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Grandmother's Role as a Personal Reference toward Exclusive Breastfeeding Behavior Nurul Pujiastuti
Media Karya Kesehatan Vol 4, No 1 (2021): Media Karya Kesehatan
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/mkk.v4i1.31459

Abstract

Grandmother's role in the behavior of exclusive breastfeeding is very necessary because the grandmother is the closest person in the family. Its existence influences decision-making in various family matters, especially the care of children from birth to adulthood. This study aims to analyze differences in the role of grandmothers as a personal reference for exclusive breastfeeding behavior. This type of experimental Quasy research was conducted in May-July 2018 in Sidoarjo Regency, East Java, Indonesia by dividing two experimental groups, namely the treatment group and the control group. Both groups started with a pre-test, and after the treatment was measured again (post-test). Statistical analysis used multivariate covariance analysis (MANCOVA) to test whether there were differences in treatment between the control group and the treatment group after adjusting for confounding variables, namely formula milk promotion. The results of the pre-test statistical test showed that the value of p = 0.384 means that there is no difference in the role of the grandmother on the exclusive breastfeeding behavior of the control group and the treatment group. The results of the post-test statistical test showed that the value of p = 0.000 means that there are differences in the role of the grandmother on the exclusive breastfeeding behavior of the control group and the treatment group. The role of the grandmother as a personal reference can influence exclusive breastfeeding behavior so that it can be a form of family support for the mother for exclusive breastfeeding and can be used as a way to support exclusive breastfeeding mothers. Keywords: Behavior, exclusive breastfeeding, grandmother’s role, personal reference. 
Model of Back Acupressure, Infant Attachment-Position, and Breast Massage on Breast Milk Factors Nurul Pujiastuti; Agus Setyo Utomo; Mustayah Mustayah
Health Notions Vol 5, No 11 (2021): November
Publisher : Humanistic Network for Science and Technology (HNST)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hn51103

Abstract

The most common cause of failure in the breastfeeding process is due to various problems experienced by breastfeeding mothers. One of the causes breastfeeding failure is the mother feels that the milk does not come out or only comes out a little. Efforts that can be made to stimulate milk production are combination of complementary therapies, namely back acupressure, baby positioning and attachment, breast massage. The purpose of the study was to analyze the model of mother’s back acupressure, baby position and attachment, breast massage on colostrum and milk production secretion. The research design was descriptive explanatory survey. The sample size was determined based on the rule of the thumb (5 x the number of parameters studied). There were 18 parameters in this study, so the required sample size was 5 x 18 = 90 respondents. The sample was 90 breastfeeding mothers with purposive sampling technique. The sample criteria were mothers who breastfeed babies aged 0-6 months with spontaneous delivery in Sidoarjo Regency. The research was carried out in July-August 2021. Data analysis with structural equation-partial least square (PLS). The results showed that there was an influence of breastfeeding mothers on back acupressure factors, baby position and attachment, breast massage (T=2.587), health care factors on breastfeeding factors (1.957), back acupressure factors, baby position and attachment, breast massage on breastfeeding factors (2,132). Back acupressure, baby positioning and attachment, breast massage can help increase colostrum secretion and breast milk production for breastfeeding mothers. Furthermore, further research can be carried out related to hormonal levels of breastfeeding mothers.Keywords: back acupressure; breast massage; attachment-position
KORELASI ANTARA STATUS GIZI IBU MENYUSUI DENGAN KECUKUPAN ASI DI POSYANDU DESA KARANG KEDAWANG KECAMATAN SOOKO KABUPATEN MOJOKERTO Nurul Pujiastuti
Jurnal Keperawatan Vol. 1 No. 2 (2010): Juli
Publisher : University of Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (127.679 KB) | DOI: 10.22219/jk.v1i2.407

