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Krisdiana Wijayanti
Poltekkes Kemenkes Semarang
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UPAYA PENCEGAHAN STUNTING MELALUI E-KLAS BAPAK PEDULI STUNTING Purnanti, Katrin Dwi; -, Marsum; Wijayanti, Krisdiana; -, Walin
Jurnal Sains Kebidanan Vol 6, No 2 (2024): NOVEMBER 2024
Publisher : POLTEKKES KEMENKES SEMARANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jsk.v6i2.11357

Abstract

Indonesia menghadapi tantangan gizi yang kompleks yang dikenal dengan triple beban, meliputi gizi kurang, defisiensi mikronutrein, dan gizi lebih. Stunting atau gizi buruk pada balita menjadi salah satu isu kritis yang menuntut solusi inovatif dan partisipasi aktif dari semua pihak, termasuk bapak dalam keluarga. Stunting tidak hanya mencerminkan masalah gizi, tetapi juga berkaitan erat dengan faktor-faktor lingkungan dan sanitasi yang kurang memadai. Peneliti telah mengembangkan sebuah inovasi melalui E-kelas Bapak Peduli Stunting dirancang khusus untuk melibatkan para bapak sebagai agen perubahan dalam upaya pencegahan stunting. Tujuan penelitian ini mengetahui efektifitas  E-kelas bapak peduli stunting dengan pendekatan sanitasi dan lingkungan terhadap upaya pencegahan stunting pada balita. Metode penelitian quasy experimental dengan pretest posttest with control group design, terdiri dari 2 kelompok. Populasi yaitu Bapak yang memiliki balita usia 2-36 bulan di wilayah kerja Puskesmas Baturaden 2 Kabupaten Banyumas, dengan jumlah sampel 33 responden setiap kelompok. Intervensi e-kelas bapak peduli stunting dengan kelas WA selama 3 minggu. Analisis Bivariate mengunakan Wilcoxon. Hasil penelitian menunjukkan terdapat pengaruh E-Klass bapak peduli stunting terhadap pengetahuan bapak (p=0,02), dan perilaku bapak (p0,001). Kegiatan E-Klass bapak peduli stunting dengan pendekatan sanitasi dan lingkungan selama 3 minggu efektif sebagai upaya pencegahan balita stunting.
KAPSUL EKSTRAK KULIT PISANG AMBON MENINGKATKAN KADAR NITRIT OKSIDA PADA WANITA HIPERTENSI USIA SUBUR Ramadanti, Anisa Alfia; Wijayanti, Krisdiana; Isnawati, Muflihah
Media Penelitian dan Pengembangan Kesehatan Vol. 34 No. 3 (2024): MEDIA PENELITIAN DAN PENGEMBANGAN KESEHATAN
Publisher : Poltekkes Kemenkes Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34011/jmp2k.v34i3.2105

Abstract

Hypertension affects individuals of all ages, including women. One of the contributing factors to hypertension is oxidative stress. Banana peel contains high levels of flavonoids, which increase antioxidant activity. This study aimed to analyze the effect of ambon banana peel extract capsules on increasing nitric oxide levels and reducing blood pressure hypertensive women. This research employed quasi experimental design with purposive sampling, non randomized pre and post test control group design. The sample included 32 hypertensive women divided into two groups 16 in the intervention group and 16 in the control group. The intervention group received 2,500 mg of banana peel extract capsules addition to antihypertensive drugs, the control group received only antihypertensive drugs. Both groups were treated for 14 days. The results indicated that the mean systolic blood pressure the intervention group decreased average of 16.32 mmHg, compared to decrease of 7.49 The results indicated that the mean systolic blood pressure in the intervention group decreased an average of 16.32 mmHg, compared decrease of 7.49 mmHg in the control group. Mean diastolic blood pressure the intervention group decreased by 12.56 mmHg, compared decrease 4.68 mmHg in the control group. Nitric oxide levels increased by 61.06 points in the intervention group and decreased by 19.75 points the control group. Conclusion, the study found significant differences in pretest-posttest systolic and diastolic blood pressure between the intervention and control groups, indicating that ambon banana peel extract capsules effectively increase nitric oxide levels and reduce blood pressure in hypertensive women
PENGARUH SPRAY GEL EKSTRAK BATANG BAJAKAH TAMPALA (SPATHOLOBUS LITTORALIS HASSK) TERHADAP PENYEMBUHAN LUKA PERINEUM PADA IBU NIFAS Sindi, Fitriana; Wijayanti, Krisdiana; Ningtyas, Endah Aryati Eko
Media Penelitian dan Pengembangan Kesehatan Vol. 34 No. 3 (2024): MEDIA PENELITIAN DAN PENGEMBANGAN KESEHATAN
Publisher : Poltekkes Kemenkes Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34011/jmp2k.v34i3.2106

