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All Journal Jurnal Penelitian Kesehatan Suara Forikes Health Notions Jurnal Kesehatan Manarang Jurnal Pendidikan dan Pelayanan Kebidanan Indonesia (Indonesian Journal of Education and Midwifery Care) Jurnal Kesehatan 2-TRIK: TUNAS-TUNAS RISET KESEHATAN Journal of Issues in Midwifery JURNAL ILMIAH OBSGIN : Jurnal Ilmiah Ilmu Kebidanan & Kandungan Jurnal Ilmiah Kebidanan (The Journal Of Midwifery) Indian Journal of Forensic Medicine & Toxicology AloHA International Journal of Health Advancement (AIJHA) Jurnal Abdi Masyarakat Indonesia International Journal of Advanced Health Science and Technology Media Publikasi Promosi Kesehatan Indonesia (MPPKI) EJOIN : Jurnal Pengabdian Masyarakat Gema Bidan Indonesia (e- Journal). Frontiers in Community Service and Empowerment Health Dynamics Indonesian Journal of Community Empowerment Jurnal Ilmu Psikologi dan Kesehatan Gema Bidan Indonesia (e-Journal) Borneo Nursing Journal
Nana Usnawati
Poltekkes Kemenkes Surabaya
Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Dentistry Economics, Econometrics & Finance Education Electrical & Electronics Engineering Engineering Environmental Science Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Library & Information Science Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Other

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Effectiveness of Audiovisual Media and Posters in Improving Breast Self-Examination (BSE) Behavior Among Couples of Reproductive Age Desti Ria Fortuna Isatanto; Nana Usnawati; Agung Suharto; Suparji Suparji
International Journal of Advanced Health Science and Technology Vol. 6 No. 4 (2026): August
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v6i4.637

Abstract

Breast cancer remains a major global public health concern, while participation in breast self-examination (BSE/SADARI) is still suboptimal among women. Inadequate knowledge, attitudes, and practical skills may limit consistent BSE practice, indicating the need for accessible and effective health education media. This study aimed to compare the effectiveness of audiovisual and poster-based health education in improving knowledge, attitudes, and BSE practice among married women aged 30–49 years in the working area of Sukomoro Health Center, Magetan Regency. A quantitative quasi-experimental study was conducted using a nonequivalent pretest–posttest control group design. A total of 156 eligible respondents were allocated to an audiovisual group (n=78) and a poster group (n=78). Data on knowledge, attitudes, and BSE practice were collected using validated and reliable questionnaires and an observation checklist. Within-group changes were analyzed using paired-sample t-tests, while between-group differences were assessed using independent-sample t-tests at a significance level of 0.05. The audiovisual group demonstrated significant improvements in knowledge, attitudes, and BSE practice, with mean scores increasing from 6.09±0.856 to 9.00±0.721, 29.44±1.325 to 37.99±1.222, and 18.94±3.694 to 33.55±3.992, respectively (all p<0.001). In the poster group, knowledge increased from 5.23±1.104 to 6.76±0.900 and practice from 11.32±3.694 to 11.87±3.992 (both p<0.001), whereas attitude did not change significantly. Between-group comparisons showed significant differences in knowledge, attitudes, and practice after the intervention (all p<0.001). These findings indicate that both media can support selected BSE outcomes, while audiovisual education produced broader short-term improvements across cognitive, affective, and behavioral domains. These results provide comparative evidence for selecting educational media in community-based breast cancer early-detection programs.
Post-Term Pregnancy as the Sole Significant Risk Factor for Meconium-Stained Amniotic Fluid Tarissa Ayuni Rismayanti; Heru Santoso Wahito Nugroho; Rahayu Sumaningsih; Nana Usnawati
Health Notions Vol 10, No 4 (2026): October-December
Publisher : Humanistic Network for Science and Technology (HNST)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hn10402

