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POSITION AND ATTACHMENT MODEL OF EXPENDITURE COLOSTRUM AND BREAST MILK PRODUCTION USING THE TRIANGULAR OF LOVE THEORY APPROACH Nurul Pujiastuti; Hurun Ain; Budiono Budiono
The Indonesian Journal of Public Health Vol. 17 No. 1 (2022): THE INDONESIAN JOURNAL OF PUBLIC HEALTH
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (374.733 KB) | DOI: 10.20473/ijph.v17i1.2022.106-118

Abstract

Introduction: Breastfeeding is the natural process of becoming a mother. However, not all mothers can breastfeed with the correct breastfeeding technique, causing problems in breastfeeding and affecting milk production. Methods: This study analyzes the model of colostrum and breast milk production using the Triangle of love theory approach. The research design was a descriptive, explanatory survey. The sample was 95 breastfeeding mothers using the multistage random sampling technique. The sample criteria were mothers breastfeeding infants aged 0-6 months with spontaneous delivery in two public health centers in Sidoarjo regency. Data analysis using structural equation test-partial least square (PLS). Result: The results showed that there was an effect of health workers on colostrum and breast milk production (T = 1.423), there was a lifestyle effect on position and attachment (T = 1.475), and there was an effect of position and attachment on colostrum and breast milk production (T = 2.142). Conclusion: The position and attachment of breastfeeding using the Triangle of love theory approach can help increase colostrum and milk production of nursing mothers. Keywords: attachment, breastfeeding position, triangle of love
Factors Affecting Speech Delay In Toddlers Farza Aulia; Hurun Ain; Nurul Pujiastuti
Journal of Nursing Science Update (JNSU) Vol. 11 No. 1 (2023): May
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jik.2023.011.01.2

Abstract

The problem of speech delays in preschool children is estimated at 5% of the normal population. It is known that 19% of toddlers have speech and language development disorders, with details of 6.4% speech delay, 4.6% speech and language delay, and 6% language delay. This study aimed to identify factors associated with speech delay in toddlers. This study uses the Literature Review design. The article was taken from the SINTA, Garuda, PubMed, Science Direct, and Google Scholar databases with the keywords (((speech delay) AND toddler) AND influencing factors). The criteria for the articles used are 2018-2021 publications. The articles were selected using the PEOS framework and the JBI Critical Appraisal tools. The results showed that the factors that influenced the occurrence of speech delays included two articles related to gender, one article related to the incidence of physical trauma, two articles related to genetic factors, two articles related to neurological disorders, three articles related to the use of gadgets, and six articles related to parenting. Suggestions that further research can be carried out on the effect of implementing parenting patterns on speech delays in toddlers.
PENINGKATAN LITERASI KESEHATAN GIGI ANAK USIA PRA SEKOLAH MELAUI STORYTELLING SAKIT GIGI Esti Widiani; Nurul Hidayah; Lucia Retnowati; Nurul Pujiastuti
Jurnal LINK Vol 19, No 1 (2023): MEI 2023
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat, Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/link.v19i1.9199

