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PENGARUH SITZ BATH AIR HANGAT TERHADAP LAMA PENYEMBUHAN LUKA PERINEUM PADA IBU POST PARTUM DI PMB PONIRAH KOTA METRO Martini; Anggraini, Yetti
MEDIA ILMU KESEHATAN Vol 8 No 1 (2019): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

Background: Tearing a perineal wound during labor usually occurs so that the baby's head can be born quickly. Perineal wounds can be due to spontaneous tears or because of an episiotomy. The incidence of perineal rupturein PMB Ponirah as much as 69% 65% of mothers trip advisor perineal wounds. The impact of perineal rupture can cause pain. Objective: The purpose of this study was to determine the effect of warm baths on the wounds experienced by postpartum mothers in PMB Ponirah Metro City District. Methods: This study is a pre-experimental quantitative study with the Static Group Comparison design. The large sample consisted of 30 people, consisting of 15 people as sizt bath and 15 people as not sizt bath. In this study used the Mann Whitney test. Results: The results of the study showed the average reserve of bath sitz on day 5 and there was no reserve for bathing sitz on the 7th day. The result of the effect is the effect of warm baths on the duration of perineal wound healing in postpartum mothers. Conclusion: Sitz bath can accelerate wound healing and help with perineal pain. Keywords: Perineal pain, Perineal wound healing,Sitz bath

Pencegahan Keracunan Pestisida pada Ibu Hamil Di Daerah Pertanian Hortikultura Yushananta, Prayudhy; Sariyanto, Iwan; Anggraini, Yetti; Ahyanti, Mei; Sujito, Enro; Murwanto, Bambang
Jurnal Pengabdian Masyarakat Indonesia Maju Vol 2 No 01 (2021): Jurnal Pengabdian Masyarakat Indonesia Maju Volume 02 Nomer 01 Tahun 2021
Publisher : UIMA Press

Keracunan menjadi risiko kesehatan pada petani hortikultura yang menggunakan pestisida secara terus-menerus selama musim tanam. Salah satu dampak kronis keracunan pestisida adalah anemia. Pada kehamilan, anemia akan mempengaruhi perkembangan janin, sehingga lahir BBLR dan pendek (stunting). Pengabdian masyarakat ini bertujuan meningkatkan pengetahuan tentang risiko paparan pestisida, serta penanganan pestisida yang aman. Sasaran pengabdian adalah ibu hamil yang bekerja pada pertanian hortikultura di wilayah kerja Puskesmas Liwa. Kegiatan pengabdian dilakukan dalam empat tahap, yaitu persiapan, pemeriksaan kesehatan, penyuluhan, dan evaluasi. Hasil pemeriksaan kesehatan mendapatkan 30% peserta mengalami keracunan pestisida, dan 16% anemia. Peningkatan pengetahuan ditunjukkan oleh mayoritas peserta, ditandai dari hasil evaluasi pembelajaran. Dilakukan pembagian buku saku tentang penangan dan risiko pestisida untuk menjamin keberlanjutan pembelajaran. Perlu keberlanjutan kegiatan pengabdian dengan melibatkan pengabdi dan mitra yang lebih luas, terutama di luar bidang kesehatan.

Anemia and its Associated Factors Among Women of Reproductive Age in Horticulture Area Yushananta, Prayudhy; Anggraini, Yetti; Ahyanti, Mei; Sariyanto, Iwan
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6, No 2: June 2021
Publisher : Universitas Aisyah Pringsewu

