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Dini Kurniawati
Universitas Muhammadiyah Malang
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PENGEMBANGAN DETEKSI DINI GEJALA PREEKLAMSIA PADA IBU HAMIL DI WILAYAH PERTANIAN Septiyono, Eka Afdi; Kurniawati, Dini; Rahmawati, Iis; Zannah, Ai Nur
Jurnal Sains Kebidanan Vol 6, No 1 (2024): MEI 2024
Publisher : POLTEKKES KEMENKES SEMARANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jsk.v6i1.10844

Abstract

Keterbatasan akses ke layanan kesehatan di daerah pertanian meningkatkan kerentanan ibu hamil terhadap preeklamsia. Preeklamsia di Indonesia menyebabkan tingginya Angka Kematian Ibu (AKI). AKI di Indonesia tinggi disebabkan ketidaktahuan ibu dalam mengetahui gejala Preeklamsia. Penelitian ini bertujuan untuk mengembangkan kuesioner deteksi dini gejala preeklamsia pada ibu hamil di wilayah pertanian. Penelitian  ini  merupakan  studi  Cross sectional  dengan  N=132  menggunakan  kuesioner  yang  dikembangkan  untuk  mengidentifikasi  ranah  gejala preeklamsia.  Beberapa  faktor  diperiksa  menggunakan validitas  konstruk  dengan  analisis  Exploratory Factor Analysis (EFA),  Confirmatory  Factor  Analysis  (CFA),  serta  validitas  isi  menggunakan  Content  Validity Index  (CVI).  Selain itu, konsistensi internal dieksplorasi menggunakan koefisien alpha Cronbach. Hasil EFA menunjukkan tiga faktor gejala ringan, gejala berat, dan risiko preeklamsia dengan 17 item yang menyumbang 71,14% dari varian yang dijelaskan dan CFA sesuai dengan validitas konstruk. Selanjutnya, CVI menunjukkan validitas isi yang memadai berkisar antara 0,70 hingga 1,0 dan konsistensi internal yang tinggi sebesar 0,86.  Kuesioner deteksi dini gejala preeklamsia pada ibu hamil berisi ukuran yang valid, andal, dan kuat. 
Hubungan Self-efficacy dengan Kecemasan pada Ibu Hamil Primigravida Trimester III di Wilayah Pertanian Dewi, Erti Ikhtiarini; Febrianty, Dyta; Kurniyawan, Enggal Hadi; Kurniawati, Dini; Deviantony, Fitrio
Jurnal Ilmiah Kesehatan Vol. 17 No. 2 (2024): Jurnal Ilmiah Kesehatan
Publisher : Universitas Muhammadiyah Pekajangan Pekalongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.48144/jiks.v17i2.1854

Abstract

Anxiety in pregnant women can affect the labor process due to the psychological instability that occurs. Self-efficacy is one of the factors that can reduce anxiety in pregnant women. This study has a general objective of analyzing the relationship between self-efficacy and anxiety in third trimester primigravida pregnant women in agricultural areas. This study uses correlational quantitative research with a cross-sectional survey design approach. The sample consisted of 83 respondents, selected through non-probability sampling, specifically total sampling. The research instrument for measuring the level of self-efficacy was a self-efficacy questionnaire, and the level of anxiety was measured using the Pregnancy Related Anxiety Questionnaire-Revised 2 (PRAQ-R2). Data were analyzed using Kendall's Tau-b test, and the results obtained (p-value = 0.000, p < 0.05) showed a relationship between self-efficacy and anxiety in third trimester primigravida pregnant women. Self-efficacy affects the mother's mentality during pregnancy and childbirth because high confidence in her abilities makes her more motivated to maintain her health and feel satisfaction during the childbirth process. Pregnant women with high self-efficacy may better withstand reactions that trigger anxiety because they can solve problems using their abilities and think positively about situations. The conclusion obtained is that most respondents had high levels of self-efficacy and mild anxiety levels, and there is a relationship between self-efficacy and anxiety in third trimester primigravida pregnant women. Keywords: Anxiety, Pregnant Women, Primigravida, Self-Efficacy, Third Trimester
Stimulasi Tumbuh Kembang Balita Melalui Pelatihan Kader Kesehatan di Kabupaten Jember Septiyono, Eka Afdi; Kurniawati, Dini; Rahmawati, Iis; Prasetyowati, Irma; Wiastuti, Siti Marina
DEDIKASI SAINTEK Jurnal Pengabdian Masyarakat Vol. 3 No. 1 (2024): April 2024
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/djpm.v3i1.127

