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                        Risiko Perilaku Makan Selama Hamil Terhadap Kejadian Preeklamsia Di Puskesmas Panekan Tahun 2018 
                    
                    Anik Suparti; 
Suparji Suparji; 
Nana Usnawati                    
                     Gema Bidan Indonesia Vol. 10 No. 1 (2021): Maret 2021 
                    
                    Publisher : Jurusan Kebidanan Politeknik Kesehatan Kemenkes Surabaya 
                    
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                                DOI: 10.36568/gebindo.v10i1.5                            
                                            
                    
                        
                            
                            
                                
Preeclampsia (PE) is a contributor to mortality and morbidity of mothers and babies. Preeclampsia is the second biggest cause of maternal mortality, affecting 3% to 8% of pregnant women worldwide. The prevalence of preeclampsia in pregnant women in Magetan in 2017 as many as 189 people, while in 2018 as many as 270 people. An increase in the incidence of pre-eclampsia from 2017 to 2018 as many as 81 people. The research objective to analyze the risks of eating behavior during pregnancy on the incidence of preeclampsia in Puskesmas Panekan 2018. This study is a retrospective observational analytic approach (case- control). The subjects were birth mothers, 27 respondents in the case group and 27 respondents in the control group, for a total of 54 respondents. Data was collected by using a questionnaire, conducted on birth mothers in Puskesmas Panekan Year 2018. The analysis technique used is logistic regression. The results used logistic regression eating behavior p value = 0.00 (p <0.05) and OR (Exp B) 35.714. Based on the description above can be concluded that the eating behavior influenced the incidence of preeclampsia. pregnant women who have unhealthy eating behaviors have 35x greater risk for preeclampsia than women who have healthy eating behaviors, so it is advised untuk reduce the incidence of pre-eclampsia in pregnant women with preeclampsia risk factor control needed in pregnancy that is by implementing a healthy eating behavior. Keywords :Preeclampsia, eating behavior.
                            
                         
                     
                 
                
                            
                    
                        Risiko Perilaku Makan Selama Hamil Terhadap Kejadian Preeklamsia Di Puskesmas Panekan Tahun 2018 
                    
                    Anik Suparti; 
Suparji Suparji; 
Nana Usnawati                    
                     Gema Bidan Indonesia Vol. 10 No. 1 (2021): Maret 
                    
                    Publisher : Jurusan Kebidanan Politeknik Kesehatan Kemenkes Surabaya 
                    
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                                DOI: 10.36568/gebindo.v10i1.5                            
                                            
                    
                        
                            
                            
                                
Preeclampsia (PE) is a contributor to mortality and morbidity of mothers and babies. Preeclampsia is the second biggest cause of maternal mortality, affecting 3% to 8% of pregnant women worldwide. The prevalence of preeclampsia in pregnant women in Magetan in 2017 as many as 189 people, while in 2018 as many as 270 people. An increase in the incidence of pre-eclampsia from 2017 to 2018 as many as 81 people. The research objective to analyze the risks of eating behavior during pregnancy on the incidence of preeclampsia in Puskesmas Panekan 2018. This study is a retrospective observational analytic approach (case- control). The subjects were birth mothers, 27 respondents in the case group and 27 respondents in the control group, for a total of 54 respondents. Data was collected by using a questionnaire, conducted on birth mothers in Puskesmas Panekan Year 2018. The analysis technique used is logistic regression. The results used logistic regression eating behavior p value = 0.00 (p <0.05) and OR (Exp B) 35.714. Based on the description above can be concluded that the eating behavior influenced the incidence of preeclampsia. pregnant women who have unhealthy eating behaviors have 35x greater risk for preeclampsia than women who have healthy eating behaviors, so it is advised untuk reduce the incidence of pre-eclampsia in pregnant women with preeclampsia risk factor control needed in pregnancy that is by implementing a healthy eating behavior. Keywords :Preeclampsia, eating behavior.
                            
