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Characteristics of Families with Family Duties in the Prevention of Premarital Sexual Behavior in Adolescent Children in the Working Area of Sunyaragi Health Center Cirebon Nurhaeni, Ani; Erna Marisa, Dewi; Oktiany, Thia; Susan, Yanti
Jurnal Medisci Vol 1 No 5 (2024): Vol 1 No 5 April 2024
Publisher : Ann Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62885/medisci.v1i5.244

Disseminating societal standards and values begins with the family, considered the most significant institution for an individual. The family serves as a mold for a child's conduct and mindset, particularly during their teenage years. Finding out how family chores and features relate to preventing premarital sex behavior among teenage children working in the village health center of Cirebon City was the aim of this study. The study design used in this study is cross-sectional and descriptive correlational. Thirty-two individuals were sampled using the random sampling technique. A survey is the tool that is employed. Chi-square analysis of data. June 2021: Study location at Puskesmas Sunyaragi Cirebon City Work Area. The study's findings indicate that the majority of married families—sixteen (18.8%)—are separated or divorced; separated or not, three houses—nineteen (9.4%)—interact and communicate negatively; and families with as many as twenty-six (81.3%) have a single culture. H0 was rejected, as indicated by the p-value <α derived from the chi-square test findings. In the Sunyaragi Health Clinic in Cirebon City, there is a correlation between homeownership, family responsibilities, and marital status when it comes to preventing premarital sex activity in teenage children. The P-value is 0.002, α is 0.05. Advice from parents or other family members to shield adolescents from harmful influences and steer clear of undesirable sexual behavior.

Konsep Diri Pada Remaja Dengan Body Shaming Di SMP Negeri 3 Gunung Jati Kabupaten Cirebon Oktiany, Thia
Blantika: Multidisciplinary Journal Vol. 1 No. 3 (2023): Reguler Issue
Publisher : PT. Publikasiku Academic Solution

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57096/blantika.v1i3.34

Prevalence prilaku body shaming sebesar 79,5 % dimana 50 % sebagai pelaku dan 29,5 % sebagai korbannya. Bagian tubuh yang sering dijadikan objek perlakuan body shaming adalah wajah (47 %), postur tubuh (26,8%), hidung (15,6 %), warna kulit (14,8%), bentuk kaki (12,8%), rambut (12%), berat badan (11,8%), perut (10%), dan tangan (9,4%). Kasus body shaming pada tahun 2018 di Indonesia sebanyak 966 kasus, kasus yang tuntas sebanyak 347 kasus yang diselesaikan dengan mediasi anata korban dan pelaku. Di Jawa Barat, ada beberapa yang melaporkan kasus body shaming, tetapi tidak ditindak lanjuti dan diselesaikan secara kekeluargaan. Penelitian ini dilakukan untuk mengetahui dengan konsep diri pada remaja dengan Body Shaming di SMPN 3 Gunung Jati Kabupaten Cirebon. Penelitian dilakukan dengan deskriptif korelasional pendekatan cross sectional. Pengambilan sampel penelitian ini menggunakan teknik stratified random sampling yang berjumlah 130 responden. Instrumen yang digunakan adalah kuesioner. Analisis data penelitian ini menggunakan uji chi-square. Tempat penelitian ini di SMPN 3 Gunung Jati pada bulan Juni 2022. Hasil penelitian menunjukkan bahwa body shaming pada remaja di SMPN 3 Gunung Jati kategori sedang sebanyak 71 responden (54,6%) dan konsep diri pada kategori rendah dengan jumlah 83 responden (63,8%). Hasil uji Chi-Square (p-value = 0,000 < ???? = 0,05). Kesimpulan yang diproleh adalah terdapat hubungan antara body shaming dengan konsep diri pada remaja di SMPN 3 Gunung Jati Kabupaten Cirebon. Penelitian ini diharapkan dapat meningkatkan program kebijakan sekolah tentang body shaming pada remaja dan konsep diri pada remaja yang mengalami perilaku body shaming.