Abstract

Perineal laceration occurred during childbirth, either naturally or through episiotomy. One alternative for perineal wound healing was using a spray gel of Bajakah tampala stem extract, which had anti-inflammatory, antioxidant, and antibacterial benefits that helped accelerate perineal wound healing. The spray technique delivered the preparation directly to the wound without contact with cotton, reducing waste and preventing infection or contamination. This study aimed to determine the effect of Bajakah tampala stem extract spray gel (Spatholobus littoralis Hassk.) on perineal wound healing in postpartum women. The study was conducted at the Eka Setyowati midwife practice and Ngesrep Health Center from January to February 2024. It was a quasi-experiment with a pretest and posttest control group design. Using purposive sampling, 36 respondents were obtained and divided into two groups: the control group, which received dry clean wound care, and the intervention group, which was given Bajakah tampala stem extract spray gel three times a day for seven days with three sprays per application. The perineal wounds were measured using the REEDA scale (Redness, Edema, Ecchymosis, Discharge, Approximation) on the 3rd, 5th, and 7th days. The results showed a decrease in the REEDA score on post-test I (the 5th day), with an average score of 2.78 in the intervention group compared to the control group, which had an average REEDA score of 5.72. The administration of Bajakah tampala stem extract spray gel (Spatholobus littoralis Hassk.) affected perineal wound healing in postpartum women based on the REEDA score.
PENGEMBANGAN PEMBALUT BUNGA TELANG BERBASIS NANOTECHNOLOGY DAN AKURASI DALAM DETEKSI DINI KETUBAN PECAH DINI Miraningtyas, Ating; Wijayanti, Krisdiana; Isnawati, Muflihah
Media Penelitian dan Pengembangan Kesehatan Vol. 34 No. 3 (2024): MEDIA PENELITIAN DAN PENGEMBANGAN KESEHATAN
Publisher : Poltekkes Kemenkes Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34011/jmp2k.v34i3.2129

Abstract

The incidence of premature rupture of membranes (PROM) reaches 12.3% of total births throughout the world. Efforts to detect early KPD still face problems, namely the use of litmus paper which is small in size and there are no regulations regarding its use, so a tool is needed that has the same function as litmus paper in detecting amniotic fluid which can be used and used by pregnant women independently. The study aimed to develop nanotechnology-based butterfly pea flower pads in early detection of PROM. The research method used is Quasy Experimental, with purposive sampling technique, using an observation sheet. The sanitary napkin design is designed with a telang flower indicator for PROM detection with a sanitary napkin length of 22 cm and a width of 7 cm. Testing was carried out on 30 pregnant women in Jati District, Blora Regency, at January 20 to February 19, 2024. Statistical analysis uses Anova, Multiple Comparison test and Tukey's Difference Test. The research results obtained accuracy, sensitivity and specificity values ​​of 100%. Sanitary napkins do not cause irritation to the skin, have an ideal absorbency of 10x the initial weight, a chlorine concentration of 1.8 ppm with a total of 39 bacterial colonies which is still below the quality threshold for sanitary napkins. The study concluded that butterfly pea flower sanitary napkin products can accurately replace litmus paper as an indicator for early detection of PROM.
Psychoeducation reduces anxiety and cortisol hormones in high-risk pregnant women Sahupala, Sapiah; Suharsono, Suharsono; Wijayanti, Krisdiana
MEDISAINS: Jurnal Ilmiah Ilmu-Ilmu Kesehatan Early Release
Publisher : Universitas Muhammadiyah Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/medisains.v0i0.23398

