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Pengaruh Pendidikan Kesehatan dalam Layanan Home Care Terhadap Pengetahuan dan Sikap Ibu Hamil Trimester II dan III Tentang Senam Hamil di UPTD Puskesmas Ubung Tahun 2021 Lina Sundayani; Ni Nengah Arini Murni; Intan Gumilang Pratiwi; Ida Royani
Indonesian Health Issue Vol. 1 No. 1 (2022): FEBRUARI
Publisher : PublisihingId

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (228.895 KB) | DOI: 10.47134/inhis.v1i1.24

Abstract

Background: The threat of maternal death is still a major problem in developing countries, including Indonesia. One of the scopes in controlling MMR in Indonesia is to improveservices antenatal care. Health services that are home visits (Home Care) by health workers can provide education and a deeper understanding of treatment. Objective: To determine the effect of health education inservices home care on the knowledge and attitudes of pregnant women about pregnancy exercise. Method: This study was astudy quasi-experimental using the Nonequivalent Control Group Design. This research was conducted from June to July 2021. The population in this study were all pregnant women who were in the working area of ​​the UPTD Puskesmas Ubung, totaling 121 pregnant women. The sample with the number of pregnant women in the second and third trimesters who are in the working area of ​​the UPTD Puskesmas Ubung 33 pregnant women. Data analysis using Paired Samples Test and Wilcoxon Signed Rank Test. Results: The average score of knowledge of pregnant women about pregnancy exercise in the intervention group before being given health education was 67.33±13.74, while the average score of knowledge of pregnant women about pregnancy exercise after being given health education was 86.00±10.72. The results of this study indicate the effect of health education in home care services on changes in knowledge with a value (P = 0.000). The average score of pregnant women's attitudes about pregnancy exercise in the intervention group before being given health education was 57.00±18.61, while the average score of pregnant women's attitudes about pregnancy exercise after being given health education was 73.66±15.17. The results of this study indicate that there is an effect of health education in home care services on changes in attitudes with a value of (P = 0.002). Conclusion: There is an effect of health education inservices home care on the knowledge and attitudes of pregnant women trimester II and III about pregnancy exercise.
Studi Kasus:Asuhan Kebidanan Neonatus Pada Bayi Ny.N Dengan Kelainan Kongenital Labiopalatoschizis, Polidaktili Disertai Asfiksia Berat Intan Gumilang Pratiwi; Ni Putu Karunia Ekayani; Elis Fitriani
Indonesian Health Issue Vol. 1 No. 2 (2022): AGUSTUS
Publisher : PublisihingId

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (176.338 KB) | DOI: 10.47134/inhis.v1i2.29

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Latar Belakang: Kelainan kongenital dapat didefinisikan sebagai kelainan struktural atau fungsional termasuk gangguan metabolisme yang hadir saat lahir. Kelainan ini dapat disebabkan oleh faktor genetik maupun non-genetik. . Prevalensi kelahiran kelainan bawaan di Inggris adalah 2% dan di Afrika Selatan adalah 1,49%. Di Lebanon tingkat kejadian anomali congenital adalah 2,4%.2 Di Asia Tenggara, jumlah penderita kelainan kongenital cukup tinggi yaitu mencapai 5%. Sedangkan pada kasus Asfiksia di Indonesia tingginya angka kematian bayi sebanyak 27,4%.Tujuan:Menganalisis asuhan yang diberikan pada bayi Ny.N Metode: Jenis penelitian yang digunakan dalam studi kasus ini adalah penelitian deskriptif dengan menggunakan data primer dan sekunder dari anamnesa, pemeriksaan fisik, pemeriksaan laboratorium, dan rekam medik. Hasil: Bayi Ny.N mendapat asuhan intensif di Ruang NICU. Kesimpulan: Pemberian penatalaksanaan sudah sesuai dengan teori dan prosedur. Background: Congenital abnormalities can be defined as structural or functional abnormalities including metabolic disorders that are present at birth. This disorder can be caused by genetic or non-genetic factors. . The prevalence of birth defects in the UK is 2% and in South Africa it is 1.49%. In Lebanon the incidence rate of congenital anomalies is 2.4%.2 In Southeast Asia, the number of people with congenital abnormalities is quite high, reaching 5%. Meanwhile, in the case of asphyxia in Indonesia, the infant mortality rate is 27.4%. Objective: To observe midwifery care at NICU Room Method: The type of research used in this case study is descriptive research using primary and secondary data from anamnesis, physical examination, laboratory examination, and medical records. Results: Baby Mrs. N received intensive care in the NICU Room. Conclusion: The administration of the treatment was in accordance with the theory and procedure.
Pengaruh Pendidikan Kesehatan dalam Pelayanan Home Care Terhadap Motivasi dan Kepatuhan Ibu Melakukan Senam Hamil Ni Nengah Arini Murni; Intan Gumilang Pratiwi; Wafa Rahmasari
Indonesian Health Issue Vol. 1 No. 2 (2022): AGUSTUS
Publisher : PublisihingId