Utilizing Digital Applications as Educational Media for Adolescent Reproductive Health Within The Family Nursing Approach Nurhaeni, Ani; Rahayu, Rosalia; Oktiany, Thia; Purbaningsih, Endah Sari; Wahyuni, Lili; Marisa, Dewi Erna
Jurnal Bidan Cerdas Vol. 7 No. 1 (2025)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jbc.v7i1.4193

Background: Adolescent reproductive health remains a major public health concern, particularly in developing regions. This study aimed to evaluate a digital, family-centered reproductive health education intervention to improve adolescents’ knowledge, attitudes, and family involvement. Methods: A quasi-experimental pretest-posttest control group design was conducted in Cirebon, Indonesia, involving 120 adolescents. Variables included knowledge, attitudes, and family involvement. Instruments were validated questionnaires. Data were analyzed using descriptive statistics, paired t-tests, ANCOVA, and multiple linear regression. Effect sizes were reported using Cohen’s d and η². Results: The intervention group (62.5% female, mean age 15.8 ± 1.2 years) showed significant improvements: knowledge (ΔM = +12.4, p < 0.001, d = 1.45), attitude (ΔM = +9.2, p < 0.001, d = 1.32), and family involvement (ΔM = +14.2, p < 0.001, d = 1.61). ANCOVA indicated significant between-group differences (p < 0.001) with large effect sizes (η² = 0.170–0.187). Conclusion: A digital, family-centered education model effectively enhances adolescent reproductive health outcomes and offers a scalable intervention framework.

PELAKSANAAN VULVA HYGIENE SAAT MENSTRUASI PADA REMAJA Susan, Yanti; Nurhalimah; Oktiany, Thia
MEJORA Medical Journal Awatara Vol 2 No 1 (2024): JANUARY
Publisher : Awatara Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61434/mejora.v2i1.134

Menurut kemenkes 2018 di indonesia menunjukan bahwa sebanyak 5,2 juta remaja putri yang sering mengalami keluhan setelah menstruasi akibat tidak menjaga kebersihannya yaitu rasa gatal pada alat kelamin wanita dan berdasarkan data dari Puskesmas Pabuaran Kabupaten Cirebon Tahun 2021 terdapat 61% remaja putri yang mengalami gatal di daerah genetalia saat menstruasi.Tujuan dalam penelitian ini yaitu pelaksanaan vulva hygiene saat menstruasi pada remaja di wilayah kerja puskesmas pabuaran kabupaten cirebon. Jenis penelitian yang digunakan adalah metode deskriptif. Populasi yang digunakan adalah remaja putri yang sudah menstruasi di Desa Jatirenggang Wilayah Kerja Puskesmas Pabuaran sebanyak 200 remaja dan Teknik pengambilan sampel menggunakan Purposive Sampling didapatkan 66 responden. Instrument yang digunakan berupa lembar kuesioner serta analisis data menggunakan analisis univariat. Pelaksanaan vulva hygiene saat menstruasi pada remaja putri di Desa Jatirenggang Wilayah Kerja Puskesmas Pabuaran Kabupaten Cirebon diperoleh hasil 41 Responden (62,1%) dengan kategori sesuai. Saran dalam hasil penelitian ini bidan melakukan edukasi tentang cara melakukan vulva hygiene saat menstruasi pada remaja putri di kegiatan penyuluhan

Determinant of Depression in Multi - Drug Resistant Tuberculosis (MDR) at Waled Cirebon Regional General Hospital Purbaningsih, Endah Sari; Muadi, Muadi; Oktiany, Thia; Rahayu, Rosalia; Wahyuni, Lili; Nurhaeni, Ani; Marisa, Dewi Erna
Poltekita: Jurnal Ilmu Kesehatan Vol. 19 No. 2 (2025)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v19i2.4225

