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Stress influencing and coping strategies model among people living with HIV/AIDS: a mixed-methods Handayani, Sri; Susanti, Dewi
MEDISAINS Vol 22, No 2 (2024)
Publisher : Universitas Muhammadiyah Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/medisains.v22i2.23365

Abstract

Background: The influencing factor is stress, which has an impact on the low motivation of People Living With HIV/AIDS (PLWHA) to recover. By knowing these factors, interventions in controlling stress can be carried out well. A coping model is needed as a basis for developing stress control intervention plans for PLWHA using a family approach. As the closest environment to PLWHA, the family is very appropriate to control stress in PLWHA.Purpose:  This research aims to determine the factors that influence stress and models of coping strategies for stress in PLWHA.Methods: This is a mixed-method study with an exploratory sequential approach. This research was conducted in Padang City at the quantitative research stage. The sample in this study was 38 PLWHA and nine respondents in a quantitative study (psychologists, counselors, HIV counselors, companions of PLWHA (husband/wife/children/parents), and PLWHA). Data collection was carried out through observation and deep interviews with the respondents.Results: The statistical analyses revealed that factors influencing stress are self-control and discrimination. The results of the interviews obtained information that PLWHA needs to increase their faith in God, PLWHA does not want their status to be known by many people, and there is a lack of knowledge of PLWHA and the environment regarding HIV/AIDS transmission. The appropriate coping strategy model for PLHIV is to increase the PLWHA's faith, prevent the family from disclosing the PLWHA's disease status to the environment, and increase the knowledge of PLWHA and the social environment.Conclusion: Self-control and discrimination influence stress. The stress control coping strategy model for PLWHA is formed from three pillars: faith/belief, health status, and knowledge.
Factors influence the severity of premenopause syndrome Sinambela, Megawati; Hariati, Hariati; Susanti, Dewi; Sirait, Reni Aprinawaty
MEDISAINS Vol 22, No 2 (2024)
Publisher : Universitas Muhammadiyah Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/medisains.v22i2.23123

Abstract

Background: Premenopause syndrome triggers more severe physical and psychological problems and the emergence of various diseases. The limited research on the factors causing the severity of Premenopause syndrome has resulted in a lack of efforts to address the causative factors. Purpose: This study aims to explore factors that influence the severity of premenopause syndrome.Method: This is an analytic observational study with a cross-sectional design. Eighty-eight women aged 40-45 years were included in this study. The knowledge, attitude, age of menarche, use of hormonal contraceptives, and symptoms of premenopause syndrome observed in this study—data analysis using chi-square and multiple logistic regression.Results: Factors that influence the severity of premenopause syndrome are knowledge, attitude, age of menarche, and use of hormonal contraceptives (p<0.001). Knowledge is the most dominant factor (Exp(B) = 25.983; p<0.05)Conclusion: These results underscore the importance of increasing the knowledge of premenopause women to reduce the severity.
Midwifery assessment and interventions protocol for adolescent pregnancy: a Delphi method approach Susanti, Dewi; Yuda, Rahmi Andrita; Handayani, Sri; Sirait, Reni Aprinawaty; Sinambela, Megawati; Yusefni, Elda
MEDISAINS Vol 22, No 2 (2024)
Publisher : Universitas Muhammadiyah Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/medisains.v22i2.23317

Abstract

Background: Adolescence pregnancy poses risks for both mothers and infants, often due to insufficient prenatal care resulting from societal stigmatization and lack of awareness. Around 16 million adolescents aged 15-19 years in the world give birth each year; in Indonesia, the first pregnant women aged <20 years are 45.10%, while in West Sumatra, it is 33.7%. To address this issue, integrated programs and midwifery care have been implemented. However, providing such care to adolescent mothers comes with its own set of challenges.Purpose:  This study aims to conduct a midwifery assessment and intervention protocol for adolescent pregnancy.Method: Qualitative approach The Delphi method involved two rounds of evaluation, with twenty-one participants who were independent practice midwives, six midwives involved in the mother and child health program, and nine midwifery lecturers from accredited educational institutions A (excellent). Participants had at least five years of clinical experience and were selected using purposive non-probability sampling. Participants evaluated statements related to midwifery care during the Delphi process. The validity of these statements was determined by participants providing a minimum score of 3, and the Content Validity Ratio (CVR) was calculated. Statements with a CVR greater than 0.8 were considered valid.Results: Based on expert consensus, important assessments for adolescent pregnant women include addressing issues of gender equality and domestic violence, reproductive and sexual health, risks associated with smoking and substance abuse, maintaining a healthy pregnancy, and adequately preparing for labor and parenthood.Conclusion: Midwifery management and midwifery information were deemed valid dimensions of midwifery care; relational care had one invalid item.
Pendidikan Kesehatan Berbasis Kearifan Lokal Terhadap Perilaku Keikutsertaan Ibu Dalam Imunisasi MR Pada Remaja Puteri di Kota Padang Erwani Erwani; Dewi Susanti
JIK-JURNAL ILMU KESEHATAN Vol 4, No 2 (2020): JIK-Oktober Volume 4 Nomor 2 Tahun 2020
Publisher : STIKes ALIFAH PADANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33757/jik.v4i2.309