                         
                     
                 
                
                            
                    
                        Duration of Use of KB Injections 3 Months Against Spotting Events in KB Participants 
                    
                    Saadah, Nurlailis; 
Galuh Mahendra, Fresha; 
Usnawati, Nana; 
Surtinah, Nani                    
                     International Journal of Advanced Health Science and Technology Vol. 3 No. 4 (2023): August 
                    
                    Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES) 
                    
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                                DOI: 10.35882/ijahst.v3i4.266                            
                                            
                    
                        
                            
                            
                                
Spotting is bleeding between 2 menstrual cycles due to hormonal imbalance in the body due to the use of hormonal birth control that is used by the community, namely 3-month injection birth control. Spotting occurs due to an increase in the amount of the hormone progesterone in the body due to injections. This study aimed to determine the effect of the duration of using 3 months of injectable birth control on the incidence of spotting. The research method uses an analytical survey with a retrospective approach. A sample of 246 KB injection participants for 3 months was taken by systematic simple random sampling. Statistical analysis using Fisher's Exact test. The results showed that most of the 3-month injection KB participants who were less than 2 years old experienced spotting side effects, while those who used injection KB for more than 2 years did not experience spotting. A p-value of 0.000 was obtained (p-value <0.05) so that there was an effect of the duration of using 3 months of injection contraception on the incidence of spotting. It is hoped that this research can be used for PUS who will use 3-month injectable birth control or who are currently using 3-month injection birth control as an illustration of the side effects that will be experienced when using 3-month injection birth control, so there are no dropouts and switching to using non-hormonal birth control.
                            
                         
                     
                 
                
                            
                    
                        Reducing Stunting Through Specific Nutrition Interventions in Action to Prevent Stunting Program (ACS) and Supplementary Feeding Program (PMT) 
                    
                    Saadah, Nurlailis; 
Cahyaningsari, Dwi Indah; 
Usnawati, Nana                    
                     International Journal of Advanced Health Science and Technology Vol. 3 No. 3 (2023): June 
                    
                    Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES) 
                    
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                                DOI: 10.35882/ijahst.v3i3.267                            
                                            
                    
                        
                            
                            
                                
Stunting is one of the nutritional problems that is a priority and must be addressed. Specific nutrition interventions in the ACS and PMT programs both have an effect on reducing stunting. Objective: To find out the differences in the effect of specific nutrition interventions in the ACS and PMT programs on reducing stunting. This research is a comparative research, cross-sectional research design. Sample: This study consisted of 60 stunted toddlers, consisting of 30 stunted toddlers in Jabung Village ad 30 stunted toddlers in Ngiliran Village. Analysis of differential effects: Independent Sample t-test. Results showed that specific nutrition interventions in the ACS program showed that 15% of toddlers passed stunting and 35% of toddlers did not pass stunting, while during the PMT implementation, 10% of toddlers passed stunting and 40% of toddlers did not pass stunting. The Independent Sample t-test concluded that there were differences in the effect of specific nutrition interventions on the ACS and PMT programs on stunting reduction. Concluded tha there were differences in the effect of specific nutrition interventions in the ACS and PMT programs had an effect on reducing stunting. So it is suggested that the handling of stunting in the ACS program can be disseminated and replicated on other places to reduce the incidence of stunting.
                            
                         
                     
                 
                
                            
                    
                        The Relationship Between Parenting Styles and Self-Harm Behavior in Adolescents 
                    
                    Suwignyo, Yannavita Hadi; 
Nana Usnawati; 
Tutiek Herlina; 
Rahayu Sumaningsih                    
                     International Journal of Advanced Health Science and Technology Vol. 4 No. 3 (2024): June 
                    
                    Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES) 
                    
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                                DOI: 10.35882/ijahst.v4i3.345                            
                                            
                    
                        
                            
                            
