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Efektifitas Penggunaan Media Audiovisual dan Aplikasi Permitasi Terhadap Pengetahuan dan Kepatuhan Ibu Meminum Tablet Besi Annisa Raufiah Fertimah; Widyawati Widyawati; Sri Mulyani
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Vol 5, No 3 (2021)
Publisher : PSIK FKKMK UGM

Background: One cause of anemia in pregnancy is mothers’ non-compliance in consuming iron tablet supplement because of the knowledge insufficiencies regarding anemia and the importance of iron tablet consumptions. Knowledge and compliance of pregnant mothers can be improved through health education using appropriate technology and media. Nowadays, health education is pre-dominated by conventional methods. However, audiovisual, and android applications are rarely used.Objective: To identify the effect of audiovisual health education and Pemitasi app (an android application for reminding user to consume iron tablet supplement) toward knowledge about anemia and pregnant mothers’ compliance in taking iron tablet supplement and to determine the correlation between anemia knowledge and compliance in taking iron tablet supplement.Methods: This research was a quasi-experimental design with one group pretest posttest design. The sample of research consisted of 60 pregnant women who received iron tablets and owned an android smartphone. Sample was recruited using consecutive sampling methods. Research instruments were questionnaire and daily iron tablet supplement consumption control form. Data was analyzed using Wilcoxon test and Spearman’s rho correlation test.Results: Result: The mean knowledge score before and after audiovisual media intervention were 75,70 and 91,43. In addition, the mean scores of compliance before and after the Pemitasi app intervention were 79,50 and 93,67. What is more, there were significant results between pre-test and post-test knowledge level (p= 0,001) and compliance (p= 0,001). Also, there was a significant relationship between the knowledge and compliance of pregnant women in consuming iron tablets (p = 0,002).Conclusion: Providing health education using audiovisual media and Pemitasi app improve pregnant women’s knowledge of anemia and their consumption compliance of iron tablets. ABSTRAKLatar Belakang: Salah satu penyebab masalah anemia pada ibu hamil adalah ketidakpatuhan ibu dalam mengonsumsi tablet besi karena kurangnya pengetahuan tentang anemia dan pentingnya mengkonsumsi tablet besi. Pengetahuan dan kepatuhan ibu hamil dapat ditingkatkan melalui pendidikan kesehatan menggunakan teknologi dan media yang tepat. Saat ini, pendidikan kesehatan masih menggunakan metode konvensional. Namun, metode audiovisual dan aplikasi masih jarang dilakukan. Tujuan: Mengetahui pengaruh pemberian media audiovisual dan aplikasi Pemitasi (aplikasi android sebagai pengingat minum tablet besi) terhadap pengetahuan tentang anemia dan kepatuhan minum tablet besi pada ibu hamil, serta mengetahui hubungan pengetahuan dengan kepatuhan.Metode: Penelitian ini merupakan penelitian kuasi-eksperimental dengan rancangan one group pre-test post-test. Sampel pada penelitian ini sebanyak 60 ibu hamil di salah satu Puskesmas di Kabupaten Bantul yang menerima tablet besi dan memiliki smartphone berbasis android yang dipilih dengan teknik consecutive sampling. Alat pengumpulan data menggunakan kuesioner dan format kontrol harian konsumsi tablet besi. Analisis data menggunakan uji Wilcoxon dan uji korelasi Spearman’s rho. Hasil: Hasil rata-rata skor pengetahuan sebelum pemberian media audiovisual sebesar 75,70 dan sesudah perlakuan sebesar 91,43. Hasil rata-rata skor kepatuhan sebelum pemberian aplikasi Pemitasi sebesar 79,50 dan sesudah perlakuan sebesar 93,67. Terdapat perbedaan signifikan antara hasil pre-test dan post-test pada tingkat pengetahuan (p= 0,001) dan kepatuhan (p= 0,001). Terdapat hubungan yang signifikan antara pengetahuan dan kepatuhan ibu hamil dalam mengkonsumsi tablet besi (p= 0,002).Kesimpulan: Pemberian edukasi kesehatan melalui media audiovisual dan aplikasi Pemitasi berpengaruh dalam meningkatkan pengetahuan ibu hamil tentang anemia dan kepatuhan minum tablet besi.

