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WOMEN’S INFLUENCING FACTORS IN CHOOSING THE IUD CONTRACEPTION METHOD Irisanna Tambunan; Udin Sabarudin; Hadyana Sukandar
Journal of Maternity Care and Reproductive Health Vol 3, No 2 (2020): Journal of Maternity Care and Reproductive Health
Publisher : Ikatan Perawat Maternitas Indonesia Provinsi Jawa Barat

The use of long-term contraception especially the Intra-Uterine Device (IUD) in Indonesia is still relatively low, one of which is West Java. Factors that influence the use of IUDs are sociodemographic, sociopsychological, and knowledge about family planning, but information about these factors is still limited in West Java. The purpose of this study was to determine the effect of sociodemographic factors, sociopsychology, and the level of knowledge about the IUD in women at Lembang District, West Bandung Regency, which is part of West Java Province. This quantitative research applied a case-control approach. Samples were selected by the Multistage random sampling technique, it divided into cases and control groups totaling 108 respondents. Data collection used a questionnaire. Bivariate statistical analysis was the Chi-square test, multivariable analysis was the Multiple Logistic Regression analysis. The results showed a significant influence of these factors on the choice of the IUD method including Sociodemographic factors: education (value p = 0.013), employment (value p = 0.014); Sociopsychological factors: perception of the ideal number of children (value p = 0.037), husband and wife communication (value p <0.001); knowledge factors about the benefits of the IUD, side effects of the IUD (value p <0.001) and side effects of the IUD (value p = 0.033). Multivariable analysis results showed that the working status was the most influential factor in choosing the IUDs in Lembang District (OR = 2.99 (95% CI): 2.49 (1.14-7.89). It is expected that health workers reactivated the program to increase knowledge in the community so it would change the perspective of women in choosing the IUD contraception method.Keywords: Factors, IUDs, knowledge, sociodemography, sociopsychology.

Familial Predisposition of Primary Dysmenorrhea among Senior High School Girl Students Prema Sharlini; Hadyana Sukandar; Ryadi Fadil
Althea Medical Journal Vol 2, No 4 (2015)
Publisher : Faculty of Medicine Universitas Padjadjaran

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Background: Dysmenorrhea is a common female reproductive problem in women of active reproductive agewhich is characterized by menstrual pain or cramps in a women’s lower abdomen or back. Dysmenorrhea can be classified into primary and secondary. One of the associated risk factor of primary dysmenorrhoeais the family history, however the study on the family history of primary dysmenorrhea with recurrent menstrual pain is limited. This study was conducted to identify the correlation between family history and primary dysmenorrhea in high school girls.Methods: This cross sectional study was conducted at several senior high schools in Jatinangor from April−June 2013. One hundred and sixty two students were included in this study. The sample size was calculated based on the unpaired−dichotomous variable for the two−sided formula. A self administered questionnaire was distributed to the senior high school girl students who were in their menarche age, menstrual cycle characteristics, presence or absence of dysmenorrhea, severity of pain and presence dysmenorrhea in mothers and in sisters were inquired. Data were analyzed using chi square test.Results: Overall, there were association between positive family history and primary dysmenorrhea among the students with (p<0.001). The prevalence of dysmenorrhea in the students was 92.6% with 95% confidence interval which was 87.5−95.7%. The prevalence rate was 67.9% in mothers with 95% confidence interval which is 60.4−74.6% and 80.2% prevalence of primary dysmenorrhoea in sisters with 95% confidence interval which is 73.4−85.6%.Conclusions: There is a significant association between positive family history and primary dysmenorrhea.[AMJ.2015;2(4):579–83] DOI: 10.15850/amj.v2n4.643

Correlation between Body Mass Index and Age at Menarche Atika Primandina Putri; Yulia Sofiatin; R. M. Ryadi Fadil; Hadyana Sukandar; Nugroho Harry Susanto; Anggraini Widjadjakusuma; Lulu Eva Rakhmilla; Lola Ilona
Althea Medical Journal Vol 2, No 4 (2015)
Publisher : Faculty of Medicine Universitas Padjadjaran