Abstract

KORELASI ANTARA STATUS GIZI IBU MENYUSUI DENGAN KECUKUPAN ASI DI POSYANDU DESA KARANG KEDAWANG KECAMATAN SOOKO KABUPATEN MOJOKERTOCorrelation Between Breastfeeding Mother Maternal Nutrition Status With Breastfeeding Adequacy In Posyandu of Karang Kedawung, Sooko, MojokertoNurul PujiastutiProgram Studi Keperawatan Lawang Poltekkes Kemenkes MalangJl. A. Yani No 1 Lawang 65218e-mail: nurulpujiastuti@gmail.comABSTRAKMasalah gizi di Indonesia dan negara berkembang umumnya masih didominasi oleh masalah kurang energi protein (KEP), anemia besi, gangguan akibat kekurangan yodium (GAKY), kekurangan vitamin A (KVA) dan masalah obesitas. Anemia umumnya dijumpai pada golongan rawan gizi yaitu ibu hamil, ibu menyusui, anak balita serta anak sekolah. Anemia atau gizi yang buruk pada ibu menyusui akan menyebabkan gangguan nutrisi dan produksi air susu ibu (ASI) menjadi kurang sehingga menimbulkan gangguan pertumbuhan bayi. Penelitian ini bertujuan mengetahui korelasi antara status gizi ibu menyusui dengan kecukupan ASI. Status gizi diukur dengan 3 indikator: IMB, LILA, dan Hb. Sedang kecukupan ASI diukur dengan indikator: tanda kecukupan ASI, BB bayi sebelum dan sesudah menyusu serta peningkatan BB bayi setelah 1 bulan. Penelitian ini menggunakan rancangan longitudinal (cohort). Hasil uji analisis statistik dengan mann whitney u test didapatkan tingkat signifikansi 95% (p = 0,009). Hasil uji analisis ditemukan tidak ada korelasi antara status gizi ibu menyusui (IMB dan LILA) dengan kecukupan ASI. Tetapi terdapat korelasi antara kadar Hb dengan kecukupan ASI. Kesimpulannya bahwa ibu menyusui dengan gizi buruk akan mempengaruhi kecukupan ASI karena tubuh membutuhkan zat gizi yang cukup untuk memproduksi ASI, tetapi tubuh tidak dapat memenuhi sehingga zat gizi tersebut diambil dari tubuh ibu dan berakibat makin lama ibu akan mengalami gizi yang bertambah buruk.Kata kunci: status nutrisi, ibu menyusui, kecukupan ASIABSTRACTProblem of gizi in Indonesia and developing countries in general still predominated by problem less energi protein, iron anaemia, trouble effect of iodine insuffiency, lacking of vitamin of A and problem of obesitas especially in metropolis. Anaemia of gizi is generally met at gristle faction of gizi that is pregnant mother, mother suckle, child of balita and also schoolchild. Anaemia at mother suckle will cause trouble of nutrisi production and irrigate mother milk become less. this clear generate growth trouble for baby which in giving irrigate mother milk. At mother with ugly gizi generally produce slimmer irrigate mother milk in number, while the qualities of depend on food which is eating. Generally there are degradation of fat rate, vitamin and carbohydrate. This study aims to know the relationship between the status of breastfeeding mothers with the adequacy of breastfeeding. This research is analytical research with longitudinal design up (cohort). Based on the results of test statistics with the mann whitney u test on the 95% level of confidence between the nutritional status of breastfeeding mothers with the adequacy of breastfeeding showed a significant relationship (p = 0,009). This explains that breastfeeding mothers who have poor nutrition affect the adequacy milk product. With the results of the research above, it is expected that the health through the village midwifes for more attention on the status of maternal nutrition on the nutritional needs of breastfeeding so that breastfeeding mothers can be improved by providing more counseling related to maternal nutrition and breastfeeding, such as the provision of vitamin tablets to the blood.Keywords: nutritional status, mother suckle, breastfeeding
HUBUNGAN PENGETAHUAN KELUARGA TENTANG GANGGUAN JIWA DENGAN KEPATUHAN PASIEN DALAM BEROBAT DI WILAYAH KERJA PUSKESMAS KAUMAN KABUPATEN PONOROGO Nurul Pujiastuti; Farida Halis; Andi Muhadi
Jurnal Keperawatan Vol. 2 No. 1 (2011): Januari
Publisher : University of Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22219/jk.v2i1.491

