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PENDAMPINGAN KELOMPOK IBU DALAM MEMBERIKAN STIMULASI TUMBUH KEMBANG BAYI DENGAN MEMBERIKAN RANGSANGAN TAKTIL (PIJAT BAYI) DI WILAYAH KELURAHAN BANJARSENGON KECAMATAN PATRANG KABUPATEN JEMBER Kiswati, Kiswati; Karnasih, I Gusti Ayu
Jurnal IDAMAN (Induk Pemberdayaan Masyarakat Pedesaan) Vol. 7 No. 1 (2023): Jurnal IDAMAN (Induk Pemberdayaan Masyarakat Pedesaan)
Publisher : Politeknik Kesehatan Kemenkes malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/j.idaman.v7i1.3829

Abstract

Baby massage is useful for increasing the amount and cytotoxicity of the immunity system (natural killer cells), stimulating digestive function as well as discharge, helping to train relaxation, reducing depression and tension, improving alertness, reducing pain, reducing bloating and colic (abdominal pain), increasing breast milk volume, increasing weight, promoting growth, increasing baby concentration and making sleep well, fostering parental and child affection bonds (bonding), as well as improving blood circulation and breathing (Roesli, 2009). Knowledge about baby massage is still unknown to the public, because people still entrust baby massage to baby shamans and the lack of public knowledge to do baby massage. Community service in general to increase community independence through mentoring mother groups and cadres in doing baby massage independently through baby massage education and training by introducing theory and practicing baby massage methods. The results of community service obtained about the level of knowledge of parents about baby massage before education and training are mostly in the sufficient category, a small part of the category is lacking, and after being given education and training, some are in the sufficient category and quite a lot are in the good category. Mothers' skills in massaging before being trained in the category are less 53.8Percent and after being trained the majority of the categories are both 65.4Percent and most mothers are regular in massaging their babies.
Efektifitas William’s Flexion Exercise Dengan Kompres Hangat Terhadap Dismenorea Primer di MAN 2 Jember Dewi, Mega Sylviana; Restanty, Dian Aby; Karnasih, I Gusti Ayu
Malang Journal of Midwifery (MAJORY) Vol. 2 No. 2 (2020): MAJORY
Publisher : Poltekkes Kemenkes Malang & IBI Ranting Pendidikan Kota Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/majory.v2i2.1606

Abstract

The incidence of menstrual pain (dysmenorrhoea) in MAN 2 Jember was 61.6%. This study aims to determine the difference in the effectiveness of William's flexion exercise with warm compresses on primary dysmenorrhoea pain. The research design used a Quasi-Experiment with a non-equivalent pretest-posttest design. The population consisted of 37 female students and the sample taken was a sample that met the inclusion criteria contained in chapter three as many as 34 students, the sample was divided into 2 treatment groups, namely 17 students were treated with William's Flexion exercise and 17 students were treated with warm compresses. This research uses simple random sampling technique. The research instrument used the Standard Operational Procedure and Numeric Rating Scale, with the Wilcoxon match pairs test and the Mann Whitney U test. Wilcoxon test results p-value 0.000, and an error level of 5% (2-sided test), which means that there is a difference in the level of dysmenorrhoea pain before and after being given warm compresses and William's flexion exercise and the results of the Mann Whitney U test obtained Z value = -1.285 with an error rate of 5%, then -1.96 <-1.285 <+1.96, meaning that there is no difference in the effectiveness of William's Flexion Exersice with warm compresses on primary dysmenorrhoea. The two methods are equally effective in reducing primary dysmenorrhoea pain, although there are slight differences. Where a warm compress is better at reducing the pain intensity of primary dysmenorrhoea. Keywords: Warm Compress, William's Flexion Exercise, Primary Dysmenorrhoea
Klasifikasi Tongue Tie Berdasarkan Kadar Billirubin Bayi Baru Lahir Kartikawati, Febriana; Bachri, Syaiful; Karnasih, I Gusti Ayu
Malang Journal of Midwifery (MAJORY) Vol. 3 No. 1 (2021): MAJORY
Publisher : Poltekkes Kemenkes Malang & IBI Ranting Pendidikan Kota Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/majory.v3i1.1795

