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PENINGKATAN PENGETAHUAN DAN KETERAMPILAN KADER KESEHATAN MELALUI PENYULUHAN DAN PELATIHAN TEKNIK KOMPLEMENTER PIJAT OKSITOSIN Ranny Septiani; M. Ridwan
JMM (Jurnal Masyarakat Mandiri) Vol. 2, No. 1: Juni 2018
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (185.135 KB) | DOI: 10.31764/jmm.v2i1.1340

Abstract

Abstrak Praktik melakukan pijat oxytosin dalam rangka peningkatan produksi Air Susu Ibu (ASI) untuk kesehatan bayi dan anak  dan pemberian makan yang baik dan tepat sangat penting untuk kelangsungan hidup, pertumbuhan, perkembangan, kesehatan dan gizi bayi dan anak batita.Metode yang digunakan (1) Pre-post tes (2) Ceramah dan tanya jawab pentingnya pijat oxytosin, (3) Demonstrasi dan simulasi pijat oksitosin,(4) redemonstrasi oleh kader.Hasil dari pelaksanaan kegiatan berdasarkan pre dan post tes terjadi peningkatan pengetahuan kader tentang pijat oksitosin dari rata-rata 42 menjadi 75. Dapat disimpulkan bahwa pada prinsipnya pelatihan telah berhasil menambah pengetahuan dan ketrampilannya tentang tekhnik komplementer: Pijat Oxytosin pada ibu menyusui Abstract:  The practice of doing oxytocin massage to increase the production of breast milk for infant and child health and good and proper feeding is very important for the survival, growth, development, health, and nutrition of infants and toddlers. Methods used (1) Pre-post tests (2) Lectures and discussion about the importance of oxytocin massage, (3) Demonstration and simulation of oxytocin massage, (4) re-demonstration by health cadres. The results of the implementation of activities based on pre and post-tests occur increasing health cadre's knowledge about oxytocin massage from the average averaged 42 to 75. It can be concluded that in principle the training has succeeded in increasing knowledge and skills about complementary techniques: Oxytocin massage in breastfeeding mothers. 
HUBUNGAN USIA IBU, OBESITAS DAN PENGGUNAAN KONTRASEPSI HORMONAL DENGAN KEJADIAN MIOMA UTERI M Ridwan; Gangsar Indah Lestari; Firda Fibrila
Jurnal Medikes (Media Informasi Kesehatan) Vol 8 No 1 (2021): Mei
Publisher : Politeknik Kesehatan Kementerian Kesehatan Banten

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36743/medikes.v8i1.268

Abstract

Prevalensi mioma uteri di Dunia meningkat lebih dari 70%. Di Indonesia sebesar 2,39% sampai 11,70% dari semua penderita ginekologi. Penelitian ini bertujuan mengetahui hubungan Usia Ibu, Obesitas dan Penggunaan Kontrasepsi Hormonal dengan Mioma Uteri di RSUD. Jend. A. Yani Metro, RSU Muhammadiyah Metro. Penelitian ini merupakan penelitian kuantitatif kolerasi dengan rancangan case control. Subyek penelitian adalah semua wanita dengan diagnosis penyakit ginekologi. Pengumpulan data menggunakan kuesioner, analisis data secara univariat dan bivariat. Hasil penelitian dari 101 responden sebanyak 44,6% ibu berusia beresiko, 48,5% ibu dengan obesitas dan 47,5% ibu menggunakan kontrasepsi hormonal. Hasil uji statistik hubungan usia ibu dengan kejadian mioma uteri diperoleh p value = 0,031, hubungan obesitas dengan kejadian mioma uteri diperoleh p value = 0,007 dan hubungan penggunaan kontrasepsi hormonal dengan kejadian mioma uteri diperoleh p value = 0,010. Bagi wanita usia kurang dari 20 tahun agar mengurangi konsumsi daging merah, mengonsumsi cukup buah dan sayur serta vitamin A dan D. Bagi wanita obesitas agar melakukan aktifitas fisik/berolah raga rutin disesuaikan dengan kondisi obesitasnya. Bagi ibu yang menggunakan kontrasepsi hormonal lebih dari 5 tahun disarankan untuk beralih metode kentrasepsi selain kontrasepsi hormonal.
FAKTOR DOMINAN PENYEBAB KEJADIAN KEKURANGAN ENERGI KRONIK PADA IBU HAMIL Firda Fibrila; Herlina Herlina; M Ridwan; Addi Mardi Harnanto
Jurnal Medikes (Media Informasi Kesehatan) Vol 9 No 1 (2022): Mei
Publisher : Politeknik Kesehatan Kementerian Kesehatan Banten