Abstract

Pengetahuan keluarga tentang gangguan jiwa yang tidak adekuat dapat memperlambat proses penyembuhan dan kekambuhan yang lebib parah. Salah satu penyebab utaMa kegagalan pengobatan dan seringnya kekambuhan adalah pasien tidak disiplin Mengkonsumsi obat dengan teratur, mengeluh bosan, jenuh dan merasa tidak sembuh-seMbuh. Tujuan penelitian adalah mengetahui hubungan pengetahuan keluarga tentang gangguan jiwa dengan kepatuhan pasien dalam berobat dan menggunakan desain korelasi dengan jumlah responden 51 orang. Teknik sampling menggunakan total sampling. Instrumen yang digunakan adalah lembar kuisioner. Pengumpulan data untuk pernyataan yang berbentuk positif Menggunakan jawaban &ldquo;ya&rdquo; dengan nilai 1, &ldquo;tidak dengan nilai 0, sedangkan pernyataan yang berbentuk negatif menggunakan jawaban &ldquo;tidak&rdquo; dengan nilai 1, &ldquo;ya&rdquo; dengan nilai 0. Analisis data Menggunakan uji statistik korelasi spearman&rsquo;s rho dengan derajat kemaknaan alfa < 0,05. Hasil penelitian didapatkan 65% responden pengetahuannya baik tentang gangguan jiwa. Berdasarkan kepatuhan pasien dalam berobat, 33% kepatuhan pasien tidak baik dalam berobat. Dan hasil uji analisis statistik diketahui p = 0,000 (alfa < 0,05), artinya terdapat hubungan yang signifikan antara pengetahuan keluarga tentang gangguan jiwa dengan kepatuhan pasien dalam berobat dengan hubungan yang sedang (r = 0,490) berpola positif. Disarankan untuk membuat program penyuluhan pada keluarga mengenai gangguan jiwa dan menumbuhkan kesadaran masyarakat terhadap pentingnya kepatuhan kontrol bagi keluarga yang menderita gangguan jiwa
RUANG IBU SAYANG ANAK (RAISA) DALAM MENINGKATKAN CAKUPAN ASI EKSKLUSIF Nurul Pujiastuti; Endang Sutjiati; Lucia Retnowati
JMM (Jurnal Masyarakat Mandiri) Vol 5, No 3 (2021): Juni
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (415.673 KB) | DOI: 10.31764/jmm.v5i3.4994

