Tiyas Kusumaningrum
Divisi Keperawatan Maternitas, Fakultas Keperawatan Universitas Airlangga

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Journal : INDONESIAN MIDWIFERY HEALTH AND SCIENCES JOURNAL

PENGALAMAN IBU MERAWAT BALITA USIA 6 - 24 BULAN BERSTATUS GIZI BURUK Melantika Nur Fitria Syahri; Tiyas Kusumaningrum; Bagus Setyoboedi
Indonesian Midwifery and Health Sciences Journal Vol. 3 No. 1 (2019): Indonesian Midwifery and Health Sciences Journal, January 2019
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v3i1.2019.1-15

Abstract

Abstrak Latar Belakang : Gizi buruk adalah penyumbang angka morbiditas dan mortalitas pada anak. Dinas Kesehatan Kota Surabaya menyatakan kasus gizi buruk secara 100% telah teratasi. Fakta menunjukkan di kecamatan Sukomanunggal mengalami peningkatan angka gizi buruk. Pemerintah telah melakukan upaya perbaikan melalui program - programnya, tetapi kualitas perawatan dan pola asuh ibu belum diketahui. Sehingga dilakukanlah penelitian untuk mengeksplorasi pengalaman ibu dalam merawat anak balita usia 6-24 bulan dengan status gizi buruk post diagnosis di kecamatan Sukomanunggal kota Surabaya. Metode : Penelitian ini merupakan penelitian kualitatif. Jumlah partisipan sebanyak 15 partisipan dan dipilih menggunakan metode purposive sampling. Variabel dalam penelitian ini adalah pengalaman ibu. Teknik pengumpulan data yang digunakan adalah wawancara mendalam dilengkapi dengan catatan lapangan. Hasil : Hasil penelitian didapatkan (53%) ibu mengubah pola pemberian makan (jumlah, menu, frekuensi) dan dari (53%) (83,3%) memberikan makanan secara aktif dan responsif. Ibu memiliki persepsi bahwa masalah gizi pada balita disebabkan faktor keturunan (60%) dan faktor nafsu makan (40%).  Ibu memberikan makanan tambahan (selingan) berupa snack sehat (80%) dan makanan ringan (20%). Ibu tidak memberikan vitamin kepada balitanya (53%). Ibu memiliki pola PHBS yang baik, yaitu (87%) balita tidak memiliki kebiasaan memasukkan barang yang dipegangnya ke mulut dan (53%) ibu mengajari serta membiasakan balita mencuci tangan. Ibu memiliki tingkat kepatuhan yang baik terhadap program puskesmas, (73%) ibu rutin membawa balitanya ke posyandu, (67%) ibu patuh memberikan PMT-P, (87%) ibu mengimunisasikan balita secara lengkap, dan (54%) ibu memberikan obat cacing rutin kepada balitanya. Tetapi hanya (26%) ibu yang melakukan konsultasi ke tenaga kesehatan. Kesimpulan : Perawatan yang dilakukan oleh ibu terhadap balitanya yang mengalami gizi buruk, yaitu melakukan perubahan pola pemberian makan dengan strategi praktik pemberian makan yang aktif dan responsif, memberikan makanan tambahan (selingan) berupa snack sehat yang berbahan lokal serta mengurangi konsumsi makanan ringan yang berlebihan, menerapkan Perilaku Hidup Bersih dan Sehat (PHBS), patuh terhadap program puskesmas dan melakukan konsultasi lebih lanjut ke tenaga kesehatan. Abstract Background : Malnutrition is a contributor to the morbidity and mortality rates in children. The Surabaya City Health Office stated that cases of malnutrition were 100% resolved. The facts show that in Sukomanunggal there has been an increase in the number of malnutrition. The government has made efforts to improve through its programs, but the quality of care and parenting is unknown. So a study was conducted to explore the experiences of mothers in caring for toddlers aged 6-24 months with malnutritional’s status post diagnosis in Sukomanunggal, Surabaya. Method : This research was a qualitative study. The number of participants was 15 participants and was selected using the purposive sampling method. The variable in this study was the experience of mothers. The data collection technique used was indepth interviews equipped with field notes. Results : The results showed that (53%) mothers changed their feeding patterns (number, menu, frequency) and from (53%) (83.3%) gave food actively and responsively. Mother had a perception that nutritional problems in toddlers were due to heredity (60%) and appetite factors (40%). Mothers provided additional food (interlude) in the form of healthy snacks (80%) and snacks (20%). Mothers did not give vitamins to their children (53%). Mothers had a good hygienic habits pattern, that was (87%) toddlers did not have the habit of entering the items they hold in their mouths and (53%) mothers teach and get children to wash their hands. Mothers had a good level of adherence to the puskesmas program, (73%) mothers routinely brought their babies to posyandu, (67%) mothers obediently gave supplementary feeding, (87%) mothers fully immunized their children, and (54%) mothers gave medication routine worms to her toddler. But only (26%) mothers consulted health workers. Conclusion : The care performed by mothers on their children who experience malnutrition, it is changing the pattern of feeding with an active and responsive feeding practice strategy, providing supplementary food in the form of healthy snacks made locally and reducing excessive consumption of snacks, apply hygienic habits, adhere to the puskesmas program and conduct further consultations with health workers.
PERSEPSI REMAJA PUTRI TERHADAP KECENDERUNGAN PERILAKU PERNIKAHAN DINI Anggraeni Puspita Dewi; Tiyas Kusumaningrum; Nining Febriyana
Indonesian Midwifery and Health Sciences Journal Vol. 3 No. 2 (2019): Indonesian Midwifery and Health Sciences Journal, April 2019
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v3i2.2019.120-130

