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Literature Review: Intervensi Kebidanan Terkini Peningkatan Sikap Orang Tua dalam Memberikan Pendidikan Seksual Pada Anak untuk Pencegahan Child Sexual Abuse Hafshah, Hafshah; Wardani, Diadjeng Setya; Gumanti, Kentri Anggarina
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Publisher : Journal of Issues in Midwifery

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.JOIM.2021.005.02.5

Child sexual abuse cases reported in Indonesia are still high. Sexual issues are still taboo in society, parents in Indonesia don't care about sexual education for their child. Sexual education is important given to straighten understanding and positive sexual behavior of children. Providing appropriate sexual education can equip children to protect themselves from sexual abuse. Parents need to support and facilities to provide sexual education for their children. This study aimed to critically review literature, articles, and related documents research in measuring the effectiveness of health promotion interventions to improve parents' attitudes in providing sexual education for children as an effort in preventing child sexual abuse. In this study, researchers use the literature review method. Data were obtained from reputable journal articles published in the 2010-2020 period. To analysis the research, researchers use the PICO-T RCAC method (Population, Intervention, Compare / Intervention, Outcome, Time). Ten articles analyzed show that the interventions provided varied greatly in terms of content, methods, media, and duration. Interventions are training, counseling, psychoeducation, and educational drama that can improve parentsâ€™ knowledge, attitudes, and communication practices in preventing child sexual abuse and increasing parental awareness of the phenomenon of sexual harassment around their children. This study concludes that some health promotion interventions have been effective in improving parents' attitudes to be more positive in providing sexual education to their children.

Effectiveness of Banana Blossom Consumption and Oxytocin Massage in Breastfeeding Mothers on Infant Weight Gain Intan, Dara; Hastuti, Novianti Tri; Indrawan, I Wayan Agung; Wardani, Diadjeng Setya
Indonesian Journal of Human Nutrition Vol. 11 No. 1 (2024)
Publisher : Department of Nutrition, Faculty of Health Sciences, Universitas Brawijaya Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.ijhn.2024.011.01.9

Weight gain serves as one of the indicators of the effectiveness of breastfeeding. Stimulation methods, such as consuming banana blossom and receiving oxytocin massage, have the potential to enhance breast milk production. This research aims to compare the effectiveness of these two interventions, banana blossom consumption and oxytocin massage, in breastfeeding mothers regarding infant weight increase at Dinoyo Health Center in Malang. Previous studies have demonstrated that both interventions can enhance breast milk production and infant weight; thus, this study focuses on determining which intervention is more effective. The study employed a true experimental design without a control group, utilizing a pre- and post-intervention approach during the postpartum period from days four to ten. This timeframe was selected because hormone levels, such as progesterone and estrogen, decrease, allowing for a more rapid increase in prolactin production. This approach aims to ensure that infants receive exclusive breastfeeding while promptly addressing any issues related to breast milk production. A total of 32 participants were selected through purposive sampling, with weight measurements taken at the beginning and end of the intervention. The results of the paired t-test indicated that infants of mothers who consumed banana blossom experienced an average weight gain of 246.75 g (p = 0.000). In contrast, infants whose mothers received oxytocin massage showed a weight gain of 217.81 g (p = 0.000). Further analysis with an independent t-test revealed that the consumption of banana blossom was more effective in increasing infant weight, with a mean difference in weight gain of 28.94 g (p = 0.045). This analysis confirmed a significant difference in weight gain between the two groups: mothers who consumed banana blossom had a greater increase in their infants’ weight. Future research is encouraged to explore the effectiveness of various banana blossom preparations and analyze their nutritional content to identify the most effective preparation for improving infant weight.

