Claim Missing Document
Check
Articles

Found 16 Documents
Search

APAKAH AKTIVITAS HITUNG GERAKAN JANIN MEMICU KECEMASAN IBU HAMIL? Samutri, Erni
Jurnal Kesehatan Vol 9 No 1 (2021): Jurnal Kesehatan
Publisher : STIKES Bethesda Yakkum

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35913/jk.v9i1.210

Abstract

Latar belakang: Aktivitas hitung gerakan janin dikembangkan sebagai salah satu self-screening tool bagi ibu hamil untuk memantau aktivitas janin, penurunan gerakan janin, dan menurunkan angka kematian perinatal. Namun, aktivitas ini mungkin dapat memicu kecemasan ibu hamil dan meningkatkan kunjungan antenatal yang tidak diperlukan. Tujuan: untuk mengetahui perubahan kecemasan pada ibu hamil yang melakukan aktivitas hitung gerakan janin. Metode: penelitian ini menggunakan desain pre eksperimental untuk mengukur perubahan kecemasan pada 33 ibu hamil dengan usia kehamilan 28-37 minggu yang melakukan hitung gerakan janin selama 3 minggu. Kecemasan diukur dengan Beck Anxiety Inventory pada empat periode pengukuran yaitu sebelum intervensi, segera setelah intervensi, 2 minggu dan 3 minggu setelah intervensi hitung gerakan janin. Uji Friedman digunakan untuk mengetahui perubahan kecemasan pada keempat periode pengukuran. Hasil: terdapat perubahan signifikan pada tingkat kecemasan ibu hamil setelah intervensi (p<0,001), pada periode segera setelah intervensi (p=0,001) dan 3 minggu setelah intervensi (p=0,001). Kesimpulan: Aktivitas hitung gerakan janin dapat menurunkan kecemasan ibu hamil di akhir trimester kehamilan. Jadwal kunjungan antenatal ibu hamil tidak berubaha setelah melakukan hitung gerakan janin. Penelitian lebih lanjut diperlukan untuk menilai dampak aktivitas hitung gerakan janin terhadap outcome kehamilan yang lain, termasuk kejadian kematian perinatal. Kata kunci: kecemasan, hitung gerakan janin, kunjungan antenatal.
Fetal Movement Counting and Maternal Anxiety: A Systematic Literature Review Erni Samutri; Lia Endriyani
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 8 (2020): Supplement 2
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2020.8(4).8-9

Abstract

Perinatal death will decrease maternal quality of life and brought the mother to experience acute grief. Fetal movement count known as a self-screening strategy which may useful to prevent perinatal death and improve pregnancy outcome by increase maternal awareness of decrease fetal activity. On the other hand, this self-screening activity may increase maternal concern, especially maternal anxiety, which the association between these variable are inconsistent. To determine the effect of routine fetal movement counting on maternal anxiety among pregnant women. A comprehensive search was conducted using following database: PubMed, Science Direct and Cochrane Library without any limitation. Evidences about maternal anxiety related to fetal movement were provided by a literature review on the presence of anxiety among women who performing fetal movement count during pregnancy. Five studies were included in this review which consist of four randomized study and one systematic review. All studies were conducted in high income country, which the result may not be generalized in lower-middle income country setting. One RCT (n= 1,013) reported lower worry on fetal movement counting group, one RCT (n= 208) reported significant decrease in state and trait anxiety among counting group, one RCT with small sample (n= 33) found no significant change on state and trait anxiety between control and counting group, one RCT (n= 613) also found no significant change in psychological status among counting group. One systematic review (n=71,458) also reported significant decrease of maternal anxiety among counting group. This review provides sufficient evidence that routine fetal movement counting did not increase maternal anxiety, instead decrease maternal anxiety. Hence, fetal movement counting needs to be introduced to women widely. Further research need to be done in other population, which included lower-middle income country, in order to assess whether fetal movement counting shows positive effect on maternal anxiety in general population.
Alteration of Mother’s Sexual Activity during Pregnancy Erni Samutri; Wenny Artanty Nisman; Wiwin Lismidiati
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 8, No 1 (2020)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (258.116 KB) | DOI: 10.21927/jnki.2020.8(1).17-25

