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Aerobic Gymnastics Intervention on BMI, Abdominal Circumference and Lipid Profile in DMPA Acceptance Khobibah, Khobibah; Budi Astyandini; Mimi Ruspita
EMBRIO Vol 13 No 1 (2021): EMBRIO (MEI 2021)
Publisher : Program Studi S1 Kebidanan - Fakultas Sains dan Kesehatan Universitas PGRI Adi Buana Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36456/embrio.v13i1.3163

Abstract

The risk of obesity and hypertension is associated with the influence of the hormone estrogen and the impact of the use of contraceptives. Use over one year is at risk of 1.36 times overweight, and will continue to increase in use over seven years (8.3 times). An important component for weight loss is aerobic exercise, so expected BMI, triglycerides, total cholesterol. LDL and HDL under normal conditions. Interventions in the form of treadmills, aerobic gymnastics or ergocycle. The purpose of this study is to determine the influence of aerobic gymnastics BMI, abdominal circumference and lipid profile of KB DMPA acceptors. The design was the quasi-experimental research (one group pretest posttest design). Pretest BMI, abdominal circumference, cholesterol, HDL and LDL were performed before and after the acceptor performed aerobic gymnastics a total of 16 meetings with a frequency of 3 times per week. The sample numbered 31 people. Data analysis using t-test and Wilcoxon. The results showed that aerobic gymnastics had no significant effect on BMI (p=0.818) and HDL (p=0.416) but had no significant effect on decreased abdominal fat (p=0.002), cholesterol (p = 0.044) and LDL (p=0.030). This recommendation of research is the need for routine physical activity such as aerobic gymnastics for DMPA KB acceptors so as to reduce complaints due to the side effects of DMPA contraceptives.
Pemberdayaan Masyarakat melalui Pelatihan Pengolahan Daun Jati Belanda menjadi Teh untuk Menurunkan Kadar Cholesterol bagi Aseptor KB Hormonal Khobibah, Khobibah; Ruspita, Mimi; Isharyanti, Septalia; Setiasih, Sri
Jurnal Peduli Masyarakat Vol 6 No 3 (2024): Jurnal Peduli Masyarakat: September 2024
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jpm.v6i3.4274

Abstract

Kontrasepsi hormonal yang sering dipakai adalah Depo Medroxyprogesterone Acetate (DMPA), diberikan setiap 3 bulan melalui injeksi. Penggunaan DMPA mempengaruhi penambahan lemak, menggabungkan lemak visceral, serta hipoestrogenisme sehingga mengakibatkan peningkatan berat badan dan lemak tubuh. Fluktuasi berat badan menyebabkan obesitas, resistensi insulin, dan diabetes mellitus. Daun jati Belanda mempunyai kadar kuersetin cukup tinggi dan berkhasiat membantu penurunan kolesterol. Mayoritas masyarakat mengkonsumsi daun jati Belanda dengan direbus hingga mendidih atau diseduh pada suhu di atas 90o Celcius yang berdampak negatif zat dalam daun jati Belanda dan tidak efektif. Daun jati Belanda lebih bermanfaat jika dibuat dalam bentuk teh kombucha sebagai minuman kesehatan. Pemberdayaan merupakan proses mengembangkan, memandirikan, menswadayakan, masyarakat terhadap kekuatan-kekuatan di segala bidang dan sektor kehidupan. Tujuan kegiatan pengabdian untuk memberdayaan masyarakat dalam bentuk pelatihan pembuatan teh celup berbahan Daun Jati Belanda sehingga mampu meningkatkan kesejahteraan dan tingkat ekonomi serta manfaat kesehatan untuk menurunkan kadar kolesterol. Kegiatan dilaksanakan selama 1 hari dengan 3 narasumber dan diikuti 17 kader di Kelurahan Bandengan. Hasil kegiatan berupa peningkatan pengetahuan tentang alat kontrasepsi suntik, manfaat daun Jati Belanda dan legalitas UMKM. Masyarakat juga mampu mempraktikan pembuatan daun Jati Belanda sebagai the celup. Kegiatan ini diharapkan dapat ditindaklanjuti dengan produksi teh celup berbahan daun Jati Belanda.
Pengolahan Daun Kelor Peningkat Produksi Asi Pada Ibu Menyusui Di Pudakpayung Umaroh, Umaroh; Musdalifah, Ulfah; Setianingsih, Agustin; Khobibah, Khobibah
Jurnal LINK Vol 20, No 2 (2024): NOVEMBER 2024
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat, Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/link.v20i2.10885