Abstract

Di Sumatera Barat memiliki 19 Kabupaten/ Kota dengan penduduk yang sangat padat memungkinkan terjadinya penularan terhadap kasus campak yang terjadi pada 3 suatu wilayah.Kota Padang termasuk dalam urutan ke 5 cakupan tertinggi kejadian imunisasi Measles dan Rubela(MR) yaitu 19,53 %, dan masih belum tercapai target nasional yaitu 95%. Pendidikan kesehatan berbasis kearifan lokal merupakan metode dalam memberikan informasi yang disesuaikan dengan karakteristik masyarakat dengan memanfaatkan kearifan lokal. Tujuan penelitian ini untuk melihat pengaruh pemberian pendidikan kesehatan berbasis kearifan lokal terhadap perilaku keikutsertaan ibu dalam imunisasi MR pada remaja putri di Kota Padang tahun 2019.Jenis penelitian ini adalah quasy eksperimen denganone grouppre and post test design. Penelitian telah dilakukan di 4 SMP di Kota Padang pada bulan April 2019 - Oktober 2019. Populasi adalah orang tua murid remaja putri usia 13-15 tahun SMP di Kota Padang. Sampel diambil secara teknik kuota sampling dengan jumlah sampel sebanyak 32 orang, dianalisis secara univariat dan bivariat dengan uji t test berpasangan. Rata-rata pengetahuan, sikap, dan tindakan tentang imunisasi MR sebelum diberikan pendidikan kesehatan berbasis kearifan lokal adalah 9,16; 58,06; 4,00 dan sesudah diberikan pendidikan kesehatan berbasis kearifan lokal adalah 13,69; 68,03, 7,16. Analisis bivariat menunjukkan ada pengaruh pendidikan kesehatan berbasis kearifan lokal tentang imunisasi MR terhadap pengetahuan (p = 0,000), sikap (p = 0,000), dan tindakan (p = 0,000). Simpulan ada peningkataan rerata pengetahaun, sikap, dan tindakan ibu dari remaja tentang imunisasi MR setelah diberi pendidikan kesehatan berbasis kearifan lokal, maka harapan peneliti kepada SMP-SMP di Kota Padang untuk dapat meningkatkan pendidikan kesehatan menggunakan pendidikan kesehatan berbasis kearifan lokal
Exploring Adolescent Pregnancy Expectations in Continuity of Midwifery Care: A Qualitative Study in Indonesia Susanti, Dewi; Hardisman, Hardisman; Yusrawati, Yusrawati; Mudjiran, Mudjiran; Machmud, Rizanda; Nursal, Dien Gusta Anggraini; Maputra, Yantri; Hasnita, Evi
Jurnal Bidan Cerdas Vol. 5 No. 4 (2023)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jbc.v5i4.2339

