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HUBUNGAN TINGKAT PENGETAHUAN TENTANG MENSTRUASI DENGAN KESIAPAN MENGHADAPI MENARCHE PADA SISWI KELAS V DAN VI DI SD NEGERI DANGKEL PARAKAN TEMANGGUNG Anisatun Afifah; Tulus Puji Hastuti
JURNAL KEBIDANAN Vol 5, No 10 (2016): April (2016)
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkb.v5i10.1150

Abstract

Adolescence or puberty is a period in which the human body is undergoing changes that include growth and development. The most important events in puberty girls are the symptoms of menstruation or menstrual be a biomarker of sexual maturity. Knowledge and a good attitude about the physical and psychological changes associated menarche indispensable. Young women will have difficulty in dealing with menarche if not previously been aware of or discuss either with peers or with their mother.        The purpose of this study was to determine the relationship of the level of knowledge about menstruation with preparedness menarche in grade V and VI in Dangkel Parakan Waterford Elementary School. Respondents in this study consisted of 34 respondents who have not experienced menarche. The scale used in this study are nominal and ordinal scale statistical test used is the Kolmogorov-SmirnovFrom the results of the 34 respondents, good knowledge of students who were 21 (61.8%) have been prepared for menarche. Respondents with sufficient knowledge and are ready to face menarche 4 (11.8%). This study used a statistical test of Kolmogorov-spirnov with the result p value = 0.015 (p 0.05), so that Ho is rejected Ha accepted, meaning that there is a correlation with the levelof knowledge about menstruation menarche preparedness.The suggestions in this study were more active for health centers to provide health education on reproductive health to elementary school student who was working in the region.
HUBUNGAN TINGKAT PENGETAHUAN TENTANG MENSTRUASI DENGAN KESIAPAN MENGHADAPI MENARCHE PADA SISWI KELAS V DAN VI DI SD NEGERI DANGKEL PARAKAN TEMANGGUNG TAHUN 2014 Anisatun Afifah; Tulus Puji Hastuti
JURNAL KEBIDANAN Vol 5, No 11 (2016): Oktober 2016
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkb.v5i11.2881

Abstract

Adolescence or puberty is a period in which the human body is undergoing changes that include growth and development. The most important events in puberty girls are the symptoms of menstruation or menstrual be a biomarker of sexual maturity. Knowledge and a good attitude about the physical and psychological changes associated menarche indispensable. Young women will have difficulty in dealing with menarche if not previously been aware of or discuss either with peers or with their mother.        The purpose of this study was to determine the relationship of the level of knowledge about menstruation with preparedness menarche in grade V and VI in Dangkel Parakan Waterford Elementary School. Respondents in this study consisted of 34 respondents who have not experienced menarche. The scale used in this study are nominal and ordinal scale statistical test used is the Kolmogorov-SmirnovFrom the results of the 34 respondents, good knowledge of students who were 21 (61.8%) have been prepared for menarche. Respondents with sufficient knowledge and are ready to face menarche 4 (11.8%). This study used a statistical test of Kolmogorov-spirnov with the result p value = 0.015 (p 0.05), so that Ho is rejected Ha accepted, meaning that there is a correlation with the level of knowledge about menstruation menarche preparedness.The suggestions in this study were more active for health centers to provide health education on reproductive health to elementary school student who was working in the region.
Hubungan Tingkat Pengetahuan Seks Pranikah dengan Sikap Remaja tentang Perilaku Seks Bebas Pranikah pada Siswi Kelas X SMK ABDI Negara Muntilan Tahun 2014 Esti Handayani; Tulus Puji Hastuti; Zuria Heksa Setya Rini
JURNAL KEBIDANAN Vol 3, No 7 (2014): Oktober 2014
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkb.v3i7.120