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (784.938 KB) | DOI: 10.47134/inhis.v1i2.31

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Latar Belakang: Upaya pengurangan dan penurunan angka kematian dan kesakitan ibu di Indonesia dapat dilakukan dengan meningkatkan kesehatan ibu selama hamil yaitu salah satunya melalui program senam hamil. Gerakkan dalam latihan senam, yang dilakukan secara rutin dan teratur terbukti dapat menjaga kesehatan ibu dan janin selama kehamilan serta mendukung kelancaran proses persalinan dan kelahiran bayi. Home care merupakan salah satu model pemberian pelayanan kesehatan yang cepat dan terjangkau dalam konteks asuhan kebidanan. Tujuan Penelitian: Menganalisis pengaruh pendidikan kesehatan dalam pelayanan home care terhadap motivasi dan kepatuhan ibu hamil tentang senam hamil. Metode Penelitian: Penelitian Quasi eksperimen dengan rancangan Nonequivalent Control Group Design. Penelitian dilaksanakan bulan Mei sampai Juni 2021. Sampel ibu hamil trimester II dan III di wilayah kerja Puskesmas Ubung sejumlah 30 ibu hamil. Pengukuran menggunakan kuesioner pre-test dan post-test, selanjutnya data motivasi dan kepatuhan dianalisa dengan menggunakan uji wilxocon test dan Mann-Whitney Test Hasil Penelitian: Terdapat peningkatan skor motivasi dan kepatuhan sebelum dan setelah diberikan pendidikan kesehatan pada kedua kelompok. Rerata selisih skor motivasi pada kelompok intervensi 12,26 (SD± 7,22) sementara pada kelompok kontrol 6,40 (SD± 3,13) dengan nilai p value 0,019 dan untuk skor kepatuhan rerata selisih pada kelompok intervensi 5,26 (SD±1,62) pada kelompok kontrol 3,33 (SD±2,02), dengan nilai p value 0,003, artinya ada pengaruh pendidikan kesehatan melalui pelayanan Home Care terhadap motivasi dan kepatuhan ibu melakukan senam hamil. Kesimpulan: Pemberian pendidikan kesehatan tentang senam hamil dapat diberikan saat pelayanan homecare atau saat kunjungan rumah Background: One of the health care interventions carried out to reduce or reduce morbidity and mortality of pregnant women in Indonesia is physical exercise such as pregnancy exercise. Pregnancy exercise at this time is one of the self-help solutions that support the process of pregnancy, and birth, and is a way that supports ease of delivery because pregnancy exercise that is carried out regularly and intensively can maintain optimal health of the body and fetus. Research Objectives: To determine the effect of health education in home care services on the motivation and compliance of pregnant women about pregnancy exercise. Research Methods: Quasi-experimental research with Nonequivalent Control Group Design. The study was conducted from May to June 2021. The sample of pregnant women in the second and third trimesters who were in the working area of ​​the UPTD Puskesmas Ubung was 30 pregnant women. Measurements used pre-test and post-test questionnaires, then motivation and compliance data were analyzed using the Wilxocon test and Mann-Whitney Test. Results: There was an increase in motivation and compliance scores before and after being given health education in both groups. The mean difference in motivation scores in the intervention group was 12.26 (SD ± 7.22) while in the control group 6.40 (SD ± 3.13) with a p value of 0.019 and for the mean adherence score the difference in the intervention group was 5.26 (SD ±1.62) in the control group 3.33 (SD±2.02), with a p value of 0.003, meaning that there is an effect of health education through Home Care services on the motivation and compliance of mothers doing pregnancy exercise. Conclusion: The provision of health education about pregnancy exercise can be given during home care services or during home visits
Rudat Sasambo (RUSA) Diabetes Mellitus Exercise According to FITT, Reduce Blood Glucose Levels in Patients with Type 2 Diabetes Mellitus Awan Dramawan; Intan Gumilang Pratiwi
Aloha International Journal of Health Advancement (AIJHA) Vol 5, No 8 (2022): August
Publisher : Alliance oh Health Activists (AloHA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/aijha50802