Abstract

Meconium-stained amniotic fluid (MSAF) is a condition in which amniotic fluid is contaminated with meconium and is associated with fetal distress and adverse perinatal outcomes, including neonatal asphyxia, meconium aspiration syndrome, infection, and perinatal mortality. This study aimed to analyze maternal age, gestational age, and parity as risk factors for MSAF among delivering mothers at Panekan Public Health Center from 2021 to 2025. This retrospective case-control study included 385 participants: 77 cases selected through total sampling and 308 controls selected using simple random sampling at a 1:4 ratio. Data were obtained from medical records and delivery registers and analyzed using binary logistic regression with a significance level of α = 0.05. Gestational age ≥40 weeks was significantly associated with MSAF (p = 0.005; OR = 2.21), with ≥40 weeks occurring in 32.5% of cases and 17.9% of controls. High-risk maternal age (>35 years) occurred in 18.2% of both cases and controls and was not significant (p = 0.818). Primiparity occurred in 37.7% of cases and 33.8% of controls and was not significant (p = 0.454). In conclusion, gestational age ≥40 weeks was the primary significant factor associated with MSAF in this study. Enhanced gestational-age monitoring and regular antenatal care are important, particularly as pregnancy approaches or exceeds 40 weeks.Keywords: risk factors; meconium-stained amniotic fluid; gestational age; post-term pregnancy
Case Report: Ibu Hamil Risiko Tinggi dengan Hipertensi Gestasional Melalui Pemanfaatan Pangan Lokal Pisang Ambon Bintang Aulia Putri Wardani; Nana Usnawati; Nurweningtyas Wisnu
Borneo Nursing Journal (BNJ) Vol. 8 No. 2b (2026)
Publisher : Akademi Keperawatan Yarsi Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61878/bnj.v8i2b.1978

Abstract

Hipertensi gestasional yang ditandai dengan tekanan darah ≥140/90 mmHg setelah 20 minggu tanpa proteinuria ialah factor risiko tinggi kehamilan, terutama jika disertai dengan jarak antar kehamilan yang panjang (>10 tahun). Kombinasi kedua factor ini meningatkan potensi preeklampsia bahkan eklampsia yang  menjadi penyebab utama morbiditas dan mortalitas ibu-janin. Penanganan nonfarmakologis pisang ambon kaya kalium diharapkan membantu mengendalikan tekanan darah. Pendekatan case report manajemen asuhan kebidanan melalui langkah pengumpulan data subjektif dan obyektif, analisa data, serta Penatalaksanaan. Subjek kasus ini pada Ny “S” kehamilan risiko tinggi dengan hipertensi gestasional di Praktik Mandiri Bidan “H” Madiun pada Februari 2026.  Pemberian terapi tambahan pisang ambon satu buah per hari selama 6 hari, tekanan darah ibu yang awalnya 140/90 mmHg dijadikan stabil dan cenderung menurun hingga 135/90 mmHg serta tidak terjadi komplikasi selama kehamilan. Pada proses persalinan, ibu menjalani sectio caesarea sesuai rekomendasi dokter, dan tekanan darah pada masa nifas stabil 120/80 mmHg tanpa hipertensi berkelanjutan. Kombinasi intervensi konsumsi pisang ambon, pemberian antihipertensi nifedipin serta pengaturan pola makan terbukti efektif dalam mengendalikan tekanan darah dan mencegah komplikasi obstetri pada ibu hamil melalui hipertensi gestasional, yang dibuktikan dengan stabilitas tekanan darah sejak masa antenatal hingga periode nifas. Disarankan pemanfaatan pisang ambon sebagai terapi tambahan yang aman, ekonomis, dan terjangkau.
Comparative Effectiveness of Educational Videos and Leaflets on Adolescent Self-Efficacy in Pregnancy Planning: A Quasi-Experimental Study Ajeng Mardiani; Nana Usnawati; Nurlailis Saadah; Sulikah Sulikah
International Journal of Advanced Health Science and Technology Vol. 6 No. 5 (2026): October
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v6i5.640