Abstract

Anak usia pra sekolah sebagian besar memiliki literasi yang kurang tentang pemeliharaan kesehatan gigi, sehingga peran serta aktif dalam perawatan gigi kurang. Tujuan dari kegiatan pengabdian masyarakat ini adalah untuk meningkatkan literasi anak usia prasekolah tentang kesehatan gigi melalui storytelling pada 16 siswa. Pelaksanaan kegiatan terdiri dari 3(tiga) tahap yang meliputi pengkajian, edukasi, dan evaluasi. Tahap pengkajian dilakukan dengan mengkaji kondisi gigi dan perilaku menyikat gigi. Tahap edukasi dilakukan melalui metode storytelling berjudul sakit gigi dengan media lembar balik sebanyak 17 lembar yang berisi gambar berwarna dan sedikit tulisan. Tahap evaluasi dilakukan dengan menanyakan pada siswa TK kesiapan dan komitmen peran serta aktif perawatan gigi. Hasil kegiatan dan evaluasi anak memiliki kesiapan dan berkomitmen untuk aktif berperan serta dalam perawatan gigi. Anak juga bersedia dan tidak akan takut untuk periksa gigi ke pusat pelayanan kesehatan gigi jika ada permasalahan pada giginya. Kegiatan storytelling sakit gigi ini mampu meningkatkan literasi kesehatan gigi dengan membantu anak mendapatkan pengetahuan informasi kesehatan gigi dan membantu membuat keputusan untuk siap berperan serta aktif dalam perawatan gigi.
PEMBERDAYAAN KADER POSYANDU DALAM MEMBUAT OLAHAN DAUN KATUK UNTUK MENINGKATKAN PRODUKSI ASI SEBAGAI UPAYA MENURUNKAN STUNTING Nurul Pujiastuti; Nur Rahman; Siti Asiyah
JMM (Jurnal Masyarakat Mandiri) Vol 7, No 3 (2023): Juni
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jmm.v7i3.14550

Abstract

Abstrak: Pemberdayaan kader posyandu merupakan metode atau teknik untuk meningkatkan kesadaran diri tentang pentingnya nilai dan kebutuhan untuk mencapai tujuan yang diharapkan melalui peningkatan pengetahuan dan keterampilan. Daun katuk merupakan tanaman yang telah lama dikenal ibu menyusui untuk membantu meningkatkan produksi ASI karena mengandung papaverin, yaitu suatu alkaloid yang dapat mendukung produksi ASI. Tujuan pengabdian kepada masyarakat yaitu meningkatkan pengetahuan dan keterampilan kader posyandu dalam membuat olahan dari daun katuk untuk meningkatkan produksi ASI dan sebagai upaya menurunkan stunting. Metode yang digunakan pada pengabdian kepada masyarakat berbasis riset aksi, melalui kegiatan pelatihan membuat berbagai macam olahan dari daun katuk. Sasaran pelatihan yaitu 40 kader posyandu Desa Martopuro. Hasil pelatihan menunjukkan bahwa pengetahuan peserta saat pre-test sebesar 65% baik dan post-test sebesar 95% baik. Hasil pelatihan untuk nilai keterampilan, saat pre-test sebesar 58% baik dan post-test sebesar 82% baik. Kesimpulan pelatihan membuat olahan daun katuk berhasil meningkatkan pengetahuan dan keterampilan kader posyandu tentang cara membuat berbagai macam olahan dari daun katuk sehingga dapat membantu ibu menyusui meningkatkan produksi ASI sebagai upaya menurunkan stunting.Abstract: Empowerment of integrated service post cadres is a method or technique to increase self-awareness about the importance of values and the need to achieve the expected goals through increased knowledge and skills. Katuk leaves are plants that have long been known by nursing mothers to help increase milk production because they contain papaverine, an alkaloid that can support milk production. The purpose of community service is to increase the knowledge and skills of integrated service post cadres in making preparations from katuk leaves to increase milk production and as an effort to reduce stunting. The method used in research-based community service through training activities is to make various preparations for katuk leaves. The target of the training is service post cadres. The results of the training showed that the participants' knowledge during the pre-test was 65% good and the post-test was 95% good. The results of the training for skill scores, when the pre-test was 58% good and the post-test was 82% good. The conclusion of the training on making processed katuk leaves has succeeded in increasing the knowledge and skills of integrated service post cadres on how to make various kinds of preparations from katuk leaves so that they can help to breastfeed mothers and increase milk production as an effort to reduce stunting.
Peningkatan Pengetahuan Ibu Menyusui tentang Pola Pemberian ASI untuk Menurunkan Kejadian Diare pada Bayi Nurul Pujiastuti
Masyarakat Berdaya dan Inovasi Vol. 4 No. 1 (2023): April
Publisher : Research and Social Study Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33292/mayadani.v4i1.125