Abstract

Backround. This research is motivated by indication of sexsuality behavior in adolescent, although the rate still under 5 percent. There are 0,5 percent girls has had sexual intercourse for the first time is in 8, and 0,1 percent for boys. Contraceptive used is very limited at the time of sexual intercourse, 23.4 percent of boys and only 5.3 percent in girls.Purpose. The aim of study is to describe the level of knowledge and attitudes about premarital sex adolescent and to analyze the relation between the knowledge level of premarital sexual attitudes of adolescent premarital sexual behavior in the female students.Method. Type analytic survey research with cross sectional approach. Total population are 73 students, and total sampleare 73 students.Enclosed questionnaire data collection techniques, data management is done with the help of manual and computerized.Result. The results of the analysis of the level of knowledge most knowledgeable premarital sex either the rate of 49 respondents (67.12%), while the results of the analysis of adolescent attitudes about premarital sex most of the support that is as much as 42 respondents (57.53%).Based on the results table kolmogorov-Smirnov test of significance through a computerized program found that the significance value (p) is 0.993. This indicates that there is no relation between the level of knowledge about adolescent premarital sex with adolescent attitudes about premarital sexual behavior.Recommendation. The results of this study can be expected to support more adolescent to say no to premarital sex and particularly supported by stakeholders such as parents, teachers, religious leaders, and etc. 
USIA REPRODUKSI TIDAK SEHAT DAN JARAK KEHAMILAN YANG TERLALU DEKAT MENINGKATKAN KEJADIAN ABORTUS DI RUMAH SAKIT TENTARA DOKTER SOEDJONO MAGELANG Shandra Riestya Prihandini; Wahyu Pujiastuti; Tulus Puji Hastuti
JURNAL KEBIDANAN Vol 5, No 10 (2016): April (2016)
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkb.v5i10.1147

Abstract

Abortion is the termination of pregnancy before the fetus is capable of living outside from the womb with gestational age 22 weeks. The dangerous complications of abortion are bleeding, perforation, infection, and shock. In 2013, there are 19 people from 107 cases of abortion who experienced bleeding after abortion.            The purpose of this research is to determine  the relationship of maternal age and spacing pregnancies with abortion incidence in Army Hospital dr. Soedjono Magelang in 2013.The research type is correlation analytical research with cross sectional time approach. The population is all pregnant women with gestational age 22 weeks who received medical care at maternity ward Army Hospital dr. Soedjono Magelang during 2013 with saturation sampling technique and the sample are 135 respondents.            The results showed that abortion is leaning occur in risky age (86,6%) and risky spacing pregnancies (88,6%). The first conclusion, there is significant rela-tionship between maternal age with abortion in RST dr. Soedjono Magelang in 2013 with p value 0.009, r 0,219 mean the closeness of the relationship is weak and the direction is positive so whenever the mother pregnant in the risky age, the probability of the occurence of abortion is bigger. The second conclution, there is significant relationship between spacing pregnancy with abortion in the RST dr. Soedjono Magelang in 2013 with p value 0.006, r 0.232 mean the closeness of the relationship is weak and the direction is positive so whenever the mother pregnant in the risky spacing pregnancies, the probability of the occurence of abortion is bigger.            Based on this study expected that midwifes can provide counseling about healthy maternal age and ideal spacing pregnancies and the midwifes are able to take a part in preventing the incident of high-risk pregnancy by an early-detection of risk factors of pregnancy.
Factors Related to Management of non – Asphyxia Low Birth Weight Baby by Midwives in magelang District”s Public Health Centers – 2012 Tulus Puji Hastuti; Sri Widatiningsih; Mundarti Mundarti
Jurnal LINK Vol 9, No 2 (2013): Mei 2013
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat, Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (6159.428 KB) | DOI: 10.31983/link.v9i2.256