Abstract

Introduction: Adolescent pregnancy presents a significant challenge to global reproductive health, including in Indonesia. The unique obstacles that young pregnant women encounter when seeking appropriate and supportive healthcare services call for a deeper understanding to improve maternal care. Purpose: This study aims to explore the expectations of young pregnant women regarding continuous midwifery care in Indonesia. Method: This research employed an exploratory qualitative approach, conducting 13 face-to-face interviews between January and June 2022. Participants included midwives, young mothers, a coordinating midwife, and Mother and Child Health (MCH) program holders. Interviews, lasting 1-1.5 hours, were conducted, and the interview data were rigorously analyzed thematically by the research team, strengthening data reliability through triangulation. Results: Continuity management emphasizes friendly service, privacy, clear communication, and comprehensive health assessments. Informational continuity involves comprehensive information, direct communication, attractive aids, and health education evaluation. Relational continuity highlights comprehensive maternal care, family tradition approval, reminders, and efficient care. The study underscores the importance of tailored, holistic, and culturally sensitive midwifery care for young pregnant women's overall well-being. Conclusion:   This study highlights adolescent pregnant women's unique needs, focusing on continuity management, informational continuity, and relational continuity. Proposed strategies include tailored health services, comprehensive maternal education, cultural sensitivity training for healthcare providers, policy integration, and diverse research. Successfully implementing these measures can significantly enhance maternal care outcomes for Indonesian adolescents.
Hubungan Pengetahuan Remaja tentang Kesehatan Reproduksi dengan Perilaku Seksual Beresiko di SMA Esa Prakarsa Selesai Kabupaten Langkat Elvi Era Liesmayani; Dewi Susanti; Syahbaniah Ginting
Jurnal Bidan Mandiri Vol 1 No 2 (2023): Jurnal Bidan Mandiri, Volume 1, No.2 Oktober 2023
Publisher : Jurusan Kebidanan Poltekkes Kemenkes Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33761/jbm.v1i2.1269

Abstract

Adolescence is the most prone period in physical life, growth, and development since sexual hormone has actively functioned. Naturally, teenagers experience rapid sexual drive which can cause the existence of risky sexual behavior. The objective of the research was to find out the correlation between teenagers’ knowledge of reproduction health and their sexual behavior at SMA Esa Prakarsa, Selesai, Langkat District, in 2014. The research was an analytic survey with cross sectional design. The population was 156 Grade XI students at SMA Esa Prakarsa, Selesai, Langkat District, and 114 of them were used as the samples. The data were analyzed by using univatriate analysis and bivatriate analysis with chi square test. The result of the research showed that 45 respondents (34,5%) lack of knowledge of high risky sexual behavior, and 11 respondents (9,6%) had low risky sexual behavior with p-value = 0.000 which indicated that p-value = 0,000 < 0,05. The conclusion of the research was that, statistically, there was significant correlation between teenagers’ knowledge of reproduction health and risky sexual behavior at SMA Esa Prakarsa, Selesai, Langkat District, in 2014.
Design and Implementation of an Online Thesis Management System Using the Waterfall Model at a Health Polytechnic in Indonesia Alsri Windra Doni; Darwel; Mahdalena Prihatin Ningsih; Ponda, Aprizal; Sugriarta, Evino; Dewi Susanti
Indonesian Journal of Learning Education and Counseling Vol. 8 No. 2 (2026): March
Publisher : ILIN Institute Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31960/ijolec.v8i2.3343

Abstract

The study aims to develop and validate an online thesis management system designed to address the limitations of manual systems in the thesis supervision process, such as a lack of transparency, delays in communication, and difficulties in monitoring student progress. In response to these challenges, this study proposes an integrated system framework that facilitates real-time academic interaction between students and their thesis advisors. The method employs a system development research approach using the waterfall model, which was selected for its suitability in developing structured and systematically documented systems. The research phases include requirements analysis, system design based on Entity Relationship Diagrams (ERDs) and use case diagrams, implementation, and system testing. The system was evaluated using a usability testing approach, involving the distribution of a questionnaire to 55 respondents to measure usability, ease of use, and user satisfaction. The results indicate that the developed system model is capable of improving the efficiency of thesis supervision management, enhancing the transparency of academic processes, and supporting data driven decision making. The main contribution of this study lies in the development of an adaptive, user-oriented academic information system model, which not only has practical implications for the management of final projects but also provides a conceptual foundation for the development of similar systems in higher education institutions. The implications of this study underscore the importance of ongoing system integration with other academic platforms, as well as the need for periodic system evaluations to enhance the user experience and ensure the sustainability of the implementation.
Analisis Faktor dan Upaya Pencegahan Unmet Need KB di Kota Padang Erwani, Erwani; Susanti, Dewi; Yusefni, Elda; Faisal, Muhammad
Jurnal Kesehatan - STIKes Prima Nusantara Vol 14 No 1 (2023): Jurnal Kesehatan
Publisher : LPPM Universitas Prima Nusantara Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35730/jk.v14i1.980

