Kusuma, Ratu
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Upaya Pencegahan HIV pada Remaja melalui Edukasi di Posrem Eirin Kota Jambi Kusuma, Ratu
Jurnal Abdimas Kesehatan (JAK) Vol. 7 No. 1 (2025): Januari
Publisher : Universitas Baiturrahim

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36565/jak.v7i1.726

Abstract

Adolescent health is a global problem, including the risk of contracting HIV. BPS 2018 recorded 86,780 cumulative cases of HIV/AIDS and some occurred in teenagers. IDAI reports that in 2022 there will be 741 adolescents aged 15-19 years infected with HIV and 172 cases will occur at ages ≤ 14 years. The 2020 Jambi Province Health Profile recorded 169 new cases of HIV and 32 new cases of AIDS in Jambi Province, the most cases in  Jambi City (122 HIV and 28 AIDS). Data from the ODHA Community (Yayasan Kanti Sehati Sejati Kota Jambi) for 2022 recorded 1115 ODHA in Jambi Province. Therefore, it is necessary to provide education through activities of community service. This activity was carried out in the working area of the Putri Ayu Health Center, Jambi City because based on the HIV/AIDS and IMS Program Medical Records in 2023 there were 92 cases of HIV/AIDS, and in 2020 there was 1 male teenager infected with HIV. Data from Yayasan Kanti Sehati Sejati notes that in the last 1 year (2021-2022) several new cases were adolescent ODHA (aged 16-20 years) and 1 of them was even infected at the age of 14 years. Education was carried out on July 15 2023 at the homes of residents of RT 15 Sungai Putri Sub-district for 34 young men and women from Posrem Eirin who are members of Posrem Senja Danau Sipin. The material is delivered via power point for ± 60 minutes including a question and answer and sharing session. Before and after education, a pretest and posttest were carried out using the same questionnaire. After being given education, there was an increase in the average knowledge of 2.0 and attitude of 4.5 points. Thus, it is concluded that the knowledge of teenagers at Posrem Eirin about HIV is not optimal.
Edukasi tentang Rendam Hangat untuk Menurunkan Tekanan Darah pada Ibu Preeklampsia Pebrianti, Dwi Kartika; Kusuma, Ratu; Yuliana, Yuliana
Prosiding Seminar Kesehatan Nasional Vol. 3 No. 1 (2024): Desember
Publisher : 3031-8572

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36565/prosiding.v3i1.199

Abstract

Preeclampsia is one of the main causes of deaths and the number of perinatal individuals in Indonesia. Until now, preeclampsia is still a obstetric problem that has not been completely solved. Preeclampsia is a disease whose incidence rate varies in each country. The aim of education is to reduce blood pressure in pregnant women at the Putri Ayu Health Center in Jambi City, they can do dysmenorrhoea exercises to prevent dysmenorrhoea pain. The activity began with a pretest, then education and demonstrations regarding warm soaking were carried out, then a posttest was carried out. The media used are posters, ppt, leaflets and questionnaires. The educational target was 10 respondents. This activity was carried out at the Putri Ayu Health Center in Jambi City over a period of 3-6 months in March 2024-July 2024. The results obtained before being given education, knowledge about warm soaking, respondents were less than 60%. After being given education, knowledge about warm soaking respondents was less than 10%. It is hoped that provide information to pregnant women about warm soaks regarding how to provide additional insight to increase pregnant women's knowledge about non-pharmacological therapy every month, namely warm soaks which aim to lower blood pressure. There has never been any education about warm soaks to reduce blood pressure in preclamptic mothers
Edukasi tentang Kehamilan Usia Remaja dan Berbagai Permasalahannya di Puskesmas Putri Ayu Kusuma, Ratu; Hesty, Hesty; Sari, Mila Triana; Ariyanto, Ariyanto
Jurnal Abdimas Kesehatan (JAK) Vol. 7 No. 2 (2025): Juni
Publisher : Universitas Baiturrahim

