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Development of Educational Instruments for Postpartum Care with Severe Preeclampsia-Eclampsia based on the Health Promotion Model (HPM) Endah Suprihatin; Sri Hardi Wuryaningsih
Health Notions Vol 6, No 2 (2022): February
Publisher : Humanistic Network for Science and Technology (HNST)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hn60202

An educational instrument is needed that is in accordance with the needs of postpartum mothers with severe preeclampsia-eclampsia. The nursing theories that views the importance of health promotion as an effort to prevent complications has been produced by Nola. J Pender as a Health Promotion Model (HPM). This study aims to develop an educational instrument for postpartum mothers with severe preeclampsia-eclampsia based on the HPM. The design of this research was research and development (R & D) which consisted of 2 stages, namely the development stage and the trial stage. The samples in this study were 50 midwives, 10 postpartum mothers, and an educational media that had been used by midwives. Data were collected through interviews, filling out questionnaires and FGD. A specific educational instrument has been developed by adding components to understanding the benefits of action, understanding prevention efforts, understanding the effectiveness of actions, and the effect on activities. Educational instruments based on the HPM get good results after being socialized and tested, and have met the aspects of functionality, efficiency, and usability, so that they can be used as an instrument to educate post partum patients with severe preeclampsia and eclampsia in the work area of the Health Office of Surabaya.Keywords: post partum; severe preeclampsia-eclampsia; educational instruments; health promotion model

The development of assessment instrument for postpartum patients with severe preeclampsia-eclampsia based on need for help and self-care models Endah Suprihatin; Sri Hardi Wuryaningsih
Jurnal Ners Vol. 17 No. 1 (2022): APRIL 2022
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v17i1.35029

Introduction: One of the causes of the high mortality rate of patients with severe preeclampsia-eclampsia in the postpartum period is the inaccurate assessment of the patient's need for help and independence in self-care. This study aimed to develop specific assessment instruments for postpartum patients based on Wiedenbach’s need for help and Orem’s self-care models. Methods: This study used a research and development (R&D) approach. The samples were 30 midwives and 100 documents of postpartum patients with preeclampsia from Airlangga University Hospital, Surabaya, and 30 midwives from Haji Hospital Surabaya. Data were collected through document tracking and interviews. Data were analyzed with R&D methods. Results: The results showed that the mean rank value of the new assessment instrument was higher (29.72) than the old assessment instrument (19.93). A significant difference was found between the new assessment instrument and the old assessment instrument (Wilcoxon test value -5.379 with p < 0.001). The new instrument had functionality, efficiency, and usability for assessment of the need for help and self-care of postpartum patients with severe preeclampsia and eclampsia. Conclusions: Postpartum patients with severe preeclampsia-eclampsia should be assessed by the specific assessment instruments based on Wiedenbach’s need for help and Orem’s self-care models.

Emergency Management of Preeclampsia-Eclampsia at Primary Services in Surabaya Endah Suprihatin; Sri Hardi Wuryaningsih
Journal of Global Pharma Technology Volume 12 Issue 09 (2020) Sept. 2020
Publisher : Journal of Global Pharma Technology

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

To reduce maternal mortality due to the relay referral system, initial doses of Sulfas Magnesium (SM) therapy have been established in primary care before being referred, but in practice, magnesium sulfate drugs are often not available at the primary care level or are not used according to guidelines. This study aims to explore the management of emergency preeclampsia-eclampsia in primary services in Surabaya. This research was conducted in 5 primary health services in Surabaya. The sample in this study was health workers who carried out emergency management of the preeclampsia and were selected by disaproportionate stratified random sampling, which consisted of doctors, midwives, and nurses. Data were analyzed using Partial Least Square (PLS). The results showed that organizational characteristics and individual characteristics significantly affected the management of emergency preeclampsia-eclampsia. The magnitude of the coefficient estimate for the characteristics of the officers for the management of emergency preeclampsia-eclampsia was 0.277669 and for the management of emergency preeclampsia / eclampsia was 0.284305. The coefficient was positive, meaning that the better the characteristics of the organization and health workers, the higher the accuracy of the management of emergency preeclampsia. The results of the study indicated that primary health services in Surabaya need to increase the provision of facilities and infrastructure as well as drugs for emergency management of preeclampsia and eclampsia, for health workers it is advisable to increase knowledge especially about the administration of initial doses of magnesium sulfate in preeclampsia-eclampsia patients before being referred. Keywords: Preeclampsia, Eclampsia, Emergency Management, Primary Health Services

