. Dari hasil wawancara diketahui bahwa 8 (80%) ibu belum pernah diajarkan senam yoga untuk mempercepat involusi uterus. Asuhan keperawatan ibu nifas hanya diberikan standar dari Kementerian Kesehatan. Tujuan penelitian ini adalah untuk mengetahui pengaruh senam yoga terhadap involusi uteri di wilayah kerja Puskesmas Rawat Inap lama Bandar Lampung. Dalam penelitian ini menggunakan desain kuantitatif dengan desain analitik menggunakan pendekatan Quasi eksperimen dengan one group pre-post test design. Lokasi penelitian akan dilaksanakan di wilayah kerja Puskesmas Rawat Inap Bandar Lampung. Dalam penelitian ini peneliti mengidentifikasi sampel yang digunakan adalah 60 ibu nifas sebagai responden. Kemudian peneliti menentukan sampel berdasarkan pertimbangan peneliti sendiri sesuai dengan kriteria yang diinginkan. Dibagi menjadi 30 ibu nifas pada kelompok intervensi dan 30 ibu nifas pada kelompok kontrol. Metode pengambilan sampel yang digunakan adalah teknik purposive sampling. Penelitian menggunakan uji t (uji-t). Hasil yang diperoleh berdasarkan uji statistik, terdapat perbedaan involusi uterus kelompok intervensi dan kontrol dengan nilai p = 0,000, hasil penelitian ini adalah pengaruh senam yoga terhadap involusi uterus ibu nifas di Puskesmas Panjang p-value . 0,000 kurang dari 0,005 artinya ada pengaruh senam yoga terhadap proses involusi uteri postpartum. Saran dari petugas Puskesmas agar perawat dan bidan bersalin dapat memberikan senam yoga kepada ibu nifas sesuai dengan booklet senam yoga yang telah peneliti sediakan. Kader kesehatan dapat bekerjasama dengan ibu nifas dalam mempraktekkan senam yoga bagi ibu nifas.

The Comparison of Risk Factors for Stunting in Rural and City in Lampung Aprina, Aprina; Astuti, Titi; Sanee, Aree; Erwandi, Erwandi; Shodiq, Munawar
Jurnal Kesehatan Vol 14 No 1 (2023): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v14i1.3776

Globally, Rural areas have more stunted children (40%) than urban areas (33%). In contrast, in Indonesia, In 2010-2013, the prevalence of stunting in rural areas was higher than in urban areas at 40 0% and urban areas by 31.5%. This type of quantitative research uses Cross Sectional approach with the aim of study to compare risk factors for stunting in rural areas and Lampung City in 2022. The research subjects are mothers and toddlers 30 are rural, and 30 are in town. The analysis in this study used the independent t-test, Mann-Whitney, chi-square, and Fisher tests; the results showed a comparison of birth length, exclusive breastfeeding, birth spacing, economic status, and environmental factors to the incidence of stunting in cities and villages in 2022. There was no comparison of birth weight, breastfeeding for up to 2 years, depression status, number of children, parenting, dietary, and Nutrition Patterns During Pregnancy on Stunting Incidents in Cities and Villages. The dominant factors influencing stunting in cities and villages based on the results of multivariate analysis of Birth spacing. There is a comparative risk factor for stunting in both rural and urban areas in Lampung province. Stunting prevention efforts by preventing early marriage, increasing the ease of access to health services in peripheral/remote sites to reduce the distance to reach health facilities, and preventing the occurrence of Low Birth Weight Babies through various promotional efforts in preventive.

The relationship between family support and self-efficacy in preoperative breast cancer patients: Implications for healthcare practices Wulandari , Wiwin Kiky; Astuti, Titi; Udani, Giri
Majalah Kesehatan Indonesia Vol. 5 No. 2: October 2024
Publisher : Utan Kayu Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/makein.2024175

