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Peningkatan Kesehatan Remaja Putri melalui Penapisan dan Pendampingan Kesehatan Reproduksi Remaja di Pondok Pesantren Darul Muttaqin Al Islami Metro Fibrila, Firda; Widiyanti, Septi; Lestari, Gangsar Indah; Ridwan, M
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 7, No 12 (2024): Volume 7 No 12 (2024)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v7i12.17565

Abstract

ABSTRAK Kelompok remaja dianggap selalu dalam kondisi sehat, kenyataannya banyak permasalahan kesehatan yang dialami oleh remaja. Terdapat 4 masalah kesehatan remaja Indonesia yaitu 48,9% anemia, 21,6% stunting, 36,3% kekurangan energi kronik (KEK), obesitas usia > 18 tahun dengan IMT≥25 sebesar 13,5% dan dengan IMT≥27 sebanyak 15,4%. Hal ini jelas memberikan dampak buruk dalam mencetak kualitas generasi di masa datang. Meningkatnya pengetahuan dan Memberdayakan remaja dalam meningkatkan status kesehatan reproduksi  dan gizi seimbang melalui penapisan di kelas reproduksi remaja. Pembentukan tim konselor teman sebaya kesehatan reproduksi remaja yang diikuti oleh 14 orang remaja putri. Edukasi tentang pentingnya kesehatan reproduksi dan status gizi remaja yang ditunjukkan adanya peningkatan pengetahuan sebelum dengan nilai rerata 8,16 poin dan menjadi 70 poin setelah edukasi. Pelatihan tim konselor teman sebaya kesehatan reproduksi remaja yang  ditunjukkan adanya peningkatan keterampilan remaja putri sebelum dengan nilai rata-rata 4,46 menjadi 7,86 setelah pelatihan.  Melakukan skrining kesehatan peserta oleh tim pengabmas meliputi pengukuran TB, BB, IMT, LILA dan TD, lalu melakukan evaluasi kegiatan pengabmas. Terbentuknya tim konselor sebaya, adanya peningkatan pemahaman remaja tentang pentingnya kesehatan reproduksi dan status gizi, dteridentifikasi status kesehatan remaja serta adanya berpartisipasi aktif santriwati dalam semua kegiatan pengabdmas, dan semua santriwati memiliki raport kesehatanku. Kata Kunci: Peningkatan dan Pelatihan, Remaja Putri, Kesehatan Reproduksi  ABSTRACT Teenage groups are considered to always be in good health, but in reality teenagers experience many health problems. There are 4 health problems among Indonesian teenagers, namely 48.9% anemia, 21.6% stunting, 36.3% chronic energy deficiency (KEK), obesity aged > 18 years with a BMI≥25 by 13.5% and by a BMI≥27 by 13.5% 15.4%. This clearly has a negative impact on the quality of future generations. Increase knowledge and empower teenagers in improving their reproductive health status and balanced nutrition through screening in adolescent reproduction classes. Formation of a team of adolescent reproductive health peer counselors which was attended by 14 young women. Education about the importance of reproductive health and nutritional status of adolescents showed an increase in knowledge beforehand with an average score of 8.16 points and 70 points after education. The peer counselor team training on adolescent reproductive health showed an increase in the skills of adolescent girls before with an average score of 4.46 to 7.86 after the training.  Carrying out health screening of participants by the community service team includes measuring TB, BB, BMI, LILA and BP, then evaluating community service activities. The formation of a team of peer counselors, increased understanding of adolescents about the importance of reproductive health and nutritional status, identification of adolescent health status and active participation of female students in all community service activities, and all female students have health reports. Keywords: Improvement and Training, Young Women, Reproductive Health
Edukasi dan Pelatihan Teknik Pemeriksaan Payudara Sendiri (SADARI) pada Remaja Putri di SMAN 4 Kota Metro Ridwan, M.; Fibrila, Firda; Herlina, Herlina; Widiyanti, Septi
Jurnal Pustaka Mitra (Pusat Akses Kajian Mengabdi Terhadap Masyarakat) Vol 6 No 2 (2026): Jurnal Pustaka Mitra (Pusat Akses Kajian Mengabdi Terhadap Masyarakat)
Publisher : Pustaka Galeri Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55382/jurnalpustakamitra.v6i2.1774