                                
Individuals are required to be able to adapt to the many changes that occur during adolescence, so support from the family is needed to deal with these changes. Normal development in this period of turmoil with rapid physical, cognitive and emotional transformations is influenced by parental interest and emotional involvement as well as parenting styles that determine the overall climate and communication in the family. Parents apply different parenting styles, ranging from authoritarian, democratic and permissive parenting. The purpose of this study was to determine the relationship between parenting patterns in adolescents and self-harm behavior in adolescents. This study was an analytic study with a case control design. The sample was 42 students of SMPN 1 Plaosan and their parents using a total population technique for the case group and a simple random sampling technique for control group. The independent variable was parenting style, the dependent variable was self harm behavior in adolescents. The instrument in this study used a questionnaire. To analyze the correlation used chi square test was used with α 0.05. The research results showed that most parents provided an authoritarian parenting style in the case group and some parents provided a democratic parenting style in the control group. The chi square test results obtained p = 0.00 (p = <0.05). The conclusion in this study is that there is a correlation between parenting patterns and self-harm behavior in adolescents. It is recommended that parents provide democratic parenting patterns for their children.
                            
                         
                     
                 
                
                            
                    
                        Effectiveness of Milk Supplementation on Weight and Height/Length in Stunted Toddles 
                    
                    Megananda, Yeni Bekti; 
Nana Usnawati; 
Tutiek Herlina; 
Rahayu Sumaningsih; 
Reyes, Christine Inventor                    
                     International Journal of Advanced Health Science and Technology Vol. 4 No. 3 (2024): June 
                    
                    Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES) 
                    
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                                DOI: 10.35882/ijahst.v4i3.346                            
                                            
                    
                        
                            
                            
                                
Stunting or a short child was described as a toddler whose height was lower than the standard height for toddlers his age. Until now, the prevalence of stunted toddlers in Indonesia is still high. The prevalence of stunted toddlers at the Plaosan Community Health Center in the last 3 years showed an increase. The cause of stunting, apart from infection, is also related to nutritional deficiencies (micronutrients and macronutrients). The adverse effected of stunting in the short term are disruption of brain development, intelligenced, impaired physical growth, and metabolic disorders in the body. Supplementary feeded is one of the solutions in handling stunting. This study aims to determined the effectiveness of milk feeded on the weight and height/length of stunted toddlers. The typed of research used was pre-experimental with a one group pretest posttest design. The sample used a total population of 56 toddlers. The dependent variable in this studied was the weight and height/length of stunted toddlers, the independent variabled is the provision of milk for toddlers. Data collection used weight and height measurement sheets and milk feeded observation sheets. Comparative data analysis was conducted using the paired samples t test statistical test. The results of the study show that the average body weight before giving milk was 8737.5 mm and after giving milk 8923.2 mm. Body height/length before milk feeding was 804.6 mm and after milk feeding was 806.63 mm. Different test using paired samples t test obtaining the conclusion that there is a significant difference in the increase in body weight of toddlers with a significance level of 0.000 (p <0.05) and there is a significant difference in increasing the height of toddlers with a significance level of 0.000 (p <0.05). Conclution: Milk is effective to increase the weight and height/length of toddlers, so it is advisable for mothers of toddlers to get their children used to a glass of milk everyday.
                            
                         
                     
                 
                
                            
                    
                        Ukuran Lingkar Lengan Atas (LiLA) Ibu Hamil dengan Kejadian BBLR 
                    
                    Sulistyowati, Niken Dwi; 
Santosa, Budi Joko; 
Usnawati, Nana; 
Rahayu, Teta Puji                    
                     2-TRIK: TUNAS-TUNAS RISET KESEHATAN Vol 13, No 1 (2023): Februari 2023 
                    