Preoperative carcinoma mammae patients frequently experience diminished self-efficacy, which can impede their ability to cope with medical procedures and affect recovery outcomes. Family support is considered a crucial factor in enhancing self-efficacy, offering emotional, informational, and instrumental assistance that strengthens patients’ confidence. This study aims to explore the relationship between family support and self-efficacy in preoperative breast cancer patients at Abdul Moeloek Hospital, Lampung Province, in 2023. Utilizing a cross-sectional design, 78 respondents were selected through non-probability sampling. Family support was measured using a validated family support questionnaire, while self-efficacy was assessed through the Strategies Used by People to Promote Health (SUPPH) questionnaire. The results revealed that 85.9% of patients reported high levels of family support, and 88.5% exhibited strong self-efficacy. Statistical analysis, using the Chi-Square test, indicated a significant relationship between family support and self-efficacy (p = 0.003), reinforcing the theoretical framework of Bandura’s self-efficacy model, which posits that social support enhances individuals' confidence in overcoming challenges. The findings suggest that integrating structured family support programs into preoperative care can improve self-efficacy, ultimately leading to better patient outcomes. This research contributes to the understanding of psychosocial factors in cancer care, emphasizing the need for educational interventions targeting families to optimize patient recovery.

Prototype Box Breathing Innovation Overcoming the Risk of High Blood Pressure for Pregnant Women Aprina, Aprina; Astuti, Titi; Anita, Anita
Buletin Penelitian Kesehatan Vol. 52 No. 1 (2024)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/bpk.v52i1.3931

Introduction: Hypertension during pregnancy is a common complication that increases the risk of preeclampsia, leading to maternal and fetal morbidity and mortality. Box breathing techniques have shown promise in lowering blood pressure and stress, but their effectiveness in pregnant women at risk of hypertension and preeclampsia has not been widely studied. This study aims to evaluate the efficacy of a prototype box breathing intervention in reducing blood pressure and symptoms in pregnant women at risk of these conditions. Methods: A quantitative, experimental study with a pretest-posttest design was conducted at four hospitals in Indonesia. A sample of 198 pregnant women in their 1st-3rd trimesters was selected using purposive sampling. The intervention involved the use of a prototype box breathing device, and data were collected on blood pressure and symptoms before and after the intervention. Data analysis was performed using the Wilcoxon test. Results: After the prototype box breathing intervention, there was a significant decrease in systolic blood pressure from 147.83 mmHg to 132.36 mmHg and diastolic blood pressure from 94.76 mmHg to 86.16 mmHg (p-value 0.000). The average symptom score also decreased from 5.93 to 1.25 following the intervention. Conclusion: The use of the prototype box breathing device is effective in lowering blood pressure and reducing symptoms associated with preeclampsia risk in pregnant women. This non-pharmacological intervention offers a promising approach for managing hypertension during pregnancy and preventing the progression to preeclampsia. Further research is needed to validate these findings and optimize the implementation of box breathing techniques in prenatal care.

Efektivitas Edukasi Gizi Komunitas untuk Meningkatkan Pengetahuan Ibu dan Kader dalam Pencegahan Tuberkulosis Anak Aprina, Aprina; Bustami, Anita; Astuti, Titi
SEGANTANG LADA : JURNAL PENGABDIAN KESEHATAN Vol. 3 No. 1 (2025): SEGANTANG LADA : JURNAL PENGABDIAN KESEHATAN
Publisher : Poltekes Kemenkes Tanjungpinang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53579/segantang.v3i1.253

Childhood Pulmonary Tuberculosis (TB) remains a critical public health challenge in Indonesia, particularly in Sidodadi Village, Pringsewu Regency, Lampung. Community members and health cadres often lack sufficient understanding of balanced nutrition as a preventive strategy against TB. This community engagement program aimed to improve the knowledge of mothers with toddlers and health cadres regarding child nutrition for TB prevention. The intervention included an initial survey, development of educational modules, interactive sessions for 20 families, targeted training for 20 health cadres, mentoring, and evaluation using pre-tests, post-tests, questionnaires, and observation. Results indicated a significant improvement in knowledge: from 50% to 82% in the mothers’ group, and from 62% to 90% among health cadres. These improvements were attributed to interactive learning methods and the pivotal role of health cadres as agents of behavioral change, aligning with Social Cognitive Learning Theory. The program effectively enhanced knowledge capacity and has the potential to influence family nutrition practices and reduce the incidence of childhood TB. Recommendations include sustained mentoring, long-term impact evaluation, and development of advanced training modules for health cadres.

