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Kristiningtyas, Y Wahyunti
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FAKTOR – FAKTOR YANG MEMPENGARUHI KEJADIAN ANEMIA PADA IBU HAMIL DI BPM SRI WIDAYATNI SIDOHARJO WONOGIRI Kristiningtyas, Y Wahyunti; Widayatni, Sri
Jurnal AKPER GSH Vol 9, No 2 (2020): Juli 2020
Publisher : Akademi Keperawatan Giri Satria Husada Wonogiri

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Anemia in pregnant women can cause labor complications, risk of shock during delivery, easy disease during pregnancy, miscarriage, premature birth, babies born with LBW, congenital abnormalities / fetal defects, and result in the maturity of fetal organ function imbalance. The frequency of pregnant women with anemia in Indonesia is relatively high, namely 63.5%. According to Riskesdas (2013) the prevalence of anemia in pregnant women is 36.4% in rural areas and 37.8% in urban areas. Data on the incidence of anemia in pregnancy in Central Java Province is 90.75%. The research objective was to analyze the factors that influence the incidence of anemia in pregnant women. This type of research is an analytic survey with a cross sectional approach. The population in this study were 76 pregnant women who visited BPM Sri Widayatni for ANC from May to June. The research sample was 76 pregnant women. The sampling technique uses total sampling. The research instrument used a questionnaire that had been tested for validity and reliability. Univariate, bivariate data analysis with chi square and multivariate logistic regression with multiple prediction models. The results showed that most of the respondents had advanced education (65.79%), most of the respondents had good knowledge (59.21%), most of the respondents with nutritional status were not KEK (60.53%) and most respondents had low economic status (60 , 53%). The incidence of anemia in pregnant women was 38 (50%). Independent variables that have a significant relationship with the incidence of anemia in pregnant women are maternal education (p value = 0.030), maternal knowledge (p value = 0.005) and economy (p value = 0.0001). The variable of maternal nutritional status (p value = 0.100) did not have a significant relationship with the incidence of anemia in pregnant women at BPM Sri Widayatni. The variable that has the most dominant relationship with the incidence of anemia in pregnant women at BPM Sri Widayatni is economy with a value of OR = 6.554.
FAKTOR – FAKTOR YANG MEMPENGARUHI KEJADIAN ANEMIA PADA IBU HAMIL DI BPM SRI WIDAYATNI SIDOHARJO WONOGIRI Kristiningtyas, Y Wahyunti; Widayatni, Sri
Jurnal AKPER GSH Vol 9, No 2 (2020): Juli 2020
Publisher : Akademi Keperawatan Giri Satria Husada Wonogiri

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Anemia in pregnant women can cause labor complications, risk of shock during delivery, easy disease during pregnancy, miscarriage, premature birth, babies born with LBW, congenital abnormalities / fetal defects, and result in the maturity of fetal organ function imbalance. The frequency of pregnant women with anemia in Indonesia is relatively high, namely 63.5%. According to Riskesdas (2013) the prevalence of anemia in pregnant women is 36.4% in rural areas and 37.8% in urban areas. Data on the incidence of anemia in pregnancy in Central Java Province is 90.75%. The research objective was to analyze the factors that influence the incidence of anemia in pregnant women. This type of research is an analytic survey with a cross sectional approach. The population in this study were 76 pregnant women who visited BPM Sri Widayatni for ANC from May to June. The research sample was 76 pregnant women. The sampling technique uses total sampling. The research instrument used a questionnaire that had been tested for validity and reliability. Univariate, bivariate data analysis with chi square and multivariate logistic regression with multiple prediction models. The results showed that most of the respondents had advanced education (65.79%), most of the respondents had good knowledge (59.21%), most of the respondents with nutritional status were not KEK (60.53%) and most respondents had low economic status (60 , 53%). The incidence of anemia in pregnant women was 38 (50%). Independent variables that have a significant relationship with the incidence of anemia in pregnant women are maternal education (p value = 0.030), maternal knowledge (p value = 0.005) and economy (p value = 0.0001). The variable of maternal nutritional status (p value = 0.100) did not have a significant relationship with the incidence of anemia in pregnant women at BPM Sri Widayatni. The variable that has the most dominant relationship with the incidence of anemia in pregnant women at BPM Sri Widayatni is economy with a value of OR = 6.554.
EFEKTIVITAS REBUSAN JAHE TERHADAP PENURUNAN EMESIS GRAVIDARUM Kristiningtyas, Y Wahyunti; Nurcahyati, Arlina Dwi
Jurnal Keperawatan GSH Vol. 12 No. 1 (2023): JANUARI 2023
Publisher : Akademi Keperawatan Giri Satria Husada Wonogiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56840/jkgsh.v12i1.86