Abstract

Tounge tie is a variation of the anatomy of the tongue frenulum, the frenulum being shorter and thicker than normal shape. This incident is experienced in many infants (General & General, 2013). Based on a preliminary study conducted at the Jember Clinic Hospital in August 2019, it was found that 20% of 45 baby births had tongue tie. This study aims to determine the relationship between tongue tie classification and billirubin levels of newborns at the Jember Regency Private Hospital. This type of research is a quantitative study with cross sectional approach. The population of 22 infants aged 0-7 days in January 2020 to April 2020 and obtained a sample of 22 babies using the incidental sampling technique. Data collection instruments using the patient's medical record file. Measuring instruments used are intervals and nominal with Spearman rho analysis using 2 tails significance with a confidence level of 95% (? = 0.050). The results showed a significant value <0.050 (0,000 <0.050) which means that there was a significant relationship between the tongue tie classification variable and the variable billirubin content. For health workers, especially midwives need to improve the ability to identify babies with tongue tie to prevent the increase in billirubin levels in newborns. Keywords: Tongue tie, Tie Classification And Billirubin Levels
The Influence of Maternal Age on Stunting Toddlers in Balung Lor Village, Balung District Ernawati, Efa; Karnasih, I Gusti Ayu; M, Syska Atik; Fakhriza, Ilmah
Jurnal Kesehatan dr. Soebandi Vol 12 No 1 (2024): Jurnal Kesehatan dr. Soebandi
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Universitas dr. Soebandi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36858/jkds.v12i1.515

Abstract

Stunted toddlers represent a chronic nutritional problem that is influenced by maternal conditions. The intra-uterine growth and development of the fetus, as well as the postnatal development of toodlers,  are influenced by maternal factors. This study aims to analyze the effect of maternal age during pregnancy on the inscidence of stunting in toddlers. The design of this study is a comparative analytic method with a retrospective approach. The population is all mothers with stunted children aged 0-59 months, totalling 178 toddlers. A sample of 123 was taken using random sampling technique.  Data were collected using observation sheets. The obtained data then were analyzed using chi square test. There was no effect of maternal age during pregnancy  on the incidence of stunting in toddlers (p value = 0.649). Very short stunted in toddlers is observed among those whose mothers were in the category of healthy reproductive age (20-35 years). Maternal age during pregnancy is not the main factor causing stunting.  So it is necessary to research other causal factors. 
Hubungan Pola Makan Berlemak dan Aktivitas Fisik dengan Kejadian Hiperkolesterolemia pada Akseptor KB dengan Depo Medroxy Progesterone Acetate (DMPA) di Praktek Mandiri Bidan (PMB) Amalia, Ana; Bachri, Syaiful; Karnasih, I Gusti Ayu
JPP JURNAL KESEHATAN POLTEKKES PALEMBANG Vol 19 No 2 (2024): JPP (Jurnal Kesehatan Poltekkes Palembang)
Publisher : Poltekkes Kemenkes Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/jpp.v19i2.2532

Abstract

Background: Hypercholesterolemia is a problem that many people complain about, especially DMPA birth control acceptors (Depo Medroxy Progesterone Acetate). The aim of this research is to analyze the relationship between fatty eating patterns and physical activity with the incidence of hypercholesterolemia in Ana Amalia's PMB. Methods: This research uses a type of Observational research with a cross sectional design. The population was 63 people with a sample size of 54 people and used the chi square test. Results: Ha was accepted, which means there is a relationship between fatty eating patterns and physical activity and the incidence of hypercholesterolemia in Ana Amalia's PMB. Conclusion: There is a close relationship between fatty eating patterns and physical activity and the incidence of hypercholesterolemia. The more frequently DMPA contraceptive acceptors consume fatty foods, the greater the incidence of hypercholesterolemia, as well as physical activity, people who do light physical activity tend to suffer from hypercholesterolemia, this is because fat in the body is not burned.
Pengosongan Payudara dengan Pompa ASI Meningkatkan Produksi ASI Ibu Bekerja Vinydea, Yosi Irlinta; Syiska Atik M; Karnasih, I Gusti Ayu; Ilmah Fakhriza
Indonesian Health Issue Vol. 4 No. 1 (2025): FEBRUARI
Publisher : Indonesian Journal Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47134/inhis.v4i1.82