FAKTOR PENYEBAB PEMBERIAN MAKANAN PENDAMPING ASI DINI Alif Nurul Lailia; Sri Hardi Wuryaningsih; Endah Suprihatin; padoli padoli
JURNAL KEPERAWATAN Vol. 16 No. 3 (2022)
Publisher : JURUSAN KEPERAWATAN POLITEKNIK KESEHATAN KEMENKES SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/nersbaya.v16i3.50

ABSTRAK Pemberian makanan pendamping ASI (MP-ASI) sejak bayi berusia 6 bulan merupakan salah satu faktor yang mempengaruhi tumbuh kembang optimal pada bayi . Menurut Riset Kesehatan Dasar (2018), menyatakan di Indonesia jumlah bayi yang mendapatkan ASI eksklusif sebanyak 37,3%, bayi yang mendapatkan MP-ASI sebelum berumur 6 bulan sebanyak 9,3% dan 3,3% bayi mendapatkan ASI prodominan. Penelitian ini adalah penelitian deskriptif. Sampel adalah ibu yang memberikan makanan dan minum selain ASI di wilayah kerja puskesmas pacarkeling Surabaya sejumlah 50 sampel diambil menggunakan metode total sampling. Data dikumpulkan dengan wawancara dan kuisioner. Analisis data menggunakan tabel distribusi frekuensi. Hasil penelitian menunjukkan ibu yang memberikan MP-ASI dini memiliki pengetahuan yang cukup (63%). Ibu yang bekerja diluar rumah sebagian besar sebanyak (63%). petugas kesehatan tidak mendukung kepada ibu tentang pemberian MP-ASI pada usia bayi dibawah 6 bulan sebanyak 100%. Diharapkan peran petugas kesehatan meningkatkan frekuensi penyuluhan tentang pemberian MP-ASI lebih dari 6 bulan di masyarakat. Kata kunci : MP-ASI, pengetahuan, pekerjaan ibu dan dukungan petugas kesehatan. ABSTRACT Giving weaning food (MP-ASI) since a 6-month-old baby is one of the factors that influence optimal growth and development in infants. According to Basic Health Research (2018), states in Indonesia the number of babies who get exclusive breastfeeding is 37.3%, babies who get MP-ASI before 6 months of age are 9.3% and 3.3% of babies get prodominan breast milk. This research is a descriptive study. Samples are mothers who provide food and drink in addition to breast milk in the working area of Surabaya pacarkeling health center with 50 samples taken using the total sampling method. Data was collected by interviews and questionnaires. Data analysis used frequency distribution tables. The results showed that mothers who provided weaning food had sufficient knowledge (63%). The majority of mothers who work outside the house (63%). health workers provide support to mothers about giving MP-ASI at the age of babies over 6 months as much as 100%. It is expected that the role of health workers will increase the frequency of extension workers about the provision of MP-ASI for more than 6 months. Keywords: MP-ASI, knowledge, mother's work and support of health workers

PENGETAHUAN IBU TENTANG FAKTOR RISIKO KANKER PAYUDARA DI RT 03 RW 02 DESA WANGUNREJO KABUPATEN LAMONGAN almaarij, adelia suci; WURYANINGSIH, SRI HARDI; YUNIARTI, SISWARI; Christiany, Irine
JURNAL KEPERAWATAN Vol. 17 No. 1 (2023)
Publisher : JURUSAN KEPERAWATAN POLITEKNIK KESEHATAN KEMENKES SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/nersbaya.v17i1.84

