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KEPATUHAN ANTENATAL CARE IBU HAMIL RESIKO TINGGI DENGAN KETEPATAN RUJUKAN DI DESA SEPAWON KECAMATAN PLOSOKLATEN Reni Yuli Astutik; Tia Rusdianawati
JURNAL ILKES : Jurnal Ilmu Kesehatan Vol 8 No 2 (2017)
Publisher : STIKES Karya Husada Kediri

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (190.021 KB)

Abstract

Tingginya Angka Kematian Ibu (AKI) di Indonesia menunjukkan rendahnya kualitas pelayanan kesehatan. Penurunan AKI dikatakan mustahil tanpa adanya ketepatan rujukan yang efektif terutama pada kasus komplikasi. Tujuan penelitian ini untuk mengetahui kepatuhan Antenatal Care (ANC) ibu resiko tinggi dengan ketepatan rujukan. Penelitian ini menggunakan desain korelasi dengan pendekatan Cross Sectional. Penelitian dilaksanakan tanggal 27 Juli-05 Agustus 2017 di Desa Sepawon Kecamatan Plosoklaten Kabupaten Kediri. Populasi berjumlah 42 orang dengan sampel 38 responden yang memenuhi kriteria inklusi. . Variabel Independen kepatuhan ANC. Variabel dependen ketepatan rujukan. Teknik sampling menggunakan Proportional Random Sampling. Pengumpulan data menggunakan buku KIA responden dan wawancara. Analisa data menggunakan Spearman Rank (rho). Dari 38 responden, sebagian besar patuh dalam melakukan ANC (44,7%) dan sebagian besar responden sudah sesuai dalam memilih rujukan yaitu 65,8%. Analisa data menggunakan uji Spearman Rank (rho) diperoleh hasil p<0.001 artinya ada hubungan yang signifikan antara kepatuhan antenatal care ibu hamil resiko tinggi dengan ketepatan rujukan. Tingkat hubungan rendah, dibuktikan dengan r = 0, 374. Kepatuhan ANC pada ibu hamil resiko tinggi sangat berpengaruh terhadap ketepatan rujukan karena dapat diketahui secara dini komplikasi kehamilan, sehingga ibu dirujuk sesuai dengan faktor resiko. Semakin patuh ibu untuk memeriksakan kehamilan maka akan sesuai ketepatan rujukan ibu resiko tinggi.
Pengaruh Faktor Sosiodemografi terhadap Kejadian Lesi Prakanker dengan Skining Inspeksi Visual Asetat (IVA) di Puskesmas Bendo Kecamatan Pare Kabupaten Kediri Wuri Widi Astuti; Reni Yuli Astutik
Jurnal Kesehatan Andalas Vol 7, No 3 (2018)
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v7i3.890

Abstract

Kanker serviks adalah salah satu penyebab kematian wanita di dunia. Salah satu metode yang efektif, mudah, murah dan sederhana untuk mendeteksi kanker serviks dini adalah Inspeksi Visual Acetat (IVA). Tujuan penelitian ini adalah menentukan pengaruh faktor sosiodemografi terhadap insidensi lesi prakanker serviks dengan menggunakan pemeriksaan IVA di Puskesmas Bendo Kecamatan Pare Kabupaten Kediri. Desain penelitian menggunakan studi analitik dengan pendekatan cross sectional. Teknik sampling menggunakan simple random sampling dengan jumlah sebanyak 90 responden. Pengumpulan data dilakukan melalui data rekam medik dan wawancara responden. Penelitian ini telah dilakukan pada Oktober 2017 di Puskesmas Bendo Kabupaten Kediri. Data dianalisis menggunakan uji Chi-square dan regresi logistik dengan tingkat signifikansi α = 0,05. Hasil penelitian menunjukkan ada hubungan yang signifikan pada variabel usia responden (p=0.013), usia pertama berhubungan seksual (p=0.000), pengguna pil KB (p=0.000) dan riwayat kanker dalam keluarga (p=0.016). Variabel paritas dan merokok mempunyai hubungan yang tidak signifikan (p≥0.05). Variabel dominan yang terkait dengan lesi prakanker serviks adalah pengguna kontrasepsi KB dengan OR = 18,784. Disimpulkan bahwa wanita pengguna kontrasepsi oral berisiko 18 kali lebih besar mengalami kejadian lesi prakanker dibandingkan dengan variabel lain. Disarankan kepada bidan dan petugas kesehatan lainnya untuk terus memberikan penyuluhan dan KIE kepada perempuan untuk memeriksakan kesehatan reproduksi secara teratur sebagai pencegahan kanker serviks.
PROGRAM KUMPULAN WANITA MENOPAUSE AKTIF OLEH KADER DESA SUMBERBENDO KECAMATAN PARE Reni Yuli Astutik; Mirtha Sari Palupi
Jurnal LINK Vol 15, No 2 (2019): NOVEMBER 2019
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat, Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (731.97 KB) | DOI: 10.31983/link.v15i2.5155