                    Publisher : FORUM ILMIAH KESEHATAN 
                    
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      Bayi berat lahir rendah adalah bayi yang lahir dengan berat badan kurang dari 2.500 gram. Salah satu faktor yang dapat mempengaruhi kejadian BBLR adalah status gizi ibu dimana status gizi ibu hamil dapat diukur menggunakan ukuran lingkar lengan atas (LiLA). Penelitian ini bertujuan untuk mengetahui hubungan lingkar lengan atas (LiLA) dengan kejadian BBLR. Jenis penelitian survei analitik dengan rancangan case control, populasi dalam penelitian ini adalah seluruh bayi dengan berat lahir rendah di wilayah kerja Puskesmas Poncol, diambil secara simple random sampling di telusuri secara retrospektif dengan menggunakan perbandingan 1:1 maka sampel terbagi menjadi 52 sampel kasus dan 52 sampel kontrol, variabel independent (LiLA) sedangkan variabel dependen (BBLR). Instrument penelitian menggunakan buku register kohort. Pengukuran dengan chi-square dan odd ratio CI95%. Hasil uji statistik  Chi-square didapatkan x2 : 3,446 nilai p = 0,063 sehingga H0 di terima tidak ada hubungan LiLA ibu hamil dengan kejadian BBLR. Dimungkinkan ada faktor selain LiLA untuk kejadian BBLR di Puskesmas Poncol. Risiko kejadian BBLR 2,820 kali pada ibu hamil LiLA < 23,5 cm  dibandingkan ibu hamil LiLA ≥ 23,5 cm. Diharapkan untuk penelitian selanjutnya lebih meningkatkan deteksi dini pada ibu hamil untuk pencegahan bayi berat lahir rendah.kesimpulanKata kunci: LiLA; BBLR
                            
                         
                     
                 
                
                            
                    
                        Hubungan Pola Makan Dengan Perubahan Kadar Hemoglobin Ibu Hamil 
                    
                    Khoirunnisa, Khoirunnisa; 
Usnawati, Nana; 
Santoso, Budi Joko; 
Handayani, Tinuk Esti                    
                     2-TRIK: TUNAS-TUNAS RISET KESEHATAN Vol 12, No 4 (2022): November 2022 
                    
                    Publisher : FORUM ILMIAH KESEHATAN 
                    
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Kehamilan merupakan proses natural bagi seorang perempuan, dimulai dari konsepsi sampai lahirnya janin dengan, namun sebesar 10-20% kehamilan dapat disertai dengan komplikasi. Anemia merupakan salah satu komplikasi yang sering terjadin pada ibu hamil dikarenakan pola makan yang tidak sehat. Tahun 2021 kunjungan K1 yang melakukan pemeriksaan Hemoglobin (Hb) sejumlah 1.694 diantaranya  371 (21,9%) ibu hamil mengalami anemia. Terdapat anemia dengan kadar Hb 8-11 gr/dL dan <8 gr/dL sejumlah 357 (96,2%) dan 14 (3,8%). Penelitian ini bertujuan untuk mengetahui hubungan pola makan dengan perubahan kadar Hb pada ibu hamil. Penelitian ini merupakan penelitian analitik dengan rancangan studi kohort. Populasi penelitian ialah 31 ibu hamil di Desa Panekan. Teknik pengambilan sampel menggunakan teknik Simple random sampling didapatkan sampel sejumlah 29 ibu hamil. Variabel bebas penelitian ialah pola makan dan variabel terikat ialah perubahan kadar Hb ibu hamil. Pengumpulan data menggunakan tabel food record dan dilakukan pengamatan selama 14 hari. Analisa hubungan antar variabel menggunakan uji statistika chi square α 0,05. Dari hasil analisis menggunakan chi square disimpulakan ada hubungan pola makan dengan perubahan kadar Hb ibu hamil. Responden diharapkan mampu menjaga pola makan dengan sehat sesuai dengan isi piringku, sehinngga kadar Hb menjadi normal.
                            
                         
                     
                 
                
                            
                    
                        PENGARUH PRAKTIK SADARI DENGAN METODE PEER GROUP EDUCATION TERHADAP PERUBAHAN PERILAKU SADARI PADA REMAJA DI PESANTREN BAITUL QURAN AL JAHRA MAGETAN 
                    
                    Bero, Kornelia Alexia; 
Usnawati, Nana; 
Santosa, Budi Joko; 
Handayani, Tinuik Esti                    
                     2-TRIK: TUNAS-TUNAS RISET KESEHATAN Vol 13, No 2 (2023): Mei 2023 
                    