Abstract

Low birth weight (LBW) is considered as main factor in increasing neonatal and infant morbidity as well as mortality rate, and it has a long term impact on life. Increasing knowledge and skills of health provider is one of strategy to decrease infant mortality rate which can be done by means of training on management of LBW baby and asphyxia. Previous pilot study showed that midwives did not conduct several points on management of non –asphyxia LBW baby. There was 47,7% midwives have had trained on management of LBW baby and asphyxia. This study was aimed to identify relationship between midwives working period, knowledge and motivation towards management of non-asphyxia LBW babies by midwives in Magelang District”s Public Health Centers in 2012. This was an explanatory survey research with cross-sectional approach. Structured quesionaire was used after being tested for its validity and reliability. Independent variables were working period, knowledge and motivation, while dependent variable was execution of non-asphyxia LBW management. There were 46 public health center midwives participated in the research. Stratified random sampling method was applied, sample was drawn from midwives who had been trained on management of LBW and asphyxia. Chi Square “s was applied as analysis method. Majority respondens had a high working period (27 respondens = 58.7%), mostly had a good knowledge (63%), while proportion of midwives who had good and poor motivation was counted the same (50%). There was no relationship between midwives working period, knowledge and motivation towards namagement of non-asphyxia LBW babies as shown by p value of 0.620 (working period), 0.411 (knowledge) and 0.551 (motivation). Multivariate analysis was not conducted because there was no relationship. There was no relationship between midwives working period, knowledge and motivation towards namagement of non-asphyxia LBW babies
The Effect of the Foot Reflection Therapy toward Systolic Blood Pressure in Patients with Primary Hypertension Liota Marsha Renardiyarto; Dwi Ari Murti Widigdo; Tulus Puji Hastuti
Journal of Nursing Care Vol 1, No 3 (2018): Journal of Nursing Care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1329.938 KB) | DOI: 10.24198/jnc.v1i3.17069

Abstract

Hypertension is a high blood pressure disorder which disrupts blood flow resulting in blocking of oxygen and nutrition carried by the blood to body tissue. Based on Dinas Kesehatan Jawa Tengah's data, hypertension became one of the health issues with a percentage of 37%. One of non-pharmacological therapy is foot-reflexology therapy. This method gives a relaxation effect that could make blood circulating better, decay the blocking in blood vessel, nourish muscles and nerves, and strenghten heart activity. Objective: To determine the effect of foot reflection therapy toward systolic blood pressure in primary hypertension patient at Ngadirojo, Secang, Magelang Method: This study used the pre-experiment method with one group pre-test post-test design without a control group. Simple random sampling technic was used to get 46 subjects. Result: Wilcoxon Test result showed different significant in this study between pre-post test foot reflection therapy by p=0.000 (p<0.05). It meant there was an effect of foot-reflection therapy on systolic blood pressure in primary hypertension. The average of blood pressure decrease was 3,7 mmHg. Although, the results of this study showed that there was a significantly different decrease in this decrease was not clinically significant. The recommendation is made to conduct a study in a combination of pharmacology and non-pharmacology intervention to lower blood pressure.
The Relationship Between Early MP-ASI and Stunting Incidence in Children Aged 2-3 Years Evada Safitri; Wiwin Reni Rahmawati; Tulus Puji Hastuti; Ribkha Itha Idhayanti
Midwifery and Nursing Research Vol 5, No 2 (2023): SEPTEMBER 2023
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/manr.v5i2.10460