Abstract

ABSTRACTNausea and vomiting that occurs in pregnancy is caused by an increase in the levels of the hormones  estrogen and progesterone produced by Human Chorionic Gonadotropin (HCG) in the placenta. The  occurrence of continuous vomiting results in a pregnant woman's body getting paler, weaker, a drastic  decrease in the frequency of urination, causing a decrease in body fluids and blood thickening  (hemoconcentration) which blocks blood circulation so that it can cause tissue damage that endangers the  health of pregnant women and fetal development . The aim of the study was to determine the effectiveness of  giving ginger decoction to reduce nausea and vomiting in pregnant women. This type of research is  descriptive with a case study research approach (case study). The population in this study were pregnant  women in the Ngadirojo Health Center area. The research sample was first trimester pregnant women in  the Ngadirojo Health Center area. This research was conducted through observation and interviews. Test  the validity of the data used by taking new data (here and now) by using an assessment instrument that is in  accordance with the Standard Operating Procedure (SOP). The results of the study: the frequency of nausea and vomiting before being given a ginger drink was an average of 5-7 times per day. The frequency  of nausea and vomiting after being given a ginger drink has decreased to 2-3 times per day. Giving ginger  decoction to pregnant women is effective in reducing / reducing emesis gravidarum. ABSTRAKMual muntah yang terjadi pada kehamilan disebabkan karena terjadi peningkatan kadar  hormon estrogen dan progesteron yang diproduksi oleh Human Chorionic Gonadotropin (HCG)  didalam plasenta. Terjadinya muntah secara terus menerus berakibat pada tubuh perempuan hamil  semakin pucat, lemah, penurunan frekuensi buang air kecil secara drastis sehingga menyebabkan  berkurangnya cairan tubuh dan darah mengental (hemokonsentrasi) yang menghambat peredaran  darah sehingga dapat menyebabkan kerusakan jaringan yang membahayakan kesehatan perempuan hamil dan perkembangan janin. Tujuan penelitian untuk mengetahui efektifitas pemberian rebusan jahe untuk menurunkan mual dan muntah pada ibu hamil. Jenis penelitian ini adalah deskriptif dengan pendekatan case study research (studi kasus). Populasi dalam penelitian ini adalah ibu hamil di  wilayah Puskesmas Ngadirojo. Sampel penelitian adalah ibu hamil Trimester I di wilayah Puskesmas Ngadirojo. Penelitian ini dilakukan melalui observasi dan wawancara. Uji keabsahan data yang digunakan dengan mengambil data baru (here and now) dengan mengunakan instrument pengkajian yang sesuai Standar opreting procedur ( SOP). Hasil penelitian : frekuensi mual dan muntah sebelum diberikan minuman rebusan jahe rata-rata 5-7 kali per hari. Frekuensi mual dan muntah setelah diberikan minuman rebusan jahe mengalami penurunan menjadi 2-3 kali per hari. Pemberian minuman rebusan jahe pada ibu hamil efektif untuk menurunkan / mengurangi emesis gravidarum.
EFEKTIFITAS RENDAM KAKI DENGAN AIR HANGAT TERHADAP PENURUNAN TEKANAN DARAH PADA LANSIA HIPERTENSI Kristiningtyas, Y Wahyunti
Jurnal Keperawatan GSH Vol. 12 No. 2 (2023): Juli 2023
Publisher : Akademi Keperawatan Giri Satria Husada Wonogiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56840/jkgsh.v12i2.96