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36743/medikes.v9i1.338

Abstract

CED during pregnancy triggers cases of hypertension pregnancy, pre-eclampsia, bleeding, and premature rupture of membranes and causes fetal growth retardation during pregnancy. Many factors cause KEK. Therefore cases of KEK need to be considered so that they can be managed properly before and during pregnancy. Objective: to obtain the dominant factor causing SEZ in pregnant women. Methods: This research is an observational analytic study with an explanative quantitative method, using a case-control design. The sample in this study was divided into two groups, namely the case group of 36 pregnant women and the control group of 73 pregnant women. The research was conducted at the Independent Midwife Practice in Jatidatar, Central Lampung. Bivariate analysis using chi-square test. Multivariate analysis using multiple logistic regression test. The significance level was set at 95%. Results: Of the 6 variables that were tested by bivariate, only 3 variables were associated with the incidence of SEZ. Age (ρ=0.750), education (ρ=0.541), and occupation (ρ=0.132) were concluded to be unrelated to the incidence of SEZ, where each of these variables -value >0.05. Variables related to the incidence of SEZ in the statistical test results, namely; income (ρ=0.001, 95% CI: 1.911–13.821, OR = 5.139), parity (ρ=0.037, 95% CI: 1.137–5.903, OR = 2.591), anemia (ρ=0.001, 95% CI: 2.354– 13,454, OR = 5,628). In the final modeling, anemia was the dominant variable (POR/Exp(B) = 4.312, 95% CI = 1.741 – 10.683). Conclusion: Family income, maternal parity, and anemia are factors that play a role in triggering SEZ in pregnant women. Anemia after being controlled by the family income variable became the dominant factor causing KEK in pregnant women.
Edukasi Anemia dan Kekurangan Energi Kronik (KEK) Pada Remaja Putri di Kota Metro M Ridwan; Firda Fibrila
Jurnal Mitrawarga Vol. 1 No. 2 (2022): Jurnal Mitrawarga
Publisher : Fakultas Ilmu Sosial dan ilmu Politik

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (436.862 KB) | DOI: 10.23960/jmw.v1i2.10

Abstract

Health problems that commonly occur in young women today are related to nutrient intake. Young women or women of childbearing age tend to experience malnutrition (calories and protein) that lasts for a long time or is chronic. This condition causes adolescents to have poor nutrition, chronic lack of energy, lack of protein energy including anemia. Cases of anemia in young women reach 32%, meaning that 3-4 out of 10 adolescents suffer from anemia. In addition, nationally, the prevalence of chronic energy deficiency (CED) in young women (aged 15-19 years) has increased. In 2018 CED cases were 33.5% and in 2020 it was 36.3%. This community service activity aims to provide education to 240 young women in Metro City, as well as assess their knowledge about anemia and CED. The activity method starts from situation analysis, socialization, implementation of pretest, education and posttest, then evaluation and reflection. The results of this activity have an impact on increasing the understanding of young women about the dangers of Anemia and CED.
PENGARUH TERAPI AKUPRESUR DALAM MENURUNKAN NYERI DISMINORE PADA REMAJA PUTRI Firda Fibrila; M. Ridwan; Septi Widiyanti
Jurnal Penelitian Multidisiplin Ilmu Vol 1 No 6 (2023): April 2023
Publisher : Melati Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Dysmenorrhea is menstrual pain that is felt in the lower abdomen and spread to the pelvis that can interfere with daily activities. The cause of dysmenorrhea is caused by myometrial contractions resulting in ischemia due to the prostaglandins produced by the endometrium. Type of quasi experimental research with pretest and posttest group approach. Population in this research is student of Level 1 Program Study Kebidanan Metro Poltekkes Tanjungkarang who experience dysmenorrion as much as 61 student. Sampling using simple random sampling technique as much as 53 people. Data collection using observation and interview. The univariate analysis used the mean and bivariate analysis using the dependent Willcoxon signed-rank Test statistic test. The results of the average analysis of dysmenorrhea pain in adolescent girls before being given acupressure therapy were 5.89 (moderate pain) and after acupressure therapy was obtained 3.40 (moderate pain). The result of statistical test using Willcoxon signed-rank Test obtained p value 0,000 (p ? ? 0,05), there is influence of acupressure therapy in reducing dysmenorrhea pain in adolescent girls in Program Study Kebidanan Metro Poltekkes Tanjungkarang. Expected acupressure therapy as an easy and practical non-pharmacological method can be used as an alternative treatment in reducing dysmenorrhea pain.
Skrining Kesehatan Dalam Upaya Meningkatkan Status Kesehatan Remaja Di Kota Metro M.Ridwan; Septi Widiyanti; Yuliawati Yuliawati; Rofana Aghniya
Jurnal Anestesi Vol. 1 No. 1 (2023): Januari : Jurnal Anestesi
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/anestesi.v1i1.244

