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Kualitas Hidup Terkait Kesehatan Pada Ibu Hamil Pasca Operasi Caesar: Studi Longitudinal Nuryana, Riska; Elsanti, Devita; Sumarmi, Sumarmi
Jurnal Keperawatan Muhammadiyah Vol 9 No 4 (2024): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v9i4.24937

Abstract

Background: Research focusing on the quality of life after Caesarean Section (CS) and during subsequent pregnancies is still minimal. In addition, research on the quality of life after multiple CSs is still lacking. Several studies focus on the assessment of the quality of life of pregnant women after giving birth by comparing the type of birth: CS versus vaginal delivery (normal delivery). Objective: This study aims to compare the assessment of health-related quality of life in pregnant women who have a history of CS in the first, second and multiple CSs depending on the number of CSs in the pregnant woman's health history. Methods: A short longitudinal study will be conducted on pregnant women with a history of CS on the day before the planned caesarean section (CS)-T1, and on the third day after CS-T2. Pregnant women with a history of CS are divided into three groups. Group 1: never CS; Group 2: ever CS 1 time; Group 3: ever CS two or more times. Pregnant women will fill out a questionnaire regarding respondent characteristics, obstetric history, surgical or anesthesia history and the health-Related Quality of Life (HRQoL) Questionnaire. General linear model for repeated measurement is used by analyzing correlated and non-independent data that are measured repeatedly. Results: The results of this study showed that GLM with repeated measures was conducted to examine the effect of time (time I, time II and time III) on the quality of life variable. The analysis revealed a significant main effect of time, F (2.39) = 4750.43, p-value = 0.000, indicating that quality of life changed significantly at three time points. Conclusion: An individual approach is needed in planning pregnancy after cesarean, especially to prevent long-term health risks. Education and counseling to help mothers understand the recovery process and manage stress or anxiety. This study provides important insights for health professionals to improve post-cesarean services, both in terms of medical interventions and psychosocial support. Keywords : Sectio Caesarea (CS); quality of life; pregnant women, surgery
Dampak Climate Change Dan Ketahanan Pangan Selama Kehamilan Pada Ibu Hamil Di Pedesaan Indonesia: Studi Kualitatif Dampak Badai El Nino Ernawati; Wijaya, Yosi Maria; Elsanti, Devita; Sumarmi, Sumarmi; Rahayu, Mesra
Jurnal Keperawatan Muhammadiyah Vol 9 No 4 (2024): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v9i4.25026

Abstract

Background: Agriculture and food are negatively impacted by climate change, especially the long dry season caused by El Niño in Indonesia, especially in rural areas. High dependence on rainfall, land, and lack of representation in decision-making groups result in increased challenges and limited adaptive capacity of pregnant women in climate change including its impact on food security. Objectives: This study aims to characterize: 1) sensitivity to decreased food security related to El Niño for pregnant women; 2) pregnant women's perceptions of the impact of El Niño on food security during pregnancy; and 3) changes in food security and maternal and infant health over time, as observed by pregnant women in rural Indonesia. Methods: This study design is a qualitative design. This study was conducted in one district in South Sulawesi and Central Java Provinces. A semi-structured interview guide was used. Data analysis using qualitative thematic analysis methods of data using the constant comparative method. Transcripts were uploaded to NVivo© 12 to facilitate manual coding. with the constant comparative method and thematic analysis. Results: All informants did not know or did not understand the term El Niño. The most felt impacts due to the long dry season are drought and strong winds that make it difficult to obtain food. The way to overcome food insecurity is to utilize food that is still available to be processed into food that can be consumed and shared or shared with family to survive. Conclusion: Climate change has a significant impact on food security, especially in rural areas, which results in the risk of malnutrition in pregnant women.
PERAN ORANG TUA TERHADAP PERTUMB Anak Toddler Ghina, Alviani Fatihatul; Elsanti, Devita
Borobudur Nursing Review Vol 2 No 2 (2022): Borobudur Nursing Review Vol 2 No 2 (July-December 2022)
Publisher : Universitas Muhammadiyah Magelang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31603/bnur.7860

