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Improving Young Women's Knowledge about Menstrual Pain Management through William's Flexion Exercise Education Ditya Yankusuma Setiani; Indriati, Ratna; Warsini, Warsini
Abdimas Kosala : Jurnal Pengabdian kepada Masyarakat Vol 4 No 2 (2025): ABDIMAS KOSALA: Jurnal Pengabdian Kepada Masyarakat
Publisher : SEKOLAH TINGGI ILMI KESEHATAN PANTI KOSALA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37831/akj.v4i2.419

Dismenore adalah nyeri atau kram pada bagian perut bawah yang muncul menjelang atau saat menstruasi dan biasanya berlangsung selama 2 hingga 3 hari. Sejumlah studi epidemiologis di berbagai negara juga mengungkapkan tingginya angka dismenore, seperti di Mesir yang mencapai 71,6% dan di India sebesar 73,83%. Secara keseluruhan, lebih dari setengah populasi wanita mengalami kondisi ini. Di Indonesia, prevalensi dismenore tercatat sebesar 72,89%, dengan sekitar 54% kasus terjadi pada remaja perempuan. Wanita usia muda, khususnya kelompok umur 17–24 tahun, memiliki risiko lebih tinggi, dengan prevalensi mencapai 67–90%. Di Desa Sobayan Karanganyar, sejumlah 13 remaja putri ketika nyeri haid selalu minum obat pereda nyeri seperti ibuprofen, dan Paracetamol dan belum ada remaja putri yang menggunakan teknik nonfarmakologi seperti latihan fisik William Flexion untuk mengurangi nyeri haidnya. Berdasarkan data diatas dapat diketahui bahwa edukasi terapi fisik William flexion sangatlah diperlukan karena remaja putri rentan sekali mengalami nyeri disminhorea Metode yang digunakan dalam kegiatan ini adalah ceramah dan demonstrasi yang melibatkan 13 responden dari kalangan remaja putri. Sebelum dan sesudah memberikan ceramah, tim pengabdi dari STIKES Panti Kosala memberikan 15 pertanyaan untuk mengetahui tingkat keberhasilan kegiatan ini. Hasil analisis data menggunakan uji paired sample t-test menunjukkan adanya peningkatan signifikan dalam tingkat pengetahuan remaja setelah mengikuti kegiatan ini. Rata-rata skor pre-test responden adalah 68,31 meningkat menjadi 82,15. Peningkatan ini menunjukkan bahwa intervensi yang diberikan terbukti efektif dalam meningkatkan pengetahuan remaja tentang penatalaksanaan nyeri haid melalui edukasi William Flexion Exercise. Kata kunci: disminorhea, remaja putri, william flexion Dysmenorrhea is pain or cramps in the lower abdomen that occurs before or during menstruation and usually lasts for 2 to 3 days. Several epidemiological studies in various countries have also revealed high rates of dysmenorrhea, such as in Egypt, where it reached 71.6% and in India, at 73.83%. Overall, more than half of the female population experiences this condition. In Indonesia, the prevalence of dysmenorrhea is recorded at 72.89%, with approximately 54% of cases occurring in adolescent girls. Young women, particularly those aged 17–24, are at higher risk, with a prevalence of 67–90%. In Sobayan Village, Karanganyar, 13 adolescent girls consistently took painkillers such as ibuprofen and paracetamol when experiencing menstrual pain. None of the adolescent girls used non-pharmacological techniques such as William Flexion exercises to reduce their menstrual pain. Based on the data above, it can be seen that education about William Flexion physical therapy is crucial because adolescent girls are highly susceptible to dysmenorrhea. The method used in this activity was a lecture and demonstration involving 13 adolescent girls. Before and after the lecture, the community service team from Panti Kosala Health College (STIKES) administered 15 questions to determine the effectiveness of this activity. Data analysis using a paired sample t-test showed a significant increase in adolescents' knowledge after participating in this activity. The average pre-test score for respondents increased from 68.31 to 82.15. This improvement indicates that the intervention was effective in improving adolescents' knowledge about menstrual pain management through William Flexion Exercise education. Keywords: adolescent girls, dysmenorrhea, william flexion