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Based on observations of the implementation of Diabetes Mellitus exercise carried out in several Mataram City communities, the problems that arise are the low participation of diabetics in the gymnastics program, the exercises carried out are not in accordance with good FITT such as frequency, intensity, tempo and type, in the observations of researchers at Persadia Mataram members. and members of the prolanis at the Community Health Center whose frequency is only once a week and some are once a month, not given a good intensity of training because the maximum pulse rate is not measured, the time given is 1 hour and the type of exercise is diabetes mellitus exercise which it is quite tiring, and counseling about the benefits of diabetes exercise has never been done, especially biometric parameters that will change if physical exercise such as blood glucose and uric acid is carried out, in the preliminary research conducted there was a decrease in blood glucose levels and blood pressure. uric acid in people with diabetes mellitus but there is an increase again because it is only done once a week or a month. This study aims to prove that Rudat Sasambo (RUSA) diabetes mellitus exercise according to FITT lowers blood glucose levels and uric acid levels compared to conventional diabetes mellitus exercise. The research design used in this study was a quasi-experimental, with a randomized control group pretest - posttest design. The sampling used was probability sampling with a simple random sampling approach. In this study, six measurements were taken where measurements were made before treatment and measurements after treatment which were then analyzed using an independent t-test and paired t-test. The results showed that there was an effect of RUSA diabetes mellitus exercise according to FITT on reducing blood glucose and uric acid, but there was no significant difference between diabetes mellitus exercise according to FITT and conventional diabetes mellitus exercise. Keywords: diabetes militus; exercise; blood glucose level; urid acid level
EDUKASI DAN DETEKSI DINI PENCEGAHAN STUNTING Intan Gumilang Pratiwi; Yuli Laraeni
Jurnal Pengabdian Masyarakat Sasambo Vol 4, No 1 (2022): November
Publisher : Poltekkes Kemenkes Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32807/jpms.v4i1.992

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Secara nasional rata-rata sebesar 30,8%, di NTB sebesar 33,49%. Tingginya angka kejadian stunting dan gizi buruk tersebut menunjukkan bahwa kondisi kesehatan balita di NTB sangat memprihatinkan dan diperlukan perhatian yang serius karena akan berimbas pada kualitas generasi penerus dan kesehatan masyarakat secara keseluruhan. Dari data tersebut dapat dikatakan bahwa 1 (satu) dari 3 (tiga) anak di NTB rentan mengalami stunting dan gizi buruk. Berdasarkan data status gizi pekan penimbangan bulan Februari 2022 menunjukan bahwa presentase balita stunting yang paling tinggi yaitu di Kelurahan Sayang-Sayang yaitu sebanyak 27,51 %, Kelurahan Kr. Baru 15,84% dan Kelurahan Rembiga sebanyak 14,36%Tujuan dari kegiatan pengabdian kepada masyarakat ini adalah untuk memberikan edukasi dan deteksi dini pencegahan stunting. Kegiatan ini dilakukan di Kelurahan Sayang-sayang di Wilayah kerja Puskesmas Selaparang Tahun 2022. Kegiatan berlangsung lancer melibatkan stake holder serta peran serta aktif masyarakat dalam kegiatan. 
Peran Orang Tua untuk Meningkatkan Pengetahuan dan Sikap Remaja terhadap Pernikahan Usia Dini Baiq Yuni Fitri Hamidiyanti; Intan Gumilang Pratiwi; Mutiara Rachmawati Suseno; Syajaratuddur Faiqah; Ati Sulianty
Jurnal Bidan Cerdas Vol. 4 No. 4 (2022)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jbc.v4i4.984