Abstract

Abstrak: Kegiatan Pengabdian Kepada Masyarakat (PKM) di desa Balongdowo dan desa Balonggabus Kecamatan Candi Kabupaten Sidoarjo, dilakukan pada kader posyandu dengan membentuk ruang ibu sayang anak (RAISA) sebagai wadah dalam melakukan kegiatan yang dapat meningkatkan pengetahuan dan ketrampilan kader posyandu sehingga menjadi kader posyandu yang ready, response, dan smart. Saat pembentukan RAISA, sekaligus dilakukan FGD (focus group discussion) di masing-masing desa untuk menggali pengalaman dan hambatan terkait perilaku menyusui eksklusif. Kegiatan FGD terdiri dari beberapa tahapan yaitu memberikan 14 pertanyaan seputar ASI eksklusif pada tiap kader posyandu, selanjutnya tiap kader posyandu menjawab semua pertanyaan secara bergantian, dan pemberian materi dari narasumber yaitu bidan Polindes yang ada di tiap desa. Dari hasil FGD diperoleh informasi bahwa hambatan perilaku menyusui terbesar adalah ibu bekerja sehingga bayi diberikan susu formula dengan alasan agar bayi tidak rewel dan mudah ditinggal bekerja, serta masih adanya budaya pemberian pisang yang dicampur nasi untuk bayi usia 2 minggu ke atas. Usulan pelatihan dari kader posyandu antara lain teknik memerah ASI, perawatan puting susu hamil, perawatan payudara nifas, cara memandikan bayi, cara menyendawakan bayi, berbagai macam posisi menyusui, pijat bayi untuk tumbuh kembang, senam nifas, dan senam hamil. Dari hasil FGD ini selanjutnya akan disusun modul sebagai panduan dalam memberikan pelatihan pada kader posyandu.Abstract:  Community Service Activities (PKM) in Balongdowo and Balonggabus Villages, Candi Subdistrict, Sidoarjo Regency, were carried out on posyandu cadres by forming mother-to-child room (RAISA) as forum for activities that can increase the knowledge and skills of Posyandu cadres so that they become ready, response, and smart posyandu cadres. During the formation of RAISA, a focus group discussion (FGD) was held in each village to explore experiences and obstacles related to exclusive breastfeeding. The FGD activity consisted of several stages, namely giving 14 questions about exclusive breastfeeding to each posyandu cadre, then each posyandu cadre answered all the questions in turn, and providing material from the resource person, namely the Polindes midwife in each village. From the results of the FGD, information was obtained that the biggest obstacle to breastfeeding behavior was that the mother worked so the baby was given formula milk on the grounds that the baby was not fussy and easy to leave to work, and there was still a culture of giving bananas mixed with rice to babies aged 2 weeks and over. The training proposals from posyandu cadres include milking techniques, care for pregnant nipples, postpartum breast care, how to bathe babies, how to burp a baby, various breastfeeding positions, massage for growth and development, postpartum exercise, and pregnancy exercises. From the results of this FGD, a module will be compiled as a guide in providing training to posyandu cadres.
KADER POSYANDU SEBAGAI TENAGA POJOK GIZI DESA DALAM UPAYA MENINGKATKAN ASI EKSKLUSIF DAN MENURUNKAN STUNTING Nurul Pujiastuti; Finti Isti Kundarti; Hurun Ain
JMM (Jurnal Masyarakat Mandiri) Vol 6, No 3 (2022): Juni
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (424.44 KB) | DOI: 10.31764/jmm.v6i3.8170