Abstract

Kelurahan Pudakpayung, kota Semarang, memiliki potensi ekonomi dan kesehatan yang perlu dikembangkan. Fokus pada RW 7 sebagai kampung tematik jajan pasar, masyarakatnya memiliki kekreatifan tinggi dan dapat membudidayakan tanaman kelor. Namun, dibutuhkan bimbingan untuk mengoptimalkan potensi tersebut. Pengabmas bertujuan untuk meningkatkan pengetahuan dan keterampilan masyarakat Kelurahan Pudakpayung dalam pengolahan daun kelor, dengan fokus pada pengembangan teh daun kelor. Tujuan spesifik mencakup peningkatan pengetahuan, keterampilan, promosi, dan pemberian the daun kelor kepada ibu menyususi untuk meningkatkan berat badan bayi. Kegiatan dilaksanakan melalui ceramah, pelatihan praktik, demonstrasi, dan diskusi. Evaluasi dilakukan dengan memberikan produk teh daun kelor kepada ibu menyusui, dengan penilaian berat badan bayi sebelum dan setelah perlakuan. Pengabdian ini berhasil meningkatkan rata-rata berat badan anak dari 9,88 menjadi 10,51 setelah ibu mengkonsumsi teh daun kelor. Analisis statistik menggunakan uji paired t-test menunjukkan signifikansi sebesar 0,0001 0,05, mengindikasikan perbedaan yang signifikan sebelum dan setelah perlakuan. Nilai Std. Deviation juga menunjukkan konsistensi hasil. Kegiatan pengabdian ini membuktikan bahwa konsumsi teh daun kelor dapat meningkatkan berat badan balita. Masyarakat Pudakpayung semakin memiliki pengetahuan dan keterampilan dalam pengolahan teh daun kelor. Dengan demikian, pengembangan potensi ekonomi dan kesehatan di kelurahan ini dapat terus ditingkatkan.
Manfaat Video ABPK (Alat Bantu Pengambilan Keputusan) bagi Calon Akseptor dalam Pemilihan Metode Kontrasepsi Khobibah, Khobibah; Setiasih, Sri; Sundari, Ana
Journal of Language and Health Vol 5 No 3 (2024): Journal of Language and Health
Publisher : CV. Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jlh.v5i3.4349

Abstract

Berdasarkan data dari Dinas Kesehatan Kabupaten Kendal, di Kelurahan Bandengan terdapat wanita usia subur yang sudah menikah sebanyak 98 ibu yang belum menentukan alat kontrasepsi yang dipakai. Berbagai upaya telah dilakukan pemerintah Kabupaten Kendal untuk mensosialisasikan pentingnya alat kontrasepsi. Pemilihan media pendidikan kesehatan untuk mentransfer ilmu atau pengetahuan juga harus dipertimbangkan, yaitu menggunakan media yang paling efektif dan efesien, sehingga responden dapat memilih alat kontrasepsi yang rasional atau sesuai. Tujuan dari penelitian ini adalah bagaimana Video ABPK dapat bermanfaat bagi calon akseptor dalam menentukan pemilihan metode kontrasepsi. Sebelum dilakukan pembelajaran, responden diberikan kuesioner pretest tentang pengetahuan KB, kemudian Peneliti mengunakan Video ABPK (Alat bantu Pengambilan Ketupusan) Ber-KB untuk media pembelajaran. Setelah itu, responden akan kembali diberikan kuesioner post test yang sama tentang Pengetahuan KB dan pilihan KB yang diminati. Pendekatan yang digunakan dalam penelitian ini adalah one group pretest and posttest design, yaitu dengan melakukan pretest kepada responden, kemudian memberi perlakuan berupa video dan learning tentang macam – macam alat kontrasepsi, cara penggunaan, dan efek sampingnya. Penelitian ini menggunakan uji Wilcoxon karena data pengetahuan berdistribusi tidak normal. Hasilnya, ada peningkatan pengetahuan dan perubahan perilaku responden sebelum dan setelah menyaksikan Video ABPK Ber-KB, terbukti dengan perbedaan yang signifikan antara rata-rata skor pretest sebesar 75,9 dan rata-rata skor posttest 89,8, berdasarkan Test Statistics pengetahuan hasil dari perhitungan Wilcoxon nilai Z yang didapat sebesar -2,354 dengan p value yaitu 0,021 < 0,05 ini membuktikan bahwa kemampuan dalam memahami alat – alat konstrasepsi meningkat setelah perlakuan berupa media video ABPK, kemudian untuk perilaku, hasil perhitungan uji t adalah didapatkan nilai Sig 2 tailed 0.883 yaitu lebih dari 0,05 yang artinya terdapat perubahan perilaku pada saat sebelum dan sesudah konseling Video ABPK Ber-KB.
Guazuma Ulmifolia Lamk Leaf Tea to Decrease Blood Lipid Profiles in Depo-Medroxyprogesterone Acetate (DMPA) Acceptors Ruspita, Mimi; Khobibah, Khobibah; Hidayati, Tri Nur; Rozikhan, Rozikhan
Jurnal Kebidanan dan Kesehatan Tradisional Jurnal Kebidanan dan Kesehatan Tradisional Volume 10 Number 1 Year 2025
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/jkkt.v10i1.482