Anemia continues to be an important and widespread public health problem, so it must be addressed. About 1.74 (1.72-1.76) billion people worldwide suffer from anemia, especially children under five, women of reproductive age (WRA), and pregnant women. As many as 500 million WRA suffer from anemia; this will impact the loss of productivity due to decreased work capacity, cognitive impairment, susceptibility to infections, and increased risk of complications in pregnancy and childbirth. This study analyzes the risk factors for anemia in women of reproductive age (15-59) who work in horticultural agriculture. The study was conducted with a cross-sectional design involving 160 participants from three main centers of horticultural agriculture in West Lampung Regency. SPSS was used for Chi-square analysis, Odds Ratio, and Logistic Regression (alpha = 0.05). The results showed that the prevalence of anemia in women of reproductive age who worked in horticultural agriculture was 27.5%. The study also identified three risk factors for anemia: poor nutritional status (AOR = 24.53; 95% CI 5.59-107.70), lack of protein intake (AOR = 28.01; 95% CI 6.97- 112.52), and less intake of high iron vegetables (AOR = 6.13; 95% CI 1.79-21.01). Nutritional interventions should emphasize increasing protein, iron, and vitamins through improved diet, fortification efforts, and iron supplementation.Abstrak: Anemia masih terus menjadi masalah kesehatan masyarakat yang penting dan meluas, sehingga harus ditangani. Sekitar 1,74 (1,72-1,76) miliar penduduk dunia menderita anemia, terutama anak balita, wanita usia subur (WUS) dan wanita hamil. Sebanyak 500 juta WUS menderita anemia, iniakanberdampak pada hilangnya produktivitas karena penurunan kapasitas kerja, gangguan kognitif, dan kerentanan terhadap infeksi, serta meningkatkan risiko komplikasi kehamilan dan persalinan. Penelitian bertujuan menganalisis faktor risiko anemia pada wanita usia subur (15-59) yang bekerja pada pertanian hortikultura. Penelitian dilakukan dengan rancangan cross sectional, melibatkan 160 orang partisipan dari tiga sentra utama pertanian hortikultura di Kabupaten Lampung Barat. SPSS digunakan untuk analisis Chi-square, Odds Ratio, dan Logistic Regression (alpha=0,05). Hasil penelitian mendapatkan prevalensi anemia pada wanita usia subur yang bekerja pada pertanian hortikultura sebesar 27,5%. Penelitian juga mendapatkan tiga faktor risiko untuk anemia: status gizi yang kurang baik (AOR=24,53; 95%CI 5,59-107,70), kurang asupan protein (AOR=28,01; 95%CI 6,97-112,52), dan kurang asupan sayuran tinggi zat besi (AOR=6,13; 95%CI 1,79-21,01). Intervensi gizi harus menekankan pada peningkatan asupan protein, zat besi dan vitamin, baik melalui perbaikan menu makanan, upaya fortifikasi dan suplementasi tablet Fe.

FAKTOR RISIKO KERACUNAN PESTISIDA PADA PETANI HORTIKULTURA DI KABUPATEN LAMPUNG BARAT Yushananta, Prayudhy; Melinda, Nia; Mahendra, Arif; Ahyanti, Mei; Anggraini, Yetti
Ruwa Jurai: Jurnal Kesehatan Lingkungan Vol 14 No 1 (2020)
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/rj.v14i1.2138

Pesticide poisoning is still an important health problem in agricultural areas, especially horticultural agriculture. Various chronic health effects can be caused by long-term exposure to pesticides. This study aims to determine the risk factor of pesticide poisoning in horticultural farmers in West Lampung Regency.The study used a cross sectional design which was conducted in four different areas as the center of horticulture agriculture, West Lampung Regency, Lampung Province. The study involved 289 participants by interviewing, observing and examining blood samples to measure cholinesterase levels as an indicator of pesticide poisoning. In this section, we have applied research ethical procedures. The obtained data were analyzed using Chi squre test, Odds Ratio test and Logistic Regression.The results showed that the risk factors for pesticide poisoning were incomplete use of personal protected equipment (PPE), spraying with the wrong dose and spraying frequency. Unwearing a complete PPE had a 4.54 times (OR = 4.54; 95% CI 2.09-9.83) higher risk of experiencing pesticide poisoning, and statistically suggested, a very significant relationship (p = 0.0001). While the use of excessive dosage has a risk of 4.39 times (OR = 4.39; 95% CI 1.87-10.33; p = 0.001); and the frequency of spraying more than twice a week had a 2.33 times higher risk of experiencing pesticide poisoning (OR = 2.33; 95% CI 1.24-4.40; p = 0.009).Excessive use of pesticide dosage and the frequency of spraying with the cover blanked method are the main factors of pesticide exposure to farmers. On the other hand, the use of PPE is a method of protection from exposure. It needs joint efforts through increasing knowledge about the dangers of pesticides, pesticide management, how to work safely, and the use of PPE.

