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NUTRISI DAN DIET PADA KELOMPOK MENOPAUSE DENGAN KANKER PAYUDARA Pintam Ayu Yastirin; Rizki Amalia
Jurnal Ilmu Kebidanan dan Kesehatan (Journal of Midwifery Science and Health) Vol. 8 No. 1 (2017): Jurnal Ilmu Kebidanan dan Kesehatan (Journal of Midwifery Science and Health)
Publisher : Sekolah Tinggi Ilmu Kesehatan Bakti Utama Pati

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1386.934 KB) | DOI: 10.52299/jks.v8i1.34

Abstract

Kanker payudara merupakan jenis kanker yang banyak diderita oleh perempuan baik dalam penemuan kasus baru (43,3%) dan penyebab kematian (12,9%). Riset Kesehatan Dasar tahun 2013 menggambarkan prevelensi penderita kanker di Indonesia sebesar 1,4%. Prevalensi tertinggi kasus kanker di Indonesia berada pada provinsi DIY (4,1%), Jawa Tengah (2,1%) dan Bali (2,0%) dimana persentase kasus, diatas persentase nasional. Tingginya kasus kanker yang terjadi pada tahun-tahun terakhir, tidak terlepas pada faktor risiko yang memungkinkan terjangkitnya kanker pada seseorang. Pola perilaku dan pola makan yang seringkali berpotensi pada penyakit kanker, antara lain kebiasaan merokok (21 %), konsumsi alkohol (5 %), kurang aktivitas fisik (2 %), kurang konsumsi sayur dan buah (5 %), kelebihan berat badan dan obesitas (2 %). Berkaitan dengan faktor resiko kanker payudara, perempuan menopause dengan riwayat obesitas memiliki resiko lebih besar untuk menderita kanker payudara. Tujuan : Penelitian bertujuan untuk mengetahui tentang pola diet dan nutrisi yang dikonsumsi oleh klien kelompok menopause dengan Kanker Payudara Stadium II pasca pembedahan. Metode : Jenis penelitian adalah penelitian kualitatif dengan metode studi kasus (case study). Kasus yang diambil adalah Kanker Payudara Stadium II. Informan penelitian ditentukan menggunakan teknik purposive sampling sejumlah 6 orang. Penelitian ini menggunakan analisis induktif untuk dapat melakukan identifikasi tema hasil penelitian. Data yang didapatkan kemudian diolah dengan memberikan kode berdasarkan tema, yang selanjutnya dilakukan analisis manual untuk memperoleh identifikasi hasil akhir. Hasil : Varibel nutrisi dan diet yang dikaji pada penelitian meliputi ukuran antropometri dan riwayat diet penderita kanker payudara. Ukuran antropemetri diketahui melalui berat badan (BB) dan tinggi badan (TB) untuk dapat melihat body mass index (BMI) penderita. Sedangkan riwayat diet merupakan pola kebiasaan penderita kanker payudara dalam mengkonsumsi makanan sebelum sakit. Sebagian informan merupakan penderita dengan BMI kategori obesitas serta memiliki pola kebiasaan makan tidak sehat yaitu konsumsi makanan yang digoreng dan kurang mengkonsumsi sayur buah. Simpulan : Nutrisi dan diet sehat untuk penderita kanker payudara kelompok usia menopause antara lain adalah diet vegetarian dan diet fito estrogen. Sayur dan buah sangat baik untuk pemulihan kesehatan penderita kanker karena di dalam sayur dan buah mengandung banyak zat fitokimia termasuk fito estrogen.
PERAN SERTA SUAMI DAN PERILAKU IBU HAMIL DALAM PERAWATAN KEHAMILAN DI PUSKESMAS WIROSARI I Rosmala Kurnia Dewi; Pintam Ayu Yastirin
Jurnal Ilmu Kebidanan dan Kesehatan (Journal of Midwifery Science and Health) Vol. 11 No. 1 (2020): Jurnal Ilmu Kebidanan dan Kesehatan (Journal of Midwifery Science and Health
Publisher : Sekolah Tinggi Ilmu Kesehatan Bakti Utama Pati