Abstract

Kader kesehatan merupakan perpanjangan tangan dari bidan yang berfungsi sebagai penggerak, motivator serta pemberi informasi kepada masyarakat, termasuk dalam peningkatan kualitas hidup wanita menopause. Di desa Sumberbendo Kecamatan Pare Kabupaten Kediri peran kader belum dapat dilaksanakan secara maksimal, hal ini dikarenakan kader belum pernah mendapatkan pelatihan tentang peran kader serta kurangnya informasi tentang menopause. Dalam rangka memenuhi salah satu tridharma perguruan tinggi yaitu pengabdian kepada masyarakat, maka dosen perlu berperan dalam meningkatkan kualitas hidup wanita menopause. Salah satu upaya yang dapat dilakukan yaitu dengan menggerakkan kader sehingga mampu menjalankan program Kumpulan Wanita Menopause Aktif (KUWAT) yang dapat diterapkan pada wanita menopause. Kegiatan ini dilaksanakan dalam empat kali pelatihan yaitu pelatihan 1 materi tentang kader bagi wanita menopause, menopause. Pelatihan 2 materi tentang konsep dasar gizi, gizi masa menopause. Pelatihan 3 tentang ketrampilan pembuatan bobok jahe kunyit (bojanyit) untuk mengurangi keluhan arthritis. Pelatihan 4 tentang pemanfaatan kain perca dan bekas gelas teh menjadi barang yang bernilai ekonomi. Harapan dari kegiatan ini adalah adanya pendampingan dari UMKM Kabupaten Kediri untuk memberikan pelatihan yang bervariasi.
Pendampingan Ibu Postpartum Multipara dalam Penurunan Keluhan Afterpain di Kabupaten Kediri Reni Yuli Astutik; Eka Sri Purwandari
JURNAL INOVASI DAN PENGABDIAN MASYARAKAT INDONESIA Vol 1 No 3 (2022): Juli
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (693.261 KB) | DOI: 10.26714/jipmi.v1i3.29

