Arfiana Arfiana
Midwifery Study Program Poltekkes Kemenkes Semarang, Magelang, Indonesia

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KONSUMSI SUKUN MEMBANTU PENYERAPAN TABLET FE DALAM PERUBAHAN KADAR HEMOGLOBIN IBU HAMIL Nurhidayati Nurhidayati; Puji Hastuti; Tuti Sukini; Arfiana Arfiana
Jurnal Sains Kebidanan Vol 2, No 1 (2020): MEI 2020
Publisher : POLTEKKES KEMENKES SEMARANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (505.227 KB) | DOI: 10.31983/jsk.v2i1.5783

Abstract

Iron absorption is influenced by the availability of vitamin C to help reduce ferric iron (Fe3 +) to ferrous (Fe2 +) in the small intestine so that it is easily absorbed. Breadfruit is an alternative food consumption to increase iron absorption because it contains vitamin C fruit around 29-62 mg per 100 grams. Pregnant women are prone to iron deficiency anemia due to hemodilution, lack of iron in food and increased need for iron as well as digestive disorders and absorption. Anemia incidence of pregnant women in Cilacap Regency in 2018 was 37.30% and in Kroya District was 31.61%.. The purpose of this study was to determine the effect of consumption of breadfruit to help the absorption of Fe tablets on changes in hemoglobin levels in pregnant women.Type of research Quasy experiment with a Non-rondomized Control Group Pretest - Postest Design research design The research instrument used a questionnaire and a Photometer 4010 Boehringer Mannheim accuracy of 0.01 g / dL.The results showed influence of breadfruit consumption to help the absorption of tablets Fe on changes in hemoglobin levels in pregnant women (probability value 0.001).
Acupressure Technique to Reduce Dysmenorrhea Yani Purwaningsih; Arfiana Arfiana; Ribkha Itha Idhayanti
Midwifery and Nursing Research Vol 2, No 2 (2020): SEPTEMBER 2020
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/manr.v2i2.6325

Abstract

Background: Dysmenorrhea or menstrual pain was one of the most common complaints in young women who come to the clinic or doctor. As many as 90% of Indonesian women had experienced menstrual pain. Non-pharmacological therapy that can be used to reduce menstrual pain, one of them was by used the acupressure technique. The purpose of this study was to Determine Whether acupressure was effective in reducing menstrual pain.Methods: The type of research used quasy-experiment. This study used the One Pretest-Posttest Group design. The total samples taken in this study were 31 female students of SMK Negeri 1 Rembang. The Data collected in this study was primary data. The sampling technique used Accidental-Sampling. The statistical test used the Wilcoxon test.Results: The results of this study indicate that there was an effect of acupressure effective in reducing menstrual pain in SMK Negeri 1 Rembang with a value of p value 0,000.Conclusion: From the results of this study it was expected that the female students of make acupressure technique as a way to reduce menstrual pain.
The Effect of Endorphin Massage towards Decreasing Low Back Pain In Third Trimester Pregnant Women Ivana Argo Cahyani; Sri Winarsih; Arfiana Arfiana
Midwifery and Nursing Research Vol 2, No 1 (2020): MARET 2020
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/manr.v2i1.5520

Abstract

Background: Pregnancy becomes a meaningful experience with all the changes both physically and psychologically. One of the changes is discomfort that occurs in the third trimester is lower back pain. Lower back pain can cause disruption of daily physical activity. Endorphin massage can be one of the measures to reduce pain in third trimester pregnant women because it releases endorphins from light massage and positive affirmations from the husband.Methods: This research was conducted in the working area of Pare Public Health Center Temanggung District. The methods used Quasi Experimental with Non-Equivalent Control Group Design. The population of this study were all third-trimester pregnant women with a gestational age of 36 weeks, its about 46 people. The tool used the data collection an observation sheet on the scale of Mankoski pain. Data analysis used Wilcoxon test.Result: The results of the study used Wilcoxon test items, namely p value of endorphin massage group of 0,000 with a value of Z 3.787 and the control group p value of 0.025 with a value of Z 2.235. This showed that both groups were equally influential, but the endorphins group had a stronger influence compared to the control group.Conclusion: Endorphin massage had an effect on reduced lower back pain in the third trimester of pregnant women. Endorphin massage contain mild massage and positive affirmations from husband that stimulated the emergence of endorphin so reduce pain sensation roomates. It was expected that endorphin massage can be applied by pregnant women and husband or families as one method of decreasing low back pain because it helped empower husband / families to improve the welfare of pregnant woman.
Effectiveness of Health Education on HIV / AIDS Detection towards Family Knowledge and Support in Implementation of Pregnant Women VCT Muji Rahayu; Wahyu Pujiastuti; Arfiana Arfiana
Midwifery and Nursing Research Vol 1, No 1 (2019): Maret 2019
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/manr.v1i1.4050