Breast Cancer Risk Prevention Model (RICANDRA) to Determine the Risk Factors Associated with the Incidence of Breast Cancer in Women of Childbearing Age in Lampung Province Aprina, Aprina; Astuti, Titi
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 1: March, 2022
Publisher : Universitas Aisyah Pringsewu

Breast cancer in Indonesia is at the top of the list that occurs in women. Most breast cancer conditions are known to be in an advanced stage. Detection at this advanced stage has a very poor prognosis because cancer cells have spread more widely and faster than when cells were detected in an early stage. There was an increase in the number of breast cancer sufferers, both hospitalized and outpatient in RSUDAM. The objectives of this study are to determine the risk factors associated with the incidence of breast cancer in women of childbearing age in Lampung Province and to develop a breast cancer risk prevention model (RICANDRA). This type of research is quantitative with a cross-sectional design. This research was conducted from March to December 2019 in Lampung Province. The target of this study was all women of childbearing age, a sample of 458 women of childbearing age with purposive sampling. The objects taken are advanced age, the first child born at the age of more than 30 years, close family ties/hereditary, history of breast tumor, previous diagnosis, early menstruation, late menopause, use of hormones for menopausal symptoms, exposure to radiation, history of cancer, use of contraceptives hormones, obesity and stress. Collecting data using checklist sheets and questionnaires. Data analysis was univariate, bivariate (chi-square) and multivariate. Research Results: 150 (32.8%) respondents were in the high-risk category and as many as 308 (67.2%) respondents were in the alert category. The results showed that the risk factors that influence breast cancer based on bivariate analysis were advanced age (OR = 5.869; 95% CI: 3.831-8.991; p = 0.000), the first child was born at the age of more than 30 years, close family ties/hereditary, history of breast tumors, Prior diagnosis, Early menstruation, Menopause, Hormone use in menopausal symptoms, Exposure to radiation, had a history of cancer, used hormonal contraception, obesity, stress, smoking, breastfeeding, and alcohol consumption. The most dominant variable affecting the risk factors for breast cancer is the variable exposure to radiation. The magnitude of the risk of breast cancer based on the probability of the logistic function is obtained by the magnitude of the risk of 98.5% WUS experiencing breast cancer and if the risk can be avoided then only 1.5% will experience breast cancer. The Ministry of Health can facilitate regulation on efforts to accelerate efforts to reduce the incidence of breast cancer by making referral designs by strengthening human resources, infrastructure, procedures, or operational methods that can be easily applied to all health workers at the primary level. For women of childbearing age, they must increase their knowledge by participating in activities that can increase knowledge such as mother class activities, and reading or viewing pictures in books, so that WUS knows the risks that may occur in women of childbearing age.

MANAGEMENT OF RISK FACTORS FOR PRE-ECLAMPSIA Anita, Anita; Aprina, Aprina; Astuti, Titi
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No 4: Desember 2023
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30604/jika.v8i4.2395

Globally, preeclampsia is still a problem, 10% of pregnant women throughout the world experience preeclampsia, and it is the cause of 76,000 maternal deaths and 500,000 infant deaths every year. Lampung Province is a province where the number of maternal deaths is still quite high, the latest IDHS data in 2018 shows The highest MMR was 818 people (87.99/100,000 KH) in Tanggamus Regency with a total of 16 deaths out of 10,000 births. The exact cause of pre-eclampsia is still not known for certain, so preeclampsia is called "the disease of theories”. The aim of this research is to determine the description of the risk factors for pre-eclampsia in Tanggamus Regency, Lampung. The research method in this first year used a quantitative research design with a cross sectional approach. The population in this study was pregnant women in Tanggamus district, Lampung. The instruments used in this study were questionnaires and anthropometric examination tools (BMI), data analysis in this study was the Univariate test, Bivariate uses the Chi square test and Multivariate uses the logistic regression test. The results of the research show that there is a relationship between age, parity, BMI, obesity, history of chronic disease, physical activity, nutritional status and attitude towards the incidence of pre-eclampsia with a p-value 0.05, while there is no relationship between the variables education, work, distance. pregnancy, eating patterns, smoking habits, ANC visits, family support, knowledge and economic status with the incidence of pre-eclampsia with a p-value 0.05. And the most dominant variable related to Cervical Cancer is History of Chronic Disease with a p-value of 0.000 and OR: 70.636. Pregnant women should diligently control for early detection so that therapy is given quickly and appropriately to prevent pregnancy complications even during delivery.