ABSTRAK Kanker payudara adalah kanker yang terbentuk di jaringan payudara. Tingginya kasus baru kanker dan sekitar 40% dari kematian akibat kanker berkaitan erat dengan faktor risiko kanker yang seharusnya dapat dicegah. Faktor risiko kanker tidak hanya bertujuan untuk menurunkan kasus baru kanker, namun juga menurunkan kemungkinan penyakit lainnya yang disebabkan faktor risiko tersebut.Tujuan penelitian ini untuk mengetahui pengetahuan ibu tentang faktor risiko kanker payudara.Penelitian ini menggunakan metode deskriptif dengan pendekatan cross sectional. Populasi dalam penelitian ini terdiri dari seluruh ibu-ibu PKK di Rt 03 Rw 02 Desa Wangunrejo Kabupaten Lamongan dengan jumlah sampel 36. Pengumpulan data dilakukan dengan cara mengajukan pertanyaan kepada responden melalui lembar kuesioner yang telah dibuat oleh peneliti. Hasil penelitian ini didapatkan ibu dengan umur 21-30 tahun, hampir seluruhnya memiliki pengetahuan kurang tentang faktor risiko kanker payudara. Berdasarkan karakteristik, tidak ada perbedaan antara kelompok umur, pendidikan dan pekerjaan ibu terhadap pengetahuan faktor resiko kanker payudara.Diharapkan ibu-ibu PKK untuk meningkatkan pengetahuannya tentang faktor risiko yang menyebabkan kanker payudara dengan cara mengikuti sosialisasi atau penyuluhan tentang kesehatan terutama mengenai faktor risiko kanker payudaradengan mencari informasi baik melalui tenaga kesehatan ataupun media lainnya sehingga dapat melakukan pencegahan kanker payudara. Kata kunci:Pengetahuan, Kanker Payudara,Faktor Risiko, ibu PKK ABSTRACT Breast cancer is cancer that forms in breast tissue. The high number of new cancer cases and around 40% of cancer deaths are closely related to cancer risk factors that should be preventable. Cancer risk factors not only aim to reduce new cases of cancer, but also reduce the possibility of other diseases caused by these risk factors. The purpose of this study was to determine mother's knowledge about breast cancer risk factors. This study used a descriptive method with a cross sectional approach. The population in this study consisted of all PKK women in Rt 03 Rw 02 Wangunrejo Village, Lamongan Regency with a total sample of 36. Data collection was carried out by asking questions to respondents through a questionnaire sheet that had been made by the researcher. The results of this study found that mothers aged 21-30 years, almost all of them had less knowledge about risk factors for breast cancer. Based on the characteristics, there is no difference between the age group, education and mother's occupation on knowledge of breast cancer risk factors. It is hoped that PKK women will increase their knowledge about the risk factors that cause breast cancer by participating in socialization or counseling about health, especially regarding risk factors for breast cancer by seeking information either through health workers or other media so they can do breast cancer prevention. Keywords:Knowledge, Breast Cancer, Risk Factors, PKK mothers

KNOWLEDGE OF PATIENTS WITH DIABETES MELLITUS ABOUT DIABETES NEUROPATHY SYMPTOMS Joeliantina, Anita; Zahratul, Sintya; Hasanah, Nur; Wuryaningsih, Sri Hardi; Soelistyowati, Endang
Nurse and Health: Jurnal Keperawatan Vol 13 No 1 (2024): Nurse and Health: Jurnal Keperawatan
Publisher : Institute for Research and Community Service of Health Polytechnic of Kerta Cendekia, Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36720/nhjk.v13i1.639

Background: Diabetes Mellitus (DM) is a metabolic disease characterized by high blood glucose levels or hyperglycemia, which in the long term can cause complications both macrovascular and microvascular. Diabetic Neuropathy (ND) is one of the many complications experienced by patients with DM. Objectives: This study aimed to determine the level of knowledge of patients with DM about ND symptoms at Community Health Center Pacarkeling Surabaya. Methods: This study used a descriptive research method with a cross-sectional approach. A large sample of 100 adult patients with DM. A purposive sampling technique was used. The instrument of this study was a questionnaire. Data analysis used descriptive analysis with frequency distribution tables. Results: This study showed that most respondents (65%) had less knowledge about ND symptoms, and almost all patients had foot complaints. The most complaints were 98% complaining of tingling feet and 75% complaining of numb feet. Data characteristics of respondents showed that 45% of patients were 56-65 years old, 68% were female, 41% had junior high school education, and 55% were not working. Other data show 86% of patients have a duration of DM of <10 years, the treatment used was 77% taking oral antidiabetic drugs, and 68% have a history of heredity. Conclusion: Patients with DM in research have a risk of developing diabetic foot ulcers because they have reduced knowledge and foot complaints related to ND. Patients must know the signs and symptoms of ND and foot care correctly. As part of the health staff, nurses must educate patients with DM regularly and appropriately.