Gambaran Pengetahuan Pencegahan Kanker Serviks dengan Vaksin Human Papillomavirus pada Siswi SMP di Yogyakarta Apriyati Dwi Rahayu; Widyawati Widyawati; Wiwin Lismidiati
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Vol 2, No 1 (2018)
Publisher : PSIK FKKMK UGM

Background: Lack of knowledge is one of the factors that can lead to an increase in the incidence of cervical cancer. Adolescents knowledge on Human Papillomavirus (HPV) vaccine can improve their attitude towards cervical cancer prevention. Therefore, it is necessary to do research related to knowledge about cervical cancer prevention with the HPV vaccine.Objective: To know the overview of knowledge of cervical cancer prevention with HPV vaccine among female junior high school students in Yogyakarta.Method: This research is a descriptive qualitative research. The respondents were female students of two Junior High School in Yogyakarta. The sample were consisting of 97 students by applying simple random and consecutive sampling techniques. The instrument used in this research was a modified questionnaire from previous research, with the result of the validity and reliability test was 0,463. Data was analyzed using univariate analysis.Results: The results showed that 57 of the respondents (59%) have good knowledge. As many as 33 of total respondents (34%) had good knowledge about the definition of cervical cancer, 67 of the respondents (69%) had good knowledge about the cause of cervical cancer, and 83 of the respondents (86%) had good knowledge of cervical cancer signs and symptoms. In addition, as many as 65 of the respondents (67%) had good knowledge of cervical cancer risk factors and 55 of the respondents (55%) had good knowledge of the HPV vaccine.Conclusion: There are several aspects of cervical knowledge which are in high levels, i.e. cervical cancer causes, risk factors, and symptoms. On the other hand, low levels are gained for knowledge on cervical cancer definition and HPV vaccine delivery. ABSTRAKLatar Belakang: Pengetahuan yang rendah merupakan salah satu faktor yang dapat menyebabkan peningkatan kejadian kanker serviks. Pengetahuan remaja tentang vaksin Human Papillomavirus (HPV) dapat meningkatkan perilaku dalam mencegah kanker serviks. Untuk itu, perlu dilakukan penelitian terkait pengetahuan tentang pencegahan kanker serviks dengan vaksin HPV.Tujuan: Mengetahui gambaran pengetahuan tentang pencegahan kanker serviks dengan vaksin HPV pada siswi SMP di Kota Yogyakarta.Metode: Jenis penelitian ini adalah deskriptif kuantitatif. Responden dalam penelitian ini adalah siswi pada dua SMP di Kota Yogyakarta. Sampel dalam penelitian ini berjumlah 97 siswi dengan teknik pengambilan sampel simple random sampling dan consecutive sampling. Instrumen yang digunakan dalam penelitian ini adalah kuesioner yang dimodifikasi dari penelitian sebelumnya, dengan hasil uji validitas dan reliabilitas sebesar 0,463. Analisis data dilakukan secara univariat.Hasil: Hasil penelitian menunjukkan bahwa secara umum 57 responden (59%) mempunyai pengetahuan yang baik. Sebanyak 33 responden (34%) mempunyai pengetahuan yang kurang terkait definisi kanker serviks, 67 responden (69%) mempunyai pengetahuan yang baik terkait penyebab kanker serviks, dan 83 responden (86%) mempunyai pengetahuan cukup baik terkait tanda dan gejala kanker serviks. Selain itu, sebanyak 65 responden (67%) mempunyai pengetahuan baik terkait faktor risiko kanker serviks dan 55 responden (55%) mempunyai pengetahuan yang baik terkait pemberian vaksin HPV.Kesimpulan: Pengetahuan responden terkait penyebab kanker serviks, faktor risiko kanker serviks, dan tanda gejala kanker serviks sebagian besar berada pada tingkat baik. Sementara pengetahuan responden terkait definisi kanker serviks dan pemberian vaksin HPV berada pada tingkat kurang.