Abstract

Background: Breastfeeding mothers often face a lack of milk production due to factors like changes in diet when returning to work and not breastfeeding or pumping frequently. In a previous study conducted at Arjasa Public Health Center, 100% of respondents reported inadequate milk production. Purpose : This study aims to analyze the effect of breast emptying using a breast pump on milk production in the Arjasa area. Methods: This study used a posttest-only control group design with 34 respondents, 17 in the control group and 17 people in the treatment group. Data were collected through a questionnaire and analyzed using the independent t-test statistical technique. Results: Independent t-test showed that the p-value was 0.001 < α = 0.05, leading to H0 rejection and Ha acceptance. This indicates that breast emptying using a breast pump affects breast milk production in working mothers in the Arjasa Community Health Center area. Conclusion: Breast emptying using a breast pump increases milk production. This increases prolactin hormone levels, the more milk emptied, the more milk produced. Thus, educating and supporting breastfeeding mothers in using a breast pump properly and the benefits of breast emptying is crucial for optimizing milk production.
FAKTOR-FAKTOR RENDAHNYA KUNJUNGAN MAHASISWA KE PERPUSTAKAAN Sari, Rika Mahardika; Karnasih, I Gusti Ayu; Fakhriza, Ilmah
LEARNING : Jurnal Inovasi Penelitian Pendidikan dan Pembelajaran Vol. 5 No. 2 (2025)
Publisher : Pusat Pengembangan Pendidikan dan Penelitian Indonesia (P4I)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51878/learning.v5i2.4867

Abstract

The low level of student visits to the library is a significant problem that requires serious attention in the academic environment of Campus I Poltekkes Kemenkes Malang, considering the vital role of the library in supporting the learning and research process. Therefore, this study aims to identify and analyze in depth various factors that contribute to the low interest of students visiting the library facilities. This study uses a quantitative descriptive method with a survey approach to obtain a clear picture. Primary data were collected by distributing structured questionnaires to 110 students who were selected representatively from various study programs on the campus. The results of the study revealed several dominant factors that influenced the low visits, including the lack of student awareness of the importance of the role of the library (65%), limited book collections that are less relevant to the needs of the current curriculum (58%), and physical facilities that are considered inadequate (45%). In addition, the library's less flexible operating schedule (32%) and the increasing preference for digital resources along with technological developments were also identified as significant contributors. Based on these findings, this study recommends that library managers make strategic efforts such as increasing service promotion effectively, updating library material collections to be more in line with developments in science and curriculum, and improving facilities to be more comfortable and increasing accessibility. These steps are expected to revitalize the role of libraries as centers of interesting and essential learning resources for students. ABSTRAKRendahnya tingkat kunjungan mahasiswa ke perpustakaan menjadi permasalahan signifikan yang memerlukan perhatian serius di lingkungan akademik Kampus I Poltekkes Kemenkes Malang, mengingat peran vital perpustakaan dalam mendukung proses pembelajaran dan penelitian. Oleh karena itu, penelitian ini bertujuan untuk mengidentifikasi dan menganalisis secara mendalam berbagai faktor yang berkontribusi terhadap rendahnya minat kunjungan mahasiswa ke fasilitas perpustakaan tersebut. Penelitian ini menggunakan metode deskriptif kuantitatif dengan pendekatan survei untuk memperoleh gambaran yang jelas. Data primer dikumpulkan melalui penyebaran kuesioner terstruktur kepada 110 mahasiswa yang dipilih secara representatif dari berbagai program studi di kampus tersebut. Hasil penelitian mengungkapkan beberapa faktor dominan yang memengaruhi rendahnya kunjungan, antara lain kurangnya kesadaran mahasiswa akan pentingnya peran perpustakaan (65%), keterbatasan koleksi buku yang kurang relevan dengan kebutuhan kurikulum terkini (58%), serta fasilitas fisik yang dinilai kurang memadai (45%). Selain itu, jadwal operasional perpustakaan yang kurang fleksibel (32%) dan meningkatnya preferensi terhadap sumber daya digital seiring perkembangan teknologi juga diidentifikasi sebagai kontributor signifikan. Berdasarkan temuan tersebut, penelitian ini merekomendasikan agar pengelola perpustakaan melakukan upaya strategis seperti peningkatan promosi layanan secara efektif, pembaruan koleksi bahan pustaka agar lebih sesuai dengan perkembangan ilmu pengetahuan dan kurikulum, serta perbaikan fasilitas menjadi lebih nyaman dan peningkatan aksesibilitas. Langkah-langkah ini diharapkan dapat merevitalisasi peran perpustakaan sebagai pusat sumber belajar yang menarik dan esensial bagi mahasiswa.
HUBUNGAN DUKUNGAN KELUARGA DAN KEJADIAN IKUTAN PASCA IMUNISASI DENGAN KETEPATAN WAKTU PEMBERIAN IMUNISASI SUNTIKAN GANDA Oktaviana, Eka; Kiswati, Kiswati; Karnasih, I Gusti Ayu
HEALTHY : Jurnal Inovasi Riset Ilmu Kesehatan Vol. 4 No. 3 (2025)
Publisher : Pusat Pengembangan Pendidikan dan Penelitian Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51878/healthy.v4i3.7053