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36565/jak.v7i2.732

Abstract

Teenage pregnancy is one of the health problems in Indonesia, Riskesdas 2018 recorded 2,867 teenage pregnancies (10-19 years) and 15 of them were aged 10-14 years. BPS Indonesia reported that the average birth rate for teenagers in 2018 was 36/1,000 births and in Jambi Province 46/1,000 births (national target 18/1000 births). Based on the Medical Records of the KIA Polyclinic and interviews with the Midwife Coordinator of the KIA Program and the PKPR Program, it is known that in recent years there has been an increase in teenage pregnancies. In 2020 (33 cases), 2021 (33 cases), 2022 (35 cases), 2023 (31 cases) and 1 of them occurred at the age of 15 years. Interviews were also conducted with 2 teenage mothers who made antenatal visits. First mother: 19 years old, has 2 children, is currently pregnant with her 3rd child from her 2nd husband, and shows symptoms of depression; and second mother: 18 years old, 38 weeks pregnant, has anemia and suffers from hepatitis. Educational activities were carried out in 2 places (December 1, 2023 at the Putri Ayu Health Center Hall and January 20, 2024 at the Asfalis Posrem RT 17, Solok Sipin Village) for 14 teenage mothers, through group education for 60-70 minutes, with a lecture discussion and question and answer method. Before the material was given, leaflets were first distributed to each participant. The delivery of the material used ppt and loudspeakers, before and after education, a pretest and posttest were carried out using the same questionnaire. It was concluded that teenage pregnancy is increasing, while teenagers do not yet have good behavior in preventing it.
Optimalisasi UKS dalam Edukasi Kesehatan Reproduksi Remaja di SMP Pertiwi 1 Kota Jambi Hesty, Hesty; Maimaznah, Maimaznah; Hidayat, Muhammad; Sari, Mila Triana; Kusuma, Ratu
Jurnal Abdimas Kesehatan (JAK) Vol. 7 No. 2 (2025): Juni
Publisher : Universitas Baiturrahim

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36565/jak.v7i2.826

Abstract

Reproductive health is an important aspect in the lives of individuals and communities. Factors that influence reproductive health include social, economic, cultural and environmental. School Health Efforts (UKS) are educational unit efforts to instill, grow, develop and improve healthy living skills. This activity aims to form adolescent cadres who care about reproductive health, increase adolescent knowledge about reproductive health at SMP Pertiwi 1, Jambi City. Junior High School (SMP) is a place of education whose students are teenagers, of course this needs to be equipped with knowledge and motivation related to reproductive health in order to avoid various problems related to reproduction, considering that teenagers are sometimes negligent and less concerned about their reproductive health, seen in the initial study obtained information from the student affairs teacher, this reproductive health problem has not been specifically given, for that it is necessary to form cadres who can be a bridge in providing information related to reproductive health for teenagers. The method of activity is lectures, questions and answers and discussions as well as providing questionnaires for pre-tests and post-tests. This community service was carried out from March 2024 to August 2024. The total number of participants was 10 people. The results of the pre-test and post-test with an average difference of 2-3 points, obtained an increase in knowledge of 26% and the formation of a UKS cadre team which of course will bridge the provision of information related to reproductive health. The output of this community service activity will be published in the Baiturrahim Health Service Journal.
Pengetahuan, Sikap, Respons Perilaku Adaptasi, Dukungan Suami serta Kondisi Depresi Ibu Hamil Remaja Kusuma, Ratu; Armina, Armina; Sari, Mila Triana; Hesty, Hesty; Nurita, Suci Rahmani
Jurnal Akademika Baiturrahim Jambi Vol. 14 No. 2 (2025): September
Publisher : Universitas Baiturrahim

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36565/jab.v14i2.925

Abstract

Putri Ayu Community Health Center is one of the community health centers in Jambi City with a relatively high rate of teenage pregnancies. Over the past five years (2020-2024), there were 164 teenage pregnancies. In 2020 (33 cases), 2021 (33 cases), 2022 (35 cases), 2023 (31 cases), and 2024 (32 cases), eight of these pregnancies involved girls aged 14-15 years. In addition, interviews were conducted with 2 teenage mothers. Both mothers showed symptoms of depression such as lack of communication with other people, including biological mothers and health workers; locking yourself up in your room for several days without interacting with your children and other family members; refusing to eat and rarely bathing and not complying with the advice of health workers. When interviewed, the mother looked pale, her clothes and body were dirty. This study is a descriptive study of 32 teenage pregnant women in the working area of ​​the Putri Ayu Community Health Center who were selected by accident. The aim is to identify knowledge, attitudes, adaptive behavioral responses, husband's support and depression conditions of teenage pregnant women using the EPDS-10 instrument. Filling out the questionnaire was carried out on 07 December 2023-10 June 2024, while additional information was collected by telephone 1-2 times to teenage mothers who showed symptoms of depression, then the data was analyzed univariately. A total of 19 (59.37%) mothers had poor knowledge about teenage pregnancy, 15 (46.88%) mothers agreed with teenage pregnancy, 34.38% responded non-adaptively, 15 (46.88%) received less support both husbands and 3 mothers (9,38%) experienced depression. It was concluded that teenage mothers had poor attitudes towards teenage pregnancies, lacked support from their husbands and some even experienced depression.
Edukasi Kesehatan tentang Gizi Seimbang pada Balita dan Pemeriksaan Antropometri Fatmawati, Tina Yuli; Kusuma, Ratu; Putri, Vevi Suryenti
Jurnal Abdimas Kesehatan (JAK) Vol. 6 No. 1 (2024): Januari
Publisher : Universitas Baiturrahim

