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Rahmawati, Iis
Faculty Of Nursing, Universitas Jember
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Pengaruh stimulasi pijat endorfin, oksitosin, dan sugestif terhadap kelancaran asi ibu post sectio caesarea : Effectiveness of stimulation of endorphin, oxytocin, and suggestive massage on the breastfeeding smoothness in mothers post sectio caesarea Yunitasari, Erma; Rahmawati, Iis; Septiyono, Eka Afdi; Kisnawati, Eni
Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing) Vol. 11 No. 1 (2025): JiKep | Februari 2025
Publisher : UPPM STIKES Pemkab Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33023/jikep.v10i3.2220

Abstract

Sectio caesarea menyebabkan stres, cemas, tertekan, dan nyerin yang berdampak pada peningkatan hormon kortisol dalam darah. Hormon kortisol yang tinggi menyebabkan produksi hormon oksitosin terhambat sehingga produksi dan pengeluran ASI berkurang. Salah satu intervensi keperawatan non farmakologi untuk mengatasi masalah tersebut adalah dengan memberikan stimulasi pijat endorfin, oksitosin, dan sugestif (SPEOS). SPEOS dilakukan dengan mengkombinasikan antara pijat endorfin, pijat oksitosin, dan sugestif atau afirmasi positif yang bertujuan untuk membantu ibu post partum dalam memperlancar pengeluaran ASI. Tujuan dari penelitian ini adalah untuk menganalisis pengaruh SPEOS terhadap kelancaran ASI pada ibu post sectio caesarea di Ruang Rengganis RSD dr. Abdoer Rahem Situbondo. Subjek penelitian ini adalah Ny. A yang mengalami masalah kelancaran ASI. Intervensi SPEOS diberikan selama 3 hari dalam waktu 10-15 menit. Hasil penelitian menunjukkan bahwa terdapat pengaruh SPEOS terhadap kelancaran ASI pada Ny. A. Intervensi SPEOS terbukti dapat meningkatkan jumlah produksi ASI dari 0 ml pada hari pertama menjadi 25 ml pada hari ketiga. Penelitian ini diharapkan dapat menjadi referensi bagi penelitian selanjutnya mengenai pemberian SPEOS pada ibu post partum yang mengalami masalah pengeluaran ASI.
The Correlation between Smartphone Addiction Level and The Psychosocial Development of School-Age Children in Agricultural Areas Latifah, Aurora Anastasya; Rahmawati, Ira; Rahmawati, Iis
Journal of Rural Community Nursing Practice Vol. 1 No. 2 (2023): September
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jrcnp.v1i2.126

Abstract

Smartphones are a form of technology that is growing rapidly. The use of Smartphones has various impacts on users, especially school-age children. One of the impacts that can occur from using Smartphones on school-age children is the inhibition of psychosocial development. This research was conducted to determine the relationship between the level of Smartphone addiction and the psychosocial development of school-age children in agricultural areas. The method used in this study is by using a cross-sectional approach. Sampling using a simple random sampling technique obtained a sample of 150 respondents. Data collection used the SAS-SV questionnaire and the psychosocial development questionnaire. This study used a relationship test, namely the Kendal-Tau test c. The study results showed that students with Smartphone addiction were in the 106 (70.7%) addiction category and 44 (29.3%) non-addictive categories. While the psychosocial development of children in the abnormal category was 86 (57.3%), the borderline category was 28 (18.7%), and the normal category was 36 (24%). These results show that the p-value obtained is 0.000 or a p-value <0.05. It can be said that there is a relationship between the level of Smartphone addiction and psychosocial development. In addition, the value of strength in both relationships is 0.340. This value is included in the weak category. So, the relationship between the two variables is included in the weak category. Then, the level of correlation shows positive results, namely the higher the level of smartphone addiction, the worse the psychosocial development of children.
Stimulasi Tumbuh Kembang Balita Melalui Pelatihan Kader Kesehatan di Kabupaten Jember Septiyono, Eka Afdi; Kurniawati, Dini; Rahmawati, Iis; Prasetyowati, Irma; Wiastuti, Siti Marina
DEDIKASI SAINTEK Jurnal Pengabdian Masyarakat Vol. 3 No. 1 (2024): April 2024
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/djpm.v3i1.127