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Background: The decline of age at menarche has been reported in several countries, it occurred because of genetic, ethnic, and socioeconomic improvement in nutritional status and environment. The improvementof nutritional status has occurred globally all over the world including in Indonesia. One of the measuring tools in nutritional status is body mass index (BMI). The objective of the study was to assess the correlationbetween BMI and age at menarche.Methods: A cross-sectional study was carried out among girls aged 9–15 years old in Jatinangor, from May–November 2013. The sample of this study was chosen with cluster random sampling. Age at menarche information was collected through a questionnaire. Body mass index was calculated from measurement of body weight and height. Data was analyzed using Spearman correlation test.Results: Out of three hundred and sixty nine subjects participating in this study, sixty seven were included in the inclusive criteria. According to the classification of BMI of underweight, normal, overweight, andobese, there were 1, 55, 8, and 3 persons, respectively. Mean of BMI was 19.04 and mean age at menarche was 12.72 years, which showed a non significant result (r=-0.013; p= 0.458).Conclusions: Age at menarche was not correlated with BMI. [AMJ.2015;2(4):521–4] DOI: 10.15850/amj.v2n4.656

Dermatomycosis among Elementary School Children in Jatinangor West Java Isni Maulina Sukmara; Risa Miliawati; Hadyana Sukandar
Althea Medical Journal Vol 2, No 2 (2015)
Publisher : Faculty of Medicine Universitas Padjadjaran

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Background: Dermatomycosis often occurs in tropical countries. Many studies from tropical countries have reported high prevalence of dermatomycosis among elementary school children. Despite being a tropical country, prevalence of dermatomycosis among elementary school children in Indonesia is still unknown.The objective of this study was to determine the prevalence and characteristics of dermatomycosis among elementary school children in Jatinangor, Sumedang, West Java in September–November 2012.Methods: This study used a cross-sectional descriptive survey method. The 328 children from five elementary schools in Jatinangor were included in the study using multistage sampling technique. Medical history and physical examination was performed to all subjects. Subjects who had skin lesion suspected fordermatomycosis were examined with direct microscopic examination using 10% solutions of potassium hydroxide (KOH). Data were presented as frequent analysis distribution using Statistical Package for Social Sciences (SPSS) version 17.0.Results: Of 328 children (174 males, 154 females; aged 5–14 years), 35 (10.6%) had lesions suggestive of dermatomycosis but only 5 children (1.5%) were positive for dermatomycosis. Males are more prevalent females, patients were in ≥10 years age group. Four cases were Pityriasis versicolor, while one was diagnosed with tinea facialis.Conclusions: Dermatomycosis among elementary school children in Jatinangor had a low prevalence, with only 4 cases of Pityriasis versicolor and one tinea facialis case. [AMJ.2015;2(1):268–75]

Prevalence and Characteristics of Low Back Pain among Productive Age Population in Jatinangor Dini Diwayani Novitasari; Henny Anggraini Sadeli; Arifin Soenggono; Yulia Sofiatin; Hadyana Sukandar; Rully M. A. Roesli
Althea Medical Journal Vol 3, No 3 (2016)
Publisher : Faculty of Medicine Universitas Padjadjaran

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Background: Low back pain is one of the global health issues which prevalence is high among productive ages. It oftentimes corresponds with one’s physical activity during work . The purpose of this study was to determine theprevalence and characteristics of low back pain among productive age population in Jatinangor, West Java, Indonesia.Methods: This study was a cross-sectional descriptive study conducted during the period of August to October 2014 in the three villages in Jatinangor, West Java, Indonesia. In order to determine the demographic data and history of low back pain in the last three months, about 1075 productive age populations were selected through validated questionnaire as the secondary data. These data consisting of 310 subjects were then described according to the pain characteristics and physical activity during work.Results: During three months of examination, s the prevalence of low back pain was 38.4%, with the average age 50–59 years old. Furthermore, about 22.3% subjects were indicated chronic low back pain. The most prevalent qseverity of the pain was dull pain (29.4%), followed with pins and needles pain (23.1%), As the intensity of the pain increased, there was a tendency of increasing interference in daily activities. Static posture was also the most frequent physical activity during work (53.2%).Conclusions: The prevalence of low back pain is more than one third (38.4%) among productive age populations in Jatinangor, West Java, Indonesia.[AMJ.2016;3(3):468–75]DOI: 10.15850/amj.v3n3.863

Hubungan Keterampilan Komunikasi Interpersonal dan Konseling oleh Mahasiswa Kebidanan dengan Kepuasan Klien di Bidan Praktik Mandiri Neli Sunarni; Tina Dewi Judistiani; Zahrotur R Hinduan; Hadyana Sukandar; Tita H Madjid
Jurnal Pendidikan dan Pelayanan Kebidanan Indonesia (Indonesian Journal of Education and Midwifery Care Vol 3, No 2 (2016): Juni
Publisher : Program Studi Magister Kebidanan FK UNPAD

