Tiyas Kusumaningrum
Divisi Keperawatan Maternitas, Fakultas Keperawatan Universitas Airlangga

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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

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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

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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.  
Factors Related to Nurses' Moral Distress in the Era of the COVID-19 Pandemic: A Literature Review Siti Zulaihah; Harmayetty Harmayetty; Tiyas Kusumaningrum
Critical Medical and Surgical Nursing Journal (CMSNJ) Vol. 11 No. 1 (2022): APRIL 2022
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (331.503 KB) | DOI: 10.20473/cmsnj.v11i1.33487

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Introduction: The global COVID-19 pandemic posed challenges to healthcare systems and professionals with the potential moral distress. The purpose of this review was to describe the risk factors associated with the moral distress of nurses in the era of the COVID-19 pandemic. Methods: The search for literature review articles was carried out in three databases (Scopus, Science Direct, and PubMed) with a publication span of 2019-2020. The PRISMA checklist was used to guide this review. Analysis and data tabulation were carried out in the article. Title, abstract, full-text and methodology were assessed to determine study eligibility. Result: A total of eight studies that fit the inclusion criteria were discussed based on internal and external factors of the risk of moral distress by nurses. Internal factors for the risk of nurses' moral distress include experience, decision making, perceptions of job dissatisfaction, patient care, coping with maladaptive strategies, failure to successfully care for patients, and limitations in take action. External factors for the risk of moral distress for nurses include lack of teamwork, unfavorable work environment and situations, conflicts of interest, excessive work demands, lack of resources, and loss of control over work situations. Conclusion: The risk factors for nurses' moral distress can be explained based on internal and external factors. The experience of nurses is important in dealing with the COVID-19 pandemic because this pandemic is a new disease and no treatment has yet been found, so other factors are associated with experience.
PROGRESIVE MUSCLE RELAXATION MENURUNKAN FREKUENSI NYERI PADA PENDERITA KANKER PAYUDARA YANG MENJALANI KEMOTERAPI DI POSA RSUD DR.SOETOMO SURABAYA Endang Kasih; Mira Triharini; Tiyas Kusumaningrum
Critical Medical and Surgical Nursing Journal (CMSNJ) Vol. 3 No. 2 (2015): APRIL 2015
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (65.77 KB) | DOI: 10.20473/cmsnj.v3i2.12239

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Introduction: Breast cancer pain occurs because inflammation, pain because of the edge receptor Nerve damage due to the inflammation or sandwiched posted swelling. Progresive muscle relaxation (PMR) Frequency Against breast cancer Pain Patients with chemotherapy at POSA Dr. Soetomo hospital.Methods: One group pretest – posttest design was used in this study. The population were the breast cancer patients with chemotherapy in POSA Dr. Soetomo amounting 30 respondents. There were 28 respondents as sample, taken according inclusion criteria. Independent variable of this research was PMR. Dependent variable was frequency of breast cancer pain. Data was collected by using questionaire and observation sheets. Data was analyzed using paired t test with level of significant <0.05.Results: Results showed there was effect of progressive muscle relaxation (PMR) frequency against breast cancer pain (p=0.000). Further research could continues with using different methods related to this experiment
Deep Breathing Exercise in Improving Physical Changes in PulmonaryTuberculosis Patients Muhamad Ihlasul Amal; Kusnanto Kusnanto; Tiyas Kusumaningrum
Critical Medical and Surgical Nursing Journal (CMSNJ) Vol. 4 No. 2 (2016): APRIL 2016
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (519.87 KB) | DOI: 10.20473/cmsnj.v4i2.12397