FAKTOR INTERNAL DAN PERSEPSI IBU TENTANG PERAN PETUGAS KESEHATAN TERHADAP PEMBERIAN ASI EKSKLUSIF Hinisa, Fariha Nuzulul; Wardani, Diadjeng Setya; Andarini, Sri; Simanjuntak, Roganda
Media Penelitian dan Pengembangan Kesehatan Vol. 34 No. 2 (2024): MEDIA PENELITIAN DAN PENGEMBANGAN KESEHATAN
Publisher : Poltekkes Kemenkes Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34011/jmp2k.v34i2.2020

During the first 6 month period, newborns who are exclusively breastfed consume solely breast milk and abstain from any other form of nourishment, such as food or liquids, including water. The government Indonesia has pledged to attain a target proportion of exclusive breastfeeding, with a goal of reaching up to 80%. The X Community Health Centre in Malang City achieved a relatively low level of exclusive breastfeeding coverage in 2022, with only 51.18%. This falls far short of the established target. Internal variables and the mother's opinion of the involvement of health personnel are influential in determining exclusive breastfeeding. The aims of this research were to analyses the influence of internal factors and maternal perspectives on the role of healthcare providers in promoting exclusive breastfeeding. This cross-sectional study was conducted in January-March 2024 at the X Health Centre Working Area in Malang City. The study utilized observational analytics. The study's sample consisted of one hundred moms with children older than six months. Chi-square test yields identify there wasn't significant association between employment also having multiple children (p-value>0.05). However, various factors related to exclusive breastfeeding, like as age, education, family support, and mother's intellectual and perception about the role of health workers, were found to be significantly associated (p-value <0.05). The multivariate analysis using multiple logistic regression revealed that family support has a significant impact on exclusive breastfeeding. The p-value of 0.006 and an odds ratio of 26,595 indicate that family support increased the likelihood of exclusive breastfeeding by 26-fold.

Effectiveness of Banana Blossom Consumption and Oxytocin Massage in Breastfeeding Mothers on Infant Weight Gain Intan, Dara; Hastuti, Novianti Tri; Indrawan, I Wayan Agung; Wardani, Diadjeng Setya
Indonesian Journal of Human Nutrition Vol. 11 No. 1 (2024)
Publisher : Department of Nutrition, Faculty of Health Sciences, Universitas Brawijaya Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.ijhn.2024.011.01.9

Weight gain serves as one of the indicators of the effectiveness of breastfeeding. Stimulation methods, such as consuming banana blossom and receiving oxytocin massage, have the potential to enhance breast milk production. This research aims to compare the effectiveness of these two interventions, banana blossom consumption and oxytocin massage, in breastfeeding mothers regarding infant weight increase at Dinoyo Health Center in Malang. Previous studies have demonstrated that both interventions can enhance breast milk production and infant weight; thus, this study focuses on determining which intervention is more effective. The study employed a true experimental design without a control group, utilizing a pre- and post-intervention approach during the postpartum period from days four to ten. This timeframe was selected because hormone levels, such as progesterone and estrogen, decrease, allowing for a more rapid increase in prolactin production. This approach aims to ensure that infants receive exclusive breastfeeding while promptly addressing any issues related to breast milk production. A total of 32 participants were selected through purposive sampling, with weight measurements taken at the beginning and end of the intervention. The results of the paired t-test indicated that infants of mothers who consumed banana blossom experienced an average weight gain of 246.75 g (p = 0.000). In contrast, infants whose mothers received oxytocin massage showed a weight gain of 217.81 g (p = 0.000). Further analysis with an independent t-test revealed that the consumption of banana blossom was more effective in increasing infant weight, with a mean difference in weight gain of 28.94 g (p = 0.045). This analysis confirmed a significant difference in weight gain between the two groups: mothers who consumed banana blossom had a greater increase in their infants’ weight. Future research is encouraged to explore the effectiveness of various banana blossom preparations and analyze their nutritional content to identify the most effective preparation for improving infant weight.