Abstract

Diare merupakan penyakit endemis yang berpotensi menimbulkan Kejadian Luar Biasa (KLB) dan masih menjadi penyumbang angka kematian pada bayi di Indonesia. Tujuan pengabdian masyarakat ini meningkatkan pengetahuan ibu menyusui tentang kaitan pola menyusui dengan kejadian diare pada bayi. Metode pengabdian masyarakat dilakukan melalui pendidikan kesehatan dengan sasaran ibu menyusui. Peserta pengabmas sebesar 12 orang. Hasil pengabmas menunjukkan ibu menyusui memiliki pengetahuan pre-test sebagian besar kurang dan post-test sebagian besar baik. Pola pemberian ASI yang banyak dilakukan ibu menyusui yaitu pola menyusui parsial yaitu menyusui bayi serta diberikan makanan buatan selain ASI, baik susu formula, bubur atau makanan lainnya sebelum bayi berumur enam bulan, baik diberikan secara kontinyu maupun diberikan sebagai makanan prelakteal. Kesimpulan pengabdian masyarakat yaitu peningkatan pengetahuan ibu menyusui tentang pola pemberian ASI untuk menurunkan angka kejadian diare pada bayi, berhasil meningkatkan pengetahuan ibu menyusui. Diharapkan bagi ibu untuk memberikan ASI pada bayi secara eksklusif dan tidak memberikan makanan pendamping seperti susu formula sebelum bayi berusia 6 bulan untuk mengurangi kejadian diare pada bayi.
Peran Faktor Persalinan terhadap Stunting pada Balita : Studi di Desa Tasikmadu, Indonesia Della Kurnia Fauziah; Nurul Pujiastuti; Fitriana Kurniasari Solikhah; Tri Nataliswati
Ners Jurnal Keperawatan Vol 19, No 2 (2023)
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.19.2.99-108.2023

Abstract

Stunting remains a persistent nutritional challenge in Indonesia, posing a substantial threat to child growth and survival, typically manifesting in the second year of life. Its primary antecedent is inadequate prenatal protein intake, resulting in shortened birth length and increased susceptibility to stunting. This study aimed to elucidate the relationship between birth length and stunting among toddlers within Tasikmadu Village, employing a retrospective cohort design with a total sample size of 128 individuals selected through Total Sampling. The analysis of the collected data yielded a noteworthy result, with a calculated p-value exceeding 0.570. This outcome signifies the absence of a statistically significant correlation between birth length and the incidence of stunting among the study participants in Tasikmadu Village. Instead, the investigation highlights the prominence of postnatal factors as significant determinants of stunting prevalence. These factors include the untimely introduction of complementary foods alongside breastfeeding (MP-ASI), irregular MP-ASI feeding schedules, a predominantly carbohydrate-based MP-ASI menu, erratic breastfeeding timings, and premature discontinuation of exclusive breastfeeding. In summary, this study discerns a conspicuous dissociation between birth length and stunting occurrence in Tasikmadu Village. The implication is that the roots of stunting lie predominantly in postnatal practices, emphasizing the critical role of addressing issues such as inappropriate MP-ASI practices and breastfeeding patterns to effectively combat the prevalence of stunting among toddlers. These findings contribute to a more nuanced understanding of the multifaceted nature of stunting in this context, guiding future interventions and public health initiatives aimed at its mitigation.
PERUBAHAN TINGKAT KECEMASAN ANAK YANG MENDAPAT IMUNISASI INJEKSI SETELAH DILAKUKAN PERMAINAN PRIMA Sevia Kurnia Fitri; Nurul Pujiastuti; Lucia Retnowati
Jurnal Keperawatan Muhammadiyah Edisi Khusus (2023): International Conference of Health Innovation and Technology (ICHIT)
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v0i0.17897

