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Evaluasi Program Pelayanan Kesehatan Ramah Remaja (PKRR) Dalam Pendidikan Kesehatan Reproduksi Remaja Awal Grhasta Dian Perestroika; Dewi Andang Prastika; Nawang Swastika Raras; Rosiana Alfa Risqi; Riadini Wahyu Utami; Sinta Rosita Sari
Jurnal Ilmu Kebidanan (Journal of Midwivery Science) Vol. 10 No. 2 (2022): Jurnal Ilmu Kebidanan (Journal of Midwifery Science)
Publisher : Jurnal Ilmu Kebidanan (Journal of Midwivery Science)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36307/trjrbv37

Abstract

Introduction: In Indonesia, one of the efforts to prevent risky sexual behavior is to providereproductive health education among adolescents. One of the programs that collaborate withschools in providing reproductive health education is the pelayanan kesehatan ramah remaja(PKRR) organized by the Dinas Kesehatan. However, studies on the evaluation of the PKRRprogram among early adolescents in Indonesia have not been widely studied. Methods: A qualitative study was conducted on 14 early adolescents, 1 provider and 1practitioner PKRR in November 2019-February 2020. Data were collected by Focused GroupDiscussion (FGD) and semi-structured interviews using the RE-AIM framework. Data wasanalyzed using Stevick-Colaizzi-Keen method in Nvivo 12 software.Result: The advantage of this program is that it can reach the target of early adolescents inthe school. One of the weaknesses of this program is the limited time when socialization wascarried out in schools. In addition, another weakness is the implementation at the communitylevel, in the form of Posyandu remaja and counseling. It is difficult to reach early adolescentsin the community level, because there is a feeling of shame to come to the place of services.Conclusion: This evaluation succeeded in revealing the needs of adolescents forreproductive health information, including the desire of adolescents to better understandreproductive health. The implication of this study is that there is a need for improvement in theimplementation of the PKRR program. Improvements include the addition of comprehensivesexual education, cross-sectoral collaboration and the regeneration of young implementersfor better implementation.Keywords: Evaluation, Early Adolescents, PKRR, Reproductive Health Education, RE-AIM.
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN PERILAKU SEKSUAL BERISIKO PADA REMAJA Kusumawardani, Emi; Herniyatun, Herniyatun; Amin, Hadriyani; Pangaribuan, Resmi; Perestroika, Grhasta Dian
Ensiklopedia of Journal Vol 6, No 3 (2024): Vol. 6 No. 3 Edisi 2 April 2024
Publisher : Lembaga Penelitian dan Penerbitan Hasil Penelitian Ensiklopedia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33559/eoj.v6i3.2317

Abstract

Sexual behavior is any behavior driven by sexual desire, either with the opposite sex or with the same sex. Initial data survey conducted at SMA N 12 Pekanbaru from 15 respondents, 15 of them claimed to have dated, and 10 of them were currently dating, 9 respondents considered that dating was a natural thing, 8 respondents claimed to be dating under the age of 15, 7 respondents were known by their parents to have a boyfriend, even their boyfriend had visited their house and vice versa they had also visited their boyfriend's house, 6 respondents claimed to have embraced their boyfriend, and they considered it a natural thing to do. The purpose of the study was to determine the Factors Associated with Sexual Behavior in Class XI Adolescents at SMAN 12 Pekanbaru in 2022.  The type of research is quantitative using a cross sectional design on a sample of 108. The sampling technique used proportionate stratified random sampling. The results of the study were there was a relationship between knowledge (p value 0.026; POR 2.6), peers (p value 0.005; POR 4.3) and family harmony (p value 0.032; POR 2.5) with sexual behavior in adolescents. It is suggested that there is a need for programs that can increase knowledge such as counseling, disseminating correct sexual information and increasing parental supervision efforts for teenagers.Keywords: Family Harmony, Knowledge, Adolescents, Peers
EKSPLORASI BIBLIOMETRIK BERDASARKAN DATA SCOPUS (2013-2023): HUBUNGAN ANTARA MODERATE EXERCISE DAN SIKLUS MENSTRUASI TERATUR PADA REMAJA Perestroika, Grhasta Dian; Argaheni, Niken Bayu; Prastika, Dewi Andang; Syarifah, Syarifah
Ensiklopedia of Journal Vol 6, No 4 (2024): Vol. 6 No. 4 Edisi 1 Juli 2024
Publisher : Lembaga Penelitian dan Penerbitan Hasil Penelitian Ensiklopedia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33559/eoj.v6i4.2392