Abstract

Background: HIV / AIDS cases in Indonesia has increased.  In 2015 there were 30,935 people with HIV positive and 7,185 people with AIDS, while in 2016 until January 2017, 41,250 people with HIV positive and 7,491 people with AIDS. Various efforts have been made to prevent and resolve HIV / AIDS transmission, one of which is  VCT (Voluntary Counseling and Testing) for pregnant women. VCT is a recommended program for early detection of HIV transmission.Purpose: To explore the effectiveness of health education on HIV/AIDS  detection towards family knowledge and support  implementation of pregnant women VCT needed family knowledge about HIV/AIDS detection and family support in implementation of VCT pregnant women.Methods: The type of this research is experimental research, the research time used is prospective longitudinal. The population in this study is the family of pregnant women who have not done VCT in the working area of Public Health Center Parakan in 2018 as many as 42 people with total sampling technique. Bivariate analysis with Wilcoxon test.Results: The results showed that there was a difference of knowledge level and family support between before and after receiving health education with knowledge level (p-value = 0,000) and Z-score = -5,405, and Support (p value = 0.000) and Z-score = -4, 96Conclusion: Family of pregnant women should be more actively seeking information from various health media about HIV / AIDS detection so as to provide support for family members, especially pregnant women to do VCT. To improve the coverage of HIV / AIDS implementation, it is recommended for health workers to improve their health promotion strategies especially on HIV / AIDS detection. As well as providing access to information such as leaflets and leaflets at every posyandu activity, class of pregnant women 
Effectiveness of Woolwich Massage to Meet Adequacy of Breast Milk in Newborns Septi Nurvitasari; Revi Pujiastuti; Arfiana Arfiana
Midwifery and Nursing Research Vol 1, No 1 (2019): Maret 2019
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/manr.v1i1.4067

Abstract

Background: The recommendations of the United Nations Children's Fund (UNICEF) and the World Health Organization (WHO) in an effort to decrease the morbidity and mortality of infants and children, the child should be fed only breast milk (ASI) for at least 6 months. The highest failure of breastfeeding occurs in the first days after birth due to the low production of milk, so the need to increase milk production in the first days after birth.Purpose: The purpose of this study is to determine the effectiveness of Woolwich Massage to meet the adequancy of breast milk in newborn.Methods: This is a prospective study with quasi experiment research design. The population were primipara postpartum from day 8 to day 14. Technique of sampling using random technique that is side cluster. All samples were divided into two groups is 18 respondents as intervention group and 18 respondents as control group.Results: The results of this study indicate the effect of woolwich massage on meet the adequancy of breast milk in the newborn and significant difference in infant weight changes in the intervention group and control group (p value = 0.000 0.05). The adequency of breast milk can be assessed by monitoring the baby’s weight.Conclusion: It  is expected midwifes can teach woolwich massage techniques to ensure adequancy breast milk in the newborn. This effort can be a government policy to increase the coverage of exclusive breastfeeding in a region.
Characteristics of Contraceptive Acceptors to the Use of Contraceptive Types Dhita Ayu Elvandri; Sri Winarsih; Mundarti Mundarti; Hilma Nadzifa; Arfiana Arfiana
Midwifery and Nursing Research Vol 5, No 1 (2023): MARET 2023
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/manr.v5i1.9010

Abstract

Background: The success of family planning programs in Indonesia is influenced by several factors, including socio-economic, cultural, educational, religious, and women's status. At the South Magelang Health Center in 2022, it can be seen that in the first Quarter of 2022 there are 31 acceptors, both new and old acceptors with types of contraceptive method users injection 21, IUD 7, and Implant 2 acceptors Methods: the type of quantitative research with survey methods and data collection time with a cross-sectional approach. The research instrument used a questionnaire. The population is 31 respondents with data analysis using Chie Square with alpha 5%. Results: Based on statistical tests, the results obtained: there is no relationship between economic level p: 0.158, maternal age with p: 0.131, number of children with p: 0.887, education level with p: 0.778, level of knowledge about contraception with p: 0.642 and family support with p: 0.776 with the use of contraceptives. Conclusion: extensive and detailed information about various contraceptives is carried out before a person chooses to use certain types of contraception and husband support is needed in determining the type of contraception.
HUBUNGAN STUNTING DENGAN KECERDASAN SOSIAL DAN EMOSIONAL PADA ANAK PRASEKOLAH Ribkha Itha Idhayanti; Felicia Tara Monnica; Arfiana Arfiana; Masini Masini
Juru Rawat. Jurnal Update Keperawatan Vol 3, No 1 (2023): Juni 2023
Publisher : Prodi D3 Keperawatan Tegal Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/juk.v3i1.10256