Pengaruh Penggunaan Bantal Menyusui terhadap Perlekatan Ibu-Bayi Selama Menyusui Prillyantika Wismawati; Widyawati Widyawati; Wenny Artanty Nisman
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Vol 3, No 1 (2019)
Publisher : PSIK FKKMK UGM

Background: One of the most common problems in breastfeeding process experienced by post-partum mothers is the wrong breastfeeding position that makes the breastfeeding attachment between mother and baby becomes difficult. Using nursing pillow may help them to achieve the right and optimal breastfeeding attachment.Objective: To know the impact of the use of nursing pillow to the mother and baby’s attachment during breastfeeding process.Method: This study used Pre-Experimental-One Group Pretest Post-test design. The study was conducted from September 2017 until January 2018. The target of the study is breastfeeding mothers who had 7-21 days old babies and live near Umbulharjo 1 and Mantrijeron Primary Health Care. There were 35 respondents taken using consecutive technique. Data collection on the attachment of mothers and infants while breastfeeding is done using the LATCH assessment tool observation sheet. Respondents were given intervention to use nursing pillows for 5-10 minutes. Post-test data collection was carried out 1 week after the intervention. The data were analysed using Wilcoxon Test.Result: Statistically, the use of nursing pillow has significant impact on the breastfeeding attachment (p= 0,000) and each LATCH indicator described as follows: latch (p= 0,000), audible swallowing (p= 0,000), comfort (p= 0,000) and hold (p= 0,014). As for the indicator of type of nipple, the use of nursing pillow gave no significant impact (p= 0,180).Conclusion: The use of nursing pillow bring impact to the four indicator of LATCH but not in type of nipple indicator. ABSTRAKLatar Belakang: Masalah yang sering dialami oleh sebagian besar ibu pasca melahirkan yaitu ibu kesulitan melakukan perlekatan menyusui dengan benar karena posisi menyusui yang salah. Oleh karena itu diperlukan intervensi untuk membantu ibu dan bayi melakukan perlekatan menyusui yang benar dan optimal dengan menggunakan bantal menyusui.Tujuan: Untuk mengetahui pengaruh penggunaan bantal menyusui terhadap perlekatan ibu-bayi selama menyusui.Metode: Penelitian menggunakan Pre-Eksperimental-One Group Pre-test Posttest design. Penelitian ini dilakukan mulai September 2017 - Januari 2018 pada ibu menyusui dengan bayi usia 7-21 hari yang bertempat tinggal di sekitar Puskesmas Umbulharjo 1 dan Mantrijeron. Sebanyak 35 responden diperoleh dengan teknik consecutive sampling. Perlekatan ibu dan bayi saat menyusui dilakukan observasi menggunakan lembar LATCH assessment tool. Responden diberikan intervensi berupa penggunaan bantal menyusui selama 5-10 menit. Pengambilan data post test dilakukan 1 minggu setelah intervensi. Analisis data menggunakan Uji Wilcoxon.Hasil: Penggunaan bantal menyusui berpengaruh secara signifikan terhadap perlekatan menyusui secara umum (p= 0,000) dan di setiap indikator LATCH seperti berikut: latch (p= 0,000), audible swallowing (p= 0,000), comfort (p= 0,000) dan hold (p= 0,014). Sementara pada indikator type of nipple, penggunaan bantal menyusui tidak memberikan dampak yang signifikan (p= 0,180).Kesimpulan: Penggunaan bantal menyusui berpengaruh terhadap perlekatan Ibu-bayi selama menyusui, pada keempat indikator LATCH kecuali indikator type of nipple.

Gambaran Tingkat Pengetahuan dan Praktik Siswi Boarding School Mengenai Higiene Menstruasi Area Urban di Yogyakarta Dewi Fatma Mutiawati; Widyawati Widyawati; Wenny Artanty Nisman
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Vol 1, No 3 (2017)
Publisher : PSIK FKKMK UGM