Abstract

Sexual activity during pregnancy is one of the significant issues for both pregnant mother and healthcare provider, though rarely disclosed. Studies on this topic have been done broadly, though still no conclusion. The aim of this study was to analyze the change of mother’s sexual activity before and during pregnancy and to describe resources used by mother to find sexual activity information. A descriptive cross sectional study was conducted on pregnant mothers who undergo antenatal care at Tegalrejo public health center, Yogyakarta. Sample was determined using quota sampling which total sample was 78 pregnant mothers (26 pregnant mothers per trimester) without significant health problem related to their pregnancy, such as high risk pregnancy condition and vaginal bleeding. Data were collected using Indonesian version of Pregnancy Sexuality and Response Inventory (PSRI) questionnaire which reliable to used (Cronbach’s alpha: 0.714). Data on sexual activity (biological, emotional, and physical aspects) in each trimester were analyzed by paired t test. Data on sexual activity among trimesters in several sub-aspects (frequency, desire, and pain during intercourse) were analyzed by Kruskal wallis and followed by post hoc analysis on significant result. Result showed the significant changes of biological aspect of mother’s sexual activity before and during pregnancy, especially in the second (p 0.002) and third trimester (p 0.000) and the changes tend to decline. Significant decline also found in emotional aspect of all trimesters (p<0.05). In line with biological aspects, physical aspect also showed significant decline in the second (p 0.000) and third trimester (p 0.000). Pregnant mother got numerous resources related to sexual activities during pregnancy, yet the most common was from healthcare provider (35.9%). Providing the right information related to this topic will help the mother to understand their sexual activity changes and to choose the right decision in performing sexual activity. 
Education of fetal movement counting: an effort to increase knowledge and compliance of pregnant women to do self-assessment of fetal wellbeing Erni Samutri; Lia Endriyani
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 9, No 1 (2021)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2021.9(1).68-75

Abstract

Background: Decreased movements of the fetus can indicate decrease supply of oxygen and nutrients to the fetus and increase the risk of fetal compromised, even stillbirth. Providing accurate information on fetal movements will help mother to make right decision when dealing with decreased fetal movements. This study aims to determine the effect of fetal movement counting education on knowledge and compliance of pregnant women in performing fetal movement counting.Method: This pre-experimental study allocated 32 pregnant women at 28-37 weeks gestation to practice daily fetal movement counting for 3 weeks. The intervention was a package of fetal movement counting education and practice for 3 weeks. Knowledge on fetal movement counting was measured 4 times by a validated questionnaire and compliance was measured in the end of intervention. Friedman test was used to analyze the changes of women knowledge on fetal movement counting.Results: The results showed that there was an increase in women knowledge on fetal  movement counting from 52.94% to 86.10% at the end of intervention, by the highest score in the technihue for fetal movement counting (93.67%). Comparison of 4 measurement periods showed significant changes in knowledge (p <0.000), with a tendency of rise in knowledge. The compliance in performing fetal movement counting was high about 96%.Conclusion: Education of fetal movement counting will increases the knowledge regarding fetal movement. Providing appropriate education and continuous follow-up will increase women’s awareness on the importance of fetal movement monitoring and rise up their compliance to do so.
Acute Grief: Pengalaman Duka saat Ibu Kehilangan Perinatal Erni Samutri; Widyawati Widyawati; Wenny Artanty Nisman
DINAMIKA KESEHATAN: JURNAL KEBIDANAN DAN KEPERAWATAN Vol 10, No 1 (2019): Dinamika Kesehatan Jurnal Kebidanan dan Keperawatan
Publisher : Universitas Sari Mulia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (241.574 KB) | DOI: 10.33859/dksm.v10i1.445