Keberhasilan komunikasi interpersonal dalam konseling seorang bidan akan diuji bila menghadapi klien sesungguhnya. Kualitas komunikasi interpersonal dan konseling oleh mahasiswa kebidanan belum pernah dievaluasi, oleh karena itu, mahasiswa pada saat melakukan praktik kebidanan dilakukan penilaian keterampilan komunikasi interpersonal dan konseling oleh pembimbing klinik. Keterampilan komunikasi interpersonal dan konseling merupakan aspek penting dalam pelayanan KB dan kesehatan reproduksi, karena konseling membantu klien mengatasi masalah yang dihadapinya dalam memilih dan memutuskan jenis kontrasepsi yang akan digunakan sesuai dengan kebutuhannya, sehingga klien merasa puas atas pilihan dan pelayanan yang diterimanya. Penelitian observasional potong lintang dilaksanakan di empat lokasi Bidan Praktik Mandiri Kabupaten Ciamis pada bulan Agustus 2015. Subjek penelitian adalah mahasiswa kebidanan tingkat III semester VI yang sudah lulus mata kuliah pelayanan Keluarga Berencana sebanyak 46 orang dengan teknik pengambilan sampel secara random sampling. Calon akseptor KB yang datang ke Bidan Praktik Mandiri dinilai apakah memenuhi kriteria inklusi dan eksklusi, selanjutnya calon akseptor KB dipilih secara konsekutif sampai tercapai 46 orang. Data diperoleh menggunakan daftar tilik dan kuesioner, dianalisis dengan uji korelasi. Hasil penelitian menunjukkan bahwa tidak terdapat hubungan antara teknik konseling, perilaku empati dalam konseling yang ditampilkan mahasiswa, perilaku yang mencerminkan etika dalam konseling dengan kepuasan klien dengan nilai p>0,05. Tidak terdapatnya hubungan diduga karena pada saat penilaian hanya dinilai dari kepatuhan melakukan langkah klinik, namun tidak menilai isi atau materi konseling. Menilai empati tidak dinilai oleh klien, butir penilaian empati tidak dibuat secara khusus. Masih terdapatnya bias dalam proses penilaian dan mungkin juga dalam proses seleksi. Simpulan hasil penelitian, tidak terdapat hubungan antara teknik konseling, perilaku empati dalam konseling dan perilaku etika dalam konseling dengan kepuasan klien.

Comparison in Wrist Splints and Wrist-Metacarpophalangeal Splints Use for Patients with Carpal Tunnel Syndrome Evi Evi Yuliani; Widjajalaksmi Kusumaningsih; Vitriana; Hadyana Sukandar
Indonesian Journal of Physical Medicine & Rehabilitation Vol 1 No 1 (2012): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Objectives : To compare the effect of both wrist splint and wrist-metacarpophalangeal splint at night using Symptom Severity Scale (SSS) and Functional Status Scale (FSS) and to know the validity andreliability of Indonesian version of SSS dan FSS.Methods : This study enrolled 19 subjects in each of the two groups that were given neutral wrist splint and exercise in one group (group A) and neutral wrist-metacarpophalangeal splint and exercise in theother group (group B).Results : Indonesian version of SSS and FSS have been proven valid with rs lowest = 0.360 and highest 0.810(>0.3) and relable with α SSS=0.762 dan FSS=0.781 (>0.7). There were significant improvement score of SSS and FSS in each group with p value <0.001. There were greater functional improvement in group treated with wrist-metacarpophalangeal splint (group B) with p value = 0.036 (p<0.05) Conclusions: There was improvement of SSS and FSS in both groups of study with greater improvement of in wrist-hand splint group.Keywords: Carpal Tunnel Syndrome, wrist splint, wrist-hand splint,,nerve and tendon gliding, SSS, FSS.