Abstract

Stimulasi tumbuh kembang balita merupakan aspek penting dalam pembentukan potensi anak sejak dini. Namun, kurangnya pengetahuan dan kesadaran masyarakat mengenai pentingnya stimulasi tumbuh kembang balita di wilayah Baratan Jember menjadi hambatan dalam mencapai perkembangan optimal anak-anak. Oleh karena itu, dilakukan kegiatan pengabdian pada masyarakat melalui pelatihan kader kesehatan untuk meningkatkan stimulasi tumbuh kembang balita. Kegiatan ini melibatkan tahap pra pengabdian untuk mengidentifikasi kebutuhan dan hambatan yang ada. Selanjutnya, dilakukan pelatihan kader kesehatan yang mencakup peningkatan pengetahuan dan keterampilan peserta dalam memberikan stimulasi tumbuh kembang yang tepat. Evaluasi pelaksanaan dan dampak dilakukan untuk mengukur efektivitas program. Hasil dari kegiatan ini menunjukkan peningkatan pengetahuan peserta, perubahan perilaku orang tua, serta perkembangan balita yang lebih optimal. Dalam kesimpulannya, pelatihan kader kesehatan dalam upaya meningkatkan stimulasi tumbuh kembang balita di Baratan Jember memberikan dampak positif terhadap perkembangan balita dan kualitas sumber daya manusia di wilayah tersebut.
SMART CLASS INNOVATION USING TES DUGA TO ACCELERATE STUNTING PREVENTION IN AGRICULTURAL AREAS Musviro; Hayati, Nurul; Rahmawati, Iis
Media Gizi Indonesia Vol. 20 No. 2 (2025): MEDIA GIZI INDONESIA (NATIONAL NUTRITION JOURNAL)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgi.v20i2.153-158

Abstract

Breaking the chain of stunting by increasing parental understanding is necessary. This study aims to analyze the effectiveness of the Smart Class innovation using the 'Tes Duga' Snakes and Ladders game in improving parental knowledge to accelerate stunting prevention and reduction in agricultural areas. This study employed a pre-experimental one-group pre-test-post-test design. This study used a sample of 107 parents who have toddlers. Data collection was carried out using a questionnaire. The data obtained were analyzed using the Wilcoxon signed-rank test. The analysis indicated a statistically significant improvement in parental knowledge and attitudes, with a p-value of 0.000 (p < 0.05). These results show that the innovation of the Smart Class Program through the Guess Test game effectively increases parents' knowledge about preventing and reducing stunting. As an educational method, the Smart Class Program has the advantages of being interactive and fun for learning parents in agronursing areas, preventing stunting, and having an average increase in parental knowledge before the intervention of 73.36. After the intervention, the average increased significantly, namely 87.01. This innovative approach has the potential to be applied more widely as part of national efforts to overcome the problem of stunting in Indonesia.
Evaluating The Validity And Reliability Of A Transcultural Nursing - Based Specific And Sensitive Nutritional Intervention Questionnaire To Address Stunting Wiastuti, Siti Marina; Susanto, Tantut; Rahmawati, Iis
Nursing Information Journal Vol. 5 No. 1 (2025): Nursing Information Journal
Publisher : Pusat Penelitian dan Pengabdian Masyarakat STIKES Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/nij.v5i1.1036

Abstract

Stunting is a global health issue caused by chronic malnutrition that significantly impacts children's growth and development. Jember Regency has the highest stunting prevalence in East Java, reaching 34.9%, thus requiring effective solutions. Specific and sensitive nutritional interventions based on transcultural nursing are seen as crucial efforts in reducing stunting rates. However, a valid and reliable instrument is needed to assess the effectiveness of interventions at the family level. This study aims to develop and validate a specific and sensitive nutritional intervention questionnaire based on transcultural nursing as a tool to measure family awareness in preventing stunting in Jember Regency. This research involved 42 mothers of stunted children as respondents, residing within the working area of the Rambipuji Public Health Center. The instrument's validity was assessed using the Content Validity Index (CVI), while reliability was measured through Cronbach's alpha coefficient to ensure consistency. The questionnaire includes nine dimensions, such as Technology, Religion and Life Philosophy, Social and Family Support, Cultural Values and Lifestyle, Specific and Sensitive Nutritional Interventions. Content validity ranged from 0.80 to 1.00, and internal consistency measured by Cronbach's alpha showed values between 0.752 and 0.950. These results indicate that the questionnaire is effective in measuring family awareness and the effectiveness of nutritional interventions. This questionnaire is a valid and reliable instrument to support the optimization of sustainable stunting prevention programs in Jember Regency.
Eksplorasi Resiliensi Psikologis dan Mekanisme Koping pada Pasien Kanker: Tinjauan Scoping Sanaah, Sanaah; Rahmawati, Iis; A'la , Muhamad Zulfatul
Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Vol 15 No 4 (2025): Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal: Oktober 2025
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32583/pskm.v15i4.3817