Abstract

Abstrak Penurunan stunting merupakan program prioritas pemerintah yang dicanangkan dalam RPJMN 2020-2024. Stunting pada anak prasekolah dapat menyebabkan gangguan kecerdasan sosial dan emosional yaitu penurunan aktivitas bermain dan kurang antusias untuk eksplorasi lingkungan, lebih cenderung cemas dan rentan depresi, kepercayaan diri yang rendah, dan menampakkan perilaku-perilaku hiperaktif yang bertentangan dengan kondisi normal, apabila hal ini dibiarkan akan berdampak pada perilaku kriminalitas anak. Tujuan penelitian ini adalah untuk menganalisis hubungan stunting dengan kecerdasan sosial dan emosional pada anak prasekolah diwilayah kerja Puskesmas Ngablak. Penelitian ini adalah penelitian analitik korelasi dengan pendekatan crosssectional. Populasi dari penelitian ini adalah anak prasekolah stunting usia 4-6 tahun di wilayah Puskesmas Ngablak. Tehnik pengambilan sampel adalah purposive sampling dengan jumlah sampel 54 orang. Penelitian mendapatkan ada hubungan antara stunting dengan kecerdasan sosial dan emosional pada anak prasekolah. Hasil anak prasekolah stunting yang kecerdasan sosialnya abnormal tinggi badannya sangat pendek yaitu 25 anak prasekolah (92,6%), dan 22 anak prasekolah (81,5%) dengan tinggi badan pendek. Sedangkan kecerdasan emosional abnormal  tinggi badannya sangat pendek yaitu 25 anak prasekolah (92,6%), dan 2 anak prasekolah (7,4%) dengan tinggi badan pendek. Saran pada petugas kesehatan untuk meningkatkan penyuluhan dan pelayanan kesehatan khususnya dibidang perkembangan anak dan penurunan stunting untuk mengurangi terjadinya gangguan kecerdasan sosial dan emosional anak. Abstract The reduction of stunting is a government priority program proclaimed in the 2020-2024 RPJMN. Stunting in preschool children can cause social and emotional intelligence disorders, namely decreased play activity and less enthusiasm for environmental exploration, more likely to be anxious and prone to depression, low self-esteem, and display hyperactive behaviors that are contrary to normal conditions, if this is allowed will have an impact on children's criminal behavior. The purpose of this study was to analyze the relationship between stunting and social and emotional intelligence in preschool children in the working area of the Ngablak Health Center. This research is a correlation analytic study with a cross-sectional approach. The population of this study were stunted preschool children aged 4-6 years in the Ngablak Health Center area. The sampling technique was purposive sampling with a total sample of 54 people. Research has found that there is a relationship between stunting and social and emotional intelligence in preschoolers. The results of stunting preschoolers whose social intelligence was abnormal were very short height, namely 25 preschoolers (92.6%), and 22 preschoolers (81.5%) with short stature. Meanwhile, abnormal emotional intelligence had very short height, namely 25 preschool children (92.6%), and 2 preschool children (7.4%) with short height. Suggestions for health workers to improve counseling and health services, especially in the field of child development and reducing stunting to reduce the occurrence of disorders of children's social and emotional intelligence.  
Implementasi Standar Pelayanan Kebidanan pada Masa Nifas di Puskesmas Bekti Yuniyanti; Mundarti Mundarti; Arfiana Arfiana
Midwifery Care Journal Vol 5, No 4 (2024): October
Publisher : Politeknik Kesehatan Kementrian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/micajo.v5i4.11750