Efektivitas Kompres Aloe Vera dan Daun Kubis terhadap Breast Engorgement pada Ibu Nifas Martini, Martini; Anggraini, Yetti; Septiani, Ranny
Jurnal Kesehatan Vol 13 No 3 (2022): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v13i3.3556

The problem that often occurs in post-partum mothers after giving birth is the occurrence of breast swelling where there is a narrowing of the lactiferous ducts or the glands are not completely emptied or due to abnormalities in the nipples such as blisters or sinking nipples. Aloe vera gel compresses and cabbage leaves are useful to help reduce pain, swelling, and tenderness in wounds. This study aims to analyze aloe vera compresses and breast care compared to cabbage leaf compresses and breast care on breast swelling in postpartum mothers. This study used a quasi-experimental design with a pre-test post-test non-randomized control group design. The non-probability sampling technique is a consecutive sampling type. The research sample for each group was 15 respondents at one of the Central Lampung Health Centers in June-October 2020. The type of data analysis was the Mann-Whitney test. The results showed that the average swelling of the breasts before being given an aloe vera compress was 4.53 and the average after being given an aloe vera compress was 2.47. The mean breast swelling before compressing cabbage leaves was 5.00 and after compressing cabbage leaves was 3.60. Giving aloe vera compresses is effective in preventing breast swelling in postpartum mothers with a p-value

Kajian Penyelenggaraan Pelayanan Kesehatan Remaja pada Masa Covid-19 Setyawati, Ernani; Septiani, Ranny; Anggraini, Yetti; Rosmadewi, Rosmadewi
Jurnal Kesehatan Vol 14 No 3 (2023): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v14i3.4258

Banyak Puskesmas yang gagal menyelenggarakan Program Pelayanan Kesehatan Remaja (PKPR) sesuai dengan pedoman nasional meskipun telah dilakukan upaya yang ekstensif. Banyak puskesmas yang mengalami penurunan pelayanan kesehatan akibat pandemi Covid-19, yang juga menghambat efektivitas program kesehatan saat ini seperti PKPR. Dengan diberlakukannya PSBB oleh pemerintah, terdapat kebutuhan nyata terhadap layanan berbasis masyarakat, khususnya PKPR. Penelitian ini akan mengkaji penyelenggaraan PKPR di Puskesmas untuk mengetahui bagaimana PKPR di Puskesmas Kota Balikpapan Provinsi Kalimantan Timur, dijalankan. Penelitian ini menggunakan desain cross-sectional untuk memberikan gambaran penyelenggaraan PKPR di Puskesmas Kota Balikpapan Provinsi Kalimantan Timur, dengan menggabungkan metode deskriptif analitik dengan pendekatan kuantitatif. Penelitian ini mengkaji staf pemimpin PKPR, staf pelaksana PKPR, dan staf pendukung serta pengelola Puskesmas dan remaja di 12 Puskesmas yang berada di wilayah kerja Kota Balikpapan Provinsi Kalimantan Timur, yang berjumlah 48 orang. Kuesioner Standar Pelayanan Kesehatan Nasional digunakan sebagai instrumen penelitian. Hasilnya menunjukkan bahwa penerapan PKPR sejalan dengan standar nasional PKPR dan tingkat kepatuhan terhadap standar tersebut masih rendah di manajemen, remaja, dan jejaring. Di masa wabah Covid-19, pemberian layanan bagi remaja yang mengalami gangguan reproduksi merupakan hal yang penting sebagai upaya preventif dan promotif.