Abstract

ABSTRACT Background: Hypertension is a state of change in which blood pressure increases chronically. Hypertension often occurs in the elderly because the heart and blood vessels experience both structural and functional changes. Hypertension can be controlled with pharmacological and non-pharmacological therapy. One of the management of hypertension with non-pharmacological therapy is soaking the feet using warm water. Purpose: This study aims to determine the effectiveness of soaking feet in warm water in reducing blood pressure. Method: This research is a kind of pre-experimental research. The research design used the One Group Pre-test and Post-test. The research was conducted in May - June 2023 by taking locations in Temon Village, Baturetno Wonogiri District. The population in this study were elderly people with hypertension, totaling 55 people. The sample in this study were 30 people. Sampling technique with simple random sampling. Data analysis in this study was bivariate analysis using two different means dependent test or paired t test. Results: The average systolic blood pressure before the warm water foot soak therapy was 175.70 and after the therapy was 163.47. The average diastolic blood pressure before the warm water foot soak therapy was 96.73 and after the therapy was 89.67. Based on the results of statistical tests on systolic and diastolic blood pressure, the value of p = 0.0001 (<0.05) can be concluded that there is a significant difference in the average systolic and diastolic blood pressure before and after the warm water foot soak therapy. Conclusion: Warm water foot soak therapy is effective in reducing blood pressure in hypertensive patients. ABSTRAK Latar belakang: Hipertensi merupakan keadaan perubahan dimana tekanan darah meningkat secara kronik. Hipertensi sering terjadi pada lansia karena jantung dan pembuluh darah mengalami perubahan baik struktural maupun fungsional. Hipertensi dapat dikendalikan dengan terapi farmakologi dan non-farmakologi. Salah satu penatalaksanaan hipertensi dengan terapi non-farmakologi yaitu rendam kaki menggunakan air hangat. Tujuan: Penelitian ini bertujuan untuk mengetahui efektifitas rendam kaki dengan air hangat dalam menurunkan tekanan darah. Metode: Penelitian ini merupakan jenis penelitian pra eksperimen. Rancangan penelitian menggunakan One Group Pre-test dan Post-test. Penelitian dilakukan bulan Mei - Juni 2023 dengan mengambil lokasi di Desa Temon, Kecamatan Baturetno Wonogiri. Populasi dalam penelitian ini adalah lansia penderita hipertensi yang berjumlah 55 orang. Sampel dalam penelitian ini sebanyak 30 orang. Teknik sampling dengan simple random sampling. Analisa data dalam penelitian ini adalah analisis bivariat menggunakan uji beda dua mean dependen atau uji T berpasangan. Hasil: Rata-rata tekanan darah sistole sebelum dilakukan terapi rendam kaki air hangat adalah 175,70 dan sesudah dilakukan terapi adalah 163,47. Rata-rata tekanan darah diastole sebelum dilakukan terapi rendam kaki air hangat adalah 96,73 dan sesudah dilakukan terapi adalah 89,67. Berdasarkan hasil uji statistik terhadap tekanan darah sistole dan diastole didapatkan nilai p = 0,0001 (< 0,05) maka dapat disimpulkan bahwa terdapat perbedaan yang signifikan rata-rata tekanan darah sistole dan diastole sebelum dan sesudah dilakukan terapi rendam kaki air hangat. Kesimpulan : Terapi rendam kaki air hangat efektif dalam menurunkan tekanan darah pada penderita hipertensi.
EFEKTIFITAS PENDIDIKAN KESEHATAN TERHADAP TINGKAT KECEMASAN PADA WANITA PREMENOPAUSE Kristiningtyas, Y Wahyunti
Jurnal Keperawatan GSH Vol. 14 No. 1 (2025): Januari 2025
Publisher : Akademi Keperawatan Giri Satria Husada Wonogiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56840/jkgsh.v14i1.137

