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Aprina, Aprina
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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

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
Edukasi dan Pelatihan Keluarga dan Kader Kesehatan tentang Pencegahan dan Perawatan Anak dengan Tuberkulosis Paru di rumah Desa Sidodadi Kecamatan Pardasuka Kabupaten Pringsewu Anita, Anita; Aprina, Aprina; Astuti, Titi; Hasan, Amrul; Kadarusman, Haris; Siregar, Maria Tuntun; Fauziah, Raden Roro Nur
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 7, No 11 (2024): Volume 7 No 11 (2024)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v7i11.15071

Abstract

ABSTRAK Indonesia merupakan salah satu negara dengan penderita Tuberkulosis (TBC) tertinggi ketiga di dunia dengan perkiraan jumlah orang penderita akibat TBC mencapai 845.000 dengan angka kematian 98.000 orang atau setara dengan 11 kematian/jam. Faktor risiko TBC pada anak diantaranya adalah status gizi, ASI eksklusif, riwayat kontak TBC, usia imunisasi BCG, keberadaan perokok dan sanitasi lingkungan. TBC pada anak dapat dicegah dengan meningkatkan status kesehatan & nutrisi yang baik, memutus rantai penularan TBC dengan  PHBS, mengubah perilaku anak, keluarga dan lingkungan secara terus menerus. Pengabdian bertujuan meningkatkan pengetahuan dan keterampilan keluarga dan Kader Kesehatan tentang pencegahan dan perawatan  TBC. Pelaksanaan kegiatan secara kelompok di Desa Sidodadi Kecamatan Pardasuka Kabupaten Pringsewu, pada bulan Agustus 2024. Sasaran kegiatan adalah 20 keluarga yang memiliki balita resiko TBC. Kegiatan diawali dengan pelatihan dan edukasi, keberhasilan pelatihan diukur dengan membandingkan hasil pre-test dan post-test. Hasil Pengabdian ini menunjukkan adanya peningkatan pemahaman dan pengetahuan baik pada kelompok usia dewasa maupun kelompok keluarga dengan anak penderita TBC terkait perawatan balita/anak dengan TBC di rumah setelah dilakukan pelatihan keluarga dan kader kesehatan. Kata kunci: Anak, Pencegahan, Perawatan, TBC  ABSTRACT Indonesia is one of the countries with the third highest TB burden in the world with an estimated number of people falling ill due to TB reaching 845,000 with a death rate of 98,000 or equivalent to 11 deaths/hour. Risk factors for tuberculosis in children include nutritional status, exclusive breastfeeding, history of contact with tuberculosis, age of BCG immunization, the presence of smokers and environmental sanitation. Tuberculosis in children can be prevented by improving good health & nutrition status, breaking the chain of TB transmission with PHBS, changing the behavior of children, families and the environment continuously. The service aims to improve the knowledge and skills of families and Health Cadres about TB prevention and treatment. The implementation of group activities in Sidodadi Village, Pardasuka District, Pringsewu Regency, in August 2024. The target of the activity is 20 families with toddlers at risk of TB. The activity began with training and education, the success of the training was measured by comparing the results of the pretest and posttest. The results of this service show an increase in understanding and knowledge in both adult and child age groups related to the care of toddlers and children with tuberculosis at home after training families and health cadres. Keywords: Children, Prevention, Treatment, TB
Pemberdayaan Masyarakat untuk Mencegahan dan Menurunkan Stunting di Pekon Kanoman Kecamatan Semaka Kabupaten Tanggamus Lampung Aprina, Aprina; Ahyanti, Mei; Hasan, Amrul; Astuti, Titi; Amatiria, Gustop; Nugroho, Ari; Mustafa, Annasari
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 7, No 7 (2024): Volume 7 No 7 2024
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v7i7.14864