Abstract

Background: High-risk pregnancy poses significant challenges to both maternal and fetal health, increasing the risk of complications, anxiety, and elevated cortisol levels. Anxiety in high-risk pregnancies has been widely studied, but most interventions focus on pharmacological treatments or psychological support without integrating physiological stress markers such as cortisol levels. Psychoeducation is a nonpharmacological intervention designed to enhance understanding, equip women with stress management skills, and promote confidence in facing pregnancy. However, limited studies have examined its direct impact on both anxiety and cortisol levels in high-risk pregnant women.Purpose: This study aims to evaluate the effectiveness of psychoeducation in reducing anxiety and cortisol levels among high-risk pregnant women.Methods: This study employed a pre-experimental one-group pretest-posttest design without a control group. The intervention consisted of four structured psychoeducation sessions, each lasting 120 minutes over two weeks. A total of 23 high-risk pregnant women participated in the study. Anxiety levels were measured using the DASS-21, and cortisol levels were assessed through saliva samples collected before and after the intervention. Data were analyzed using the Wilcoxon signed-rank test.Results: The findings revealed a significant reduction in anxiety scores from 15.60 ± 2.99 to 8.52 ± 1.88 (p < 0.001) and cortisol levels from 15.72 ± 9.10 to 10.40 ± 6.97 (p < 0.001), indicating the effectiveness of psychoeducation in reducing both psychological and physiological stress in high-risk pregnancies.Conclusion: Psychoeducation, delivered through four sessions over two weeks, is effective in reducing anxiety and cortisol levels in high-risk pregnant women. This intervention should be integrated into prenatal care to support maternal well-being and stress management.
Potensi Daun Jambu Biji sebagai Agen Antiinflamasi untuk Perawatan Trauma Puting pada Ibu Menyusui: Literature Review Husna, Dewi Asmaul; Wijayanti, Krisdiana; Susanto, Edy
MAHESA : Malahayati Health Student Journal Vol 5, No 8 (2025): Volume 5 Nomor 8 (2025)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v5i8.19032

Abstract

ABSTRACT  Trauma to the nipple such as excoriation (abrasions), hyperemia, and fissures is often one of the main reasons mothers stop breastfeeding. Therefore, proper treatment is needed to prevent this condition. Research related to non-pharmacological therapy as an effort to treat nipple trauma has been conducted, one of which is by utilizing plants containing flavonoids that function as anti-inflammatory agents. This study aims to examine the potential of guava leaves as an anti-inflammatory agent that can be used as an alternative treatment for nipple trauma. This article adopts the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) as a guideline. The database was taken from Science Direct, PubMed, and Google Scholar. The search was conducted using keywords such as "psidium guava" or "wound healing" or "psidium guava leaves antiinflamatory" or "Psidium guajava linn for wound". In this review, ten articles were analyzed to see the study design, objectives, results, and conclusions. The results of observations that have been made guava leaves have the potential as a medicine for nipple trauma because they contain flavonoids that act as anti-inflammatory. The results of observations that have been carried out show that guava leaves have the potential as a natural medicine to treat nipple trauma, thanks to their flavonoid content which has anti-inflammatory agen. Keywords: Nipple Trauma, Flavonoids, Anti-inflamatory, Guajava Leaves  ABSTRAK Trauma pada puting seperti ekskoriasi (lecet), hiperemia, dan fisura sering menjadi salah satu alasan utama ibu menghentikan pemberian ASI. Oleh karena itu, diperlukan penanganan yang tepat untuk mencegah kondisi tersebut. Penelitian terkait terapi non-farmakologi sebagai upaya pengobatan trauma puting telah dilakukan, salah satunya dengan memanfaatkan tanaman yang mengandung flavonoid berfungsi sebagai agen antiinflamasi. Penelitian ini bertujuan untuk mengkaji potensi daun jambu biji sebagai agen antiinflamasi yang dapat digunakan sebagai alternatif pengobatan trauma puting. Penelitian ini menggunakan metode Preferred Reporting Items for Systematic Review and Meta Analysis (PRISMA). Database diambil dari Science Direct, PubMed, dan Google Scholar. Pencarian dilakukan dengan menggunakan kata kunci seperti "psidium guava leaves" atau "wound healing" atau "psidium guajava leaves antiinflamasi" atau “daun jambu biji untuk luka”. Dalam tinjauan ini, sepuluh artikel dianalisis untuk melihat desain penelitian, tujuan, hasil, dan kesimpulan. Hasil tinjauan yang telah dilakukan menunjukkan bahwa daun jambu biji memiliki potensi sebagai obat alami untuk mengatasi trauma pada puting susu. Hal ini dikarenakan daun jambu biji mengandung flavonoid yang memiliki sifat antiinflamasi. Kata Kunci: Trauma Puting, Flavonoids, Anti-inflamasi, Daun Jambu Biji
Studi Deskriptif: Status Gizi, Kadar Hb Pada Ibu Nifas Hari Ke-1 Sampai Hari Ke-7 Dengan Luka Perineum Oktari, Ida Ayu; Wijayanti, Krisdiana; Anwar, M. Choiroel
MAHESA : Malahayati Health Student Journal Vol 5, No 10 (2025): Volume 5 Nomor 10 (2025)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v5i10.19531

