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Pemberdayaan Kader Peningkatan Kesehatan Ibu Hamil dengan Self Assesment Emesis Gravidarum Pada Masa Pandemi Covid-19 Manurung, Suryani; Sri Handayani; Tarwoto; Isroni Astuti
CARADDE: Jurnal Pengabdian Kepada Masyarakat Vol. 5 No. 2 (2022): Desember
Publisher : Ilin Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31960/caradde.v5i2.1799

Tujuan dari program PKM adalah mengoptimalkan peran serta kader dalam upaya peningkatan Kesehatan ibu hamil melalui pengendalian emesis gravidarum dengan self assessment emesis gravidarum. Metode penyelesaian permasalahan dengan pendekataan fungsional dalam mengelola masalah kesehatan menggunakan observasional dan pelatihan kader menerapkan form self assessment emesis gravidarum melalui pendampingan kader. Pengelolaan masalah emesis gravidarum telah dilakukan dengan diskusi yang melibatkan kepala Puskesmas, penanggung jawab atau pengelola program KIA, dan para kader dari Posyandu masing-masing RW. Kegiatan sesuai POA dilakukan yakni sosialisasi kartu self assesment emesis gravidarum, implementasi penerapan kartu self assesment emesis gravidarum, monitoring dan evaluasi kegiatan Hasil Kegiatan untuk menyelesaikan permasalahan emesis gravidarum yakni diperoleh pemahaman dan ketrampilan kader. Kader memiliki kemampuan dan ketrampilan menerapkan kartu self assessment emesis gravidarum dimasing masing RW terhadap ibu hamil, teridentifikasi ibu hamil yang mengalami emesis gravidarum yang membutuhkan rujukan tidak ada.

Production of breast milk in pregnant women with and without Gestational Diabetes Mellitus Manurung, Suryani; wati, Rizki amalia; Hariyanti, Hariyanti
Jurnal Kebidanan dan Keperawatan Aisyiyah Vol. 19 No. 2 (2023): Desember
Publisher : Universitas Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jkk.3158

Gestational diabetes mellitus (GDM) is a health disorder associated with an increased risk of type 2 diabetes mellitus in both mother and baby. Breastfeeding is one way for mothers to reduce this risk. This study aims to determine breast milk production in GDM and non-GDM pregnant women. The research design was a prospective cohort and involved 12 pregnant women. The inclusion criteria were GDM and non-GDM pregnant women aged 28-31 weeks and willing to be respondents. The Jakarta Regional Hospital research used questionnaire instruments and breast milk production observation sheets. Chi-square statistical test analysis. The research results showed a significant relationship between the status of GDM and non-GDM pregnant women and breast milk production (P value 0.05). The maximum breast milk production of GDM pregnant women is less than non-GDM, with maximum breast milk production of 0.3cc and 0.5cc. GDM pregnant women produce lower breast milk production than non-GDM pregnant women. Breast milk production in pregnant women with GDM is slower than in pregnant women without GDM. This can be seen from the research results, which show that 58.3% of non-GDM pregnant women have expressed breast milk (on average starting at 17 weeks of gestation). Of pregnant women with GDM, only 8.3% have ever expressed breast milk (starting from the 31st week). Education on breastfeeding during pregnancy and maternal nutrition is necessary to increase maternal self-efficacy. Researchers hope to observe long-term breastfeeding expenditure from pregnancy to six months or even two years.

The Effect of Continuous Education Through Audiovisual Media on Knowledge and Attitudes Regarding Treatment Discontinuation Prevention Among Tuberculosis Patients at Community Health Center in East Jakarta in 2024: Pengaruh Edukasi Berkelanjutan Melalui Audio Visual Terhadap Pengetahuan dan Sikap Pencegahan Putus Obat Pasien Tuberkulosis Di Puskesmas Wilayah Jakarta Timur Tahun 2024 Fitriannur Khasanah, Desvita; Nurulhuda, Uun; Manurung, Suryani
Journal of Health and Cardiovascular Nursing Vol. 4 No. 2 (2024): Journal Of Health and Cardiovascular Nursing
Publisher : Politeknik Kesehatan Kemenkes RI Jakarta I