Abstract

ABSTRAK Stunting pada anak balita merupakan konsekuensi dari beberapa faktor yang sering dikaitkan dengan kemiskinan termasuk gizi, kesehatan, sanitasi dan lingkungan. Beberapa penelitian di Indonesia menemukan bahwa kombinasi antara sanitasi yang tidak layak dan kualitas air minum yang tidak aman merupakan faktor risiko stunting. Permasalahan stunting dapat dicegah sebelum kehamilan dan pada masa kehamilan, dengan cara memberikan edukasi pada calon ibu dimasa prakonsepsi dalam mempersiapkan calon ibu. Pengabdian dapat meningkatkan pengetahuan dan keterampilan masyarakat sehingga memiliki kemandirian dalam bidang Kesehatan dan peningkatan perekonomian keluarga. Kegiatan dilakukan dalam beberapa tahapan mulai bulan Maret hingga November 2023 di Pekon Kanoman Kecamatan Semaka Kabupaten Tanggamus. Sasaran adalah WUS, remaja, keluarga yang memiliki balita stunting dan keluarga berisiko stunting. Telah terjadi peningkatan pengetahuan dan keterampilan masyarakat tentang IMD, manajemen laktasi, Kesehatan reproduksi, pembuatan MP-ASI, terbangun 10 unit pembuatan SPAL percontohan dan 1 unit DAMIU. Kata Kunci: Infeksi, Gizi, Stunting  ABSTRACT Stunting in children under five is caused by factors that are generally associated with poverty, including nutrition, health, sanitation and the environment. Several studies in Indonesia show that the combination of inadequate drinking water sanitation and unsafe drinking water sanitation is a common cause of stunting. Conception problems before and during pregnancy can be prevented by providing education to prospective mothers during the preconception period in preparing future mothers. Services can increase people's knowledge and skills so that they have independence in the health sector and improve the family economy. Activities were carried out in several stages from March to November 2023 in Pekon Kanoman, Semaka District, Tanggamus Regency. The targets include WUS, teenagers, families with young children who may experience stunting, and families who are at risk of experiencing stunting. There is an increase in community knowledge and capacity regarding IMD, lactation management, reproductive health, MP-ASI production, 10 experimental SPAL manufacturing units and 1 DAMIU unit. Keyword: Infection, Nutrition, Stunting
Suprapubic Hot Pack For Recovery of Urinary Vesical Reflexes on Post Spinal Anaesthesia Patients Aprina, Aprina; Suwoyo, Nadiyah
Jurnal Keperawatan Terpadu (Integrated Nursing Journal) Vol. 6 No. 1 (2024): APRIL
Publisher : Jurusan Keperawatan, Poltekkes Kemenkes Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32807/jkt.v6i1.528

Abstract

Urinary retention after spinal anaesthesia and surgery ranges from 5%-70%, with men and the elderly at higher risk. This occurs because the urethral sphincter muscle does not respond to the urge to urinate and the patient is unable to feel the need to urinate. One treatment for this problem is providing hot pack media as a warm therapy in the suprapubic area. The purpose of this study was to determine the effect of suprapubic hot pack therapy on the recovery of post spinal anaesthesia vesical urinary reflex. This quantitative study uses a quasy experiment design with a static group comparison approach. The population of this study was postoperative patients with spinal anaesthesia. The sample size was 60 respondents with accidental sampling. The research design has treatment and control groups, then measuring the results with observation sheets. Using the independent t-test for the analisys. The result showed the average recovery time of vesica urine was 225.5 minutes for intervention group and 295 minutes for control group with a p-value (0.000) < α (0.05), which means that there is an effect of suprapubic hot pack therapy on the recovery of vesica urine reflexes after spinal anaesthesia. Based on the results of this research, this procedure is an effective nursing intervention that can be applied in surgical inpatient rooms for the care of post-operative patients, especially in patients with spinal anaesthesia to speed up the recovery of the patient's bladder reflex.
Efektivitas media penyuluhan terhadap persepsi pasien hipertensi dalam pengendalian tekanan darah pada masa pandemi Covid-19 Sary, Lolita; Saireda, Elistya Mercha; Febriani, Christin Angelina; Aprina, Aprina
Holistik Jurnal Kesehatan Vol 17, No 9 (2024)
Publisher : Program Studi Ilmu Keperawata Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v17i9.12029

