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DETERMINANTS OF PREGNANCY COMPLICATIONS: AN ANALYSIS OF INDONESIAN DEMOGRAPHIC AND HEALTH SURVEY DATA (IDHS) 2017 Tsuraya Salsabila, Salma; Widiasih, Restuning; Mamuroh, Lilis
Jurnal Keperawatan Karya Bhakti Vol. 11 No. 1 (2025)
Publisher : Akademi Keperawatan Karya Bhakti Nusantara, Magelang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56186/jkkb.194

Abstract

Indonesia is the third country with the highest maternal mortality rate (MMR) in Southeast Asia and has not yet reached the SDGs target. Many maternal deaths in Indonesia are caused by pregnancy complications. Information on factors that influence pregnancy complications in Indonesia is still limited, especially those that use large amounts of data. The purpose of this study was to analyse the factors that influence the occurrence of pregnancy complications in provinces with different MMR levels, namely Papua, West Java and DKI Jakarta. This study used a descriptive correlational design using secondary data from the 2017 Indonesian Demographic and Health Surveys (IDHS). Data were obtained from the official website, dhsprogram.com. The population in the study was women of reproductive age (WRA) in Indonesia. Sampling used cluster sampling technique. Inclusion criteria were WUS aged 15-49 years who had or were experiencing pregnancy in the last 5 years when the survey was conducted, namely 1,451 samples. The analysis conducted was univariate analysis to describe the proportion of pregnancy complications and data distribution based on the independent variables studied and bivariate chi square analysis to see the relationship between the independent and dependent variables. The findings showed that the majority of WRA from the three provinces experienced uncomplicated pregnancies. Bivariate analysis showed no significant association between age, parity, birth interval, education level, smoking lifestyle, antenatal care visits, and husband support with pregnancy complications among women in Papua and DKI Jakarta provinces. Meanwhile, in West Java Province there was a significant association between smoking lifestyle and pregnancy complications, however, the other six factors were not associated. The study concluded that pregnancy complications are influenced by other factors that more strongly affect pregnancy complications. It is recommended for future research to examine other variables that have not been studied in this study. In addition, strategic planning is also needed to reduce the number of high-risk pregnant women in the provinces of Papua, West Java, and DKI Jakarta.
Physical Activities That Influence Pregnant Women’s Well-Being: Literature Review Ermiati, Ermiati; Mamuroh, Lilis; Srimurni, Nita Ayu
Journal of Nursing Care Vol 8, No 1 (2025): Journal of Nursing Care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jnc.v8i1.61370

Abstract

Pregnancy and childbirth are physiological processes that influence maternal mortality and morbidity risk factors. Proper mental and physical preparation is essential to prevent pathological conditions that may affect pregnant women. One effective intervention is engaging in physical activity, which positively impacts both the mother and fetus. This literature review aims to examine the relationship between physical activity and the health of pregnant women in physical, psychological, socio-economic, cultural, and environmental aspects. This study employs a literature review methodology using the PRISMA (Preferred Reporting Items for Systematic Reviews and MetaAnalyses) approach. Article selection was conducted using the PICO (Population, Intervention, Comparison, Outcome) framework, with keywords such as “pregnant women,” “physical activity,” “sports,” “benefits,” and “exercise” in Indonesian and English. The literature search was performed using Sage Journals, Scopus, and Google Scholar for articles published between 2019 and 2024 also free full-text. A total of six relevant studies were selected based on inclusion and exclusion criteria. The findings indicate that physical activity offers significant benefits for pregnant women and fetuses, particularly in improving their quality of life both physically and mentally. Pregnant women in rural areas tend to be more physically active than those in urban areas, and light exercises such as walking or yoga help reduce the body’s burden, enhance sleep quality, alleviate stress, and prevent pregnancy complications. Further longitudinal research and education are necessary to understand the long-term effects of physical activity on pregnant women and to raise awareness of its benefits, especially in urban areas.Keywords: Maternal well-being, Pregnancy, Physical activity
Knowledge and Income Determining Treatment Options for Breast Cancer Patients Jain, Oktavia Nur Azizah; Rahayuwati, Laili; Mamuroh, Lilis; Ibrahim, Kusman; Fauziyyah, Raden Nabilah Putri
Jurnal Berita Ilmu Keperawatan Vol. 15 No. 1 (2022): January
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/bik.v15i1.17124