Abstract

The accuracy of administering double injection immunization is very important to ensure optimal protection for infants. East Java immunization data has decreased by 63.93% from 93.6%. The occurrence of Adverse Events (AEFI) can affect perceptions of immunization. Family support plays an important role in the success of immunization. Researchers want to know whether there is a relationship between family support and post-immunization adverse events with the timeliness of administering double injection immunization to infants aged 5-12 months in Karangsemanding village, Karangduren Community Health Center area. This quantitative research design is an analytical survey with a Cross Sectional approach. Data from the questionnaire and checklist results were then tested and analyzed using Fisher's Exact test. There is no relationship between Family Support and the Timeliness of Double Injection Immunization with p 0.421 > ? = 0.05. There is a relationship between post-immunization adverse events with the Timeliness of Double Injection Immunization with p 0.008 < ? = 0.05. There is no relationship between family support and the timeliness of double injection immunization. There is a relationship between post-immunization events and the timeliness of administering double injection immunization. ABSTRAKKetepatan pemberian imunisasi suntikan ganda sangat penting untuk memastikan perlindungan yang optimal bagi bayi. Data imunisasi jawa timur mengalami penurunan yaitu 63.93 % dari 93.6%.  KIPI yang terjadi dapat mempengaruhi persepsi terhadap imunisasi. Dukungan keluarga memegang peranan penting dalam keberhasilan imunisasi. Peneliti ingin mengetahui apakah ada hubungan dukungan keluarga dan kejadian ikutan paska imunisasi dengan ketepatan waktu pemberian imunisasi suntikan ganda pada bayi usia 5-12bulan di desa karangsemanding wilayah puskesmas karangduren. Desain penelitian kuantitatif  ini adalah survei analitik dengan pendekatan Cross Sectional. Data dari hasil kuisioner dan ceklist kemudian diuji dan dianalisis uji fisher’s Exact. Tidak ada hubungan Dukungan Keluarga dengan Ketepatan waktu Pemberian Imunisasi Suntikan Ganda dengan p 0,421 > ? = 0,05. Ada hubungan kejadian ikutan paska Imunisasi Dengan Ketepatan Pemberian Imunisasi Suntikan ganda dengan p 0,008< ? = 0,05. Tidak ada hubungan dukungan keluarga dengan ketepatan waktu pemberian imunisasi suntikan ganda. Ada hubungan kejadian ikutan pasca imunisasi dengan ketepatan waktu pemberian imunisasi suntikan ganda. 
HUBUNGAN PERSEPSI IBU HAMIL TENTANG KEHAMILAN RESIKO TINGGI DENGAN NIAT RUJUKAN DI WILAYAH KERJA PUSKESMAS KARANGDUREN Lijayani, Putri; Karnasih, I Gusti Ayu; Gumiarti, Gumiarti
HEALTHY : Jurnal Inovasi Riset Ilmu Kesehatan Vol. 4 No. 3 (2025)
Publisher : Pusat Pengembangan Pendidikan dan Penelitian Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51878/healthy.v4i3.7054

