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Hubungan Sikap Ibu Dengan Keikutsertaan WUS Dalam Deteksi Dini Kanker Serviks Melalui IVA Test di Puskesmas Jenu Kabupaten Tuban Lailatul Mufida; Dwi Purwanti; Domas Nurchandra Pramudianti; Siti Alfiah
Gema Bidan Indonesia Vol. 10 No. 4 (2021): Desember
Publisher : Jurusan Kebidanan Politeknik Kesehatan Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gebindo.v10i4.49

ABSTRAK Banyak wanita yang masih belum mengetahui dan melakukan pemeriksaan IVA. Ada beberapa faktor yang mempengaruhi kurangnya perilaku sesorang untuk melakukan deteksi dini kanker serviks antara lain sikap ibu. Tujuan penelitian ini adalah untuk mengetahui hubungan sikap ibu dengan keikutsertaan WUS dalam deteksi dini kanker serviks melalui IVA Test di Puskesmas Jenu Kabupaten Tuban. Metode penelitian menggunakan analitik observasional dengan pendekatan cross sectional. Variabel independent sikap ibu dan variabel dependent keikutsertaan WUS. Penelitian ini menggunakan Teknik probability sampling dengan rancangan penelitian simple random sampling. Populasi sebanyak 98 WUS, didapatkan sampel sejumlah 78 WUS. Instrumen penelitian menggunakan kuesioner sikap. Analisis data menggunakan Uji Chi Square. Hasil analisis menunjukkan sebagian besar responden mempunyai sikap positif sebanyak 74,4%. Sebagaian besar responden pernah melakukan IVA Test sebanyak 71,8 %. Hubungan sikap ibu dengan keikutsertaan WUS dalam deteksi dini kanker serviks melalui IVA Test hampir seluruh responden mempunyai sikap positif dan pernah melakukan IVA Test dalam 3 tahun terakhir sebanyak 53 responden (91,4%). Adapun sebagian kecil responden yang bersikap positif namun tidak pernah melakukan pemeriksaan IVA Test dalam 3 tahun terakhir sebanyak 5 responden (8,6%). Hasil Uji Chi Square didapatkan hasil nilai signifikan 0,000 atau p value < α (0,05). hasil analisis ada hubungan sikap ibu dengan keikutsertaan WUS dalam deteksi dini kanker serviks melalui IVA Test di Puskesmas Jenu. Diharapkan Puskesmas untuk mensosialisasikan pentingnya pemeriksaan IVA Test dengan penyuluhan yang mudah dipahami sehingga timbul sikap positif pada WUS bahwa penting melakukan deteksi dini kanker serviks. Kata kunci: Sikap Ibu, Keikutsertaan WUS, Pemeriksaan IVA Test.

Gambaran Depresi Pada Remaja Korban Kekerasan Seksual kiki berliana; Dwi Purwanti, S.Kp., SST., M.Kes.; Sukesi, A.Per.Pend., S.Kep., Ns., M.Kes; Dr. K.Kasiati, S.Pd., S.Tr Keb., M.Kes
Gema Bidan Indonesia Vol. 10 No. 4 (2021): Desember
Publisher : Jurusan Kebidanan Politeknik Kesehatan Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gebindo.v10i4.56

Introduction: Sexual violence or rape is sort of violence that is all too common.. Rape victims as adolescents might suffer form a variety of consequences including psychological trauma in the type of depression. Physical symptoms include a lack of self-efficacy, eating and sleeping disorders, anhedonia, and psychological symptoms such as self-weakness, self-control, sensitivity, a sense of worthlessness, lacking in self, and social symptoms can include withdrawal from the environment and emotional distress. The purpose of this literature review is to examine different study findings on the description of depression in adolescents who have been sexually abused. Methods: PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analyzes) and the JBI checklist were used to conduct literature review. The phrases were gathered from 7 databases (Semantic Scholar, Wiley, Sage Journals, Proquest, PubMed, Researche Gate, and Elsevier) which yielded 1781 articles of which 36 were chosen to fit the inclusion criteria. Articles are timed for the previous five years. Results: According of 36 articles review, 6 articles describe low self-concept, 5 articles describe emotional dysregulation, 3 article describes a loss of interest (anhedonia),3 article describes disturbed sleep pattern, 2 article describe an eating disorders, 4 articles describes disturbed psycotic problems, and 3 article describes self harm,4 article describes suicide attempt, and 3 article describes antisocial behavior and 3 articles describes psychotic symptomps. as a description of adolescent depression with sexual violence experiences. Conclution: The incidence of low self concept is the most prevalent of the 36 articles. Discussion : Of course, futher study is indeed to examine other aspects of depression among teenagers who have suffered sexual abuse.”