Depression is a common psychological complication among patients with multidrug-resistant tuberculosis (MDR-TB), affecting treatment adherence and recovery outcomes. Identifying the determinants of depression in this population is essential for developing comprehensive care strategies. This cross-sectional study was conducted among 28 MDR-TB patients at RSUD Waled. Data on demographic, clinical, and psychosocial variables were collected through structured questionnaires. Depression was assessed using a standardized screening tool. Bivariate analysis was performed using chi-square tests, followed by multivariate logistic regression to identify independent predictors of depression. The bivariate analysis showed no significant association between age (p=0.063), gender (p=0.07), income (p=0.065), or educational attainment (p=0.63) with depression, indicating that these demographic and socioeconomic factors did not influence depressive outcomes. In contrast, comorbidities (p<0.001), duration of illness (p=0.011), and community stigma (p<0.001) were significantly associated with depression. Respondents with comorbidities, longer illness duration, and negative community stigma were markedly more likely to experience depression, suggesting that clinical and psychosocial factors are stronger determinants than demographic variables. Comorbidities, longer illness duration, and community stigma were significantly related to depressive outcomes. Future research with larger and more diverse populations is needed to validate these findings and explore contextual factors influencing depression in MDR-TB patients.

Exploring the Relationship between Body Shaming and Self-Concept among Adolescents Nurhaeni, Ani; Marisa, Dewi Erna; Oktiany, Thia; Rahayu, Rosalia; Purbaningsih, Endah Sari; Wahyuni, Lili
Indonesian Journal of Global Health Research Vol 7 No 3 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i3.6264

Body shaming is a pervasive issue with significant psychological consequences, particularly among adolescents. As adolescents undergo various physical and emotional changes, the pressures of social comparison and body image often lead to negative impacts on their self-concept. This study explores the relationship between body shaming and self-concept among adolescents in Cirebon, Indonesia.Methods:A cross-sectional design was used in this study, This study used total sampling, involving 180 students aged 12–16 years. Data were collected using a structured questionnaire that assessed participants' experiences with body shaming and their self concept, including self-esteem, self-identity, and physical appearance satisfaction. The questionnaire had previously undergone validity and reliability testing in a different school setting to ensure its accuracy and consistency.The analysis was conducted using Pearson’s correlation and regression analysis to examine the relationship between body shaming and self-concept.Results: The findings indicate a significant negative correlation between body shaming experiences and self-concept. As body shaming experiences increased, adolescents reported lower levels of self-esteem, self-identity, and satisfaction with their physical appearance. These results highlight the psychological toll of body shaming and its negative influence on adolescent self-concept.Conclusion:This study provides strong evidence that body shaming negatively impacts adolescents’ self-concept. These findings underscore the importance of addressing body shaming through interventions aimed at fostering self-acceptance, body positivity, and resilience among adolescents, particularly within school settings.

Self-Efficacy dan Stres Psikologis Pada Penderita Kanker Payudara: Studi Analitik di RSUD Waled Kabupaten Cirebon P, Endah Sari; Muadi, Muadi; Nurhaeni, Ani; Marisa, Dewi Erna; Oktiany, Thia; Rahayu, Rosalia; Wahyuni, Lili
Malahayati Nursing Journal Vol 7, No 6 (2025): Volume 7 Nomor 6 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v7i6.20479