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Introduction: Factors causing early marriage in NTB include coercion from parents. For example, interviews with six young women who married early showed that two people married because of promiscuity, and two married because of coercion by their parents. One married because they liked each other, and one person had to get married, afraid of being a disgrace to the family and society because going home too late. Late night with his girlfriend. Objective: to analyze the effect of developing parental role models to increase adolescent knowledge and attitudes towards early marriage in West Lombok Regency. Method: quasi-experiment with pretest-posttest research design with Mann-Whitney test. The research location is in Sigerongan, West Lombok Regency, and carried out for three months with a population of male and female adolescents aged 15-19 years and a sample of 40 adolescents who were grouped into two groups. The sampling method used simple random sampling. Result: there is a significant difference in the value of knowledge between the intervention group and the control group. Conclusion: there is a significant difference between the intervention group and the control group, and there are differences in the post-test results of adolescent attitudes towards early marriage in the intervention group and the control group.
Pengaruh Edukasi Family Centered Maternity Care (FCMC) Terhadap Keluhan Ibu Postpartum Melalui Asuhan Home Care Intan Gumilang Pratiwi; Linda Meliati; Sri Wahyuni
Midwifery Care Journal Vol 4, No 2 (2023): April 2023
Publisher : Politeknik Kesehatan Kementrian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/micajo.v4i2.9469

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The postpartum period begins after the birth of the placenta and ends when the uterine organs return to their pre-pregnancy state. The postpartum period starts from 6 hours to 42 days. Postpartum education with the FCMC approach is effectively applied to strengthen perceptions for postpartum mothers and families at home. The purpose of this study was to determine the effect of Family Centered Maternity Care Education on complaints of postpartum mothers through home care. The research method used is a research design using Quasi Experimental with a Two Group Pretest-Postest Design approach. The sampling technique used was purposive sampling. The study population was normal postpartum mothers day 2-42 days. Respondents of the research used 30 people, collected data using a questionnaire on normal postpartum mothers, 15 postpartum mothers each in the intervention and control groups. The results showed that the average score of complaints of postpartum mothers in the intervention group before being given FCMC education using Indonesian language pocket books and visual aids was 5.73 ± 1.363 and the minimum - maximu score was 3-9 while after being given FCMC education using pocket books and teaching aids was 1.50 ± .509 and the minimum –maximum value is 1-2. The results showed that there was an effect of providing FCMC education using pocket books and teaching aids (p=.029). For the control group, the average score of complaints of postpartum mothers before being given FCMC education using leaflets was 5.43 ± 1.006 and the minimum – maximum value was 3-8, while after being given FCMC education using leaflets was 1.50 ± .509 and the minimum – maximum value was 1-2. The results showed that there was no effect on providing FCMC education using leaflets (p = .355). The conclusion of the study is that providing FCMC education has no effect on overcoming maternal complaints during the postpartum period through home care.
Studi Kasus: Asuhan Kebidanan Kehamilan Pada Ny.A Dengan Mola Hidatidosa Baiq Yuni Fitri Hamidiyanti; Fitra Arsy Nur Cory'ah; Intan Gumilang Pratiwi; S. Nidaa’an Khafiya LM
Indonesian Health Issue Vol. 2 No. 1 (2023): FEBRUARI
Publisher : PublisihingId

