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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.
Efektivitas Metode Pelatihan Berbasis Konsep Patient Centered Care Terhadap Pengetahuan dan Sikap Profesional Pemberi Asuhan (PPA) di RS Untan Pontianak Nisa, Khairun; Hadi, Hamam; Nurunniyah, Siti
Indonesian Journal of Islamic Jurisprudence, Economic and Legal Theory Vol. 4 No. 1 (2026)
Publisher : SPT. haria Journal and Education Center Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62976/ijijel.v4i1.1766

Abstract

Background: Healthcare in Indonesia faces critical issues in clinical interaction, where many Healthcare Professionals (PPA) have not fully implemented Patient-Centered Care (PCC). This failure directly results in low patient satisfaction, increased complaints, and even clinical therapy failure risks. At RS UNTAN Pontianak, this challenge is amplified by suboptimal human resource readiness and an incomplete understanding of PCC concepts. Objective: To analyze the effectiveness of PCC-based training methods on improving PPA knowledge and attitudes in the inpatient ward of RS UNTAN Pontianak. Methods: A quantitative quasi-experimental pre-post test design involving 58 PPAs across three groups: Presentation+Simulation, Presentation+Video, and conventional control (Presentation only). Data were collected using a PCC knowledge questionnaire and an attitude scale, analyzed using paired t-test, ANOVA, and multiple regression (α=0.05). Results: The Presentation + Simulation method showed the highest score improvements for both knowledge (increase of 22.63 points) and attitude (increase of 12.00 points), and was significantly superior to the Presentation + Video and Conventional Presentation methods. The path coefficient for the simulation group was 1.376 for knowledge (R²=47.3%) and 1.616 for attitude (R²=65.3%). Conclusion: Interactive and experiential training, particularly simulation, is the most effective method for improving PCC competencies among PPAs. Hospitals should prioritize practice-based training methods for successful PCC implementation.
Studi Fenomenologi Penggunaan Aplikasi Sistem Informasi Manajemen Rumah Sakit dalam Meningkatkan Efektivitas dan Efisiensi Pelayanan di RS Universitas Tanjungpura Yudi Pamungkas, Rofi; Sampurno, Edi; Nurunniyah, Siti
Indonesian Journal of Islamic Jurisprudence, Economic and Legal Theory Vol. 4 No. 1 (2026)
Publisher : SPT. haria Journal and Education Center Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62976/ijijel.v4i1.1767

Abstract

Background: Implementation of Hospital Management Information Systems (HMIS/SIMRS) is a strategic effort to improve healthcare effectiveness and efficiency. However, the process still faces challenges including user resistance, infrastructure limitations, and human resource readiness. Objective: To comprehensively explore the perceptions, experiences, and barriers faced by Professional Care Providers (PPA) in using SIMRS (SIMGOS V2) at RS Universitas Tanjungpura, Pontianak. Methods: Qualitative research using hermeneutic phenomenology involving 9 PPAs selected via purposive sampling. Data were collected through in-depth interviews, three Focus Group Discussion (FGD) sessions, participatory observation, and document analysis. Data analysis followed the hermeneutic circle principle exploring lived experiences across four phenomenological dimensions: temporal, spatial, embodied, and relational. Validity was ensured through triangulation, member checking, and peer debriefing. Results: A paradoxical phenomenon was identified: SIMGOS V2 significantly improved operational efficiency (accelerated workflows, resource savings, reduced administrative burden) but has not fully achieved clinical effectiveness due to incomplete system integration. Fundamental transformation occurred across four dimensions: temporal (time efficiency with new systemic pressures), spatial (space virtualization with digital access gaps), embodied (literacy transformation from manual-tactile to digital-visual), and relational (information democratization with fragmentation of interpersonal warmth). Main barriers include imperfect system integration, unstable network infrastructure, and resistance as negotiation of professional identity. Conclusion: SIMRS implementation represents a fundamental socio-technical transformation requiring a holistic approach sensitive to its meaning for users. Hermeneutic phenomenology successfully uncovered hidden meaning layers in SIMRS technical evaluation.