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Hubungan Tingkat Pengetahuan Ibu Tentang Kesehatan Balita dengan Partisipasi Kunjungan Posyandu Balita di Praktik Mandiri Bidan Sary Rahayu, S.ST Tahun 2024 Saniati, Khairulisni; Fitri Yati, Asri; Chairunnisa, Miftah
NURSING UPDATE : Jurnal Ilmiah Ilmu Keperawatan P-ISSN : 2085-5931 e-ISSN : 2623-2871 Vol 15 No 2 (2024): JUNI
Publisher : NHM PRESS

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Abstract

Latar Belakang: Anak di bawah 5 tahun atau yang sering disebut dengan balita adalah periode usia manusia setelah bayi. Pada saat ini terdapat proses tumbuh dan kembang pada periode 5 tahun pertama kehidupan (0 bulan sampai dengan 59 bulan) yang merupakan “masa keemasan” (golden age) sehingga memiliki pengaruh dalam kehidupan mereka di saat mendatang baik secara fisik, mental, ataupun perilaku (Kemenkes RI, 2014). Berdasarkan data cakupan kunjungan posyandu balita di Kabupaten Sintang (2021) jumlah posyandu balita aktif per kabupaten/kota tahun 2020 di Kabupaten Sintang yang mendapatkan pelayanan kesehatan balita sebesar 73% dari jumlah keseluruhannya. Pada tahun 2021 data cakupan kunjungan balita di Kabupaten Sintang tertinggi ada di wilayah Kemangai dengan data sebesar 75.40% sedangkan yang terendah ada di wilayah Sepauk sebesar 25.75% dan wilayah Sungai Durian sebesar 29.26% (Dinas Kesehatan Kabupaten Sintang, 2021). Tujuan Penelitian: Untuk mengetahui hubungan tingkat pengetahuan ibu tentang kesehatan balita dengan partisipasi kunjungan posyandu balita di Praktik Mandiri Bidan Sary Rahayu, S.ST Tahun 2024. Metode Penelitian: Pada penelitian ini menggunakan metode penelitian analitik observasional dengan desain penelitian cross sectional. Teknik sampel penelitian menggunakan metode purposive sampling dengan jumlah 55 responden. Teknik analisis statistic yang digunakan adalah uji chi square. Hasil Penelitian: Penelitian ini menunjukkan bahwa ada hubungan antara tingkat pengetahuan ibu tentang kesehatan balita dengan partisipasi kunjungan posyandu balita di Praktik Mandiri Bidan Sary Rahayu,S.ST tahun 2024 dengan p-value sebesar 0.007 < 0.05. Sedangkan untuk nilai odds ratio (OR) 6.000 yang artinya responden dengan tingkat pengetahuan kurang baik memiliki resiko 6 kali lebih besar memiliki partisipasi kunjungan posyandu balita tidak baik daripada responden dengan tingkat pengetahuan baik. Kesimpulan: Ada hubungan tingkat pengetahuan ibu tentang kesehatan balita dengan partisipasi kunjungan posyandu balita di Praktik Mandiri Bidan Sary Rahayu,S.ST tahun 2024.
Barriers of PMTCT (Prevention Mother to Child Transmission) Program: Systematic Review Chairunnisa, Miftah; Ayuningtyas, Kanthi Devi
Journal of Ners and Midwifery Vol 7 No 3 (2020)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v7i3.ART.p376-388

Abstract

HIV infection during pregnancy is a serious problem that requires special attention because the number of case increasing every year. According to UNAIDS data, more than 36.9 million people were living with HIV on 2017. An increase of 1.8 million new cases and 940,000 deaths occurs in the same year. In Indonesia especially, there were about 630,000 HIV cases on 2017 and nearly 49,000 new cases reported. This number consists of cases of vertical transmission from mother to child during pregnancy. The government has implemented PMTCT (Prevention Mother to Child Transmission) program as a solution to reduce the number of HIV cases. Nevertheless this program has not been running well due to several barriers regarding to its implementation. This study aimed to provide an understanding of various barriers to PMTCT program implementation. A systematic review approach by PRISMA design was used to study literatures from databases. Stigma or discrimination from community and health care, experienced by HIV patients, was major barrier that impede PMTCT program. In addition, lack of support from partner or family, depression, economic factors, stigma from health workers, and health workers’ income-workload discrepancy were also significantly affected the implementation. Contrary, the active role of health workers to provide counseling and education about HIV/AIDS among community as well as to client’s families was a success key of PMTCT program.
Systematic Review : Immunoglobulin Concentration in Breast Milk as a Body Defense against Sars-Cov-2 Chairunnisa, Miftah; Setya P P, Ananti; Rahmawaty A P, Dewi
Journal of Ners and Midwifery Vol 8 No 2 (2021)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v8i2.ART.p255-262