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (482.901 KB) | DOI: 10.52299/jks.v11i1.58

Abstract

Angka Kematian Ibu (AKI) di Indonesia masih menjadi tren permasalahan kesehatan, dimana berdasarkan data SUPAS 2015 AKI berkisar 305/100.000 kelahiran hidup. Angka tersebut mengalami penurunan jika dibandingka AKI tahun 2010 sebesar 346/100.000 kelahiran hidup. Akan tetapi AKI tahun 2015 di Indonesia masih jauh dari target MDGs, yang mentargetkan AKI pada kisaran angka 102/100.000 kelahiran hidup. Banyaknya faktor yang terkait tentang kematian ibu di Indonesia diantaranya kualitas perilaku ibu hamil yang tidak memanfaatkan ANC. Salah satu kegiatan dalam pelayanan antenatal terpadu dengan melibatkan ibu hamil, suami dan keluarga untuk menjaga kesehatan dan gizi ibu hamil, menyiapkan persalinan dan kesiagaan apabila terjadi penyulit/komplikasi. Tujuan penelitian ini untuk mendeskripsikan bagaimana peran serta suami dalam perawatan kehamilan yang diambil lokasi penelitian di Puskesmas Wirosari 1. Penelitian ini menggunakan metode survei deskriptif, dimana peneliti akan mendeskripsikan peran suami dalam perawatan kehamilan. sampel yang diteliti diambil menggunakan teknik random sampling sejumlah 184 ibu hamil. Penelitian dilaksanakan pada bulan Desember 2018 – Juli 2019. Data penelitian dikumpulkan menggunakan metode wawancara terpimpin, yang selanjutnya akan diolah menggunakan analisis univariat. Karakteristik responden dilihat dari usia, pendidikan dan paritas. Sebagian besar responden kelompok usia 21-35 tahun sebanyak 167 responden (91%), dengan pendidikan terakhir mayoritas tamat SMA sebanyak 60 responden (33%) dan berdasarkan paritas mayoritas multigravida sebanyak 136 responden (74%). Dari hasil penelitian peran suami dalam perawatan kehamilan mayoritas mendukung ibu hamil melakukan perawatan kehamilan sebanyak 157 responden (85,3%) dan mayoritas ibu hamil melakukan perawatan kehamilan sebanyak 181 responden (98,4%). Dengan adanya dukungan suami pada ibu hamil dalam melakukan perawatan kehamilan, maka ibu akan tepat waktu dalam melakukan perawatan kehamilan, dengan adanya tepat waktu dalam melakukan perawatan kehamilan ataupun kunjungan antenatal care maka akan mempermudah tenaga kesahatan mendeteksi komplikasi kehamilan secara dini.
PELAKSANAAN KONSELING PADA KLIEN PASCA PEMASANGAN INTRA UTERINE DEVICE (IUD) OLEH BIDAN DI BIDAN PRAKTIK MANDIRI (BPM) Pintam Ayu Yastirin; Rosmala Kurnia Dewi; Yuni Sugiartini
Jurnal Ilmu Kebidanan (Journal of Midwivery Science) Vol 3, No 2: Agustus 2015
Publisher : Sekolah Tinggi Ilmu Kesehatan AKBIDYO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36307/jik.v3i2.77

