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All Journal Jurnal Midpro Jurnal Kesmas (Kesehatan Masyarakat) Khatulistiwa Jurnal Penelitian Sekolah Tinggi Ilmu Kesehatan Nahdlatul Ulama Tuban INDONESIAN MIDWIFERY HEALTH AND SCIENCES JOURNAL International Journal of Midwifery Research Jurnal Penelitian ABDIMASNU: Jurnal Pengabdian kepada Masyarakat Jurnal Ilmiah Kesehatan International Nutrition and Health Administrations Journal Preventif : Jurnal Kesehatan Masyarakat Borneo Nursing Journal
Dwi Kurnia Purnama Sari
Department Of Midwifery, Faculty Of Nursing And Midwifery, Institut Ilmu Kesehatan Nahdlatul Ulama Tuban
Biochemistry, Genetics & Molecular Biology Computer Science & IT Dentistry Education Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Veterinary Other

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Analisis Hubungan Malnutrisi, Usia Ibu, Dan Riwayat Kehamilan Terhadap Kejadian Abortus Di Puskesmas Kabupaten Tuban Ilmiatus Qoyimah; Nurus Safaah; Dwi Kurnia Purnama Sari; Nikita Welandha Prasiwi
Borneo Nursing Journal (BNJ) Vol. 8 No. 1
Publisher : Akademi Keperawatan Yarsi Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61878/bnj.v8i1.436

Abstract

Abortus merupakan salah satu komplikasi kehamilan yang masih menjadi tantangan signifikan dalam upaya peningkatan kesehatan ibu. Berbagai faktor, termasuk status gizi, usia ibu, dan riwayat obstetri, diketahui berkontribusi terhadap meningkatnya risiko abortus. Penelitian ini bertujuan untuk menganalisis hubungan malnutrisi, usia ibu, dan riwayat kehamilan dengan kejadian abortus pada ibu hamil yang melakukan pemeriksaan di seluruh wilayah kerja puskesmas se-Kabupaten Tuban. Penelitian ini menggunakan desain analitik korelasional dengan pendekatan cross-sectional. Populasi terdiri dari seluruh ibu hamil yang tercatat dalam pelayanan kesehatan, dengan sampel ditentukan melalui teknik simple random sampling. Data diperoleh dari rekam medis, yang mencakup variabel status gizi (IMT, KEK, dan anemia), usia reproduktif, riwayat kehamilan, serta kejadian abortus. Analisis statistik menggunakan uji koefisien kontingensi dengan tingkat signifikansi 0,05. Hasil penelitian menunjukkan bahwa malnutrisi memiliki hubungan signifikan dengan kejadian abortus, baik berdasarkan indikator IMT (p = 0,000), status KEK (p = 0,004), maupun anemia (p = 0,000). Selain itu, variabel usia ibu dan riwayat kehamilan juga terbukti berkorelasi secara signifikan dengan abortus. Temuan ini memperkuat bahwa status gizi yang tidak optimal, ditambah faktor risiko kehamilan seperti usia berisiko dan riwayat abortus sebelumnya, meningkatkan probabilitas terjadinya abortus. Penelitian ini menegaskan pentingnya intervensi gizi prakonsepsi, edukasi kesehatan reproduksi, serta pemantauan kehamilan intensif sebagai strategi preventif untuk menurunkan angka kejadian abortus di Kabupaten Tuban.  
Optimizing Hospital Health Promotion Through Digital Educational Media in Tuban Dwi Kurnia Purnama Sari; sugiyono; ilmiatus qoyimah; Adibah Enggar
ABDIMASNU: Jurnal Pengabdian kepada Masyarakat Vol 6 No 2 (2026): ABDIMASNU
Publisher : Institut Ilmu Kesehatan Nahdlatul Ulama Tuban

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47710/7jrvws86

Abstract

Hospital Health Promotion plays an important role in improving public health literacy and supporting preventive healthcare services. However, health promotion activities in several hospitals in Tuban are still predominantly conducted using conventional methods, resulting in limited effectiveness and accessibility of health information. This community service program aimed to optimize hospital health promotion through the utilization of digital educational media. The program was implemented using a participatory and educational approach involving healthcare workers, hospital health promotion staff, and hospital management. The activities consisted of preliminary assessment, development of digital educational media, training and mentoring sessions, implementation of digital health promotion, and evaluation. The digital media developed included educational videos, digital posters, social media content, and QR code–based educational materials. The results showed an improvement in participants’ knowledge and skills regarding the utilization of digital media for health promotion activities. Healthcare workers were able to develop and use digital educational content effectively within hospital services. Patients and visitors also demonstrated positive responses toward the use of digital educational media because the information was considered more attractive, interactive, and easier to access compared to conventional methods. In addition, digital media contributed to improving the consistency and efficiency of health education delivery in hospitals. In conclusion, optimizing hospital health promotion through digital educational media can enhance healthcare workers’ competencies, improve public access to health information, and support the improvement of healthcare service quality. Continuous training and institutional support are necessary to ensure the sustainability of digital-based health promotion programs in hospitals.
ENHANCING ADOLESCENTS' EMERGENCY RESPONSE CONFIDENCE THROUGH FIRST AID TRAINING IN TUBAN MOH. UBAIDILLAH FAQIH; KARYO KARYO; KUSNO FERIANTO; DWI KURNIA PURNAMA SARI
ABDIMASNU: Jurnal Pengabdian kepada Masyarakat Vol 6 No 1 (2026): ABDIMASNU
Publisher : Institut Ilmu Kesehatan Nahdlatul Ulama Tuban