Background: The density of students’ activities in boarding school needs to get care, especially in the practice of personal hygiene during menstruation. Menstruation process can lead to germs infection on the genital area which may cause diseases to the reproductive tract. To prevent this problem, it is important to do proper menstrual hygiene.Objectives: To identify the account of a boarding school student girls’ level of knowledge and practice of Menstrual Hygiene in an urban area of Yogyakarta.Method: This study was a quantitative descriptive using cross-sectional approach. The research was conducted in February 2017. The population of the research was female students’ boarding school in an urban area of Yogyakarta; where 124 female students were recruited for samples. Questionnaire was used as the data collection technique. Statistic descriptive technique was used for data analysis.Results: In general, respondents’ knowledge and practice of menstrual hygiene were good. Almost all respondents (98%) answered correctly on menstruation statements as normal and statements with many incorrect answers were menstruation as a sign of puberty. The practice of menstrual hygiene is most often done by respondents bathing more than once a day during menstruation (99,2%). As for the practice of menstrual hygiene which is still not quite right, namely the direction of cleaning the pubic area (45,2%).Conclusion: Respondents have accurate knowledge about menstrual hygiene. School manager (counseling and knowledge department) can increase the inappropriate menstrual knowledge and hygiene practice regarding to: hormones that affect menstruation, menstrual period, the frequency of replacement of the pads, the selection of material for disposing the pads and choosing right places to dry the underwear. ABSTAKLatar belakang: Padatnya aktivitas siswi di boarding school perlu mendapat perhatian terutama dalam penerapan kebersihan diri saat menstruasi. Proses menstruasi dapat mengakibatkan area genetalia rentan terinfeksi kuman sehingga menimbulkan penyakit saluran reproduksi. Untuk mencegah terjadinya permasalahan pada organ reproduksi maka perlu memperhatikan higiene menstruasi.Tujuan: Mengetahui gambaran tingkat pengetahuan dan praktik pada siswi boarding schoolmengenai higiene menstruasi area urban di Yogyakarta.Metode: Jenis penelitian ini adalah kuantitatif deskriptif dengan pendekatan cross sectional. Penelitian dilaksanakan pada Februari 2017. Populasi penelitian adalah siswi di boarding schoolarea urban di Kota Yogyakartadengan besar sampel 124 siswi. Pengambilan data menggunakan kuesioner praktik higiene menstruasi. Data dianalisis dengan teknik statistik deskriptif.Hasil: Secara umumpengetahuan dan praktik higiene menstruasi responden sudah baik. Hampir semua responden (98%) menjawab tepat pada pernyataanmenstruasi sebagai hal yang normal dan pernyataan dengan banyak jawaban yang salah adalah menstruasi sebagai tanda masuknya masa pubertas. Praktik higiene menstruasi yang paling seringdilakukan oleh responden mandi lebih dari satu kali sehari pada saat menstruasi(99,2%). Sementara untuk praktik higiene menstruasi yang masih kurang tepat yaitu arah membersihkan daerah kemaluan(45,2%).Kesimpulan: Responden memiliki pengetahuan yang tepat terkait pengetahuan higiene menstruasi. Bagi pengelola sekolah pada bidang bimbingan dan konseling dapat meningkatkan pengetahuan serta praktik higiene menstruasi terhadap aspek yang kurang tepat seperti hormon yang mempengaruhi menstruasi, periode menstruasi, frekuensi penggantian pembalut, pemilahan wadah dalam pembuangan pembalut, dan tempat menjemur celana dalam.

EXPERIENCE OF PATIENTS WITH CHRONIC DISEASES IN COMPLEMENTARY MEDICINE AND INTEGRATIVE HEALTH SEEKING BEHAVIORS Eza Kemal Firdaus; Widyawati Widyawati; Cristantie Effendy
INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) Vol 5 No 1 (2021): VOLUME 5 ISSUE 1 APRIL 2021
Publisher : Bina Sehat Press. Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29082/IJNMS/2021/Vol5/Iss1/340

Background: Chronic diseases, including heart disease, cancer, COPD, and DM, are the main causes of death worldwide. Nearly half of all global deaths are caused by such diseases. Complementary medicine and integrative health are believed to have great potential in providing benefits to public health. This research aims to determine the experience of patients with chronic diseases in seeking for complementary medicine and integrative health. Method: This research is a qualitative research with a phenomenological approach. The data collection method used is the in-depth interview with 8 patients with chronic diseases (heart disease, cancer, COPD, and DM). Result: In this study there were 5 themes found related to the experience of patients with chronic diseases in the behavior of seeking complementary medicine and integrative healthcare which includes economic factors and doubts to the conventional medicine, as well as the values of traditional medicine that were being the reasons in the process of seeking complementary medicine and integrative healthcare. Seeking the Complementary medicine and integrative healthcare is strongly influenced by support of family, community, and social media. That suggest more positive than the negative impacts after undergoing the complementary medicine and integrative healthcare. Participants perception that traditional medicine is better than the conventional one. Closed minded participants to seek to doctors after undergoing the traditional medicine. Conclusion: Besides as a medical treatment, the use of traditional medicine for patients with chronic diseases also manifests the beliefs of patients that need to be facilitated by providing assistance hoping that possible dangerous risks can be avoided.

