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The Relationship Between Emotional Maturity, Effective Communication and Marital Satisfaction Among Young Women Who Undergo Early Marriage Puspitasari, R.A. Helda; Nastiti, Ayu Dewi; Handayani, Dwining
Journal of Rural Community Nursing Practice Vol. 3 No. 2 (2025): September
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jrcnp.v3i2.565

Abstract

Background: Marriage is a sacred moment when two lovebirds make a sacred promise. The wedding moment should be carried out by two adults. However, in reality, there are groups in society who think that early marriage is a solution to a problem. The prevalence of marriage in Indonesia in 2019 was 10.18% while in Pasuruan Regency, early marriages amounted to 708 in 2022, the highest area is in the Pasuruan coast. Purpose: This study aims to analyze the relationship between emotional maturity, effective communication and marital satisfaction among young women who have married early. Methods: This study was located in Kawisrejo village, Pasuruan, which is included in the coastal area. The sample of this study was young women who had early marriages, with a sample size of 100 wives, this study using total sampling. Data were collected through interviews and questionnaires. Data analysis used the t-test and multiple linear regression. Results: The results show p < 0.05 indicates a significant difference. Respondents with high emotional maturity and effective communication tend to have significantly higher marital satisfaction. Emotional maturity and effective communication simultaneously have a strong and significant influence on marital satisfaction. Conclusions: Marital satisfaction is a subjective feeling felt by couples. The results show that the age of husband and wife when married has a positive relationship with marital satisfaction, meaning that the more mature the age of husband and wife when married, the higher the level of marital satisfaction.
Penguatan Keterampilan Kader Posyandu dalam Optimalisasi Tumbuh Kembang Balita melalui APE (Alat Permainan Edukatif) Handayani, Dwining; Kusuma, Erik; Puspitasari, R.A Helda; Nastiti, Ayu Dewi
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 7, No 12 (2024): Volume 7 No 12 (2024)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v7i12.17617

Abstract

ABSTRAK Pertumbuhan dan Perkembangan merupakan dua peristiwa yang berbeda, yaitu tumbuh dan berkembang, dimana masa balita merupakan ”Golden Age Period” terutama di usia 0-2 tahun karena perkembangan otak telah mencapai 80%. Kebutuhan dasar anak untuk tumbuh dan berkembang telah dikelompokkan menjadi tiga yaitu Asah, Asih dan Asuh. Urgensi dari kegiatan ini yaitu mengoptimalkan peran kader posyandu sebagai ujung tombak di masyarakat dalam meningkatkan tumbuh kembang balita. Keterampilan kader Posyandu di Kampung Pertanian dalam stimulasi tumbuh kembang balita dengan memanfaatkan permainan edukatif masih kurang, masyarakat merasa dimudahkan dengan game-game yang ada di gadged. Pengabdian ini bertujuan mengoptimalkan tumbuh kembang balita di kampung pertanian melalui penguatkan keterampilan kader posyadu melalui APE (Alat Permainan Edukatif). Metode yang digunakan adalah ceramah dan demonstrasi deteksi dini tumbuh kembang dan membuat APE dari bahan bekas. Hasil yang capai dari pengabdian ini adalah peningkatan pengetahuan masyarakat tentang stimulasi tumbuh kembang balita serta peningkatan kemampuan dan keterampilan masyarakat dalam membuat serta memanfaatkan APE sebagai sarana stimulasi pertumbuhan dan perkembangan anak. Kesimpulan dalam pengabdian masyarakat ini yaitu  kegiatan pengabdian masyarakat telah memberikan sumbangsih inovasi program dan intervensi yang tepat dalam meningkatkan kesehatan keluarga dan komunitas dalam mengoptimalkan tumbuh kembang balita. Saran yang diberikan tetap menjalinnya kerjasama yang terprogram antara pihak desa dengan petugas kesehatan serta melakukan edukasi berkesinambungan baik di kepada kader kesehatan dan juga masyarakat. Kata Kunci: Tumbuh, Kembang, Balita  ABSTRACT Growth and Development are two different events, namely growth and development, where toddlerhood is the "Golden Age Period" especially at the age of 0-2 years because brain development has reached 80%. The basic needs of children to grow and develop have been grouped into three, namely Sharpening, Asih and Nurturing. The urgency of this activity is to optimize the role of posyandu cadres as the spearhead in the community in improving the growth and development of toddlers. The skills of Posyandu cadres in Agricultural Villages in stimulating the growth and development of toddlers by utilizing educational games are still lacking, the community feels facilitated by the games in gadged. This service aims to optimize the growth and development of toddlers in agricultural villages through strengthening the skills of posyadu cadres through APE (Educational Game Tools). The method used is a lecture and demonstration of early detection of growth and development and making APE from used materials. The results achieved from this service are an increase in public knowledge about stimulation of the growth and development of toddlers as well as an increase in the ability and skills of the community in making and utilizing APE as a means of stimulating children's growth and development. The conclusion in this community service is that community service activities have contributed to program innovations and appropriate interventions in improving the health of families and communities in optimizing the growth and development of toddlers. The advice given continues to establish programmatic cooperation between the village and health workers and carry out continuous education both to health cadres and the community. Keywords: Growth, Development, Toddlers
THE APPLICATION OF ACTIVE CYCLE OF BREATHING TECHNIQUE (ACBT) TO IMPROVE AIRWAY CLEARANCE IN CHILDREN WITH BRONCHOPNEUMONIA Handayani, Dwining; Sari, Mia Yuspita
Journal of Nursing and Midwifery Sciences Vol. 4 No. 2 (2025): Volume 4 Issue 2
Publisher : Faculty of Nursing and Midwifery, Binawan University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54771/f9qv8685