PREGNANT WOMEN'S KNOWLEDGE ABOUT THE RISK FACTORS OF PREECLAMPSIA IN WADENG VILLAGE, SIDAYU, GRESIK Yuniarti, Siswari; Wuryaningsih, Sri Hardi; Hanafiyah, Farah
Global Ten Public Health and Nursing Journal Vol. 1 No. 4 (2023): December
Publisher : Prodi keperawatan sidoarjo, politeknik kesehatan kemenkes surabaya indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gtphnj.v1i4.132

Preeclampsia is one of the causes of high maternal mortality rates in Indonesia. Preeclampsia can actually be prevented from causing death in the mother by recognizing the risk factors for preeclampsia. The aim of this study was to identify the knowledge of pregnant women about risk factors for preeclampsia in pregnant women in Wading village, Sidayu, Gresik. This type of research is quantitative with a descriptive design. The population in this study consisted of all 53 pregnant women in Wadeng Village, Sidayu, Gresik. Sample selection used a non-probability sampling technique , namely saturated sampling. The variable in this study was pregnant women's knowledge about risk factors for preeclampsia. Data collection was carried out by asking questions to pregnant women through a questionnaire sheet. Data were analyzed descriptively. The results of this study were obtained from 53 pregnant women, more than half had good knowledge about reproductive factors, more than half had good knowledge about health status factors, more than half had good knowledge about health behavior factors, and most had good knowledge about supporting factors. Pregnant women are expected to increase their knowledge about risk factors for preeclampsia as early detection which is useful for preventing preeclampsia by searching for information in the mass media, being good at sorting information by asking health workers when making ANC visits, utilizing the services of health workers in the village, namely pregnant women's classes, and participating active in classes for pregnant women. Keywords: Knowledge, Pregnant women, Risk factors, Preeclampsia

MOTHER KNOWLEDGE ABOUT FEEDING TO TODDLERS TO PREVENT STUNTING AT THE SIDOARJO HEALTH CENTER SIDOARJO DISTRICT Sri Hardi Wuryaningsih; Siswari Yuniarti; Nathacia Vicky Putri Hermawan
Global Ten Public Health and Nursing Journal Vol. 2 No. 3 (2024): September
Publisher : Prodi keperawatan sidoarjo, politeknik kesehatan kemenkes surabaya indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gtphnj.v2i3.168

Introduction: Nutritional problems in general consist of deficiency and excess nutrition. Malnutrition in children, especially toddlers, are still a problem in Indonesia. One of them is stunting, stunting is a condition in which children experience growth disorders, so that the child's height does note match his age, US a result of chronic nutritional problems. One of the causes of stunting is the lack of knowledge of mothers in fulfilling conditions child nutrition. The purpose of this study was to identify mothers' knowledge about feeding toddlers to prevent stunting. Methods: This type of research is descriptive. The population of this study were mothers who had children aged 1-5 years as many as 91 people. The technique used to take samples is accidental sampling. Data collection used a questionnaire and then analyzed using frequency distribution and percentage. Results and Analysis: The results of this study indicates that most mothers of toddlers are knowledgeable enough. Knowledge of mothers of toddlers aged 35 years, mothers of toddlers aged 20-35 years, and mothers of toddlers aged <20 years are mostly knowledgeable enough. Knowledge of toddlers mothers in terms of the education of all toddler mothers with elementary - junior high school education, and a small number of toddler mother with high school education have less knowledge. Knowledge of mother of toddler in terms of the work of most of the mother who work are knowledgeable enough. Discussion: It is hoping that mothers of toddlers will seek information about feeding toddlers to prevent stunting through health workers, print and electronics media, listen when health education is given and apply it in everyday life US an effort to minimize the risk of stunting.