PARENTAL INTERPERSONAL SKILLS AND ADOLESCENT ATTITUDES TOWARD EARLY MARRIAGE Wardani, Diadjeng Setya; Anika Pratiwi, Sindy; Putri, Rismaina; Jannah, Miftahul; Diana Fransisca, Ratna; Retno Hastuti, Nur Aini
The Indonesian Journal of Public Health Vol. 20 No. 1 (2025): THE INDONESIAN JOURNAL OF PUBLIC HEALTH
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijph.v20i1.2025.82-93

Introduction: Early marriage is one of the cases with the highest incidence in Indonesia involving teenagers under the age of 19 years. Based on religious court records, 1711 cases were recorded, or an increase of 35% compared to the previous year. Many factors cause this, namely from oneself and environmental factors. Adequate guidance in educating children is an important role that can be carried out effectively by parents. Aims: This research aims to determine the influence of interpersonal skills and parental knowledge on teenagers' attitudes toward early marriage. Method: This research method is descriptive analytical research with a cross-sectional approach. This research was attended by 60 respondents, consisting of 30 teenage respondents and 30 respondents who were parents of teenagers. Data collection was carried out by filling out a questionnaire which was analyzed using the Chi-square test. Results: The results of the study show that parents' interpersonal skills in responding to early marriage are in the sufficient category, there is an influence of parents' interpersonal skills in responding to early marriage on teenagers' attitudes (p=0.001), there is an influence of parents' latest education on parents' level of knowledge about early-age marriage. (p=0.001). Conclusion: The research conclusion shows that there is an influence of interpersonal skills and parental knowledge on teenagers' attitudes in responding to early marriage, and the parents' latest education has an influence in responding to early marriage.

ANALYSIS OF PATIENT IDENTIFICATION COMPLIANCE BY NURSE IN GENERAL WARD OF ISLAMIC HOSPITAL MALANG Zamanti, Arfiyani; Wardani, Diadjeng Setya; Duhitatrissari, Fifin Pradina
Journal of Community Health and Preventive Medicine Vol. 5 No. Issue Supplement 1 (2025): JOCHAPM Vol. 5, Issue Supplement 1, March 2025
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/

Patient safety is a system created by hospital to ensure safer healthcare. One of the aspects of patient safety is patient identification. Patient misidentification at the beginning of the service will lead to further errors in later processes. Misidentification will cause harm to patients and bring lawsuit against the hospital. The study aimed to identify factors influencing compliance with patient identification and explore 2 aspects of patient identification, ID wristband check and the use of at least 2 patient’s identifiers. The quantitative descriptive study was conducted in Unisma Islamic Hospital Malang using questionnaires and observations to collect data. Respondents for the questionnaires were 40 nurses of 4 inpatient wards, Jasmine, Tulip, Teratai, and Dahlia. There were 20 participants of the observations. The result of the questionnaires shows that the score of attitude was 94.4% (good), the sore of team work was 63.3% (quite good), the score of work environment reached 95.6% (supporive),and the score of knowledge was 81,6% (good). However, the result of the observations reveals that compliance with patient identification was 81%, which is 19 % below the standard 100%. This is caused by lack of nurses’ understanding regarding accurate patient identification procedure, insufficient supervision, and weak patient safety culture. To improve patient identification compliance, active participation of the management, the patients and their family is required.

PATIENT SATISFACTION WITH FOOD SERVICE BY HOSPITAL NUTRITION UNIT: A STUDY IN A PRIVATE HOSPITAL Kristianingsih, Rey; Wardani, Diadjeng Setya; Setiawati, Lisa
Journal of Community Health and Preventive Medicine Vol. 5 No. Issue Supplement 1 (2025): JOCHAPM Vol. 5, Issue Supplement 1, March 2025
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/