Abstract

Background: Complementary food for breast milk (MP-ASI) is additional food given after the baby is more than six months old as a complementary food to breast milk until the age of two years. MP-ASI given before the baby is six months old can cause infection in the baby's digestive tract so that the baby experiences interference with the absorption of nutrients for growth and development so that the baby experiences stunting. Stunting is a condition of chronic malnutrition that is characterized by height or body length that is not in accordance with age or shorter than the normal number. The stunting rate in Banyumas in 2019 reached 16,581 cases. The purpose of this study was to determine the relationship between early complementary feeding and the incidence of stunting in children aged 2-3 years in Gunung Wetan village Jatilawang district Banyumas district. Methods: cross sectional method. The population in this study was 76 mothers who had children aged 2-3 years. The sample of this study was 36 people. The sampling technique of this study used a purposive sampling technique. The statistical test in this study uses the coefficient-contingency. Results: The results of this study indicate that there is a relationship between early complementary feeding and the incidence of stunting in children aged 2-3 years, with a p value of 0.003. Based on this study, it can be concluded that early complementary feeding has a relationship with the incidence of stunting in children aged 2-3 years in Gunung Wetan Village Jatilawang district Banyumas district. Conclusion: It is hoped that parents can understand the impact of early complementary feeding as a cause of stunting in children. So that children can be fulfilled with nutrition for their growth and development
EFEK STIMULASI MOTOR POINT DENGAN BEKAM BASAH TERHADAP TEKANAN DARAH SISTOLIK DAN DIASTOLIK PADA WANITA HIPERTENSI Tulus Puji Hastuti; Budi Ekanto Ekanto; Poltekes Kemenkes Semarang
Jurnal Ilmiah Kesehatan Keperawatan Vol 9, No 1 (2013): JURNAL ILMIAH KESEHATAN KEPERAWATAN
Publisher : LPPM UNIVERSITAS MUHAMMADIYAH GOMBONG

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

Abstract

Increased systolic and diastolic blood pressure may occur as a result of increased peripheral vascular resistance. Various efforts in the management of patients with hypertension has been done is a medical and complementary alternative medicine. Complementary alternative medicine : cupping method is not new among the people of Indonesia. Cupping make better microcirculation blood vessels causing a relaxing effect on the muscles so that it can lower blood pressure. Cupping works by stimulating or activating blood vessel dilation. This study aimed to examine the effect of cupping therapy to decrease systolic blood pressure and diastolic blood pressure. Research methodology is first day measurements Systolic and Diastolic blood pressure, further action on the Wet Cupping: hump, shoulders, shoulder blades kedu. Seven days measurement Systolic and Diastolic blood pressure, further action on the Wet Cupping: hump, shoulders, shoulder blades. The mean systolic blood pressure measurements were compared with the first day to the seventh day of the measurement results (7), further analysis using paired t-test when the data distribution is normal, if not normal Wilcoxon test was used alternative. Conclusions from the analysis showed that systolic blood pressure after wet cupping on the hump, both shoulder blades and both lower than 20 mmHg systolic blood pressure before wet cupping. Diastolic blood pressure after wet cupping on the hump, both shoulder blades and both lower than 13 mmHg diastolic blood pressure before wet cupping.   Keywords: cupping, systolic, diastolic
PENGARUH PEMBERIAN TEH ROSELLA (HIBISCUS SABDARIFFA) TERHADAP KADAR SUPEROXIDE DISMUTASE (ANTIOKSIDAN TUBUH UTAMA) PADA TIKUS JANTAN REMAJA YANG DIBERI ALKOHOL Budi ekanto; Syamsudin -; tulus Puji Hastuti
Jurnal Ilmiah Kesehatan Keperawatan Vol 8, No 1 (2012): JURNAL ILMIAH KESEHATAN KEPERAWATAN
Publisher : LPPM UNIVERSITAS MUHAMMADIYAH GOMBONG

