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Solikhah, Fitriana Kurniasari
Poltekkes Kemenkes Malang
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Family-Centered Care as A Cadre Empowerment Strategy For Early Detection Of High-Risk Pregnancies in The Community Fitriana Kurniasari Solikhah; Taufan Arif; Maria Diah Ciptaning Tyas
Inovasi Lokal: Pemberdayaan Masyarakat dalam Pembangunan Berkelanjutan Vol. 4 No. 1 (2026)
Publisher : Tarqabin Nusantara Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62255/noval.v4i1.274

Abstract

High-risk pregnancies remain a significant contributor to maternal complications and elevated maternal mortality rates, necessitating early detection efforts that involve communities and families. This community service program aimed to enhance the knowledge and skills of community health cadres in early detection of high-risk pregnancies using a Family-Centered Care (FCC) approach in the working area of Wagir Primary Health Center, Malang Regency. Methods used included health education, training on the use of screening forms, simulation exercises, family education sessions, and on-site mentoring of cadres at integrated health posts (posyandu). Evaluation was conducted using a pretest-posttest design among 64 health cadres. Results showed an increase in the average knowledge score from 54.90 at pretest to 88.75 at posttest. In addition, cadres demonstrated the ability to identify pregnancy risk factors, detect pregnant women in the high-risk category, and coordinate with village midwives for case follow-up. Family involvement in pregnancy monitoring also increased through improved awareness of danger signs and greater support for antenatal care visits. Statistical analysis showed that Family-Centered Care-based training and mentoring are effective in enhancing cadre capacity and family participation in the early detection of high-risk pregnancies. This program can serve as a community empowerment strategy that supports the prevention of pregnancy complications and the sustainable improvement of maternal health.
Empowering Lay Rescuers in Out-of-Hospital Cardiac Arrest: A Pretest-Posttest Study Guided by Orem’s Self-Care Deficit and Neuman’s Systems Models Irni Fuzi Wijayanti; Fitriana Kurniasari Solikhah
Inovasi Lokal: Pemberdayaan Masyarakat dalam Pembangunan Berkelanjutan Vol. 4 No. 1 (2026)
Publisher : Tarqabin Nusantara Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62255/noval.v4i1.290

Abstract

Introduction: Out-of-hospital cardiac arrest (OHCA) has a low survival rate, making bystander Basic Life Support (BLS) crucial. However, in Indonesia, bystander intervention is frequently hindered by knowledge deficits, cultural norms regarding cross-gender touch, and fear of legal liability. This community service aimed to enhance the BLS competence of PIA Ardhya Garini members as first responders, theoretically grounded in Orem’s Self-Care Deficit and Neuman’s Systems Models. Methods: A quasi-experimental one-group pretest-posttest design was employed involving 60 PIA members. The intervention was a contextualized BLS training integrating legal empowerment (Indonesian Good Samaritan Law), cultural adaptation, and demographic adjustments (Hands-Only CPR for middle-aged women). Effectiveness was evaluated using a validated 10-item cognitive test, and data were analyzed using the Wilcoxon signed-rank test and Normalized Gain (N-Gain). Results: The intervention significantly improved participants' cognitive knowledge. The mean score increased from 6.87 ± 0.96 (pretest) to 9.03 ± 0.74 (posttest) with a p-value < 0.001. The Normalized Gain (N-Gain) was 0.67, indicating moderate effectiveness. The training successfully corrected clinical misconceptions and mitigated specific socio-cultural and legal barriers to bystander intervention. Conclusion: Integrating nursing theories with socio-cultural-legal-clinical modifications effectively empowers laywomen as "dependent care agents" and strengthens community primary prevention against OHCA. To sustain cognitive and psychomotor retention, periodic refresher training every 6–12 months is strongly recommended. This model provides a replicable blueprint for community nursing practice in collectivist societies.  
Peran Faktor Persalinan terhadap Stunting pada Balita: Studi di Desa Tasikmadu, Indonesia : The Role of Delivery Factors on Stunting in Toddlers: A Village Study Tasikmadu Village, Indonesia Della Kurnia Fauziah; Nurul Pujiastuti; Fitriana Kurniasari Solikhah; Tri Nataliswati
NERS Jurnal Keperawatan Vol. 19 No. 2 (2023): NJK Volume 19, Number 2
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.v19i2.66