Abstract

AbstrakLATAR BELAKANG: Kehilangan perinatal terjadi karena kematian janin pada usia lebih dari 22 minggu dan kematian bayi baru lahir hingga usia 28 hari kehidupan. Respon duka yang terjadi pada empat hingga enam minggu setelah peristiwa kematian janin/bayi disebut acute grief (duka akut) dan  dianggap sebagai respon yang normal. Pada kehilangan perinatal, pengalaman acute grief yang tidak dikelola dengan tepat akan meningkatkan kerentanan ibu untuk mengalami gangguan kelekatan pada kehamilan berikutnya maupun gangguan psikologis.TUJUAN: Penelitian ini bertujuan untuk mengeksplorasi pengalaman acute grief pada ibu dengan kehilangan perinatal dan upaya yang dilakukan ibu untuk mengelola duka yang dialami.METODE: Partisipan dalam penelitian ini adalah ibu dengan pengalaman kehilangan perinatal yang dipilih dengan teknik purposive sampling. Jumlah partisipan hingga tercapai saturasi data dalam penelitian ini adalah 9 partisipan. Kriteria inklusi penelitian ini yaitu a) ibu dengan pengalaman acute grief karena kehilangan perinatal, b) lama kehilangan perinatal yaitu 7 minggu – 2 tahun. Analisa data pada penelitian ini menggunakan modified Stevick-Colaizzi-Keen.HASIL: Penelitian ini menghasilkan tiga temuan tema yaitu ibu mengalami berbagai perasaan duka yang bercampur menjadi satu, ada kekosongan setelah kehilangan perinatal, dan pendekatan spiritual sebagai strategi koping yang bermakna.SIMPULAN: Kehilangan perinatal telah mengarahkan ibu pada pengalaman  acute grief. Strategi koping pendekatan spiritual menjadi strategi yang digunakan oleh semua ibu dan memberikan hasil yang bermakna bagi kestabilan emosional ibu. Perlu adanya peran aktif dari tenaga kesehatan dalam memberikan dukungan psikologis dan atau konseling kepada ibu untuk membangun strategi koping yang adaptif dan meningkatkan outcome kesehatannya.Kata kunci: kehilangan perinatal, acute grief, koping, pendekatan spiritual.  AbstractBACKGROUND: Perinatal loss occurs due to the death of a fetus at the age over 22 weeks and the death of newborn babies up to 28 days of life. Acute grief defined as response of grief that occurs at four to six weeks immediately after the events of fetus/ baby death and is considered as a normal response. Acute grief experience which is not managed properly will increase the vulnerability of women to experience attachment disorder on subsequent pregnancies as well as psychological disorder.OBJECTIVE: This study aims to explore the experience of acute grief on mothers with perinatal loss and their efforts to manage the grief responses.METHODS: Mothers with perinatal loss as a participant were selected using purposive sampling technique. Data saturation in this research was reached in the ninth participant. Inclusion criteria for the study is  a) mother with acute grief experience due of perinatal loss, b) the length of perinatal loss was 7 weeks-2 years. Data were analyzed using the modified Stevick-Colaizzi-Keen method.RESULTS: Three themes which emerge in this study are mother experiences various feelings of grief that mixed into one, emptiness after perinatal loss, and spiritual approach is a meaningful coping strategy.CONCLUSION: Perinatal loss has brought the mother to experience acute grief. Spiritual approaches used by all mothers and provide meaningful results for their emotional stability. An active role of health care provider in providing psychological support and counseling is strongly needed to build adaptive koping strategies and improve mother health outcome after perinatal loss.Keyword: perinatal loss, acute grief, coping, spiritual approach.
Validitas dan Reliabilitas Kuesioner Pengetahuan Gerakan Janin pada Ibu Hamil Erni Samutri; Sri Nurhayati; Gani Apriningtyas Budiyati
Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Vol 12 No 1 (2022): Supp Januari 2022
Publisher : LPPM STIKES KENDAL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32583/pskm.v12i1.1625

Abstract

Pemahaman tentang sejauh mana pengetahuan ibu hamil tentang gerakan janinnya, akan membantu tenaga kesehatan dalam menyediakan edukasi yang tepat sasaran dan sesuai kebutuhan. Oleh karena itu, ketersediaan kuesioner yang valid dan reliabel untuk menilai pengetahuan ibu hamil tentang gerakan janin dan cara memantaunya sangat dibutuhkan. Tujuan penelitian ini adalah untuk mengukur validitas dan reliabilitas Kuesioner Pengetahuan Gerakan Janin pada ibu hamil. Validitas kuesioner diukur dengan content validity index (CVI) yang melibatkan 7 rater dan korelasi poin-biserial. Reliabilitas dihitung dengan nilai Cronbach’s alpha pada 104 responden ibu hamil. Hasil penelitian menunjukkan bahwa Kuesioner dinyatakan valid pada semua item pertanyaan dengan nilai mean I-CVI 0.99 dan reliabel dengan nilai Cronbach’s alpha 0.701. Kesimpulan studi ini yaitu kuesioner Kuesioner Pengetahuan Gerakan Janin valid dan reliabel untuk mengukur pengetahuan gerakan janin pada ibu hamil.
Kecemasan Dan Kualitas Hidup Ibu Hamil Di Masa Pandemi Covid-19 Di Pulau Jawa Suci Kurniawati; Erni Samutri; Ratih Devi Alfiana
Jurnal Kesehatan Al-Irsyad Vol. 15 No. 2 (2022): Vol. 15 No. 2 (2022) : Vol. 15, No. 2 Edisi September 2022
Publisher : UPT PPM Sekolah Tinggi Ilmu Kesehatan Al Irsyad Al Islamiyyah Cilacap