Abstract

Abstrak Pernikahan dini masih banyak terjadi di Indonesia. Pernikahan dini yaitu pernikahan yang dilakukan pada usia kurang dari 20 tahun. Salah satu faktor yang mempengaruhi pernikahan dini adalah persepsi. Persepsi dipengaruhi sikap dalam menentukan pernikahan dini. Penelitian ini bertujuan untuk mempelajari hubungan persepsi remaja putri dengan Kecenderungan perilaku pernikahan dini di Desa Kesamben Kulon Kecamatan Wringinanom Gresik. Metode : penelitian ini merupakan penelitian analitik korelasional dengan pendekatan cross sectional. Jumlah sampel sebanyak 140 remaja putri di Desa Kesamben Kulon Kecamatan Wringinanom Gresik sesuai dengan kriteria inklusi. Sampling yang dilakukan dengan purposive sampling. Variabel bebas dalam penelitian ini adalah persepsi kerentanan, persespsi keseriusan, persepsi ancaman, persepsi manfaat dan persepsi kendala, sedangkan variabel tergantung adalah Kecenderungan perilaku pernikahan dini. Untuk mengetahui tingkat signifikan, data yang terkumpul akan diuji dengan statistik Spearman Rank pada tingkat kemaknaan α = 0,05. Hasil : hasil penelitian didapatkan bahwa sebagian besar memiliki persepsi kerentanan rendah (53,6), persepsi keseriusan tinggi (64,3%)), persepsi ancaman rendah (75,7%), persepsi manfaat tinggi (62,1%), persepsi kendala rendah (68,6%). Hampir seluruhnya mengalami Kecenderungan perilaku pernikahan dini rendah (96,4%). Setelah uji Spearman Rank diperoleh ada hubungan persepsi kerentanan, keseriusan, ancaman dan kendala dengan kecenderungan perilaku pernikahan dini. Sedangkan variabel persepsi manfaat tidak terdapat hubungan Kecenderungan perilaku pernikahan dini. Kesimpulan : Hubungan persepsi kerentanan dengan kecenderungan perilaku pernikahan dini memiliki keeratan yang paling tinggi sebesar r = 0,604.Abstract Background: Early marriage still occurs a lot in Indonesia. Early marriage is a marriage performed at less than 20 years of age. One of the factors that influence early marriage is perception. This research aims to study the relationship of perception of young women with the tendency of early marriage behaviour in Kesamben Kulon village of Gresik's Wringinanom district. Methods: This research was a correlational analytical research with a cross sectional approach. The number of sample was 140 young women in Kesamben Kulon village Wringinanom Gresik in accordance for inclusion criteria. Sampling was done by purposive sampling. The independent variables in this study were the perception of vulnerability, severity, threat, perception and barrier, while the dependent variable was the tendency of early marital behavior. To determine a significant level, the collected data tested by Spearman Rank at the level of the significance of α = 0.05. Results: the results of this research was most of respondens have a low perception of vulnerability perception (53.6%), high saverity perception 64.3%), low threat perception (75.7%), high benefit perception (62.1%), low constraint perception (68.6%). Most of them experienced the tendency behavior of low early marriage (96.4%). After the Spearman Rank test, there was a relationship perception vulnerability, saverity, threat and barrier tendency early marriage behavior. While perception benefit no have relationship tendency of early marriage behavior. Conclusion: The relationship between perception of vulnerability with potential early marriage behavior has the highest density with r = 0.604.
EFFECT OF COUNSELLING ON FREQUENCY AND SEVERITY OF NAUSEA AND VOMITING IN PREGNANCY (NVP) Luh Sukeningsih; Baksono Winardi; Tiyas Kusumaningrum
Indonesian Midwifery and Health Sciences Journal Vol. 4 No. 3 (2020): Indonesian Midwifery and Health Sciences Journal, July 2020
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v4i3.2020.220-229