Efektivitas Metode Lamaze Terhadap Tingkat Nyeri Pada Ibu Bersalin Ihda Nabilah Rumaitsa; Evi Yunita Nugrahini; Dwi Purwanti; Siti Mar’atus Sholikah
Gema Bidan Indonesia Vol. 11 No. 2 (2022): Juni
Publisher : Jurusan Kebidanan Politeknik Kesehatan Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gebindo.v11i2.71

Labor pain is defined as a condition that feels unpleasant and very subjective because each mother’s pain treshold is different either scale or level. If not controlled properly, it will have an impact on the health of the mother, baby and delivery process. Pain control due to contractions needs to be done, among others, by the Lamaze method. Objective: To find out the effectiveness of the Lamaze method against the pain level of maternity mothers. Method:This research is a Literature Review by reviewing customized articles. Article searches were conducted in 4 databases (Proquest, ResearchGate, Semantic Scholar and Google Scholar) using Boolean Operators with article selection using PRISMA Flowchart as well as article quality assesment using JBI Critical Appraisal. The results found 17 articles that met the inclusion. Results: After reviewing 17 articles, 10 of them stated that the Lamaze method proved effective against reducing the level of labor pain. In addition to pain, 5 article stated that the Lamaze method affects anxiety, 4 articles stated that this method affects the duration of labor and 6 articles state that this method is able to improve a good and healthy labor outcomes. Conclusion: The results of the study based on a review of 17 articles obtained, concluded that the Lamaze method proved effective in reducing pain levels in maternity mothers. In addition, this method also affects the level of anxiety, the duration of labor and labor outcomes (both maternal/neonatal outcomes). Implications: To add to the Literature Review related to the management of labor pain in a non pharmacological manner using the Lamaze method.

Pengaruh Teknik Rebozo terhadap Kemajuan Persalinan Kala I fase Aktif Warda Aulia Mufarrocha; Dwi Purwanti; Kharisma Kusumaningtyas; Sri Utami
Gema Bidan Indonesia Vol. 12 No. 4 (2023): December
Publisher : Jurusan Kebidanan Politeknik Kesehatan Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gebindo.v12i4.186

Persalinan adalah proses dimana bayi, plasenta, dan selaput lendir keluar dari uterus ibu, dengan usia kehamilan cukup bulan (setelah 37 minggu) dan tanpa adanya penyulit. Partus lama merupakan waktu persalinan yang memanjang akibat kemajuan persalinan yang terhambat. Teknik rebozo dapat digunakan selama persalinan untuk membantu otot dalam ligamen uterus rileks dan nyaman sehingga mampu mengurangi rasa sakit serta dapat menciptakan efek positif psikologis dan sosial, sehingga ibu dalam keadaan rileks, semua lapisan otot dalam rahim akan bekerja sama secara harmonis sehingga persalinan berjalan lancar, mudah dan nyaman. Tujuan peneitian ini adalag untuk mengetahui pengaruh teknik rebozo terhadap kemajuan persalinan kala I fase aktif di TPMB Wahidah. Penelitian ini merupakan jenis penelitian kuantitatif dengan menggunakan metode penelitian pre eksperiment dengan rancangan penelitian intact-group comparison. Sampel diambil dengan teknik purposive sampling dengan sejumlah 30 ibu hamil yang sedang mengalami persalinan kala I fase aktif di PMB Wahidah. Sampel dibagi menjadi dua kelompok yaitu kelompok perlakuan dan kelompok kontrol. Variabel independen adalah teknik rebozo dan variabel dependent kemajuan persalinan kala I fase aktif. instrument pengumpulan data menggunakan partograf. Analisis data yang digunakan adalah uji statistik Chi Square dengan α= 0,05 Hasil penelitian menunjukkan bahwa teknik rebozo dapat meningkatkan kemajuan persalinan kala fase aktif dengan perbedaan yang signifikan antara kelompok perlakuan dan kelompok intervensi pada waktu dilatasi serviks 4-5 cm dengan nilai p-value 0,01 < α 0,05 yang artinya hipotesa diterima. Yang terdapat pengaruh teknik rebozo terhadap kemajuan persalinan kala I fase aktif. Dapat disimpulkan bahwa teknik rebozo dapat meningkatkan kema juan persalinan kala satu fase aktif. Oleh karena itu, disarankan untuk menggunakan teknik rebozo sebagai alternatif dalam menunjang kemajuan persalinan kala I fase aktif. Namun, penelitian lebih lanjut masih diperlukan untuk mengoptimalkan penggunaan teknik rebozo dan memperluas cakupan sampel penelitian. Kata Kunci : Teknik Rebozo, Persalinan, Kala I fase aktif