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Abstract

Increase systolic blood pressure that related with impairedvasodilatation of the arterioles is affected by the decrease of NO level andincrease peroxynitrite. Nitric oxide level may be reduced by increase ofSuperoxide production that due to alcohol consumption. Superoxidedismutase activity will be decreased by its role in preventing reaction ofSuperoxide with NO to form peroxynitrite. Superoxide is reduced by SODto form hydrogen peroxide and oxygen. Oxidative stress due to alcoholconsumption lead to lower NO level and SOD activity in the blood. Theaims of this study are to examine the influence of rosela tea to the SODlevels in blood serum in rats given doses of alcohol 30 % 3 g / kg bodyweight / day.Thirty male of Wistar rats with weight 150 grams were divided intofive groups, each group consists of 6 animals. Group A was controlgroup. Group B was given by alcohol. Group C, D, E were given byalcohol and rosela. Doses 0.75 gram of dried rosela that diluted by 200cc of water gave to group C, while group D was given by rosela dose 1.5grams and 3 grams to E group. Providing alcohol and rosela conductedover 28 days by orally (orogastric tube). Rosela was given at 08.00 amand alcohol at 10:00 am. SOD levels in blood are measured aftertreatment. Results showed that Superoxide dismutase levels of groupthat were given by alcohol and 0.75 g, 1.5 g, 3 g rosela higher than thosein group that received only alcohol and control. Conclussion, rats thatwere given by rosela tea and alcohol have higher SOD level compared tocontrol group.Keywords : alcohol, rosela, Nitric oxide, SOD
Penerapan Pendidikan Kesehatan Untuk Mengatasi Masalah Utama Defisit Pengetahuan Pada Pasien Kejang Demam Astuti, Wahyu Tri; Hastuti, Tulus Puji; Khusniyadi, Nida
Jurnal Keperawatan Karya Bhakti Vol. 10 No. 2 (2024)
Publisher : Akademi Keperawatan Karya Bhakti Nusantara, Magelang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56186/jkkb.159

Abstract

Kejang demam adalah bangkitan kejang pada anak berumur 6 bulan sampai 5 tahun yang mengalami kenaikan suhu tubuh diatas 38°C, menyebabkan kerusakan sel otak karena aliran darah pada otak tidak lancar. Faktor-faktor yang mempengaruhi upaya orang tua dalam penanganan kejang demam diantaranya adalah pengetahuan, kemampuan orang tua dalam penanganan kejang demam harus didasari pengetahuan yang benar tentang kejang demam. Tingkat pengetahuan orang tua juga dipengaruhi kurangnya informasi yang diterima oleh orang tua. Tujuan : menggambarkan pendidikan kesehatan dapat meningkatkan pengetahuan pada pasien kejang demam. Metode : deskriptif kualitatif dengan pendekatan studi kasus. Subyek penelitian 2 pasien menggunakan non probability sampling dengan pendekatan purposive sampling pada pasien paska kejang demam di Ruang Aster 6 Rumah Sakit Umum Tidar Kota Magelang, instrumen digunakan SAP kejang demam, format pengkajian asuhan keperawatan, dan format penilaian tingkat pengetahuan sebelum dan sesudah dilakukan pendidikan kesehatan dengan menggunakan kuesioner pengetahuan ibu tentang kejang demam. Hasil : kedua responden memenuhi kriteria inklusi untuk dijadikan subjek studi kasus, pengkajian keperawatan didapatkan hasil pada pasien ibu An. M menanyakan masalah yang dihadapi An. M, belum mengetahui tentang cara penanganan kejang demam demam, dan pada pasien ibu An. F tidak mengetahui penyebab dari kejang demam dan cara penanganan kejang demam. Diagnosa keperawatan yang ditegakkan adalah defisit pengetahuan berhubungan dengan kurang terpapar informasi. Kondisi sebelum pelaksanaan tindakan pada ibu An. M dan ibu An. F didapatkan tingkat pengetahuan ibu An. M 50% (kurang) dan ibu An. F didapatkan tingkat pengetahuan 25% (kurang). Pelaksanaan tindakan berdasarkan perencanaan keperawatan yaitu edukasi kesehatan dengan penerapan pendidikan kesehatan. Simpulan : Kondisi setelah pelaksanaan pada ibu An. M dan ibu An. F didapatkan hasil mengalami tingkat pengetahuan meningakat, ibu An. M dari tingkat pengetahuan 50% menjadi 86% dan ibu An. F dari tingkat pengetahuan 25% menjadi 73%.