Abstract

Ketahanan psikologis sangat penting bagi pasien kanker dalam menyesuaikan diri dengan tantangan emosional dan psikologis setelah diagnosis. Mekanisme koping yang efektif membantu mengelola stres, kecemasan, dan depresi, yang pada gilirannya meningkatkan kesejahteraan secara keseluruhan. Namun, interaksi antara faktor psikologis, sosial, dan budaya dalam mengembangkan ketahanan, terutama pada tahap awal diagnosis, masih kurang dieksplorasi. Tinjauan scoping ini bertujuan untuk mengeksplorasi faktor-faktor yang memengaruhi ketahanan psikologis dan mekanisme koping pada pasien kanker, dengan fokus pada dampaknya terhadap penyesuaian psikologis dan kesejahteraan pada tahap awal diagnosis serta mengidentifikasi intervensi yang efektif untuk meningkatkan ketahanan. Tinjauan ini mengikuti kerangka tinjauan scoping oleh Arksey dan O'Malley, yang kemudian disempurnakan oleh Levac et al. Pencarian sistematis dilakukan di berbagai basis data (Scopus, Science Direct, PLOS ONE, Wiley) dengan menggunakan istilah pencarian Boolean yang berkaitan dengan kanker, ketahanan, dan strategi koping. Kriteria inklusi adalah studi empiris dari tahun 2020 hingga 2025, yang melibatkan pasien kanker dari berbagai jenis kanker, dengan fokus pada ketahanan psikologis, koping, dan penyesuaian psikologis pada tahap awal pasien di diagnosa kanker. Tujuh belas studi memenuhi kriteria inklusi. Temuan menunjukkan bahwa pasien kanker menggunakan mekanisme koping yang berfokus pada masalah, berfokus pada emosi, dan berbasis agama. Strategi koping positif (misalnya, penerimaan, dukungan sosial, praktik spiritual) dikaitkan dengan peningkatan kesehatan mental, sementara strategi negatif (misalnya, penyangkalan, koping agama yang maladaptif) berhubungan dengan stres yang lebih tinggi. Pengaruh budaya membentuk strategi koping, yang bervariasi tergantung pada konteks budaya dan agama. Ketahanan psikologis dan strategi koping sangat penting bagi penyesuaian psikologis pasien kanker. Strategi positif seperti penerimaan dan dukungan sosial meningkatkan kesehatan mental, sementara koping maladaptif memperburuk stres. Intervensi yang menargetkan koping adaptif dan dukungan sosial sangat penting.
Determinan Perawatan Bayi Berat Lahir Rendah di Wilayah Pertanian dan Pesisir Berperspektif Keluarga Ira Rahmawati; Rahmawati, Iis; Juliningrum, Peni Perdani; Merina, Nuning Dwi; Susanti, Ika Adelia; Alfurqon, Achmad Syarofi
Jurnal Kesehatan Komunitas Vol 11 No 2 (2025): Jurnal Kesehatan Komunitas
Publisher : LPPM Hang Tuah Pekanbaru

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25311/keskom.Vol11.Iss2.2211

Abstract

Low birth weight babies (LBW) in agricultural and coastal areas have different health problems thus possibly having different care needs. Inappropriate promotion of child health, especially LBW, in both clinical and community service settings can increase morbidity and mortality rates. The purpose of this study was to identify the determinants of LBW babies care needs based on family perspectives in coastal and agricultural areas. This cross-sectional observational study was conducted in June 2023 using a questionnaire to identify the determinants of LBW’s babies care. The population of this study was children and mothers in coastal and agricultural areas. Multistage random cluster sampling with the G*Power application obtained 193 participants per region, resulting in a total sample of 386. Data were analyzed using difference in means between two regions. The results showed that agricultural regions had higher mean on LBW care, parental stress, and family empowerment. Coastal areas had higher mean scores on quality of life, maternal confidence, and food diversity practices. There was a significant difference between coastal and agricultural areas on the determinants of LBW’babies care between coastal and agricultural areas, especially on the variables of parental quality of life (p=0.000), parenting stress (p=0.029), maternal confidence (p-0.000) and family empowerment (p = 0.000). Optimizing health promotion by pediatric nurses in the scope of hospital and community settings can be achieved by empowering families and paying attention to parenting stress, maternal confidence, and parents' quality of life.
Peningkatan Pemanfaatan Tanaman Toga Penangkal Covid-19 Pada Kader Toga Puskesmas Kemuningsari Kidul Jember Desi Sandra Sari; Iis Rahmawati; Leersia Yusi
Dental Agromedis Vol. 2 No. 1 (2024): Mei
Publisher : Fakultas Kedokteran Gigi, Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/da.v2i1.1465