Abstract

ABSTRACTBackground: Nausea and vomiting are commonly during early pregnancy. Nausea and vomiting significantly decrease in quality of life. Objective:This study aimed to explain the effect of counseling on the frequency and level of nausea and vomiting in pregnant women. Method: This was a quasi-experimental study with a non randomized control group pretest posttest design. The control group was 37 people and the experimental group were 37 people. The control group only received a standard ANC, the experimental group received nausea and vomiting counseling in pregnancy. The independent variables was counselling based on Roy Adaptation Model, the dependent variable was frequency and level severity of nausea and vomiting. The research instrument used was a questionnaire and counseling. Data analysis used univariate and bivariate analysis (Wilcoxon Signed Rank Test and Mann Whitney). Results: The experimental group experienced decreased in frequency and level of nausea, while control group did not change. Statistical Mann Whitney test results obtained p value of nausea frequency of 0.018, and p value of frequency of vomit 0.000 and p value of levels of nausea and vomiting 0.034 which showed that there were differences in the experimental group compared to the control group. Conclusion: There is an effect of counseling Roy Adaptation Model to the frequency and level of nausea vomiting in pregnancy
FACTORS RELATING TO THE LEVEL OF PREGNANT WOMEN'S SATISFACTION USING ANC SERVICE Devvy Apriani; Tiyas Kusumaningrum
Indonesian Midwifery and Health Sciences Journal Vol. 4 No. 3 (2020): Indonesian Midwifery and Health Sciences Journal, July 2020
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v4i3.2020.253-263

Abstract

AbstractBackground: Independent Midwifery Practice is a health service provider that has a significant contribution in providing mother and child health services. One important indicator in service is satisfaction. There are still many pregnant women who are not satisfied with the ANC services provided. The purpose of the study was to analyze factors related to satisfaction of pregnant women in using ANC services. Method: Cross sectional, with purposive sampling technique. The number of samples were 89 pregnant women who visited PMB in August - September 2019. The independent variables were maternal characteristics (age, parity, education, occupation), service quality, service facilities, and access (financing and distance systems). The dependent variable was the level of satisfaction. Data analysis used Somers'd Test and contingency coefficients. Results: Factors related to satisfaction level were service quality, service facilities and financing system with a value of p<α< 0.05 and factors not related to satisfaction level were age, education, parity, occupation and distance with a value of p>α>0.05. Conclusion: Good service, good facilities and the financing system used tend to produce high levels of satisfaction.