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All Journal JURNAL PROMOSI KESEHATAN INDONESIA Majalah Kedokteran Bandung e-Journal Pustaka Kesehatan UNEJ e-Proceeding Jurnal Kreativitas PKM Jurnal Ilmu Keperawatan Jiwa Jurnal Ilmiah Keperawatan Jurnal Aisyah : Jurnal Ilmu Kesehatan Jurnal Peduli Masyarakat Indonesian Journal of Community Health Nursing Jurnal Ilmiah Pamenang (JIP) Jurnal Gema Keperawatan Proceedings of the International Conference on Nursing and Health Sciences Nurse and Holistic Care JPMA Termometer: Jurnal Ilmiah Ilmu Kesehatan Dan Kedokteran Jurnal Keperawatan Health and Technology Journal (HTECHJ) Synthesis Global Health Journal Journal of Rural Community Nursing Practice Prosiding Seminar Nasional Pengabdian Kepada Masyarakat: Peduli Masyarakat Journal of Community Empowerment for Multidisciplinary (JCEMTY) Jurnal Abdimas Pamenang Journal of Rural Community Nursing Practice
R.A. Helda Puspitasari
Universitas Jember
Religion Agriculture, Biological Sciences & Forestry Humanities Chemical Engineering, Chemistry & Bioengineering Dentistry Economics, Econometrics & Finance Education Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Library & Information Science Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary Other

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Hubungan Tingkat Kecemasan Wanita Pra Menopause Dengan Masa Pra Menopause Di MI Miftakhul Ulum Kabupaten Pasuruan Puspitasari, R.A. Helda; Aristawati, Evy
Jurnal Ilmiah Keperawatan STIKES Hang Tuah Surabaya Vol 15 No 1 (2020): March Edition
Publisher : Sekolah Tinggi Ilmu Kesehatan Hang Tuah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30643/jiksht.v15i1.90

Abstract

Pramenopause is 3-10 years before the arrival of menopause, at this stage ovarian hormone production decreases and fluctuates causing various symptoms. The average age in each country is different but around 45 and 55 years, these women will experience changes both physiological and psychological. The general objective of this research is to study the relationship between anxiety levels of pre-menopausal women and pre-menopausal periods. While the specific goal is to identify between the anxiety levels of pre-menopausal women, as well as to identify between pre-menopausal levels and periods. The design of this study used a descriptive method in which the approach was cross sectional, the sample was selected by saturation sampling of 25 people. Data is collected by filling out the questionnaire then the data obtained is then presented in tabular and narrative form. The results showed that the level of anxiety of women in the heavy pre-menopausal period (40%), while those in the moderate category were (36%), while those in the low category were (24%). For symptoms and consequences experienced in the pre-menopausal high as much (76%), and low (24%). The results of the chi square test obtained X 2 count 7.89 and X 2 table 5.991. Because the X 2 count is bigger and the X 2 table is Ho is rejected and H1 is accepted, it means there is a relationship between the pre-menopausal woman's anxiety level and the pre-menopausal periods.Keywords: Pre Menopause, Anxiety, Pra Menopause Steps
Peran Pendampingan Keluarga Dalam Senam Diabetes Pada Penderita Diabetes Di Puskesmas Sekargadung Aristawati, Evy; Puspitasari, R.A. Helda
Jurnal Ilmiah Keperawatan STIKES Hang Tuah Surabaya Vol 15 No 1 (2020): March Edition
Publisher : Sekolah Tinggi Ilmu Kesehatan Hang Tuah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30643/jiksht.v15i1.91

Abstract

Diabetes Mellitus is often referred to as the great imitator, because it can affect all organs of the body and cause various complaints. Diabetes Mellitus can arise slowly so patients are not aware of changes such as drinking more frequent miktion. The aim of the study is to describe the role of family in the implementation of diabetes gymnastics in patients with Diabetes Mellitus (DM) type 2 at Gayungan Health Center Village Dukuh Denied Surabaya.This research design using descriptive research. The population is all families who have family members with cases of diabetes mellitus with a large sample of 4O people. Sampling using technique Total sampling The variables studied is the role of kleuarga in the implementation of diabetes gymnastics. Data collection was done by distributing questionnaires.The results showed that from 40 respondents in Gayungan Public Health Center, Dukuh Menanggal Surabaya, almost half of them play a good role in the implementation of diabetes gymnastics in diabetic patients as much as 40% (16 people).Health workers should improve health services by providing counseling - extension on diabetics millitus and their families.Keywords: Role Family, Diabetes Mellitus, Gymnastics
Penguatan Keterampilan Kader Posyandu dalam Optimalisasi Tumbuh Kembang Balita melalui APE (Alat Permainan Edukatif) Handayani, Dwining; Kusuma, Erik; Puspitasari, R.A Helda; Nastiti, Ayu Dewi
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 7, No 12 (2024): Volume 7 No 12 (2024)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v7i12.17617