Abstract

Latar belakang: Afterpain masa postpartum multipara terjadi akibat adanya peningkatan sensitivitas pada sistem saraf pusat yang digambarkan seperti kram, tarikan yang kuat atau bahkan seperti ditusuk benda tajam atau tumpul. Ibu postpartum memerlukan pengetahuan dan ketrampilan dalam menurunkan keluhan afterpain sehingga diperlukan keterlibatan dosen kebidanan untuk mengaplikasikan ilmu yang dimiliki dalam bentuk pendampingan pada ibu postpartum. Tujuan: Tujuan pendampingan ini adalah untuk meningkatkan pengetahuan dan keterampilan ibu postpartum multipara dalam mengatasi keluhan afterpain dengan menggunakan kompres hangat. Metode: Pendampingan dilakukan kepada 22 ibu postpartum multipara pada hari ke 3-10. Tim pengabdi melakukan kunjungan rumah pada hari ketiga masa postpartum dan hari kesepuluh masa postpartum. Pada hari ketiga, ibu postpartum diberikan informasi dan konseling terkait pengertian, penyebab dan cara mengatasi afterpain menggunakan kompres hangat. Pada hari keempat sampai kesembilan postpartum, tim pengabdi menanyakan tingkat nyeri menggunakan WhatsApp. Pada hari kesepuluh tim pengabdi melakukan kunjungan rumah untuk mengetahui penurunan tingkat nyeri. Hasil: Hasil pendampingan didapatkan sejumlah 88% peserta memiliki pengetahuan baik, 100% dapat mempraktekkan penggunaan kompres hangat dengan baik, sejumlah 63,6% peserta mengalami tingkat nyeri ringan dan sejumlah 36,4% peserta tidak mengalami nyeri. Kesimpulan: Terapi komplementer berupa kompres hangat dapat menjadi salah satu alternatif dalam mengatasi keluhan afterpain yang dialami oleh ibu postpartum multipara. Kata kunci: pendampingan, postpartum multipara, afterpain, kompres hangat _____________________________________________________________________________________________ Abstract Background: Multiparous postpartum afterpain occurs due to increased sensitivity in the central nervous system, which is described as cramping, strong pulling or even being stabbed by a sharp or blunt object. Postpartum mothers need knowledge and skills in reducing afterpain complaints so the involvement of midwifery lecturers is needed to apply their knowledge in the form of mentoring for postpartum. Objective: The purpose of this assistance is to increase the knowledge and skills of multiparous postpartum in overcoming afterpain complaints by using warm compresses. Methods: Assistance was provided to 22 multiparous postpartum mothers on days 3-10. The service team made home visits on the third day of the postpartum period and the tenth day of the postpartum period. On the third day, postpartum were given information and counseling related to the understanding, causes, and ways to deal with afterpain using warm compresses. From the fourth to the ninth postpartum day, the service team used WhatsApp to inquire about the level of pain. On the tenth day, the service team made a home visit to check on the reduction in pain levels. Results: The results of the mentoring showed that 88% of participants had good knowledge, 100% could practice using warm compresses well, 63.6% of participants experienced mild pain, and 36.4% of participants did not experience pain. Conclusion: Complementary therapy in the form of warm compresses can be an alternative to overcome the afterpain complaints experienced by multiparous postpartum mothers. Keywords: mentoring, postpartum multiparous, afterpain, warm compress
Analysis of Factors Associated with Visit of Infants and Toddlers to Posyandu in Wonorejo Village, Wates Subdistrict, Kediri Regency Yuliawati, Dwi; Astutik, Reni Yuli
Jurnal Kebidanan Midwiferia Vol 6 No 1 (2020): April
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/midwiferia.v6i1.422

Abstract

Posyandu provides convenience to the community in obtaining basic health services. The coverage of toddler weighing in Indonesia amounted to 71.4% in 2011 which means it has not met the target. The purpose of the research is to know the factors related to the visit of infants and toddlers to Posyandu in Wonorejo village, Wates subdistrict, Kediri regency. Design research uses correlational research design with a retrospective cohort approach. The research sample was infants and toddlers in January – October 2018 that meet the criteria of 120 people through proportional random sampling. Data collection using the data collector sheet on November 26-30, 2018. Data analysis with Chi-Square and Fisher Exact Test with a signification rate of α = 0.05. From the Chi-Square statistical test, there was a relationship between the mother's age (P = 0.043; POR = 2,911 95% CI: 1,126-7,527), mother's education (P = 0.020; POR = 0,281 95% CI: 0,102-0,774), child's age (P = 0.004; POR = 5,489 95% CI: 1,739-17,330) with infant and toddler visits to the Posyandu and from Fisher Exact test, there was a relationship between mother’s job (P = 0.029; POR = 0,290 95% CI: 0,103-0,819) with the visit of infants and toddlers to Posyandu. From the above results are known that the dominant variables associated with the visit of infants and toddlers to Posyandu is the age of the child indicating that the age of children < 24 months have a chance of 5.489 times more to the child's age ≥ 24 months.
Hubungan Bayi Berat Lahir Rendah dengan Kejadian Asfiksia Neonatorum di RSUD Dr. Iskak Tulungagung Astutik, Reni Yuli; Ferawati, Nency
Jurnal Kebidanan Midwiferia Vol 4 No 1 (2018): April
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/mid.v4i1.1845