Abstract

Objective: Children who are undergoing treatment after injection often experience problems, so that these conditions often cause feelings of anxiety in themselves and their families. The emergence of these feelings of anxiety can spur children to use negative and positive coping mechanisms in overcoming anxiety so that it affects child development. Efforts were made to reduce children's anxiety by providing a PRIMA game (Maze Game for Anxiety). The purpose of the study was to determine changes in the level of anxiety of children who were given immunization injections after being given the PRIMA game.Methods: The research method uses case studies. The technique of collecting data is a questionnaire using the MYPAS scale. Sampling using purposive sampling technique as many as 4 respondents.Results: The results showed that the subjects who were given the PRIMA game intervention experienced a decrease in the level of anxiety in the post test results. Meanwhile, those who were not given the intervention experienced an increase in anxiety.Conclusion: It is hoped that health workers and parents can use this PRIMA game to reduce anxiety in children after injection, especially during the DPT booster I immunization. Further research can be carried out on more respondents and evaluated before and after giving the PRIMA game.
Polyscias scutellaria Aqueous Leaves Extract Increases Insulin Levels and Improves Mammary Gland Histology in Lactating Rats Budiono Budiono; Sumirah Budi Pertami; Kasiati Kasiati; Tutik Herawati; Nurul Pujiastuti; Siti Nur Arifah; Mochammad Fitri Atho'illah
The Indonesian Biomedical Journal Vol 15, No 4 (2023)
Publisher : The Prodia Education and Research Institute (PERI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18585/inabj.v15i4.2425

Abstract

BACKGROUND: Exclusive breastfeeding could be a protective step to avoid infant stunting. During lactation, several hormones are involved in milk secretion, including insulin. Polyscias scutellaria is a perennial plant which has traditionally been used to increase breast milk production. This study was conducted to examine the impact of P. scutellaria leaf extract on the mammary gland histology, expression of insulin in the mammary gland, as well as plasma insulin and the insulin receptor levels.METHODS: Five female unmated rats (UR) and twenty female lactating rats were divided into five groups, namely UR, lactating rats only (LRO), lactating rats treated with Asifit (LRA), lactating rats treated with PSAE at a dosage of 250 and 500 mg/kg body weight (BW) (LRPSAE 250 and 500). Treatments were given orally for 14 days. The dams were sacrificed after the weaning stage (third week after parturition), and the serum, mammary gland, liver, and muscle were collected for further analysis.RESULTS: The histoarchitecture of mammary gland between the LRA and LRPSAE groups were similar. The LRPSAE 250 group had higher plasma level and immunofluorescent expression of insulin than the LRA group. PSAE did not affect insulin receptor beta subunit (INSR-β) levels in both liver and muscle of lactating rats.CONCLUSION: PSAE could be used as an herbal treatment to increase breast milk production by improving mammary gland histology and maintaining the mother's insulin levels.KEYWORDS: Polyscias scutellaria, lactating rats, insulin, INSR-β
GERAKAN PERILAKU “CERDIK” BAGI LANSIA SEBAGAI TINDAKAN PREVENTIF TERHADAP PTM DAN PENYAKIT INFEKSI Budiono Budiono; Sumirah Budi Pertami; Nurul Pujiastuti; Ira Rahmawati
JMM (Jurnal Masyarakat Mandiri) Vol 7, No 6 (2023): Desember
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jmm.v7i6.19221