Abstract

Bronchopneumonia is a respiratory tract infection that often affects children, with the main problem being ineffective airway clearance. This disease is caused by microbes or foreign substances entering the bronchioles and alveoli, leading to inflammation and the production of excessive sputum, which accumulates and obstructs the airways. If ineffective airway clearance is not managed promptly, it can cause shortness of breath and may even lead to death due to insufficient oxygen supply. The Active Cycle of Breathing Technique (ACBT) can be an alternative intervention to address ineffective airway clearance in patients with bronchopneumonia. The aim of this study is to describe the application of ACBT in bronchopneumonia patients experiencing ineffective airway clearance. This study used a case study design with a nursing process approach. Data were collected through interviews, observation, physical examination, and documentation. The results of nursing implementation over three days showed that applying ACBT for 10–15 minutes reduced shortness of breath, achieved a respiratory rate of 22 breaths per minute, and eliminated dyspnea, thus resolving the problem. It can be concluded that ACBT is effective in overcoming ineffective airway clearance in patients with bronchopneumonia. Implementing ACBT in healthcare services with proper approaches, education, and adaptation to the child’s age and ability can help clear the airway without complications.
Pengaruh Pemberian Terapi Kompres Dingin terhadap Penurunan Skala Nyeri pada Pasien Post Episiotomi Puspitasari, RA Helda; Handayani, Dwining; Nastiti, Ayu Dewi; Umam, Esa Rosyida; Laily, Nurul Fahmi Rizka; Nafi'a, Abidatun; Jannah, Miftahul
Jurnal Gema Keperawatan Vol 18, No 2 (2025): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v18i2.4136

Abstract

Normal childbirth is a physiological process that can cause pressure on the perineal tissue, so that episiotomy is often required to prevent more severe tears, episiotomy can also cause pain that interferes with the comfort and recovery process of the mother. Pain due to episiotomy if not handled properly can inhibit early mobilization, prolong healing time, reduce sleep quality, and affect the bond between mother and baby. This study aims to determine the effect of cold compresses in reducing the pain scale in post-episiotomy mothers. This study used a pre-experimental design with a one-group pre-posttest design approach, this study was conducted at the Sahara inpatient primary clinic in Pasuruan City, the population in this study were all mothers who had normal deliveries and underwent episiotomy, with a sample size of n=20 responden. The inclusion criteria in this study were postpartum mothers on day 1 to day 3 who experienced pain due to episiotomy, were willing to participate in the intervention, and had no contraindications to cold therapy. Pain measurements were carried out using the Numeric Rating Scale (NRS) and were measured before and after the intervention. Data analysis using a chi-square test showed a p-value of 0,011 (p0,05) indicating a significant difference between before and after the intervention. These findings demonstrate that cold compresses effectively reduce post-episiotomy pain in mothers. This intervention can be a safe, easy-to-implement, and beneficial non-pharmacological therapy alternative in accelerating the recovery process and improving the quality of life of postpartum mothers.
Community-Led Health Education and Social Mobilization for Improving Stunting Prevention Behavior Kusuma, Erik; Nastiti, Ayu Dewi; Handayani, Dwining; Puspitasari, R.A. Helda; Rahmawati, Iis
Jurnal Promosi Kesehatan Indonesia Vol 20 No 4: October 2025
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jpki.20.4.323-332