Abstract

ABSTRACT Perineal suture wounds occur in 75% of mothers who give birth normally. Wound healing is a quality of tissue life, itis also related to tissue regeneration. Age, position, tissue management, proper nutrition, hb levels, hygiene, andrest. Poor nutritional status or maternal nutrition will potentially slow down wound healing.  To determine the description of nutritional status and hb levels of postpartum mothers on the 1st day to the 7th day with perineallesions. Descriptive analytical research and using a cross-sectional study design. The results of the study of Hb levelsof postpartum mothers with perineal wounds that were not anemia were 79.4%, mild anemia was 14.7%. Thenutritional status of protein intake deficit was 17.6%, normal protein intake was 35.2%, fe intake was 35.2%, and feintake was 44.1%. The nutritional status and hb levels of postpartum mothers with perineal wounds are necessaryduring the healing period of perineal wounds, and a good nutritional balance is achieved through adequatenutritional intake, in the form of eating and drinking within a 24-hour period containing calories, protein and fe. Keywords : Nutritional Status, Hb, Perineal Wounds, Postpartum  ABSTRAK Luka jahitan perineum terjadi pada 75% ibu yang melahirkan secara normal. Penyembuhan luka adalah suatu kualitas dari kehidupan jaringan, hal ini juga terkait dengan regenerasi jaringan. Usia, posisi, penatalaksanaan jaringan, nutrisi yang tepat, kadar hb, kebersihan, dan istirahat. Status gizi atau nutrisi ibu yang kurang baik akan berpotensi memperlambat penyembuhan luka. Mengetahui gambaran status gizi dan kadar hb ibu nifas hari ke-1 samapai hari ke-7 dengan luka perineum. Penelitian analitik deskriptif dan menggunakan desain studi cross secsional. Hasil penelitian kadar Hb ibu nifas dengan luka perineum yang tidak anemia 79,4%, anemia ringan 14,7%. Status gizi intake protein deficit berat 17,6%, intake protein normal  35,2%, intake fe  cukup 35,2%, dan intake fe kurang  44,1%. Status gizi dan kadar hb ibu nifas dengan luka perineum diperlukan pada masa penyembuhan luka perineum, dan keseimbangan gizi yang baik tercapai melalui asupan gizi yang memadai, berupa makan dan minuman dalam periode 24 jam mengandung kalori, protein dan fe. Kata Kunci: Status Gizi,Hb, Luka Perineum, Nifas
EFFECTIVENESS OF PAPAYA LEAF EXTRACT SPRAY ON THE HEALING OF PERINEAL WOUNDS WHITE RATS Setyaningsih, Erna; Wijayanti, Krisdiana; Susanto, Edy; Runjati, Runjati
Media Penelitian dan Pengembangan Kesehatan Vol. 35 No. 3 (2025): MEDIA PENELITIAN DAN PENGEMBANGAN KESEHATAN
Publisher : Poltekkes Kemenkes Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34011/jmp2k.v35i3.3020

Abstract

Kejadian robekan perineum pada ibu pasca bersalin mendekati angka 90%. Kondisi luka robekan perineum yang kurang baik dapat menjadi tempat awal terjadinya infeksi. Kejadian infeksi terjadi kisaran antara 0,1%-23,6% pada ibu pascapersalinan. Perawatan luka perineum dapat mencegah infeksi dan mempercepat penyembuhan. Daun pepaya mengandung senyawa flavonoid, saponin, tanin yang dapat mempercepat kesembuhan luka. Tujuan dalam penelitian ini untuk membuktikan efektivitas dari spray ekstrak daun pepaya terhadap kesembuhan luka perineum menurut skor skala REEDA. Penelitian dilaksanakan di laboratorium hewan coba Universitas Muhammadiyah Semarang pada tanggal 6-19 November 2024. Jenis penelitian ini merupakan true experiment dengan metode posttest-only control group design menggunakan teknik simple random sampling. Jumlah sampel 36 tikus betina yang diberi luka insisi  ±1 cm. Kemudian, dibagi menjadi 2 kelompok yaitu kelompok intervensi yang memperoleh spray ekstrak daun pepaya 10% dan perawatan bersih kering 2x/hari selama tujuh hari. Pada kelompok kontrol diberikan perawatan bersih kering 2x/hari selama tujuh hari. Analisis data menggunakan Friedman Test dan Mann Whitney Test. Alat ukur penelitian ini menggunakan skor skala REEDA. Spray ekstrak daun pepaya efektif dalam mempercepat kesembuhan luka perineum pada hari ketujuh (0,00±0,000) dibandingkan kelompok kontrol (0,50±0,514) dengan nilai p-value 0,001. Pemberian spray ekstrak daun pepaya efektif sebagai alternatif pengobatan tradisional berbasis herbal dalam praktik kebidanan untuk mempercepat kesembuhan luka perineum.
Development of Spray Made From Kelakai Leaves (Stenochlaena palustris) and Effectiveness in the Healing of Perineal Wounds Oktari, Ida Ayu; Wijayanti, Krisdiana; Anwar, M. Choiroel
JURNAL INFO KESEHATAN Vol 23 No 3 (2025): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol23.Iss3.1919

