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Efektivitas media promosi kesehatan video terhadap kepatuhan pembatasan cairan pada pasien gagal ginjal kronik yang menjalani hemodialisa Syam, Avina Oktarida; Aziza, Nurul; Karyus, Aila
Holistik Jurnal Kesehatan Vol. 19 No. 7 (2025): Volume 19 Nomor 7
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i7.1328

Abstract

Background: Chronic kidney disease (CKD) is a global health problem with increasing prevalence and high mortality rates. Patients undergoing hemodialysis often struggle with non-adherence to fluid restriction, which can lead to serious complications such as hypertension, pulmonary edema, and heart failure. Purpose: To analyze the effectiveness of video-based health promotion media in improving adherence to fluid restriction among CKD patients undergoing hemodialysis. Method: This study employed a pre-experimental design with a one-group pretest-posttest approach. A total of 66 participants were selected using total sampling. Adherence was measured using Interdialytic Weight Gain (IDWG) with a digital scale, and data were analyzed with a paired t-test. Results: Findings revealed that prior to the intervention, all patients (100%) were non-adherent to fluid restriction. After receiving health education via video at least three times, adherence increased to 64%. The mean IDWG significantly decreased from 3.8 kg to 2.6 kg (p < 0.001). Conclusion: Video-based health promotion proved effective in improving adherence to fluid restriction among hemodialysis patients with CKD. These findings align with Bandura’s Social Learning Theory, which emphasizes the importance of observation and modeling in health behavior change. Suggestion: Healthcare facilities routinely integrate video-based education, involve families in support programs, and conduct further studies using quasi-experimental or randomized controlled trial (RCT) designs to strengthen scientific evidence.   Keywords: Chronic Kidney Disease; Hemodialysis; Health Promotion; Video Media.   Pendahuluan: Gagal ginjal kronik (GGK) merupakan masalah kesehatan global dengan prevalensi yang terus meningkat serta tingkat mortalitas yang tinggi. Pasien GGK yang menjalani hemodialisa kerap menghadapi tantangan ketidakpatuhan terhadap pembatasan cairan, yang berpotensi menimbulkan komplikasi serius seperti hipertensi, edema paru, hingga gagal jantung. Tujuan: Untuk menganalisis efektivitas media promosi kesehatan, video dalam meningkatkan kepatuhan pembatasan cairan pada pasien GGK yang menjalani hemodialisa. Metode: Penelitian ini menggunakan desain pre-experimental dengan pendekatan one group pretest-posttest. Sampel penelitian berjumlah 66 partisipan yang dipilih menggunakan teknik total sampling. Kepatuhan diukur melalui Interdialytic Weight Gain (IDWG) dengan timbangan digital. Data dianalisis menggunakan uji T berpasangan. Hasil: Sebelum intervensi, seluruh pasien tidak patuh terhadap pembatasan cairan. Setelah diberikan edukasi melalui media video sebanyak ≥ 3 kali, tingkat kepatuhan meningkat menjadi 64%. Rata-rata IDWG pasien menurun signifikan dari 3.8 kg menjadi 2.6 kg (p < 0.001). Simpulan: Media promosi kesehatan berbasis video terbukti efektif dalam meningkatkan kepatuhan pembatasan cairan pada pasien GGK yang menjalani hemodialisa. Temuan ini mendukung Social Learning Theory (Bandura) yang menekankan pentingnya observasi dan modeling dalam perubahan perilaku kesehatan. Saran: Edukasi berbasis video dapat diintegrasikan secara rutin dalam layanan kesehatan serta melibatkan keluarga dalam program pendampingan, dengan penelitian lanjutan menggunakan desain quasi experimental atau RCT untuk memperkuat bukti ilmiah.   Kata Kunci: Gagal Ginjal Kronik; Hemodialisa; Media Video; Promosi Kesehatan.
Holistic Management in Pulmonary Tuberculosis Patients with Malnutrition Karyus, Aila
Review of Primary Care Practice and Education Vol 6, No 2 (2023): July
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.68872