ABSTRACT Self efficacy is a person’s belief in his ability to regulate himself, and take action to achieve certain skills. Stress is the body’s response caused by demands from outside the individual that exceed the ability to solve problems. This study aims to determine the relationship between self efficacy and stress levels in breast cancer patients at Waled Hospital, Cirebon Regency. This type of research is quantitative with cross-sectional approach. Sampling using purposive sampling technique amounted to 31 respondents. The instrument used were standard self efficacay questionnaires and DASS 42 (Depression, Anxiety and Stres). Data analysis using chi-square. The research location was at Waled Hospital, Cirebon Regency. The results of the study found that most of the respondents experienced less self efficacy with moderate stress levels dominating. 31 respondents experienced less self efficacy (35,5%) and some respondents with moderate stress levels (41,9%). The results of the chi-square test obtained a p-value of 0.000 a=<0.05, so H0=rejected, which means that there is a relationship between self efficacy and the stress levels of breast cancer patients at Waled General Hospital. For breast cancer patients who have low self efficacy, it is recommended to add more insight and knowledge so that their self efficacy increases so that stress levels are also reduced in patients at Waled Hospital, Cirebon Regency. Keywords: Breast Cancer, Self Efficacy, Stress Levels ABSTRAK Self Efficacy merupakan keyakinan sesorang terhadap kemampuannya untuk mengatur diri sendiri,dan mengambil tindakan untuk mencapai keterampilan tertentu. Stress adalah respon tubuh yang diakibatkan karena adanya tuntutan dari luar diri individu yang melebihi kemampuan dalam menyelesaikan masalah. Penelitian ini bertujuan untuk mengetahui hubungan self efficacy dengan tingkat stress pada pasien kanker payudara di RSUD Waled Kabupaten Cirebon. Jenis penelitian ini adalah kuantitatif dengan pendekatan cros sectional. Pengambilan sampel menggunakan Teknik purposive sampling berjumlah 31 responden. Instrumen yang digunakan berupa kuesioner baku Self-Efficcay dan DASS 42 (Depression, Anxiety and Stres). Analisa data menggunakan Chi-Square. Tempat penelitian di RSUD Waled Kabupaten Cirebon. Hasil penelitian didapatkan Sebagian besar responden mengalami Self Efficcay kurang dengan di dominasi tingkat stress sedang. 31 responden mengalami self efficacy kurang sebanyak (35,5%) dan Sebagian responden dengan tingkat stress sedang sebanyak (41,9%). Hasil uji chi-square didapatkan p-value 0,000 a=<0,05 maka H0=ditolak yang artinya ada hubungan antara self efficacy dengan tingkat stress pasien kanker payudara di RSUD Waled Kabupaten Cirebon. Bagi pasien kanker payudara yang memiliki Self Efficcay rendah disarankan agar menambah wawasan dan ilmu yang lebih banyak agar self efficacy nya meningkat sehingga tingkat stress juga berkurang pada pasien di RSUD Waled Kabupaten Cirebon. Kata Kunci: Efikasi Diri, Tingkat Stres, Kanker Payudara.

Ketergantungan Smartphone dan Konsekuensinya Terhadap Kualitas Tidur Remaja P, Endah Sari; Muadi, Muadi; Nurhaeni, Ani; Marisa, Dewi Erna; Oktiany, Thia; Rahayu, Rosalia; Wahyuni, Lili
Malahayati Nursing Journal Vol 7, No 6 (2025): Volume 7 Nomor 6 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v7i6.20480

ABSTRACT Indonesian adolescents are increasingly dependent on smartphones, often using them during bedtime, which may affect sleep quality. To examine the relationship between smartphone usage intensity and sleep quality among adolescents at SMP Negeri 1 Susukan Lebak, Cirebon Regency. A cross-sectional correlational study involving 220 students selected through stratified random sampling. Data were collected using the Smartphone Usage Intensity Questionnaire and the Adolescent Sleep-Wake Scale, and analyzed using Spearman’s rank correlation. The majority of respondents had moderate smartphone usage (53.2%) and poor sleep quality (50.9%). There was a strong negative correlation between smartphone usage intensity and sleep quality (p = 0.000; r = -0.645). Higher smartphone usage intensity is associated with poorer sleep quality. Health promotion efforts targeting adolescents and parents are needed to address this issue. Keywords: Adolescent, Sleep Quality, Smartphone Usage Intensity. ABSTRAK Remaja di Indonesia semakin bergantung pada smartphone, sering menggunakannya saat waktu tidur, yang dapat mempengaruhi kualitas tidur mereka. Meneliti hubungan antara intensitas penggunaan smartphone dengan kualitas tidur pada remaja di SMP Negeri 1 Susukan Lebak, Kabupaten Cirebon. Penelitian korelasional dengan desain potong lintang yang melibatkan 220 siswa yang dipilih melalui stratified random sampling. Data dikumpulkan menggunakan Smartphone Usage Intensity Questionnaire dan Adolescent Sleep-Wake Scale, lalu dianalisis menggunakan uji korelasi Spearman’s rank. Mayoritas responden memiliki intensitas penggunaan smartphone dalam kategori sedang (53,2%) dan kualitas tidur yang buruk (50,9%). Terdapat korelasi negatif yang kuat antara intensitas penggunaan smartphone dengan kualitas tidur (p = 0,000; r = -0,645).Semakin tinggi intensitas penggunaan smartphone, semakin buruk kualitas tidur remaja. Upaya promosi kesehatan yang menargetkan remaja dan orang tua diperlukan untuk mengatasi masalah ini. Kata Kunci: Remaja, Kualitas Tidur, Intensitas Penggunaan Smartphone.