Abstract

Adolescent reproductive risk behaviors, including smoking and overt romantic involvement in school settings, may reflect limited self-control and decision-making capacity and may increase vulnerability to unintended pregnancy. Although reproductive health education is widely implemented, evidence comparing educational media for strengthening adolescents’ self-efficacy in pregnancy planning remains limited. This study aimed to compare the effectiveness of video-based and leaflet-based reproductive health education in improving adolescents’ self-efficacy for pregnancy planning. A quasi-experimental pretest–posttest two-group design was conducted among 46 female students at SMK PGRI 1 Magetan, East Java, Indonesia. Participants were randomly allocated to a video group (n=23) or a leaflet group (n=23). Both groups received standardized reproductive health education covering pregnancy planning, optimal reproductive age, pregnancy risks, physical, psychological, and social readiness, and reproductive decision-making. Self-efficacy was assessed using a 15-item, five-point Likert questionnaire based on the self-efficacy framework. Within-group changes were evaluated using the Wilcoxon Signed-Rank Test, while between-group differences were assessed using the Mann–Whitney U test. Self-efficacy increased significantly in both groups (p<0.01). The mean score in the video group increased from 35.00 to 53.35, representing a 52.42% increase, whereas the leaflet group increased from 34.87 to 43.52, representing a 24.81% increase. Baseline self-efficacy did not differ significantly between groups (p=0.690), while post-intervention scores differed significantly (p<0.01). Video-based education therefore produced a greater immediate improvement in adolescent self-efficacy for pregnancy planning than leaflet-based education. These findings support the use of audiovisual media as a potentially more engaging strategy for school-based reproductive health education, while larger studies with longer follow-up are needed to determine whether the observed gains are sustained and translate into behavioral outcomes.
Co-Authors Agustina Abuk Seran Ajeng Mardiani Ambarwati, Maria Retno Anik Suparti Anik Suparti Aries Prasetyo Ashriady, Ashriady Astin Nur Hanifah Astuti Setiyani, Astuti Ayu Riningsih Belva Azzahra Syafiqni Bero, Kornelia Alexia Bintang Aulia Putri Wardani Boimau, Adriana M. Budi Joko Santoso Christine Inventor Reyes Crysma Alfina Damayanti Desti Ria Fortuna Isatanto Dwi Indah Cahyaningsari Dwi Prasetyo Elsa Setiawati Evi Agustina Fairus, Hana Putri Farid Husin Fresha Galuh Mahendra Handayani, Tinuik Esti Handayani, Tinuk Esti Heru Santoso Wahito Nugroho Huru, Matje Meriaty Imelda Cahya Aprilia Irnama Syahara Kharisma Kusumaningtyas Kusnandi Rusmil Mamoh, Kamilus Maria Retno Ambarwati Mega Fatimah Rosana Meita Dhamayanti Nabella Rahmadhani Nabila Syahda Arsanti Nani Surtinah Nayla Shaffira Aniq Ngestiningrum, Ayesha Hendriana Novia Fitriani Nur Husnina, Nabilah Zul Awanis Nur Khoirin Diah Kumalasari nurlailis saadah Nurlailis Sa’adah Nurweningtyas Nurweningtyas Nurweningtyas Wisnu Nuryani Nuryani Nuryani, Nuryani Odi Lodya Namangdjabar Pertiwi, Nabila Putri Purwanti, Dwi Purwanto, Triana Septianti Rafa Rizki Fitriana Rahayu Sumaningsih Rahayu, Teta Puji Rahayu, Yunita Diah Revalina Anissa Azzahra Rizki Tweniari RR. Ella Evrita Hestiandari Santosa, Budi Joko Santosa, Budi Joko Serlyansie V. Boimau Siti Alfiah Subagyo Subagyo, Subagyo Suharto, Agung Sulikah, Sulikah Sulistyowati, Niken Dwi Sumasto, Hery Sunarto Sunarto Sunarto Sunarto SUPARJI Suparji Suparji Suparji Suparji Suparji Suparji Suparji Tarissa Ayuni Rismayanti Tinuk Esti Handyani Titi Maharrani Triana Septianti Tutiek Herlina Verlingga Diah Oktiasa Putri Vilia Tri Erlina Wisnu, Nurwening Tyas Yannavita Hadi Suwignyo Yeni Bekti Megananda