Abstract

Background: Tuberculosis (TB) is still a problem in developing countries and even the world. TB is one of the top 10 causes of death and the first cause of death from an infectious agent worldwide. The government plans to eliminate TB by 2030, which is carried out with the National Strategy for TB Control. Family doctors play an important role in which the role of family doctors is not only to cure but also to promote health and prevention of TB disease. Purpose: The application of evidence-based medical doctor family services to patients by identifying risk factors, clinical problems, and management with a patient-centered approach and family approach. Method: The study conducted was a Case Report. Primary data were obtained through history taking and physical examination by making home visits, filling family folders, and filling patient files. The assessment was carried out based on the initial holistic diagnosis, process, and end of the visit quantitatively and qualitatively. Results: Based on a holistic diagnosis, it was found that an 87-year-old patient complained of coughing, difficulty in swallowing, and weight loss since three months ago, three weeks ago the patient was diagnosed with TB. Physical examination showed a BMI of 14.2. The patient had difficulty swallowing, with the examination of nerves 10 within normal limits. Internal risk factors include a lack of knowledge about TB, and aging. External factors are often exposed to dust. Functional degrees 4. Four visits were made. The interventions provided in the form of education about TB include the definition, symptoms, treatment and prevention, counseling with the family, and providing a high-calorie, high-protein diet for patients. The evaluation results show an increase in patient and family knowledge about TB and an improvement in the patient's diet that the family has done. Conclusion: The diagnosis of TB with malnutrition and dysphagia is good. Management provided is in accordance with the guidelines, visible changes in behavior, and knowledge of patients and patients' families after an intervention based on evidence-based medicine that is patient-centered, family approach.
Analysis of Factors Related to Family Assistance of People with Schizophrenia Doris, Doris; Budiati, Endang; Rahayu, Dewi; Adyas, Atikah; Karyus, Aila
Indonesian Journal of Global Health Research Vol 6 No 4 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i4.3473

Abstract

Schizophrenia is a complex chronic mental health. The role of family is very important in fulfilling basic needs, the cost of maintaining the, treatment and prevention a recurrence. In the onion, often still found the stigma and discrimination, and poor family assistance in patients, that is allegedly affected by low support officers to educate.Objective: Research objectives and analyze factors associated with assistance schizophrenic Method: kind of research with a quantitative approach cross sectional. The population research even all patients with schizophrenia and a 590, sample is 247 respondents. Simple random sampling techniques of sampling, analisis Data using univariate, bivariate and multivariate analysis using logistic regression tests. Results: is a knowledge of the known with p-value 0,016 (<0,05 & OR 2.248), p-value attitude 0,040 (<0,05 OR 2.04), the role of health workers p-value 0,004 (< 0,05 & OR 2.612), access to information p-value 0,028 (<0,05 & OR 2.110), the family motivation p-value 0,009 (<0,05 & OR 2.404). The dominant factor associated with the role of family assistance schizophrenic health workers with p-value 0,002 & OR 2.793. Conclusions Advice to improved access and coordination services, promoting access to mental health services, facilitate coordination between health workers, help family in navigating the health care system.
Penatalaksanaan Scabies dengan Infeksi Sekunder pada Anak Laki-Laki Usia 15 Tahun melalui Pendekatan Kedokteran Keluarga Zubaidi, Humairoh Abdul Kadir; Naufal, Fachri; Karyus, Aila
Jurnal Penelitian Perawat Profesional Vol 6 No 5 (2024): Oktober 2024, Jurnal Penelitian Perawat Profesional
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jppp.v6i5.3145

Abstract

Sarcoptes scabei var hominis adalah parasit penyebab kudis, penyakit kulit. Nama lain atau sinonim dari kudis adalah "gatal agogo", "gudig", dan "budukan". Banyak variabel yang berkontribusi terhadap perkembangan penyakit ini, seperti status sosial ekonomi yang rendah, kebersihan diri yang tidak memadai, usia, tingkat pengetahuan, dan interaksi langsung maupun tidak langsung dengan penderita. Kondisi ini memudahkan Sarcoptes scabei untuk menyebar dan menginfestasi. Tujuan: Mengidentifikasi faktor risiko dan masalah klinis yang terdapat pada pasien dan menerapkan prinsip pelayanan kedokteran keluarga kepada pasien berdasarkan masalah yang ditemukan dan melakukan penatalaksanaan secara holistik serta komprehensif dengan prinsip patient-centred dan family approach berbasis Evidence Based Medicine. Metode: studi ini adalah laporan kasus. Data primer diperoleh melalui autoanamnesis dan alloanamnesis, pemeriksaan fisik dan kunjungan rumah, untuk melengkapi data keluarga, data psikososial dan lingkungan. Penilaian dilakukan berdasarkan diagnosis holistik dari awal, proses, dan akhir studi secara kuantitatif dan kualitatif. Hasil: An. MR usia 15 tahun datang dengan keluhan gatal dan nyeri pada kedua tangan. Pasien didiagnosis scabies dengan infeksi sekunder. Pada kasus ini telah dilakukan diagnosis dan tatalaksana sesuai dengan teori dan jurnal terkait. Setelah dilakukan intervensi, didapatan penurunan gejala klinis dan peningkatan pengetahuan pasien dan keluarga. Simpulan: Penatalaksanaan secara holistik dapat meningkatkan pengetahuan, sikap, dan perilaku pada pasien terhadap penyakitnya. Serta peran keluarga juga sangat penting dalam pengobatan penyakit pasien.
Analisis Faktor yang Berhubungan dengan Kanker Payudara Pada Wanita di Klinik Bintang Ki Maja Lampung Fadhila, Syifa Rahmi; Karyus, Aila; Setiaji, Bambang; Irianto, Sugeng Eko; Za'im, Ammar; Nonasri, Fitra Galih
Malahayati Nursing Journal Vol 6, No 8 (2024): Volume 6 Nomor 8 (2024)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i8.15890