Impact and Causes of Early Marriage in Adolescents: Systematic Review Nurhaeni, Ani; Marisa, Dewi Erna; Oktiany, Thia; Rahayu, Rosalia; Wahyuni, Lili
Malahayati Nursing Journal Vol 7, No 6 (2025): Volume 7 Nomor 6 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v7i6.20350

ABSTRACT Early marriage remains a persistent global issue, particularly affecting adolescent girls in low-resource settings. It has far-reaching implications, including health risks, disrupted education, and socio-economic challenges. This systematic literature review aims to analyze the impacts and causes of early marriage among adolescent girls, focusing on health, education, and socio-economic consequences, while identifying evidence-based interventions to address the issue. The study uses a systematic literature review (SLR) approach, following the PRISMA framework for article selection and inclusion. Articles published between 2019–2024 were analyzed using thematic synthesis. Results: Early marriage significantly impacts adolescent girls' health, including pregnancy complications, perinatal mortality, and mental health issues like anxiety and depression. Educationally, it causes school dropouts, limiting skills and future employment opportunities. Socio-economic factors, such as poverty and cultural norms, were found to be primary drivers. Rural and marginalized communities face higher prevalence due to limited access to education and healthcare services. Addressing early marriage requires holistic, multi-sectoral interventions, including improving education access, empowering girls economically, challenging cultural norms, and promoting gender equality. Keyword: Early Marriage, Adolescent Girls, Health and Education Impact, Gender Inequality ABSTRAK Pernikahan dini tetap menjadi permasalahan global yang terus berlangsung, terutama berdampak pada remaja perempuan di daerah dengan sumber daya terbatas. Masalah ini memiliki implikasi yang luas, termasuk risiko kesehatan, terganggunya pendidikan, serta tantangan sosial dan ekonomi. Tinjauan literatur sistematis ini bertujuan untuk menganalisis dampak dan penyebab pernikahan dini pada remaja perempuan, dengan fokus pada aspek kesehatan, pendidikan, dan konsekuensi sosial-ekonomi, serta mengidentifikasi intervensi berbasis bukti untuk mengatasi permasalahan tersebut. Studi ini menggunakan pendekatan systematic literature review (SLR), dengan mengikuti kerangka kerja PRISMA dalam proses seleksi dan inklusi artikel. Artikel yang diterbitkan antara tahun 2019–2024 dianalisis menggunakan sintesis tematik. Pernikahan dini secara signifikan berdampak pada kesehatan remaja perempuan, termasuk komplikasi kehamilan, kematian perinatal, serta masalah kesehatan mental seperti kecemasan dan depresi. Dalam bidang pendidikan, pernikahan dini menyebabkan putus sekolah yang membatasi keterampilan dan peluang kerja di masa depan. Faktor sosial-ekonomi seperti kemiskinan dan norma budaya ditemukan sebagai penyebab utama. Komunitas pedesaan dan kelompok marjinal memiliki prevalensi lebih tinggi akibat keterbatasan akses terhadap pendidikan dan layanan kesehatan. Penanganan pernikahan dini memerlukan intervensi holistik dan lintas sektor, termasuk peningkatan akses pendidikan, pemberdayaan ekonomi bagi perempuan, perubahan norma budaya, dan promosi kesetaraan gender. Kata Kunci: Pernikahan Dini, Remaja Perempuan, Dampak Kesehatan dan Pendidikan, Ketimpangan Gender.

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