Efektifitas Promosi Kesehatan Media Video dan Leaflet terhadap Tingkat Pengetahuan tentang Pencegahan Osteoporosis Setiani, Ditya Yankusuma; Warsini, Warsini
Jurnal Kesehatan Holistic Vol. 4 No. 2 (2020): Jurnal Kesehatan Holistic Volume 4/Nomor 2/Juli 2020
Publisher : Sekolah Tinggi Ilmu Kesehatan RS Husada

The incidence of fractures in the female sex at the age of 95-99 years is 1680 cases and the lowest at the age of 40-44 years is as many as 8 cases (Kemenkes RI, 2015). The fracture incident is the impact of osteoporosis suffered. Osteoporosis is more often found in older people, especially in women after menopause. This makes it important to know more effective promotional media to increase knowledge about osteoporosis prevention in pre-menopausal women. The purpose of this study was to determine the differences in the effectiveness of health promotion using video media and leaflet media on the level of knowledge about osteoporosis prevention in pre-menopausal women. The research design used was quasy experimental with pre test and post test control group design. The respondents of this study were 48 people, 24 for the intervention group using a media extension in the form of video and 24 for the control group using leaflet media. Analysis with Mann-Whitney obtained the results of the average rating of the control group (15.42) lower than the intervention group (33.58) with a significance value of 0.001 (<0.05). Research conclusions that video media is more effective for increasing knowledge about osteoporosis prevention compared to leaflet media

PERSEPSI IBU HAMIL TENTANG VAKSIN COVID-19 TERHADAP PELAKSANAAN VAKSINASI COVID-19 Warsini, Warsini; Ditya Yankusuma Setiani; Indriati, Ratna
KOSALA : Jurnal Ilmu Kesehatan Vol 12 No 1 (2024): KOSALA : Jurnal Ilmu Kesehatan
Publisher : Sekolah Tinggi Ilmu Kesehatan Panti Kosala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37831/kjik.v12i1.333

Latar Belakang: kasus positif Covid-19 di Kabupaten Sukoharjo tahun 2021 mencapai 12.350 dan terus mengalami penambahan jumlah. Dari jumlah tersebut terdapat 168 kasus positif Covid-19 pada ibu hamil. Tingginya angka kejadian tersebut menunjukkan bahwa ibu hamil perlu mendapatkan prioritas pemberian vaksin Covid-19. Kondisi fisiologis dan psikologis ibu hamil sering kali mengalami perubahan sehingga menimbulkan penurunan fungsi dari imunitas ibu dan dapat menyebabkan ibu hamil rentan untuk terinfeksi Covid-19. Kondisi ini dapat memunculkan kecemasan akan dampak dan efek samping yang timbul paska pemberian vaksinasi. Penelitian ini bertujuan mengetahui hubungan persepsi ibu hamil tentang vaksinasi Covid-19 dengan pelaksanaan vaksinasi Covid-19 di masa pandemi Covid-19. Subjek dan Metode: jenis penelitian ini analitik korelasional dengan desain cross sectional untuk mengetahui hubungan persepsi ibu hamil dengan pelaksanaan vaksinasi Covid-19. Subyek pada penelitian ini adalah seluruh ibu hamil yang melakukan pemeriksaan kehamilan dengan usia kehamilan 13-33 minggu pada bulan Januari – Februari 2023 dengan sampel yang diambil adalah total sampling. Data yang terkumpul dianalisis dengan analisa bivariat yaitu uji Chi Square. Hasil penelitian ini menunjukkan bahwa mayoritas persepsi responden tentang vaksin Covid-19 adalah positif yaitu 25 responden (61%) dan 16 responden mempunyai persepsi negatif (39%). Mayoritas responden melaksanakan vaksinasi Covid-19 yaitu 39 responden (95%) dan hanya 2 responden yang tidak melaksanakan vaksinasi Covid-19 (5%). Hasil analisis bivariat menunjukkan tidak terdapat hubungan yang secara statistik signifikan antara persepsi tentang vaksin Covid-19 dengan pelaksanaan vaksinasi Covid-19 (OR = 1,6 CI 95% 0,93 - 27,547; p=0,744). Kesimpulan penelitian ini adalah tidak terdapat hubungan yang secara statistik signifikan antara persepsi tentang vaksin Covid-19 dengan pelaksanaan vaksinasi Covid-19 (OR = 1,6 CI 95% 0,93 - 27,547; p=0,744). Kata kunci: ibu hamil, kecemasan, persepsi, vaksin Covid-19 Background: positive cases of Covid-19 in Sukoharjo Regency in 2021 reached 12,350 and the number continues to increase. Of this number, there were 168 positive cases of Covid-19 in pregnant women. The high incidence rate shows that pregnant women need to receive priority for the Covid-19 vaccine. The physiological and psychological conditions of pregnant women often change, resulting in a decrease in the function of the mother's immunity and can make pregnant women vulnerable to Covid-19 infection. This condition can give rise to anxiety about the impacts and side effects that arise after vaccination. This research aims to determine the relationship between pregnant women's perceptions about Covid-19 vaccination and the implementation of Covid-19 vaccination during the Covid-19 pandemic. Subjects and Methods: This type of research is correlational analytical with a cross sectional design to determine the relationship between pregnant women's perceptions and the implementation of Covid-19 vaccination. The subjects in this study were all pregnant women who underwent pregnancy checks with a gestational age of 13-33 weeks in January – February 2023 with the total sampling taken. The collected data was analyzed using bivariate analysis, namely the Chi Square test. The results of this research show that the majority of respondents' perceptions about the Covid-19 vaccine are positive, namely 25 respondents (61%) and 16 respondents have negative perceptions (39%). The majority of respondents carried out the Covid-19 vaccination, namely 39 respondents (95%) and only 2 respondents did not carry out the Covid-19 vaccination (5%). The results of bivariate analysis showed that there was no statistically significant relationship between perceptions about the Covid-19 vaccine and the implementation of Covid-19 vaccination (OR = 1.6 CI 95% 0.93 - 27.547; p=0.744). The conclusion of this study is that there is no statistically significant relationship between perceptions about the Covid-19 vaccine and the implementation of Covid-19 vaccination (OR = 1.6 CI 95% 0.93 - 27.547; p=0.744). Keywords: anxiety, Covid-19 vaccine, perception, pregnant women