Abstract

Abstrak: Kegiatan Pengabdian Kepada Masyarakat (PKM) di desa Balongdowo Kecamatan Candi Kabupaten Sidoarjo, ditujukan pada kader posyandu dengan cara melatih kader posyandu agar pengetahuan dan keterampilannya meningkat sehingga terbentuk menjadi tenaga pojok gizi desa (TAPOKZI). Tahapan pertama yaitu dilakukan FGD (focus group discussion) untuk menggali pengalaman dan hambatan terkait perilaku menyusui eksklusif. Kegiatan FGD terdiri dari beberapa tahapan yaitu memberikan 10 pertanyaan terkait ASI eksklusif yang dilanjutkan dengan tiap kader posyandu menjawab semua pertanyaan secara bergantian. Kemudian pemberian materi dari narasumber yaitu bidan Polindes dan tim pengabdian kepada masyarakat. Dari hasil FGD diperoleh informasi bahwa di desa Balongdowo termasuk desa lokus stunting dari 6 desa lokus stunting di wilayah Kabupaten Sidoarjo. Salah satu faktor tingginya angka stunting karena tidak menyusui secara eksklusif dan memberikan MPASI dini sebelum usia 6 bulan atau diberikan susu formula dengan alasan ASI hanya sedikit keluar. Pengetahuan kader posyandu tentang gizi ibu hamil dan ibu menyusui, 60% menyarankan asupan gizi seimbang dengan empat bintang, 80% kader posyandu telah berpengalaman lebih dari 10 tahun menjadi kader posyandu, serta seluruh kader posyandu yaitu 100% menyetujui untuk mendapatkan pelatihan tentang gizi ibu hamil dan ibu menyusui, serta perawatan payudara nifas. Dari hasil FGD ini selanjutnya akan disusun modul sebagai panduan dalam memberikan pelatihan pada kader posyandu.Abstract: Community Service Activities in Balongdowo Village Candi District, Sidoarjo Regency, are aimed at integrated service post cadres by training integrated service post cadres so that their knowledge and skills increase so that they become village nutrition corner workers (TAPOKZI). The first stage is the establishment of TAPOKZI, as well as a focus group discussion (FGD) to explore experiences and obstacles related to exclusive breastfeeding behavior. The FGD activity consisted of several stages, namely giving 10 questions related to exclusive breastfeeding, followed by each integrated service post cadre answering all questions in turn. Then the provision of material from the resource persons, namely the Polindes midwife and the community service team. From the results of the FGD, information was obtained that Balongdowo village is included in the stunting locus village from 6 stunting locus villages in the Sidoarjo Regency area. One of the factors for the high rate of stunting is because they do not exclusively breastfeed and give complementary foods before the age of 6 months or are given formula milk because only a little milk comes out. Integrated service post cadres' knowledge of nutrition for pregnant women and breastfeeding mothers, 60% said for recommends a balanced nutritional intake with four stars, 80% said had more than 10 years of experience as integrated service post cadres, and 100% agree to receive training on nutrition for pregnant women and nursing mothers, as well as postpartum breast care. From FGD, a module will be compiled as a guide in providing training to integrated service post cadres.
THE EFFECT OF AEROBIC LOW IMPACT EXERCISE ON CHANGES IN BLOOD PRESSURE PATIENTS WITH HYPERTENSION Nurul Pujiastuti; Mardina Tesalonika
Proceeding International Seminar of Islamic Studies INSIS 3 (February 2022)
Publisher : Proceeding International Seminar of Islamic Studies

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

One of the causes of hypertension is the narrowing of the blood vessels which results in decreased tissue perfusion. The purpose of this study was to determine the effect of low-impact aerobic exercise on changes in blood pressure in patients with hypertension. The research design used Quasy Experimental with a pre-test-post-test control group design. The research technique used non-probability sampling with a total sampling technique. The sample size was 36 respondents, divided into two groups, namely the treatment and control groups. The treatment group received low-impact aerobic exercise intervention three times per week for four weeks. Before the intervention, the respondent's blood pressure would be measured, and after the intervention. The result showed that was an effect of changes in blood pressure in patients with hypertension after participating in Aerobic Low Impact exercise for four weeks. Changes in blood pressure occur in both systolic and diastolic pressure. The average decrease in systolic blood pressure was 27.78 mmHg and the average decrease in diastolic blood pressure was 20.55 mmHg. The results of the Wilcoxon test with p-value = 0.000 or (p0.05), showed that there was a significant change between systolic and diastolic blood pressure, before and after the intervention. Low Impact Aerobic Gymnastics can affect changes in blood pressure, so this exercise can be used as a non-pharmacological therapy and a companion to pharmacological therapy in the management of hypertension.Keywords: aerobic low impact exercise, blood pressure, hypertension
LATIHAN KEGEL MENURUNKAN FREKUENSI BERKEMIH LANSIA DENGAN INKONTINENSIA URINE Nurul Pujiastuti; Nurul Hidayah; Revi Maulana Azis
Hospital Majapahit (JURNAL ILMIAH KESEHATAN POLITEKNIK KESEHATAN MAJAPAHIT MOJOKERTO) Vol 14 No 1 (2022): Hospital Majapahit
Publisher : LPPM Sekolah Tinggi Ilmu Kesehatan Majapahit Mojokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (270.644 KB) | DOI: 10.55316/hm.v14i1.764