Analisis pelaksanaan program Pelayanan Kesehatan Peduli Remaja (PKPR) pada masa pandemi COVID-19 di Puskesmas Kota Metro Septiani, Ranny; Anggraini, Yetti; Martini, Martini; Putriana, Yeyen
MEDIA ILMU KESEHATAN Vol 12 No 2 (2023): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/mik.v12i2.1065

Background: Adolescent Care Health Service (PKPR) is a health service program aimed at adolescents at the Health Center, to create "healthy youth". committed to running the program, lack of fund allocation, lack of infrastructure that can support the implementation of PKPR according to national standards, and has not been recorded and evaluated according to standards so that the most prominent problems are not found to be followed up.Objective: This study aims to analyze the implementation of the program at the Metro City Health CenterMethod: Descriptive research with a quantitative approach with a cross-sectional design to find out the description of the implementation of the program at the Health Center. The population of this study was the head of the Health Center as the person in charge of the program, implementing officers, support officers, and assisted youth in the working area of Metro City, totaling 40 people. The instrument used is the published National Adolescent Health Service Standards questionnaire.Results: The level of compliance is still low, namely youth standards, networking and health management.Conclusion: Screening youth problems as a promotive and preventive effort needs to be underlined, there must be an increase in services that reach all youth.

Early Nutrition and Stunting: Why are Exclusive Breastfeeding and Complementary Feeding Essential for Optimal Growth? Yuliawati, Yuliawati; Lestariningsih, Sri; Anggraini, Yetti; Aghniya, Rofana; Yustiza, Non Rachmani
Jurnal Kesehatan Vol 16 No 1 (2025): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v16i1.4951

This study investigates the relationship between exclusive breastfeeding, appropriate complementary feeding, and the incidence of stunting in toddlers. The objective is to identify how these nutritional practices impact child growth and development. A cross-sectional analysis was conducted involving 135 toddlers at Puskesmas Yosomulyo, utilizing a combination of interviews and questionnaires to gather data on feeding practices and health outcomes. The findings reveal that toddlers who received exclusive breastfeeding and appropriate complementary foods exhibited significantly lower rates of stunting compared to those who did not. Specifically, 33% of toddlers who were not exclusively breastfed experienced stunting, while only 19 toddlers who received appropriate complementary food were stunted. The results underscore the critical role of proper nutrition in early childhood development and highlight the need for enhanced educational programs for parents regarding feeding practices. In conclusion, promoting exclusive breastfeeding and appropriate complementary feeding is essential for reducing stunting rates and improving overall child health

The Role of Exclusive Breastfeeding, Low Birth Weight, and Immunization in Stunting Among Children Under Five Yuliawati, Yuliawati; Anggraini, Yetti; Lestariningsih, Sri; Aghniya, Rofana; Yustiza, Non Rachmani
Jurnal Kesehatan Metro Sai Wawai Vol. 18 No. 1 (2025): Jurnal Kesehatan Metro Sai Wawai
Publisher : Poltekkes Kemenkes Tanjung Karang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jkmsw.v18i1.5004

Reducing stunting in children is the first of six Global Nutrition Targets for 2025 and serves as a key indicator in the Sustainable Development Goals (SDGs). Stunting is associated with increased risks of illness, mortality, and impaired motor and cognitive development in children. According to the 2022 Indonesian Nutrition Status Survey (SSGI), the prevalence of stunting in Lampung Province decreased to 15.2%, down from 18.5% in 2021. However, in Metro City, the prevalence increased from 7.29% (2021) to 10.4% (2022), with the highest rate recorded in the working area of Yosomulyo Health Center at 11%. This study aims to analyze the relationship between exclusive breastfeeding, history of low birth weight (LBW), and immunization status with the incidence of stunting in toddlers. This research is a quantitative study with a case-control analytic design. The population consisted of children aged 1–5 years who experienced stunting in the Yosomulyo Health Center working area between February and June 2024, totaling 84 children (11%). The sample consisted of 45 children in the case group and 90 children in the control group (a 1:2 ratio), selected using purposive sampling. Data were analyzed using the Chi-Square test with SPSS software after conducting a normality test. The analysis showed a significant relationship between exclusive breastfeeding, history of LBW, and immunization status with the incidence of stunting (p<0.001). Factors such as lack of exclusive breastfeeding, low birth weight, and incomplete immunization are significantly associated with the incidence of stunting. Early prevention of stunting can be achieved through proper pregnancy planning and regular antenatal care.

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