Food service by the nutrition unit to patients in hospitals is a complex service and requires special attention. Nutrition and diet that enter the patient's body are one of the supports for the recovery of the patient's health. However, plate waste, which is an indicator of patient satisfaction in food service by the nutrition unit, in case hospitals shows a fairly high figure. This study aims to find out the factors that cause food complaints from patients in the nutrition unit and observe what resources have been possessed by Panti Waluya Hospital in its potential to develop services. This research uses qualitative methods. The study was conducted using the Focus Group Discussion (FGD) method in each unit in the hospital and in-depth interviews with five inpatients to explore their satisfaction and expectations of food service in the hospital. The results of the interviews were then transcribed, and then thematic analysis was carried out. The results of the study showed that there were factors that caused patients to feel hesitant or dissatisfied with food service by the nutrition unit in the hospital, which included the factors of man, money, machine, and method. Through better education, it is hoped that it can increase patient satisfaction with food service by the nutrition unit by knowing the causative factors that cause patient dissatisfaction.

Pengaruh Pemberian Pisang Ambon Sebagai Terapi Tambahan Terhadap Penurunan Tekanan Darah Pada Ibu Hamil Dengan Hipertensi Gestasional (Studi Di Puskesmas Cilimus Dan Puskesmas Linggarjati) Sabilla Khaerunissa, Dymphna; Rahardjo, Bambang; Wardani, Diadjeng Setya
Journal of Issues in Midwifery Vol. 9 No. 2 (2025): Volume 9 No 2 Tahun 2025
Publisher : Journal of Issues in Midwifery

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.JOIM.2025.009.02.5

ABSTRAK Latar Belakang: Penyebab utama kematian ibu terkait kehamilan dan persalinan di Indonesia adalah tekanan darah tinggi saat hamil. Pengobatan non-farmakologi dapat mengatasi tekanan darah tinggi dengan mengkonsumsi pisang ambon karena pisang ambon mengandung kalium yang tinggi. Tujuan penelitian: mengetahui pengaruh pemberian pisang ambon sebagai terapi tambahan terhadap penurunan tekanan darah pada ibu hamil hipertensi di Wilayah Kerja Kabupaten Kuningan. Metode penelitian: kuantitatif dengan menggunakan metode Quasi Eksperiment dengan Two Group Pretest-Posttest Control Group. Analisis data menggunakan uji Wilcoxon. Sampel penelitian ini berjumlah 32 ibu hamil hipertensi. Responden dibagi dua kelompok, dimana pada kelompok perlakuan diberikan tambahan pisang ambon sebanyak 200 g per hari. Dua kelompok diukur tekanan darah sebelum dan sesudah perlakuan, penelitian ini dilakukan selama 14 hari. Hasil penelitian: kelompok perlakuan sistolik sebelum dan sesudah diberi pisang ambon menunjukan ρ-value 0,000 dan diastolik ρ-value 0,000, artinya terdapat perbedaan antara pre-test dan post-test pemberian obat antihipertensi dan buah pisang ambon dengan kelompok yang hanya diberikan obat antihipertensi saja (ρ-value <0,05). Kesimpulan: pemberian pisang ambon berpengaruh dalam penurunan tekanan darah pada ibu hamil dengan hipertensi gestasional. Kata Kunci: Ibu hamil, Hipertensi, Tekanan Darah, Pisang Ambon ABSTRACT Background: The main cause of maternal death related to pregnancy and childbirth in Indonesia is high blood pressure during pregnancy. Non-pharmacological treatment can overcome high blood pressure by consuming Ambon bananas because its contain high potassium. The purpose of the study: to determine the effect of giving ambon bananas as an additional therapy on reducing blood pressure in hypertensive pregnant women in the Working Area of Kuningan Regency. Research method: quantitative using Quasi-Experimental method with Two Group Pretest-Posttest Control Group. Data analysis using the Wilcoxon test. The sample of this study amounted to 32 hypertensive pregnant women. Respondents were divided into two groups, where the treatment group was given 200 grams of Ambon bananas a day. Two groups measured blood pressure before and after treatment, the study was conducted for 14 days. The results of the study: the systolic treatment group before and after being given ambonese bananas showed ρ-value 0,000 and diastolic ρ-value 0,000, meaning that there was a difference between pre-test and post-test giving ambonese bananas and antihypertensive drugs (ρ-value <0,05). Conclusion: Giving Ambon bananas affects reducing blood pressure in hypertensive pregnant women in the Working Area of Kuningan Regency. Keywords: Pregnant Women, Hypertension, Blood Pressure, Ambon Banana