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Introduction: Pulmonary Tuberculosis is caused by Mycrobacterium Tuberculosis lead to lung parenchymal inflammation and reduce the total functional lung. Deep breathing exercises (DBE) is a pulmonary rehabilitation that can be used as an alternative method to maintain the lung function of patients with pulmonary tuberculosis.Methods: This study used a quasy experiments design. The population was all patients with pulmonary tuberculosis in Puskesmas Perak Timur Surabaya. The sample was selected using purposive sampling technique. DBE is the independent variable. The dependent variable were the physical changes include peak expiratoty flow rate (PEFR), oxygen saturation, respiratory rate (RR), breath sounds, and dyspnea. Data was collected by observation tools (pulse oximetry, peak flow meters). Data was analyzed using Independent T-test, Paired T-test, Chi Square, and McNemar.Results: The results showed a significant change in breath sounds (p=0,031) and dyspnea (p=0.031) after given DBE, but no significant difference in PEFR (p=0.155), oxygen saturation (p=0,730) and respiratory rate (p=0.125) after given DBE.Conclusions: Nurses can use the DBE as respiratory management intervention in patients with pulmonary tuberculosis and as a basis for making SOP DBE in patients with pulmonary tuberculosis.
NURSING MOTHERS SATISFACTION AT PUSKESMAS AMPENAN WORKING AREA Rani Sulistiawati; Tiyas Kusumaningrum; Retnayu Pradanie
Indonesian Journal of Community Health Nursing Vol. 7 No. 2 (2022): AUGUST 2022
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijchn.v7i2.41485

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Introduction: When moms who could only extract a few milks in advance or not at all were given the Marmet method, the results were excellent. One of the safest methods for encouraging breast milk to create more breast milk is Marmet's method. Methods: A cross-sectional study was conducted in this case. This research seeks to ascertain how Marmet's approach affects nursing mothers' satisfy. 80 respondents were selected as research samples using cluster sampling. Mann Whitney and Wilcoxon's Test, with a significant level of 0,05, were used to examine the data. Results: The Marmet technique has a significant impact on how satisfied mothers are with their ability to breastfeed, according to the statistical test results of the Wilcoxon Signed Rank Test in the treatment group with the value of sig (2-tailed) obtained p = 0.000 in which p 0.05 is considered significant. However, the control group received a p value of 0.083, which means that the Marmet approach had no significant impact on the mothers' satisfaction with breastfeeding. Conclusion: After using the Marmet approach to intervene, the mother is now more satisfied with her breastfeeding
PEMBERDAYAAN KADER CILIK KESEHATAN (KLIK) UNTUK MENINGKATKAN KESIAPAN MENGHADAPI MENSTRUASI Kusumaningrum, Tiyas; Retnayu Pradanie; Aria Aulia Nastiti
Media Husada Journal Of Community Service Vol. 3 No. 1 (2024): Media Husada Journal of Community Service
Publisher : STIKES Widyagama Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33475/mhjcs.v3i1.50

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Beberapa penelitian menunjukkan bahwa banyak siswi sekolah dasar (SD) yang tidak siap dalam menghadapi menstruasi. Hal ini disebabkan karena kurangnya pengetahuan dan keterampilan akan hal terkait menstruasi. Siswi SD cenderung merasa malu untuk membicarakan tentang menstruasi dengan orang dewasa dan sering bertanya pada sebayanya. Sebaya atau peer group sangat berpotensi menjadi kader perubahan perilaku positif akan menstruasi, namun jika tidak ditunjang dengan pengetahuan dan keterampilan yang sesuai, maka dapat berpotensi menyebabkan siswi tidak mendapatkan informasi yang benar akan menstruasi. Diperlukan suatu kegiatan untuk dapat meningkatkan pengetahuan dan keterampilan siswi sebagai kader. Pemberdayaan Kader Cilik Kesehatan (Klik) untuk meningkatkan kesiapan menghadapi menstruasi dipilih untuk mengatasi hal tersebut. Metode pelaksanaan kegiatan meliputi pemilihan lokasi kegiatan, koordinasi dengan mitra, penyusunan modul, pelaksanaan pre-test, pemberian materi pengetahuan dan keterampilan, serta pengukuran post-test. Kader yang terlibat sejumlah 20 siswi. Hasil kegiatan menunjukkan seluruh Kader Cilik Kesehatan (Klik) (100%) mengalami peningkatan pengetahuan dan keterampilan dalam menghadapi menstruasi. Dapat disimpulkan bahwa kegiatan pengbdian masyarakat yang dilaksanakan meningkatkan kesiapan menghadapi menstruasi pada siswi SD.
Postpartum care for hypertension prevention in women with a history of preeclampsia: A systematic review Kusumaningrum, Tiyas; Nursalam; Triharini, Mira; Soares, Domingos
Pediomaternal Nursing Journal Vol. 11 No. 1 (2025): VOLUME 11 NO 1 MARCH 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/pmnj.v11i1.69365