Abstract

ABSTRAK Pertumbuhan dan Perkembangan merupakan dua peristiwa yang berbeda, yaitu tumbuh dan berkembang, dimana masa balita merupakan ”Golden Age Period” terutama di usia 0-2 tahun karena perkembangan otak telah mencapai 80%. Kebutuhan dasar anak untuk tumbuh dan berkembang telah dikelompokkan menjadi tiga yaitu Asah, Asih dan Asuh. Urgensi dari kegiatan ini yaitu mengoptimalkan peran kader posyandu sebagai ujung tombak di masyarakat dalam meningkatkan tumbuh kembang balita. Keterampilan kader Posyandu di Kampung Pertanian dalam stimulasi tumbuh kembang balita dengan memanfaatkan permainan edukatif masih kurang, masyarakat merasa dimudahkan dengan game-game yang ada di gadged. Pengabdian ini bertujuan mengoptimalkan tumbuh kembang balita di kampung pertanian melalui penguatkan keterampilan kader posyadu melalui APE (Alat Permainan Edukatif). Metode yang digunakan adalah ceramah dan demonstrasi deteksi dini tumbuh kembang dan membuat APE dari bahan bekas. Hasil yang capai dari pengabdian ini adalah peningkatan pengetahuan masyarakat tentang stimulasi tumbuh kembang balita serta peningkatan kemampuan dan keterampilan masyarakat dalam membuat serta memanfaatkan APE sebagai sarana stimulasi pertumbuhan dan perkembangan anak. Kesimpulan dalam pengabdian masyarakat ini yaitu  kegiatan pengabdian masyarakat telah memberikan sumbangsih inovasi program dan intervensi yang tepat dalam meningkatkan kesehatan keluarga dan komunitas dalam mengoptimalkan tumbuh kembang balita. Saran yang diberikan tetap menjalinnya kerjasama yang terprogram antara pihak desa dengan petugas kesehatan serta melakukan edukasi berkesinambungan baik di kepada kader kesehatan dan juga masyarakat. Kata Kunci: Tumbuh, Kembang, Balita  ABSTRACT Growth and Development are two different events, namely growth and development, where toddlerhood is the "Golden Age Period" especially at the age of 0-2 years because brain development has reached 80%. The basic needs of children to grow and develop have been grouped into three, namely Sharpening, Asih and Nurturing. The urgency of this activity is to optimize the role of posyandu cadres as the spearhead in the community in improving the growth and development of toddlers. The skills of Posyandu cadres in Agricultural Villages in stimulating the growth and development of toddlers by utilizing educational games are still lacking, the community feels facilitated by the games in gadged. This service aims to optimize the growth and development of toddlers in agricultural villages through strengthening the skills of posyadu cadres through APE (Educational Game Tools). The method used is a lecture and demonstration of early detection of growth and development and making APE from used materials. The results achieved from this service are an increase in public knowledge about stimulation of the growth and development of toddlers as well as an increase in the ability and skills of the community in making and utilizing APE as a means of stimulating children's growth and development. The conclusion in this community service is that community service activities have contributed to program innovations and appropriate interventions in improving the health of families and communities in optimizing the growth and development of toddlers. The advice given continues to establish programmatic cooperation between the village and health workers and carry out continuous education both to health cadres and the community. Keywords: Growth, Development, Toddlers
Pengaruh Pemberian Terapi Kompres Dingin terhadap Penurunan Skala Nyeri pada Pasien Post Episiotomi Puspitasari, RA Helda; Handayani, Dwining; Nastiti, Ayu Dewi; Umam, Esa Rosyida; Laily, Nurul Fahmi Rizka; Nafi'a, Abidatun; Jannah, Miftahul
Jurnal Gema Keperawatan Vol 18, No 2 (2025): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v18i2.4136