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ABSTRACT Breast cancer is the first contributor to cancer in women in Indonesia. The early detection rate for breast cancer in Bandar Lampung City in 2022 through the SADANIS examination is quite low (40.8%), the prevalence of breast cancer in Bandar Lampung City is high. Bintang Ki Maja Clinic founded by oncology surgeons, has a community of breast cancer sufferers “Komunitas Tetap Semangat”. To examining factors related to the incidence of breast cancer in women at the Lampung Bintang Ki Maja Clinic in 2024. This research is a quantitative research with a case control design. The minimum sample size is 100 people, using consecutive sampling technique. Data were collected using a breast cancer risk factors and smoking behavior questionnaires, then analyzed and presented in univariate, bivariate and multivariate analysis, using chi square and binary logistic regression. Age at first pregnancy (p=0.021), hormonal contraception use (p=0.003), family history (p=0.021), and smoking behavior (p=0.025) were associated with the incidence of breast cancer and the dominant factor is hormonal contraception use (OR 4.872). Hormonal contraceptive use, family history, and smoking behavior are related to the incidence of breast cancer and hormonal contraceptive use is the dominant factor. Keywords: Breast Cancer, Hormones, Women of Childbearing Age  ABSTRAK Kanker payudara menjadi penyumbang pertama kanker pada wanita di Indonesia. Angka deteksi dini kanker payudara di Kota Bandar Lampung tahun 2022 melalui pemeriksaan SADANIS cukup rendah (40,8%), sehingga prevalensi kejadian kanker payudara di Kota Bandar Lampung masih tinggi. Klinik Bintang Ki Maja yang didirikan oleh dokter spesialis bedah onkologi memiliki komunitas penderita kanker payudara “Komunitas Tetap Semangat”. Untuk meneliti faktor-faktor yang berhubungan dengan kejadian kanker payudara pada wanita di Klinik Bintang Ki Maja Lampung tahun 2024. Penelitian ini menggunakan desain case control. Jumlah sampel minimal 100 orang diambil dengan teknik consecutive sampling. Pengambilan data dilakukan menggunakan kuesioner faktor risiko kanker payudara dan perilaku merokok, kemudian dianalisis, dan disajikan dalam analisis univariat, bivariat, dan multivariat, menggunakan chi square dan regresi logistik ganda. Faktor usia pada kehamilan pertama (p=0,021), pemakaian kontrasepsi hormonal (p=0,003), riwayat keluarga (p=0,021), dan perilaku merokok (p=0,025) berhubungan dengan kejadian kanker payudara. Faktor yang dominan berhubungan dengan kejadian kanker payudara pada wanita di Klinik Bintang Ki Maja Lampung adalah pemakaian kontrasepsi hormonal (OR 4,872).  Faktor pemakaian kontrasepsi hormonal, riwayat keluarga, dan perilaku merokok berhubungan dengan kejadian kanker payudara dengan faktor yang dominan berhubungan adalah pemakaian kontrasepsi hormonal. Kata Kunci: Hormon, Kanker Payudara, Wanita Usia Subur
Penerapan eKIE (Komunikasi, Informasi, dan Edukasi Elektronik) Dalam Upaya Meningkatkan Kesehatan Ibu Hamil Di Era New Normal Angraini, Dian Isti; Karyus, Aila; Kania, Susi; Sari, Merry Indah; Imantika, Efriyan
JPM (Jurnal Pengabdian Masyarakat) Ruwa Jurai Vol. 5 No. 1 (2020): JURNAL PENGABDIAN MASYARAKAT RUWA JURAI
Publisher : FK Unila