Abstract

Background: Depo Medroxyprogesterone Acetate (DMPA) is an injectable contraceptive method that is widely used in Indonesia and has the side effect of increasing the blood lipid profile. Guazuma ulmifolia Lamk. leaf has been proven to have benefits in controlling blood lipid levels. However, in previous research, giving Guazuma ulmifolia Lamk. leaves was mostly done only on experimental animals. It is important to measure changes in blood lipid levels of cholesterol, LDL, HDL and triglycerides after consuming guazuma ulmifolia lamk leaf in DMPA acceptor. Methods: Quasi-experiment with one group pretest-posttest design, with 48 respondents using purposive sampling. The intervention was carried out for 10 days routinely, twice a day, by giving 2 grams of Guazuma ulmifolia Lamk leaf tea. Analyse data of cholesterol levels and HDL levels using the T-test, while LDL and triglyceride levels using the Wilcoxon signed ranks test. Results: There was a decrease in cholesterol levels (p-value = <0.001) and a decrease in LDL levels (p-value = <0.001), but it was not proven to increase HDL levels (p-value = 0.185) and decrease triglyceride levels (p-value = 0.353). Conclusion: Giving guazuma ulmifolia lamk leaf tea was effective in decreasing cholesterol levels and decreasing LDL levels of DMPA acceptors. It is hoped that health workers can provide guazuma ulmifolia lamk leaf tea as an alternative or additional medicine to reduce cholesterol levels due to the side effects of DMPA injections.
The Impact of Yoga Children on The Development of Toddlers Astyandini, Budi; Khobibah, Khobibah; Isharyati, Septalia
Proceedings of International Conference on Science, Education, and Technology Vol. 11 (2025)
Publisher : Universitas Negeri Semarang

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

Abstract

Background: Child growth and development is an important task in preparing for human life. The incidence rate of fine motor disorders in preschoolers in the United States ranges from 12-16%, Thailand 24%, Argentina 22%, and in Indonesia between 13%-18%. Objective: To test the influence of yoga children on fine motor development and gross motor skills in toddlers in Patebon and Kendal Districts by 2024.Methods: This study used a quasi experiment method with a Pretest-Post test with a control group design. The population in this study is all early childhood aged 3 years in Patebon and Kendal Districts. Sampling using purposive sampling amounted to 40 children with 20 respondents in the intervention group and 20 respondents in the control group. The research location was conducted in early childhood in Patebon and Kendal Regencies. The research was conducted in October – December 2024. Results: The Mann-Whitney test was performed on both groups and the result was P Value = 0.010 meaning p < 0.05, meaning H0 was rejected and Ha was accepted. Conclusion: There is an effect of yoga on fine motor and gross motor development in 3-year-olds in Patebon and Kendal Districts in 2024. It is hoped that midwives will socialize the effectiveness of the Yoga method to improve the Development of Fine Motor and Gross Motor in Toddlers.
Efektivitas Penggunaan Alat Kontrasepsi Sebagai Upaya Pencegahan Stunting Khobibah, Khobibah; Isharyanti, Septalia; Rosiana, Heny
Midwifery Care Journal Vol. 5 No. 1 (2024): January 2024
Publisher : Politeknik Kesehatan Kementrian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/micajo.v5i1.10532

Abstract

Stunting was the condition of growth failure experienced the children aged under 5 years, which was caused the lack of nutrition. Stunting related with the increasing the risk of morbidity, mortality and inhibition of  motoric and mental the children. The research was analytic study, case control retrospektif design with total sample 102 respondents. The data analisa used Chi Square. The results showed that there was no correlation between the parity with the incidence of stunting (p value = 1,000 > 0,05), no correlation between the pregnancy spacing with the incidence of stunting  (p value = 1,000 > 0,05) and no correlation between the use of contraception with incidence of stunting (p value = 0,787 > 0,05). Recommendation for further research to expand the area and look for other factors that influence the incidence of stunting.
The Administration of Dutch Teak Leaf Tea Extract (Guazama Ulmifolia lamk) in Reducing Cholesterol Levels in Depo Acceptors Khobibah, Khobibah; Nurhidayati, Tri; Ruspita, Mimi; Rozikhan; Martanti, Listyaning Eko
JURNAL INFO KESEHATAN Vol 20 No 2 (2022): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol20.Iss2.875