Abstract

Latar belakang: Unsur penting dalam upaya mencapai pelayanan kesehatan reproduksi diantaranya akses terha- dap pelayanan keluarga berencana yang bermutu. Peningkatan akses terhadap pelayanan keluarga berencana yang bermutu dapat dilakukan dengan memberikan konseling dalam pelayanan keluarga berencana. Cakupan pengguna IUD di Kabupaten Grobogan sejauh ini masih sedikit (4,2%), sehingga diperlukan upaya untuk dapat melakukan pemerataan pola penggunaan kontrasepsi salah satunya dengan melakukan konseling. Bidan telah memberikan konseling pada klien pasca pemasangan IUD, namun pelaksanaan konseling tersebut belum dapat sesuai dengan standar yang ada.Tujuan: Penelitian ini bertujuan untuk mengetahui determinan faktor yang mempengaruhi praktik konseling pasca pemasangan IUD (Intra Uterine Device) oleh Bidan Praktik Mandiri di Kabupaten Grobogan.Metode: Jenis penelitian yang digunakan adalah survei analitik dengan pendekatan cross sectional. Subyek pe- nelitian yaitu bidan praktik mandiri (BPM) di Kabupaten Grobogan, dengan jumlah sampel 60 BPM. Analisa data dilakukan dengan cara univariat dan bivariat menggunakan uji phi koefisien.Hasil: Hasil penelitian menunjukan bahwa konseling pada klien pasca pemasangan IUD oleh bidan praktik mandiri dipengaruhi oleh tingkat pengetahuan bidan. Secara statistik menunjukan bahwa terdapat hubungan antara penge- tahuan bidan tentang konseling IUD dengan pelaksanaan konseling, hal tersebut dapat dilihat dari nilai p 0,014 < 0,05.Simpulan: Berdasarkan hasil penelitian, dapat disimpulkan bahwa pelayanan konseling yang baik oleh bidan sa- ngat dipengaruhi oleh tingkat pengetahuan. Bidan yang memiliki kekayaan informasi tentang IUD akan lebih mudahmenularkan informasi kepada kliennya.ABSTRACTBackground: One of the most important elements in achieving reproductive health services is access to quality of family planning services. Enhancement of access to the quality of family planning services can be performed by providing counseling in family planning services. Coverage of IUD users in Grobogan is still slightly (4.2%), so it is necessary to make and to do a distribution pattern of contraceptive use, and one of them is by counseling. Mid- wives have provided counseling to clients after IUD insertion, but the implementation is not accord to an existing standards.Purpose: The purpose of research is to determine the determinant factors that influence post­insertion IUD (Intra Uterine Device) counseling practice by the Independent Midwife Practice in Grobogan.Method: This type of research is analytic survey with cross sectional approach. The subjects of research are in- dependent midwife practices (BPM) in Grobogan, with 60 of BPM samples. Data analysis was by univariate and bivariate phi coefficient test.Result: The study shows that counseling to clients after IUD insertion by independent midwife practices is influ- enced by the level of knowledge of midwives. Statistically shows that there is relationship between the midwife knowledge about IUD counseling to the implementation of counseling. It can be seen from p value 0,014<0,05.Conclusion: Based on the result of this study concluded that the counseling services by the midwife and was strongly influenced by the level of knowledge. Midwife who has a wealth of information about the IUD would be easier to pass information to their clients.
PELAKSANAAN KONSELING PADA KLIEN PASCA PEMASANGAN INTRA UTERINE DEVICE (IUD) OLEH BIDAN DI BIDAN PRAKTIK MANDIRI (BPM) Pintam Ayu Yastirin; Rosmala Kurnia Dewi; Yuni Sugiartini
Jurnal Ilmu Kebidanan (Journal of Midwivery Science) Vol 3, No 2: Agustus 2015
Publisher : Sekolah Tinggi Ilmu Kesehatan AKBIDYO

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (763.997 KB) | DOI: 10.36307/jik.v3i2.77