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23960/jpmrj.v5i1.2807

Abstract

Indonesia sedang menghadapi bencana nasional nonalam COVID-19 sehingga pelayanan kesehatan maternal dan neonatal menjadi salah satu layanan yang terkena dampak baik secara akses maupun kualitas. Tujuan dari kegiatan ini adalah untuk meningkatkan kesehatan ibu hamil di era new normal dengan menerapkan eKIE. Khalayak sasaran kegiatan pengabdian kepada masyarakat ini adalah ibu hamil di wilayah kerja Puskesmas Panjang. Metode yang digunakan dalam kegiatan ini yaitu promosi kesehatan eKIE (komunikasi, informasi dan edukasi elektronik) berupa pemberian materi dan diskusi interaktif melalui whattsapp group. Pengabdian kepada masyarakat ini dilaksanakan selama 3 hari yaitu hari Senin, Rabu dan Jum’at tanggal 6, 8 dan 10 Juli 2020 pada pukul 09.00 sd 12.00. Tempat kegiatan pengabdian ini adalah melalui media elektronik secara online dengan whattsapp group. Hasil kegiatan didapatkan bahwa terjadi peningkatan pengetahuan yang baik pada ibu hamil setelah diadakan eKIE dengan peningkatan pengetahuan dari 1,4% menjadi 93%; dan peningkatan perilaku dari 14,1% menjadi 97,2%. Kesimpulan: penerapan eKIE untuk meningkatkan pengetahuan dan perilaku ibu hamil dalam menjaga dan meningkatkan kesehatannya memang dibutuhkan terutama di era new normal.Kata Kunci: eKIE, era new normal, ibu hamil
The Impact of Nutrition Education on Knowledge and Nutrition Label Comprehension in Adolescents Suci, Puspita; Karyus, Aila; Puteri, Hidayatusy Syukrina
Genius Journal Vol. 7 No. 1 (2026): GENIUS JOURNAL
Publisher : Inspirasi Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/gj.v7i1.786

Abstract

Introduction: Adolescence is a critical period of growth and development in which nutritional status and health behaviors play an important role in determining future health outcomes. Rapid lifestyle changes and increased consumption of packaged foods have contributed to rising nutritional problems among adolescents, including obesity and other non-communicable diseases. Understanding nutrition information on food labels is therefore essential to support healthy food choices and improve adolescents’ nutritional knowledge. Objective: Adolescents tend to consume packaged foods high in salt, sugar, and fat. One of the contributing factor is their low comprehension of the display of nutrition facts on the packaging and the habit of not reading them. Data from the Lampung Health Office show that the prevalence of obesity among school-aged children increased from 27% to 37% in 2021 and 2023. Reading nutrition facts is part of the Balanced Nutrition Guidelines. This study aims to analyze the effect of nutrition education using animated video media on knowledge and reading comprehension of nutrition facts on packaged foods among eight-grade adolescents at SMPN 2 Bukit Kemuning, Lampung Utara. Method: The study used a quantitative pre-experimental with a one-group pretest- posttest design. Nutrition education was delivered through animated video media, followed by measurement of knowledge and comprehension with a 14-days interval between the pretest and posttest. The study population consisted of 104 eight-grade students. Using a simple random sampling method, 84 samples were selected. However,the intervention was given to entire population to avoid sample loss, resulting in 85 samples collected. Data were analyzed using the Paired Sample T- Test. Result: The results showed a significant increase in the average score knowledge score from 64.05 to 89.07. And in reading comprehension from 59.34 to 85.53. Statitical tests showed a p-value <0.05 for both variables, indicating that nutrition education using animated video media had significant effect on improving adolescents knowledge and comprehension of reading nutrition facts.
Edukasi tentang kepatuhan pembatasan cairan kepada pasien gagal ginjal kronik Maritasari, Dwi Yulia; Aziza, Nurul; Surya, Syiefa Renanda; Karyus, Aila; Listina, Febria; Oktarida, Avina
JOURNAL of Public Health Concerns Vol. 5 No. 12 (2026): JOURNAL of Public Health Concerns
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerja sama dengan: Unit Penelitian dan Pengabdian Kep Akademi Keperawatan Baitul Hikmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/phc.v5i12.2473