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36082/jhcn.v4i2.1856

The incidence of treatment discontinuation among tuberculosis (TB) patients in DKI Jakarta has been increasing each year. In 2016, a total of 78 patients, or 21.2% of the total number of patients, discontinued their treatment. This study aims to analyze the effect of continuous education through audiovisual media on the knowledge and attitudes regarding the prevention of treatment discontinuation among TB patients.This research employed a quasi-experimental design with a pretest-posttest control group. The inclusion criteria were: patients diagnosed with tuberculosis, patients undergoing treatment for newly diagnosed TB, and patients who had access to social media platforms. The study was conducted from May 20 to July 5, 2024, in the Jatinegara and Kramat Jati areas of East Jakarta. The data instruments used included demographic questionnaires, knowledge questionnaires, attitude questionnaires, and educational modules. A total of 52 respondents participated, with 26 in the intervention group and 26 in the control group. The sampling technique was purposive sampling. Data analysis was performed using SPSS, with the Friedman test followed by the Wilcoxon test. Statistical analysis revealed a p-value of 0.000, which is less than 0.05. Conclusion: There is a significant effect of continuous audiovisual education on the prevention of treatment discontinuation in TB patients, leading to improvements in both knowledge and attitudes. Further research is recommended to be conducted on TB patients with drug resistance and to include confounding factors such as smoking habits.

Program positive parenting sebagai upaya pencegahan risiko stunting Tambun, Yetty Mariani; Manurung, Suryani; Lestari, Tri Riana; Aprianti , Tutty; Pudentiana, Pudentiana
JOURNAL OF Public Health Concerns Vol. 4 No. 4 (2024): JOURNAL OF Public Health Concerns
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerja sama dengan: Unit Penelitian dan Pengabdian Kep Akademi Keperawatan Baitul Hikmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/phc.v4i4.441

Background: Stunting is a condition of failure to thrive as a result of chronic malnutrition, which causes children to grow too short and thin for their age. Currently, stunting is seen as a serious health problem in society, in the world and in Indonesia. The South Jakarta City Government found 640 toddlers suspected of stunting or slow growth and development. Meanwhile, of that number, the Mayor of South Jakarta said that 203 toddlers had been determined to have stunting status. Efforts to handle stunting prevention for those suspected of stunting were 640 and those who had been determined to have stunting were 203 spread across 15 locations in South Jakarta sub-districts, namely determining parenting patterns and foster parents. Purpose: To provide increased ability and skills of health cadres in implementing program positive parentings and improving the abilities of mothers or mothers who have toddlers. Method: Activities are carried out using counseling, demonstration, discussion and participatory action review monitoring evaluation methods Results: Obtaining an agreement on the implementation of a program positive parenting with the local government and the implementation of the socialization of the program positive parenting (P3) to health cadres, the implementation of the program positive parenting (P3) to pregnant women and mothers with toddlers, and the implementation of the nutrition monitoring calendar in the Ragunan Village Health Center, South Jakarta. Conclusion: Community service for the program positive parenting provides an increase in the ability and skills of health cadres in implementing the program positive parenting and improving the ability of mothers with toddlers in applying the nutrition monitoring calendar to detect the risk of stunting. Suggestions: In the future, for cadres who already have the ability, it is hoped that they can periodically monitor the implementation of positive parenting in pregnant women and mothers with toddlers so that they can minimize the risk of stunting. Keywords: Program positive parenting; Pregnant women; Stunting; Toddlers Pendahuluan: Stunting merupakan kondisi gagal tumbuh sebagai dampak kekurangan gizi kronis, yang menyebabkan anak menjadi tumbuh terlalu pendek dan kurus pada usianya. Saat ini, stunting dipandang sebagai masalah kesehatan yang serius di masyarakat, di dunia maupun di Indonesia. Pemerintah Kota Jakarta Selatan menemukan 640 balita terduga stunting atau lambat tumbuh kembang. Sementara itu, dari jumlah tersebut, Wali Kota Jakarta Selatan menyebutkan sebanyak 203 balita yang sudah ditetapkan berstatus stunting. Upaya penanganan pencegahan stunting terhadap yang terduga stunting yakni sebanyak 640 dan yang sudah ditetapkan mengalami stunting sebanyak 203 yang tersebar di 15 lokasi kelurahan Jakarta Selatan yakni menetapkan pola asuh dan orangtua asuh. Tujuan: Untuk memberikan peningkatan kemampuan dan keterampilan kader kesehatan dalam mengimplementasikan program positive parenting dan meningkatkan kemampuan ibu atau ibu yang memiliki balita. Metode: Kegiatan dilaksanakan dengan menggunakan metode penyuluhan, demonstrasi, diskusi dan evaluasi monitoring kaji tindak partisipastif. Hasil: Mendapatkan kesepakatan pelaksanaan program pengasuhan positive parenting dengan pemerintah daerah dan terlaksananya sosialisasi program positive parenting (P3) pada kader kesehatan, implementasi program positive parenting (P3) kepada ibu hamil dan ibu yang memiliki balita, dan penerapan kalender monitoring gizi di kelurahan Puskesmas Kelurahan Ragunan Jakarta Selatan. Simpulan: Pengabdian masyarakat program positive parenting memberikan peningkatan kemampuan dan keterampilan kader kesehatan dalam mengimplementasikan program positive parenting dan meningkatkan kemampuan ibu yang memiliki balita dalam mengaplikasikan kalender monitoring gizi untuk mendeteksi risiko stunting. Saran: Untuk kedepannya, bagi kader yang sudah memiliki kemampuan, diharapkan dapat secara berkala memantau penerapan positive parenting pada ibu hamil dan ibu yang memiliki balita sehingga dapat meminimalkan risiko terjadinya stunting.

