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KEJADIAN PNEUMONIA BALITA DI MAUMERE FLORES NUSA TENGGARA TIMUR Lia Dewi, Vivian Nanny; Agustina, Silvia Ari
Media Ilmu Kesehatan Vol 5 No 2: MIK Agustus 2016
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/mik.v5i2.57

Background: Pneumonia is the most significant disease to cause death in children compared to any other respiratoy infections, particularly in babies and children under five years old. Objective: This study aimed to investigate several risk factors for pneumonia in children under five years old in Maumere, Flores, NTT. Methods: This sudy employed collaborative qualitative-quantitative design. Data on the occurrence of pneumonia were drawn from the medical record of TC Hillers Maumere hospital, gathering information from January to July 2015. Research also involved direct observation to residents housing and interviews with health care providers and locals. Research population was children under five with a history of pneumonia, consisted of 152 children. Data were alayzed with a univariate method. Results: The majority of respondents with pneumonia were male (53.3%), co-morbid with iron deficiency anemia (20.4%), aged under 12 months (69.1%), well-nourished (56.6%), and waiting for 1-3 days at home before going to the hospital (47.5%). Direct observation suggested that Maumere was a dry and dusty area. The majority of housing roof was zinc, with topsoil floor, house ventilation were not properly adjusted, houses were over-populated, and residents still used wood and gasoline to cook. Residents had strong belief on supernatural powers. Conclusion: Risk factors that increased the occurrence of pneumonia in children under five in Maumere were age, sex, nutritional status, and environment characteristics. Keywords: pneumonia, anemia, nutrition, housing, children

Correlation between Obesity and Contraceptive Method on Estrogen and Progesterone Receptors and Human Epidermal Growth Factor Receptorâ€“2 Expression among Breast Cancer Patients in Dr. Moewardi Hospital, Surakarta Agustina, Silvia Ari; Barokah, Liberty
Indonesian Journal of Medicine Vol 4, No 3 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (326.078 KB)

Background: Breast cancer is the number 2 cancer in Indonesia after cervical cancer. Breast cancer increases every year. The formation of breast cancer is stimulated by various factors such as obesity and a history of family planning. In breast cancer, there are three important receptors, namely estrogen (ER) receptors, progesterone receptors (PR), and HER-2/Neu. The purpose of this study was to determine the association of obesity and history of family planning with the estrogen hormone receptor (ER), progesterone hormone receptor (PR), and HER-2/Neu expression in breast cancer patients in the dr. Moewardi Hospital in Surakarta, Central Java.Subjects and Method: This was an analytic observational study carried out at Dr. Moewardi Hospital, Surakarta, Central Java. A sample of 117 pre- and post-menopausal women who performed examinations at the oncology surgical clinic at Dr. Moewardi hospital, Surakarta was selected by total sampling. The dependent variables were estrogen and progesterone receptors and HER-2/Neu expressions. The independent variables were obesity and history of contraceptive method. Data were obtained from the medical record and analyzed by multiple logistic regression.Results: Obesity (OR= 0.29; 95% CI= 0.13 to 0.68; p= 0.004) reduced estrogen hormone receptors and it was statistically significant. History of contraceptive method (OR= 1.18; 95% CI= 0.55 to 2.52; p= 0.680) increased estrogen hormone receptors but it was not statistically significant. Obesity (OR=0.41; 95% CI= 0.18 to 0.96; p= 0.040) and history of contraceptive method (OR= 0.41; 95% CI= 0.19 to 0.88; p= 0.022) reduced progesterone hormone receptors. Obesity and history of contraceptive method increased Her-2/Neu expression.Conclusion: Obesity reduces estrogen hormone receptors. History of the contraceptive method increases estrogen hormone receptors. Obesity and history of contraceptive method reduce progesterone hormone receptors. Obesity and history of contraceptive method increase Her-2/Neu expression.Keywords: Obesity, contraceptive method, estrogen, progesterone hormones, Her-2/neuCorrespondence: Silvia Ari Agustina. Study Program in Midwifery, School of Health Sciences Achmad Yani, Yogyakarta. Jl. Ringroad Barat Ambarketawang, Gamping, Sleman, Yogyakarta. Phone: (0274) 4342000. Email: silvia_ari99@yahoo.com. Indonesian Journal of Medicine (2019), 4(3): 259-265https://doi.org/10.26911/theijmed.2019.04.03.09

