Claim Missing Document
Check
Articles

Found 25 Documents
Search

Efektivitas Kombinasi Psikoedukasi dan Relaksasi Otot Progresif terhadap Tingkat Kecemasan Remaja Putri di Sekolah Menengah Atas Nurjanah Nurjanah; Aladin Aladin; Yantri Maputra; Hudila Rifa Karmia; Rozi Sastra Purna; Laila Isrona
Jurnal Ners Vol. 10 No. 3 (2026): JULI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.59313

Abstract

Kecemasan merupakan masalah kesehatan mental yang umum terjadi pada remaja dan dipengaruhi oleh faktor biologis, psikologis, serta sosial. Remaja putri lebih rentan mengalami kecemasan dibandingkan remaja putra karena fluktuasi hormon reproduksi dan kecenderungan melakukan ruminasi dalam menghadapi masalah. Kecemasan yang berlangsung lama dapat menyebabkan penurunan prestasi akademik, isolasi sosial, depresi, serta gangguan kesehatan reproduksi. Upaya promotif dan preventif diperlukan untuk membantu remaja mengelolan kecemasan, salah satunya melalui psikoedukasi dan relaksasi otot progresif. Penelitian ini bertjuan untuk menganalisis pengaruh kombinasi psikoedukasi dan relaksasi otot progresif terhadap tingkat kecemasan remaja putri. Penelitian menggunakan desain quasi experiment dengan pendekatan pretest-posttest with control group. Sampel dipilij menggunakan teknik simple random sampling dan terdiri 100 remaja putri kelas XII SMA Negeri 10 Padang yang dibagi ke dalam kelompok intervensi dan kontrol, masing-masing sebanyak 50 orang. Hasil penelitian menunjukkan rerata kecemasan kelompok intervensi menurun dari 11,30±3,77 menjadi 5,84±3,99, sedangkan kelompok kontrol berubah dari 13,02±5,38 menjadi 12,50±5,03. Analisis General Linear Model (GLM) Repeated Measures menunjukkan pengaruh bermakna antara sebelum dan sesudah diberikan intervensi (p<0,05). Disimpulkan bahwa psikoedukasi dan relaksasi otot progresif efektif dalam menurunkan tingkat kecemasan pada remaja putri.
Asuhan Kebidanan Nifas Pada Ny.”A” Post Op Sc Indikasi Fetal Hipoksida Dengan Absent End Diastolic Dan Intrauterine Growth Retriction Fitri Anggraini; Vaulinne Basyir; Hudila Rifa Karmia
BEST Journal (Biology Education, Sains and Technology) Vol 8, No 2 (2025): September 2025
Publisher : Program Studi Pendidikan Biologi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30743/best.v8i2.11724

Abstract

Angka Kematian Ibu (AKI) merupakan salah satu indikator penting dalam menilai derajat kesehatan masyarakat dan keberhasilan pembangunan sektor kesehatan. Salah satu penyebab utama tingginya AKI adalah perdarahan postpartum, yang banyak terjadi pada masa nifas—periode krusial setelah melahirkan. Seksio sesarea (SC) merupakan metode persalinan yang sering digunakan untuk menangani kasus kehamilan risiko tinggi, termasuk fetal distress dan Intrauterine Growth Restriction (IUGR), yang keduanya merupakan kondisi serius yang berdampak pada kesehatan ibu dan bayi. Studi ini bertujuan untuk mengkaji asuhan kebidanan masa nifas pada Ny. “A” pasca SC dengan indikasi fetal hipoksia dan IUGR di Rumah Sakit Universitas Andalas Padang pada tahun 2025. Pendekatan yang digunakan adalah studi kasus dengan fokus pada identifikasi masalah, penatalaksanaan, serta evaluasi asuhan kebidanan yang diberikan selama masa nifas. Hasil kajian menunjukkan bahwa penatalaksanaan yang tepat dan holistik pada masa nifas, termasuk pemantauan kondisi fisik dan psikologis ibu, mampu mencegah komplikasi lanjutan dan meningkatkan pemulihan pascapersalinan. Peran bidan sangat penting dalam memberikan pelayanan profesional, beretika, dan berbasis kompetensi, terutama dalam masa kritis 24 jam pertama pascapersalinan. Kajian ini menekankan pentingnya optimalisasi asuhan kebidanan masa nifas untuk menurunkan AKI dan meningkatkan kualitas hidup ibu pascapersalinan
The Relationship of Age with TNF-α Levels in Pregnancy and Abortion Cici Monika; Gusti Revilla; Hudila Rifa Karmia; Siti Nurhajjah; Rahmani Welan
Andalas Obstetrics And Gynecology Journal Vol. 10 No. 1 (2026)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.10.1.97-107.2026