Abstract

By conducting a bibliometric analysis based on Scopus data from 2013 to 2023, this study provide a comprehensive overview of the research landscape concerning the interaction between moderate exercise and regular menstrual cycles in adolescents. This study aims to inform researchers, educators, clinicians, and policymakers about existing knowledge, identify research gaps, and guide future investigations. The Scopus database was utilized for data collection and analysis. The keywords used for the search included "exercise OR physical activity AND menstrual cycles AND adolescents".The Scopus website and VOS Viewer were utilized as the bibliometric analysis tools to conduct an analysis of the collected data. This analysis included examining the data distribution from the literature in Scopus, as well as visualizing the semantic network of documents. The consistent fluctuation in document numbers can be observed from year to year. The journal "Nutrients" continues to contribute up to the present time. Document distribution is predominantly in the field of medicine, followed by biochemistry and nursing. This collectively illuminates research evolution, source importance, and global collaboration in studying exercise's relation to the adolescent menstrual cycle. In conclusion, the continuous fluctuations, enduring input from "Nutrients," medical field's dominance in subject distribution, and the United States' pivotal role emphasize the urgency of investigating light exercise's link to menstrual cycles in adolescents due to its complexity.
FAKTOR YANG BEHUBUNGAN DENGAN PEMANFAATAN POSYANDU Arini, Ketut Novia; Utami, Utami; Kamaruddin, Mustamir; Wirda, Wirda; Perestroika, Grhasta Dian
Ensiklopedia of Journal Vol 6, No 3 (2024): Vol. 6 No. 3 Edisi 2 April 2024
Publisher : Lembaga Penelitian dan Penerbitan Hasil Penelitian Ensiklopedia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33559/eoj.v6i3.2322

Abstract

Nutritional status is the state of the body as a result of food consumption and the use of nutrients. Distinguished between good, less and more nutritional status. initial survey on December 27, 2021 at Paud Hasnatul Hassanah Sungai Siput Village, Siak Kecil District, Bengkalis Regency in 2018. The number of students consists of 50 students. Of the 10 students studied who were well-nourished, 3 students were malnourished, 4 students were undernourished and 3 students were overnourished. The purpose of the study was to determine the relationship between maternal and socioeconomic knowledge on nutritional status in early childhood at Paud Hasnatul Hassanah Sungai Siput Village, Siak Kecil District, Bengkalis Regency. This study uses a type of quantitative research with a cross sectional design. The instrument in this study used a questionnaire. Univariate and bivariate data analysis using chi Square test. The results of the study were the majority of mothers had sufficient knowledge 40.0% and mothers with low socioeconomic 27.3%. There is a significant relationship between knowledge (P value = 0.000), socioeconomics (P value = 0.000) on the nutritional status of early childhood children at Paud Hasnatul Hassanah Sungai Siput Village, Siak Kecil District, Bengkalis Regency. It is recommended for mothers to increase knowledge by always attending counseling about health, especially nutritional status in children, as well as for health workers to further improve counseling for families, health counseling counseling, and increasing the number of children in the community.Keywords: Knowledge Level, Socioeconomics, Nutritional Status
PENGARUH PENYULUHAN MENSTRUASI TERHADAP KECEMASAN MENGHADAPI MENARCHE PADA REMAJA PUTRI KELAS VII SMP N 2 PUNGGELAN BANJARNEGARA Grhasta Dian Perestroika; Rin Widya Agustin; Erindra Budi C
Jurnal Kebidanan Vol 3, No 1 (2014): February 2014
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (58.784 KB) | DOI: 10.26714/jk.3.1.2014.58-65