Abstract

Background: Hypertension is still a health problem because the number of case continues to increase. Hypertension is a disease that can be controlled with lifestyle modifications. Health education and promotion in the form of counseling is carried out to raise awareness.Purpose: Determinng the effectiveness of different counseling media on the perceptions of hypertensive patients during the Covid-19 pandemic.Methods: This research is quantitative, with quasi-experimental design. Data were collected by questionnaires to measure perceptions. The population were patients with hypertension aged 45 to 59 years in Rejosari Public Health Center, while the sample was obtained as many as 90 people consisting of 30 people in the video intervention group, 30 slide groups and 30 control groups. Data analysis used univariate, bivariate by using t test and multivariate determined by Anova.Results: It is showed that in video group, the mean pre-test=28.57 and mean post-test=44.5. In slide group, the mean pre-test=27.93 and mean post-test=40.3. As for the control group, the mean pre-test=25.93 and mean post-test=26.03. The bivariate analysis showed that there was a significant change in the perception of hypertensive patients in the video media group (p=0.000), slides (p=0.000) and control (p=0.000) before and after being given treatment. Multivariat results showed that video media was the most effective medium for changing perceptions of patients with hypertension before and after given treatment compared to control group (p=0.000 and X =15.8).Conclusion: There was a significant change in the perception of hypertensive patients in video media group and slides, nor control before and after being given treatment and video media was the most effective medium for changing perceptions of patients with hypertension. Suggestion for Rejosasri Public Health to utilize video or slide media as a support in changing patient perceptions through counseling. Keywords: Health Promotion Media; Hypertension; Perceptions. Pendahuluan: Hipertensi masih menjadi masalah kesehatan karena jumlah kasus yang terus meningkat. Hipertensi adalah penyakit yang dapat dikendalikan dengan modifikasi gaya hidup. Edukasi dan promosi kesehatan dalam bentuk penyuluhan dilakukan untuk memberikan kesadaran.Tujuan: Menganalisis efektivitas perbedaan media penyuluhan terhadap persepsi pasien hipertensi pada masa pandemi Covid-19.Metode: Penelitian ini adalah penelitian kuantitatif dengan desain quasi eksperimen. Tehnik pengumpulan data dilakukan kuesioner untuk mengukur persepsi. Populasi penelitian ini adalah pasien hipertensi usia 45 s.d 59 tahun di wilayah kerja Puskesmas Rejosari, sedangkan sampel diperoleh sebanyak 90 orang yang terdiri dari 30 orang kelompok intervensi video, 30 kelompok slide dan 30 kelompok kontrol. Analisis data menggunakan analisis univariat, bivariat dengan uji t dan multivariat dengan Anova.Hasil: Pada kelompok video diperoleh mean pre-test=28.57 dan mean post-test=44.5. Pada kelompok slide diperoleh mean pre-test=27.93 dan mean post-test=40.3. Adapun pada kelompok kontrol diperoleh mean pre- test=25.93 dan mean post-test=26.03. Hasil analisis bivariat menunjukkan adanya perubahan yang bermakna dari persepsi pasien hipertensi kelompok media video (p=0.000), slide (p=0.000) dan kontrol (p=0.0000). Sebelum dan sesudah diberikan perlakuan. Hasil analisis multivariat menunjukkan bahwa media video merupakan media paling efektif terhadap perubahan persepsi pasien hipertensi sebelum dan sesudah diberikan perlakuan dibandingkan dengan kelompok kontrol (p=0,000 dan X =15.8).Simpulan: Adanya perubahan bermakna dari persepsi pasien hipertensi kelompok media video dan slide sebelum dan sesudah diberikan perlakuan dan media video merupakan media paling efektif terhadap perubahan persepsi pasien hipertensi. Disarankan Puskesmas untuk memanfaatkan media video atau slide sebagai penunjang dalam mengubah persepsi pasien terutama di masa pandemi Covid-19. Kata kunci: Hipertensi; Media Promosi Kesehatan; Persepsi.
The Relationship of Experience, Motivation, and Workload to the Performance of Nurses in the Operating Room Benny Chandra; Aprina, Aprina; Sunarsih, Sunarsih; Kodri, Kodri
Jurnal Kesehatan Vol 16 No 3 (2025): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v16i3.5435