Abstract

Stunting remains a persistent nutritional challenge in Indonesia, posing a substantial threat to child growth and survival, typically manifesting in the second year of life. Its primary antecedent is inadequate prenatal protein intake, resulting in shortened birth length and increased susceptibility to stunting. This study aimed to elucidate the relationship between birth length and stunting among toddlers within Tasikmadu Village, employing a retrospective cohort design with a total sample size of 128 individuals selected through Total Sampling. The analysis of the collected data yielded a noteworthy result, with a calculated p-value exceeding 0.570. This outcome signifies the absence of a statistically significant correlation between birth length and the incidence of stunting among the study participants in Tasikmadu Village. Instead, the investigation highlights the prominence of postnatal factors as significant determinants of stunting prevalence. These factors include the untimely introduction of complementary foods alongside breastfeeding (MP-ASI), irregular MP-ASI feeding schedules, a predominantly carbohydrate-based MP-ASI menu, erratic breastfeeding timings, and premature discontinuation of exclusive breastfeeding. In summary, this study discerns a conspicuous dissociation between birth length and stunting occurrence in Tasikmadu Village. The implication is that the roots of stunting lie predominantly in postnatal practices, emphasizing the critical role of addressing issues such as inappropriate MP-ASI practices and breastfeeding patterns to effectively combat the prevalence of stunting among toddlers. These findings contribute to a more nuanced understanding of the multifaceted nature of stunting in this context, guiding future interventions and public health initiatives aimed at its mitigation.
Classical Gamelan Music Therapy for Sleep Quality and Cardiovascular Parameters in Third-Trimester Pregnant Women: A Case Series Fitriana Kurniasari Solikhah; Hasanudin Hasanudin
Interdisciplinary Journal of Ethnopsychiatric Nursing Vol. 2 No. 1 (2026)
Publisher : Tarqabin Nusantara Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62255/ijen.v2i1.217

Abstract

Background: Sleep disturbances severely impact third-trimester pregnant women, increasing adverseobstetric risks. Non-pharmacological interventions are strongly preferred, yet culturally congruenttherapies like classical gamelan music remain critically underexplored in clinical practice.Methods: In this prospective case series conducted between January and March 2026 in Indonesia, weenrolled three third-trimester pregnant women experiencing severe sleep disturbances (Pittsburgh SleepQuality Index [PSQI] >5). Participants received a 3-day classical gamelan music therapy regimen (10–15 minutes, twice daily). The primary outcomes included changes in PSQI global scores and sleepduration, as well as secondary cardiovascular parameters including blood pressure.Result: The three participants, aged 24 to 29 years, presented with severe baseline sleep fragmentation(mean PSQI 13.7). Following the intervention, individual PSQI scores decreased substantially (PatientA: 14 to 9; Patient B: 12 to 8; Patient C: 15 to 10). Mean nightly sleep duration increased from 3.8 to6.0 hours. Concurrently, resting heart rates decelerated from a mean of 102 bpm to 81 bpm, and systolicblood pressure normalized from 129 mmHg to 120 mmHg across all three individual participants.Conclusion: A brief regimen of classical gamelan music therapy appears feasible and is associated withmarked improvements in subjective sleep quality and autonomic regulation in third-trimester pregnantwomen. This culturally congruent, non-pharmacological intervention offers a safe, accessible adjunctivestrategy for gestational sleep management. Future large-scale randomised controlled trials withobjective polysomnographic endpoints are warranted to validate these preliminary findings and establishdefinitive clinical efficacy and safety.
Analisis Faktor yang Berhubungan dengan Kesulitan Makan pada Anak Usia Prasekolah di PAUD Kasih Bunda Kota Malang Yusnia Alfiah Zumroh; Naya Ernawati; Fitriana Kurniasari Solikhah; Erlina Suci Astuti
Borneo Nursing Journal (BNJ) Vol. 8 No. 2 (2026)
Publisher : Akademi Keperawatan Yarsi Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61878/bnj.v8i2.764

Abstract

Latar Belakang: Kesulitan makan pada anak usia prasekolah merupakan masalah yang dapat berdampak pada pertumbuhan, perkembangan, serta status gizi anak. Penyebab kesulitan makan meliputi faktor anak (usia, jenis kelamin, riwayat kesehatan, sensitivitas sensorik, temperamen) maupun faktor orang tua (pendidikan ibu, keterlibatan orang tua, lingkungan makan). Tujuan Penelitian: Menganalisis faktor-faktor yang berhubungan dengan kesulitan makan pada anak usia prasekolah di PAUD Kasih Bunda Kota Malang. Metode: Penelitian ini menggunakan metode kuantitatif dengan desain cross-sectional. Populasi sebanyak 65 orang ibu yang memiliki anak usia prasekolah (3–6 tahun). Teknik pengambilan sampel menggunakan purposive sampling sebanyak 39 responden. Teknik pengumpulan data dilakukan menggunakan kuesioner. Analisis data menggunakan uji Chi- square. Hasil Penelitian: Terdapat hubungan signifikan antara riwayat kesehatan anak (P-Value = 0,012), sensitivitas sensorik (P-Value = 0,010), dan pendidikan ibu (P-Value = 0,018) dengan kesulitan makan pada anak usia prasekolah. Sedangkan faktor usia anak, jenis kelamin, temperamen anak, keterlibatan orang tua, dan lingkungan makan tidak berhubungan signifikan (P-Value > 0,05). Hasil analisis multivariat dengan regresi logistik ganda menunjukkan sensitivitas sensorik merupakan faktor dominan yang memengaruhi kesulitan makan pada anak usia prasekolah (P-Value = 0,030). Anak dengan gangguan pemrosesan sensorik memiliki peluang tiga kali lebih tinggi untuk mengalami kesulitan makan dibandingkan anak dengan fungsi sensorik normal (Exp (B) = 3,030; 95% CI: 1,110–8,260). Kesimpulan: Ada hubungan faktor riwayat kesehatan, sensitivitas sensorik, dan pendidikan ibu dengan kesulitan makan. Sensitivitas sensorik menjadi faktor dominan yang memengaruhi kesulitan makan pada anak usia prasekolah di PAUD Kasih Bunda Kota Malang.
PENGEMBANGAN MODEL EDUKASI BERBASIS KELUARGA UNTUK PENCEGAHAN PENULARAN HIV DARI IBU KE ANAK Erlina Suci Astuti; Fitriana Kurniasari Solikhah; Kasiati Kasiati; Fitra Rismatul; Anisya Aprilia; Nadila Mahardini
Jurnal Informasi Kesehatan Indonesia (JIKI) Vol. 10 No. 3 (Suplemen) (2024): Jurnal Informasi Kesehatan Indonesia
Publisher : Politeknik Kesehatan Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jiki.v10i3 (Suplemen).6487