Abstract

Background: Unmet needs for family Planning as an indicator of family planning program marketing is still low in West Sumatra, namely 1 and 3 provinces with the lowest coverage. In the city of Padang shows almost the same conditions. Padang City is one of the cities with a high number of unmet needs for family planning. The Municipal Government of Padang created the Kampung KB program as an innovative breakthrough that requires various supports for development. Community empowerment is very necessary for the success of  KB villages.Purpose : This study aims to find the causes of unmet need for family planning and community empowerment to prevent unmet need for family planningMethods: This research is explorative qualitative research, data collection was carried out by means of in-depth interviews. The informants were PUS, family planning cadres, Kelurahan family planning program holders and heads of RT.Results: The results of the study found 5 factors causing family planning not to be fulfilled, namely knowledge, attitudes, access to information, religion and husband's support. The component of prevention efforts is by empowering the community to prevent unmet needs, namely the role of parents in preventing PSP based on the causal factors found, namely community awareness, improving attitudes regarding the importance of family planning programs, capacity building (providing knowledge and facilities), empowerment (making programs and authorization)Conclusion: Factors that cause unmet need for family planning are knowledge, attitudes, access to information, religion and husband's support. Prevention efforts, namely community empowerment, are one of the strategies that can be implemented to prevent unmet need, especially in the KB villages which are the government's priority programs. it caused an area with family planning problems higher.
Teenage Premarital Sexual Activity and The Role of Parents in Minangkabau Susanti, Dewi; Erwani, Erwani; Ponda, Aprizal
Jurnal Kesehatan - STIKes Prima Nusantara Vol 14 No 1 (2023): Jurnal Kesehatan
Publisher : LPPM Universitas Prima Nusantara Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35730/jk.v14i1.981

Abstract

Background: Premarital sexual behavior (PSP) among adolescents is increasingly binding, and this has an impact on their future. One of the biggest impacts is on adolescent reproductive health. Data shows that every year there is an increase in teenage pregnancies, early marriages, abortions and sexually transmitted diseases. Parents are the first and foremost caregivers for adolescents, and are a strategic opportunity to increase their role in parentingPurpose : This study aims to determine the causes of PSP in Minangkabau adolescents and the role of parents that can be used as an intervention model.Methods: This research is an explorative qualitative research where data collection was conducted using in-depth interviews. Informants were adolescents aged 10-19 years, parents, biological mothers and Subdistrict PIK-R program holdersResults: The results of the study found that the factors causing PSP were the mass media, peers, relationships with parents and shifts in values. The components of the role of parents in preventing PSP based on the causative factors of PSP were found as educators (religious education and sexual education and pornography prevention), role models (fathers as role models, analytical skills and role models for mothers), assistants (friendly attitude towards children, good attitude control towards children), counselor (communication skills, feeling safe and comfortable), communicator (practicing an open attitude, guaranteeing confidentiality and activating rules and supervision)Conclusion: The main causes of premarital sex behavior in Minangkabau adolescents are the influence of mass media, peers, relationships with parents and shifts in values. The efforts that can be made are to strengthen the role of parents as educators, parents as role models, parents as companions, parents as counselors and comunicator.
Pregnant Women's Knowledges, Attitudes, and Practices (KAP) Regarding COVID-19 Prevention Sirait, Reni Aprinawaty; Susanti, Dewi; Hulu, Victor Trismanjaya
Jurnal Kesehatan - STIKes Prima Nusantara Vol 15 No 1 (2024): Jurnal Kesehatan
Publisher : LPPM Universitas Prima Nusantara Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35730/jk.v15i1.1144

Abstract

Background: Pregnant women have heightened vulnerability during the COVID-19 pandemic due to the need for regular health facility visits for prenatal care and the added responsibility of caring for family members who have contracted COVID-19. The Knowledge, Attitudes, and Practices (KAP) score of pregnant women in relation to COVID-19 prevention can be utilized as input to determine the intervention strategy.Objective: The purpose of this study is to examine the KAP scores of pregnant women. This study employs a quantitative approach and utilizes a descriptive survey methodology.Method: The study included a total of 93 pregnant women who sought medical care at the Pagar Jati Health Center in Deli Serdang Regency in 2022. The sample methodology employed was the method of total sampling. The data collection process involved distributing questionnaires to pregnant women, followed by an analysis that included calculating the frequency distribution of demographic data such as the mother's age, education level, and number of children. Additionally, variables related to the knowledge, attitudes, and practices of pregnant women were also examined.Result: The findings indicated that a majority of individuals possessed inadequate knowledge (62.4%). The predominant sentiment among pregnant women is negative, accounting for 60.2%. A majority of pregnant women (53.8%) fail to adhere to health protocols. Pregnant women between the ages of 20 and 35 exhibit low KAP scores.Conclusion: Similarly, consider the educational attainment of women. Pregnant women with a parity of more than 2 persons also exhibited low KAP scores.