Analisis perspektif masyarakat dalam memilih layanan kesehatan Kumara, Denis; Christina, Tri Yahya; Setiani, Ditya Yankusuma; Kurniawan, Hendra Dwi
Holistik Jurnal Kesehatan Vol. 20 No. 2 (2026): Volume 20 Nomor 2
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v20i2.2717

Background: The increasing public need for and awareness of health poses a significant challenge for healthcare services to improve themselves in providing the best possible service to meet their needs. Therefore, it is important to explore the public's perspective in making decisions about choosing healthcare services based on healthcare service dimensions and marketing mix indicators. Purpose: To identify and analyze factors influencing public decisions in choosing healthcare services. Method: This qualitative descriptive study was conducted in five sub-districts in Surakarta, Central Java. Thirteen participants who met the inclusion criteria were recruited and selected using a stratified random sampling technique. A semi-structured interview guide was used to elicit themes. Interviews lasted 30-60 minutes and were audiotaped. The recordings were transcribed verbatim and then subjected to inductive content analysis following the Elo & Kyngas method. In-depth participant validation and data presentation were conducted to ensure data validity. Results: Thirteen key themes were identified that reflect the public's perspective on healthcare decisions. These include facilities, doctor schedule information and pricing via social media, punctuality, cleanliness, physical appearance, medical staff attitude and responsiveness, clarity of medical information, hospital comfort, personal experience, hospital reviews and accreditation, cost and health insurance, priority of distance, and ease of access and service flow. Conclusion: Public healthcare choices are influenced by hospital quality assessments, which include tangible evidence, reliability, responsiveness, assurance, and empathy. They are also supported by the 7Ps of the marketing mix, including product, price, place, promotion, people, process, and physical evidence, which collectively shape patient perceptions and decisions. Suggestion: Healthcare providers need to improve shared services by optimizing facilities, improving hygiene and safety standards, streamlining waiting times, streamlining processes, and improving healthcare provider communication to ensure more effective and patient-focused services. Keywords: Community; Healthcare Services; Perspective. Pendahuluan: Meningkatnya kebutuhan dan kesadaran masyarakat akan kesehatan, menjadi tantangan besar bagi layanan kesehatan untuk memperbaiki diri dalam memberikan layanan terbaik untuk masyarakat sesuai kebutuhan. Oleh karena itu, penting menggali perspektif masyarakat dalam mengambil keputusan untuk memilih layanan kesehatan berdasarkan dimensi layanan kesehatan dan indikator bauran pemasaran. Tujuan: Untuk mengidentifikasi dan menganalisis faktor-faktor yang memengaruhi keputusan masyarakat dalam memilih layanan kesehatan. Metode: Penelitian kualitatif deskriptif yang telah dilakukan di 5 kecamatan di Surakarta, Jawa Tengah. Sebanyak 13 partisipan yang memenuhi kriteria inklusi dilibatkan dan di pilih melalui teknik stratified random sampling. Pedoman wawancara semi-terstruktur digunakan untuk memperoleh tema. Wawancara dilakkan selama 30-60 menit dan di rekam. Hasil rekaman dilakukan verbatim dan dituangkan dalam sebuah transkrip, kemudian dianalisis isi induktif mengikuti metode Elo & Kyngas. Validasi partisipan dan penyajian data secara mendalam telah dilakukan untuk menjaga validitas data. Hasil: Didapatkan 13 tema utama yang mencerminkan perspektif masyarakat dalam mengambil keputusan untuk memilih layanan kesehatan, meliputi fasilitas, informasi jadwal dokter dan harga melalui media sosial, ketepatan waktu, kebersihan, tampilan fisik, sikap dan respon tenaga medis, kejelasan informasi medis, kenyamanan rumah sakit, pengalaman pribadi, ulasan dan akreditasi rumah sakit, biaya dan jaminan kesehatan, prioritas jarak, serta kemudahan akses dan alur pelayanan. Simpulan: Pemilihan layanan kesehatan oleh masyarakat dipengaruhi oleh penilaian kualitas rumah sakit yang mencakup tangibles, reliability, responsiveness, assurance, dan empathy, serta didukung oleh bauran pemasaran 7P seperti product, price, place, promotion, people, process, dan physical evidence, yang secara bersama membentuk persepsi dan keputusan pasien. Saran: Layanan kesehatan perlu meningkatkan mutu pelayanan melalui optimalisasi fasilitas, standar kebersihan dan keselamatan, efisiensi waktu tunggu, penyederhanaan alur, serta peningkatan komunikasi tenaga medis agar pelayanan lebih efektif dan berorientasi pada pasien. Kata Kunci: Layanan Kesehatan; Masyarakat; Perspektif.