PENGARUH INSTAGRAM SEBAGAI MEDIA EDUKASI TERHADAP PENGETAHUAN DAN SIKAP TENTANG ANEMIA PADA REMAJA PUTRI Imelda Cahya Aprilia; Nana Usnawati; Dwi Purwanti; Siti Alfiah
Jurnal Ilmiah Kebidanan (The Journal Of Midwifery) Vol. 12 No. 2 (2024)
Publisher : Midwifery Department, Poltekkes Kemenkes Denpasar, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jik.v12i2.3336

Adolescence is an important period for growth and development related to the start of puberty. This research was a quantitative type with a Quasi Experimental design with Nonequivalent Control Group Design. Population 96 female students. Sample of 33 female students SMK Satya Widya Surabaya with Simple Random Sampling. The independent variable is the educational media Instagram, the dependent variable is teenagers' knowledge and attitudes about anemia in young women. The instrument is a questionnaire. Analysis of the influence of the Wilcoxon Signed Rank Test. The results of the research after being given the intervention were that almost all respondents had good knowledge (90.9%). After being given the intervention, all respondents were positive (100%). The results of the Wilcoxon Sign Rank Test showed an influence before and after the intervention using Instagram on the knowledge and attitudes of young women about anemia. Test results Man Whitney there are differences before and after the intervention using Instagram on the knowledge and attitudes of young women about anemia. Inconclusion, there is the influence of Instagram as an educational medium on the knowledge and attitudes of young women about anemia at SMK Satya Widya Surabaya.

The Effect of Positive Affirmation Using Flashcards on The Anxiety of Laboring Women in The First Phase of Active Labor Nayla Shaffira Aniq; Nana Usnawati; Dwi Purwanti; Kharisma Kusumaningtyas
Jurnal Ilmiah Kebidanan (The Journal Of Midwifery) Vol. 12 No. 2 (2024)
Publisher : Midwifery Department, Poltekkes Kemenkes Denpasar, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jik.v12i2.3337

Anxiety is a physical and psychological condition characterized by somatic, emotional, cognitive and behavioral components as a normal reaction resulting from stress. The purpose of this study is to find out the effect of providing positive confirmation using flashcards on the anxiety of active phase stage 1 delivery mothers.The research method uses Pre Experiment Design with research design One Group Pretest Postest. The sample was taken using a sample purposive technique of 35 active phase stage 1 mothers. The free variable of this study is positive affirmation using flashcards. The bound variable of this study is the anxiety of active phase stage 1 delivery mothers.Using the HARS instrument. With Wilcoxon test data analysis.Based on the research results, there was value p-value 0,000. From these results, there is an effect of providing positive confirmation using flashcards to active phase stage 1 delivery mothers. Giving positive affirmation use flashcard can reduce labor anxiety during the active phase of 1st stage. The research conclusion is that giving positive affirmations using flashcards can reduceanxiety during the first active phase. The mechanism of this method is able to influence the subconscious mind and can provide good suggestions for oneself.