PENERAPAN HEALTH BELIEF MODEL SEBAGAI UPAYA PENCEGAHAN INFEKSI MENULAR SEKSUAL PADA IBU RUMAH TANGGA Ari Agustina, Silvia; Murti, Bhisma; Demartoto, Argyo
MEDIA ILMU KESEHATAN Vol 5 No 3 (2016): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

Background: Sexual and reproductive health issues are increasingly of concern world wide among other circumstances related to genital hygiene. Poor genital hygiene will increase the risk of Sexually Transmitted Infections (STIs). Health Belief Model (HBM) is a set of self-perceptions that determines the health behavior of an individual. Objective: This study aimed to analyze the application of the health belief model with genital hygiene practice of housewives in Cangkringan. Method: This study employed mixed-methods with sequential explanatories strategy and cross sectional design. A total of 101 housewives, including 2 housewives, 2 husbands, officers of clinics that serve STIs screening and 1 non-governmental organization were recruited using quota sampling. Data were collected with a questionnaire, interviews and were analyzed using linear regression. Triangulation was conducted to achieve validity and reliability. Results: Genital hygiene had a positive relationship with the perception of vulnerability (b:0.97; 95% CI: 0.87 to 1.06; p < 0.01), self-efficacy (b: 0.02; CI 95%: 0.00 to 0.05; p 0.05), and cues to genital hygiene action (b:0,16; 95% CI: 0.08 up to 0.23; p < 0.01). There was a negative relationship between genital hygiene with the perception of hygiene barriers (b:-0.13; 95% CI:-0.18 to 0.09-; p < 0.01). The linear regression model showed that independent variables altogether contribute to 84.5% of genital hygiene. Housewives stated that genital hygiene was important, but maintained inappropriate practices, such as frequently use of femininity cleanser, wearing tight underwears, and using pentyliner. Conclusion: There are four components of Health Belief Model associated with genital hygiene. Keywords: Health belief model, genital hygiene

PELATIHAN DAN PENDAMPINGAN PIJAT BAYI PADA KADER POSYANDU SEBAGAI STIMULASI TUMBUH KEMBANG BALITA DI TEGALREJO KOTA YOGYAKARTA Kusuma, Reni Merta; Agustina, Silvia Ari; Susanti, Dwi
Jurnal Pemberdayaan: Publikasi Hasil Pengabdian Kepada Masyarakat Vol 3, No 3 (2019)
Publisher : Universitas Ahmad Dahlan, Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/jp.v3i3.1168

Permasalahan tumbuh kembang bayi dan balita terjadi di wilayah Tegalrejo. Tujuan pengabdian kepada masyarakat ini untuk memecahkan masalah tumbuh kembang bayi di Kelurahan Bener dan Kelurahan Kricak, Kecamatan Tegalrejo, Kota Yogyakarta. Masalah yang ditemukan banyaknya anak yang mengalami sulit makan yang merupakan awal masalah terjadinya gizi buruk bagi anak. Masalah gizi buruk dapat diantisipasi sejak masih bayi. Salah satunya dengan memberikan stimulasi dengan terapi sentuhan yaitu pijat bayi. Pijat bayi yang dilakukan secara berkala dan berkelanjutan akan merangsang nervus vagus bayi dan menimbulkan nafsu makan. Agar bayi dapat dipijat secara berkala dan bersinambungan, maka tenaga kesehatan membutuhkan perpanjangan tangan yaitu mengoptimalkan peran kader. Kader dibekali dengan pelatihan dan pendampingan pijat bayi selama 3 bulan. Kemampuan kader dalam melakukan pijat bayi dapat meningkat dari sebelum pelatihan dan pendampingan. Pengetahuan kader posyandu balita juga bertambah sehingga persepsi dan perlakukan terhadap bayi menjadi lebih baik. Hasil dari pengabdian kepada masyarakat ini kemampuan kader melakukan pijat semakin meningkat, beberapa bayi yang mengalami masalah pertumbuhan dan perkembangan dapat diketahui lebih awal, bayi semakin sehat, tenaga kesehatan dan tokoh masyarakat menyambut baik karena ada salah satu langkah yang dapat dilakukan untuk mengatasi masalah gizi pada balita. Growth problems for infants and toddlers occur in the Tegalrejo region. The purpose of community service is to solve the problem of growth and development of infants in the Village of Bener and Village Kricak, District Tegalrejo, Yogyakarta City. The problem found by many children who have difficulty eating is the beginning of the problem of malnutrition for children.Malnutrition problems can be anticipated since I was a baby. One of them by providing stimulation with touch therapy is baby massage. A regular and ongoing baby massage will stimulate the baby's vagus nerve and cause appetite. So that the baby can be massaged regularly and continuously, then health workers need an extension of the hand that is optimizing the role of cadres.Cadres are equipped with training and assistance for infant massage for 3 months. The ability of cadres to do baby massage can improve from before training and mentoring. The knowledge of posyandu toddlers is also increasing so that the perception and treatment of babies is better.The results of community service have increased the ability of cadres to do massage, some babies who experience growth and development problems can be known earlier, babies are healthier, health workers and community leaders are welcomed because there is one step that can be done to overcome nutritional problems in toddler.