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47134/inhis.v2i1.34

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Latar Belakang: Angka kematian ibu (AKI) masih sangat tinggi, sekitar 295.000 wanita meninggal selama dan setelah kehamilan dan persalinan. Menurut kemenkes RI Tahun 2020, jumlah kematian ibu pada tahun 2020 menunjukan 4.627 kematian di Indonesia. Berdasarkan penyebab, sebagian besar kematian ibu pada tahun 2020 disebabkan oleh pendarahan (termasuk mola hidatidosa). Prevalensi mola hidatidosa di Asia menunjukan 1:120 kehamilan. Di Inonesia sendiri didapatkan kejadian mola hidatidosa pada 1:85 kehamilan. Berdasarkan laporan tahunan RSUD PATUT PATUH PATJU Gerung tahun 2020 ditemukan kasus Mola Hidatidosa sebanyak 12 kasus. Pada tahun 2021 bulan Januari sampai dengan September tercatat sebanyak 7 kasus.Tujuan: Menerapkan asuhan kebidanan pada ibu hamil dengan Mola Hidatidosa, menggunakan pendekatan manajemen kebidanan secara komprehensip. Metode: Jenis penelitian yang digunakan dalam studi kasus ini adalah penelitian deskriptif dengan menggunakan data primer dan sekunder dari anamnesa, pemeriksaan fisik, pemeriksaan laboratorium, dan rekam medik. Hasil: Pengeluaran jaringan Mola Hidatidosa dilakukan dengan Aspirasi Vaccum Manual. Kesimpulan: Pemberian penatalaksanaan sudah sesuai dengan teori dan prosedur   Background: The maternal mortality rate (MMR) is still very high, around 295,000 women die during and after pregnancy and childbirth. According to the Indonesian Ministry of Health in 2020, the number of maternal deaths in 2020 showed 4,627 deaths in Indonesia. Based on causes, the majority of maternal deaths in 2020 were caused by bleeding (including hydatidiform mole). The prevalence of hydatidiform mole in Asia is 1:120 pregnancies. In Indonesia, the incidence of hydatidiform mole is 1:85 pregnancy. Based on the annual report of the PATUT PATUH PATJU Gerung Hospital in 2020, 12 cases of Mola Hidatidosa were found. In 2021 from January to September there were 7 cases. Objective: Applying midwifery care to pregnant women with Mola Hidatidosa, using a comprehensive midwifery management approach. Method: The type of research used in this case study is descriptive research using primary and secondary data from anamnesi s, physical examination, laboratory examination, and medical records. Results: Hydatidiform mole tissue was removed by manual vacuum aspiration. Conclusion: Provision of management is in accordance with theory and procedures.
Studi Literatur: Intervensi Spesifik Penanganan Stunting Intan Gumilang Pratiwi
Indonesian Health Issue Vol. 2 No. 1 (2023): FEBRUARI
Publisher : PublisihingId