The Effect of Ability To Pay and Willingness To Pay on BPJS Premium Payment Compliance Among The Community in Mojosongo Surrounding, Surakarta pratiwi, assilla; Aqsyari, Rizki; Setiani, Ditya Yankusuma; Kurniawan, Hendra Dwi
Jurnal Ilmu-Ilmu Kesehatan Vol 12 No 1 (2026): JURNAL ILMU-ILMU KESEHATAN
Publisher : Sekolah Tinggi Ilmu Kesehatan Garuda Putih

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52741/jiikes.v12i1.167

The National Health Insurance (JKN) program managed by BPJS Kesehatan is an effort by the Indonesian government to achieve Universal Health Coverage (UHC). Since its implementation in 2014, BPJS Kesehatan has been facing financial deficits due to low participant compliance in paying premiums. Low Ability to pay and Willingness to pay, especially among low-income communities, as well as negative perceptions of service quality, are the main factors causing arrears. This condition has the potential to threaten the sustainability of the JKN program, so it is necessary to study the influence of ATP and WTP on participant compliance as a basis for formulating more targeted and data-based policies. Research Objectives. To determine the influence of Ability to pay and Willingness to pay on BPJS premium payment compliance in the community in Mojosongo Village, Surakarta. Research Design. This research is a quantitative study with a cross-sectional study design. Research Subjects. The subjects in the study were the community of Mojosongo Village, Surakarta with a population of 3,507 people. The number of samples in this study was 107 respondents using purposive sampling technique. Research Results. The results of this study indicate that the influence of Ability to pay increases compliance in paying BPJS premiums by (OR =3,156; CI 95%; 1.224 – 8.137, p = 0.017) was proven to be statistically significant and the influence of willingness to pay increased compliance in paying BPJS premiums by (OR = 6.902, CI 95% = 2.649 – 17.980, p = 0.001) was proven to be statistically significant. The most dominant influencing variable was willingness to pay (OR = 6.902, CI 95% = 2.649 – 17.980, p = 0.001).Conclusion: The results of this study indicate a relationship between ability to pay and willingness to pay on BPJS premium payment compliance, with willingness to pay being the most dominant variable influencing compliance. Keywords: Ability to pay, BPJS Health, JKN, Willingness to pay

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