Abstract

Latar belakang : Pada masa pubertas terjadi perubahan fisik dan mental remaja. Pada masa ini hormon seksual yaitu estrogen dan progesterone meningkat kuat. Hormon seksual tersebut menyebabkan perubahan dalam tubuh remaja putri seperti menstruasi pertama atau menarche. Perubahan hormonal yang dramatis dapat mempengaruhi kondisi emosi. Hal tersebut dapat menimbulkan perasaan bingung, berbagai pertanyaan, ketakutan dan kecemasan. Oleh karena itu diperlukan pemberian informasi kesehatan reproduksi remaja (KRR) khususnya tentang menstruasi dan salah satu caranya melalui penyuluhan. Tujuan : untuk mengetahui adanya pengaruh penyuluhan menstruasi terhadap kecemasan menghadapi menarche pada remaja putri kelas VII SMP N 2 Punggelan Banjarnegara. Metode: Jenis penelitian ini adalah eksperimen semu dengan model rancangan non equivalent control group. Subyek dalam penelitian ini adalah remaja putri kelas VII SMP N 2 Punggelan Banjarnegara tahun 2011 yang berjumlah 60 siswi, dimana kelompok perlakuan 30 siswi dan kelompok kontrol 30 siswi yang diambil dengan cara systematic sampling. Pengumpulan data dengan menggunakan kuisioner skala tingkat kecemasan yang dibuat oleh peneliti. Analisis data menggunakan uji beda t-test yaitu independent t-test. Hasil: Hasil penelitian dengan statistik independent t-test menunjukan t hitung sebesar 6,377 dengan df = 58, t tabel =2,04. nilai signifikansi (p) sebesar 0,000. Nilai p < 0,05 (0,000 <0,05) artinya ada perbedaan yang signifikan antara kecemasan pada kelompok perlakuan dengan kelompok kontrol. Simpulan : ada pengaruh positif penyuluhan menstruasi terhadap kecemasan menghadapi menarche pada remaja putri kelas VII SMP N 2 Punggelan Banjarnegara.
Evaluation of the Health Research Ethics Management Information System (SIM-EPK) Using the RE-AIM Framework in Indonesia Susilawati, Tri Nugraha; Perestroika, Grhasta Dian; Putri, Noviyati Rahardjo; Cahyanto, Erindra Budi; Putra, Wahyu Pratama; Nurrohima, Diana
eJournal Kedokteran Indonesia Vol. 12 No. 3 (2024): Vol. 12 No. 3 - Desember 2024
Publisher : Faculty of Medicine Universitas Indonesia

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

Abstract

Increased global awareness of research ethics has encouraged many countries to develop an accountable review process. A recent development in Indonesia is the implementation of the Health Research Ethics Management Information System (SIM-EPK), which digitizes the ethics review by an Institutional Review Board (IRB) that can be monitored nationally. This study aimed to evaluate SIM-EPK using the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework. A total of 30 informants including applicants, reviewers, and the IRB secretariat were involved. Data were collected using the Zoom meeting platform on 26 August 2022 and analyzed using NVivo software version 12. The respondents reported that the SIM-EPK is easily accessible and helpful. However, challenges were identified, including applicants’ lack of thoroughness when filling out the submission forms, unfamiliarity with the application, and technical problems such as lengthy CAPTCHA requirements for login and non-automated reminders. Concerns regarding data security, the complexity of submission forms, and institutional support were raised by several respondents. In conclusion, the SIM-EPK is well-received and considered as an effective and efficient digital tool that facilitates the ethical review. For the sustainability of this application, enhanced institutional support and improved data security measures are recommended.  
A Cross Sectional Study On The Relationship Of Maternal Bonding And Infant Temperament: Recommendations For Enhancing Maternal-Infant Bonding Maulina, Rufidah; Maharani, Alvina Dewi; Nurhidayati, Siti; Wahidah, Nurul Jannatul; Perestroika, Grhasta Dian
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 13 No. SI2 (2025): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educat
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V13.ISI2.2025.49-55

Abstract

Background : The temperament of a baby is one of the characteristics of the baby that plays an important role in the quality of the mother's interaction with the baby. The temperament of a baby significantly influences the quality of the mother's interaction with the baby. The close relationship between a mother’s bonding and her baby’s temperament affects the quality of their interactions. Given the impact of maternal bonding on the regulation of early emotions, it is important to understand how maternal bonding relates to infant temperament. This study aims to investigate the relationship between maternal bonding and infant temperament in the working area of Colomadu II Health Center. Methods : This cross-sectional study involved 102 mothers with babies aged 6 to 11 months in the working area of Colomadu II Health Center. Accidental sampling technique was used for participant selection. The instruments used were the Infant Characteristics Questionnaire (ICQ) and the Mother Infant Bonding Scale-Indonesian (MIBS-I). Tatistical analysis was conducted using the Spearman rank correlations test. Results : The study found that 75.5% of the babies had a mild temperament. The average MIBS-I score for mothers was 1.49 (range: 0-9, SD: 2.038). The Spearman rank correlation test indicated a significant relationship between maternal bonding and infant temperament (p=0.001, < 0.05). Conclusion : This study found a significant relationship between maternal bonding and infant temperament in the working area of Colomadu II Health Center. Recommendations for enhancing maternal-infant bonding are provided.
The Influence of Cegah Anemia Remaja (Care) Educational Video on Knowledge and Perceptions of Anemia Prevention in Female Adolescents Azzahra, Nabila Khairunisa; Perestroika, Grhasta Dian; Argaheni, Niken Bayu; Kusmawati, Iffah Indri; Novika, Revi Gama Hatta
Journal of Health Promotion and Behavior Vol. 10 No. 3 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2025.10.03.02