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47134/inhis.v2i1.43

Abstract

Latar Belakang: Prevalensi stunting di Indonesia pada dasarnya sudah mengalami penurunan setiap tahunnya, namun angkanya masih jauh di atas batas yang ditetapkan WHO yaitu di bawah 20%. Berdasarkan Studi Status Gizi Indonesia (SSGI) 2021 angka prevalensi stunting Indonesia sebesar 24,4 %. Tujuan: Mengidentifikasi intervensi spesifik penanganan stunting Metode: Studi literature dari berbagai sumber elektornik Hasil: Terdapat sebelas intervensi spesifik penanganan stunting. Kesimpulan: Intervensi tersebut meliputi empat sasaran mulai remaja putri, ibu hamil, bayi balita dan masyarakat. Kegiatan tersebut antara lain Skrining anemia, konsumsi tablet tambah darah, Pemeriksaan kehamilan (ANC), Konsumsi tablet tambah darah bagi ibu hamil, pemberian makanan tambahan bagi ibu hamil kurang energi kronis (KEK), Pemantauan pertumbuhan balita, ASI Eksklusif, Pemberian MP ASII kaya protein hewani bagi baduta, tata laksana masalah gizi, peningkatan cakupan imunisasi, edukasi ibu hamil, remaja dan keluarga termasuk pemicuan bebas buang air besar sembarangan (BABS). Background : The prevalence of stunting in Indonesia has basically decreased every year, but the figure is still far above the limit set by WHO, which is below 20%. Based on the 2021 Indonesian Nutritional Status Study Indonesia's stunting prevalence rate is 24.4%. Purpose: To identify specific interventions for treating stunting Method: Study of literature from various electronic sources. Results: There are eleven specific interventions for treating stunting. Conclusion: The intervention includes four targets, starting with young women, pregnant women, toddlers and the community. These activities include screening for anemia, taking blood-boosting tablets, pregnancy checks (ANC), consuming blood-boosting tablets for pregnant women, providing additional food for pregnant women with chronic energy deficiency monitoring toddler growth, exclusive breastfeeding, giving MP ASI rich animal protein for children under two, management of nutritional problems, increasing immunization coverage, education for pregnant women, adolescents and families including triggering open defecation.
Pengaruh Edukasi Kesehatan Reproduksi Pra Nikah Pada Peningkatan Pengetahuan Remaja Untuk Pencegahan Stunting Khairul Yamin; Intan Gumilang Pratiwi
Indonesian Health Issue Vol. 2 No. 2 (2023): AGUSTUS
Publisher : PublisihingId

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47134/inhis.v2i2.53

Abstract

Latar Belakang: Di Provinsi Nusa Tenggara Barat khususnya Kabupaten Lombok Barat, jumlah dan presentasi wanita menurut usia perkawinan pertama persentase yang cukup tinggi terjadi pada umur 16 – 19 tahun sebesar 47,22 %, umur 20 – 29 tahun sebesar 47,01 %, < 16 tahun sebesar 4, 27 % dan umur > 30 tahun sebesar 1, 50 % (BPS Lobar, 2020). Faktor penyebab pernikahan usia dini di NTB memang sangat kompleks diantaranya pemaksaan dari orang tua atau keluarga dan karena cinta. Sebagian besar remaja menikah belum mencukupi umur dan tidak mendapat ijin dari KUA sehingga kebanyakan menikah di bawah tangan atau lebih dikenal sebagai nikah siri.Tujuan: Penelitian ini untuk menganalisis pengaruh edukasi kesehatan reproduksi pra nikah terhdap tingkat pengetahuan remaja. Metode: Metode penelitian yang digunakan adalah pre eksperimental dengan pre post one grup test design, dengan jumlah sampel sebanyak 30 remaja. Hasil: Terdapat pengaruh edukasi pra nikah dalam meningkatkan pengetahuan remaja. Kesimpulan: Edukasi pra nikah mampu meningkatkan pengetahuan remaja tentang kesehatan reproduksi pra nikah. Background: In West Nusa Tenggara Province, especially West Lombok Regency, the number and presentation of women according to the age of first marriage is quite high, at the age of 16 - 19 years at 47.22%, at the age of 20 - 29 years at 47.01%, < 16 years old is 4.27% and age > 30 years is 1.50% (BPS Lobar, 2020). The factors causing early marriage in NTB are very complex, including coercion from parents or family and because of love. Most teenagers who marry are not old enough and do not have permission from the KUA, so most of them marry under the hand, better known as unregistered marriages. Objective: This research analyzes the effect of pre-marital reproductive health education on teenagers' knowledge levels. Method: The research method was pre-experimental with a pre-post one group test design, with a sample size of 30 teenagers. Results: There is an influence of premarital education in increasing teenagers' knowledge. Conclusion: Pre-marital education can increase teenagers' knowledge about pre-marital reproduction health.