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47710/2j1z1q85

Abstract

Background: Adolescents living along the Pantura Highway in Tuban are frequently exposed to road traffic accidents but generally lack adequate first aid knowledge and confidence to provide emergency assistance. Strengthening adolescents' confidence through community-based first aid training is essential to improve pre-hospital emergency response. Objective: This community service program aimed to enhance adolescents' confidence and practical first aid skills through simulation-based training. Methods: A simulation-based educational program was conducted from May to June 2025 involving 40 adolescents aged 15–19 years residing along the Pantura Highway in Tuban. The program consisted of three stages: pre-activity preparation, training implementation, and evaluation. Learning methods included interactive lectures, instructor demonstrations, hands-on practice, and scenario-based simulations following Basic Life Support and first aid guidelines. Program effectiveness was evaluated using pre- and post-training questionnaires assessing self-confidence and knowledge, supported by direct observation of practical skills during simulation sessions. Results: Most participants (72.5%) had never attended previous first aid training. Before the intervention, 60.0% of participants reported low self-confidence, while only 7.5% demonstrated high confidence. After the training, the proportion of participants with low confidence decreased to 12.5%, whereas those with high confidence increased to 47.5%. Participants also demonstrated better performance in emergency scene assessment, cardiopulmonary resuscitation, bleeding control, victim evacuation, and communication with emergency medical services during simulation exercises. The combination of repeated practice and realistic emergency scenarios effectively improved participants' confidence, psychomotor competence, and readiness to respond to emergency situations. Conclusion: Simulation-based first aid training is an effective community empowerment strategy for improving adolescents' confidence and preparedness in emergency response. Regular implementation through collaboration among schools, healthcare institutions, youth organizations, and local governments is recommended to establish sustainable community-based emergency preparedness programs in high-risk traffic areas. 
Nutritional Status and Anemia-Related Knowledge as Correlates of Maternal Hemoglobin Concentration: A Cross-Sectional Study Among Third-Trimester Pregnant Women Dwi Kurnia Purnama Sari; Miftahul Munir
Preventif : Jurnal Kesehatan Masyarakat Vol. 17 No. 2 (2026): Preventif : Jurnal Kesehatan Masyarakat
Publisher : Tadulako University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/thxfnc39

Abstract

Maternal anemia continues to pose substantial public health challenges in Indonesia, with consequences extending to pregnancy outcomes and child development. Mid-upper arm circumference (MUAC) offers a practical nutritional assessment in resource-limited settings, while anemia-related knowledge represents the cognitive dimension of maternal health literacy relevant to preventive behaviors. This study examined the relationships of maternal nutritional status measured through MUAC and anemia-related knowledge with hemoglobin concentrations among third-trimester pregnant women in rural Indonesia. A cross-sectional analytical study was conducted from May to August 2024 at Palang Health Center, Tuban Regency. Through purposive sampling, 232 third-trimester pregnant women were recruited. Data collection involved MUAC measurements using standardized tape, hemoglobin assessment via digital hemoglobinometer, and a validated 20-item anemia knowledge questionnaire. Statistical analyses included descriptive statistics, Chi-square tests, and multiple linear regression at α=0.05. Anemia prevalence was 37.9%. Significant associations were observed between nutritional status and anemia status (p<0.001) and between anemia-related knowledge and anemia status (p<0.001). Women with MUAC below 23.5 cm had a higher anemia prevalence (78.2%) than those with adequate MUAC (17.5%); women with poor knowledge had an anemia prevalence of 87.5% versus 20.0% among those with good knowledge. In the linear regression model, each 1-cm increase in MUAC was associated with a 0.112 g/dL higher hemoglobin concentration (B=0.112, p<0.001), and each one-point increase in knowledge score was associated with a 0.286 g/dL higher hemoglobin concentration (B=0.286, p=0.002). The model explained 41.2% of hemoglobin variance (R²=0.412). MUAC and anemia-related knowledge are significant correlates of hemoglobin levels in late pregnancy. Comprehensive anemia prevention strategies may integrate anthropometric screening, individualized nutritional counseling, structured anemia education, and promotion of locally accessible iron-rich foods.
Co-Authors Adibah Enggar Aris Puji Utami Damayanti, Tri Yunita fitria Dian Nafies Ilmiatus Qoyimah Ina Sholikhatin Karyo Kusno Ferianto, Kusno Lilia Faridatul Fauziah Masrufah Miftahul Munir, Miftahul Moh. Ubaidillah Faqih, Moh. Ubaidillah Prasiwi, Nikita Welandha Safaah, Nurus sugiyono Tiara Putri Ryandini Umu Qonitun