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Tingkat pengetahuan ibu memengaruhi keberhasilan toilet training pada anak prasekolah Anestasia Pangestu Mei Tyas; Yunita Yunita; Amellia Mardhika; Lailatul Fadliyah; Joko Susanto
NURSCOPE: Jurnal Penelitian dan Pemikiran Ilmiah Keperawatan Vol 7, No 1 (2021): Juni
Publisher : Fakultas Ilmu Keperawatan Universitas Islam Sultan Agung, Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/nurscope.7.1.38-44

Abstract

Pendahuluan:Tugas perkembangan kemandirian anak pada usia toddlerdapat dilatih dengan toilet training. Faktanya pada anak prasekolah masih ada yang anak yang belum siap dan belum berhasil melakukan toilet training. Hasil studi pendahuluan salah satu TK di Lamongan menunjukkan sebagian kecil anak prasekolah masih mengompol dan memakai pampers saat malam hari. Penelitian ini bertujuan untuk menganalisis hubungan tingkat pengetahuan ibu dengan keberhasilan toilet trainingpada anak prasekolah. Metode:Penelitian cross sectionaldengan jumlah sampel 40 responden memakai teknik simple random sampling. Pengumpulan data menggunakan kuesioner tingkat pengetahuan ibu dan kuesioner keberhasilan anak dalam toilet training. Analisa data meliputi univariat dan uji fishers exact test(p value < 0.05). Hasil:Penelitian menyebutkanadanya hubungan antara tingkat pengetahuan ibu dengan keberhasilan toilet training pada anak prasekolah (p value = 0.013).Simpulan:Perlu adanya pendidikan kesehatan dari puskesmas dan dinas pendidikan tentang toilet training kepada orang tua untuk meningkatkan kesiapan dan keberhasilan toilet training.
Asuhan Keperawatan Menyusui Tidak Efektif Pada Ibu Post Sectio Caesarea : A Case Report Amellia - Mardhika
Surya : Jurnal Media Komunikasi Ilmu Kesehatan Vol 13, No 2 (2021): Jurnal Surya, Vol. 13, No. 02, Agustus 2021
Publisher : Universitas Muhammadiyah Lamongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38040/js.v12i2.251

Abstract

Background: Breast milk is an important component needed by infants to meet nutritional needs and the formation of the baby's immune system. Mothers post sectio caesarea (SC) often experience problems in breastfeeding. Incorrect position and attachment in breastfeeding are the most common causes of delays in breastfeeding.Objectives: To find out the management of nursing care for breastfeeding is not effective in post SC mothers.Design: This research uses a case study approach (case report).Data Sources: In this study, data were obtained through the process of interviews, observation, physical examination, and documentation studies on post sectio caesarea mothers.Results: Nursing care with lactation counseling interventions and breastfeeding education can be applied to post SC mothers according to the expected outcomes, the client's breastfeeding status has improved on the third day. The mother's anxiety decreases, the baby's fussiness is reduced because the baby's attachment to the mother's breast increases, the mother's ability to position the baby correctly increases, the breast milk supply is quite increased, the mother's confidence increases and the baby's suction increases.Conclusions: The implementation of lactation counseling and breastfeeding education can overcome the problem of ineffective breastfeeding and in accordance with the expected outcomes. Lactation counseling and breastfeeding education can be chosen to be carried out according to the condition of the mother in the taking hold phase, it is necessary to form a counselor as the main profession.
Asuhan Keperawatan Resiko Perdarahan Pada Ibu Hamil Dengan Placenta Previa: Studi Kasus Lailatul Fadliyah; Amellia Mardhika
Surya : Jurnal Media Komunikasi Ilmu Kesehatan Vol 13, No 2 (2021): Jurnal Surya, Vol. 13, No. 02, Agustus 2021
Publisher : Universitas Muhammadiyah Lamongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38040/js.v12i2.261