TOPICAL BREAST MILK IN UMBILICAL CORD CARE FOR CORD STUMP SEPARATION TIME OF UMBILICAL AND PREVENT INFECTION IN NEWBORN BABIES: CASE STUDY: TOPICAL BREAST MILK DALAM PERAWATAN TALI PUSAT PADA BAYI A UNTUK MEMPERCEPAT PELEPASAN TALI PUSAT DAN MENCEGAH INFEKSI: STUDI KASUS Aridayanto, Visca; Manurung, Suryani; Natalina, Dorlan
Journal of Health and Cardiovascular Nursing Vol. 5 No. 1 (2025): Journal Of Health and Cardiovascular Nursing
Publisher : Politeknik Kesehatan Kemenkes RI Jakarta I

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36082/jhcn.v5i1.1878

Infant mortality due to tetanus neonatorum infection is 77 per-1,000 live births. The effect of applying topical breast milk method in cord care can accelerate cord detachment and prevent infection compared to other methods. The purpose of applying topical breast milk is to accelerate cord detachment and prevent infection. The method used is a case study with the inclusion criteria of newborns of full term, normal birth weight, being inpatient with the mother and APGAR score of at least seven or more. The number of respondents in this application amounted to one baby, the time of implementation of the application was carried out three days twice a day (morning and evening), observations were made with observation sheets for signs of infection, and umbilical cord release. The results of the application after three days of treatment showed a change in the umbilical cord, the cord turned blackish in colour with a dry texture and no signs of infection. Conclusion The application of cord care using topical breast milk can accelerate the process of cord detachment and prevent infection.

THE RELATIONSHIP BETWEEN MEDICATION TIMELINESS AND FLUID CONSUMPTION ON RECURRENCE OF HEART FAILURE PATIENTS: HUBUNGAN KETEPATAN WAKTU MINUM OBAT DAN KONSUMSI CAIRAN TERHADAP KEKAMBUHAN PASIEN GAGAL JANTUNG Ramadhan, Azhar; Nuraeni, Ani; Manurung, Suryani
Journal of Health and Cardiovascular Nursing Vol. 5 No. 1 (2025): Journal Of Health and Cardiovascular Nursing
Publisher : Politeknik Kesehatan Kemenkes RI Jakarta I

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36082/jhcn.v5i1.2248

Heart failure is a condition when the heart is unable to pump blood optimally, resulting in the distribution of oxygen and nutrients throughout the body. Recurrence often occurs in patients with a history of heart failure, especially due to non-compliance in taking medication and uncontrolled fluid intake. This study aims to analyze the relationship between the timeliness of taking medication and fluid consumption on recurrence in patients with heart failure. The design used was quantitative with a retrospective cross-sectional approach, involving 93 respondents who underwent re-hospitalization at one of the hospitals in Depok City, West Java. The sampling technique used consecutive sampling. Data were collected through three variables that had been tested for validity and reliability, including demographic characteristics, recurrence history, medication compliance, and fluid consumption. Data were analyzed using the Gamma and Somers'd correlation tests with the help of SPSS. The results showed a significant association between medication adherence and relapse (p < 0.05), while fluid consumption did not show a significant association (p > 0.05). These findings suggest the importance of medication adherence education as part of nursing interventions to prevent recurrence in heart failure patients. Fluid consumption requires further study in future research.