Abstract

Latar belakang: Unsur penting dalam upaya mencapai pelayanan kesehatan reproduksi diantaranya akses terha- dap pelayanan keluarga berencana yang bermutu. Peningkatan akses terhadap pelayanan keluarga berencana yang bermutu dapat dilakukan dengan memberikan konseling dalam pelayanan keluarga berencana. Cakupan pengguna IUD di Kabupaten Grobogan sejauh ini masih sedikit (4,2%), sehingga diperlukan upaya untuk dapat melakukan pemerataan pola penggunaan kontrasepsi salah satunya dengan melakukan konseling. Bidan telah memberikan konseling pada klien pasca pemasangan IUD, namun pelaksanaan konseling tersebut belum dapat sesuai dengan standar yang ada.Tujuan: Penelitian ini bertujuan untuk mengetahui determinan faktor yang mempengaruhi praktik konseling pasca pemasangan IUD (Intra Uterine Device) oleh Bidan Praktik Mandiri di Kabupaten Grobogan.Metode: Jenis penelitian yang digunakan adalah survei analitik dengan pendekatan cross sectional. Subyek pe- nelitian yaitu bidan praktik mandiri (BPM) di Kabupaten Grobogan, dengan jumlah sampel 60 BPM. Analisa data dilakukan dengan cara univariat dan bivariat menggunakan uji phi koefisien.Hasil: Hasil penelitian menunjukan bahwa konseling pada klien pasca pemasangan IUD oleh bidan praktik mandiri dipengaruhi oleh tingkat pengetahuan bidan. Secara statistik menunjukan bahwa terdapat hubungan antara penge- tahuan bidan tentang konseling IUD dengan pelaksanaan konseling, hal tersebut dapat dilihat dari nilai p 0,014 < 0,05.Simpulan: Berdasarkan hasil penelitian, dapat disimpulkan bahwa pelayanan konseling yang baik oleh bidan sa- ngat dipengaruhi oleh tingkat pengetahuan. Bidan yang memiliki kekayaan informasi tentang IUD akan lebih mudahmenularkan informasi kepada kliennya.ABSTRACTBackground: One of the most important elements in achieving reproductive health services is access to quality of family planning services. Enhancement of access to the quality of family planning services can be performed by providing counseling in family planning services. Coverage of IUD users in Grobogan is still slightly (4.2%), so it is necessary to make and to do a distribution pattern of contraceptive use, and one of them is by counseling. Mid- wives have provided counseling to clients after IUD insertion, but the implementation is not accord to an existing standards.Purpose: The purpose of research is to determine the determinant factors that influence post­insertion IUD (Intra Uterine Device) counseling practice by the Independent Midwife Practice in Grobogan.Method: This type of research is analytic survey with cross sectional approach. The subjects of research are in- dependent midwife practices (BPM) in Grobogan, with 60 of BPM samples. Data analysis was by univariate and bivariate phi coefficient test.Result: The study shows that counseling to clients after IUD insertion by independent midwife practices is influ- enced by the level of knowledge of midwives. Statistically shows that there is relationship between the midwife knowledge about IUD counseling to the implementation of counseling. It can be seen from p value 0,014<0,05.Conclusion: Based on the result of this study concluded that the counseling services by the midwife and was strongly influenced by the level of knowledge. Midwife who has a wealth of information about the IUD would be easier to pass information to their clients.
Pelaksanaan Konseling Pada Klien Pasca Pemasangan Intra Uterine Device (IUD) Oleh Bidan Di Bidan Praktik Mandiri (BPM) Pintam Ayu Yastirin; Rosmala Kurnia Dewi; Yuni Sugiartini
Jurnal Ilmu Kebidanan (Journal of Midwivery Science) Vol. 3 No. 2 (2015): Jurnal Ilmu Kebidanan (Journal of Midwifery Science)
Publisher : Jurnal Ilmu Kebidanan (Journal of Midwivery Science)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36307/70kkbx49