Abstract

The largest cases of pneumonia occurred in Wuhan City, Hubei Province of China in December 2019, which resembles SARS-CoV as a cause of SARS (Severe Acute Respiratory Syndrome) virus infection. The number of cases reaches 3.2 million people worldwide, and among them are breastfeeding mothers. Although virus transmission occurs through direct contact with infected patients, the number of infants or young children who were infected with COVID-19 during breastfeeding was only 10%. There is no scientific evidence for vertical transmission from mother to her baby during pregnancy and breastfeeding. The content of immunoglobulin A (IgA), immunoglobulin M (IgM), and immunoglobulin G (IgG) has a positive impact on the infant’s body. The objective of the study was to determine the immunoglobulin concentration in breast milk against SARS CoV2. The method used a systematic review approach with the design of Preferred Reporting Items For Systematic Reviews & Meta-Analyses (PRISMA). The result showed laboratory clinical trials, the IgA, IgG, and IgM responses showed good results in the spread of the coronavirus into the baby's body. IgA reactivity has a higher concentration than other cells. In conclusion, Covid-19 pandemic made the public worried about their health, including breastfeeding mothers. The role of health workers is needed to provide information related to breastfeeding exclusively to their babies so that they will receive protection against virus entered their bodies. Suggestion: It is necessary to develop studies regarding the typical responses that come up from IgA, IgM, IgG and are able to protect infants from Covid-19 and vertical transmission between mother and her baby during pregnancy to breastfeeding.
The Correlation of Self-Regulation Theory Constructs and the Incidence of Intradialytic Complications during Hemodialysis Arsa, Sandi Alfa Wiga; Chairunnisa, Miftah
Journal of Ners and Midwifery Vol 8 No 2 (2021)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v8i2.ART.p153-160

Abstract

Hemodialysis is currently applied as a routine treatment that is widely used by patients with chronic kidney failure, though complications still occur during dialysis. Self-regulation is a kind of theoretical model that represents the effect of perceived disease on behavior and health-related consequences. There is a process of problem representation, coping and appraisal or assessment of coping success involved in self-regulation. This study aimed to determine the correlation between self-regulation theory constructs and the incidence of intradialytic complications during hemodialysis. This was a descriptive analytic study with cross-sectional design. Consecutive sampling resulted in 42 respondents. Logistic regression results obtained disease representation variable with timeline (p=0.122; OR=0.412) and control (p=0.068; OR=0.582) sub-variables; as well as coping variable with Problem-focused (p=0.219; OR=0.912) and emotion-focused (p=0.036; OR=0.3) sub-variables. Intradialytic complications are complex conditions that involve many factors, but the patient's psychological adaptation process also deserves to be considered in developing self-regulation among hemodialysis patients. It is necessary to consider the provision of health education based on the constructs of this self-regulation theory, especially on variables/factors that have a correlation with the incidence of intradialytic complications in order to improve self-management among hemodialysis patients to get a better life.
The Effectiveness of Moxibution on Salivary Cortisol Levels in Primiparous Breastfeeding Mothers: Quasi-Experimental Study Chairunnisa, Miftah; Nurmawati, Thatit; Putri, Raden Roro Dewi Rahmawaty Aktyani
Journal of Ners and Midwifery Vol 12 No 2 (2025)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v12i2.ART.p177-185

Abstract

Optimal breastfeeding practices play a crucial role in enhancing the health of infants and children. However, increased anxiety among postpartum mothers can lead to higher cortisol levels. Moxibustion is a traditional therapy that has been shown to improve blood circulation, reduce discomfort, and influence the central nervous system by stimulating specific meridian points. This study aimed to examine the effect of moxibustion on cortisol levels in breastfeeding mothers. A quasi-experimental design with pretest and posttest was used. Participants were divided into two groups: an intervention group that received moxibustion and a control group that received acupuncture. A total of 32 breastfeeding mothers from Ngaliyan Public Health Center in Semarang participated in the study, with 16 individuals in each group. Moxibustion was applied to specific meridian points (CV17, LI4, SP6, ST16, ST18, ST36, BL17, and BL18). Cortisol levels were measured using the Enzyme-Linked Immunosorbent Assay (ELISA) method, and data were analyzed using the Mann-Whitney test. The results showed no significant difference in cortisol levels between the two groups (p = 0.864). The average cortisol change was -0.063 in the intervention group and -0.113 in the control group. It was concluded that moxibustion had no significant effect on cortisol levels. Further studies are recommended to explore other factors that may influence cortisol levels in postpartum mothers.