Abstract

Birth weight is one factor of neonates that can cause asphyxia neonatorum and is one indicator ofthe health of the newborn. The result of Riskesdas 2013 explained the low birth weight infants is 10.2% and WHO data shows every year about 3% of 120 million newborn have asphyxia. This study aims to analyze the correlation of low birth weight infants with neonatorum asphyxia incidence in dr. Iskak Tulungagung Hospital year 2016. This study was executed on July 18 to 19 2017 in dr.Iskak Tulungagung Hospital. The type research used analytical survey with correlational design and retrospective cohort study. Independent variable was low birth weight infants and dependent variable was neonatorum asphyxia. The population was 949 and sample was 162 with Simple Random Sampling technique, and used medical record instruments. From the 162 samples, found that almost half of respondents were 46.9% experienced low birth weight infants and almost all of the respondents were 88.3% experienced asphyxia neonatorum. Based on chi square test obtained (p)=0.001<(α)=0,05 and C=0,257, it means there is significant correlation between low birth weight infants and asphyxia with low correlation neonatorum. Odds ratio is 9,116, it means that risk of asphyxia neonatorum at low birth weight infants is 9.116 times great than normal birth weight infant. At the low birth weight infants a lot of risk of problems in the body because immaturity of organ system, so easily attacked by complications such as an asphyxia neonatorum.
EFEKTIFITAS PENINGKATAN PENGETAHUAN REMAJA TENTANG PERILAKU SEKSUAL PRANIKAH DI WILAYAH KERJA PUSKESMAS PESANTREN 2 KEDIRI Devy Putri Nursanti; Reni Yuli Astutik; Agusta Dian Ellina
EZRA SCIENCE BULLETIN Vol. 1 No. 2 (2023): July - December 2023
Publisher : Kirana Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58526/ez-sci-bin.v1i2.179

Abstract

Perkawinan adalah ikatan batin dan jasmani antara seorang pria dan seorang wanita sebagai suami istri dengan tujuan membangun keluarga (rumah tangga) yang bahagia dan kekal berdasarkan keimanan kepada Tuhan Yang Maha Esa. Pengertian perkawinan ini didasarkan pada undang-undang yang mengatur perkawinan di Indonesia, yaitu Undang-undang Perkawinan Nomor 1 Tahun 1974. Peraturan Direktorat Jenderal Bimbingan Umat Islam Kementerian Agama Nomor Nomor Dl.Ii/372 Tahun 2011 tentang Penyelenggaraan Kursus Pranikah mendefinisikan kursus pranikah sebagai pemberian pengetahuan, pemahaman, keterampilan dan kesadaran kepada remaja usia nikah tentang kehidupan rumah tangga dan keluarga. Dampak lain yang dapat ditimbulkan akibat dari perilaku seks pranikah yaitu kehamilan yang tidak diinginkan. Pada tahun 2017 terdapat 7% dan 12% wanita dilaporkan pernah melakukan hubungan seksual sebelum menikah dan kehamilan yang tidak diinginkan (Wahyuni, 2019). Metode yang digunakan dalam kegiatan pengabdian masyarakat ini adalah pre post test design. Sebelum dilakukan penyuluhan kesehatan tentang pranikah remaja ini diberikan kuesioner untuk diisi, kemudian dilakukan penyuluhan dan diberikan kuesiner kembali. Hal ini bertujuan untuk mengetahui peningkatan pengetahuan remaja setelah dilakukan penyuluhan. Kegiatan penyuluhan dilaksanakan di wilayah kerja Puskesmas Pesantren 2 Kabupaten Kediri, dengan melibatkan 30 remaja sebagai responden. Materi penyuluhan mencakup informasi tentang pengertian prilaku seks pranikah, kategori perilaku seksual pranikah, Faktor-faktor yang mempengaruhi perilaku seksual dan Dampak-dampak perilaku Seks Pra Nikah. Hasil dari pengabdian ini menunjukkan bahwa semua peserta atau 100% peserta mengalami peningkatan pengetahuan setelah diberikan penyuluhan. Hal ini dibuktikan dengan hasil pre dan post test yang sudah diberikan. Sebelum dilakukan penyuluhan masih banyak responden yang belum mengetahui tentnag perilaku seks pranikah. Kesimpulan dari pengabdian masyarakat ini adalah bahwa promosi kesehatan efektif meningjkatan pengetahuan remaja tentang perilaku seks pranikah . Dengan peningkatan pengetahuan ini, diharapkan remaja dapat lebih baik dalam mengambil keputusan dan tidak melakukan seks bebas.
The Relationship of Mother's Knowledge and Employment Status with the Provision of PCV Immunization to Babies at the Lembur Health Center, Alor District Carla Ramiro Guterres; Reni Yuli Astutik; Eri Puji Kumalasar; Putri Eka Sejati
Journal for Quality in Public Health Vol. 8 No. 1 (2024): November
Publisher : Master of Public Health Program Institut Ilmu Kesehatan STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jqph.v8i1.513