Abstract

The problems of the community in the area of the Kemuningsari Kidul Public Health Center, Jenggawah, Jember are that they still do not use the yard with the toga plant optimally, the knowledge of the residents is still low, the lack of community resources and limited information and technology. During this pandemic, it is very important to maintain general health and increase body resistance to prevent the entry of the Covid-19 virus. This study aims to increase health knowledge, skills and use of the toga plant in the community independently through empowering toga cadres to behave in a healthy life during a pandemic in the Kemuningsari Kidul Public Health Center, Jenggawah, Jember. The solutions offered are counselling the benefits of the toga plant for endurance to prevent Covid-19 disease to toga cadres, public awareness through Toga cadres on the importance of maintaining body resistance by consuming the toga plant as a food supplement. Problem-solving from partners is carried out with a community service scheme. with the stages of providing counselling on the benefits of the Toga plant for endurance to prevent Covid 19 disease to Toga cadres, making the community aware through the Toga cadres of the importance of maintaining body resistance by consuming the Toga plant as an alternative to cheap, practical food supplements and training on how to use the Toga plant.Keywords: Toga Cadres, Immunity System, Covid-19, Kemuningsari Kidul Jember.
The instruments for measuring QoL in hemodialysis patients: A scoping review Baiq Reny Ermayuningsih; Muhammad Zulfatul A'la; Iis Rahmawati
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 6 (2025): Volume 8 Number 6
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i6.1403

Abstract

Background: Quality of life (QoL) is a crucial indicator for evaluating the well being of patients undergoing hemodialysis, encompassing physical, psychological, social, and environmental dimensions. Accurate measurement of QoL serves as a fundamental basis for clinical decision making, care planning, and the development of patient centered policies. Purpose: To identify, synthesize, and analyze the instruments used to measure QoL in hemodialysis patients within the international literature. Method: The PRISMA-ScR approach, employing a systematic search across four major databases: ProQuest, BMC, PubMed, Wiley, and other sources. The search yielded seven articles that met the inclusion criteria and were subsequently analyzed thematically. Results: Seven primary instruments were identified, namely the KDQOL-SF™, KDQOL-36, QDIS-7, HARQ, WHOQOL-BREF, EQ-5D-5L, and the Caregiver Quality of Life Inventory. Each instrument demonstrated specific strengths related to construct design, contextual applicability, and target population, with adequate validity and reliability. However, variations in dimensional coverage, limited cross cultural validation, and a predominance of cross-sectional designs without longitudinal evaluation were observed. Conclusion: The findings highlight the importance of contextual adaptation, multi-cultural validation, and integration of QoL instruments into clinical evaluation systems. They also provide a foundation for developing more responsive and culturally relevant tools to improve care quality and patient well-being.
Psychosocial Determinants Analysis of Husbands' Decisions in the Referral Process for High-Risk Pregnancies in Lumajang Regency Wahyu Ningtyias, Farida; Setiawati, Hani; Rahmawati, Iis
TEKNOLOGI MEDIS DAN JURNAL KESEHATAN UMUM Vol 9 No 2 (2025): Medical Technology and Public Health Journal September 2025
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/mtphj.v9i2.6940