Abstract

Kanker payudara merupakan penyakit dimana sel-sel abnormal pada payudara tumbuh di luar kendali dan membentuk tumor dimulai di dalam lobulus penghasil susu di payudara. Berdasarkan data Kemenkes 2024, kasus baru kanker payudara di Indonesia mencapai 20 juta kasus dengan angka kematian 9,7 juta kasus. Penyebabnya karena rendahnya kesadaran dan pengetahuan masyarakat mengenai pentingnya deteksi dini. Salah satu upaya deteksi dini untuk menurunkan kejadian kanker payudara yang paling murah dan praktis terutama bagi remaja putri dengan melakukan pemeriksaan payudara sendiri (SADARI). Sasaran kegiatan adalah remaja putri di SMAN 4 Kota Metro berjumlah 97 otang. Edukasi diberikan dalam bentuk ceramah, diskusi dan tanya jawab, serta dilakukan pelatihan teknik pemeriksaan payudara sendiri (SADARI) dengan mendemonstrasikan menggunakan panthom. Selanjutnya dilakukan pendampingan dimana peserta dibagi 7 kelompok sehingga tiap kelompok terdiri dari 13-14 orang. Setiap kelompok peserta memperagakan teknik SADARI yang didampinggi oleh 7 orang fasilitator tim pengabmas yaitu dosen dan mahasiswa Diploma III Kebidanan Metro. Fasilitator menggunakan daftar tilik dalam melakukan pendampingan pada peserta sehingga diperoleh gambaran nyata pengetahuan dan keterampilan peserta dalam melakukan tiknik SADARI. Hasil edukasi dan pelatihan teknik SADARI diperoleh nilai rata–rata pretest sebesar 5,88 dan nilai rata-rata posttest sebesar 8,19. Hasil ini diperoleh adanya perbedaan nilai rata-rata antara sebelum dan sesudah diberikan edukasi dan pelatihan SADARI sebesar 2,31. Dapat disimpulkan bahwa edukasi dan pelatihan teknik SADARI  dapat meningkatkan pengetahuan dan keterampilan remaja putri dalam deteksi dini untuk mencegah kanker payudara secara mandiri.
Relationship Between Hormonal Contraception History and Breast Cancer at RSUD Jenderal Ahmad Yani Metro City Amadea, Gebby; Widiyanti, Septi; Prasetyowati, Prasetyowati; Fibrila, Firda
ANTHOR: Education and Learning Journal Vol 5 No 2 (2026): Anthor 2026
Publisher : Institut Teknologi Pendidikan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/anthor.v5i2.396

Abstract

Breast cancer remains a major global health threat, with WHO data from 2022 reporting 2.3 million cases and 670,000 deaths. Breast cancer is caused by uncontrolled cell growth and hormonal factors, and this disease affects physical and emotional conditions. This quantitative study with a case-control design at General Ahmad Yani Metro Hospital aims to determine the relationship between a history of hormonal contraception and breast cancer. This study involved 93 respondents (31 cases and 62 controls) selected through accidental sampling techniques from the Oncology Surgery and Internal Medicine Rooms. The results showed that 83.9% of respondents had a history of hormonal contraception use. Statistical analysis using the chi-square test and Odds Ratio showed a significant association (p-value = 0.036; OR = 8.750), indicating that this history is associated with a significantly higher risk of developing breast cancer. This study concluded that the use of hormonal contraception is associated with an increased risk of breast cancer, so education, early screening, and regular monitoring are needed, especially for long-term hormonal contraception users.
Routine Hematologic and Biochemical Profiles in Term Premature Rupture of Membranes: A Retrospective Case-Control Study Widiyanti, Septi; Fairus, Martini; Yuliawati, Yuliawati; Wibowo, Wahyu Dwi Ari
Journal of Applied Nursing and Health Vol. 8 No. 2 (2026): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v8i2.684

Abstract

Background: Term premature rupture of membranes (PROM) is a common obstetric complication associated with increased risk of maternal and neonatal morbidity, primarily driven by inflammatory and infectious mechanisms. Although inflammatory pathways have been extensively studied, most evidence focuses on specific biomarkers such as C-reactive protein and cytokines. In contrast, routine hematologic and biochemical parameters—despite being widely available, inexpensive, and part of standard clinical practice—have not been consistently evaluated using PROM, particularly in low-resource settings such as Indonesia. Methods: This retrospective case-control study, reported according to STROBE guidelines, included 90 women (30 term PROM cases and 60 normal delivery controls) selected using systematic random sampling from medical records at Ahmad Yani Regional General Hospital, Indonesia. Inclusion and exclusion criteria were applied to minimize confounding. Eleven complete blood count (CBC) parameters were analyzed, including leukocytes, erythrocytes, hemoglobin, hematocrit, MCV, MCH, MCHC, platelets, RDW, MPV, and blood glucose. Laboratory measurements were performed using the Sysmex XN-550 hematology analyzer and the Pentra C400 automated chemistry analyzer. Data were analyzed using SPSS version 25. Group comparisons were conducted using the Mann–Whitney U test, and effect sizes were calculated using rank-biserial correlation. Results: Significant differences were observed in leukocyte count (p = 0.042), MCV (p = 0.016), MCH (p = 0.009), RDW (p = 0.023), and MPV (p = 0.036). Effect sizes ranged from small to moderate (r = 0.23–0.34), indicating limited clinical magnitude. Other parameters, including erythrocytes, hemoglobin, hematocrit, MCHC, platelets, and blood glucose, showed no significant differences (p > 0.05). Overall, the term PROM was associated with selective and subtle hematologic alterations. Conclusion: Term PROM is associated with mild and selective changes in routine hematologic parameters, particularly those related to inflammatory and erythropoietic activity. Blood glucose, the only biochemical parameter evaluated, remained comparable between groups. These findings suggest limited standalone diagnostic value, and complete blood count (CBC) parameters should be interpreted as supportive indicators within comprehensive obstetric assessment rather than independent diagnostic tools.