                    Publisher : FORUM ILMIAH KESEHATAN 
                    
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SADARI atau pemeriksaan payudara sendiri dilakukan untuk melihat dan memeriksa adanya benjolan atau masalah lain. Studi Penyakit Tidak Menular  tercatat 53,7% masyarakat Indonesia tidak pernah melakukan SADARI Tujuan penelitian ini adalah mengetahui pengaruh praktik SADARI dengan metode peer group education terhadap perubahan perilaku sadari pada remaja di Pesantren Baitul Quran Al Jahra Magetan. Penelitian ini merupakan penelitian pra eksperimen yang bersifat one group pretest-post test design. Sampel yang di ambil dengan teknik proportioned random sampling sejumlah 53 responden. Variable independent adalah praktik SADARI dengan metode peer group education, sedangkan variable dependent adalah perilaku SADARI. Pengumpulan data menggunakan lembar observasi. Analisis adanya perbedaan digunakan uji wilcoxon dengan signed rank test 0,05. Hasil penelitian sebelum dilakukan praktik SADARI menggunakan metode peer group education responden sebanyak 51 orang (96,2%) melakukan praktik SADARI dalam kategori tidak tepat, kemudian setelah dilakukan praktik SADARI menggunakan metode peer group education sebagian besar responden yakni sebanyak 33 orang (37,7%) telah memiliki kemampuan praktik SADARI dalam kategori tepat. Hasil analisa data menggunakan uji willcoxon ada pengaruh praktik SADARI dengan metode peer group education terhadap perubahan perilaku SADARI (p value =0,000 < α = 0,05) pada remaja di Pesantren Baitul Quran Al Jahra Magetan. Dari hasil analisis data tersebut dapat disimpulkan bahwa ada pengaruh pratik SADARI dengan metode peer group education terhadap perubahan perilaku SADARI di Pesantren Baitul Al Jahra Magetan. Diharapkan untuk lebih memperluas pengetahuan tentang kanker payudara agar dapat menumbuhkan kesadaran untuk melakukan praktik SADARI sehingga mampu mendeteksi secara dini gejala kanker payudara.Kata Kunci : SADARI; Metode Peer Group Education.
                            
                         
                     
                 
                
                            
                    
                        Hubungan Pola Asuh Dengan Perilaku Emosional Anak 
                    
                    Nur Husnina, Nabilah Zul Awanis; 
Santosa, Budi Joko; 
Usnawati, Nana; 
Rahayu, Teta Puji                    
                     2-TRIK: TUNAS-TUNAS RISET KESEHATAN Vol 13, No 4 (2023): November 2023 
                    
                    Publisher : FORUM ILMIAH KESEHATAN 
                    
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Latar Belakang : Masalah perilaku emosional sejak dini dapat menyebabkan masalah kejiwaan jika terlambat diketahui. Setiap orang tua mempunyai pola asuh yang berbeda, gaya pengasuhan yang tidak baik akan menurunkan perkembangan sosial anak.Tujuan : Menemukan hubungan antara pola asuh orang tua dengan perilaku emosional anak usia 4-6 tahun di TK Marsudi Siwi Magetan.Metode : Penelitian ini merupakan penelitian analitik observasional dengan pendekatan cross sectional. Pengambilan sampel menggunakan model slovin dan didapatkan responden. Variabel independent adalah pola asuh orang tua, sedangkan variabel dependent adalah perilaku emosional. Pengumpulan data menggunakan kuesioner PSDQ dan KMPE, lalu diolah dan dianalisis menggunakan uji Chi-Square.Hasil : Orang tua yang menerapkan pola asuh demokratis sebanyak 14 orang, dan anak yang kemungkinan mengalami masalah perilaku emosional sebanyak 13 anak. Hasil uji Chi-Square menunjukkan pengaruh pola asuh orang tua dengan perilaku emosional anak usia 4-6 tahun nilai p-value = 0,002, sehingga Ho ditolak (p = 0,05).Kesimpulan : Dalam menentukan pola asuh pada anak sebaiknya orang tua menerapkan pola asuh deokratis.Saran : Diharapkan kedepannya anak menjadi pribadi lebih baik untuk menjadi penerus bangsa yang berkualitas.Kata kunci: pola asuh orang tua; perilaku emosional.