Abstract

Breast cancer is still the most common case in many countries. Breast cancer can threat a person's quality of life, especially for someone who has difficulty choosing treatment due to lack of understanding of treatment options. In choosing a treatment influenced by knowledge and income which are internal factors that must be present in determining treatment options, because it will determine the right choice of treatment. This study aims to discover the choice of treatment in breast cancer patients based on knowledge and income. This research is a cross sectional study. This study used secondary data from a Leading Tertiary Study grant in 2015. Sampling in this study were 200 breast cancer patients undergoing chemotherapy. Data processing used univariate and crosstabs techniques with the correlation test using Chi-Square. In this study, there was a relationship between knowledge and choice of treatment, but there was no relationship between income and choice of treatment. The conclusion from this research is the treatment of breast cancer is significantly influenced by the patient's knowledge. this is obtained from the p value of 0.008 <0.05, which indicates that the relationship significantly influences each other It is hoped that this research can be a source of information that can be used by health workers in providing nursing care.
ASUHAN KEPERAWATAN PADA PASIEN POST OPERASI LAPARATOMI ATAS INDIKASI KISTA OVARIUM DENGAN MASALAH KEPERAWATAN UTAMA NYERI AKUT A CASE REPORT Oktapiani, Risna Ayu; Mamuroh, Lilis; Ermiati, Ermiati
SENTRI: Jurnal Riset Ilmiah Vol. 3 No. 4 (2024): SENTRI : Jurnal Riset Ilmiah, April 2024
Publisher : LPPM Institut Pendidikan Nusantara Global

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55681/sentri.v3i4.2571

Abstract

Tindakan operasi laparatomy merupakan salah satu tindakan untuk penatalaksanaan kista ovarium yang cukup besar, salah satu efek samping yang akan muncul dari tindakan laparatomy adalah nyeri. Penatalaksanaan nyeri yang optimal perlu dilakukan melalui pemberian terapi farmakologi maupun non-farmakologi. Tujuan: Untuk mendeskripsikan penatalaksanaan asuhan keperawatan pada pasien post operasi laparatomi atas indikasi kista ovarium dengan masalah keperawatan utama nyeri akut. Metode: Penelitian ini merupakan studi kasus berdasarkan pelaksanaan asuhan keperawatan. Proses asuhan keperawatan yang dilakukan mulai dari pengkajian pasien, analisis data dan penetapan diagnosa keperawatan, perencanaan intervensi keperawatan, rencana pelaksanaannya, dan  melakukan  evaluasi berdasarkan tujuan keperawatan yang dianalisis. Hasil: Setelah diberikan intervensi selama 3 hari berdasarkan SIKI serta kolaborasi pemberian farmakologi antibiotic analgetic, anti-fibrinolitic dan vitamin K serta terapi non-farmakologi relaksasi benson masalah keperawatan nyeri akut dan keletihan dapat teratasi dengan menurunnya skala nyeri dari skala 7 menjadi 2 dan pasien mampu melakukan mobilisasi dengan mandiri. Kesimpulan : Hasil studi kasus menunjukan pemberian intervensi berdasarkan standar intervensi keperawatan, kolaborasi farmakologi dan relaksasi benson dapat mengatasi masalah keperawatan nyeri akut dan keletihan. Pengaplikasian intervensi ini disarankan untuk dilakukan secara rutin dan selanjutnya dapat diteliti dengan membandingkan dengan intervensi lainnya.
PENERAPAN PIJAT OKSITOSIN DAN ENDORFIN PADA IBU POSTPARTUM MULTIPARA TERHADAP INVOLUSI UTERUS : STUDI KASUS Wahyuni, Indah Mutia; Mamuroh, Lilis; Hermayanti, Yanti
SENTRI: Jurnal Riset Ilmiah Vol. 3 No. 6 (2024): SENTRI : Jurnal Riset Ilmiah, Juni 2024
Publisher : LPPM Institut Pendidikan Nusantara Global