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36565/jak.v6i1.576

Abstract

One effort to stay healthy and fit and avoid disease is by maintaining balanced nutrition. The role of parents in this case is very important in fulfilling children's nutrition for optimal growth and development. To get good nutrition, parents need good nutritional knowledge so they can provide a balanced menu of choices. The aim of this community service is to increase mothers' knowledge about balanced nutrition and the nutritional status of toddlers by checking the height (TB) and weight (BB) of toddlers. The service methods applied are lectures, discussions, anthropometric examinations (BB and TB), pretest and posttest. The Education was carried out for mothers with toddlers who visited the KIA polyclinic at the Koni Health Center, Jambi City. The result of this community service was an increase in mother's knowledge from 30% to 100%. It can be concluded that after education, mothers can understand how to arrange a balanced menu for toddlers and are able to measure the BB and TB of toddlers
Upaya Pencegahan Kehamilan pada Usia Remaja Melalui Edukasi di Posrem Droseros Danau Sipin Kota Jambi Kusuma, Ratu
Jurnal Abdimas Kesehatan (JAK) Vol. 6 No. 2 (2024): Juni
Publisher : Universitas Baiturrahim

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36565/jak.v6i2.623

Abstract

Teenage pregnancies are a global problem, the 2018 Riskesdas Data recorded 2,867 teenage pregnancies (10-19 years) and 15 of them were aged 10-14 years. BPS Indonesia reports that the average teenage births in 2018 were 36/1000 births and in Provinsi Jambi 46/1000 births (national target 18/1000 births). One effort to reduce this number is to provide education. Therefore, the Baiturrahim STIKes team carried out community service activities at the Posrem Droseros Danau Sipin, the working area of the Puskesmas Putri Ayu, Kota Jambi. Based on the initial survey, it is known that there were 30 teenage pregnancies (16-19 years) from 01-31 August 2022 which were possibly caused by the large number of teenagers dropping out of school; feeling bored with the online learning system during the co-19 pandemic. Other factors are: drug use/history of drug use; free sex/premarital sex; unwed pregnancy; the presence of HIV-infected adolescents; economic factors; Not all teenagers actively participate in education and other activities. The series of activities started from September 2022 to February 2023 at the Rumah Tenun Disperindag Kota J which was attended by 22 teenagers (1 pregnant teenager, 1 post-abortion teenager, 2 teenage mothers). This activity was also attended by 2 posyandu cadres for pregnant women and toddlers, as well as 3 health workers from Puskesmas Putri Ayu. Material delivered via power point for 50-60 minutes. Before and after education, pretest and posttest were carried out using the same questionnaire. The results obtained were an average increase in knowledge of 1.5 and attitude of 3.4 points after being given education about efforts to prevent pregnancy in adolescents.
Pengalaman ODHA Mengikuti Terapi Mindfulness Spritual Yuliana, Yuliana; Kusuma, Ratu; Pebrianti, Dwi Kartika; Dwiyanti, Rahmi
Jurnal Akademika Baiturrahim Jambi Vol. 13 No. 1 (2024): Maret
Publisher : Universitas Baiturrahim