Abstract

Background: Chronic Kidney Disease (CKD) is a progressive decline in kidney filtration function lasting more than three months, often with non-specific symptoms that allow the disease to advance unnoticed. Hemodialysis is the most widely used renal replacement therapy; however, patient adherence to fluid restriction remains a major challenge, as non-compliance can lead to fluid overload, edema, dyspnea, and increased mortality risk through elevated Inter-Dialytic Weight Gain (IDWG). Studies indicate that adherence to fluid restriction is associated with improved quality of life, with success strongly influenced by family support and the implementation of self-care practices including diet, medication, and physical activity. Video-based educational media has proven effective in enhancing patient knowledge, attitudes, and behaviors, thereby promoting adherence to hemodialysis therapy and reducing long-term complications. Purpose: Increase patient understanding of the impact of excess fluid on the body and the serious complications that can occur if fluid restrictions are not adhered to. Method: This community service activity was conducted in a hemodialysis unit involving 68 patients with fluid overload, identified by significant inter-dialytic weight gain, edema, or hypertension. Samples were selected through observation based on weight gain criteria between sessions. An educational and participatory approach was applied, with fluid restriction education delivered via video displayed in the hemodialysis room, accompanied by interactive discussions. Patient engagement was observed to assess involvement and comprehension, while knowledge levels were evaluated through question-and-answer sessions and peer experience sharing. Results: The intervention demonstrated increased knowledge and active engagement among hemodialysis patients following video-based counseling. The visually and interactively packaged material effectively captured patient attention, while accompanying discussions reinforced understanding. Video-based educational interventions integrated knowledge, attitudes, and behaviors synergistically, supporting adherence to fluid restriction and improving the quality of hemodialysis therapy. Conclusion: Video-based health promotion is an effective educational tool to enhance patient adherence to fluid restriction in hemodialysis. Improved adherence positively impacts the control of Inter-Dialytic Weight Gain (IDWG), making video media a recommended component of routine educational strategies to support therapy success and patient quality of life. Suggestion: Health care facilities, particularly hemodialysis units, are advised to integrate video media into routine education to strengthen patient adherence to fluid restriction. Regular evaluation of adherence should involve family support to ensure a more comprehensive and sustainable educational process. Keywords: Chronic kidney disease; Compliance; Fluid restriction; Health education; Hemodialysis Pendahuluan: Gagal ginjal kronik (Chronic Kidney Disease/CKD) merupakan penurunan fungsi filtrasi ginjal yang berlangsung lebih dari tiga bulan dengan gejala yang sering tidak spesifik, sehingga penyakit dapat berkembang ke tahap lanjut tanpa disadari. Hemodialisis menjadi terapi pengganti ginjal yang paling banyak digunakan, namun kepatuhan pasien terhadap pembatasan cairan masih menjadi tantangan utama karena ketidakpatuhan dapat menimbulkan kelebihan cairan, edema, sesak napas, hingga meningkatkan risiko mortalitas melalui Inter-Dialytic Weight Gain (IDWG) yang tinggi. Penelitian menunjukkan bahwa kepatuhan terhadap pembatasan cairan berhubungan dengan kualitas hidup pasien, dan keberhasilan sangat bergantung pada dukungan keluarga serta penerapan self care yang mencakup diet, pengobatan, dan aktivitas fisik. Media edukasi berbasis video terbukti efektif dalam meningkatkan pengetahuan, sikap, dan perilaku pasien, sehingga dapat mendorong kepatuhan terhadap terapi hemodialisis dan menekan komplikasi jangka panjang. Tujuan: Meningkatkan pemahaman pasien tentang dampak kelebihan cairan terhadap tubuh serta komplikasi serius yang dapat terjadi apabila tidak mematuhi pembatasan cairan Metode: Kegiatan pengabdian masyarakat ini dilaksanakan di ruang hemodialisis dengan melibatkan 68 pasien yang mengalami kelebihan cairan, ditandai oleh peningkatan berat badan inter-dialytic, edema, atau hipertensi. Sampel ditentukan melalui observasi pasien dengan kriteria peningkatan berat badan signifikan antar kunjungan. Pendekatan yang digunakan bersifat edukatif dan partisipatif. Edukasi mengenai pembatasan cairan disampaikan melalui media video yang ditayangkan di ruang hemodialisis, disertai diskusi interaktif antara pasien dan pemateri. Aktivitas peserta diamati untuk menilai keterlibatan dan pemahaman, sedangkan tingkat pengetahuan dievaluasi melalui sesi tanya jawab serta berbagi pengalaman antar pasien. Hasil: Adanya peningkatan pengetahuan dan keterlibatan aktif pasien hemodialisis setelah mengikuti penyuluhan melalui media video. Penyampaian materi yang dikemas secara visual dan interaktif efektif menarik perhatian pasien, diskusi yang menyertai tayangan memperkuat pemahaman mereka. Intervensi edukatif berbasis video yang disertai diskusi mampu mengintegrasikan aspek pengetahuan, sikap, dan perilaku pasien secara sinergis, sehingga mendukung kepatuhan terhadap pembatasan cairan dan kualitas terapi hemodialisis. Simpulan: Media promosi kesehatan berbasis video merupakan alat edukasi yang efektif dalam meningkatkan kepatuhan pasien hemodialisis terhadap pembatasan cairan. Peningkatan kepatuhan tersebut berdampak positif pada pengendalian Inter-Dialytic Weight Gain (IDWG), sehingga penggunaan media video dapat direkomendasikan sebagai bagian dari strategi edukasi rutin untuk mendukung keberhasilan terapi dan kualitas hidup pasien. Saran: Fasilitas pelayanan kesehatan khususnya unit hemodialisis, dapat mengintegrasikan media video sebagai bagian dari edukasi rutin untuk meningkatkan kepatuhan pasien terhadap pembatasan cairan. Evaluasi kepatuhan perlu dilakukan secara berkala dengan melibatkan dukungan keluarga, sehingga proses edukasi lebih komprehensif dan berkelanjutan.
Health worker performance and achievement in the Inspection Visual Acetic Acid (IVA) test Puteri, Firantika Dias; Budiati, Endang; Setiaji, Bambang; Karyus, Aila
Malahayati International Journal of Nursing and Health Science Vol 7, No 9 (2025)
Publisher : Program Studi Ilmu Keperawata Fakultas Kedokteran Universitas Malahayati Bandar Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v7i9.24937