Abstract

Abstract Background: Children are unique individuals and are not miniature of adults. So, they cannot be treated like adults. Moreover, they need special attention to optimize their growth and development. The role of parents as caregivers is very significant for the development of children. In principle, parenting is how parents control, guide, and accompany their children to carry out their developmental tasks towards maturity. Objective: This study aimed to determine the role of parents on toddlers growth and motor development. Methods: This was a descriptive study with a correlation design. The population was 236 parents who have children aged 1-3 years (Toddler) in the area of Puskesmas (Public Health Care Center) Langkaplancar, Ciamis. Then, the samples were 70 of them who were selected using random sampling technique. Afterwards, the chi square statistical test was carried out to determine the relationship between the independent variable and the dependent variable. Results: The result showed that parents played a role in toddlers growth and development. Conclusion: Parents had significant role on the toddlers growth and development in the area of Puskesmas I Langkaplancar Ciamis, Jawa Barat Province indicated by a p-value of 0.000-0.005. Keywords: Growth, Development, Motor, Toddler Abstrak Latar Belakang : Anak adalah individu yang unik dan bukanlah miniatur orang dewasa sehingga tidak dapat diperlakukan seperti orang dewasa, selain itu anak memerlukan perhatian khusus untuk optimalisasi tumbuh kembang. Peran orangtua sebagai pengasuh sangat besar terhadap perkembangan anak. Pada prinsipnya, pola asuh yakni bagaimana orangtua mengontrol, membimbing dan mendampingi anak-anaknya untuk melaksanakan tugas perkembangannya menuju kedewasaan. Tujuan : Untuk mengetahui Peran orang tua terhadap pertumbuhan dan perkembangan motorik pada anak usia Toddler. Metode : penelitian ini termasuk penelitian deskriptif dengan menggunakan rancangan korelasi dengan populasi orang tua yang mempunyai anak usia 1-3 tahun (Toddler) di wilayah Puskesmas Langkaplancar Ciamis sebanyak 236 orang. Tekhnik penentuan sampel dalam penelitian ini menggunakan teknik random sampling sebanyak 70 orang. Untuk menentukan hubungan antara variabel independen dengan variabel dependen dilakukan dengan uji statistik chi square. Hasil : Penelitian ini menunjukkan bahwa orang tua berperan terhadap pertumbuhan dan perkembangan anak usia Toddler. Kesimpulan : Ada peran orang tua terhadap pertumbuhan dan perkembangan anak usia Toddler di Wilayah Puskesmas I Langkaplancar Ciamis Jawa Barat dengan p-value 0,000 < 0,005. Kata Kunci : Pertumbuhan, Perkembangan, Motorik, Toddler
Pengaruh Program PEKA JIWA Terhadap Pengetahuan, Keterampilan dan Skor Kecemasan akademik Remaja Husna, Zumairoh Miftahul; Estria, Suci Ratna; Suparti, Sri; Elsanti, Devita
Jurnal Keperawatan Florence Nightingale Vol 8 No 2 (2025)
Publisher : Sekolah Tinggi Ilmu Kesehatan Stella Maris Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52774/jkfn.v8i2.418