Abstract

Introduction: Placenta previa is a condition where the placenta implants in an abnormal place, namely in the lower uterine segment so that it partially or completely covers the birth canal. This situation can result in bleeding before the fetus is at term and ends with the death of the baby.Objective: This study aims to describe nursing care for the risk of bleeding in pregnant women with placenta previa.Methods: This research uses a case study design. Data collection from assessment to nursing evaluation was carried out in the obsgyn room of RSI Nasrul Ummah Lamongan in November 2019. Clients were hospitalized for a minimum of three days. Data collection techniques using interviews, observation, and documentation. Data analysis was carried out using narrative analysis based on analysis of relevant facts and theories.Results: In the study, two respondents were pregnant with 3rd parity, did not experience bleeding during pregnancy, the results of the ultrasound examination showed that the position of the placenta covered the birth canal. The nursing diagnosis established is the risk of bleeding related to pregnancy complications; placenta previa (D0012). The intervention was education, physical activity limitation, consumption of foods rich in vitamin K, iron. observation of bleeding and vital signs and collaborative for further action. Evaluation 72 hours no bleeding, no signs of anemia. The discussion is expected that nurses provide health education about placenta previa and the risk of bleeding in pregnancy.Conclusion: After implementing nursing for 72 hours there was no bleeding, no signs of anemia. The reference from this research is for nurses to provide health education about the risk of bleeding in pregnant women.Keywords: Risk of Bleeding, Placenta Previa, Pregnancy.
Latihan Kegel untuk Menurunkan Inkontinesia Urine Pasien Post-Trans Urethral Resection of the Prostate (TURP) Joko Susanto; Trijati Puspita Lestari; Amellia Mardhika; Makhfudli Makhfudli
Jurnal Kesehatan Vokasional Vol 6, No 4 (2021): November
Publisher : Sekolah Vokasi Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkesvo.66336

Abstract

Latar Belakang: Inkontinensia urine (IU) adalah komplikasi yang sering timbul setelah tindakan Trans Urethral Resection of the Prostate (TURP). Kondisi tersebut dapat diatasi dengan latihan kegel karena mampu meningkatkan daya tahan otot dasar panggul sehingga meningkatkan resistensi uretra dan memperbaiki kemampuan berkemih serta mudah dilakukan secara mandiri, kapan saja, dan dimana saja.Tujuan: Menganalisis efektifitas latihan kegel terhadap skor inkontinensia urinepasien pasca-TURPMetode: Desain penelitian menggunakan Quasi Eksperimen dengan besar sampel 64 responden yang diambil dengan metode systematic random sampling (32 kelompok intervensi, 32 kelompok kontrol). Instrumen yang digunakan kuesioner ICIQ-UI-SF untuk mengukur inkontinensia urin. Analisis data penelitian dengan uji Paired t-test dan uji Independen t-test dengan derajat kemaknaan α<0,05.Hasil: Hasil uji statistik Paired t-test menunjukkan latihan kegel mampu menurunkan skor inkontinensia urin pada pasien pasca-TURP dengan p=0,000 dan CI=0,688, dan hasil uji statistik Independent t-test didapatkan perbedaan skor inkontinensia urine pada kelompok intervensi dan kontrol pasca-latihan kegel dengan p=0,000.Kesimpulan: Latihan kegel secara efektif menurunkan skor inkontinensia urinepasien pasca-operasi TURP.
Depression, Anxiety, Coping Strategies and Quality of Life of the Elderly During the Covid-19 Pandemic Iswatun Iswatun; Ah. Yusuf; Joko Susanto; Makhfudli Makhfudli; Abd. Nasir; Amellia Mardhika
International Journal of Public Health Science (IJPHS) Vol 11, No 4: December 2022
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v11i4.21768