Abstract

Normal childbirth is a physiological process that can cause pressure on the perineal tissue, so that episiotomy is often required to prevent more severe tears, episiotomy can also cause pain that interferes with the comfort and recovery process of the mother. Pain due to episiotomy if not handled properly can inhibit early mobilization, prolong healing time, reduce sleep quality, and affect the bond between mother and baby. This study aims to determine the effect of cold compresses in reducing the pain scale in post-episiotomy mothers. This study used a pre-experimental design with a one-group pre-posttest design approach, this study was conducted at the Sahara inpatient primary clinic in Pasuruan City, the population in this study were all mothers who had normal deliveries and underwent episiotomy, with a sample size of n=20 responden. The inclusion criteria in this study were postpartum mothers on day 1 to day 3 who experienced pain due to episiotomy, were willing to participate in the intervention, and had no contraindications to cold therapy. Pain measurements were carried out using the Numeric Rating Scale (NRS) and were measured before and after the intervention. Data analysis using a chi-square test showed a p-value of 0,011 (p0,05) indicating a significant difference between before and after the intervention. These findings demonstrate that cold compresses effectively reduce post-episiotomy pain in mothers. This intervention can be a safe, easy-to-implement, and beneficial non-pharmacological therapy alternative in accelerating the recovery process and improving the quality of life of postpartum mothers.
PENURUNAN NYERI PADA PASIEN POST EPISIOTOMI DENGAN MENGGUNAKAN KOMPRES DINGIN DI KLINIK SAHARA KOTA PASURUAN: PAIN REDUCTION IN POST EPISIOTOMY PATIENTS USING COLD COMPRESS AT SAHARA CLINIC, PASURUAN CITY Nafi'a, Abidatun; Puspitasari, R.A Helda; Kurnianto, Syaifuddin; Kusuma, Erik
Jurnal Abdimas Pamenang Vol. 4 No. 1 (2026): Jurnal Abdimas Pamenang - JAP
Publisher : STIKES Pamenang Kediri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53599/jap.v4i1.355

Abstract

Latar Belakang: Persalinan merupakan proses alami yang dihadapi oleh ibu hamil, di mana pengeluaran bayi dan plasenta dari rahim dapat menyebabkan tekanan pada jaringan perineum. Tindakan episiotomi dilakukan untuk mencegah robekan perineum yang lebih parah, namun dapat menimbulkan nyeri yang mempengaruhi kenyamanan ibu. Tujuan: Pengabdian masyarakat ini bertujuan untuk meningkatkan pengetahuan ibu post episiotomi dengan masalah nyeri serta menilai efektivitas kompres dingin dalam menurunkan nyeri setelah tindakan episiotomi. Metode: Pengabdian masyarakat ini dilakukan melalui metode penyuluhan atau pendidikan kesehatan kepada 20 orang ibu post episiotomi dengan menggunakan media leaflet yang berisikan informasi mengenai episiotomi dan penggunaan kompres dingin. Selain edukasi, dilakukan praktik langsung penggunaan kompres dingin sebagai intervensi. Hasil: Pengabdian masyarakat ini menunjukkan bahwa sebanyak 80% peserta mengalami penurunan nyeri menjadi kategori ringan setelah intervensi. Selain itu, 85% peserta menunjukkan peningkatan pengetahuan yang baik terkait manajemen nyeri post episiotomi. Kesimpulan: Kompres dingin terbukti efektif dalam menurunkan intensitas nyeri pada pasien post episiotomi. Intervensi ini merupakan alternatif terapi nonfarmakologis yang aman dan mudah diterapkan untuk mendukung kenyamanan ibu selama masa pemulihan. Dengan penerapan kompres dingin dapat membantu mempercepat proses penyembuhan dan meningkatkan kualitas hidup ibu pascapersalinan. Abstract Background: Childbirth is a natural process faced by pregnant women, where the release of the baby and placenta from the uterus can cause pressure on the perineal tissue. Episiotomy is performed to prevent more severe perineal tears, but can cause pain that affects the mother's comfort. Objective: This community service aims to increase the knowledge of post-episiotomy mothers with pain problems and assess the effectiveness of cold compress in reducing pain after episiotomy. Method: This community service was carried out through a health education or counseling method to 20 post-episiotomy mothers using leaflets containing information about episiotomy and the use of cold compress. In addition to education, direct practice of using cold compresses as an intervention was carried out. Results: This community service showed that 80% of participants experienced a decrease in pain to the mild category after the intervention. In addition, 85% of participants showed a good increase in knowledge regarding post-episiotomy pain management. Conclusion: Cold compress have been proven effective in reducing pain intensity in post-episiotomy patients. This intervention is a safe and easy-to-implement non-pharmacological therapy alternative to support maternal comfort during recovery. The application of cold compress can help speed up the healing process and improve the quality of life of postpartum mothers.
Effectiveness of Beetroot (Beta vulgaris) Juice in Reducing Anemia among Pregnant Women Ayu Dewi Nastiti Nastiti; R.A. Helda Puspitasari; Dwining Handayani; Esa Rosyda Umam; Nurul Fahmi Rizka Laily; Siti Nurhidayati
Health and Technology Journal (HTechJ) Vol. 3 No. 5 (2025): October 2025
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v3i5.490

