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The Risk Factors of Stress in Female Students on the Menstrual Cycles: A Literature Review sari, gustina wulan; imantika, efriyan; happy, terza aflika; rodiani
Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine Vol. 12 No. 2 (2025): Jurnal Kesehatan dan Agromedicine
Publisher : Fakultas Kedokteran Universitas Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23960/jka.v12i2.pp75-85

Abstract

Menstruasi adalah saat lapisan rahim mengelupas dan mengeluarkan darah akibat tidak ada pembuahan. Stres adalah kondisi di mana tubuh dan pikiran merasa tertekan karena tuntutan dan perubahan dalam hidup. Menurut informasi World Health Organization (WHO) tahun 2020, sejumlah 45% wanita mengalami gangguan siklus menstruasi, dan di Indonesia, sekitar 13,7% perempuan mengalami ketidakteraturan siklus menstruasi dalam kurun waktu satu tahun dengan 5,1% disebabkan gangguan psikis dan beban pikiran. Stres bisa diartikan juga sebagai tekanan atau ketegangan yang mengganggu, biasanya berasal dari situasi di luar diri seseorang. Stres dapat memicu sistem yang mengatur hormon dalam tubuh kita, yaitu sumbu korteks hipotalamus-hipofisis-adrenal, yang menyebabkan tubuh memproduksi kortisol. Kortisol dapat menyebabkan ketidakseimbangan hormon-hormon lain, termasuk hormon reproduksi, yang berdampak pada siklus menstruasi. Tinjauan pustaka ini ditujukan untuk menganalisis faktor risiko stres dan siklus menstruasi, dengan merujuk pada literatur yang dipublikasikan antara tahun 2022-2025 di jurnal-jurnal baik nasional maupun internasional. Analisis terhadap 10 literatur menunjukkan bahwa terdapat keterkaitan yang kuat antara stres dengan siklus menstruasi pada remaja putri.
Hubungan antara Tingkat Pendidikan dan Jarak Kehamilan dengan Kadar Hemoglobin pada Ibu Hamil: Sebuah Tinjauan Literatur Muhammad Fauzan Iqbal; Sutarto; Anisa Nuraisa Jausal; Rodiani
Jurnal Riset Multidisiplin Edukasi Vol. 2 No. 12 (2025): Jurnal Riset Multidisiplin Edukasi (Edisi Desember 2025)
Publisher : PT. Hasba Edukasi Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71282/jurmie.v2i12.1456

Abstract

Decreased hemoglobin (Hb) levels during pregnancy are a public health problem that is still widely found, especially in low- and middle-income countries, and contributes to increased maternal and perinatal morbidity and mortality. Pregnant women are a vulnerable group due to increased iron requirements and physiological changes during pregnancy. This study aims to systematically review the relationship between education level and interpregnancy interval with hemoglobin levels in pregnant women. The method used was a structured narrative literature review with literature searches on the PubMed, ScienceDirect, Google Scholar, and Garuda databases. The articles included were quantitative studies on pregnant women published in the last five years (2021–2025) and reporting the relationship between education level or interpregnancy interval and anemia or hemoglobin levels. The synthesis results showed that education level indirectly affects hemoglobin levels through health literacy, nutritional knowledge, adherence to iron supplementation, and utilization of antenatal services. Mothers with low education tend to have lower hemoglobin levels due to limited understanding and preventive behaviors against anemia, although this effect may be weakened in contexts with good access to information and health services. Short interpregnancy intervals (less than 24 months) are consistently associated with decreased hemoglobin levels through the mechanisms of incomplete recovery of iron reserves after childbirth and increased physiological stress. Overall, education and interpregnancy interval affect hemoglobin levels through interrelated cognitive, behavioral, and biological pathways, necessitating an integrated intervention approach for anemia prevention in pregnant women.