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55681/sentri.v3i6.2972

Abstract

Dalam prosesnya involusi uterus atau kembali normalnya ukuran uterus terkadang mengalami kegagalan (subinvolusi uteri) yang mengakibatkan komplikasi seperti perdarahan. Subinvolusi uteri dapat dicegah dengan hormon oksitosin yang merangsang kontraksi uterus. Hormon oksitosin dapat diperoleh dengan adanya pemijatan yaitu pijat oksitosin dan pijat endorfin. Pijat oksitosin membantu meningkatkan kontraksi otot polos uterus sehingga mempercepat proses involusi. Pijat endorfin melalui mekanismenya mampu meningkatkan kenyamanan, mengurangi nyeri dan kecemasan serta pemulihan ibu sehingga proses involusi berjalan baik. Tujuan penelitian untuk mendeskripsikan penerapan pijat oksitosin dan pijat endorfin terhadap proses involusi uterus pada ibu postpartum multipara. Studi kasus dengan pendekatan asuhan Keperawatan pada ibu postpartum multipara selama periode 26 Oktober - 28 Oktober 2023 di Ruang Marjan Bawah RSUD Slamet Garut. Studi didapatkan adanya pengaruh intervensi pijat oksitosin dan pijat endorfin untuk membantu mempercepat proses involusi uterus dilihat dari indikator penurunan tinggi fundus uteri setiap harinya serta kontraksi yang kuat. Penerapan kombinasi pijat oksitosin dan pijat endorfin menstimulasi kontraksi otot myometrium dan meningkatkan kenyamanan ibu sehingga mempercepat proses involusi uterus. Perlunya mempertimbangkan intervensi dengan waktu yang lebih optimal serta partisipasi petugas Kesehatan dan keluarga dalam intervensi agar komplikasi pada masa postpartum seperti perdarahan dan subinvolusi uteri dapat dicegah
Health Education Using Puzzel Media About Hand Washing Behavior with Soap Sukmawati, Sukmawati; Mamuroh, Lilis; Nurhakim, Furkon
ABDIMAS: Jurnal Pengabdian Masyarakat Vol. 8 No. 1 (2025): ABDIMAS UMTAS: Jurnal Pengabdian Kepada Masyarakat
Publisher : LPPM Universitas Muhammadiyah Tasikmalaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35568/abdimas.v8i1.5616

Abstract

Indonesians' habit of washing their hands with soap is still relatively low. However, not washing hands with soap can cause several diseases, including diarrhea and upper respiratory tract infections, which result in impaired growth and development in children. One of the factors that influences hand washing behavior with soap is lack of knowledge. Efforts to increase knowledge that has an impact on the habit of washing hands with soap in children are by providing health education with interesting media and demonstrations. This community service aims to increase elementary school students' knowledge about washing hands with soap. The method used in this community service is health education using puzzle media and demonstrations. This health education activity was attended by 20 elementary school students as participants. The activity begins with a pre-test, and then the material is delivered using puzzle media, demonstrations, and questions and answers. To determine the effectiveness of health education activities on participants' knowledge about washing hands with soap, a post-test was carried out. The activity begins with a pre-test, and then the material is delivered using puzzle media, demonstrations, and questions and answers. To determine the effectiveness of health education activities on participants' knowledge about washing hands with soap, a post-test was carried out. It is hoped that the results of this health education will not only increase participants' knowledge but will also become a habit for elementary school children to wash their hands with soap before and after carrying out activities.
Ready To Be A Blood Hero: Edukasi Kemanusiaan dan Gerakan Solidaritas Sukmawati, Sukmawati; Nurhakim, Furkon; Mamuroh, Lilis; Kosim, Kosim
GUYUB: Journal of Community Engagement Vol 6, No 2 (2025): Juni
Publisher : Universitas Nurul Jadid