Effects of Using Digital Magazines "Sobat Busui" Against Mother's Knowledge and Attitudes About Breastfeeding Alfin Nihayatul Islamiyah; Dina Isfentiani; Dwi Purwanti; Kharisma Kusumaningtyas; Mazlinda Musa
International Journal of Advanced Health Science and Technology Vol. 4 No. 1 (2024): February
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v4i1.260

Breast milk is best food babies. In this era information technology is developing very rapidly, this brings changes in society. It is possible that breastfeeding mothers also use Android-based media to access information on the internet about breastfeeding. The purpose to analyze the effect of using the digital magazine “Sobat Busui” on mothers’ knowledge and attitudes about breastfeeding. Research method is quantitative research with a Quasi Experiment Design study with one group pre post test design. The independent variable is the use of digital magazines about breastfeeding, the dependent variable is the mother's knowledge and attitudes about breastfeeding. To analyze the effect using the Wilcoxon test. The results showed good knowledge (56.4%) before using the digital magazine “Sobat Busui” after using the digital magazine “Sobat Busui” showing a good increase in knowledge (70.9%) then for a positive attitude (50.9%) before using digital magazine “Sobat Busui” and after using digital magazine “Sobat Busui” showed an increase in positive attitude (67.3%). Wilcoxon test knowledge variable p = 0.006 (< 0.05) and attitude variable p = 0.000 (< 0.05). This means that there is an effect of using the digital magazine “Sobat Busui” on mothers’ knowledge and attitudes. The conclusion is an increase in mothers’ knowledge and attitudes after using the digital magazine “Sobat Busui”. The suggestion is health workers are expected to use the digital magazine “Sobat Busui” as a support in providing health education about breastfeeding and for researchers to add cultural factor variables in future research.

Hubungan Sikap Ibu Dengan Keikutsertaan WUS Dalam Deteksi Dini Kanker Serviks Melalui IVA Test di Puskesmas Jenu Kabupaten Tuban: The Relationship between Maternal Attitudes and WUS's Participation in Early Detection of Cervical Cancer through IVA Test at the Jenu Health Center, Tuban Regency Lailatul Mufida; Dwi Purwanti; Domas Nurchandra Pramudianti; Siti Alfiah
Gema Bidan Indonesia Vol. 11 No. 2 (2022): September
Publisher : Jurusan Kebidanan Politeknik Kesehatan Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gebindo.v10i4.49

ABSTRAK Banyak wanita yang masih belum mengetahui dan melakukan pemeriksaan IVA. Ada beberapa faktor yang mempengaruhi kurangnya perilaku sesorang untuk melakukan deteksi dini kanker serviks antara lain sikap ibu. Tujuan penelitian ini adalah untuk mengetahui hubungan sikap ibu dengan keikutsertaan WUS dalam deteksi dini kanker serviks melalui IVA Test di Puskesmas Jenu Kabupaten Tuban. Metode penelitian menggunakan analitik observasional dengan pendekatan cross sectional. Variabel independent sikap ibu dan variabel dependent keikutsertaan WUS. Penelitian ini menggunakan Teknik probability sampling dengan rancangan penelitian simple random sampling. Populasi sebanyak 98 WUS, didapatkan sampel sejumlah 78 WUS. Instrumen penelitian menggunakan kuesioner sikap. Analisis data menggunakan Uji Chi Square. Hasil analisis menunjukkan sebagian besar responden mempunyai sikap positif sebanyak 74,4%. Sebagaian besar responden pernah melakukan IVA Test sebanyak 71,8 %. Hubungan sikap ibu dengan keikutsertaan WUS dalam deteksi dini kanker serviks melalui IVA Test hampir seluruh responden mempunyai sikap positif dan pernah melakukan IVA Test dalam 3 tahun terakhir sebanyak 53 responden (91,4%). Adapun sebagian kecil responden yang bersikap positif namun tidak pernah melakukan pemeriksaan IVA Test dalam 3 tahun terakhir sebanyak 5 responden (8,6%). Hasil Uji Chi Square didapatkan hasil nilai signifikan 0,000 atau p value < α (0,05). hasil analisis ada hubungan sikap ibu dengan keikutsertaan WUS dalam deteksi dini kanker serviks melalui IVA Test di Puskesmas Jenu. Diharapkan Puskesmas untuk mensosialisasikan pentingnya pemeriksaan IVA Test dengan penyuluhan yang mudah dipahami sehingga timbul sikap positif pada WUS bahwa penting melakukan deteksi dini kanker serviks. Kata kunci: Sikap Ibu, Keikutsertaan WUS, Pemeriksaan IVA Test.