Abstract

Stimulasi tumbuh kembang balita merupakan aspek penting dalam pembentukan potensi anak sejak dini. Namun, kurangnya pengetahuan dan kesadaran masyarakat mengenai pentingnya stimulasi tumbuh kembang balita di wilayah Baratan Jember menjadi hambatan dalam mencapai perkembangan optimal anak-anak. Oleh karena itu, dilakukan kegiatan pengabdian pada masyarakat melalui pelatihan kader kesehatan untuk meningkatkan stimulasi tumbuh kembang balita. Kegiatan ini melibatkan tahap pra pengabdian untuk mengidentifikasi kebutuhan dan hambatan yang ada. Selanjutnya, dilakukan pelatihan kader kesehatan yang mencakup peningkatan pengetahuan dan keterampilan peserta dalam memberikan stimulasi tumbuh kembang yang tepat. Evaluasi pelaksanaan dan dampak dilakukan untuk mengukur efektivitas program. Hasil dari kegiatan ini menunjukkan peningkatan pengetahuan peserta, perubahan perilaku orang tua, serta perkembangan balita yang lebih optimal. Dalam kesimpulannya, pelatihan kader kesehatan dalam upaya meningkatkan stimulasi tumbuh kembang balita di Baratan Jember memberikan dampak positif terhadap perkembangan balita dan kualitas sumber daya manusia di wilayah tersebut.
Geographically Weighted Regression Model of Stunting Determinants in Indonesia Kurniawati, Dini; Hastono, Sutanto Priyo; Safika, Iko; Wahyuningsih, Wiji
Journal of Maternal and Child Health Vol. 10 No. 3 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2025.10.03.02

Abstract

Background: Stunting is a chronic condition resulting from malnutrition during early growth, potentially affecting physical and cognitive development in children into adults. According to the 2023 Indonesian Health Survey (SKI), stunting in Indonesia remains at 21.5%. This figure is still far from the government's target for 2024, which was below 14%. This study aims to identify the determinants of stunting caused by spatial conditions in Indonesia in 2024. Subjects and Method: This study employed an ecological design with a spatial approach, utilizing aggregate data from the 2023 SKI and 2024 Central Bureau of Statistics (BPS) across 38 provinces in Indonesia. The dependent variable was stunting prevalence, and the analysis included eight independent variables using descriptive statistics, spatial analysis (Moran’s I and Local Moran’s I), multiple linear regression (OLS), and Geographically Weighted Regression (GWR). Data was processed between November 2024 and January 2025 using SPSS, Geoda, and R Studio. Results: Results show that the average stunting prevalence in Indonesia in 2024 was 23.56% (Standard Deviation: 6.80), which unmet the government’s target in the same year. The provinces with the lowest and highest stunting prevalence were Bali (7.2%) and Central Papua (39.3%). Meanwhile, Papua, West Papua, South Papua, Central Papua, and Highlands Papua were provinces with high stunting prevalence and surrounded by similarly high prevalence (high-high) provinces. In contrast, Banten and West Sumatra had high stunting prevalence but were surrounded by provinces with low prevalence (High-Low). Finally, factors influencing stunting across geographical areas included stunting knowledge, completion of immunization coverage, and poverty rates. Conclusion: Efforts to reduce stunting in Indonesia should focus on improving communication, information, and education, particularly in provinces with high prevalence. In addition, increasing coverage and access to complete basic immunization and enhanced family welfare should also be highlighted.
Birth Intervals among Multiparous Women in Indonesia Kurniawati, Dini; Prasetyo, Sabarinah
Kesmas Vol. 10, No. 4
Publisher : UI Scholars Hub