Abstract

Pada hakikatnya setiap wanita akan mengalami menopause dengan keluhan dan faktor-faktor yang akan mempengaruhinya. Berhentinya menstruasi secara berkala akan membawa masalah kesehatan baik fisik maupun psikis yang dapat menjadi akibat fatal apabila tidak ditangani secara serius. Seorang wanita menganggap menopause akan menyebabkan perasaan cemas dan gelisah. Seorang Wanita sangat penting mendapatkan pengetahuan mengenai menopause melalui pendidikan kesehatan karena memberikan efek posistif terhadap kondisi psikologis yang terjadi pada wanita tersebut. Pengetahuan yang cukup dan kondisi psikologis yang mendukung seperti kesiapan mental dalam menghadapi menopause dapat memberikan dampak positif dan tidak mengkibatkan efek negatif lainya. Tujuan penelitian ini untuk mengetahui efektifitas pendidikan kesehatan terhadap tingkat kecemasan wanita dalam menghadapi menopause. Jenis penelitian adalah Quasi Eksperimen dengan rancangan one group pre-test dan post test desain. Sampel penelitian sebanyak 30 wanita usia premenopause (45-55 tahun). Pengambilan sampel dengan teknik simple random sampling. Hasil penelitian menunjukkan bahwa tingkat kecemasan wanita premenopause sebelum diberikan pendidikan kesehatan mayoritas berada dalam kategori sedang (67%), dan sesudah diberikan pendidikan kesehatan kecemasan mayoritas berada dalam kategori ringan (87%). Hasil uji statistik didapatkan nilai p = 0,0001 maka dapat disimpulkan bahwa ada perbedaan yang signifikan rata-rata tingkat kecemasan sebelum dan sesudah diberikan pendidikan kesehatan tentang menopause. Kesimpulan : Pendidikan kesehatan efektif untuk mengurangi kecemasan pada wanita premenopause dalam menghadapi menopause.   ABSTRACTIn essence, every woman will experience menopause with complaints and factors that will influence it. Periodic cessation of menstruation will bring health problems both physically and psychologically which can be fatal if not handled seriously. A woman considers menopause to cause feelings of anxiety and restlessness. It is very important for a woman to gain knowledge about menopause through health education because it has a positive effect on the psychological conditions that occur in women. Sufficient knowledge and supportive psychological conditions such as mental readiness in facing menopause can have a positive impact and not cause other negative effects. The purpose of this study was to determine the effectiveness of health education on the level of anxiety of women in facing menopause. The type of research is Quasi Experiment with a one group pre-test and post-test design. The research sample was 30 premenopausal women (45-55 years). Sampling using simple random sampling technique. The results showed that the level of anxiety of premenopausal women before being given health education was mostly in the moderate category (67%), and after being given health education, the majority of anxiety was in the mild category (87%). The statistical test results obtained a p value = 0.0001, so it can be concluded that there is a significant difference in the average level of anxiety before and after being given health education about menopause. Conclusion: Health education is effective in reducing anxiety in premenopausal women in facing menopause.
PENGARUH STORY TELLING TENTANG KONSUMSI SAYUR DAN BUAH TERHADAP TINGKAT PENGETAHUAN ANAK USIA 7 – 12 Ambarwati, Retno; Kristiningtyas, Y Wahyunti; Nafisah, Lulu Anisa
Jurnal Keperawatan GSH Vol. 14 No. 1 (2025): Januari 2025
Publisher : Akademi Keperawatan Giri Satria Husada Wonogiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56840/jkgsh.v14i1.143

