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All Journal Jurnal Kesehatan Tambusai International Journal of Public Health Excellence (IJPHE)
Nurunniyah, Siti
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Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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STUDI KASUS EFEKTIVITAS MEDIA BUKU SAKU TERHADAP PEMBERIAN ASUHAN KOMPREHENSIF PADA NY. Y DENGAN HIPERTENSI GESTASIONAL Salsabila, Natasya; Nurunniyah, Siti; Pangestuti, Restu; Mulyaningsih, Sundari
Jurnal Kesehatan Tambusai Vol. 6 No. 3 (2025): SEPTEMBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v6i3.49290

Abstract

Angka kematian ibu di Indonesia masih tinggi. Provinsi Yogyakarta masih terbilang cukup banyak AKI yang terjadi dan paling tinggi berada di Kabupaten Bantul dengan 7 kasus AKI per bulan Januari sampai Agustus 2024. Kematian ibu di Indonesia masih didominasi dengan perdarahan, hipertensi gestasional atau Hipertensi dalam Kehamilan (HDK) dan infeksi. Kasus perdarahan dan infeksi cenderung menurun berbeda dengan kasus hipertensi dalam kehamilan yang cenderung naik. Faktor yang menyebabkan hipertensi yakni usia, paritas, jarak kehamilan, obesitas, hiperplasentosis, stress, pola makan yang salah, masalah emosional, hipertiroid dan koarklatasi aorta. Hipertensi gestasional dapat menyebabkan berbagai dampak bagi ibu maupun janin yang dikandungnya. Jenis penelitian yang digunakan yaitu observational deskriptif dan menggunakan pendekatan Studi Kasus continuity of care, partisipan dalam penelitian ini yakni 1 ibu hamil yang mengalami hipertensi gestasional dan diberikan intervensi menggunakan media buku saku. Hasil asuhan kebidanan secara komprehensif yang telah diberikan sesuai dengan standar pelayanan Asuhan Kebidanan, ditemukan adanya komplikasi yakni oligohidramnion, dan IUGR yang mengharuskan untuk bersalin segera secara SC.  Bayi baru lahir mengalami neojaundice. Masa nifas berlangsung dengan kondisi normal dan merencanakan akan menggunaan KB IUD. Pendampingan secara komperhensif dan pemberian edukasi menggunakan media buku saku dapat mengatasi komplikasi dan masalah-masalah yang terjadi pada saat kehamilan, bersalin, nifas, BBL dan tidak menimbulkan resiko lebih lanjut terhadap kondisi pasien serta membantu pasien mengambil keputusan  untuk menggunakan KB.
Vitamin B6 Supplementation and Premenstrual Syndrome In Adolescents Munawaroh, Siti Raudah; Nurunniyah, Siti; Nurinda, Eva; Paramita, Dyah Pradnya; Aji, Arif Sabta; Kurniawati, Putri; Yugistyowati, Anafrin; Wahyuningsih
International Journal of Public Health Excellence (IJPHE) Vol. 5 No. 1 (2025): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v5i1.1703

Abstract

Background: Many women experience physical discomfort during menstrual periods with symptoms of menstrual disorders, such as abdominal pain and emotional instability, including mood swings and depression. PMS decreases adolescent creativity and productivity. Vitamin B6 induces the production of serotonin, which is assumed to reduce PMS symptoms. Objective: To find out the effectiveness of vitamin B6 supplementation in reducing PMS symptoms and which symptoms are most responsive to Vitamin B6. Methods: We conducted quasi-experimental, randomised, blinded, and controlled trials. The intervention and control groups each consisted of 20 adolescent girls aged 15-17 years. Adolescent girls who experienced PMS were randomly divided into two groups: group A was given vitamin B6 supplementation, and group B was given a placebo. where the respondent does not know which group he belongs to. The modified Premenstrual Syndrome Questionnaire and Premenstrual Symptom Questionnaire were used to determine the severity of PMS before and after the intervention. The data was analysed with a T-test. Initially, 154 girls were screened using an initial questionnaire, of which 142 were known to have PMS. 40 adolescent girls were randomly assigned to either a vitamin B6 group or a placebo. Results: There was a significant difference in the severity of PMS before and after in the group given vitamin B6 supplementation intervention with a P value of ≤ 0.05. The change in the severity score was the most in type D PMS. Conclusion: Vitamin B6 supplementation has an effect in reducing PMS. The largest score decline was in type D (depression), followed by type A (anxiety). Therefore, vitamin B6 may be recommended as a supplement for adolescent girls who experience PMS.
Co-Authors ANAFRIN YUGISTYOWATI Arif Sabta Aji Mulyaningsih, Sundari Munawaroh, Siti Raudah Nurinda, Eva Pangestuti, Restu Paramita, Dyah Pradnya Putri Kurniawati, Putri Salsabila, Natasya Wahyuningsih