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Angka kematian ibu dan angka kematian bayi di Indonesia masih tinggi. Salah satu faktor yang menyebabkan tingginya risiko kematian pada ibu dan bayi adalah kelahiran terlalu dekat. Penelitian ini bertujuan untuk mempelajari determinan jarak antarkelahiran pada perempuan multipara di Indonesia. Penelitian ini menggunakan data Survei Demografi Kesehatan Indonesia tahun 2012 pada 9.945 perempuan multipara. Analisis data menggunakan uji Mann Whitney, Kruskal Wallis, dan regresi logistik. Median jarak antarkelahiran sebesar 62 bulan dan 22,8% perempuan memiliki jarak antarkelahiran kurang dari tiga tahun. Hasil menunjukkan determinan jarak antarkelahiran pendek meliputi pendidikan ibu, usia terakhir melahirkan, ukuran ideal keluarga, pemakaian kontrasepsi, riwayat kematian anak, dan kelangsungan hidup anak sebelumnya (nilai p < 0,05). Usia melahirkan merupakan faktor yang paling berisiko terhadap jarak kelahiran terlalu dekat. Diperlukan peningkatan komunikasi, informasi, dan edukasi mengenai pendewasaan usia pernikahan, jumlah anak ideal serta peningkatan pemakaian kontrasepsi dalam upaya meningkatkan jarak antarkelahiran optimum. Maternal mortality rate and infant mortality rate in Indonesia are currently high. One of factors causing the high risk of maternal and infant mortality is too short birth intervals. This study aimed to learn determinants of birth intervals among multiparous women in Indonesia. This study used data from the Indonesia Demographic and Health Survey 2012 with 9,945 multiparous women. The data was analyzed using Mann Whitney, Kruskal Wallis and logistic regression tests. Median of birth intervals was 62 months and 22.8% women had birth interval less than three years. Results showed that determinants of birth intervals included maternal education, the last age of childbirth, ideal family size, the use of contraception, infant mortality records and survival of preceding child (p value < 0.05). The age of childbirth was a major risk factor of too short birth intervals. It needs the improvement of communication, information and education regarding maturation of age for marriage, ideal number of children as well as the increase of contraception use in order to increase optimum birth intervals.
Pengetahuan Remaja Tentang Kesehatan Reproduksi di SMA X Jember Kurniawati, Dini; Dewi, Tirsa Intania; Septiyono, Eka Afdi
Psychospiritual: Journal of Trends in Islamic Psychological Research Vol. 3 No. 2 (2024): Psychospiritual: Journal of Trends in Islamic Psychological Research
Publisher : Fakultas Dakwah UIN KHAS Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35719/psychospiritual.v3i2.106

Abstract

Adolescents' knowledge of reproductive health is a crucial aspect of overall health, encompassing physical, mental, and social well-being. Adolescents aged 15-18 are in a stage of physical, emotional, and cognitive development that is not yet fully mature but characterized by high curiosity. This study aimed to describe the level of knowledge about reproductive health among adolescents at SMA X Jember. This study used a descriptive qualitative approach, with data collected through a Google Form questionnaire distributed to 103 students from grades X and XI at SMA X Jember in June 2024. Data analysis was conducted using descriptive statistical methods to depict the level of adolescents' knowledge about reproductive health. The results showed that 91.3% of the 103 respondents had a good level of knowledge about reproductive health, consisting of 47 females and 56 males aged between 15-18 years. All respondents (100%) had been exposed to reproductive health information from various sources. The study concluded that the level of knowledge about reproductive health among adolescents at SMA X Jember was good for both females and males. Easy access to information from various sources strengthened this level of knowledge.
PENGEMBANGAN DETEKSI DINI GEJALA PREEKLAMSIA PADA IBU HAMIL DI WILAYAH PERTANIAN Septiyono, Eka Afdi; Kurniawati, Dini; Rahmawati, Iis; Zannah, Ai Nur
Jurnal Sains Kebidanan Vol. 6 No. 1 (2024): MEI 2024
Publisher : POLTEKKES KEMENKES SEMARANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jsk.v6i1.10844