Abstract

Midwife service standards are stated in Minister of Health Regulation No. 28 of 2017 and Minister of Health Regulation No. 21 of 2021, the authority of midwives during the postpartum and breastfeeding period includes providing Vitamin A, IMD guidance and promotion of exclusive breastfeeding, and counseling, preventing psychological disorders, as well as postnatal family planning support. carried out through KF I-IV. The research aimed to describe the implementation of midwifery service standards during the postpartum period by midwives at the Community Health Center. This type of research used a quantitative descriptive study, a sample of 48 midwives, conducted in October 2023. The results of the research at KF I found that 85.4% gave vitamin A capsules, 87.5% asked about anxiety. KF II was found to give vitamin A 20.8%, Asking about anxiety/sadness 83%, Givi ng advice on sports activities 64.5%, Advice on baby care at home 91.7%, Advice on exclusive breastfeeding 89.6%, Advice on nutrition 91.7%. KF III Providing vitamin A 16.7%, Asking about anxiety/sadness 77.1%, Ensuring exclusive breastfeeding 77.1%. KF IV 97.9% of midwives always provide all services.
REPRODIS: An Innovative Cloud-Based Interactive Platform to Improve Reproductive Health Knowledge of Adolescents with Intellectual Disabilities Arum Lusiana; Arfiana Arfiana; Mundarti Mundarti; Ranny Septiani; Martini Martini; Yetti Anggraini
Jurnal Kesehatan Vol 16 No 3 (2025): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v16i3.5307

Abstract

Adolescents with intellectual disabilities are a vulnerable group who often face barriers in accessing comprehensive reproductive health education. Limited communication skills, difficulty understanding abstract concepts, and social stigma hinder their ability to gain adequate knowledge, increasing the risk of sexual exploitation, early pregnancy, and sexually transmitted infections. Digital innovations have shown promise, yet cloud-based platforms tailored to this population remain limited. This study evaluated the effectiveness of the Reproductive Health Interactive System (REPRODIS), a cloud-based, interactive web platform, in improving adolescents with intellectual disabilities' reproductive health knowledge. A quasi-experimental one-group pre-test–post-test design was conducted with 30 adolescents aged 13–18 years with mild to moderate intellectual disabilities in a special needs school in Central Java, Indonesia. Participants completed a validated reproductive health knowledge questionnaire before and after four REPRODIS sessions delivered twice weekly over two weeks. The platform included simplified text, audio-visual animation, voice guidance, interactive quizzes, and parental monitoring features. Data were analyzed using a paired t-test with a significance level of 0.05. The mean knowledge score increased significantly from 46.3±8.2 (pre-test) to 73.5±7.9 (post-test) (p=0.001). More than 83% of participants improved by ≥20 points. Observations indicated higher engagement during REPRODIS sessions compared to conventional lectures, while parents reported greater confidence in discussing reproductive health at home. REPRODIS significantly improved reproductive health knowledge among adolescents with intellectual disabilities. This innovation demonstrates the potential of cloud-based interactive platforms as inclusive educational tools.
Peer Learning: Remaja Sadar Gizi Siti Rofi'ah; Arfiana Arfiana; Sri Widatiningsih; Ayuningtyas Ayuningtyas
Jurnal LINK Vol 20 No 2 (2024): NOVEMBER 2024
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat, Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/link.v20i2.11594

Abstract

Remaja mempunyai peran penting dalam masyarakat. Tiga beban gizi yang dihadapi remaja Indonesia yaitu malnutrisi, kelebihan gizi, dan kekurangan gizi mikro akan mempengaruhi pertumbuhan ekonomi negara serta menghambat kemajuan dalam mencapai tujuan pembangunan. Kegiatan pengabdian masyarakat "Peer Learning: Remaja Sadar Gizi di Desa Bojong" bertujuan untuk menguatkan peran remaja dalam meningkatkan status gizi remaja sehingga terwujud generasi penerus bangsa yang sehat dan berkualitas. Metode yang digunakan adalah dengan menguatkan peran remaja sebagai kader Posyandu Remaja melalui kegiatan pelatihan dan pendampingan. Hasil kegiatan pengabdian masyarakat ini berupa peningkatan pengetahuan kader Posyandu Remaja "CERDIK" tentang Gizi Remaja, buku "Gizi Remaja" yang telah mendapatkan sertifikat Hak Cipta dan bentuk kerjasama antara Poltekkes Kemenkes Semarang dengan Pemerintah Desa Bojong sebagai Mitra PUI P2PTM "Desa Sehat Remaja Bebas Anemia Gizi Besi". Kegiatan pembinaan kader dan pemantauan kegiatan posyandu remaja sebaiknya dilakukan secara berkesinambungan baik oleh bidan desa maupun petugas promosi kesehatan di puskesmas serta perangkat desa dan PLKB Desa Bojong.