Abstract

Latar Belakang:. Usia sekolah (7-12 tahun) merupakan masa perkembangan sosial, intelektual dan emosional yang pesat bagi anak. Anak membutuhkan asupan gizi yang adekuat untuk mencapai pertumbuhan dan perkembangan yang optimal. Salah satu intervensi keperawatan untuk membantu membantu meningkatkan konsumsi sayur pada anak usia sekolah adalah dengan terapi story telling (Supriatin,S 2019).Metode:. Jenis penelitian adalah Quasi Eksperimen dengan rancangan one group pre- test dan post test desain. Sampel penelitian sebanyak 30 anak usia 7-12 tahun di Dusun Kepuh Kecamatan Semin. Pengambilan sampel dengan teknik simple random sampling. Instrumen penelitian menggunakan kuesioner. Analisa data univariat disajikan dalam bentuk tabel distribusi frekuensi dan Analisa data bivariat menggunakan uji T berpasangan (Uji beda dua mean Dependen) Hasil Penelitian: Berdasarkan hasil penelitian diperoleh rata- rata tingkat pengetahuan sebelum diberikan metode Storytelling adalah 66,877 dengan standar deviasi 13,3930 dan rata- rata tingkat pengetahuan sesudah diberikan metode Storytelling adalah 82,213 dengan standar deviasi 14,6841. Dari hasil tersebut dapat diketahui bahwa nilai mean perbedaan antara tingkat pengetahuan sebelum dan sesudah diberikan metode Storytelling adalah -15,3367 dengan standar deviasi 12,5207. Hasil uji statistik didapatkan nilai p = 0,0001 Kesimpulan: ada perbedaan yang signifikan rata-rata tingkat pengetahuan sebelum dan sesudah diberikan metode Storytelling tentang konsumsi sayur dan buah yang artinya metode Storytelling tentang konsumsi sayur dan buah terbukti efektif memberikan pengaruh positif dalam meningkatkan tingkat pengetahuan pada anak. ABSTRACTBackground: School age (7-12 years) is a period of rapid social, intellectual and emotional development for children. Children need adequate nutritional intake to achieve optimal growth and development. One of the nursing interventions to help increase vegetable consumption in school-age children is story telling therapy (Supriatin, S 2019). Method: The type of research is Quasi Experiment with a one group pre-test and post-test design. The research sample was 30 children aged 7-12 years in Kepuh Hamlet, Semin District. Sampling using simple random sampling technique. The research instrument used a questionnaire. Univariate data analysis is presented in the form of a frequency distribution table and bivariate data analysis using a paired T test (Dependent two mean difference test) Research Results: Based on the results of the study, the average level of knowledge before being given the Storytelling method was 66.877 with a standard deviation of 13.3930 and the average level of knowledge after being given the Storytelling method was 82.213 with a standard deviation of 14.6841. From these results, it can be seen that the mean value of the difference between the level of knowledge before and after being given the Storytelling method is -15.3367 with a standard deviation of 12.5207. The results of the statistical test obtained a p value = 0.0001 Conclusion: there is a significant difference in the average level of knowledge before and after being given the Storytelling method about vegetable and fruit consumption, which means that the Storytelling method about vegetable and fruit consumption has proven to be effective in providing a positive influence in increasing the level of knowledge in children.
EFEKTIFITAS TEKNIK RELAKSASI NAFAS DALAM TERHADAP PENURUNAN NYERI MENSTRUASI (DISMENORE) PADA REMAJA PUTRI Kristiningtyas, Y Wahyunti
Jurnal Keperawatan GSH Vol. 14 No. 2 (2025): Juli 2025
Publisher : Akademi Keperawatan Giri Satria Husada Wonogiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56840/jkgsh.v14i2.148