Abstract

Performance is a measurable, both quantitative and qualitative, outcome for nurses who fulfill their responsibilities in providing patient care in accordance with their professional duties. This study aimed to determine the relationships among work experience, motivation, and workload and nurses' performance in the operating room at Urip Sumoharjo Hospital, Lampung Province, in 2024. The research used a quantitative design with a cross-sectional approach, conducted from March to April 2024. The population consisted of 37 nurses, all included as respondents through a total sampling technique. Data were collected using structured questionnaires completed by respondents and analyzed using univariate and bivariate analyses with the Chi-square test. The results showed that 28 nurses (75.7%) demonstrated good performance, supported by adequate work experience in 23 (62.2%), high motivation in 24 (64.9%), and a low workload in 27 (73.0%). Statistical analysis revealed significant relationships between experience (p=0.004), motivation (p=0.002), and workload (p=0.000) with nurse performance (p<0.05). The study concludes that work experience, motivation, and workload significantly influence nurses' performance in the surgical unit at Urip Sumoharjo Hospital. It is recommended that hospital management pay greater attention to enhancing nurse motivation and managing workloads to improve the quality of nursing services provided to patients.
Pemanfaatan Inovasi Aplikasi Breathemama (Box Breathing Digital) untuk Pencegahan Hipertensi dalam Kehamilan di Lima Provinsi Indonesia Aprina, Aprina; Anita, Anita; Astuti, Titi; Rohmin, Anur; Halimatussakdiah, Halimatussakdiah; Suhartini, Suhartini; Nadi, Hartin I.K.
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 9, No 1 (2026): Volume 9 Nomor 1 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v9i1.23492