Comparison in Wrist Splints and Wrist-Metacarpophalangeal Splints Use for Patients with Carpal Tunnel Syndrome Evi Evi Yuliani; Widjajalaksmi Kusumaningsih; Vitriana; Hadyana Sukandar
Indonesian Journal of Physical Medicine & Rehabilitation Vol 1 No 1 (2012): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Objectives : To compare the effect of both wrist splint and wrist-metacarpophalangeal splint at night using Symptom Severity Scale (SSS) and Functional Status Scale (FSS) and to know the validity andreliability of Indonesian version of SSS dan FSS.Methods : This study enrolled 19 subjects in each of the two groups that were given neutral wrist splint and exercise in one group (group A) and neutral wrist-metacarpophalangeal splint and exercise in theother group (group B).Results : Indonesian version of SSS and FSS have been proven valid with rs lowest = 0.360 and highest 0.810(>0.3) and relable with α SSS=0.762 dan FSS=0.781 (>0.7). There were significant improvement score of SSS and FSS in each group with p value <0.001. There were greater functional improvement in group treated with wrist-metacarpophalangeal splint (group B) with p value = 0.036 (p<0.05) Conclusions: There was improvement of SSS and FSS in both groups of study with greater improvement of in wrist-hand splint group.Keywords: Carpal Tunnel Syndrome, wrist splint, wrist-hand splint,,nerve and tendon gliding, SSS, FSS.

METODE PEMBELAJARAN KOMBINASI (SELF DAN PEER ASSESSMENT) EFEKTIF MENINGKATKAN KETERAMPILAN MAHASISWA DI LABORATORIUM KLINIK Dilistia Lestari; Hadi Susiarno; Hadyana Sukandar
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 8, No 1 (2020): EDITION MARCH 2020
Publisher : Universitas Tribhuwana Tunggadewi

Midwife profession must have good competence because it has an impact in improving the quality of health service. Survey of Midwifery Diploma III Institutions. Midwife competencies that match work requirements are only 15%. To improve the competence of midwives, the laboratory learning process must be carried out properly according to standards. The combination of self and peer assessment methods is learning to get feedback, encourage students to be more active, independent, responsible, practice evaluation skills and encourage deep learning to maximize the achievement of competencies. The purpose of this study is to analyze the effect of a combination of self and peer assessmentlearning methods on D III Midwifery student competencies. This research is a quantitative study with a quasi-experimental pre-post test design. The study population was all students of D III Midwifery Semester III with a total of 75 people. Sampling uses simple random sampling technique which is divided into three groups for self assessment, peer assessment and a combination of self and peer assessmentmethods, each group totaling 25 people. The research instrument uses a checklist. The statistical test used is Kruskal_Wallis. the results showed that the combination of self and peer assessmentmethods showed more increases by 13.2% (p

ANALISIS FAKTOR RISIKO ATONIA UTERI Melati Julizar; jusuf S. Effendi; Hadyana Sukandar
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 7, No 3 (2019): EDITION NOVEMBER 2019
Publisher : Universitas Tribhuwana Tunggadewi

Maternal mortality rate in Indonesia is still relatively high. The biggest cause of maternal mortality in Indonesia is bleeding. Most bleeding in the puerperium (75-80%) is uterine atony. Uterine atony is the most frequent cause of the occurrence of bleeding postpartum. This study aimed to analyze the risk factors for uterine atony in Cut Meutia General Hospital and Health Center PONED in North Aceh district. This study uses a case control design, as a case group, maternal postpartum hemorrhage with uterine atony and control group, maternal postpartum hemorrhage without uterine atony. The sample size for each selected group 69 (the number of cases during the period from 2015 to 2017) while the control selected at random with the same number as many as 69 cases. Data analysis using chi square and multiple logistic regression. The results of the research bivariable indicates a meaningful associated with uterine atony is preeclampsia with OR 10,30 (CI 95%: 2,91-36,41), twin pregnancy with OR 17,31 (CI 95%: 2,21-135,76), induction of labor with an OR 4,39 (CI 95%: 1,0-21,45), grande multipara with OR 4,52 (CI 95%: 1,61-12,73) compared with primipara. Multivariable those associated with uterine atony is the age of the mother with OR 2,98 (CI 95%: 0,56-15,82), preeclampsia with OR 20,27 (CI 95%: 4,66-88,20), induction of labor with an OR 6,69 (CI 95%: 1,12-39,95), twin pregnancy with OR 52,39 (CI 95%: 5,65-486,03), anemia with OR 3,06 (CI 95%: 1,07-8,69). This study concluded that parity, preeclampsia, twin pregnancy and labor induction were risk factors for the incidence of uterine atony with twin pregnancy as the most dominant factor in the incidence of uterine atony. Keywords : Risk factors; Uterine Atony.

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