Abstract

The Maternal Mortality Rate (MMR) due to delayed decision-making remain a major issue, primarily because women and their husbands often do not take an active role as decision-makers. This study aimed to examine the characteristics and influence of various factors including level of knowledge, choice of referral health facility, considerations in hospital selection, family influence, main factors in referral decisions, belief or trust factors, and husband's psychological factors on referral decisions for high-risk pregnancies in Lumajang Regency. The respondents were husbands of pregnant women with a high-risk pregnancy (KSPR ≥ 6) during the period January-June 2023. This quantitative research employed a case-control design using probability sampling.  Cluster sampling was conducted across 25 Community Health Canters, followed by proportionate stratified random sampling, yielding a total sample of 300 participants. The Chi-Square test showed a significant relationship (p<0.05) between psychological factors (p=0.035) and referral decisions for high-risk pregnancies. Meanwhile, other variables including level of knowledge (p=0.893), choice of hospital type (p=0.155), consideration in selecting referral health facilities (p=0.969), family influence (p=0.394), main consideration for referral approval (p=0.901), and belief or trust factors (p=0.702) did not show a significant relationship with husband's referral decision. Binary logistic regression analysis revealed that husband without psychological issues were 2.397 times more likely to agree to referral for high-risk pregnancies compared to those with psychological problems.   Keywords: Husband's decision, referral, delivery, high risk pregnancy
Co-Authors Adilah Mia Azubah Alfarizi, Muhammad Alfurqon, Achmad Syarofi Alvivo Darma Chandra Amanah, Nur Umi Anggun Natungga, Mutmainah Anisah Ardiana Anisah Ardiana Ayu Dewi Nastiti, Ayu Dewi Baiq Reny Ermayuningsih Desi Sandra Sari Devi Astika Dewi Aminah Dewi Nastiti, Ayu Dewi Retno Suminar Dian Leila Sari Dina Afkarina Dinda Fali Rifan Dini Kurniawati Dini Kurniawati DINI KURNIAWATI Dini Kurniawati Dini Kurniawati Dodi Wijaya Echi Agnes Claudia Edho Choyrul Huzzein Eka Afdi Septiyono Ely Rahmatika Nugrahani Erik Kusuma Erti I. Dewi Erti I. Dewi, Erti I. Evita Rohmaniah Fadillah, M Deva Feryanto, O. Fitriani, Nurul Zakiatul Jannah Handayani, Dwining Hanna Nurul Husna Hanna Nurul Husna Hidayat, Dian Taufik Husein, Mohammad Inayah Riski Wulandari Ira Rahmawati Irma Prasetyowati Jamil, Maretta Noorasyiah Jarnauziah, Faza Aulia karman karman Kisnawati, Eni Kusnul Kotimah Lantin Sulistiyorini, Lantin Latifa Aini Susumaningrum Latifah, Aurora Anastasya Leersia Yusi Luthfiana Zaki, Nissa Mardiati Mardiati Mega Vuriyanti Mei Diastutik, Vike Merina, Nuning Dwi Merina, Nuning Dwi Merina Milataka, Itmam Moch. Azzam Miftahurroziqin Mohammad Husein Muhamad Zulfatul A’la Muhammad Nur, Kholid Rosyidi Murtaqib Murtaqib Musviro Ningrum, Sukma Nuning Dwi Merina Merina Nurfika Asmaningrum Nurfika Asmaningrum Nurhasan, Muhammad Nurhidayah, Ririn Nurpatonah, Cucu Nursiswanti, Syifa Nurul Arifah NURUL ARIFAH NURUL HAYATI Nurul Hayati Oedojo Soedirham Oedoyo Soedirham Peni Perdani Juliningrum Peni Perdani Juliningrum, Peni Perdani Pingky Saptandari Pinky Saptandari Primastika Nila Madyasari Purwanto, Totok Putri Aisyah, Putri R.A. Helda Puspitasari Raden Mohamad Herdian Bhakti Raizky Rienaldy Pramasha Ramdani, Syahrul Ratna Sari Hardiani Retno Utami Risa Wargiana Rizal Faisal Basri Rizal Pamungkas C. Yulianto Rondhianto Rondhianto Sanaah, Sanaah Sari Dewi Karuaniawathy Sari, Dian Leila Setiawati, Hani Siti Marina Wiastuti siti rahmah Siti Sulfatus Saniyah Sri Wahyuni Sri Wahyuningsih Suhari Suhari Suhari Suhariyati Suhariyati Sukma Ningrum Sulton Wariin Susanti, Ika Adelia Syifa Amalia Syifa Hajarul Istiqomah Tantut Susanto Tulus Suryanto Utami, Bayu Tri Vuriyanti, Mega Wahyu Ningtyias, Farida Wan Sandra Clarista Wariin, Sulton Wiastuti, Siti Marina Yntan Catur Kurniawati Yntan Catur Kurniawati Yulianti, Ai Meri Yunita Armiyanti Yunitasari, Erma