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Routine health checks/screenings are preventive promotive efforts mandated to be carried out by regents/mayors in accordance with Permendagri no 18/2016 with the aim of encouraging people to recognize risk factors for non-communicable diseases (PTM) related to behavior and make immediate control efforts at the individual, family level and society; encouraging the discovery of physiological risk factors that have the potential to cause PTM, namely overweight and obesity, high blood pressure, high blood sugar levels, sensory disturbances and mental disorders. The purpose of this activity is to find out earlier the status of reproductive health in young women at SMK Muhammadiyah 3 Metro. Screening consists of measuring weight, measuring height, measuring BMI, measuring LILA and personal hygiene screening. Screening results showed that 1.9% of students had low TB (less than 148.9cm), 28.3% had a thin BMI status, 5% BMI Overweight and 18.5% had KEK (Chronic Energy Deficiency) with LILA<23 ,5cm. From this activity it can be concluded that the health problems of adolescents at Muhammadiyah 3 Metro Vocational School are quite varied so that further intervention is needed so as not to cause unwanted health impacts in the future.
Penyuluhan Kesehatan Reproduksi Pada Remaja Putri Gangsar Indah Lestari; Firda Fibrila; M Ridwan
AMMA : Jurnal Pengabdian Masyarakat Vol. 2 No. 8 : September (2023): AMMA : Jurnal Pengabdian Masyarakat
Publisher : CV. Multi Kreasi Media

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Abstract

Adolescence is a transitional period, often individuals face confusing situations. This causes conflict in adolescents where many behaviors are strange, awkward, and if not controlled will cause delinquency in adolescents, one of which is the risk of risky sexual behavior. Some factors related to adolescent reproductive health include socioeconomic factors, cultural and environmental factors, psychological factors and biological factors. The influence of global information (exposure to audio-visual media) that is increasingly accessible and actually provokes adolescents to adapt unhealthy habits, which will accelerate the age of early sexual activity and lead them to high-risk sexual behavior, because most adolescents do not have accurate knowledge about reproductive health and sexuality and do not have access to reproductive health information and services,  including contraception. One of the efforts that can be done is to conduct health education on how to care for reproductive organs, education about adolescent development during puberty, the impact of pornography, the impact of unwanted pregnancy, abortion, sexually transmitted diseases including HIV / AIDs and maturation of marriage age.
FAKTOR-FAKTOR YANG BERPENGARUH TERHADAP PRESTASI BELAJAR MAHASISWA DIPLOMA III KEBIDANAN SE-PROPINSI LAMPUNG TAHUN AKADEMIK 2010/20 Supriatiningsih supriatiningsih; M Ridwan
Jurnal Kesehatan Metro Sai Wawai Vol 4, No 2 (2011): JURNAL KESEHATAN METRO SAI WAWAI
Publisher : Poltekkes Kemenkes Tanjung Karang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jkm.v4i2.1163