Analisis Implementasi Kebijakan Swasembada Gizi dalam Upaya Pencegahan dan Penanggulangan Stunting di Kabupaten Lampung Selatan Anita, Anita; Aprina, Aprina; Sudarmi, Sudarmi; Rusyantia, Anggun; Pranajaya, Pranajaya; Astuti, Titi
MAHESA : Malahayati Health Student Journal Vol 4, No 3 (2024): Volume 4 Nomor 3 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i3.13979

ABSTRACT South Lampung Regent's Instruction Number 2 of 2020 through the Gerakan Swasembada Gizi as an effort to reduce stunting in 2018-2021 which must be implemented in all areas of South Lampung Regency. The aim of this research is to analyze the implementation of the Gerakan Swasembada Gizi Policy in efforts to prevent and overcome stunting in the South Lampung district. This was a qualitative descriptive study with a research instrument using a semi-structured interview guide. Data analysis was conducted using a deductive coding approach based on Grindle's theory, namely, policy content and context. In-depth interviews were conducted with eight regional apparatus organization (OPD) participants as key informants. Method triangulation was carried out by conducting Focus Group Discussions (FGD) in three policy-implementing groups at the community health center and sub-district levels with a total of 15 participants, and also an in-depth interview with seven village midwives, posyandu cadres, and parents with children at risk of stunting. The results show that all OPDs have the same understanding of the implementation of the Gerakan Swasembada Gizi policy. Technical instructions for implementing policies at the district level have been prepared well through a good practice book on efforts to accelerate stunting reduction. Obstacles that still arise are the absence of integrated program SOPs to increase a uniform understanding of the main duties and functions, no integration of integrated data from 64 stunting indicators spread across various OPDs, and rejection and perception of stigma among parents with children at risk of stunting, which causes decreased access to health services. Policy recommendations are provided regarding the need for integrated stunting data management, the need to create SOPs related to the integrated Gerakan Swasembada Gizi program, optimizing regional apparatus and cadres in implementing the Gerakan Swasembada Gizi, and optimizing behavior change campaigns. Keywords: Policy, Gerakan Swasembada Gizi, Prevention, Stunting ABSTRAK Instruksi Bupati Lampung Selatan Nomor 2 Tahun 2020 melalui Gerakan Swasembada Gizi sebagai upaya penurunan stunting tahun 2018-2021 yang wajib dilaksanakan di seluruh wilayah Kabupaten Lampung Selatan. Tujuan penelitian ini adalah menganalisis implementasi kebijakan Swasembada Gizi dalam upaya pencegahan dan penanggulangan stunting di kabupaten Lampung Selatan. Penelitian ini adalah deskriptif kualitatif dengan instrumen penelitian menggunakan panduan wawancara semi-struktur. Analisis data dengan pendekatan koding secara deduktif berdasarkan teori Grindle yaitu isi dan konteks kebijakan. Wawancara mendalam dilakukan pada 8 partisipan Organisasi Perangkat Daerah (OPD) sebagai informan kunci. Triangulasi metode dilakukan dengan melakukan Focus Group Discussion (FGD) pada tiga kelompok pelaksana kebijakan di tingkat puskesmas dan kecamatan dengan total 15 partisipan, serta wawancara mendalam pada 7 orang perwakilan bidan desa, kader posyandu dan penerima manfaat. Hasil penelitian menunjukkan bahwa seluruh OPD sudah memiliki pemahaman yang sama mengenai pelaksanaan kebijakan swasembada gizi. Petunjuk teknis pelaksanaan kebijakan di tingkat Kabupaten telah disusun dengan sangat baik melalui buku praktik baik upaya percepatan penurunan stunting. Kendala yang masih muncul adalah belum adanya SOP program terintegrasi untuk dapat meningkatkan pemahaman yang seragam terkait tupoksi; belum adanya integrasi data terpadu dari 64 indikator stunting yang tersebar di berbagai OPD; serta masih ada penolakan dan persepsi stigma pada orangtua dengan anak beresiko stunting yang menyebabkan menurunnya akses ke pelayanan kesehatan. Rekomendasi kebijakan diberikan terkait perlu adanya manajemen data stunting yang terintegrasi, perlu dibuatnya SOP terkait program terpadu Swasembada Gizi, mengoptimalkan perangkat daerah beserta kader dalam pelaksanaan gerakan Swasembada Gizi serta mengoptimalkan kampanye perubahan perilaku. Kata Kunci: Kebijakan, Swasembada Gizi, Pecegahan, Penanggulangan, Stunting