Efektivitas Metode Lamaze Terhadap Tingkat Nyeri Pada Ibu Bersalin: Effectiveness of the Lamaze Method on the Level of Pain in Nursing Mothers Ihda Nabilah Rumaitsa; Evi Yunita Nugrahini; Dwi Purwanti; Siti Mar’atus Sholikah
Gema Bidan Indonesia Vol. 11 No. 2 (2022): September
Publisher : Jurusan Kebidanan Politeknik Kesehatan Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gebindo.v11i2.71

Labor pain is defined as a condition that feels unpleasant and very subjective because each mother’s pain treshold is different either scale or level. If not controlled properly, it will have an impact on the health of the mother, baby and delivery process. Pain control due to contractions needs to be done, among others, by the Lamaze method. Objective: To find out the effectiveness of the Lamaze method against the pain level of maternity mothers. Method:This research is a Literature Review by reviewing customized articles. Article searches were conducted in 4 databases (Proquest, ResearchGate, Semantic Scholar and Google Scholar) using Boolean Operators with article selection using PRISMA Flowchart as well as article quality assesment using JBI Critical Appraisal. The results found 17 articles that met the inclusion. Results: After reviewing 17 articles, 10 of them stated that the Lamaze method proved effective against reducing the level of labor pain. In addition to pain, 5 article stated that the Lamaze method affects anxiety, 4 articles stated that this method affects the duration of labor and 6 articles state that this method is able to improve a good and healthy labor outcomes. Conclusion: The results of the study based on a review of 17 articles obtained, concluded that the Lamaze method proved effective in reducing pain levels in maternity mothers. In addition, this method also affects the level of anxiety, the duration of labor and labor outcomes (both maternal/neonatal outcomes). Implications: To add to the Literature Review related to the management of labor pain in a non pharmacological manner using the Lamaze method.

Pengaruh Pemberian Pijat Punggung (Back Massage) Terhadap Kualitas Tidur Ibu Menopause: The Effect of Back Massage on the Sleep Quality of Menopausal Mothers Yulia Viskiy; Kasiati; Dwi Purwanti; Rijanto
Gema Bidan Indonesia Vol. 12 No. 1 (2023): Maret
Publisher : Jurusan Kebidanan Politeknik Kesehatan Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gebindo.v11i3.85

Menopause adalah tidak mengalami menstruasi selama 12 bulan berturut-turut diakibatkan oleh ovarium secara progresif yang telah gagal dalam memproduksi hormon estrogen. Standar kebutuhan tidur pada ibu menopause adalah 7 jam/hari. Apabila kurang dari 7 jam/hari maka bisa dikatakan kualitas tidurnya tidak baik. Hal ini dapat menyebabkan kelelahan dan tingkat stress yang lebih tinggi. sehingga seringkali pada ibu menopause mengkonsumsi obat-obatan farmakologi. Terapi farmakologi memiliki efek yang cepat, akan tetapi jika diberikan dalam waktu jangka panjang dapat menimbulkan efek berbahaya bagi kesehatan. Sedangkan salah satu Intervensi non farmakologi untuk penanganan kualitas tidur ibu menopause adalah dengan terapi back massage. Penelitian ini bertujuan untuk mengetahui pengaruh pemberian pijat punggung (Back Massage) terhadap kualitas tidur ibu menopause di wilayah kerja puskesmas burneh. Desain penelitian yang digunakan adalah quasi eksperimental dengan rancangan one group pretest-postest. Sampel yang digunakan pada penelitian ini berjumlah 30 ibu menopause yang diambil dengan metode sampling kuota. Pengambilan data dilakukan dengan menggunakan observasi dan kuisioner, uji analisis data uji Mc Nemar. Berdasarkan hasil penelitian didapatkan p=0,000 bahwa terdapat perubahan kualitas tidur antara sebelum dan sesudah perlakuan dan 22 ibu menopause mengalami perubahan kualitas tidur sedangkan 8 ibu menopause tidak mengalami perubahan kualitas tidur. Berdasarkan hasil penelitian terdapat adanya pengaruh pemberian pijat punggung (Back Massage) terhadap kualitas tidur ibu menopause. Perlunya pemberian pengetahuan dan juga peningkatan pelayanan asuhan kebidanan serta penerapan intervensi yang tepat seperti penerapan sleep quality bagi ibu menopause yang mengalami penurunan kualitas tidur. Kata kunci: Menopause, kualitas tidur, Pijat punggung

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