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Faktor yang Berpengaruh pada Perilaku Seksual Remaja di Perkotaan dan Pedesaan Suarni, Lisa; Fitarina, Fitarina; Aliyanto, Warjidin
Jurnal Kesehatan Vol 11, No 3 (2020): Jurnal Kesehatan
Publisher : Politeknik Kesehatan Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v11i3.2345

Abstract

The effect of free sex on reproductive health is very real, namely the transmission of sexually transmitted infections (STIs) with all its consequences, a pregnancy outside of marriage and consequently an increase in the incidence of abortion, the psychological pressure to depression. It can be seen that the increasing incidence of STIs, abortion, and depression rates in society is increasing. The research objective was to determine the factors related to Adolescent Sexual Behavior in North Lampung. This study used an explanatory research design with a cross-sectional approach. A sample of 500 people, with a proportion of 250 samples from urban and 250 rural adolescents. The variables related to adolescent sexual behavior in rural areas were the variable of religiosity with a p-value of 0,00, knowledge with a p-value of 0,00, sexual attitudes with a p-value of 0,00, sexual activity with a p-value of 0.06, social support. with a p-value of 0,00 and in urban areas the related variables were self-esteem with a p-value of 0,10, religiosity with a p-value of 0,00, social activity with a p-value of 0,12, health service attitudes with a p-value 0,00, sexual attitude with a p-value of 0,00, sexual activity with a p-value of 0,00, self-confidence with a p-value of 0,24. Multivariate analysis found that the most dominant factor associated with sexual behavior is sexual attitudes with an OR=28,748. Religiosity, sexual activity, sexual attitudes affect sexual behavior in rural and urban areas. Sexual attitudes are the most dominant factor affecting adolescent sexual behavior in rural and urban areas.
Masalah Kesehatan yang Dihadapi Praktisi Keperawatan Mandiri di Provinsi Lampung Krismaningrum, Hasti Primadilla; Fitarina, Fitarina; Wahyudi, Fajar Desma; Muhammad, Meizano Ardhi; Pujiarti, Daning
Jurnal Kesehatan Vol 13 No 3 (2022): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v13i3.3057

Abstract

The regulation of Nursing Practice increasingly encourages nurses to carry out independent practice legally. 447 practitioners in mid-2021 provide health care in Lampung, but there is no data about services available. This study aims to get an overview of the health problems served by practitioners. The research was held with a descriptive design. Data was collected by internet through a consecutive sampling of the population and gaining a sample of as many as 178 respondents. They were obtained and spread over 227 sub-districts throughout Lampung Province. The data is processed through cleaning and editing stages, equating terms, and then calculating the frequency. The results showed most cases are respiratory tract disorders (infections) with 167 cases. But non-communicable health problems become dominant such as gastrointestinal disorders and hypertension. Suggestions are given to professional organizations related to problem management in interprofessional collaboration, forming clinical pathways, and planning to increase understanding and application of standard diagnoses, outcomes, and interventions with a uniform nursing language in Indonesia.
The Stigma of Abortion among Adolescent Girls in the Community: A Qualitative Study in North Lampung District, Indonesia Fitarina, Fitarina; Ningshih, Yuliati Ampera; Krismaningrum, Hasti Primadilla
Jurnal Kesehatan Metro Sai Wawai Vol. 17 No. 1 (2024): Jurnal Kesehatan Metro Sai Wawai
Publisher : Poltekkes Kemenkes Tanjung Karang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jkmsaw.v17i1.4545

Abstract

Introduction: Adolescent abortion remains a contentious moral dilemma in Indonesia. The choice to have an abortion is due to enduring an unwanted pregnancy, despite the stigma of abortion from society. Purpose: The study focused on assessing abortion stigma information and attitudes toward abortion among adolescent girls. Methods: Descriptive qualitative study using survey method was the research design. 450 participants from junior high school, high school and university students were recruited. Data were collected by survey technique using a questionnaire adapted from the Stigma Attitude, Believe of Absortion Scale (SABAS). Data were analyzed quantitatively using frequency distribution and qualitatively to evaluate young women's attitudes towards abortion by grouping data and problem trees. Results: Participant characteristics 100% had no abortion experience and 88% were not dating, 98% of adolescent girls had a high stigma scale. Stigma content identified included cruelty, stupidity, sin, sad, risk of psychosocial and health problems.  Adolescents also expressed positive sentiments related to concern and empathy for women experiencing unfortunate situations, either due to rape or health emergencies. Conclusion: Adolescent girls stigmatized the act of abortion and also cared about victims in unfortunate situations. Efforts are needed to make the community understand the stigma of abortion which has a psychological and social impact on adolescents by increasing socialization. It is important for adolescent girls to be educated through sexual education and to prevent unwanted pregnancies and abortions. Family and community empathy for adolescents by providing affection, especially for adolescent girls to have reproductive readiness or safe pregnancy. Latar Belakang: Aborsi pada remaja masih menjadi dilema moral yang terus diperdebatkan di Indonesia. Pilihan  melakukan aborsi disebabkan menanggung kehamilan tidak diinginkan, walaupun ada stigma abortus dari masyarakat. Tujuan: Penelitian berfokus pada mengkaji informasi stigma abortus dan sikap menghadapi aborsi pada remaja putri. Metode: Studi kualitatif deskriptif menggunakan metode survey meru[akan desain penelitian ini. Merekrut 450 partisipan dari Siswa Sekolah Menengah Pertama, Sekolah Menengah Atas dan Mahasiswa Perguruan Tinggi. Data dikumpulkan dengan teknik survei menggunakan kuesioner diadaptasi dari Stigma Attitude, Believe of Absortion Scale (SABAS). Data dianalisis secara kuantitatif menggunakan distribusi frekuensi dan kualitatif untuk mengevaluasi sikap remaja putri terhadap abortus dengan mengelompokkan data dan pohon masalah. Hasil: karakteristik partisipan 100% tidak memiliki pengalaman aborsi dan 88% tidak pacaran, 98% remaja putri memiliki skala stigma tinggi. Isi stigma yang teridentifikasi meliputi kekejaman, kebodohan, dosa, menyedihkan, berisiko terjadi masalah psikososial dan kesehatan.  Remaja juga mengungkapkan sentimen positif terkait keprihatinan dan rasa empati terhadap perempuan yang mengalami situasi yang tidak menguntungkan, baik karena pemerkosaan maupun kegawatan kesehatan. Simpulan: Remaja Putri memberikan stigma terhadap tindakan aborsi dan juga sikap peduli terhadap korban yang berada pada situasi tidak menguntungkan. Perlu upaya memahamkan kepada komunitas tentang stigma abortus  yang berdampak psikologis dan social kepada remaja dengan peningkatan sosialisasi. Remaja putri penting diberikan edukasi melalui pendidikan mengenai sexual dan untuk mencegah kehamilan yang tidak diinginkan, melakukan abortus. Keluarga dan komunitas empati pada remaja dengan memberikan kasih sayang, khususnya pada remaja putri untuk memiliki kesiapan reproduktif atau hamil yang aman.
Pemberdayaan Kelompok Remaja Dalam Upaya Berhenti Merokok Di Kelurahan Kota Alam Kecamatan Kotabumi Selatan Kabupaten Lampung Utara Fitarina, Fitarina; Primadilla, Hasti; Mulia, Madepan
Jurnal Pengabdian Masyarakat Jajama (JPMJ) Vol 3 No 1 (2024): JPMJ Vol 3 No 1 2024
Publisher : Sekolah Tinggi Ilmu Kesehatan Panca Bhakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47218/jpmj.v3i1.298