Abstract

Background: Stunting remains prevalent in Indonesia’s coastal regions, where social norms and resource limitations hinder the implementation of preventive practices. In Tapa’an Village, Pasuruan, these challenges are compounded by the influence of extended family, unstable income, and restricted access to clean water. This study aimed to evaluate the effect of a community-led health education program combined with digital reinforcement on mothers’ stunting-prevention behaviors, using the Theory of Planned Behavior (TPB) framework.Method: A quasi-experimental one-group pretest–posttest design was conducted with 57 mothers of children under five. Data on attitude, subjective norms, perceived behavioral control, and behavioral intention were collected using validated questionnaires. Statistical analyses included paired t-tests and ANOVA to assess mean differences, and Pearson correlation to explore inter-domain relationships, chosen to capture both magnitude and interaction of behavioral change.Result : Significant improvements were found across all TPB constructs (p < 0.001) with large effect sizes (η² > 0.80). The most substantial change occurred in behavioral intention, driven by enhanced attitudes and social approval. Mothers described greater motivation, confidence, and collective encouragement after receiving digital reminders. The integration of participatory learning and digital cues effectively transformed individual awareness into a shared community practice. Digital reinforcement uniquely sustained motivation beyond group sessions, especially among digitally active mothers in extended families. Despite the design’s lack of a control group and short observation period, findings highlight the model’s potential for adaptation in coastal maternal health programs. Embedding digital reinforcement into Puskesmas activities could strengthen long-term stunting prevention efforts.
Reducing Maternal Mortality Rate Through Utilization of Agricultural Products and Antenatal Care with Agronursing Perspective: Upaya Penurunan Maternal Mortality Rate Melalui Pemanfaatan Hasil Pertanian dan Antenatal Care di Wilayah Agronursing Puspitasari, R.A. Helda; Handayani, Dwining; Kusuma, Erik; Dewi Nastiti, Ayu
Journal of Community Empowerment for Multidisciplinary (JCEMTY) Vol. 1 No. 2 (2023): November 2023
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/jcemty.v1i2.102

Abstract

In Indonesia, the number of deliveries assisted by health personnel is still relatively low. Pregnancy checks (Antenatal Care = ANC) can motivate pregnant women to give birth to health workers. This study aims to determine the role of ANC in selecting birth attendants. This cross-sectional study used secondary data from the KKG Project Benefit Evaluation Survey (Family Health and Nutrition)—efforts to Reduce Maternal Mortality Rate Through Utilization of Agricultural Products and Antenatal Care in Agronursing Areas. Maternal Mortality Rate (MMR) is the death of a woman during pregnancy or 42 days after giving birth. Indonesia is a country with a significant increase in the number of maternal mortalities of 359/100,000. This achievement still needs to catch up to the 2024 Millennium Development Goals (MDGs) target, which is 183/100,000 KH, so this has made Indonesia experience a crisis in maternal health services. The low readiness of the mother to fulfill nutritional quality and conduct antenatal care can be a big problem in the birth process. Therefore, it is important to carry out socialization to reduce the maternal mortality rate by utilizing agricultural products to improve maternal nutrition through antenatal care. The purpose of doing community service for pregnant women is to reduce the Maternal Mortality Rate in Indonesia. Community empowerment is carried out by conducting lectures between researchers and participants.
STRENGTHENING THE STRATEGIC ROLE OF NEWBORN CARE CULTURE IN TENGGER TRIBE SOCIETY IN REDUCING INFANT MORTALITY RATE BASED ON TRANSCULTURAL NURSING Puspitasari, R.A. Helda; Handayani, Dwining; Dewi Nastiti, Ayu; Kusuma, Erik; Rahmawati, Iis
Indonesian Journal of Community Health Nursing Vol. 11 No. 1 (2026): FEBRUARY 2026
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijchn.v11i1.73970

Abstract

Introduction: The Tengger Tribe is an indigenous tribe in the Bromo Mountains, Pasuruan Regency. The community still strongly upholds customs and traditions in their daily lives, for example in caring for newborns, they have a unique way that has been passed down from their ancestors. The specific objective of this study is to obtain a picture of the meaning and significance of the health experience of the Tengger Tribe mountain community in caring for newborns by identifying the health characteristics of the Tengger Tribe community, identifying factors related to the behavior of handling health problems in newborns qualitatively.   Method: The research design used is qualitative with an ethnographic approach.   Result: Infant growth and development are influenced by environmental factors, these factors can be permanent or temporary, thus affecting the speed and quality of growth and development. Proper newborn care is intended for the child's physical growth including providing adequate and proper nutrition, protection against disease. The culture of newborn care in the Tengger tribe consists of exclusive breastfeeding, cutting the umbilical cord, baby massage, the role of midwives, the use of herbal plants as medicine for babies..   Conclusion: The behavior of cultural traditions in the Tengger community is generally good and very supportive of health. For further researchers, they can develop typical plants of the Bromo Tengger mountains that can be used for treatment when babies are sick.   Keywords: culture; baby care; Tengger; infant mortality rate; transcultural.