Abstract

Keterbatasan akses ke layanan kesehatan di daerah pertanian meningkatkan kerentanan ibu hamil terhadap preeklamsia. Preeklamsia di Indonesia menyebabkan tingginya Angka Kematian Ibu (AKI). AKI di Indonesia tinggi disebabkan ketidaktahuan ibu dalam mengetahui gejala Preeklamsia. Penelitian ini bertujuan untuk mengembangkan kuesioner deteksi dini gejala preeklamsia pada ibu hamil di wilayah pertanian. Penelitian  ini  merupakan  studi  Cross sectional  dengan  N=132  menggunakan  kuesioner  yang  dikembangkan  untuk  mengidentifikasi  ranah  gejala preeklamsia.  Beberapa  faktor  diperiksa  menggunakan validitas  konstruk  dengan  analisis  Exploratory Factor Analysis (EFA),  Confirmatory  Factor  Analysis  (CFA),  serta  validitas  isi  menggunakan  Content  Validity Index  (CVI).  Selain itu, konsistensi internal dieksplorasi menggunakan koefisien alpha Cronbach. Hasil EFA menunjukkan tiga faktor gejala ringan, gejala berat, dan risiko preeklamsia dengan 17 item yang menyumbang 71,14% dari varian yang dijelaskan dan CFA sesuai dengan validitas konstruk. Selanjutnya, CVI menunjukkan validitas isi yang memadai berkisar antara 0,70 hingga 1,0 dan konsistensi internal yang tinggi sebesar 0,86.  Kuesioner deteksi dini gejala preeklamsia pada ibu hamil berisi ukuran yang valid, andal, dan kuat. 
GRG Non-Linear and ARWM Methods for Estimating the GARCH-M, GJR, and log-GARCH Models Nugroho, Didit Budi; Panjaitan, Lam Peter; Kurniawati, Dini; Kholil, Zaini; Susanto, Bambang; Sasongko, Leopoldus Ricky
JTAM (Jurnal Teori dan Aplikasi Matematika) Vol 6, No 2 (2022): April
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jtam.v6i2.7694

Abstract

Numerous variants of the basic Generalized Autoregressive Conditional Heteroscedasticity (GARCH) models have been proposed to provide good volatility estimating and forecasting. Most of the study does not work Excel’s Solver to estimate GARCH-type models. The first purpose of this study is to provide the capability analyze of the GRG non-linear method built in Excel’s Solver to estimate the GARCH models in comparison to the adaptive random walk Metropolis method in Matlab by own codes. The second contribution of this study is to evaluate some characteristics and performance of the GARCH-M(1,1), GJR(1,1), and log-GARCH(1,1) models with Normal and Student-t error distributions that fitted to financial data. Empirical analyze is based on the application of models and methods to the DJIA, S&P500, and S&P CNX Nifty stock indices. The first empirical result showed that Excel’s Solver’s Generalized Reduced Gradient (GRG) non-linear method has capability to estimate the econometric models. Second, the GJR(1,1) models provide the best fitting, followed by the GARCH-M(1,1), GARCH(1,1), and log-GARCH(1,1) models. This study concludes that Excel’s Solver’s GRG non-linear can be recommended to the practitioners that do not have enough knowledge in the programming language in order to estimate the econometrics models. It also suggests to incorporate a risk premium in the return equation and an asymmetric effect in the variance equation. 
Understanding Nurses’ Caring Behavior: The Impact of Work Environment and Individual Factors Afandi, Alfid Tri; Ardiana, Anisah; Muhammad Nur, Kholid Rosyidi; Sutawardana, Jon Hafan; Rasni, Hanny; Sulistyorini, Lantin; Kurniawati, Dini
Jurnal Keperawatan Soedirman Vol 20 No 3 (2025): Jurnal Keperawatan Soedirman (JKS)
Publisher : Fakultas Ilmu-ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2025.20.3.13689

Abstract

Nurse caring behavior is essential for the quality of healthcare services and patient well-being, yet several internal and external factors influence this behavior. This study analyzes the effects of work rewards, workload, motivation, and personality on nurses’ caring behavior. This cross-sectional study used a quantitative approach. Data were collected from 217 nurses in hospitals using structured questionnaires measuring variables of work rewards, workload, motivation, personality, and caring behavior. Data analysis was performed using descriptive statistics and multiple regression analysis. The findings show that motivation has the most significant influence on caring behavior (β = 0.45, p < 0.01), followed by work rewards (β = 0.30, p < 0.01) and personality (β = 0.20, p < 0.01). Workload has a significant negative effect (β = -0.28, p < 0.01). An R-squared value of 0.65 indicates that these four variables can explain 65% of the variability in caring behavior. These findings support Gibson’s theory that environmental factors (work rewards, workload) and individual factors (motivation, personality) affect caring behavior. Motivation and work rewards drive caring behavior, while a high workload hinders it. Policies that enhance motivation and work rewards, along with balanced workload management, are necessary to support caring behavior in nurses Keywords: Caring behavior, Work rewards, Workload, Motivation, Personality.
Immune Response Indicators in Term and Preterm Premature Rupture of Membranes: A Leukocyte Profile Evaluation Septiyono, Eka Afdi; Luthfiana Zaki, Nissa; Rahmawati, Iis; Kurniawati, Dini
Journal Of Nursing Practice Vol. 9 No. 2 (2026): January
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i2.929