Abstract

Background: Cervical cancer is the fourth common cancer affecting women all over the world and in the second place after breast cancer in Indonesia. There were 36,964 new cases of cervical cancer recorded in 2022 with 20,708 mortality cases per year. IVA examinations are a government program in all public health centers in Indonesia which can be done by a competent doctor and midwives. Low IVA’s screening is one of the causes of cervical cancer.Purpose: To identify the characteristic and the dominant health worker’s performance on the achievement of IVA examinations.Method: The cross-sectional analytic design study was conducted on April-July 2024. Sample was 121 doctors and midwives in 20 public health centers that were chosen by proportionate stratified random sampling. Data were collected using seven questionnaires about the supervision, compensation, infrastructure, workload, training and IVA achievements then analyzed and presented in univariate, bivariate and multivariate analysis, using chi square and binary logistic regression.Results: Supervision (p=0.000), facilities (p=0.000), compensation (p=0.000), workload (p=0.000), and training (p=0.001) are related to the achievement of IVA examinations by health workers at public health centers of Bandar Lampung City Health Department and supervision are the most dominant related factors (p=0,000 OR=11,252).Conclusion: The achievement of IVA examinations by Health workers in the Bandar Lampung City Health Service Work Area is related to supervision factors (p=0.000; OR=17.040), facilities and infrastructure (p=0.000; OR=4.499), compensation (p=0.000; OR=5.612), workload (p=0.000; OR=5.802), and training (p=0.000; OR=4.346) where good supervision can increase the performance of IVA examinations by health workers.
Faktor yang Berhubungan dengan Pelayanan Ante Natal Care (ANC) K6 di Kabupaten Lampung Barat Taramendo, Achmad Fase; Karyus, Aila; Irianto, Sugeng Eko; Setiaji, Bambang; Rahayu, Dewi
Jurnal Ilmu Kesehatan Masyarakat Vol. 15 No. 02 (2026): Jurnal Ilmu Kesehatan Masyarakat: Issue in Progress
Publisher : UIMA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33221/jikm.v15i02.4348