Faktor Internal Kejadian Ketuban Pecah Dini di Kabupaten Kulonprogo Barokah, Liberty; Agustina, Silvia Ari
Window of Health : Jurnal Kesehatan Vol 4 No 2 (April 2021 )
Publisher : Fakultas Kesehatan Masyarakat Universitas Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33368/woh.v0iNo 2.314

Premature rupture of membranes (PROM) is a rupture of the membranes before labor. PROM is still a Disease of Theory because it is not yet known the exact cause, but there are several internal or external conditions thought to be related to premature rupture of membranes. Internal factors include maternal age, parity, polyhydramnios, cervical incompetence and fetal presentation. Complications due to PROM are infections in labor and childbirth, prolonged labor, increased of caesarean section deliveries. The purpose of this study was to determine the internal factors of the incidence Premature rupture of membranes (PROM) in Kulonprogo, Yogyakarta. This study uses analytic surveys with a retrospective approach. Univariate data analysis uses percentage forms and multivariate uses binomial logistic regression analysis. The results showed that internal factors such as parity, gestational age, disporpotion Chepalo Pelvic and c diseases in pregnant had p values (0.031, 0.035, 0,008 dan 0.000) < 0.005. the variable has a significant influence on the incidence of PROM. While the variable location of the fetus and uterine enlargement does not have a partial effect on PROM with a p value (0.816 and 0.857) > 0.005 here is a relationship between internal factors (parity, gestational age, PROM and diseases in pregnant) with the incidence of PROM

Description of Premarital Health Status In Pregnancy Preparation Silvia Ari Agustina; Liberty Barokah; Dewi Zolekhah
Midwifery and Nursing Research Vol 4, No 1 (2022): MARET 2022
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/manr.v4i1.7976

Backgrounds: The prospective bride are the right target in improving reproductive health, especially before pregnancy. Prospective brides need to prepare for reproductive health so that after marriage they are expected to have optimal health status. The period before pregnancy, giving birth to the first 1000 days of a baby's life is a golden period that needs attention. Good health status will produce quality generations and reduce mortality and morbidity rates. The purpose of this study was to describe the health status of the prospective bride in preparation for pregnancy. Methods: The research type is descriptive quantitative. The sampling technique used was purposive sampling. The sample in this study amounted to 155 respondents, is secondary data from the health center in 2020. The data analysis uses univariate analysis. Results: Description of the prospective brides health status are, 81.9% were aged 20-35 years, had no history of disease 100%, had normal blood pressure 85.2%, BMI was not normal 52.3%, hemoglobin levels were normal 96.8%, blood sugar was normal 98.06%, normal upper arm circumference 85.8%. Conclusion: The majority of the health status of the bride-to-be is normal and the health status that requires the most attention is less BMI and more.