Abstract

The referral system is expected to improve quality health services. Of the 13,523 high-risk pregnant women, only 10,518 were referred, meaning that 3,005 did not want to be referred (22.22%) (Jember District Health Office, 2023). The role of the family, income, perceptions of pregnant women about high-risk pregnancies, distance to service facilities, health, health service facilities, perceptions of health service costs can influence decision making in referral intentions. This study aims to determine the relationship between pregnant women's perceptions about high-risk pregnancies and referral intentions in high-risk pregnant women in the working area of ??the Karangduren Community Health Center, Jember Regency. The design of this study is observational through a cross-sectional approach. The population of this study was all high-risk pregnant women who had KSPR ? 10 from January to May 2024, a total of 74 people with a sample of 62 people using simple random sampling. This study found that high-risk pregnant women had a positive perception of 88.7%, and 69.4% of high-risk pregnant women had the intention to be referred to further facilities. From the results of the Fsiher's Exact Test analysis, p 0.002 <? = 0.05 was obtained, There is a relationship between pregnant women's perceptions of high-risk pregnancies and referral intentions in the work area of ??the Karangduren Community Health Center, Jember Regency in 2024. ABSTRAKSistem rujukan diharapkan dapat meningkatkan pelayanan kesehatan yang lebih bermutu .Ibu hamil resiko tinggi sejumlah 13.523 hanya 10.518 yang di lakukan rujukan artinya ada 3.005 yang tidak mau di lakukan rujukan (22,22 %) (Dinas Kesehatan Kabupaten Jember, 2023). Peranan keluarga, pendapatan, persepsi Ibu hamil tentang kehamilan resiko tinggi, jarak ke fasilitas layanan, kesehatan,, sarana-prasana layanan kesehatan, persepsi biaya layanan kesehatan dapat memengaruhi pengambilan keputusan dalam niat rujukan. Penelitian ini bertujuan untuk mengetahui hubungan Persepsi ibu hamil tentang kehamilan resiko tinggi  dengan niat rujukan  pada ibu hamil resiko tinggi di wilayah kerja  Puskesmas  Karangduren  Kabupaten Jember. Desain penelitian ini adalah observasional melalui pendekatan crossectional. Populasi penelitian ini adalah seluruh ibu hamil resiko tinggi yang memilik KSPR ? 10 bulan januari s/d mei 2024 sejumlah 74 orang dengan jumlah sampel 62 orang yang menggunakan simple random sampling. ini didapatkan  ibu hamil resiko tinggi yang memiliki persepsi positif  88,7 %, dan 69,4%  ibu hamil resiko tinggi yang mempunyai niat untuk dilkakukan rujukan ke fasilitas lebih lanjut. Dari hasil analisis uji Fsiher’s Exact Test  didapatkan p 0,002< ? = 0,05, Ada hubungan persepsi ibu hamil tentang kehamilan resiko tinggi dengan niat rujukan diwilayah kerja Puskesmas Karangduren Kabupaten Jember pada tahun 2024.
Hubungan Teknik Menyusui Dan Frekuensi Menyusui Dengan Produksi Asi Ibu Post Partum Nurhalisa, Siti; Restanty, Dian Aby; Karnasih, I Gusti Ayu
Jurnal Asuhan Ibu dan Anak Vol. 10 No. 2 (2025): Jurnal Asuhan Ibu dan Anak
Publisher : Universitas 'Aisyiyah Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33867/2fx2jk73

Abstract

Air Susu Ibu (ASI) merupakan sumber nutrisi utama bagi bayi pada enam bulan pertamakehidupan yang berperan penting dalam menurunkan risiko penyakit dan infeksi. ProduksiASI dipengaruhi oleh berbagai faktor, di antaranya teknik dan frekuensi menyusui.Penelitian ini bertujuan untuk menganalisis hubungan antara teknik menyusui danfrekuensi menyusui dengan produksi ASI pada ibu postpartum di Desa Tanggul Kulon.Penelitian menggunakan desain analitik korelasi dengan pendekatan cross-sectional.Sampel berjumlah 31 responden yang dipilih secara purposive sampling dari 34 populasiibu postpartum. Penilaian keterampilan menyusui dilakukan menggunakan skor LATCH,frekuensi menyusui diukur dengan kuesioner, sedangkan produksi ASI dinilai melaluilembar observasi. Analisis data menggunakan uji Spearman Rank dan korelasi berganda.Hasil penelitian menunjukkan bahwa sebagian besar responden (42%) memiliki teknikmenyusui cukup efektif dengan frekuensi menyusui sering, sehingga menghasilkanproduksi ASI yang cukup. Terdapat hubungan bermakna antara teknik menyusui danfrekuensi menyusui dengan produksi ASI (p = 0,000). Kesimpulannya, peningkatanketerampilan teknik menyusui, khususnya perlekatan dan posisi bayi, serta pemeliharaanfrekuensi menyusui sesuai anjuran, sangat penting untuk mengoptimalkan produksi ASIpada ibu postpartum.