EFFECT OF USING AN ANDROID-BASED MODULE ON KNOWLEDGE AND ATTITUDE OF NURSING STUDENTS ABOUT THE PROVISION OF TRANSCULTURAL NURSING Apriani Susmita Sari; Elsi Dwi Hapsari; Widyawati Widyawati
Belitung Nursing Journal Vol. 6 No. 1 (2020): January - February
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.783

Background: The essence of transcultural nursing is to guide nursing students in order to be able to provide nursing care based on patients’ needs and their cultural backgrounds. To transfer the knowledge and attitude of the transcultural nursing effectively among generation Z students, an android-based module can be used and it is considered effective. Objective: This study aimed to determine the effect of using an android-based module on the knowledge and attitudes of nursing students regarding the provision of transcultural nursing. Methods: This study employed a quasi-experiment with a non-equivalent control group design. Ninety-four students were selected using a purposive sampling, which forty-seven were assigned in an android-based module group and a printed-module group. Data were measured using knowledge and attitude questionnaires about transcultural nursing, and perceived usefulness and perceived ease of use questionnaire for android-based modules. Data were analyzed using paired t-test and independent t-test with a significance level of < .05. Results: There was a significant effect of both android and printed based modules on knowledge of transcultural nursing (p <.05), but not for the attitude (p >.05). Based on the Independent t-test, there was no significant difference in students' knowledge and attitude about transcultural nursing between both groups (p >.05). However, the android-based module was considered useful (97.9%) with a mean value of 44, and was easy to use (91.5%) with a median value of 40. Conclusion: The use of both printed-based module and android-based module is effective to increase the students’ knowledge and attitudes about transcultural nursing.

NURSING RESEARCH PRIORITIES IN INDONESIA AS PERCEIVED BY NURSES Lely Lusmilasari; Yupin Aungsuroch; Widyawati Widyawati; Sunisa Sukratul; Joko Gunawan; Melyza Perdana
Belitung Nursing Journal Vol. 6 No. 2 (2020): March - April
Publisher : Belitung Raya Foundation, Indonesia

Background: To promote excellence in nursing research, setting research priorities is needed to meet the need of community aligned with the national context. Unfortunately, limited number of studies has examined nursing research priorities in Indonesia. Objective: To identify nursing research priorities in Indonesia from the perspectives of nursing experts. Methods: This was a descriptive qualitative study. Focus group discussion was conducted among participants who were purposively selected (n = 13). Data were analyzed using a consensus-based method. Results: The top ten research priority lists were identified. The priorities were nurse competence, quality of nursing care in nursing services, nursing policy, nurse work environment, nurse mobility, interprofessional education and collaboration, teaching learning evaluation, nursing career, complementary therapy in nursing, and technology and informatics in nursing. Conclusion: Findings of this study could be used as the basis of direction for development of future research in Indonesia.

Acute Grief: Pengalaman Duka saat Ibu Kehilangan Perinatal Erni Samutri; Widyawati Widyawati; Wenny Artanty Nisman
DINAMIKA KESEHATAN: JURNAL KEBIDANAN DAN KEPERAWATAN Vol 10, No 1 (2019): Dinamika Kesehatan Jurnal Kebidanan dan Keperawatan
Publisher : Universitas Sari Mulia