Peran Pola Asuh dan Stimulasi Orang Tua Terhadap Risiko Speech Delay Pada Anak Astuti, Titi; Aprina, Aprina; Anita, Anita
MAHESA : Malahayati Health Student Journal Vol 5, No 11 (2025): Volume 5 Nomor 11 (2025)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v5i11.22610

ABSTRACT Speech delay in children is a developmental disorder that can affect communication skills, learning processes, and social interactions. Parental parenting and stimulation are environmental factors that play an important role in children's speech development, the Lampung Provincial Health Office report reported 24 children with developmental disorders; Among them, 7 children (29.16%) were in the speech domain. To determine the role of parenting and parental stimulation on the risk of speech delay in preschool-age children. A type of quantitative research with an analytical design of a cross-sectional approach. The population is all pre-school age children with a research sample of 200 pre-school children selected by purposive sampling technique. The independent variables are parental parenting (democratic, authoritarian, permissive) and parental stimulation (good, enough, less), while the dependent variable is the incidence of speech delay. Data collection was carried out using questionnaires and observation sheets. Data analysis used Chi-Square test and logistic regression. The results of the parenting study were mostly authoritarian (53.0%), the stimulation of parents was mostly in the good category (53.5%), and the results showed that there was a significant relationship between parenting and the incidence of speech delay (p = 0.000; OR = 20.620), as well as between parental stimulation and the incidence of speech delay (p = 0.000; OR = 20.462). Children with authoritarian and less stimulated parenting have a higher risk of speech delay compared to children who are democratically raised and receive adequate stimulation. Parenting and parental stimulation play a significant role in the risk of speech delay in preschool-age children. Parents are expected to implement positive parenting and provide consistent stimulation to optimize children's speech development. Keywords: Parenting Style, Parental Stimulation, Speech Delay, Preschool Children. ABSTRAK Speech delay pada anak merupakan gangguan perkembangan yang dapat memengaruhi kemampuan komunikasi, proses belajar, dan interaksi sosial. Pola asuh dan stimulasi orang tua merupakan faktor lingkungan yang berperan penting dalam perkembangan bicara anak, Laporan Dinas Kesehatan Provinsi Lampung dilaporkan 24 anak dengan gangguan perkembangan; di antaranya 7 anak (29,16%) pada domain bicara. Mengetahui peran pola asuh dan stimulasi orang tua terhadap risiko speech delay pada anak usia pra sekolah. Jenis penelitian kuantitatif dengan desain analitik pendekatan cross-sectional. Populasi adalah seluruh anak usia pra sekolah dengan Sampel penelitian berjumlah 200 anak usia pra sekolah yang dipilih dengan teknik purposive sampling. Variabel independen adalah pola asuh orang tua (demokratis, otoriter, permisif) dan stimulasi orang tua (baik, cukup, kurang), sedangkan variabel dependen adalah kejadian speech delay. Pengumpulan data dilakukan menggunakan kuesioner dan lembar observasi. Analisis data menggunakan uji Chi-Square dan regresi logistik. Hasil penelitian pola asuh orang tua sebagian besar bersifat otoriter (53,0%), Stimulasi orang tua mayoritas dalam kategori baik (53,5%), dan hasil menunjukkan terdapat hubungan yang signifikan antara pola asuh dengan kejadian speech delay (p = 0,000; OR = 20,620), serta antara stimulasi orang tua dengan kejadian speech delay (p = 0,000; OR = 20,462). Anak dengan pola asuh otoriter dan stimulasi yang kurang memiliki risiko lebih tinggi mengalami speech delay dibandingkan dengan anak yang diasuh secara demokratis dan mendapat stimulasi yang adekuat. Pola asuh dan stimulasi orang tua berperan signifikan terhadap risiko speech delaypada anak usia pra sekolah. Orang tua diharapkan menerapkan pola asuh positif dan memberikan stimulasi yang konsisten untuk mengoptimalkan perkembangan bicara anak. Kata Kunci: Pola Asuh, Stimulasi Orang Tua, Speech Delay, Anak Pra Sekolah

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