Abstract

Background and aims. Covid-19 is currently a global health problem, with the spread and transmission to the population almost all over the world. This has a psychological impact on the elderly which will affect mental health and quality of life. This study aims to identify the relationship of depression, anxiety, coping strategies with the quality of life of the elderly during the covid-19 pandemic in Lamongan. Method and materials. This study uses a cross sectional design, the population is all the elderly in the Lamongan area. The sampling technique used cluster sampling technique, with a total sample of 232 respondents. The independent variables are depression, anxiety and coping strategies, while the dependent variable is the quality of life of the elderly. Instruments for depression used the Geriatric Depression Scale (GDS 15), anxiety using the Geriatric Anxiety Inventory (GAI) and quality of life using the WHOQOOL-BRIEF questionnaire. Data were analyzed using the Multiple linear regression test.Result. The results showed that there was a relationship between depression and quality of life (ρ=0.001), there was a relationship between anxiety and quality of life (ρ=0.000) and there was also a relationship between coping strategies and quality of life (ρ=0.027). Conclusion. The study provides important information about the psychological impact of developing appropriate psychological interventions to improve mental health and quality of life, especially for at-risk groups, especially the elderly.
Empowerment of healthcare cadres on Stimulation of Early Detection and Intervention of Growth and Development Amellia Mardhika; Joko Susanto; Eny Qurniyawati; Anestasia Pangestu Mei Tyas
Abdimas: Jurnal Pengabdian Masyarakat Universitas Merdeka Malang Vol 7, No 2 (2022): May 2022
Publisher : University of Merdeka Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26905/abdimas.v7i2.6909

Abstract

Children’s physical, mental, social, and emotional growth and development are influenced by nutrition, health, and education. This factor can be identified by conducting early screening to see growth and development deviations in children. So interventions can be carried out as early as possible as an initial corrective action or deviations do not become more severe, and referrals are made as early as possible according to indications. Data on the coverage of health services for children under five in Lamongan Regency was 1,738 (92.3%) of 1,882 toddlers in 2019, while data in Pucuk Subdistrict contained 36 under-fives with less nutrition than 2,591 under-fives who were weighed aged 0-59 months (1.4%), 29 short toddlers out of 2,588. toddlers 0-59 months height measured (1.1%), and 68 underweight toddlers (2.6%). The target of the activity is to increase the knowledge and skills of cadres in carrying out the Stimulation of Early Detection and Intervention of Growth and Development (SDIDTK). The method is carried out in three stages, the socialization stage in the form of health education and training of cadres, the work stage in the form of mentoring during Integrated Healthcare Center (Posyandu), and the evaluation and recommendation stage. Cadres are very enthusiastic in following the material and are active during mentoring. The increase in knowledge was seen in the pre-test and post-test scores.
PENINGKATAN PENDIDIKAN GIZI (COOKING CLASS) KELOMPOK KADER POSYANDU (MP-ASI) Amellia Mardhika; Anestasia Pangestu Mei Tyas; Fanni Okviasanti; Lailatul Fadliyah; Arina Qona’ah; Joko Susanto; Hafna Ilmi Muhalla
ABDIMAS UNWAHAS Vol 6, No 1 (2021)
Publisher : Universitas Wahid Hasyim Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31942/abd.v6i1.4425

Abstract

Stunting merupakan kondisi kekurangan gizi kronis yang merupakan akibat dari kurangnya asupan gizi dalam jangka waktu lama, sehingga menyebabkan anak mengalami gangguan pertumbuhan. Salah satu upaya pencegahan stunting dilakukan melalui pemberian Makanan Pendamping ASI (MP-ASI) yang dapat diberikan oleh kader posyandu dengan bahan dasar kelor. Tujuan pengabdian masyarakat ini agar kader dapat memaksimalkan meja ke empat posyandu yaitu memberikan penyuluhan bahkan mengajarkan kepada ibu balita tentang cara membuat MP-ASI. Pelaksanaan pendidikan gizi (cooking class) dilaksanakan pada bulan Juni-Agustus 2019 yang diikuti oleh 10 kader dari 2 posyandu. Metode yang dilakukan adalah pelatihan kader, pendampingan dan evaluasi. Hasil dari pendidikan pendidikan gizi ini adalah peningkatan pengetahuan dan keterampilan kader dalam melaksanakan tugas kader pada meja 4 posyandu sehingga ibu balita dapat mempraktikkannya dirumah. Kata kunci : cooking class, kelor, kader, posyandu
Improved health education for pregnant women in performing antenatal care in the COVID-19 pandemic Lestari Sudaryanti; Amellia Mardhika; Arina Qona’ah; Anestasia Pangestu Mei Tyas; Muhammad Ardian Cahya Laksana
Abdimas: Jurnal Pengabdian Masyarakat Universitas Merdeka Malang Vol 6, No 4 (2021): November 2021
Publisher : University of Merdeka Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26905/abdimas.v6i4.5447