Abstract

Penyakit tidak menular (PTM) adalah penyakit yang tidak menular dan bukan disebabkan oleh penularan vektor, virus, dan bakteri namun lebih banyak disebabkan oleh perilaku dan gaya hidup. Prevalensi penyakit tidak menular mengalami kenaikan setiap tahun. Kenaikan prevalensi penyakit tidak menular ini berhubungan dengan pola hidup diantaranya merokok. Kegiatan pemberdayaan kelompok remaja dalam upaya berhenti merokok dimulai dari tahap persiapan, pelaksanaan dan evaluasi. Adapun tujuan akhir kegiatannya adalah terbentuk kelompok berhenti merokok sebagai komunitas pioner. Hasil kegiatan diharapkan dapat memberikan manfaat bagi peserta dalam upaya berhenti merokok.
The Design of an Interprofessional Health Record Form for Diabetes Mellitus Care at Primary Health Care Facility: A Recommendation Fitarina, Fitarina; Krismaningrum, Hasti Primadilla
Jurnal Kesehatan Vol 15 No 2 (2024): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v15i2.4630

Abstract

This research focuses on the pillars of primary care transformation by increasing primary services' capacity and capability, especially Diabetes Mellitus (DM) care. The study aims to produce a recording form containing simple, interprofessional records of DM patient care that can be used by various professions and can be applied in multiple primary health facilities. The design was developed through a development research approach with stages of form modification, expert and practitioner review, revision, trial, focus group discussion, and final revision. The trial was carried out by Community Health Center (Puskesmas) nurses in services at the Puskesmas through home visits for DM patients, Posbindu services, and outpatient care. Data from expert opinions, user opinions, and observations of the forms tested were analyzed qualitatively using the Technology Acceptance Model concept approach. The resulting form consists of two pages containing primary patient data and daily progress notes in tabular form. Research participants showed positive beliefs, attitudes, and behavior toward the forms being tested—the actual use of the form on an average of 3 patients per participant. The completeness was 90 percent filled. They expressed their intention to use the form further and recommended widespread dissemination to implement it in practice. The form is acceptable and ready to be applied for outpatient care, health monitoring, and home care for DM cases. Recommendations can be given to policymakers and health service providers to implement in services. Apart from that, the form can be further developed in electronic form by information technology developers.
Hubungan Dukungan Keluarga terhadap Kualitas Hidup Pasien Diabetes Melitus Tipe 2 Mulia, Madepan; Fitarina, Fitarina
JURNAL WACANA KESEHATAN Vol 10, No 1 (2025): Juli
Publisher : AKPER Dharma Wacana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52822/jwk.v10i1.708

Abstract

Diabetes mellitus with complications can significantly impact a patient's quality of life, making family support essential in managing the condition. Family support plays a vital role in the treatment and care process for individuals with type 2 diabetes mellitus. The purpose of this study was to explore the relationship between family support and the quality of life of type 2 diabetes mellitus patients. The research employed a quantitative approach with a cross-sectional design. It was conducted on 100 type 2 diabetes mellitus patients at the Pesawaran Regional General Hospital, using incidental sampling and questionnaires. The family support was assessed using the HDFSS, while the quality of life was measured with the DQOL questionnaire. Data analysis was performed using the Chi-Square test, with a significance level of 0.05 and a confidence interval of 95%. The findings revealed that 63% of type 2 diabetes mellitus patients received high family support, but 62% of them reported a low quality of life. A significant relationship was found between family support and the quality of life of type 2 diabetes mellitus patients (p=0.016). In conclusion, family support is linked to the quality of life in type 2 diabetes mellitus patients. It is recommended that families increase their support, and nurses should encourage families to provide more support to improve the patients' quality of life.