Abstract

Academic anxiety is a psychological problem often experienced by adolescents and negatively impacts achievement and mental health if not handled properly. Academic anxiety problems have a high prevalence. The purpose of this study was to determine the effect of the Peduli Akan Kesehatan Jiwa (PEKA JIWA) program on the knowledge, skills, and academic anxiety scores of adolescents at SMA Negeri 1 Patikraja, Banyumas. The research design used was a pre-experimental one-group pretest-posttest approach. A sample of 60 respondents was selected using a total sampling technique. The research instruments included a knowledge questionnaire developed by the researcher, an academic anxiety questionnaire adopted from Cassady (2019), and a coping skills observation sheet with interventions in the form of academic anxiety education and Butterfly Hug and Mindfulness exercises that had undergone feasibility testing. The results of the analysis using the Wilcoxon signed-rank test showed a significant increase in knowledge scores from an average of 9.86 to 11.60, Butterfly Hug skills from 2.61 to 4.96, and Mindfulness from 4.65 to 7.68, and academic anxiety scores from 30.40 to 25.28. The Wilcoxon test obtained a p value <0.000 (p <0.05). The PEKA JIWA program is effective in increasing knowledge and coping skills and reducing academic anxiety in adolescents.
Pengaruh sistem informasi kemoterapi (SIKEMO) terhadap pengetahuan dan kepatuhan menjalani kemoterapi pada pasien kanker ginekologi Lestari, Yayu; Aniarti, Reni Purwo; Aprilina, Happy Dwi; Elsanti, Devita
Holistik Jurnal Kesehatan Vol. 20 No. 2 (2026): Volume 20 Nomor 2
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v20i2.2521