Abstract

Introduction: Tumor Necrosis Factor Alpha (TNF-α) plays a crucial role in the early control of abortion. This increase can be influenced by age. The purpose of this study was to analyze the relationship between age and TNF-α in both normal pregnancies and abortion. Method: The type of research is analytic with a cross sectional design, collecting samples using total sampling technique, resulting in 36 patients who were subsequently assessed for TNF-α levels at the Biomedical Laboratory of Andalas University. The source of research data is secondary data. Data analysis involved the Spearman correlation test, Independent T-test, and Mann-Whitney test. Result: The average gestational age was younger, the average maternal age was older, and the average TNF-α levels were higher in abortion compared to normal pregnancy. The BMI of all patients was normal. There is a significant difference between age in normal pregnancy and abortion (p = 0.001), there is no relationship between age and TNF-α levels in normal pregnancy (p = 0.429), there is no relationship between age and TNF-α levels in abortion (p = 0.862), and there is no difference in TNF-α levels between normal pregnancy and abortion (p = 0.248). Conclusion: there is a significant difference between age in normal pregnancy and abortion.
Analysis of Factors Related to the Use of Iud Contraceptives in the Working Area Ikke Kristiya; Siti Nurhajjah; Hudila Rifa Karmia
Journal La Medihealtico Vol. 6 No. 6 (2025): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v6i6.2729

Abstract

The growth of the world's population is increasing day by day, the increase in the number of people also has an impact on the maternal mortality rate (AKI), The factor that causes the increase in population is the lack of people in the use of contraception, especially in the use of long-term contraception, one of which is IUD. The purpose of this study is to find out "Factors Related to the Use of IUD Contraceptives in the Working Area of the Andalas Padang Health Center This type of research is analytical with a Cross Sectional design, which will be carried out from June 2024 to January 2025. A sample of 68 PUS people using IUD contraceptives was taken using propotional random sampling. Data collection was conducted using questionnaires and analyzed using Chi Square and Logistic Regression tests. The results of the study found that the level of knowledge was high (69.1%), positive attitude (79.4%), support for husbands who did not support (60.3%), and support for health workers (75.0%). Based on multivariate results, it was found that the most dominant factor related to the use of IUD contraceptives was the husband's support with the highest OR value of 4,398. The conclusion of this study found that there was a relationship between the level of knowledge, attitude, husband support and health worker support. The most dominant factor is the husband's support. It is hoped that there will be cross-sectoral cooperation and education in the role of husbands to increase the use of IUD contraceptives in PUS.
Neutrophil Gelatinase Associated Lipocalin Levels in Normal Pregnancy and Preeclampsia Subtypes Ridho Berkah Pramuditha; Vaulinne Basyir; Firdawati Firdawati; Mondale Saputra; Roza Sri Yanti; Hudila Rifa Karmia
Andalas Obstetrics And Gynecology Journal Vol. 10 No. 2 (2026)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.10.2.262-270.2026

Abstract

Background: Preeclampsia is still a major cause of morbidity and mortality in pregnant women. Neutrophil gelatinase–associated lipocalin (NGAL) is a better biomarker than creatinine as a biomarker of kidney disorders and is considered as an accurate early predictor of preeclampsia. However, the results of studies related to this still vary Objective: To determine the differences in neutrophil gelatinase associated lipocalin (NGAL) expression in normal pregnancy, early-onset preeclampsia (EOP) and late-onset preeclampsia (LOP). Methods: This is a cross-sectional study conducted from April 2024 to June 2025. The samples were all pregnant women aged ≥20 weeks who came to the Obstetrics Department at Dr. M. Djamil General Hospital, Andalas University Hospital and dr. Reksodiwiryo Hospital in Padang City who met the inclusion and exclusion criteria. Patients with a history of malignancy, infection, premature rupture of membranes, or having comorbidities were excluded from the study. Patients were divided into normal pregnancy, EOP and LOP. Examination of NGAL levels from venous blood samples was carried out using the ELISA. Results: In this study, there were 12 normal pregnancies, 13 EOP pregnancies and 11 LOP pregnancies. Each group of pregnant women had almost similar characteristics with an average age of 31 years and the majority of patients being multiparous, obese, having a high school education and being housewives. In this study, NGAL levels were 2.45 ± 0.73 ng/ml; 3.61 ± 1.12 ng/ml; and 3.63 ± 1.12 in normal pregnancies, EOP, and LOP, respectively. The ANOVA test obtained p value of 0.01, which means that there is a significant difference in NGAL expression between normal pregnancies, EOP and LOP. The post hoc test obtained significant differences between NGAL level of normal pregnancy with EOP (p = 0.021) and normal pregnancy with LOP (p = 0.027), but not in NGAL expression between EOP with LOP (p = 1,000). Conclusion: Differences in NGAL expression were found to be significant between normal pregnancy and EOP and LOP. Meanwhile, there was no difference in NGAL expression between EOP and LOP.