Abstract

Abstrak: Perilaku CERDIK merupakan tindakan preventif agar lansia tetap sehat, bugar, dan bebas dari penyakit tidak menular (PTM) dan penyakit infeksi. Tujuan pengabdian untuk meningkatkan pengetahuan dan perilaku CERDIK, mencegah serta menghindari terjadinya PTM dan penyakit infeksi pada lansia. Metode kegiatan berupa penyuluhan dan pemeriksaan kesehatan bertempat di Desa Sumberporong selama 3 bulan (Juni-Agustus 2022), melibatkan 35 lansia. Hasil kegiatan; terjadi peningkatan pengetahuan dan perilaku dalam menjalankan perilaku CERDIK pada peserta. Pengetahuan peserta saat pre-test sebesar 60% baik dan post-test sebesar 85% baik. Pada pemeriksaan kesehatan terjadi penurunan rerata tekanan darah dari (148,05/90,34 mmHg) menjadi (138,35/82,94 mmHg), rerata kadar gula darah dari (164,8mg/dL) menjadi (152,74mg/dL), dan rerata kadar kolesterol total dari (195,34 mg/dL) menjadi (180,32 mg/dL). Kesimpulan kegiatan pengabdian kepada masyarakat Gerakan Perilaku CERDIK berhasil meningkatkan pengetahuan dan perilaku hidup sehat, dibuktikan terjadinya penurunan rerata tekanan darah dan kadar glukosa darah pada peserta kegiatan. Diharapkan lansia tetap melakukan perilaku CERDIK sebagai tindakan preventif pada PTM dan penyakit infeksi.Abstract: CERDIK behavior is a preventive measure so that the elderly remain healthy, fit and free from non-communicable diseases (NCDs) and infectious diseases. The aim of the service is to increase CERDIK knowledge and behavior, prevent and avoid the occurrence of NCDs and infectious diseases in the elderly. The activity method is in the form of counseling and health checks taking place in Sumberporong Village for 3 months (June-August 2022), involving 35 elderly people. Activity results; there was an increase in knowledge and behavior in carrying out CERDIK behavior among participants. Participants' knowledge during the pre-test was 60% good and post-test was 85% good. During the health examination, there was a decrease in the average blood pressure from (148.05/90.34 mmHg) to (138.35/82.94 mmHg), the average blood sugar level from (164.8mg/dL) to (152.74mg/dL), and the average total cholesterol level from (195.34 mg/dL) to (180.32 mg/dL). Conclusion: The community service activities of the CERDIK Behavior Movement succeeded in increasing knowledge and healthy living behavior, as evidenced by a decrease in the average blood pressure and blood glucose levels in activity participants. It is hoped that the elderly will continue to carry out CERDIK behavior as a preventive measure against NCDs and infectious diseases.
Penyembuhan luka Ulkus Diabetik dengan Dressing Madu Murni: Literature Review Pujiastuti, Nurul -
Journal of Local Therapy Vol 2 No 1 (2023): Journal of Local Therapy
Publisher : Pusat Unggulan IPTEK Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jlt.v2i1.3653

Abstract

Poor peripheral circulation in patients with diabetes mellitus causes wounds to be difficult to heal. Therefore, patients with diabetes mellitus with diabetic ulcers require wound care to reduce the risk of amputation. One alternative material that can be used for wound care is the topical application of pure honey. The purpose of the study was to determine the effect of honey dressing on the healing process of diabetic ulcers through a literature review. The databases used include PubMed, ScienceDirect, Google Scholar, and Garuda. Keywords using (((honey) OR honey dressing) AND wound healing) AND diabetic ulcer) OR diabetic foot ulcer. The library sources used are from 2010-2020. The search results obtained 9,507 articles. Furthermore, articles were selected based on inclusion and exclusion criteria, obtained 11 articles. The assessment of articles uses a checklist on the JBI (Joanna Briggs Institute) assessment list. Eleven articles that met the assessment criteria were then analyzed one by one. The results showed that eleven articles showed the effect of giving honey dressing on the healing process of diabetic ulcers. A total of 3 articles showed wound healing based on changes in score, 2 articles based on changes in grade, 5 articles based on changes in wound characteristics, and 2 articles based on healing time. Of the eleven journals analyzed, honey dressing on diabetic ulcers were most effectively used in wound Grade I and II (Wagner Classification) ulcer patients who received drug therapy with a GDS <200 mg/dL and received daily wound care for 1 month. Healthcare professionals may consider using honey dressings for the treatment of diabetic ulcers. In addition to a more affordable price, honey has good benefits for wound healing. Further research is needed on the type of honey that is more effective as an ingredient in wound care.