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (502.943 KB) | DOI: 10.36760/jka.v15i2.402

Abstract

Latar Belakang: Pandemi COVID-19 telah memberikan dampak peningkatan morbiditas dan mortalitas pada berbagai populasi individu. Di luar risiko medis, pandemi juga memiliki dampak psikologis, termasuk stress, kecemasan, dan depresi. Khususnya pada populasi ibu hamil, dimana dampak psikologis ini timbul baik dari proses kehamilan yang dilaluinya dan kondisi pandemi COVID-19 yang sedang berlangsung. Penelitian ini bertujuan untuk mengidentifikasi hubungan kecemasan dan kualitas hidup pada ibu hamil.Metode penelitian: Penelitian ini merupakan studi cross sectional dengan survei online yang dilaksanakan pada bulan Februari- Maret 2022. Kriteria inklusi penelitian yaitu ibu hamil pada semua trimester kehamilan yang berdomisili di Pulau Jawa, Indonesia. Pengumpulan data dilakukan dengan snowball sampling. Hasil penelitian: Sejumlah 226 ibu hamil telah berpartisipasi dalam penelitian ini. Korelasi antara kecemasan dan kualitas hidup ibu hamil pada masa pandemi menunjukkan hubungan yang signifikan (p<0.001).Domain kualitas hidup dengan skor terendah yaitu domain keterbatasan fisik.Kesimpulan: Kecemasan yang dirasakan ibu hamil pada masa pandemic COVID-19 berhubungan dengan kualitas hidupnya. Oleh karena itu, perlu adanya peran tenaga kesehatan untuk menyediakan layanan identifikasi kecemasan, kualitas hidup, dan intervensi pencegahan dan penurunan kejadian kecemasan jika ditemukan keluhan tersebut.
Hubungan Depresi Dengan Kualitas Hidup Ibu Hamil Pada Masa Pandemi Covid-19 Pulau Jawa Ayu Asfrestyanti; Erni Samutri; ‪Arantika Meidya Pratiwi‬
Jurnal Kesehatan Al-Irsyad Vol. 15 No. 2 (2022): Vol. 15 No. 2 (2022) : Vol. 15, No. 2 Edisi September 2022
Publisher : UPT PPM Sekolah Tinggi Ilmu Kesehatan Al Irsyad Al Islamiyyah Cilacap

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (635.548 KB) | DOI: 10.36760/jka.v15i2.404

Abstract

Latar Belakang: Periode kehamilan merupakan kondisi yang rentan terjadinya gangguan psikologis, meskipun depresi telah ada sebelum adanya pandemi COVID-19. Masalah kesehatan ibu hamil baik pada fisik dan psikologis akan berpengaruh pada kualitas hidup ibu hamil. Tujuan Penelitian: Penelitian ini bertujuan untuk mengetahui hubungan depresi dengan kualitas hidup Ibu hamil di Pulau Jawa. Metode Penelitian: Penelitian korelasi ini menggunakan rancangan cross sectional. Tehnik sampling yang digunakan yaitu snowball sampling. Uji statistik yang digunakan yaitu Spearman-rho. Hasil: Responden yang berpartisipasi dalam penelitian ini yaitu 226 ibu hamil. Hasil uji statistik korelasi menunjukkan terdapat hubungan signifikan antara depresi dengan kualitas hidup Ibu hamil pada masa pandemi COVID-19 di Pulau Jawa (p=0.000) dan hasil analisis pada Correlation Coefficient didapatkan nilai -0.490. Rata-rata domain kualitas hidup yang paling rendah yaitu domain keterbatasan fisik dan yang tertinggi yaitu domain nyeri tubuh. Kesimpulan: Terdapat hubungan antara depresi dengan kualitas hidup Ibu hamil, dimana semakin tinggi tingkat depresi, maka semakin rendah kualitas hidup Ibu hamil. Sehingga, pencegahan terhadap kejadian atau keparahan depresi pada ibu hamil menjadi kunci untuk meningkatkan outcome kehamilan dan meingkatkan kualitas hidup ibu hamil.
Maternal role and psychosocial development of children aged 36-59 months Erni Samutri; Ika Rahmawati; Wahyuningsih Wahyuningsih; Anafrin Yugistyowati; Yhona Paratmanitya
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 11, No 2 (2023)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2023.11(2).167-178