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Unconscious discharge of urine in sufficient quantity and frequency and causes health, social, psychological, physical, and sexual problems is called urinary incontinence. Urinary incontinence occurs due to a decrease in pelvic floor muscle strength as a result of the aging process. One of the efforts made to reduce complaints of incontinence in the elderly is Kegel exercises which aims to rebuild the strength of the pelvic floor muscles. The purpose of the study was to determine the effect of Kegel exercises on the frequency of urination in the elderly with urinary incontinence in the Pisang Candi Village, Mulyorejo Sukun Health Center Work Area, Malang City on 02 December 2019-02 January 2020. The research design used a Pre Experimental Design with a One Group Pre-Order design. Posttest. The sampling technique used is purposive sampling. The sample size is 32 elderly. The results showed that there was a significant decrease in the frequency of urination after the Kegel exercise. Data analysis using the Wilcoxon test, obtained p value = 0.000 which means that there is an effect of Kegel exercises on decreasing the frequency of urination in the elderly with urinary incontinence. Kegel exercises can be applied by the elderly who live at home or in nursing homes, as an alternative therapy to reduce complaints due to urinary incontinence.
Hubungan Pemeriksaan Kehamilan dengan Risiko Kehamilan Menggunakan Skoring Poeji Rochyati pada Ibu Hamil Trimester III Dyah Tri Apriliasari; Nurul Pujiastuti
JUMANTIK (Jurnal Ilmiah Penelitian Kesehatan) Vol 6, No 2 (2021)
Publisher : Prodi Kesehatan Masyarakat Fakultas Kesehatan Masyarakat UIN Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (982.566 KB) | DOI: 10.30829/jumantik.v6i2.8424

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Pregnancy is one of the physiological processes that may be expected by most women, this pregnancy can be a physiological state or also a pathological state. To find out the risks in pregnancy, it is necessary to do a pregnancy check-up which is usually done by the mother in the first week until the last week before delivery, this examination is to find out the risk of pregnancy that may be suffered by the mother during the pregnancy by using poejirochyati scoring, by looking at the mother's compliance in performing pregnancy test. The purpose of this study was to determine the relationship of antenatal care with the risk of pregnancy using Poeji rochyati scoring in trimester 3 pregnant women at the Ardimuyo Singosari Public Health Center Malang on 22 October - 22 November 2020. The research design used was analytic correlation using a cross sectional approach. The sampling technique used was purposive sampling, the number of samples taken was 42 samples. The results of this study indicate a relationship between antenatal care with the risk of pregnancy using a score of rochyati poeji. After doing the chi square test, P value = 0.003 <α = 0.05 thus H1 is accepted and H0 is rejected so that it can be concluded that there is a relationship between pregnancy examination and the risk of pregnancy using poeji rochyati scoring in third trimester pregnant women. Scoring Poeji rochyati can be used by health workers to see the risk of pregnancy in pregnant women.
Faktor Determinan yang Mempengaruhi Penerapan Universal Precaution terhadap Pencegahan Risiko HAIs Nurul Pujiastuti; Angger Rangga Santika; Lucia Retnowati
Jurnal Kesehatan Manarang Vol 8 No 2 (2022): Agustus 2022
Publisher : Politeknik Kesehatan Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/jkm.v8i2.477

Abstract

Infections acquired by patients while hospitalized for at least 72 hours are called Health Care Associated Infections (HAIs). The purpose of the study was to determine the determinant factors that affect the application of universal precaution to the prevention of infection risk in health services by nurses in the room. The research design used was correlation analytic with the type of case control design and the research technique used total sampling technique. The sample size in this study was 36 respondents. The results of Spearman's statistical test, internal factors namely knowledge, training followed, and length of work obtained p value = 0.003 meaning that there was an influence of internal factors (knowledge, training followed, and length of work) on the application of universal precaution. While external factors, namely facilities and colleagues, the value of p = 0.000 means that there was an influence of external factors (facilities and colleagues) on the application of universal precaution. The determinant factors that affect universal precaution are external factors. It is hoped that hospital managers can fulfill the facilities needed by health workers in implementing universal precautions so that the incidence of nosocomial infections can be suppressed.