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33650/guyub.v6i2.11089

Abstract

Humanitarian action is a tangible manifestation of social awareness aimed at fostering solidarity among community members. The "Ready To Be A Blood Hero" program was initiated to raise public awareness about the importance of humanitarian contributions through real actions. This program was carried out using educational and social action methods, involving the academic community of Universitas Padjadjaran and the surrounding society. A total of 270 participants registered for the event, with 216 attending. After receiving education and undergoing health screening, 159 participants were declared eligible to actively participate in this solidarity initiative. Evaluation results showed a significant increase in participants' knowledge, particularly among first-time donors, where the percentage of participants with good knowledge increased from 25% to 62.5% after the educational session. Additionally, the program successfully collected 159 units of blood, which were donated to the Blood Transfusion Unit to help meet community needs. These achievements demonstrate that proper education can effectively encourage public participation in humanitarian actions. This program is expected to serve as a sustainable model for future solidarity movements
PAIN MANAJEMENT INTERVENTIONS IN POST CAESAREAN SECTION PATIENTS : RAPID EVIDENCE REVIEW Mamuroh, Lilis; Darmawan, Cahya Widyarahayu; Setiyani, Nofita; Zalva, Kinaya Vathia; Sukmawati, Sukmawati; Nurhakim, Furkon
Journal of Maternity Care and Reproductive Health Vol 8, No 2 (2025): Journal of Maternity Care Reproductive Health
Publisher : Ikatan Perawat Maternitas Indonesia Provinsi Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36780/jmcrh.v8i2.12323

Abstract

Childbirth with ectio caesarianwill exxerience pain also has the risk of infection, bleeding anf complication of anesthesia surgery threttens the integrity of the body, such as bio psychosocial spiritual, and can cause discomfort such as pain response. Pharmacological and non pharmacological treatment is needed to reduce the intensity or scale of [ain. Pain is unpleasant feeling caused by tissue damage. Therefore pain management is needed to reduce the pain suffered by patients.. The purpose of this literature is to conduct a literature review related to non-pharmacological pain management in post-cesarean female patients. The article search used a computerized database, namely EBSCO, PubMed, and Scopus, and using the PICO approach. The initial article results obtained 3,638 articles, then filtered based on inclusion and exclusion criteria to produce 10 eligible articles. The results of the study showed that non-pharmacological pain management interventions were found, namely reflexology, use of abdominal binders, aromatherapy, massage, acupressure, kinesio taping, and Benson relaxation which can be done to reduce pain. Non-pharmacological therapy in addition to reducing pain also has a positive effect on the quality of breastfeeding, sleep quality, mood, reducing anxiety, relaxation, and quality of life. For further research, it hoped that other techniques can be conducted to reduce pain in pasca sectio caesaria
INTERVENSI PEMULIHAN TRAUMA UNTUK MENGURANGI ISOLASI SOSIAL PADA ANAK DENGAN PELECEHAN SEKSUAL : LITERATURE REVIEW Sukmawati, Sukmawati; Mamuroh, Lilis; Nurhakim, Furkon
Journal of Maternity Care and Reproductive Health Vol 6, No 1 (2023): Journal of Maternity Care and Reproductive Health
Publisher : Ikatan Perawat Maternitas Indonesia Provinsi Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36780/jmcrh.v6i1.9716

Abstract

Pelecehan seksual anak banyak terjadi di Indonesia ditandai per-tahun 2021 terdapat 3.122 anak menjadi korban. Peningkatan kasus pelecehan seksual menyebabkan meningkatnya kasus trauma sehingga anak cenderung menutup diri terhadap lingkungan sekitarnya. Trauma pada anak merupakan masalah yang perlu segera ditangani agar tidak menimbulkan permasalahan tumbuh kembang. Studi ini bertujuan menganalisis pengaruh intervensi pemulihan trauma untuk menurunkan tingkat isolasi sosial pada anak dengan pelecehan seksual. Desain penelitian menggunakan literature review dengan pendekatan  narrative review.  Strategi pencarian artikel jurnal menggunakan  metode PRISMA dan didapatkan lima jurnal eligible. Hasil penelitian menunjukkan efektivitas pengaruh trauma focused cognitive behavior therapy, terapi bermain, terapi kelompok, dan terapi teater menurunkan gejala klinis isolasi sosial anak dengan trauma pelecehan seksual. Kelima intervensi tersebut dapat membantu anak untuk berdamai dengan peristiwa yang dialaminya. Diharapkan para praktisi dapat menerapkan tindakan intervensi tersebut untuk membantu menurunkan tingkat trauma pada anak dengan pelecehan seksual. 
NON-PHARMACOLOGICAL INTERVENTION TO EASY LABOR: LITERATURE REVIEW Sukmawati, Sukmawati; Mamuroh, Lilis; Nurhakim, Furkon
Journal of Maternity Care and Reproductive Health Vol 8, No 2 (2025): Journal of Maternity Care Reproductive Health
Publisher : Ikatan Perawat Maternitas Indonesia Provinsi Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36780/jmcrh.v8i2.12326