Abstract

The prognosis or possible diagnosis in postpartum mothers with perineal suture wounds is the possibility of infection of perenium suture wounds. Kelakai leaf plants are plants that contain flavonoids, tannins, saponins, alkaloids, and tripenoids. This study aims to innovate and develop perineal wound medicine using kelakai leaf spray and analyze its effectiveness based on REEDA scale indicators (redness,edema, ecchymosis, discharge, approximation). This study uses a quantitative method with a Reseach and development approach. The sampling technique uses non-probability sampling with a type of purposive sampling selecting 34 respondents, who are divided directly between the two groups. The intervention group received treatment of perineal wounds for 7 days with kelakai leaf spray and education on how to treat perineal wounds, while the control group received treatment with placebo spray and education on how to treat perineal wounds. The spray is administered four times a day with a dose of four sprays. Wound healing was measured by the REEDA Scale on days 3, 5, and 7. A tool to measure hb levels with digital hb, to measure protein intake, calorie intake, and fe intake using food recall. Data analysis includes Friedman and Mann Whitney as well as Stratification. The results showed that there was a difference in the average healing of perineal wounds at the observation time between the intervention group and the control group (p=0.000). On average, the difference in perineal wound healing using the REEDA scale showed a significant difference between the intervention group and the control group (p=0.000). A value of 3.2 is considered a relatively large measure of effect. The irritation test obtained results that did not cause irritation, In conclusion, the developed Kelakai leaf spray was effective in helping to accelerate the healing of perineal wounds, as evidenced by the difference in the mean healing time of perineal wounds with the SIGINFIC REEDA scale in postpartum mothers in the intervention group compared to the control group (p=0.000).
Co-Authors -, Marsum -, Walin Ani, Murti Anjar Astuti Arwani Arwani Aulia Fatmayanti Ayu Berlita, Cylia Dzikra Bedjo Santoso Bedjo Santoso Kadri bellataufik, Addelia Yosi Dinda Dian Meidita Djamaluddin Ramlan, Djamaluddin Djamil, Masrifan Dwi Winarni edy susanto Emi Murniati Endah Aryati Eko Ningtyas Erni Nuryanti Feri Anita Wijayanti Harwijayanti, Bekti Putri Heni Hendriyani Herlina Tri Damailina Husna, Dewi Asmaul Ika Yuni Susanti, Ika Ika Yuni Susanti, Ika Yuni Kenhapsari, Devinta Widya KOMARIYAH KOMARIYAH Kuswanto Kuswanto Lanny Sunarjo M. Choiroel Anwar Mardiyono Mardiyono Melyana Nurul Widyawati Miraningtyas, Ating Muflihah Isnawati Murti Ani Ngadiyono Ngadiyono Non Rachmani Yustiza Novita Ika Wardani Novita Ika Wardani Oktari, Ida Ayu Purnanti, Katrin Dwi Rahmatia, Diyah Annisa Ramadanti, Anisa Alfia Raraswati, Rhela Panji Safitri, Rahmah Diani Sahupala, Sapiah Sari, Tatsa Putri Kumala Setyaningsih, Erna Shelvi Ovi Lestari Sherin Sausan Wulandari Sindi, Fitriana Siti Halimah Siti Syarashinta Cahyaningsih Sudirman Sudirman Suharsono Suharsono Suryati Kumorowulan Taadi Taadi Yanik Muyassaroh Yanik Muyassaroh