Abstract

COVID-19 has been declared by WHO as a global pandemic. COVID-19 affects various lines of human life, especially the health aspect. East Java has ranked second in the COVID-19 cases in Indonesia. One of the efforts made to reduce the spread of COVID-19 is through clean and healthy activities and behaviors stay at home causes people to be limited in their activities except for very important purposes, especially activities for pregnant women. Pregnant women must and should carry out regular antenatal care checks. COVID-19 causes anxiety problems and worries for pregnant women to leave the house, including having pregnancy checks. But the mother is also worried about the condition and development of the fetus. This will increase the risk of maternal and infant mortality and the SDGs target in the third objective will not be met. This community service aims to provide knowledge related to antenatal care to high-risk using Poedji Rochyati Score Card (score 6-10) and very high-risk pregnant women (score 12) during the COVID-19 period. The method used in the implementation of this community service is material from resource persons, implementation of health education, and evaluation. The pregnant women were very enthusiastic about participating in this event, it was seen from the questions given to the team and vice versa. The results of the questionnaire show that there are differences in the level of knowledge of pregnant women for pre-test and post-test.
Diabetic foot exercise training for diabetes mellitus patients to control blood glucose during the COVID-19 pandemic Arina Qona&#039;ah; Anestasia Pangestu Mei Tyas; Andri Setiya Wahyudi; Amellia Mardhika
Abdimas: Jurnal Pengabdian Masyarakat Universitas Merdeka Malang Vol 7, No 4 (2022): November 2022
Publisher : University of Merdeka Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26905/abdimas.v7i4.7672

Abstract

Physical activity restriction during the pandemic increases the risk of developing diabetic foot ulcers in patients with diabetes mellitus. Community service activities in the form of diabetic foot exercise training aim to increase knowledge and blood glucose control of diabetic mellitus patients' during the pandemic. The activities were carried out in the Tlogorejo and Madulegi villages in Sukodadi Primary Health Care for 60 patients with diabetes mellitus who are members of prolanis. Community service activities include health education about diabetes and foot care, foot exercise training and physical examination, and fasting blood glucose testing. Post-test results showed that 80% of the participants had good knowledge, 15% had sufficient knowledge, and 5% lacked knowledge. Most participants could do foot exercises, and the average fasting blood glucose level of the participants after being given counseling and training was 171.60 mg/dL. Foot exercise training can increase participants' knowledge and can be used as a way to control blood glucose during the COVID-19 pandemic.
Empowerment of elementary school teachers on Psychosocial Structured Activities (PSSA) Anestasia Pangestu Mei Tyas; Amellia Mardhika; Arina Qona&#039;ah; Joko Susanto; Ilkafah Ilkafah
Abdimas: Jurnal Pengabdian Masyarakat Universitas Merdeka Malang Vol 8, No 1 (2023): February 2023
Publisher : University of Merdeka Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26905/abdimas.v1i1.8862

Abstract

Natural disasters (floods) can cause psychological impacts and potential public health hazards. Children carrying out daily activities will be disturbed, including learning, fear, and remembering the flood under normal conditions. Children need mental health and psychosocial support, which are essential in creating and supporting states that allow optimal growth and welfare of children in disaster situations. Deket Sub-district, one of the sub-districts in Lamongan Regency, is a frequent flood. Sidomulyo Village has the highest flood height, with water levels between 15 to 37 centimeters in 2022. SDN Sidomulyo 1 is one of the schools affected by this annual flood. This activity aims to increase elementary school teachers' knowledge and skills in providing Psychosocial Structured Activities (PSSA) through empowering elementary school teachers. The method used is the first stage: training elementary school teachers, the second stage: assisting elementary school teachers in carrying out PSSA for elementary school students, and the third stage: is evaluation and follow-up plans. The teachers and students were enthusiastic and active in participating in the various stages of the activity. There is an effect of training PSSA on the level of teacher knowledge (p = 0.014), and all teachers have good skills after being given training and mentoring.