Abstract

Background: One of the most important elements in achieving reproductive health services is access to quality offamily planning services. Enhancement of access to the quality of family planning services can be performed byproviding counseling in family planning services. Coverage of IUD users in Grobogan is still slightly (4.2%), so itis necessary to make and to do a distribution pattern of contraceptive use, and one of them is by counseling. Midwives have provided counseling to clients after IUD insertion, but the implementation is not accord to an existingstandards.Purpose: The purpose of research is to determine the determinant factors that influence post-insertion IUD (IntraUterine Device) counseling practice by the Independent Midwife Practice in Grobogan.Method: This type of research is analytic survey with cross sectional approach. The subjects of research are independent midwife practices (BPM) in Grobogan, with 60 of BPM samples. Data analysis was by univariate andbivariate phi coefficient test.Result: The study shows that counseling to clients after IUD insertion by independent midwife practices is influenced by the level of knowledge of midwives. Statistically shows that there is relationship between the midwifeknowledge about IUD counseling to the implementation of counseling. It can be seen from p value 0,014<0,05.Conclusion: Based on the result of this study concluded that the counseling services by the midwife and wasstrongly influenced by the level of knowledge. Midwife who has a wealth of information about the IUD would beeasier to pass information to their clients.Keywords: Counseling, IUD contraception
Studi Korelasi Karakteristik dan Status Gizi Ibu Hamil terhadap Prevalensi Stunting pada Balita Enik Purwo Rahayu; Pintam Ayu Yastirin; Sehmawati Sehmawati
Detector: Jurnal Inovasi Riset Ilmu Kesehatan Vol. 1 No. 3 (2023): Agustus : Jurnal Inovasi Riset Ilmu Kesehatan
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/detector.v1i3.2479

Abstract

Monitoring nutritional status in 2018 reached 27.5% while the WHO limit was <20%. This means that approximately 8.9 million Indonesian children experience suboptimal growth, or 1 in 3 Indonesian children is stunted. More than one third of children under the age of 5 in Indonesia are below average in height. Purpose: To analyze the relationship between the health history of pregnant women and the incidence of stunting in the working area of the Responsibilityrjo Health Center. Methodology: The research design used is quantitative research using analytic survey methods with a cohort approach. The population is 3140 and the sample is 355 respondents. Results: The average respondent was 20-35 years old with a percentage of 80%, the education of the most respondents was high school with a total of 220 respondents or 62%. Most of the respondents' occupations were housewives, namely 102 respondents or 28.7% and the highest number of respondents were multigravidas, namely 215 or 60.6%. Health history of mothers during pregnancy with CED as many as 84 respondents (23.7%) and non-SEZ 271 mothers or 76.3% And mothers who experienced mild anemia were 98 mothers or 27.6% and mothers under five who experienced moderate anemia 22 respondents or by 6.2%, there were 135 stunted toddlers with a percentage of 38%, there was no relationship between age and work with stunting with a p value of maternal age of 0.611 and a p value of work of 0.158 and there was a relationship between education and parity most of the respondents were multigravida, namely 215 or 60.6%. Health history of mothers during pregnancy with CED as many as 84 respondents (23.7%) and non-SEZ 271 mothers or 76.3% And mothers who experienced mild anemia were 98 mothers or 27.6% and mothers under five who experienced moderate anemia 22 respondents or by 6.2%, there were 135 stunted toddlers with a percentage of 38%, there was no relationship between age and work with stunting with a p value of maternal age of 0.611 and a p value of work of 0.158 and there was a relationship between education and parity with the incidence of stunting, namely the p value Mother's education is 0.00 and the p value for mother's parity is 0.000. There is a relationship between maternal health history and the incidence of stunting. negative indicates that the better the mother's nutrition and the higher the mother's Hb, the lower the incidence. Suggestion: So that parents can better prepare for early pregnancy and pay more attention to their children's nutritional intake.
Pelaksanaan Konseling Pada Klien Pasca Pemasangan Intra Uterine Device (IUD) Oleh Bidan Di Bidan Praktik Mandiri (BPM) Pintam Ayu Yastirin; Rosmala Kurnia Dewi; Yuni Sugiartini
Jurnal Ilmu Kebidanan (Journal of Midwivery Science) Vol. 3 No. 2 (2015): Jurnal Ilmu Kebidanan (Journal of Midwifery Science)
Publisher : Jurnal Ilmu Kebidanan (Journal of Midwivery Science)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36307/70kkbx49