Abstract

Depo hormonal contraceptives are significantly effective contraceptives with a low failure rate. Women who apply this contraceptive may experience several side effects on fat metabolism, which is an increase and decrease in total cholesterol (TC), triglycerides (TG), and low-density lipoprotein cholesterol (LDL-C). The objective of this study was to identify the influence of Dutch teak leaves (Guazuma Ulmifolia Lamk) on the cholesterol levels in the Depo acceptors.   Quasi-experiment research design with one group pretest posttest design model. The pretest was completed first by the total number of samples which is 60 respondents. Furthermore, 250 ml of Dutch teak tea is consumed every morning and evening after eating. The intervention lasted two weeks, followed by a retest (posttest). Dutch tea pre and post results were analyzed employing t-test statistics on variable body weight (p = 0.706), systolic blood pressure (p = 0.322), and cholesterol (p = 0.001), and the Wilcoxon test on diastolic pressure variables (p = 0.043) and triglycerides (p = 0.417). With a p-value of 0.001, it demonstrates that there is a significant difference in cholesterol levels after being treated with Dutch teak tea. With a p-value greater than 0.05, there was no difference in triglycerides, weight, or blood pressure after receiving Dutch teak tea treatment. An increase in cholesterol levels is one of the side effects of DMPA acceptors. Therefore, consuming Dutch teak leaves is an alternative treatment option.
Maternal Parity, History of Obesity and History of Maternal GDM Risk a Macrosomia Baby Martanti, Listyaning Eko; Octaviani, Dhita Aulia; Amelia, Rizky; Suparmi, Suparmi; Khobibah, Khobibah
JURNAL INFO KESEHATAN Vol 21 No 1 (2023): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol21.Iss1.879

Abstract

Gestational diabetes mellitus (GDM) is a carbide tolerance disorder that occurs or is first recognized during pregnancy (usually at 24 weeks gestation). For some patients, this complication returns to normal after delivery. The incidence of macrosomic infants or infants weighing >4000 grams is approximately 5% of all births. Maternal GDM is a significant risk factor in the development of fetal macrosomia. This study aimed to determine the risk factors for macrosomia in newborns. The design of this research is cross-sectional design. The population of this study was macrosomic babies born at Dr. Kariadi Semarang from 2015 until 2021. The formula for estimating the sample size using a hypothesis on the mean of two independent populations obtained a total sample of 60 respondents. The sampling technique is convenience sampling. The type of data used is secondary data. This study was analyzed using the Chi-Square test. The results indicated a relationship between parity and a history of obesity and macrosomia incidence in infants with a p-value < 0.05. In contrast, there was no relationship between maternal age, gestational age, and a history of diabetes in the mother and the incidence of macrosomia in infants with a p-value > 0.05. Therefore, it is essential to educate the mother about the risk factors that can cause complications for both the mother and the fetus, including macrosomia.
PELATIHAN APLIKASI eHDW BAGI KADER DALAM PROGRAM KONVERGENSI PERCEPATAN DAN PENCEGAHAN STUNTING Khobibah, Khobibah; Nurhidayati, Tri; Ruspita, Mimi; Sapartinah, Titik; Hidayat, Wahyu; Fathoni, Amin
Jurnal LINK Vol 18 No 2 (2022): NOVEMBER 2022
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat, Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/link.v18i2.9051

Abstract

Indonesia merupakan salah satu negara dengan double burden atau masalah gizi ganda, yang ditandai dengan tingginya prevalensi stunting dan kasus anemia pada ibu hamil. Riskesdas tahun 2018 menunjukkan prevalensi balita stunting di Indonesia sebesar 30,8%, dan termasuk pada kategori masalah stunting yang tinggi. Stunting adalah kondisi gagal tumbuh pada anak-anak balita (bayi di bawah lima tahun) akibat kekurangan gizi. Kader Pembangunan Manusia (KPM) adalah kader terpilih yang mempunyai kepedulian dalam pembangunan manusia di desa, terutama monitoring dan fasilitasi konvergensi penanganan stunting dengan salah satu tugas yaitu memfasilitasi pengukuran Panjang/tinggi badan balita sebagai deteksi stunting. Aplikasi e_HDW ditujukan untuk membantu KPM dalam melakukan pengkajian data sebagai upaya deteksi dini risiko stunting di desa sehingga dapat segera dilakukan identifikasi dan tindakan pencegahan terhadap dampak stunting baik jangka pendek maupun jangka panjang. Tujuan pengabdian masyarakat ini agar KPM mampu menggunakan aplikasi eHDW untuk deteksi dini stunting di desa.  Metode yang digunakan adalah memberikan pelatihan penggunaan aplikasi eHDW. Evaluasi kegiatan pelatihan ini adalah peserta latih mampu melakukan pengisian data stunting desa melalui aplikasi eHDW.