FAKTOR PENYEBAB PEMBERIAN MAKANAN PENDAMPING ASI DINI Alif Nurul Lailia; Sri Hardi Wuryaningsih; Endah Suprihatin; padoli padoli
JURNAL KEPERAWATAN Vol. 16 No. 3 (2022)
Publisher : JURUSAN KEPERAWATAN POLITEKNIK KESEHATAN KEMENKES SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/nersbaya.v16i3.50

ABSTRAK Pemberian makanan pendamping ASI (MP-ASI) sejak bayi berusia 6 bulan merupakan salah satu faktor yang mempengaruhi tumbuh kembang optimal pada bayi . Menurut Riset Kesehatan Dasar (2018), menyatakan di Indonesia jumlah bayi yang mendapatkan ASI eksklusif sebanyak 37,3%, bayi yang mendapatkan MP-ASI sebelum berumur 6 bulan sebanyak 9,3% dan 3,3% bayi mendapatkan ASI prodominan. Penelitian ini adalah penelitian deskriptif. Sampel adalah ibu yang memberikan makanan dan minum selain ASI di wilayah kerja puskesmas pacarkeling Surabaya sejumlah 50 sampel diambil menggunakan metode total sampling. Data dikumpulkan dengan wawancara dan kuisioner. Analisis data menggunakan tabel distribusi frekuensi. Hasil penelitian menunjukkan ibu yang memberikan MP-ASI dini memiliki pengetahuan yang cukup (63%). Ibu yang bekerja diluar rumah sebagian besar sebanyak (63%). petugas kesehatan tidak mendukung kepada ibu tentang pemberian MP-ASI pada usia bayi dibawah 6 bulan sebanyak 100%. Diharapkan peran petugas kesehatan meningkatkan frekuensi penyuluhan tentang pemberian MP-ASI lebih dari 6 bulan di masyarakat. Kata kunci : MP-ASI, pengetahuan, pekerjaan ibu dan dukungan petugas kesehatan. ABSTRACT Giving weaning food (MP-ASI) since a 6-month-old baby is one of the factors that influence optimal growth and development in infants. According to Basic Health Research (2018), states in Indonesia the number of babies who get exclusive breastfeeding is 37.3%, babies who get MP-ASI before 6 months of age are 9.3% and 3.3% of babies get prodominan breast milk. This research is a descriptive study. Samples are mothers who provide food and drink in addition to breast milk in the working area of Surabaya pacarkeling health center with 50 samples taken using the total sampling method. Data was collected by interviews and questionnaires. Data analysis used frequency distribution tables. The results showed that mothers who provided weaning food had sufficient knowledge (63%). The majority of mothers who work outside the house (63%). health workers provide support to mothers about giving MP-ASI at the age of babies over 6 months as much as 100%. It is expected that the role of health workers will increase the frequency of extension workers about the provision of MP-ASI for more than 6 months. Keywords: MP-ASI, knowledge, mother's work and support of health workers

Optimisation of the role of families of chronic hypertension patients based on the mcmaster model of family functioning in self-care agency Proboningsih, Jujuk; Sriyono, Sriyono; Ambarwati, Rini; Wuryaningsih, Sri Hardi; Joeliantina, Anita
Jurnal Ners Vol. 20 No. 2 (2025): VOLUME 20 ISSUE 2 MAY 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v20i2.65083

Introduction: This study aims to analyse the impact of the McMaster Model of Family Functioning (MMFF) on the self-care agency of patients with chronic hypertension in Surabaya. Methods: This study employs an analytical observational design with a cross-sectional approach, involving 300 respondents from families of patients with hypertension who meet the inclusion criteria. The independent variables examined include the six dimensions of the McMaster Model of Family Functioning (MMFF): problem-solving, communication, family roles, affective responsiveness, affective involvement, and behaviour control. Meanwhile, the dependent variable is self-care agency, which consists of medication, physical activity, and diet. Hypothesis testing was conducted using SEM-PLS, which was processed with SmartPLS 4.0.4 software. Results: The analysis results indicate that the MMFF has a positive and significant effect on self-care agency, with a coefficient of 0.340 (CI = 0.247 – 0.445). The effect size result obtained an effect size value of 0.131. Structured and adaptive family support, particularly in communication and affective involvement, has enhanced patients' motivation to adhere to medication and engage in self-care activities. Conclusions: This study expands on previous research on the role of family support in self-care agencies, by involving the McMaster Family Function Model (MMFF) to analyse the specific role of family functions in improving self-care agencies in chronic hypertension patients, thus providing a more comprehensive, contextual, and relevant perspective for family-based interventions. These results also enrich other theoretical studies, namely the Family-Centred Care (FCC) Model, Social Support Theory, and Health Belief Model (HBM).

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