Comprehension Level and Parenting Culture with Feeding Behavior of Toddlers in Tulungagung Regency, Indonesia Wardani, Diadjeng Setya; Chusna, Safira Mauliyatul; Nugroho, Fajar Ari
JURNAL INFO KESEHATAN Vol 23 No 3 (2025): 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.Vol23.Iss3.1541

Malnutrition in infancy is irreversible on growth and development, so toddlers need adequate and quality food intake. The factors that indirectly cause malnutrition in toddlers are parenting patterns. Mothers’ parenting patterns that are not good in feeding toddlers can be caused by low mothers’ comprehension and behavior in choosing food. This study aims to know comprehension level and parenting culture with the feeding behavior of toddlers in Tulungagung Regency. This study used an analytical observational research design with a cross-sectional study approach. The respondents amounted to 72 mothers of toddlers. The research instrument used a questionnaire and then analyzed using a chi-square test. The majority of mothers with toddlers had good comprehension about nutrition and food intake for toddlers, ideal parenting culture, and adequate feeding behavior. Based on the analysis using chi-square, the comprehension level had a relationship with feeding behavior in toddlers (p-value of 0.013), while parenting culture had no relationship with feeding behavior in toddlers (p-value of 0.270). The conclusion is there is a relationship between the comprehension level and the feeding behavior of toddlers and there is no relationship between parenting culture and the feeding behavior of toddlers.

Hubungan Supportive Environment dengan Peran Kader Posyandu dalam Pelayanan Kesehatan Masyarakat Sholikhah, Laila Aminatus; Wardhani, Viera; Fransiska, Ratna Diana; Wardani, Diadjeng Setya
Jurnal Kebidanan Vol 14 No 2 (2024): Jurnal Kebidanan Edisi September 2024
Publisher : ITSKES Insan Cendekia Medika Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35874/jib.v14i2.1375

P Posyandu diukur melalui cakupan SKDN, dengan salah satu indikator jumlah balita yang ditimbang dibagi jumlah sasaran balita (D/S). Pencapaian target SKDN di Kelurahan Pagentan tahun 2022 untuk balita yang memiliki KMS (K/S) adalah 41,9% dan balita yang datang dan ditimbang (D/S) adalah 41,9%, serta pencapaian target balita yang naik berat badannya dari seluruh balita (N/S) adalah 32% dari target 75%. Kader berperan penting dalam meningkatkan keberhasilan posyandu. Oleh karena itu, keberhasilan tersebut dipengaruhi oleh peran kader itu sendiri. Tujuan penelitian ini, yaitu mengetahui hubungan supportive environment dengan peran kader posyandu dalam pelayanan kesehatan masyarakat. Penelitian menggunakan pendekatan cross-sectional dengan menggunakan sampel yang memenuhi kriteria inklusi dan eksklusi sebanyak 69 kader. Pengumpulan data menggunakan kuesioner yang kemudian dianalisis menggunakan rank spearman. Hasil penelitian menunjukan terdapat hubungan positif yang signifikan antara komponen supportive environment, yaitu reward and punishment (p-value 0,044), dukungan keluarga (p-value 0,000), dukungan tokoh masyarakat (p-value 0,027), dan dukungan masyarakat (p-value 0,005) dengan peran kader posyandu dalam pelayanan kesehatan masyarakat. Dengan demikian, strategi yang tepat dibutuhkan untuk meningkatkan dukungan, seperti penyuluhan yang berkaitan dengan pentingnya peran kader posyandu

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