Abstract

Anemia in pregnancy remains a global health problem with high prevalence, particularly in developing countries, including Indonesia. Limited adherence to iron supplement consumption has prompted the need for alternative, locally available food-based interventions that are more acceptable to the community. This study aimed to evaluate the effectiveness of beetroot (Beta vulgaris) juice in increasing hemoglobin (Hb) levels and alleviating clinical symptoms of anemia among pregnant women in the Tengger region, East Java. A pre-experimental one-group pretest–posttest design was employed. Thirty-eight pregnant women in their second to third trimester who met the inclusion criteria consumed 200 ml of beetroot juice daily for 14 days. Hemoglobin levels were measured before and after the intervention using the cyanmethemoglobin method and documentation of anemia-related clinical symptoms. The findings revealed a significant increase in Hb levels from an average of 10.4 ± 0.8 g/dL to 11.5 ± 0.9 g/dL (p < 0.001). The proportion of pregnant women with mild anemia decreased from 76.3% to 34.2%, while the proportion of non-anemic status increased. In addition, clinical complaints such as weakness, dizziness, and shortness of breath were also significantly reduced. No serious adverse events were reported, with mild side effects that did not interfere with respondent compliance. In conclusion, administering beetroot juice effectively increases hemoglobin levels and improves clinical symptoms of anemia in pregnant women, and has the potential to be an affordable, non-pharmacological nutritional strategy that can support integration into antenatal programs in resource-limited settings.
Community-Led Health Education and Social Mobilization for Improving Stunting Prevention Behavior Kusuma, Erik; Nastiti, Ayu Dewi; Handayani, Dwining; Puspitasari, R.A. Helda; Rahmawati, Iis
Jurnal Promosi Kesehatan Indonesia Vol 20 No 4: October 2025
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jpki.20.4.323-332

Abstract

Background: Stunting remains prevalent in Indonesia’s coastal regions, where social norms and resource limitations hinder the implementation of preventive practices. In Tapa’an Village, Pasuruan, these challenges are compounded by the influence of extended family, unstable income, and restricted access to clean water. This study aimed to evaluate the effect of a community-led health education program combined with digital reinforcement on mothers’ stunting-prevention behaviors, using the Theory of Planned Behavior (TPB) framework.Method: A quasi-experimental one-group pretest–posttest design was conducted with 57 mothers of children under five. Data on attitude, subjective norms, perceived behavioral control, and behavioral intention were collected using validated questionnaires. Statistical analyses included paired t-tests and ANOVA to assess mean differences, and Pearson correlation to explore inter-domain relationships, chosen to capture both magnitude and interaction of behavioral change.Result : Significant improvements were found across all TPB constructs (p < 0.001) with large effect sizes (η² > 0.80). The most substantial change occurred in behavioral intention, driven by enhanced attitudes and social approval. Mothers described greater motivation, confidence, and collective encouragement after receiving digital reminders. The integration of participatory learning and digital cues effectively transformed individual awareness into a shared community practice. Digital reinforcement uniquely sustained motivation beyond group sessions, especially among digitally active mothers in extended families. Despite the design’s lack of a control group and short observation period, findings highlight the model’s potential for adaptation in coastal maternal health programs. Embedding digital reinforcement into Puskesmas activities could strengthen long-term stunting prevention efforts.
Reducing Maternal Mortality Rate Through Utilization of Agricultural Products and Antenatal Care with Agronursing Perspective: Upaya Penurunan Maternal Mortality Rate Melalui Pemanfaatan Hasil Pertanian dan Antenatal Care di Wilayah Agronursing Puspitasari, R.A. Helda; Handayani, Dwining; Kusuma, Erik; Dewi Nastiti, Ayu
Journal of Community Empowerment for Multidisciplinary (JCEMTY) Vol. 1 No. 2 (2023): November 2023
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/jcemty.v1i2.102