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36565/jab.v13i1.768

Abstract

ODHA are people with HIV (Human Immunodeficiency Virus) and AIDS (Acquired Immuno Deficiency Syndrome). Changes in the character of ODHA cannot be separated from psychological and social pressures and make many ODHA become depressed. Psychological and social pressure experienced by ODHA also has a negative impact so that ODHA becomes embarrassed, physically exhausted, limits activities, fears, and does not know what to do in the future. awareness of ODHA. In addition, the therapy carried out has not been independent of PLWHA to be able to handle the problems experienced in the long term. To overcome this problem, an intervention aimed at ODHA Mindfulness therapy. Mindfulness as a psychotherapy facilitated by nurses using the concept of self-care theory where nurses become nursing agencies to facilitate self-deficit experienced by ODHA who have mental problems. This research is a qualitative research method that aims to see the experience of ODHA following spiritual mindfulness therapy. This research will be conducted at the Putri Ayu Health Center Jambi in September 2021-August 2022. The results of this study were obtained after spiritual mindfulness therapy was carried out, the keywords were participants felt relieved, calm, comfortable, the burden on the mind, the burden on the chest, the burden on the shoulders felt reduced and disappeared.
Pengetahuan, Sikap serta Respons Fisiologis dan Psikologis WUS tentang Kanker Serviks Kusuma, Ratu
Jurnal Akademika Baiturrahim Jambi Vol. 13 No. 1 (2024): Maret
Publisher : Universitas Baiturrahim

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36565/jab.v13i1.775

Abstract

Cervical cancer is one of the most common reproductive malignancies experienced by women after breast cancer. The incidence in Indonesia is ± 23.4 per 100,000 population (average death 13.9 per 100,000 population) and ± 80-90% are difficult to cure because the majority (>70%) of sufferers seek treatment at an advanced stage. This research aims to identify the knowledge, attitudes and physiological and psychological responses of women of childbearing age(WUS) regarding cervical cancer in the working area of the Puskesmas Koni, Jambi City. This is a narrative descriptive study with a cross sectional approach on 132 samples selected accidentally from the 852 WUS population. Research data collection was carried out in January 2022 using knowledge instruments and attitude instruments as well as unstructured interview guides to explore the physical and psychological responses of WUS regarding cervical cancer. Next, the data was analyzed using univariate analysis. The results of the study reported that 63.67% of WUS had poor knowledge about cervical cancer and 59.85% showed negative attitudes; 115 (87.12%) WUS were married but none of them had an IVA-test. The results of the identification of the physical response were that several WUS experienced symptoms of sexually transmitted infections in the form of pathological vaginal discharge with symptoms of yellowish, foul-smelling, itchy, lumpy vaginal secretions. Meanwhile, the psychological response of WUS is that they are embarrassed to carry out IVA tests or other examinations either at the Puskesmas Koni or other health facilities/health workers, and just let the vaginal discharge they experience go untreated. Another factor that may be related to this infection is a husband who is a user or a history of drug use. Thus, it is concluded that there is still low knowledge and poor attitudes of WUS regarding cervical cancer even though some WUS have symptoms of sexually transmitted infections in the form of pathological vaginal discharge.
Pengalaman Hamil pada Usia Remaja: Studi Fenomenologi Kusuma, Ratu
Jurnal Akademika Baiturrahim Jambi Vol. 13 No. 2 (2024): September
Publisher : Universitas Baiturrahim

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36565/jab.v13i2.830

Abstract

 Riskesdas 2018 recorded 2,867 teenage pregnancies (10-19 years) and 15 of them were aged 10-14 years. BPS Indonesia reported that the average number of teenage births in Indonesia in 2018 was 36 births/1000 births, while in Jambi Province it was 46 births/1000 births. This means that the teenage birth rate in Jambi Province is very far from the national target, which is only births/1000 births. One of the highest contributing health centers is the Puskesmas Putri Ayu, where in the period 1-31 August 2022, 30 teenage pregnancies (16-19 years) were recorded. This study is qualitative research with a phenomenological approach to explore teenagers' experiences of adapting to pregnancy. Data collection was carried out from 08 December 2022 to 23 January 2023. The selection of participants was carried out using a purposive sampling technique of 7 teenage mothers. Data collection was carried out by means of triangulation (interviews, observations and documentation) which were recorded and recorded in field notes. Data analysis was carried out manually, without using an application. The research results found 9 themes related to the experience of pregnancy as a teenager, namely: 1) causes of marriage and pregnancy as a teenager; 2) physical complaints during pregnancy in adolescence; 3) perinatal complications; 4) psychological response due to pregnancy as a teenager; 5) family response and adverse impacts on the family; 6) husband's treatment after marriage; 7) views on new roles; 8) the response of society and health workers to the decision to marry and become pregnant during adolescence; and 9) coping in dealing with teenage pregnancy problems. It can be concluded that teenage pregnancy is caused by various factors and has various negative impacts.