Abstract

Background: Gynecological cancer is a major cause of death in women, affecting the reproductive organs. Chemotherapy, a gynecological cancer treatment, can kill cancer cells but can cause physical and psychological side effects. Therefore, increasing knowledge capacity is necessary to encourage patient compliance with chemotherapy. One effort to improve knowledge and compliance with chemotherapy is through a telehealth intervention, the chemotherapy information system. Purpose: To determine the effect of the chemotherapy information system on knowledge and compliance with chemotherapy in gynecological cancer patients. Method: This quantitative study used a pre-experimental approach with a one-group pre-post-test. The study was conducted at Prof. Dr. Margono Soekarjo Purwokerto Regional General Hospital in the Wijayakusuma Ward from December 2024 to January 2025. The sample size for this study was 33 gynecological cancer patients, selected using consecutive sampling. The research instruments used included a chemotherapy knowledge questionnaire and a modified MMAS-8 compliance questionnaire. The intervention was conducted for 3 weeks, with patients using the education and schedule reminder features in the chemotherapy information system application. The Wilcoxon signed-rank test was used for analysis. Results: The average knowledge score increased from 62.50 (pre-test) to 81.25 (post-test). The compliance rate also increased from 6.36 (pre-test) to 7.42 (post-test). Statistically, SIKEMO had a significant effect on knowledge and compliance with chemotherapy in gynecological cancer patients (p-value = 0.000). Conclusion: The chemotherapy information system intervention significantly increased knowledge and compliance with chemotherapy in gynecological cancer patients (p-value = 0.000). Effective use of the chemotherapy information system application provided patients with the necessary information to improve their understanding and adherence to the chemotherapy schedule. Suggestion: Future research could expand the analysis of chemotherapy information system participant characteristics to understand specific factors contributing to gynecological cancer management. Developing the chemotherapy information system application to be more compatible with various smartphone models and simplifying the download process through the application platform.   Keywords: Adherence; Chemotherapy; Chemotherapy Information System; Gynecological Cancer Patients; Knowledge.   Pendahuluan: Kanker ginekologi merupakan salah satu penyumbang kematian utama pada perempuan yang menyerang organ reproduksi. Kemoterapi sebagai salah satu pengobatan kanker ginekologi yang dapat digunakan membunuh sel kanker, tetapi menyebabkan efek samping secara fisik maupun psikologis. Oleh karena itu, diperlukan peningkatan kapasitas pengetahuan untuk mendorong kepatuhan pasien dalam menjalani kemoterapi. Upaya dalam meningkatkan pengetahuan dan kepatuhan menjalani kemoterapi salah satunya dengan intervensi tele-health berupa Sistem Informasi Kemoterapi (SIKEMO). Tujuan: Untuk mengetahui pengaruh sistem informasi kemoterapi (SIKEMO) terhadap pengetahuan dan kepatuhan menjalani kemoterapi pada pasien kanker ginekologi. Metode: Penelitian kuantitatif ini menggunakan pendekatan pre-eksperimental dengan one group pre-post-test. Penelitian dilakukan di RSUD Prof. Dr. Margono Soekarjo Purwokerto di ruang Wijayakusuma, pada Desember 2024 - Januari 2025. Sampel dalam penelitian ini berjumlah 33 pasien kanker ginekologi yang diambil menggunakan teknik consecutive sampling. Instrumen penelitian yang digunakan meliputi kuesioner pengetahuan kemoterapi dan kuesioner kepatuhan MMAS-8 yang telah dimodifikasi. Intervensi dilakukan selama 3 minggu, pasien menggunakan fitur edukasi dan pengingat jadwal pada aplikasi SIKEMO. Analisis yang digunakan adalah uji wilcoxon signed rank test. Hasil: Nilai rata-rata pengetahuan meningkat dari 62.50 (Pre-test) menjadi 81.25 (Post-test). Tingkat kepatuhan juga mengalami peningkatan dari 6.36 (pre-test) menjadi 7.42 (Post-test). Secara statistik, terhadap pengaruh signifikan SIKEMO terhadap pengetahuan dan kepatuhan kemoterapi pasien kanker ginekologi dengan p-value = 0.000 (p<0.05). Simpulan: Intervensi SIKEMO berpengaruh signifikan terhadap peningkatan pengetahuan dan tingkat kepatuhan menjalani kemoterapi pasien kanker ginekologi (p-value= 0.000). Penggunaan aplikasi SIKEMO secara efektif mampu membekali pasien dengan informasi yang diperlukan untuk meningkatkan pemahaman dan kedisiplinan dalam mengikutijadwal prosedur kemoterapi. Saran: Penelitian selanjutnya, dapat memperluas analisis data karakteristik partisipan SIKEMO untuk memahami faktor-faktor spesifik yang berkontribusi pada penangan kanker ginekologi. Mengembangkan aplikasi SIKEMO agar lebih kompatibel dengan berbagai jenis smartphone dan mempermudah proses pengunduhan melalui platform aplikasi.   Kata Kunci: Kemoterapi; Kepatuhan; Pasien Kanker Ginekologi; Pengetahuan; Sistem Informasi Kemoterapi (SIKEMO).
The Effect of Aplikasi Edukasi Patuh Pakai Insulin (Aksi Patas) on Insulin Use Compliance and Glycemic Control in Diabetes Mellitus Patients at Prof. Dr. Margono Soekarjo Regional General Hospital Sehat Dwi Prasaja; Devita Elsanti
Proceedings Series on Health & Medical Sciences Vol. 9 (2026): Proceeding of the 1st Holistic Healthcare Delivery through Community-Based Approaches
Publisher : UM Purwokerto Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/pshms.v9i1.2222

Abstract

Background: Diabetes mellitus is a chronic disease that requires lifelong management. Patient compliance in using insulin and good glycemic control are important factors in the management of diabetes mellitus. Low patient compliance and knowledge about insulin use are frequent problems. Objective: This study aims to determine the effect of obedient insulin education application (AKSI PATAS) on compliance with insulin use and glycemic control in patients with type 2 diabetes mellitus. Methods: This study is a pre-experimental study with a pre-test and post-test without control group design. The study sample was 18 patients with type 2 diabetes mellitus at Prof. Dr. Margono Soekarjo Purwokerto Hospital who were selected by purposive sampling. Data collection was done by questionnaire and examination of glycemic levels. Data analysis used paired t-test and Wilcoxon test. Results: There was a significant increase in family support, compliance with insulin use, and glycemic control after being given the AKSI PATAS educational application intervention (p<0.05). Conclusion: AKSI PATAS educational application has an effect in improving family support, compliance with insulin use, and glycemic control in patients with type 2 diabetes mellitus.