Abstract

In Indonesia, the number of deliveries assisted by health personnel is still relatively low. Pregnancy checks (Antenatal Care = ANC) can motivate pregnant women to give birth to health workers. This study aims to determine the role of ANC in selecting birth attendants. This cross-sectional study used secondary data from the KKG Project Benefit Evaluation Survey (Family Health and Nutrition)—efforts to Reduce Maternal Mortality Rate Through Utilization of Agricultural Products and Antenatal Care in Agronursing Areas. Maternal Mortality Rate (MMR) is the death of a woman during pregnancy or 42 days after giving birth. Indonesia is a country with a significant increase in the number of maternal mortalities of 359/100,000. This achievement still needs to catch up to the 2024 Millennium Development Goals (MDGs) target, which is 183/100,000 KH, so this has made Indonesia experience a crisis in maternal health services. The low readiness of the mother to fulfill nutritional quality and conduct antenatal care can be a big problem in the birth process. Therefore, it is important to carry out socialization to reduce the maternal mortality rate by utilizing agricultural products to improve maternal nutrition through antenatal care. The purpose of doing community service for pregnant women is to reduce the Maternal Mortality Rate in Indonesia. Community empowerment is carried out by conducting lectures between researchers and participants.
STRENGTHENING THE STRATEGIC ROLE OF NEWBORN CARE CULTURE IN TENGGER TRIBE SOCIETY IN REDUCING INFANT MORTALITY RATE BASED ON TRANSCULTURAL NURSING Puspitasari, R.A. Helda; Handayani, Dwining; Dewi Nastiti, Ayu; Kusuma, Erik; Rahmawati, Iis
Indonesian Journal of Community Health Nursing Vol. 11 No. 1 (2026): FEBRUARY 2026
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijchn.v11i1.73970

Abstract

Introduction: The Tengger Tribe is an indigenous tribe in the Bromo Mountains, Pasuruan Regency. The community still strongly upholds customs and traditions in their daily lives, for example in caring for newborns, they have a unique way that has been passed down from their ancestors. The specific objective of this study is to obtain a picture of the meaning and significance of the health experience of the Tengger Tribe mountain community in caring for newborns by identifying the health characteristics of the Tengger Tribe community, identifying factors related to the behavior of handling health problems in newborns qualitatively.   Method: The research design used is qualitative with an ethnographic approach.   Result: Infant growth and development are influenced by environmental factors, these factors can be permanent or temporary, thus affecting the speed and quality of growth and development. Proper newborn care is intended for the child's physical growth including providing adequate and proper nutrition, protection against disease. The culture of newborn care in the Tengger tribe consists of exclusive breastfeeding, cutting the umbilical cord, baby massage, the role of midwives, the use of herbal plants as medicine for babies..   Conclusion: The behavior of cultural traditions in the Tengger community is generally good and very supportive of health. For further researchers, they can develop typical plants of the Bromo Tengger mountains that can be used for treatment when babies are sick.   Keywords: culture; baby care; Tengger; infant mortality rate; transcultural.
Co-Authors A, Falsa Kikit A, Sherly Sayyida Ahmad Rifai Aurelia Aidin, Anggi Desita Ayu Devi Nastiti Ayu Devi Nastiti Ayu Dewi Nastiti Ayu Dewi Nastiti Ayu Dewi Nastiti Ayu Dewi Nastiti Ayu Dewi Nastiti Nastiti Ayu Dewi Nastiti, Ayu Dewi Ayu Nastiti Ayu Novitasari, Bunga B, Wahyu Afton Boesoirie, M. Kautsar Boesoirie, Shanti F. Dahlan, Rinaldi Dewi Nastiti, Ayu Dwining Handayani Dwining Handayani Dwining Handayani Dwining Handayani Eko Prasetya Widianto Emi Wuri Wuryaningsih Erik Kusuma Esa Rosyda Umam Evy Aristawati F, Achmad Dedi F, Chika Yusnika F, Ina Rotul Fahmi Rizka Laily, Nurul Handayani, Dwining Handayani, Dwining Handayani Kartiwa, Angga Miftahul Jannah N. A, Fitroh Hifni Nafi'a, Abidatun Nurul Fahmi Rizka Laily R, Dina Nur Rahmawati, Iis Rakhmatika, Via Ramadhani, Adam S, Elvina Nadiyatus S, Hernanda Dwi Siti Karimatul Kamila Siti Nurhidayati Syaifuddin Kurnianto T, Audri Naifatha Toha, Muhammad Tri Clarinda, Mutiara Tsai, Mei-Ling Umam, Esa Rosyida Yuni Asri