Abstract

Background : Each child will probably achieve each early developmental aspects at different times. The achievement of child development is determined by various inputs, including child input, maternal input, family input, and environmental input. However, failure to fulfill these inputs has an impact on development delay, especially psychosocial development aspect. Parents, especially mothers, have a significant role in providing these inputs Objectives: To identify the relationship between maternal input including sociodemographic characteristics and the maternal role and the psychosocial development of children aged 36-59 months.Methods: This study was a cross-sectional conducted in February 2020 in Puskesmas Sedayu 2, Yogyakarta. The eligible participant was mothers of children aged 36-59 months. The questionnaires included sociodemographic data, parent role questionnaires, and psychosocial development questionnaires. The correlation between variables was analyzed using a Spearman rank test.Results: This study included 89 mothers with children aged 36-59 months. About 91% of children were in normal psychosocial development. Correlation on sociodemographic characteristics showed that the mother's occupation was significantly related to the psychosocial development of children aged 36-59 months (p=0.005). Maternal role also show significant correlation with children psychosocial development (p=0.007). In addition, there were 2 domains of the maternal role that showed significant relationship with child psychosocial development, namely the role as a caregiver (p= 0.002) and counselor (p=0003).Conclusions : The achievement of psychosocial development of children aged 36-59 months is related to the mother's occupation and the mother's role. Fulfilling each dimension of the parent's role will optimize all aspects of child development, including psychosocial aspects in preschool children to become children who have a positive self-concept, be creative, dare to show initiative.
Self-Care Behavior Changes among People with Type 2 Diabetes Mellitus in Kasihan 2 Community Health Center during Covid-19 Pandemic Indrayana, Sofyan; Mulyanti, Mulyanti; Samutri, Erni; GA Putra, Muhammad; Ngatini, Ngatini; Ummi Nurhidayatul Umami, Ummi; Titanik, Geladis
INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC) Vol 7, No 2 (2022): INJEC
Publisher : Asosiasi Institusi Pendidikan Ners Indonesia (AIPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24990/injec.v7i2.502

Abstract

Introduction: People with Type 2 DM (T2DM) tend to experience indirect health risks due to disturbances in aspects of health services and lifestyle during the COVID-19 pandemic. However, information on self-care among people with T2DM during the pandemic is still limited. This study aimed to know the self-care behavior change among T2DM in Kasihan 2 Community health center during the Covid-19 Pandemic.Method: This was a non-experimental study with a cross-sectional approach. An amount as 187 people with T2DM was recruited from a community health center in a rural area by using an accidental sampling technique. We exclude participants who have severe complications and impairment cognitive.  Data were self-report administered by using The Summary of Diabetes Self-Care Activities Measure (SDSCA). The Wilcoxon Signed Rank Test was performed to examine the hypothesis.Results: Our study found that the average Diabetic self-care score before the COVID-19 pandemic was 65,257(±11,22), meanwhile self-care score during the pandemic was 59,15(±11,08). Wilcoxon test for SDSCA total score resulted in z coefficient was -9.596 with the p-value equal to 0.00 (<0.05). Several aspects of Diabetic self-care had a significant difference (p<0.05) between before and during the COVID-19 pandemic, such as general diet (z=-9.596); special diet (z=-4,836); physical activity (z=-9.629), and blood glucose monitoring (z=-5.760).Conclusions: There was a significant change in diabetic self-care before and during the COVID-19 pandemic especially in the general diet, special diet, physical activity, and blood glucose monitoring among T2DM in Kasihan 2 Community health center.