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All Journal Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing) Indonesian Journal of Global Health research Budapest International Research and Critics Institute-Journal (BIRCI-Journal): Humanities and Social Sciences Media Publikasi Promosi Kesehatan Indonesia (MPPKI) INDOGENIUS Cerdika: Jurnal Ilmiah Indonesia Journal of Health Research and Technology Jurnal Bidan Cerdas Poltekita: Jurnal Ilmu Kesehatan
Marisa, Dewi Erna
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Religion Arts Humanities Dentistry Economics, Econometrics & Finance Education Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health Social Sciences

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Hubungan Gangguan Sistem Kardiovaskuler pada Kehamilan dengan Kejadian Berat Badan Lahir Di RSUD Arjawinangun Kasmad, Kasmad; Nurhaeni, Ani; Marisa, Dewi Erna
Cerdika: Jurnal Ilmiah Indonesia Vol. 2 No. 7 (2022): Cerdika: Jurnal Ilmiah Indonesia
Publisher : Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/cerdika.v2i7.415

Abstract

Changes in the function of the cardiovascular system in pregnant women are characterized by an increase in blood volume, cardiac output, heart rate, stroke volume, and decreased vascular resistance. Preeclampsia and hypertension contribute greatly to 10-15% of the total deaths of pregnant women in the world. Preeclampsia and hypertension in pregnant women is the biggest risk factor for low birth weight babies (LBW) because it can cause reduced blood flow to the placenta and fetal growth is stunted. The purpose of this study was to determine the relationship of cardiovascular system disorders in pregnancy with birth weight events. The method in this study uses the correlation description method with a retrospective approach. The population in this study were mothers who gave birth with cardiovascular system disorders in the delivery room of Arjawinangun Regional Hospital. The population in this study was 172 people in the period January - March 2019. The size of the sample to be studied as many as 47 people were taken by simple random sampling. Bivariate data analysis uses the chi-square correlation test. The instrument uses a questionnaire. The results showed that most respondents (63.8%) had hypertension and cardiovascular disorders and most respondents (63.8%) had normal birth weight. The conclusion of this study there is a relationship between cardiovascular system disorders and birth weight in Dewi Sartika Arjawinangun Regional Hospital {p value = 0,000; ? <0.05}.
Integrated Approach to Improve Hemoglobin in Adolescent Girls: A Quasi-Experimental Controlled Study Marisa, Dewi Erna; Fadila, Erida; Syaripudin, Ahmad; Hamdani, Hasril Desiathul; Wahyuni, Lily; Tantri Maulani Putri
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 5 (2026): May 2026
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i5.9378

Abstract

Introduction: A major public health issue affecting adolescent girls is anemia, largely as a result of insufficient iron intake, menstrual blood loss, and poor nutritional literacy. A single-component intervention either supplementation or education rarely produces more than a modest amelioration. Evaluating the effectiveness rates of an integrated intervention, consisting of an iron-rich diet as a component of the regimen, iron supplementation as supplementary factor, and structured nutritional education versus single-component strategies aimed to improve hemoglobin (Hb) among adolescent girls, this study aims to address limitations associated with a single-component intervention approach alone. Methods: A quasi-experimental controlled non-randomized design with prospective follow-up was carried out with 180 adolescent girls between 12–18 years of age recruited from a stratified sampling. Participants were recruited in school and divided into three intervention arms to reduce contamination. In addition to the oral iron supplementation (60 mg, two times weekly for 12 weeks), the intervention utilized iron-rich dietary intervention, and included six structured education sessions based on the Health Belief Model. Hemoglobin levels were measured at baseline, Month 3, and Month 6 using the cyanmethemoglobin method. Dietary behaviour and adherence were assessed on the basis of validated instruments. Data were analyzed using repeated measures ANOVA and assumption diagnostics with appropriate revisions, Tukey post-hoc comparisons and multivariate linear regression adjusted for baseline Hb and all relevant covariates. Statistical significance was defined as p < 0.05. Results: No differences between baseline hemoglobin levels (p = 0.632). All intervention arms showed significant increases of Hb over six months (time effect, p < 0.001). The integrated intervention achieved the most mean improvement (3.5 g/dL) than supplementation plus education (2.2 g/dL) and diet plus education (1.6 g/dL) and there were significant (p < 0.001) between-group differences. Intervention type and adherence level were still significant predictors of hemoglobin improvement in adjusted regression analysis. Conclusion: The integrated intervention showed superior comparative efficacy compared with single-component approaches in improving hemoglobin levels among adolescent girls. The recommendations of this study are supported by evidence based on evidence-based, multi-component, and structured in school prevention and control programs in the development of adolescent health policies.
Co-Authors Ahmad Syaripudin al-Jaberi, Musheer Cahyati, Sri Nur Citra Setyo Dwi Andhini Elengoe, Asita Fadila, Erida Hamdani, Hasril Desiathul Ika Nurfajriyani Kamasturyani, Yani Kamila, Sri Karlina, Nonok Lili Wahyuni Muadi Muadi, Muadi Nurhaeni, Ani Nurhidayah Oktiany, Thia Purbaningsih, Endah Sari Rahayu, Rosalia Ranti, Galuh Mega Sukarnaeni, Shely Tantri Maulani Putri Wahyuni, Lily Wahyuni, Santi Yudi Priyadi