Using the Strava application for walking physical activities to control the risk of pre-eclampsia Manurung, Suryani; Lestari, Tri Riana; Handayani, Oktaviyana Tri
Physical Therapy Journal of Indonesia Vol. 6 No. 2 (2025): Inpress July-December 2025
Publisher : Universitas Udayana dan Diaspora Taipei Medical University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/ptji.v6i2.305

Background: Pre-eclampsia affects approximately 2–10% of pregnancies worldwide and remains a leading cause of maternal morbidity and mortality. Its occurrence is strongly associated with pregnancy-related risk factors, including elevated blood pressure and excessive maternal weight. This study aimed to evaluate the effectiveness of walking activity, monitored using the Strava application, in controlling blood pressure and reducing the risk of pre-eclampsia among women in their second and third trimesters of pregnancy. Methods: This study employed a quasi-experimental design with a pretest–posttest control group. Thirty pregnant women in their second and third trimesters who were at risk of pre-eclampsia due to elevated blood pressure were purposively recruited, with 15 participants assigned to the intervention group and 15 to the control group. Data collection, conducted between April and May 2024 in Jagakarsa District, South Jakarta, utilized a demographic questionnaire, a blood pressure monitoring sheet, and the Strava application to track physical activity. Blood pressure outcomes were analyzed using paired and independent t-tests. Results: The data followed a normal distribution (p > 0.05). The participants had a mean age of 30.6 years (SD = 5.87), with 46.7% primiparous, 53.3% multiparous, 90% overweight, and 10% normal body weight. Before the intervention, 80% of participants exhibited insufficient physical activity. After the walking intervention monitored via Strava, significant reductions were observed in the intervention group’s systolic blood pressure (from 143.3 to 130.9 mmHg) and diastolic blood pressure (from 92.9 to 86.7 mmHg) (p < 0.05), with mean decreases of 12.4 mmHg and 6.1 mmHg, respectively. By contrast, no significant changes were observed in the control group. Subgroup analysis confirmed significant reductions in blood pressure across confounding factors, including age, parity, and body weight status. Conclusion: Regular walking activity, monitored using the Strava application, was effective in reducing blood pressure and mitigating the risk of pre-eclampsia among women in their second and third trimesters of pregnancy. Incorporating structured physical activity programs during pregnancy, in conjunction with the management of maternal age, parity, and weight, may contribute to the prevention of pre-eclampsia.

Perilaku Remaja Putri Menghadapi Menarche Berdasarkan Nilai Budaya Batak Simanjuntak, Merida; Manurung, Suryani; Lestari, Tri Riana; Hasibuan, Payung
Kesmas Vol. 7, No. 9
Publisher : UI Scholars Hub

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

Masa remaja merupakan masa transisi dari masa kanak-kanak menuju masa dewasa yang ditandai oleh perubahan fisik, intelektual, seksual, dan emosional. Menarche pada remaja putri menjadi pertanda memasuki tahapan sistem reproduksi dewasa. Sesuai dengan nilai dan budaya masyarakat, peristiwa menstruasi pertama yang fisiologis itu mendapat respons yang berbeda. Tujuan penelitian ini adalah mengembangkan kerangka teoritis tentang pola perilaku remaja putri dalam menghadapi menarche sesuai dengan nilai dan budaya keluarga Batak di Jakarta. Penelitian kualitatif ini dilakukan dengan pendekatan grounded theory dengan metode pengumpulan data melalui wawancara mendalam, observasi, dan studi literatur. Enam orang informan direkrut dengan cara purposive sampling di wilayah Jakarta Timur. Data yang dikumpulkan di analisis dengan menggunakan constant comparative analysis sampai tercapai saturasi data. Hasil penelitian ini menunjukkan bahwa perilaku remaja putri menghadapi menarche sesuai dengan nilai dan budaya Batak di Jakarta dipengaruhi oleh informasi yang diterima, pola asuh dalam keluarga, dan pandangan orang tua terhadap menarche. Oleh sebab itu, perawat diharapkan dapat memberikan informasi yang komprehensif kepada remaja tentang proses perkembangan reproduksi dan perawatan saat menarche dengan mengikutsertakan orang tua dalam pemberian pendidikan kesehatan pada anak. Adolescence is a phase that lies between childhood and adulthood. There are some changes occur due to this transitional phase including physical, intellectual, sexual and emotional changes. Menarche phase in woman shows that a more developed reproductive system has started. There are different responses according to culture and community value in encountering the menarche phase. The purpose of this study was to develop a theory about adolescent girl behavioral pattern encountering menarche phase. This qualitative study was conducted using grounded theory approach, by collecting data from interviews, observation and literature study. Six respondents were recruited using purposive sampling in East Jakarta. The collected data was analyzed using constant comparative analysis until data saturation was achieved. Result of this study showed that adolescent girl behavior encountering menarche phase according to Batak’s culture and traditional value was influenced by information adopted, mothering pattern in the family and parent’s angle of view about menarche phase. Regarding this, a nurse is expected to be able to give comprehensive information to adolescent girl aboutits reproductive system development and nursing in menarche phase. In addition, parent’s involvement is recommended in health education giving to children.