Baby Yoga Improves Weight of Baby 3-12 Month Silvia Ari Agustina; Reni Merta Kusuma
Midwifery and Nursing Research Vol 3, No 2 (2021): SEPTEMBER 2021
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/manr.v3i2.7709

Background: Emotional closeness is very important for physical growth, emotions and intelligence of babies. The benefit of doing Yoga is to create physical and mental health as well as creating a balance. Research on the effect of baby yoga on infant growth is still limited. The purpose of this study was to determine the effect of yoga on the baby's body weight and lengthMethods: The research method used is quasi-experimental design with the Pre-Post-test Control Group Design method. This study involved 36 samples of infants who had nutritional problems. Which were divided into 2 groups with 18 samples each. The treatment was carried out for 2 months, and 4 treatments were carried out monthly. The statistical test used is paired sample T-Test dan independent T-Test.Results: The statistical test result of paired sample T-Test for Baby Yoga treatment significantly affected the baby's weight and body length with p value = 0.000. The results of the Independent T-Test, the difference in body weight between the baby yoga group with growth and development stimulation was known to be p 0.05 (p = 0.012), there was a difference in weight gain between baby yoga and growth and development stimulation. However, for differences in body length difference test, showing a value of p 0.05 (p = 0.150), the results in body weight and body length difference between the treatment of baby yoga with growth and growth stimulation showed that there was no significant difference between the provision of baby yoga with growth and growth stimulation to increase body length.Conclusion: There is a weight difference between baby yoga treatment and growth stimulation, but no significant difference for body length.

PELATIHAN DAN PENDAMPINGAN PIJAT BAYI PADA KADER POSYANDU SEBAGAI STIMULASI TUMBUH KEMBANG BALITA DI TEGALREJO KOTA YOGYAKARTA Reni Merta Kusuma; Silvia Ari Agustina; Dwi Susanti
Jurnal Pemberdayaan: Publikasi Hasil Pengabdian Kepada Masyarakat Vol. 3 No. 3 (2019)
Publisher : Universitas Ahmad Dahlan, Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/jp.v3i3.1168

Permasalahan tumbuh kembang bayi dan balita terjadi di wilayah Tegalrejo. Tujuan pengabdian kepada masyarakat ini untuk memecahkan masalah tumbuh kembang bayi di Kelurahan Bener dan Kelurahan Kricak, Kecamatan Tegalrejo, Kota Yogyakarta. Masalah yang ditemukan banyaknya anak yang mengalami sulit makan yang merupakan awal masalah terjadinya gizi buruk bagi anak.Â Masalah gizi buruk dapat diantisipasi sejak masih bayi. Salah satunya dengan memberikan stimulasi dengan terapi sentuhan yaitu pijat bayi. Pijat bayi yang dilakukan secara berkala dan berkelanjutan akan merangsang nervus vagus bayi dan menimbulkan nafsu makan. Agar bayi dapat dipijat secara berkala dan bersinambungan, maka tenaga kesehatan membutuhkan perpanjangan tangan yaitu mengoptimalkan peran kader. Kader dibekali dengan pelatihan dan pendampingan pijat bayi selama 3 bulan. Kemampuan kader dalam melakukan pijat bayi dapat meningkat dari sebelum pelatihan dan pendampingan. Pengetahuan kader posyandu balita juga bertambah sehingga persepsi dan perlakukan terhadap bayi menjadi lebih baik. Hasil dari pengabdian kepada masyarakat ini kemampuan kader melakukan pijat semakin meningkat, beberapa bayi yang mengalami masalah pertumbuhan dan perkembangan dapat diketahui lebih awal, bayi semakin sehat, tenaga kesehatan dan tokoh masyarakat menyambut baik karena ada salah satu langkah yang dapat dilakukan untuk mengatasi masalah gizi pada balita.Â Growth problems for infants and toddlers occur in the Tegalrejo region. The purpose of community service is to solve the problem of growth and development of infants in the Village of Bener and Village Kricak, District Tegalrejo, Yogyakarta City. The problem found by many children who have difficulty eating is the beginning of the problem of malnutrition for children.Malnutrition problems can be anticipated since I was a baby. One of them by providing stimulation with touch therapy is baby massage. A regular and ongoing baby massage will stimulate the baby's vagus nerve and cause appetite. So that the baby can be massaged regularly and continuously, then health workers need an extension of the hand that is optimizing the role of cadres.Cadres are equipped with training and assistance for infant massage for 3 months. The ability of cadres to do baby massage can improve from before training and mentoring. The knowledge of posyandu toddlers is also increasing so that the perception and treatment of babies is better.The results of community service have increased the ability of cadres to do massage, some babies who experience growth and development problems can be known earlier, babies are healthier, health workers and community leaders are welcomed because there is one step that can be done to overcome nutritional problems in toddler.