Abstract

Background: Mother-to-child transmission (MTCT) of HIV is a serious health issue with transmission risks ranging from 15-45% without effective intervention. In the Dau Community Health Center area, prevention is still hindered by low family knowledge and support, as well as strong HIV stigma. This study aims to develop a valid, feasible, and applicable family-based education model for MTCT prevention in high-risk groups. Subjects and Method: This study employed a Research and Development (R&D) design with a mixed-methods approach. The study was conducted in the working area of the Dau Community Health Center, Malang Regency. Research subjects included high-risk women of reproductive age (n=30), nuclear family members (n=30), and 5 health workers as informants. Sampling was performed using purposive sampling. Dependent variables included knowledge, attitudes, and family support, while the independent variable was the family-based education model. Data collection instruments consisted of validated questionnaires and interview guides. Quantitative data analysis utilized simulative statistical tests to observe changes before and after the intervention. Results: The developed education model achieved an average expert validity score of 89.7% (very valid). Limited trial results showed significant increases in family knowledge (58.4 to 84.6; p=0.001), attitude scores (3.02 to 4.18; p=0.002), and family support scores (2.94 to 4.11; p=0.001). The model obtained a practicality score of 88.0% (highly practical) based on assessments from users and health workers. Conclusion: The developed family-based education model is proven to be highly valid, practical, and effective in increasing family capacity for MTCT prevention. Implementing this model at the primary care level can strengthen social support for mothers in high-risk groups to support the 2030 HIV elimination target.
Co-Authors Agung Dwi Ardianto Alfarizi, Aulia Fahmi Andrea, Kanesya Putri Anisya Aprilia Arief, Taufan Arif, Taufan Astuti , Erlina Suci Astuti, Erlina Suci C , Nadhya Sasadhara Ciptaningtyas, Maria Diah Ciptaningtyas, Maria Dyah Della Kurnia Fauziah Della Kurnia Fauziah Eddi Sudjarwo Eka Wulandari Erlina Suci Astuti Erlina Suci Astuti Erlina Suci Astuti Erlina Suci Astuti, Erlina Suci Fitra Rismatul Habibi, Yumarsanni Hasanudin Hasanudin Imam Subekti Irni Fuzi Wijayanti Jenar Nadya Maharani Joko Wiyono Kasiati Kasiati Lucia Retnowati Mabruroh, Ulum Maharani, Jenar Nadya Maria Diah Ciptaning Tyas Maria Diah Ciptaning Tyas Maria Diah Ciptaningtyas Mawadati, Vida Mudviyanti, Navalia Nailin Nadila Mahardini Navalia Nailin Mudviyanti Naya Ernawati Nurul Pujiastuti Nurul Pujiastuti Pertami, Sumirah Budi Prahasti, Azizah Ayu Rahma Faradisa, Ahda Fina Restu Luhwi Yuniarti Ronal Surya Aditya Rossyana Septyasih Rudi Hamarno Salva Salsa Billa, Adinda Dwi Siswati Siswati Siti Nurlailiyah Sujono, Annisa Juliani Sulastyawati Sulastyawati Swito Prastiwi, Swito Syahida, Alimatul Izza Taufan Arief Taufan Arif Tri Johan Agus Yuswanto tri trinataliswati Tsaniyah Septi Ahillah Tyas, Maria Diah Ciptaning Ugsang Acob, Joel Rey Wahyuni, Eko Sari Wiyono, Joko Wulandari , Eka Yuniarti, Restu Luhwi Yusnia Alfiah Zumroh Zahroh, Manzilatuz