Abstract

The leading infectious disease that kills children under five worldwide is still pneumonia. According to the WHO, Indonesia has the eighth-highest pneumonia-related death rate among 15 nations for toddlers and children because of low Pneumococcal Conjugate Vaccine vaccination rates. The study design employs a cross-sectional methodology and correlation analytics. With a population of 300 and a sample of 75, the sampling method used was accidental sampling. The Chi Square test type in SPSS Version 25 was used to examine the results. According to the study's findings, 36% of mothers had high understanding, 64% had poor knowledge, 33.3% were working mothers, 66.7% were not, and 36% had received the PCV vaccine while 64% had not. Maternal knowledge (p value 0.032) and job status with PCV immunization (p value 0.000) were revealed to be related by the Chi Square test. Given that the p value is less than the alpha value (a) = 0.05, H1 is accepted and H0 is rejected, indicating a relationship between the mother's work level and her knowledge and her decision to vaccinate her children against PCV. In addition to knowledge and employment situation, other factors that may impact the decision to vaccinate infants against PCV include age, education, family support, perception, reminders, information the mother has received, distance from home, vaccine composition, and vaccine availability. It is advised that the Community Health Center enhance the way its health education initiatives for infant PCV vaccination are carried out.
The Relationship Of Husband's Support And The Role Of Health Worker On Interest In Choosing Iud Contraception In The Mopah Baru Health Center Area Yuslina Simangunsong; Candra Wahyuni; Reni Yuli Astutik; Erma Retnaningtyas
Journal of Health Science Community Vol. 5 No. 1 (2024): August
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jhsc.v5i1.231

Abstract

In Indonesia, many women experience difficulty in choosing the type of contraception. Factors that influence a mother in choosing an intrauterine contraceptive device (IUD) are family support, especially her husband, and the role of health workers especially midwives. This study aims to determine the relationship between husband's support and the role of health workers on interest in choosing IUD contraception in the Mopah Baru Community Health Center area. This research uses a research design Analytical Observational. With technique accidental sampling A sample of 42 respondents was obtained. Statistical tests are used Chi-Square to find out the relationship between the two variables. Data analysis found that there was a relationship between husband's support and interest in choosing IUD contraception, namely p value = 0.023 < 0.05, and there was no relationship between the role of health workers and interest in choosing IUD contraception, namely p value = 0.167 > 0.05. The need for husband's support for wives in choosing IUD contraception emotional, instrumental, appraisal, and informational support.
Efektivitas Metode Bom (Breastcare, Oxytocin Massage, Marmet Technique) Terhadap Produksi Asi Pada Ibu Post Partum Di Klinik Umum Mitra Bunda Kota Palu Sulawesi Tengah Maria Vita Insani; Reni Yuli Astutik; Riza Tsalatsatul Mufida; Mifthakur Rohmah
Journal of Health Science Community Vol. 5 No. 3 (2025): February
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jhsc.v5i3.265

Abstract

Problem which often occurs in postpartum mother where is breast milk production so little that it is unable to meet needs baby nutrition. This is because due to lack of knowledge about breast care, oxytocin massage and marmet technique. The purpose of this study was to determine the effectiveness of the BOM method ( Breastcare, Oxytocin Massage, Marmet Technique ) on breast milk production. in postpartum mothers at the Mitra Bunda General Clinic, Palu City, Central Sulawesi.The design of this study was a posttest without control group design with a quasi-experimental approach . Respondents were taken using a purposive sampling technique that met the inclusion and exclusion criteria with a sample of 30 people. The independent variable is the BOM method ( Breastcare, Oxytocin Massage, Marmet Technique ) and the dependent variable is breast milk production in postpartum mothers. The results of statistical tests using the Wilcoxon test . The results of the study showed that breast milk production in postpartum mothers before the BOM method ( Breastcare, Oxytocin Massage, Marmet Technique ) was known to almost all respondents, 26 (87%) in the category of no increase in breast milk production. and after treatment it was known that almost all respondents 28 (93%) were in the category of increased breast milk production. The results of the data analysis show that the significance level is 0.000 < α = 0.05 so that H0 is rejected and H1 is accepted, thus the BOM method ( breastcare, oxytocin massage, marmet technique ) effective for breast milk production in postpartum mothers. Based on the results of the study, it was concluded that oxytocin massage, breast care and marmet techniques are alternatives to increase breast milk production. It is hoped that midwives will always socialize breast massage, oxytocin massage and marmet techniques to mothers during pregnancy so that they can increase mothers' knowledge in increasing breast milk production.