Abstract

Background: One of the most important elements in achieving reproductive health services is access to quality offamily planning services. Enhancement of access to the quality of family planning services can be performed byproviding counseling in family planning services. Coverage of IUD users in Grobogan is still slightly (4.2%), so itis necessary to make and to do a distribution pattern of contraceptive use, and one of them is by counseling. Midwives have provided counseling to clients after IUD insertion, but the implementation is not accord to an existingstandards.Purpose: The purpose of research is to determine the determinant factors that influence post-insertion IUD (IntraUterine Device) counseling practice by the Independent Midwife Practice in Grobogan.Method: This type of research is analytic survey with cross sectional approach. The subjects of research are independent midwife practices (BPM) in Grobogan, with 60 of BPM samples. Data analysis was by univariate andbivariate phi coefficient test.Result: The study shows that counseling to clients after IUD insertion by independent midwife practices is influenced by the level of knowledge of midwives. Statistically shows that there is relationship between the midwifeknowledge about IUD counseling to the implementation of counseling. It can be seen from p value 0,014<0,05.Conclusion: Based on the result of this study concluded that the counseling services by the midwife and wasstrongly influenced by the level of knowledge. Midwife who has a wealth of information about the IUD would beeasier to pass information to their clients.Keywords: Counseling, IUD contraception
Pengelolaan Kesehatan Reproduksi Sebagai Upaya Pembangunan Kesehatan Sumber Daya Manusia (SDM) Pintam Ayu Yastirin; Wahyu Utami Ekasari; Nurulistyawan Tri Purnanto
Jurnal Pengabdian kepada Masyarakat Cahaya Negeriku Vol. 1 No. 1 (2021): Jurnal Pengabdian kepada Masyarakat Cahaya Negeriku
Publisher : LPPM AN Nuur

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

Abstract

 Background: Health development aims to increase awareness, willingness and ability to live healthy for everyone in order to realize the highest degree of public health as an investment for the development of socially and economically productive human resources. Grobogan Regency is one of the districts with the highest cases related to maternal and child health. Based on 2019 data, there were 36 cases of maternal death while infant mortality cases were 13.2 / 1000 KH). Here there is a need for strong efforts to improve health, especially reproductive health nationally. Purpose: To improve reproductive health in the adolescent age group and pregnant women. Method: This activity was carried out in Kuripan Village with 12 adolescents and 8 pregnant women as participants. The implementation of the activity was assisted by 4 students. The method of implementing community service uses a descriptive survey with implementation techniques through anamnesis, physical examination, documentation study, and observation. Results: There were 20 participants (100%), subjective data found that teenagers did not know about the importance of adolescent reproductive health, and through objective data collection, pregnant women with anemia and fetal position abnormalities were found. The intervention carried out was the provision of adolescent reproductive health counseling and the implementation of pregnancy exercise. Conclusion: The community service activity was attended by 20 participants with activities including subjective data collection including anamnesis, objective data including physical and supporting examinations, problem determination and implementation of interventions, namely counseling and pregnancy exercise.  
EDUKASI DAN PELATIHAN PIJAT BAYI DENGAN BERAT LAHIR RENDAH Rosmala Kurnia Dewi; Anggita Septyani Permatasari; Sehmawati; Pintam Ayu Yastirin
Jurnal Pengabdian kepada Masyarakat Cahaya Negeriku Vol. 3 No. 2 (2023): Jurnal Pengabdian kepada Masyarakat Cahaya Negeriku
Publisher : LPPM AN Nuur

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

Abstract

Background: Background: LBW cases are often associated with prematurity as the cause. There are many forms of intervention in handling LBW babies, one of which is providing intervention aimed at optimizing the growth and development of the baby, one of which is providing additional stimulation which includes touch and massage. Objective: The aim of providing health education and baby massage is to provide knowledge and skills to mothers to increase the weight of LBW babies. Method: The method used in this service is a descriptive survey with implementation techniques through history taking, documentation and observation of health education and massage for LBW babies. Results: After being given health education and baby massage, the average weight of LBW babies increased. Conclusion: The method of implementing health education and baby massage has been proven to help increase the weight of LBW babies at PMB Sri Lestari Ngembak.