Abstract

ABSTRAKPreeklampsia merupakan salah satu penyebab utama morbiditas dan mortalitas ibu di Indonesia dengan prevalensi mencapai 10–15% dari total kehamilan. Kondisi ini ditandai oleh peningkatan tekanan darah, sakit kepala, dan edema, yang diperburuk oleh stres, kecemasan, serta rendahnya edukasi pengendalian tekanan darah. Hasil wawancara awal di wilayah Lampung, Aceh, Banten, Palembang, dan Ternate menunjukkan keterbatasan pengetahuan ibu hamil serta minimnya pemanfaatan media digital kesehatan sebagai sarana pencegahan hipertensi kehamilan. Kegiatan ini bertujuan untuk memanfaatkan inovasi aplikasi BreatheMama (Box Breathing Digital) sebagai media edukasi dan intervensi non-farmakologis dalam pencegahan hipertensi pada ibu hamil di lima provinsi Indonesia. Metode yang digunakan adalah edukasi dan pelatihan penerapan aplikasi BreatheMama melalui pendekatan partisipatif. Kegiatan dilaksanakan dalam tiga tahap, yaitu input (persiapan dan sosialisasi), proses (edukasi kesehatan dan pelatihan penggunaan aplikasi), serta output (penerapan aplikasi selama empat minggu disertai pendampingan dan monitoring tekanan darah). Evaluasi dilakukan melalui pengukuran tekanan darah dan tingkat pengetahuan ibu hamil sebelum dan sesudah intervensi. Rata-rata tekanan darah ibu hamil sebelum intervensi menunjukkan kecenderungan tinggi dengan nilai sistolik 142 mmHg dan diastolik 91 mmHg. Setelah penggunaan aplikasi BreatheMama dan praktik box breathing, terjadi penurunan tekanan darah menjadi rata-rata sistolik 121 mmHg dan diastolik 82 mmHg. Tingkat pengetahuan ibu hamil juga mengalami peningkatan signifikan, dari kategori baik sebesar 18% sebelum intervensi menjadi 72% setelah edukasi, sementara kategori pengetahuan kurang menurun dari 52% menjadi 6%. Pemanfaatan aplikasi BreatheMama efektif sebagai media edukasi digital dan intervensi non-farmakologis dalam pencegahan hipertensi kehamilan. Aplikasi ini berkontribusi pada peningkatan pengetahuan ibu hamil serta penurunan tekanan darah, sehingga mendukung penguatan layanan promotif dan preventif berbasis teknologi di puskesmas. Kata Kunci: Kehamilan, Hipertensi, Preeklampsia, Box Breathing, Kesehatan Digital    ABSTRACT Preeclampsia is one of the main causes of maternal morbidity and mortality in Indonesia with a prevalence of 10-15% of total pregnancies. This condition is characterized by increased blood pressure, headaches, and edema, which is exacerbated by stress, anxiety, and low blood pressure control education. The results of initial interviews in the Lampung, Aceh, Banten, Palembang, and Ternate regions show the limited knowledge of pregnant women and the lack of use of health digital media as a means of preventing pregnancy hypertension. This activity aims to utilize the innovation of the BreatheMama (Box Breathing Digital) application as an educational medium and non-pharmacological intervention in the prevention of hypertension in pregnant women in five Indonesian provinces. The method used is education and training on the application of the BreatheMama application through a participatory approach. The activity was carried out in three stages, namely input (preparation and socialization), process (health education and application use training), and output (application implementation for four weeks accompanied by assistance and blood pressure monitoring). Evaluation was carried out through blood pressure measurement and knowledge level of pregnant women before and after the intervention. The average blood pressure of pregnant women before the intervention showed a high tendency with a systolic value of 142 mmHg and a diastolic value of 91 mmHg. After the use of the BreatheMama application and box breathing practice, there was a decrease in blood pressure to an average systolic of 121 mmHg and a diastolic of 82 mmHg. The level of knowledge of pregnant women also increased significantly, from the good category of 18% before intervention to 72% after education, while the less knowledge category decreased from 52% to 6%. The use of the BreatheMama application is effective as a digital educational medium and non-pharmacological intervention in the prevention of pregnancy hypertension. This application contributes to increasing the knowledge of pregnant women and reducing blood pressure, thereby supporting the strengthening of technology-based promotive and preventive services at health centers. Keywords: pregnancy, hypertension, preeclampsia, box breathing, digital health
Co-Authors A.A. Ketut Agung Cahyawan W Abdul Kadir Akhmad Akhmad Amatiria, Gustop Amrul Hasan Anggun Rusyantia Anita Anita Annasari Mustafa Ari Nugroho Astuti, Retno Puji Astuti, Titi Benny Chandra Bustami, Anita Christin Angelina Febriani Dina Dwi Nuryani Djalamang, Zulfikar Jakaputera Dwi Puja, Okta Eka Yulia Fitri Erwandi Erwandi Fauziah, Raden Roro Nur Halimatussakdiah Kadarusman, Haris Kodri Kodri, Kodri Lestari, Enti Lolita Sary Mei Ahyanti Nadi, Hartin I.K. Ningsih Ismi, Dian Ayu Nurapiah Nurapiah, Nurapiah Oktarina, Lia Padmi, Ni Made Diah Pranajaya, Pranajaya Purwati Purwati Rilyani, Rilyani Rinaldo, Andi Rohmin, Anur Saireda, Elistya Mercha Sanee, Aree Sangkota, Megawati Saraswati, Ika Sari, Fitri Eka Setiawati Setiawati SHODIQ, MUNAWAR Siregar, Maria Tuntun Siti Rahmi Sudarmi Sudarmi Suhartini Suhartini Sulistianingsih, Eka Sumardilah, Dewi Sri Sunarsih Sunarsih Suwoyo, Nadiyah Wahab, Abd Yasin Mohamad Yunita, Siti Dwi Zain Syafira, Jihan