Model Pengambilan Keputusan Meningkatkan Akseptor Keluarga Berencana Metode Kontrasepsi Jangka Panjang Manurung, Suryani
Kesmas Vol. 7, No. 11
Publisher : UI Scholars Hub

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Pada periode 2002-2012, tren angka fertilitas total mengalami stagnasi sekitar 2,6. Milenium Development Goals (MDGs) menunjukkan kemajuan yang baik, tetapi masih memerlukan kerja keras untuk mencapai target tahun 2015. Khususnya upaya untuk mencapai target 102 per 100.000 kelahiran hidup. Metode keluarga berencana (KB) yang banyak digunakan pasien pascapersalinan saat ini adalah metode kontrasepsi jangka pendek seperti pil dan suntik. Sedang metode kontrasepsi jangka panjang seperti intra uterine device dan implant cenderung turun satu poin dari tahun 2002 hingga 2007. Upaya mengatasi masalah yang sedang dialami masyarakat Indonesia saat ini meningkatkan akseptor KB metode kontrasepsi jangka panjang (MKJP). Model pengambilan keputusan adalah alat yang dikembangkan untuk meningkatkan kualitas pelayanan KB di tingkat pelayanan kesehatan primer dan sekunder. Alat tersebut dapat membantu meningkatkan kepuasan pasien, penggunaan jasa konseling, dan pemilihan penggunaan KB MKJP yang aman dan efektif. Model shared decision making adalah model pengambilan keputusan yang banyak digunakan, bermanfaat dalam memotivasi pasien memilih perawatan yang tepat dan mempertahankan hubungan terapeutik. Diharapkan jumlah akseptor KB MKJP dapat memenuhi target MDGs 2015. Trends in total fertility rate from the year 2002-2012, amounting to 2.6 stagnated. Targets of the Millennium Development Goals (MDGs) have shown good progress but still needs to work hard to achieve in 2015. MDGs particular purpose, efforts are needed to achieve the 2015 target of 102 per 100,000 live births. Family planning method that is widely used today are short-term contraceptive methods such as pills or injections. Being a long-term contraceptive methods (LTM) such as intra uterine device and implants tend to go down one point from the year 2002 to 2007. Efforts to address the problems being experienced by the people of Indonesia is currently improving family planning acceptors LTM. Decision making model is a tool developed to improve the quality of family planning services at the level of primary and secondary health care. This tool can help increase the patient satisfaction, using counseling services, and the selection use is safe and effective of contraceptive LTM. Model of shared decision making is a decision making model that is widely used, useful in motivating patients choose the proper care and maintain a therapeutic relationship. Expected number of family planning acceptors LTM can meet MDGs targets by 2015.

Persepsi Pasien Terhadap Perilaku Caring Perawat di Ruang Rawat Inap Rumah Sakit Manurung, Suryani; Hutasoit, Mey Lys Ceryah
Kesmas Vol. 8, No. 3
Publisher : UI Scholars Hub

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Rumah sakit berupaya menciptakan mutu pelayanan yang terbaik sebagai salah satu faktor penentu citra di masyarakat. Perilaku caring perawat meru- pakan salah satu indikator mutu pelayanan yang diterima oleh masyarakat. Tujuan penelitian ini untuk mengetahui faktor-faktor yang memengaruhi persepsi pasien terhadap perilaku caring perawat di Rumah Sakit Ichsan Medical Centre Bintaro dengan desain potong lintang. Populasi adalah pasien rawat inap dengan pengambilan sampel random sampling sebesar 93. Data dianalisis dengan univariat sampai bivariat dengan analisis kai kuadrat. Hasil penelitian menunjukkan faktor yang berhubungan dengan persepsi pasien yang menjalani perawatan di rawat inap Rumah Sakit Ichsan Medical Centre Bintaro adalah kebutuhan caring (nilai p = 0,001) dan perilaku caring perawat (nilai p = 0,006). Terpenuhinya kebutuhan caring dan perbaikan perilaku caring perawat akan menjadikan persepsi pasien menjadi positif selama rawat inap. The hospital strives to create the best quality of service as a determining factor for the image in society. Nurse caring behavior is one indicator of the quality of service received by the public. The purpose of this study was to determine the factors that influence patient perception to nurse caring behaviors in Ichsan Medical Centre Hospital Bintaro with cross sectional design. The population was inpatients with sampling random sampling of 93. Data were analyzed by univariate and bivariate by chi-square analysis. The results showed that associated factors with the perception of patients undergoing inpatient treatment at Ichsan Medical Centre Hospital Bintaro is caring needs (p value = 0.001) and the nurse caring behaviors (p value = 0.006). The fulfillment needs of caring and repair will make the nurse caring behaviors the perception become positive patients during hospitalization.

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