Abstract

The labor process involves physical and psychological mechanisms. The labor process does not always run smoothly and often encounters various obstacles that can cause various problems and even result in the death of the mother or fetus. The right method to facilitate labor is needed with the consideration that the method chosen is safe for the mother and baby. The purpose of this study was to determine non-pharmacological interventions that can be used to facilitate labor.. The research method used Scoping Review, ScienceDirect, Scopus, Proquest, Ebsco, and Pubmed article search databases. Inclusion criteria were experimental or cohort studies, published in 2014–2024, full-text articles, pregnant women stage I population, and independent variables of non-pharmacological interventions to facilitate labor. The keywords used in English were “Pregnant women” OR “Pregnant mother”, “Nursing intervention” OR “Non-Pharmacology”, “Labor”. Study quality was assessed using the Joanna Briggs Institute (JBI). From the results of the research selection of 671 articles, 11 articles met the inclusion criteria and eligibility for analysis. All research results showed that non-pharmacological interventions can be used by pregnant women to facilitate labor, namely consuming 7 packs of dates, Swiss ball exercises, lumbosacral massage, warm water baths, PFME, Kaiser physical activity, pilates exercises, pelvic rocking exercises, TENS therapy, consuming 7 dates, date juice, yoga. Non-pharmacological therapy can facilitate labor by reducing anxiety levels and reducing pain intensity.This literature review highlights the benefits of non-pharmacological therapy during pregnancy to facilitate labor. Non-pharmacological therapy is needed to facilitate labor.
Co-Authors Ahmad Yamin Aini, Astri Mufti Ama, Yolanda Aneu Agustiani Auliyah, Dina Azizah, Puput Nur Bahlail, Rezka Chatarina Umbul Wahyuni Darmawan, Cahya Widyarahayu Dian Trias Oktavianti Dina Auliyah Ema Arum Rukmasari Ermiati Ermiati Fauziyyah, Raden Nabilah Putri Febriana, Rizal Furkon Nurhakim Furkon Nurhakim Furkon Nurhakim Furkon Nurhakim Furkon Nurhakim Furkon Nurhakim Furkon Nurhakim Furkon Nurhakim Furkon Nurhakim Gina Nurul Azmi Gita Mujahidah Gusgus Ghraha Ramdhanie Henny Suzana Mediani Hermayanti, Yanti Hesti Platini I Nova Alfiandhi Ida Maryati Imas Maesaroh Indah Mutia Wahyuni Irza, Damad Iwan Shalahuddin Jain, Oktavia Nur Azizah Juliana Chandra Purnama Kamsatun, Kamsatun Kosim Kosim Kusman Ibrahim Laili Rahayuwati Linda Friscitia Maria komariah Muhammad Faidzal Muttaqin Mumtazah, Dina Zahrotunnisa Nafisah, Nadila Zahra Nia Kurniasih Nurhakim, Furkon Nurhakim, Furkon Nursita Dewi Oktapiani, Risna Ayu Oktavia Nur Azizah Jain Printin Sari Raden Nabilah Putri Fauziyyah Raden Nabilah Putri Fauziyyah Razzy Purnama Restuning Widiasih Ristina Mirwanti, Ristina Rizky Ayu Gardelia Rotua, Hana Pritika Setiyani, Nofita Shahibah, Shalwa Siti Nur Asiah Sri Hendrawati Srimurni, Nita Ayu Sukmawati . Sukmawati S Sukmawati S Sukmawati Sukmawati Sukmawati Sukmawati Sukmawati Sukmawati Sukmawati Sukmawati Sukmawati Sukmawati Sukmawati Sukmawati Sukmawati Sukmawati Sukmawati, Sukmawati Sutendi, Ludyta Yuniar Tafarel, Alifiya Fajrin Tetti Solehati Theresia Eriyani Tsuraya Salsabila, Salma Tuti Pahria Valentina B.M. Lumbantobing Wahyuni, Indah Mutia Witdiawati W Yanti Hermayanti Yuliani, Lala Zalva, Kinaya Vathia