Abstract

Nyeri menstruasi atau Dismenore adalah keluhan nyeri yang dapat terjadi pada Wanita mulai dari yang ringan sampai dengan yang berat. Kram berasal dari kontraksi otot Rahim yang sangat intens saat mengeluarkan darah menstruasi dari dalam Rahim. Dalam beberapa kasus, dismenore dapat sangat mengganggu aktivitas sehari-hari jika tidak ditangani dengan tepat. Nyeri haid bukan sekadar ketidaknyamanan sesaat, melainkan kondisi yang bisa memengaruhi kualitas hidup. Oleh karena itu, penting untuk mengenali dan mengelola gejala dismenore dengan baik sejak dini. Relaksasi adalah salah satu cara yang efektif untuk membantu meredakan nyeri, terutama pada orang yang mengalami nyeri kronis. Teknik relaksasi napas dalam adalah metode pernapasan perlahan yang menggunakan diafragma, sehingga perut akan terangkat secara lembut dan dada mengembang secara penuh. Teknik ini merupakan bagian dari asuhan keperawatan yang dapat diajarkan oleh perawat kepada individu yang mengalami nyeri, seperti nyeri haid. Jenis penelitian adalah Quasi Eksperimen dengan rancangan one group pre-test dan post test desain. Sampel penelitian sebanyak 30 Remaja usia 12-15 tahun. Teknik sampling simple random sampling. Instrumen penelitian menggunakan Skala intensitas nyeri numerik (Numeric Rating Scale) 0-10 (AHCPR). Analisa data univariat disajikan dalam bentuk tabel distribusi frekuensi dan Analisa data bivariat menggunakan uji T berpasangan. Hasil penelitian diperoleh rata- rata intensitas nyeri sebelum diberikan teknik relaksasi adalah 51,18 dengan standar deviasi 12,062 dan rata- rata intensitas nyeri setelah diberikan teknik relaksasi adalah 73,22 dengan standar deviasi 11,338. Nilai mean perbedaan antara intensitas nyeri sebelum dan setelah diberikan teknik relaksasi nafas dalam adalah 22,015 dengan standar deviasi 17,168. Hasil uji statistik didapatkan nilai p = 0,0001 maka dapat disimpulkan bahwa ada perbedaan yang signifikan rata-rata intensitas nyeri sebelum dan setelah diberikan teknik relaksasi nafas dalam yang artinya teknik relaksasi nafas dalam terbukti efektif dalam menurunkan intensitas nyeri menstruasi (dismenore) pada remaja. ABSTRACT Menstrual pain, or dysmenorrhea, is a painful complaint that can occur in women, ranging from mild to severe. Cramps originate from very intense uterine muscle contractions when expelling menstrual blood from the uterus. In some cases, dysmenorrhea can seriously disrupt daily activities if not treated properly. Menstrual pain is not just a momentary discomfort, but a condition that can affect quality of life. Therefore, it is important to recognize and manage dysmenorrhea symptoms well from the start. Relaxation is one effective way to help relieve pain, especially in people who experience chronic pain. The deep breathing relaxation technique is a method of slow breathing that uses the diaphragm, so that the stomach will gently lift and the chest expands fully. This technique is part of nursing care that can be taught by nurses to individuals experiencing pain, such as menstrual pain. The type of research is a Quasi Experiment with a one-group pre-test and post-test design. The research sample was 30 adolescents aged 12-15 years. The sampling technique was simple random sampling. The research instrument used a 0-10 Numeric Pain Intensity Scale (AHCPR). Univariate data analysis is presented in the form of a frequency distribution table and bivariate data analysis using a paired T test. The results of the study obtained an average pain intensity before being given a relaxation technique of 51.18 with a standard deviation of 12.062 and an average pain intensity after being given a relaxation technique of 73.22 with a standard deviation of 11.338. The mean value of the difference between pain intensity before and after being given a deep breathing relaxation technique is 22.015 with a standard deviation of 17.168. The results of the statistical test obtained a p value = 0.0001, so it can be concluded that there is a significant difference in the average pain intensity before and after being given a deep breathing relaxation technique, which means that the deep breathing relaxation technique is proven to be effective in reducing the intensity of menstrual pain (dysmenorrhea) in adolescents.
Co-Authors Nafisah, Lulu Anisa Nurcahyati, Arlina Dwi Retno Ambarwati Sri Widayatni