Abstract

Ante Natal Care (ANC) adalah perawatan kesehatan yang diberikan kepada ibu hamil selama masa kehamilan untuk memantau kesehatan ibu dan janin, serta mendeteksi dan mengatasi masalah kesehatan yang mungkin timbul selama kehamilan. Rendahnya capaian kunjungan pelayanan ANC K6 tahun 2023 yang hanya mencapai 58,70% dari target 100% merupakan permasalahan di Kabupaten Lampung Barat. Diketahui bahwa terdapat sejumlah faktor yang memiliki hubungan atau keterkaitan dengan tingkat pemanfaatan pelayanan pemeriksaan kehamilan lengkap (ANC K6) oleh ibu hamil di Kabupaten Lampung Barat. Penelitian ini menggunakan pendekatan kuantitatif dengan desain Cross-Sectional. Pengumpulan data dilakukan melalui observasi, wawancara dan kuesioner di 3 Puskesmas wilayah Dinas Kesehatan Kabupaten Lampung Barat. Populasi penelitian ini adalah ibu hamil dengan usia kehamilan > 36 minggu dan ibu bersalin yang memiliki bayi dengan usia kurang dari 1 tahun. Pengambilan sampel dilakukan secara Cluster Random Sampling dengan jumlah sampel 176 responden.iketahui ada hubungan variabel pengetahuan (p-value = 0,000), dan akses pelayanan kesehatan (p-value = 0,000) terhadap pelayanan ANC K6, sedangkan variable pendidikan (p-value = 0,103), pekerjaan (p-value = 0,091), dan Kebutuhan Pelayanan Kesehatan layanan (p-value = 0,198) tidak ada hubungan terhadap pelayanan ANC K6. Variabel pengetahuan merupakan factor dominan dengan p-value = 0,039. Dalam hal ini untuk meningkatkan pengetahuan dapat dilakukan dengan melakukan edukasi kepada Ibu Hamil dan Ibu Bersalin di Posyandu dan menyosialisasikan tentang Pelayanan ANC K6 dengan melakukan Puskesmas Keliling di Desa yang sulit dijangkau di Kabupaten Lampung Barat.
Co-Authors Abdillah, Kemas Yahya Adli, Farhan Kamali Agita, Ni Made Amelia Dewi Andini, Wira Setio Anggraeni, Gustira Arisandi, William Astuti, Dewi Woro Atikah Adyas Baharza, Satria Bambang Pujianto Bambang Setiaji Bariyah, Ira Budiati, Endang Bulfiah, Siti Noor Fadilah Dewi Rahayu Dewi, Kadek Puspita Dewi, Mega Endiana Dian Isti Angraini Djamaluddin, Abikusno Doris, Doris Dwi Yulia Maritasari, Dwi Yulia Dzakirah, Inas Efriyan Imantika Fadhila, Syifa Rahmi Fansuri, Muhaimin Faradila, Mulya Dwi Farista, Achmad Deza Hengki Irawan Indriani, Ratna Fitri Iqbal, M Buyung Irianto, Sugeng Irianto, Sugeng Eko Jamani, Cecep Kania, Susi Kodrat Pramudho Lestari, Rini Iwan Listina, Febria Marlita, Afia Maryanto, Erlicha Paramitha Maulana, Dhani Achmad Miniarti, Miniarti Monika, Dinda Muhaimin Fansuri Nathasa Khalida Dalimunthe Naufal, Fachri Ningrum, Adenias Lutfia Nonasri, Fitra Galih Noviansyah Noviansyah, Noviansyah Novita Carolia Nur Annisa Nurul Aziza, Nurul Oktarida, Avina Pramudho, PA Kodrat Pratama, Dita Setya Pratiwi Putri, Dian Utama Prihantini, Ika Swastika Puteri, Firantika Dias Puteri, Hidayatusy Syukrina Putri, Adelia Meutia Putri, Dian Utama Pratiwi Riana, Yana Ridhayati, Himmah Rolia, Eva Rosa, Emantis Sari, Lia Puspita Sari, Merry Indah Sky, Monica Werin Sofiatin, Fitri Suci, Puspita Sujiah, Sujiah Surya, Syiefa Renanda SUSANTI, FERLIA Syam, Avina Oktarida Taramendo, Achmad Fase Tutik Ernawati Yudhinanto, Yudhinanto Yunanda, Yuda Yunika, Desva Za'im, Ammar Zubaidi, Humairoh Abdul Kadir