Abstract

Abstrak. Prestasi belajar pada hakekatnya adalah hasil belajar yang diperoleh seseorang/mahasiswa pada suatu saat. Faktor-faktor yang mempengaruhi Prestasi belajar digolongkan menjadi dua yaitu faktor eksternal dan faktor internal. Faktor eksternal meliputi; guru, metode belajar mengajar, asal daerah, lingkungan belajar, status sosial orang tua, dan sebagainya, sedangkan faktor internal seperti bakan minat, motivasi, kecerdasan, dan sebagainya.Tujuan penelitian untuk mengetahui faktor-faktor yang berpengaruh terhadap prestasi belajar Diploma III Kebidanan se-Propinsi lampung tahun Akademik 2010-2011. Rancangan penelitian merupakan studi cross sectional. Populasi penelitian adalah seluruh mahasiswa Diploma III Kebidanan se-Propinsi lampung tahun akademik 2010-2011 dengan besar sampel sebanyak 280 orang. Uji statistik yang digunakan adalah uji Chi-Squre dan multiple logistic regression dengan model prediksi.Hasil penelitian diperoleh proporsi prestasi belajar dan nilai ujian masuk masing-masing sebesar 51,4% dengan katagori baik, 76,8% berasal dari SLTA negeri, 90% jenis pendidikan SMU/A, 72,5% kekhususan IPA, 86,1% umur ijazah ≤ 1 tahun, 51,1% nilai ujian masuk baik dan 65,7% tinggal di asrama. Hasil analisis hubungan nilai UAN,  asal sekolah, kekhususan, umur ijazah, nilai ujian masuk dengan prestasi belajar diperoleh nilai p masing-masing 0,000. Hubungan jenis pendidikan dengan prestasi belajar diperoleh nilai p=0,002, dan hubungan kekhususan dengan prestasi belajar diperoleh nilai p=0,025.Kesimpulan menunjukkan ada hubungan nilai UAN, asal sekolah, jenis pendidikan, kekhususan, umur ijazah, nilai ujian masuk dan tempat tinggal dengan prestasi belajar. Faktor dominan yang berhubungan dengan prestasi belajar adalah nilai UAN (OR=4,9) setelah dikontrol oleh faktor kekhususan dan asal sekolah. Saran : perlu dikaji lebih mendalam pada tahap seleksi administrasi saat seleksi penerimaan mahasiswa baru. Perlu ditetapkan persyaratan minimal NEM SLTA dengan merujuk pada perolehan nilai rata-rata NEM SLTA di Propinsi Lampung pada tiap tahunnya, perlu tetap merekomendasikan kekhususan IPA selain itu  sehingga diharapkan  “ row imput “ calon peserta didik yang berkualitas. Selain itu perlu setiap institusi Diploma III Kebidanan mewajibkan peserta didiknya tinggal diasrama dengan  menyiapkan sarana dan prasarana yang baik.
FAKTOR YANG BERHUBUNGAN DENGAN STUNTING PADA BALITA USIA 24-56 BULAN Desy Rahmawati; M. Ridwan; Firda Fibrila
JOEL: Journal of Educational and Language Research Vol. 2 No. 4: November 2022
Publisher : Bajang Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53625/joel.v2i4.4110

Abstract

The case of stunting in toddlers is still a health problem that needs to be watched out for and needs to be seen as an important issue to overcome because it is related to child welfare. Research finds out factors related to stunting incidence in toddlers aged 24-60 months. Analytical survey research method with cross sectional design. The subjects were all toddlers aged 24-60 months who met the inclusion and exculpatory criteria totaling 948 toddlers with a large sample of 88 toddlers. Data were collected simple random sampling by analyzing the chi square test. The results of the study obtained 11.4% of toddlers stunted, 28.4% of mothers with less knowledge, 36.3% of mothers at high risk, and 42% of family income in the low category. Results: the relationship of maternal knowledge with the incidence of stuntung p-value 0.028, the relationship of maternal age of p-value stuntung event of 0.033, and the relationship of family income with the incidence of stuntung p-value 0.015. Conclusion: there is a relationship between knowledge, maternal age and family income with the incidence of stunting in toddlers aged 24-60 months. Examination of children's growth and development using KTSP needs to be carried out continuously as an effort to early detect and assess the nutritional status of toddlers by involving all elements.
FAKTOR YANG BERHUBUNGAN DENGAN PENGGUNAAN METODE KONTRASEPSI EFEKTIF TERPILIH (MKET) PADA PUS DI PUSKESMAS MARGOREJO KOTA METRO Herlina Herlina; M. Ridwan; Firda Fibrila
JOEL: Journal of Educational and Language Research Vol. 2 No. 5: Desember 2022
Publisher : Bajang Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53625/joel.v2i5.4548

Abstract

The rate of population growth per year is a figure that shows the average rate of population growth per year over a period of time. So that the rate of Population Growth per Year during 2010-2020 averaged 1.25 percent, slowing down compared to the 2000-2010 period of 1.49 percent and reaching 1.17 percent in 2022, one of the causes was the government's policy to suppress the rate of population growth through the Family Planning program launched in 1980. The use of MKET is strongly influenced by factors that influence the choice of contraceptive methods used, namely preposition factors (age, education, number of children, knowledge, attitudes) supporting factors (availability of contraceptives, distance from home to puskesmas, travel time and cost) driving factors such as support for health workers. The results showed that there was a relationship between knowledge, attitudes, husband support and the role of health workers in the use of MKET contraceptives. The health promotion program that has been carried out needs to be improved both in the quantity / number of activities and the quality of IEC (Communication, Information and Education), especially to PUS in the use of MKET contraceptives. Assistance is needed and actively involves the role of the husband when making decisions on the selection of contraceptives as he wants.