KEJADIAN PNEUMONIA BALITA DI MAUMERE FLORES NUSA TENGGARA TIMUR Vivian Nanny Lia Dewi; Silvia Ari Agustina
MEDIA ILMU KESEHATAN Vol 5 No 2 (2016): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/mik.v5i2.151

Background: Pneumonia is the most significant disease to cause death in children compared to any other respiratoy infections, particularly in babies and children under five years old. Objective: This study aimed to investigate several risk factors for pneumonia in children under five years old in Maumere, Flores, NTT. Methods: This sudy employed collaborative qualitative-quantitative design. Data on the occurrence of pneumonia were drawn from the medical record of TC Hillers Maumere hospital, gathering information from January to July 2015. Research also involved direct observation to residents housing and interviews with health care providers and locals. Research population was children under five with a history of pneumonia, consisted of 152 children. Data were alayzed with a univariate method. Results: The majority of respondents with pneumonia were male (53.3%), co-morbid with iron deficiency anemia (20.4%), aged under 12 months (69.1%), well-nourished (56.6%), and waiting for 1-3 days at home before going to the hospital (47.5%). Direct observation suggested that Maumere was a dry and dusty area. The majority of housing roof was zinc, with topsoil floor, house ventilation were not properly adjusted, houses were over-populated, and residents still used wood and gasoline to cook. Residents had strong belief on supernatural powers. Conclusion: Risk factors that increased the occurrence of pneumonia in children under five in Maumere were age, sex, nutritional status, and environment characteristics. Keywords: Pneumonia, anemia, nutrition, housing, children

PENERAPAN HEALTH BELIEF MODEL SEBAGAI UPAYA PENCEGAHAN INFEKSI MENULAR SEKSUAL PADA IBU RUMAH TANGGA Silvia Ari Agustina; Bhisma Murti; Argyo Demartoto
MEDIA ILMU KESEHATAN Vol 5 No 3 (2016): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/mik.v5i3.162

Background: Sexual and reproductive health issues are increasingly of concern world wide among other circumstances related to genital hygiene. Poor genital hygiene will increase the risk of Sexually Transmitted Infections (STIs). Health Belief Model (HBM) is a set of self-perceptions that determines the health behavior of an individual. Objective: This study aimed to analyze the application of the health belief model with genital hygiene practice of housewives in Cangkringan. Method: This study employed mixed-methods with sequential explanatories strategy and cross sectional design. A total of 101 housewives, including 2 housewives, 2 husbands, officers of clinics that serve STIs screening and 1 non-governmental organization were recruited using quota sampling. Data were collected with a questionnaire, interviews and were analyzed using linear regression. Triangulation was conducted to achieve validity and reliability. Results: Genital hygiene had a positive relationship with the perception of vulnerability (b:0.97; 95% CI: 0.87 to 1.06; p < 0.01), self-efficacy (b: 0.02; CI 95%: 0.00 to 0.05; p 0.05), and cues to genital hygiene action (b:0,16; 95% CI: 0.08 up to 0.23; p < 0.01). There was a negative relationship between genital hygiene with the perception of hygiene barriers (b:-0.13; 95% CI:-0.18 to 0.09-; p < 0.01). The linear regression model showed that independent variables altogether contribute to 84.5% of genital hygiene. Housewives stated that genital hygiene was important, but maintained inappropriate practices, such as frequently use of femininity cleanser, wearing tight underwears, and using pentyliner. Conclusion: There are four components of Health Belief Model associated with genital hygiene. Keywords: Health belief model, genital hygiene

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