Abstract

Background: Premature rupture of membranes (PRM) occurs when membranes rupture spontaneously before delivery. PRM is categorized into preterm PRMor preterm premature rupture of membranes (PPROM), occurring before and at 37 weeks of gestation, and term PRM or premature rupture of membranes (PROM), occurring after 37 weeks. Objective: This study aimed to determine differences in leukocyte profiles between term and preterm PRM cases at RSD dr. Soebandi Jember. Methods: This research used an observational analytic design. This research involved two groups of pregnant women with term and preterm PRM. A total of 55 participants were included, with 28 in the preterm PRM group and 27 in the term PRM group. Data were collected from medical records between January 2023 and July 2024 using a purposive sampling technique. Normality tests were conducted using the Shapiro-Wilk Test. For normally distributed data (p > 0.05), the Independent T-Test was applied, while the Mann-Whitney Test was used for non-normally distributed data (p < 0.05). Results: The results showed no significant differences in lymphocyte (p-value=0,725) and neutrophil (p-value=0,893) levels. Similarly, no significant differences were found in leukocyte, monocyte, eosinophil, and basophil levels (p-values=0,987, 0,666, 0,949, and 0,979, respectively). Conclusion: The study showed no significant differences in the leukocyte profiles between term and preterm PRM. However, increased neutrophil counts in preterm cases may suggest an ongoing infection, highlighting the importance of monitoring leukocyte levels in PRM for potential infection risk management. Further studies are needed to assess how factors such as occupation and daily fatigue affect the incidence of PRM, especially in the preterm group.
Co-Authors Adilah Mia Azubah Agus Zainudin Aini Alifatin Alfid Tri Afandi Ali Saifullah Amalia, Firriana Rizqi Andhini, Thathit Manon Anisah Ardiana Anisatu Thoyyibah Arif, Nadirzyah Hafiz Arman Putra Pradibta Arman Putra Pradibta, Arman Ayu Kurnia Vidiany Bambang Susanto Danu Faruq Miffah Desi Trisari Devis Yulia Rohmana Dewi, Tirsa Intania Didit Budi Nugroho Eka Afdi Septiyono Enggal Hadi Kurniyawan Erfan Dani Septia Erti Ikhtiarini Dewi Erwin Rommel Evi D. Wahyuni Fajar Ramadhani Anggara Fatimatuzzahra, Aza Fauzan, Fauzan Febrianty, Dyta Fitrio Deviantony Ganjaran, Handayani Woro Hafan Sutawardana, Jon Hanny Rasni Helvi Ardana Reswari Hoiriah, Maulidatul Iis Siti Aisyah Ira Rahmawati Irma Prasetyowati Irvan Maulana Januardi, Noor Diansyah Juliningrum, Peni Perdani Kholil, Zaini Lantin Sulistiyorini, Lantin Leopoldus Ricky Sasongko Lidya Amal Huda Lutfian, Lutfian Luthfiana Zaki, Nissa Maftuchah Maftuchah Mangrasih, Rhozy Sadya Martina Fitria Mohammad Jufri Muhammad Nur, Kholid Rosyidi Muhammad Taufiq Murjito Murjito Murtaqib Murtaqib Noor Diansyah Januardi Nur Hayatin Nur Subekhi Nur Subekhi, Nur Panjaitan, Lam Peter Peni Perdani Peni Perdani Juliningrum, Peni Perdani Peni Perdani Juliningsih Perdani Juliningrum Rahmawati, Iis Retno Firdiyanti Rhozy Sadya Mangrasih Risky Chandra Rondhianto Rondhianto Sabarinah Prasetyo Safika, Iko Septinia Anggraita Sri Wahyuni Sutanto Priyo Hastono Tama, Fahma Ilmi Nawa Thathit Manon Andini Thatit Manon Andini Turatno, Turatno Wahyuni, Evi D. Wahyuningsih Wahyuningsih Wahyuningsih, Wiji Wiastuti, Siti Marina Wildan Suharso Wisnu Ananda