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Background: In adolescents aged 15-20 years, anemia is a disease that is susceptible, especially in young women. Early prevention efforts use educational videos motion graphics It has not been widely studied as to how much influence it has on knowledge and perceptions regarding the prevention of anemia in adolescents. This study aims to determine the effect of the Prevent Adolescent Anemia (CARE) educational video on knowledge and perceptions of preventing anemia in adolescents. Subjects and Method: A quantitative study was conducted on 68 teenage girls who were susceptible to anemia. This research used a quasi-experimental design that was held in February 2024 at Abi-Ummi Boyolali Islamic Boarding School. The dependent variable were adolescent knowledge and perception. The independent variable was Cegah Anemia Remaja (CARE) educa­tional video. The difference in values between the two groups was analyzed using the Wilcoxon matched-pairs signed-ranks test. The influence of the CARE educational video on adolescents' knowledge and perceptions of anemia was examined using multinomial logistic regression. Results: The prevalence of knowledge of preventing anemia in adolescents is 58.8% sufficient and the majority's perception of preventing anemia in adolescents is good, at 94.1%. The effect of CARE educational videos on knowledge is significant (OR= 5.40; p <0.001) and on perception is also significant (OR= 5.48; p= 0.013). Conclusion: Health education through the Cegah Anemia Remaja (CARE) Educational Video has an effect on increasing knowledge and perception of anemia prevention in female adolescents.
EFFECT OF AUTOGENIC TRAINING ON BULLYING-INDUCED ANXIETY IN CHILDREN Milinia, Straerla Atby; Argaheni, S.ST., M.Keb., Niken Bayu; Perestroika, Grhasta Dian; Novika, Revi Gama Hatta; Nurinasari, Hafi
Indonesian Midwifery and Health Sciences Journal Vol. 9 No. 2 (2025): Indonesian Midwifery and Health Sciences Journal, April 2025
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v9i2.2025.234-242

Abstract

Background: Bullying remains a common issue in character education at Islamic boarding schools, often manifesting in verbal and physical forms. Such experiences can cause significant anxiety in victims. One therapeutic option to address this is autogenic training, a relaxation technique aimed at reducing anxiety levels. Purpose: To determine the effect of autogenic training on reducing anxiety caused by bullying among students at Al-Ukhuwah Islamic Boarding School Sukoharjo, Central Java, Indonesia. Methods: This study employed a pre-experimental one-group pretest-posttest design involving 109 female students in grade VII, selected through total sampling. Participants completed the Olweus Bully Victim Questionnaire (OBVQ) and the Depression Anxiety Stress Scale (DASS-42) before the intervention. The autogenic training was conducted in 15-minute sessions, three times over three weeks. After the intervention, participants retook the DASS-42. Data were analyzed using the Wilcoxon test. Results: The Wilcoxon test showed a significant reduction in anxiety levels after autogenic training (p = 0.001). Before the intervention, most participants experienced severe to very severe anxiety; after the intervention, anxiety levels shifted to moderate and severe. Conclusion: Autogenic training effectively reduces anxiety among students who experience bullying. It is recommended as a supportive method to address students' mental health concerns in educational settings.
Perinatal Mental Health Disorders in Indonesia: A Systematic Review of QuantitativeStudies (2015–2024) Putri, Noviyati Rahardjo; Rahmah, Ulinuha Aufa; Perestroika, Grhasta Dian
Jurnal Kesehatan Masyarakat Vol. 21 No. 2 (2025)
Publisher : Universitas Negeri Semarang in collaboration with Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI Tingkat Pusat) and Jejaring Nasional Pendidikan Kesehatan (JNPK)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v21i2.26267

Abstract

Perinatal mental health disorders, especially depression and anxiety, are prevalent among women in low- and middle-income countries (LMICs), including Indonesia. These conditions can affect both maternal well-being and child development. This systematic review aimed to identify and synthesize key risk factors associated with perinatal mental health disorders among women in Indonesia. A systematic search was conducted in PubMed, Scopus, and Google Scholar for quantitative studies published between 2015 and 2024. Inclusion criteria included studies involving pregnant or postpartum women in Indonesia, using quantitative designs, and reporting on risk factors for depression and/or anxiety. The review followed PRISMA 2020 guidelines.  Data extraction and screening were conducted manually by reviewers. Out of 434 identified records, six studies met inclusion criteria. Most employed cross-sectional designs and focused on sociodemographic, psychosocial, obstetric, and psychological factors. Common risk factors included young maternal age, low education, unstable employment, lack of social support, and history of mental illness. Several studies also identified low mental health literacy and poor maternal-fetal attachment as contributing factors. The included studies were mostly cross-sectional, limiting causal inference. This review highlights the need for routine mental health screening, greater provider training, and community-based interventions in maternal health care. Future research should prioritize longitudinal designs and assess the effectiveness of policy implementation.