AbstrakLATAR BELAKANG: Kehilangan perinatal terjadi karena kematian janin pada usia lebih dari 22 minggu dan kematian bayi baru lahir hingga usia 28 hari kehidupan. Respon duka yang terjadi pada empat hingga enam minggu setelah peristiwa kematian janin/bayi disebut acute grief (duka akut) danÂ dianggap sebagai respon yang normal. Pada kehilangan perinatal, pengalaman acute grief yang tidak dikelola dengan tepat akan meningkatkan kerentanan ibu untuk mengalami gangguan kelekatan pada kehamilan berikutnya maupun gangguan psikologis.TUJUAN: Penelitian ini bertujuan untuk mengeksplorasi pengalaman acute grief pada ibu dengan kehilangan perinatal dan upaya yang dilakukan ibu untuk mengelola duka yang dialami.METODE: Partisipan dalam penelitian ini adalah ibu dengan pengalaman kehilangan perinatal yang dipilih dengan teknik purposive sampling. Jumlah partisipan hingga tercapai saturasi data dalam penelitian ini adalah 9 partisipan. Kriteria inklusi penelitian ini yaitu a) ibu dengan pengalaman acute grief karena kehilangan perinatal, b) lama kehilangan perinatal yaitu 7 minggu â€“ 2 tahun. Analisa data pada penelitian ini menggunakan modified Stevick-Colaizzi-Keen.HASIL: Penelitian ini menghasilkan tiga temuan tema yaitu ibu mengalami berbagai perasaan duka yang bercampur menjadi satu, ada kekosongan setelah kehilangan perinatal, dan pendekatan spiritual sebagai strategi koping yang bermakna.SIMPULAN: Kehilangan perinatal telah mengarahkan ibu pada pengalaman Â acute grief. Strategi koping pendekatan spiritual menjadi strategi yang digunakan oleh semua ibu dan memberikan hasil yang bermakna bagi kestabilan emosional ibu. Perlu adanya peran aktif dari tenaga kesehatan dalam memberikan dukungan psikologis dan atau konseling kepada ibu untuk membangun strategi koping yang adaptif dan meningkatkan outcome kesehatannya.Kata kunci: kehilangan perinatal, acute grief, koping, pendekatan spiritual.Â Â AbstractBACKGROUND: Perinatal loss occurs due to the death of a fetus at the age over 22 weeks and the death of newborn babies up to 28 days of life. Acute grief defined as response of grief that occurs at four to six weeks immediately after the events of fetus/ baby death and is considered as a normal response. Acute grief experience which is not managed properly will increase the vulnerability of women to experience attachment disorder on subsequent pregnancies as well as psychological disorder.OBJECTIVE: This study aims to explore the experience of acute grief on mothers with perinatal loss and their efforts to manage the grief responses.METHODS: Mothers with perinatal loss as a participant were selected using purposive sampling technique. Data saturation in this research was reached in the ninth participant. Inclusion criteria for the study is Â a) mother with acute grief experience due of perinatal loss, b) the length of perinatal loss was 7 weeks-2 years. Data were analyzed using the modified Stevick-Colaizzi-Keen method.RESULTS: Three themes which emerge in this study are mother experiences various feelings of grief that mixed into one, emptiness after perinatal loss, and spiritual approach is a meaningful coping strategy.CONCLUSION: Perinatal loss has brought the mother to experience acute grief. Spiritual approaches used by all mothers and provide meaningful results for their emotional stability. An active role of health care provider in providing psychological support and counseling is strongly needed to build adaptive koping strategies and improve mother health outcome after perinatal loss.Keyword: perinatal loss, acute grief, coping, spiritual approach.

Feasibility of HPV vaccination program implementation: A qualitative study Wiwin Lismidiati; Vivian Nanny Lia Dewi; Widyawati Widyawati; Wenny Artanty Nisman; Anis Widyasari; Ika Parmawati; Ova Emilia
Journal of Community Empowerment for Health Vol 5, No 1 (2022)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jcoemph.69099

The implementation of the Human Papillomavirus (HPV) vaccination program is still experiencing obstacles in several developing countries. This setback is related to the lack of knowledge and the high cost of the vaccine so that it affects people's behavior about the HPV vaccine. HPV vaccination in adolescents itself as primary prevention has not been widely conducted by adolescents in Indonesia. The results of previous studies showed that not many teenagers had vaccinated against HPV by using self-financing guarantees such as health savings. The obstacles faced in implementing HPV vaccination are that the vaccine is still expensive and there is lack of knowledge of parents and adolescents about the importance of HPV immunization. This formative research using qualitative methods was conducted to analyze the implementation plan of the HPV vaccination program. Data were collected through focus group discussions (FGD) and in-depth interviews. At the end of each FGD activity or interview, transcription and thematic analysis based on content were done. The FGD participants were ten teachers, while the in-depth interview participants were one school committee. This study found two main themes, namely the scheme of implementing the HPV vaccination program and obstacles to the implementation of HPV vaccination. Schools generally supported the program implementation. However, parents still question the importance of the HPV vaccination for their daughters and consider the vaccine costs expensive. Implementation of the HPV vaccination program must consider the existing program schemes in schools and possible obstacles. The results suggested that for the next HPV vaccination program, the facilitators should provide intense and relevant education to parents about the importance and side effects of HPV immunization, and are expected to build a willingness of parents to vaccinate their daughters and seek vaccination costs, one of which can be through a savings program.