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Introduction: Preeclampsia is a risk factor for maternal hypertension, including postpartum hypertension. However, postpartum hypertension is often missed, due to the suboptimal quality of postpartum care and the lack of follow-up in women with a history of preeclampsia. Objective: This systematic review aims to synthesize and evaluate existing interventions for preventing postpartum hypertension in women with a history of preeclampsia, using a narrative synthesis approach to assess their effectiveness and methodological quality. Methods: This systematic review used articles from Scopus, CINAHL, and PubMed. The search focus was postpartum care for hypertension prevention, particularly in women with a history of preeclampsia. Articles published between 2019 and 2024 were selected based on predefined eligibility criteria. We selected fully accessible articles that focused on postpartum care. The keywords used in the article search were “history of preeclampsia” OR “hypertensive disorder during pregnancy“ AND “postpartum” AND “hypertension.” The selected articles came from various countries in five continents (Asia, Africa, Europe, America, Australia, and Europe). The selection process adhered to the Preferred Reporting Items for Systematic Reviews (PRISMA) guidelines. Results: There were 28 articles reviewed. Postpartum care involving education and regular follow-up increased knowledge and ability to control hypertension risk in women with a history of preeclampsia. There were six articles involving participants performing blood measurements independently and reporting them through an online application or in a text based format. Conclusion: This review confirms that women with a history of preeclampsia, especially severe preeclampsia, are at higher risk of postpartum hypertension. Tailored postpartum care is needed to mitigate the risk of postpartum hypertension and reduce rehospitalization. Continuous follow-up by health workers, either through face-to-face or telehealth monitoring, is  important to ensure that mothers receive information and support in managing hypertension risk. Keywords: hypertension; postpartum care; preeclampsia; prevention; telehealth
Body image perception among breast cancer patients after mastectomy: A phenomenology study Wulandari, Shenda Maulina; Yunitasari, Esti; Kusumaningrum, Tiyas; Myint, Nyein Moh Moh; Subu, Muhammad Arsyad
The Journal of Palembang Nursing Studies Vol. 2 No. 3 (2023): September 2023
Publisher : Palembang MediRose Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55048/jpns87

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Background: Breast cancer is the most common type of cancer among all cancers. Most breast cancer treatments involve surgery, which leads to changes in body shape. These changes can have an impact on body image after mastectomy, affecting the patients’ quality of life. Objective: This study aimed to explore the perception of body image of breast cancer patient after mastectomy. Methods: A qualitative phenomenological approach was employed in this study. A total of 15 post-mastectomy clients were recruited through purposive sampling technique. Data collection involved semi-structured interviews, which were recorded. The data were analyzed using the Van Mannen approach with the assistance of NVivo 12 Plus software.  Results: The majority of the participants were in the elderly phase, with an average education level of junior high school. Most had a history of stage IIB breast cancer and, on average, had undergone mastectomy three years ago. This study identified the theme of body image, which consisted of four categories and eleven sub-categories. Conclusions: The description of body image in post-mastectomy clients includes beliefs, thoughts, feelings, and behaviors. This response is influenced by the belief in the importance of breasts, optimism regarding achieving one’s ideal self, thoughts about changes in the body, acceptance of oneself and those around us, enthusiasm for healing and comfort, and social roles.