PENGARUH PEMBERIAN PAKET “KIAT SEHAT” TERHADAP KECEMASAN PADA IBU HAMIL Jelita Herlina Siska Hinonaung; Elsi Dwi Hapsari; Widyawati -
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 3, No 1 (2018)
Publisher : Jurnal Persatuan Perawat Nasional Indonesia (JPPNI)

ABSTRAKTujuan penelitian: Mengetahui pengaruh pemberian paket “kiat sehat” terhadap kecemasan pada ibu hamil. Metode: Jenis penelitian ini adalah pra-eksperimental one-group pra-post test design. Penelitian dilaksanakan pada tanggal 11 Juli 2016-18 Agustus 2016. Pemilihan sampel secara consecutive sampling. Jumlah sampel adalah 51 responden. Pengumpulan data menggunakan kuesioner yang terdiri atas 2 bagian, yaitu karakteristik responden dan kecemasan ibu hamil yang telah digunakan oleh Setyaningsih (2012). Uji wilxocon signed rank test digunakan untuk melihat perbedaan skor kecemasan ibu hamil sebelum dan setelah empat belas hari diberikan paket “kiat sehat”. Hasil: mayoritas responden adalah umur 19-35 tahun (82,4%), pendidikan menengah (52,9%), mendapatkan informasi tentang kehamilan dari petugas kesehatan (78,4%). Median skor dan simpangan baku kecemasan responden sebelum diberikan paket “kiat sehat” adalah 71(10,6) dan setelah diberikan paket “kiat sehat” 61(10). Uji wilcoxon untuk mengukur pengaruh pemberian paket “kiat sehat” terhadap kecemasan menunjukkan nilai p<0,001. Diskusi: pemberian paket “kiat sehat” berpengaruh bermakna secara klinis menurunkan kecemasan pada ibu hamil. Penting untuk membekali diri ibu hamil dengan informasi yang benar tentang kehamilan. Paket “kiat sehat” dapat dimanfaatkan oleh ibu hamil maupun keluarga sebagai bahan bacaan mengenai kiat sehat selama kehamilan sehingga wawasan bertambah dan kecemasan berkurang selama proses kehamilan. Kesimpulan: Ibu hamil perlu dibekali informasi yang benar tentang kehamilan untuk menurunkan kecemasan. Paket ‘kiat sehat’ dapat digunakan sebagai alternatif media pembelajaran yang digunakan oleh petugas kesehatan untuk diberikan pada ibu hamil.Kata kunci: Paket “kiat sehat”, kecemasan, ibu hamilEFFECT OF GIVING “HEALTHY TIPS (KIAT SEHAT)” PACKAGE ON ANXIETY IN PREGNANT WOMENABSTRACTObjective: To identify the effect of “healthy tips (kiat sehat)” package on anxiety in pregnant women. Methods: This research is pre-experimental with one-group pre-posttest design. It was conducted on 11 July 2016-18 August 2016. Samples were taken using consecutive sampling with a sample size of 51 respondents. Data were collected using a questionnaire consisting of 2 parts, namely characteristics of respondents and anxiety of pregnant women that had been used by Setyaningsih (2012). A Wilcoxon signed-rank test was used to see differences anxiety scores in pregnant women before and after fourteen days of being given a “healthy tips” package. Results: The majority of respondents were aged 19-35 years (82.4%), had secondary education (52.9%), obtained information about pregnancy from healthcare workers (78.4%). The median score and standard deviation of respondents’ anxiety before being given the “healthy tips” package was 71 (10.6) and after being given the “healthy tips” package was 61 (10). The Wilcoxon test to measure the effect of giving “healthy tips” package on anxiety showedp value of <0.001. Discussion: Giving “healthy tips” package has a clinically significant effect on reducing anxiety in pregnant women. It is important to equip pregnant women with correct information about pregnancy. The “healthy tips” package can be used by pregnant women andfamilies as reading material concerning healthy tips during pregnancy so that their knowledge increases and anxiety decreases during the pregnancy, Conclusion: Pregnant women need to be equipped with correct information about pregnancy to reduce anxiety. The ‘healthy tips ’package can be used as an alternative learning medium by healthcare workers to be given to pregnant women.Keywords: “Healthy tips ” Package, anxiety, pregnant women

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