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Gambaran Dampak Pasca Abortus Spontan Pada Wanita Usia Subur di Rumah Sakit Ibu Dan Anak Widiantari, Gusti Ayu Made Yuni; Rahyani, Ni Komang Yuni; Suarniti, Ni Wayan; Wirata, I Nyoman; Senjaya, Asep Arifin
Journal of Borneo Holistic Health Vol 7, No 2 (2024): JOURNAL OF BORNEO HOLISTIC HEALTH
Publisher : Fakultas Ilmu Kesehatan, Universitas Borneo Tarakan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35334/borticalth.v7i2.5571

Abortus spontan termasuk dalam perdarahan obstetrik merupakan salah satu penyebab Angka Kematian Ibu yang dialami oleh wanita usia subur. Abortus spontan dapat berdampak buruk pada kesehatan fisik, mental dan sosial ibu. Dalam penelitian ini, digunakan recall memory yaitu mengingat kembali dengan petunjuk seperti menjawab soal. Tujuan penelitian untuk mengetahui gambaran dampak pasca abortus spontan pada wanita usia subur di Rumah Sakit Ibu dan Anak. Metode: Jenis penelitian deskriptif dengan pendekatan cross sectional. Penelitian dilaksanakan pada bulan Februari sampai Maret 2024 menggunakan teknik total sampling dengan jumlah sampel 52 orang. Pengumpulan data dilakukan dengan membagikan kuesioner melalui google form menggunakan analisis data univariate. Hasil: Hasil Penelitian menunjukkan proporsi dampak fisik jangka pendek: perdarahan pervaginam 55,8%, nyeri abdomen/kram perut 88,5%, kelelahan 59,6%, dampak fisik jangka panjang: perubahan siklus menstruasi 51,9%, infertilitas 38,5%, infeksi 23,1%, dampak psikologis: kesedihan 96,2%, kecemasan 73,1%, rasa bersalah dan penyesalan 88,5%, mimpi buruk 51,9%, trauma emosional 76,9%, depresi 11,5%, dampak sosial: interaksi sosial langsung 19,2%, perubahan hubungan sosial 15,4%, keputusan kehamilan masa depan 55,8%. Simpulan penelitian: dampak fisik, psikologis dan sosial yang dominan dialami oleh sebagian besar responden pasca abortus adalah nyeri abdomen/kram perut, kesedihan dan keputusan kehamilan masa depan. Sebagai upaya untuk mengurangi dampak fisik, psikologis dan sosial pasca abortus spontan diharapkan dari pihak Rumah Sakit melaksanakan asuhan komprehensif seperti pemberian edukasi dan konseling pasca abortus.

Gambaran Tingkat Pengetahuan Orang Tua tentang Penyakit Tuberkulosis pada Anak di Poliklinik Anak Rumah Sakit Umum Daerah Sanjiwani Kabupaten Gianyar: Overview of Parental Knowledge Levels Regarding Tuberculosis in Children at the Pediatric Clinic of Sanjiwani General Hospital, Gianyar Regency Ariesta, Gusti Ayu Viorya Ganes; Purnamayanti, Ni Made Dwi; Rahyani, Ni Komang Yuni
JURNAL KEBIDANAN Vol. 13 No. 2 (2024): Jurnal Kebidanan Dharma Husada
Publisher : AKADEMI KEBIDANAN DHARMA HUSADA KEDIRI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35890/jkdh.v13i2.359

ABSTRACT Background: Tuberculosis (TB) is a chronic infectious disease caused by the bacterium Mycobacterium Tuberculosis. Children are at high risk of developing illness after being infected and suffering from serious TB disease (TB meningitis, miliary TB). Latent TB infection in children, if not treated properly, will become a TB case in adulthood, which is a new source of transmission. In controlling childhood TB, parental knowledge is very necessary. Objective: To determine the level of knowledge of parents about tuberculosis in children at the Children's Polyclinic at Sanjiwani Regional General Hospital, Gianyar Regency. Method: This type of research is quantitative with a cross-sectional descriptive approach. The research was carried out in February-March 2024. The sampling technique used a non-probability sampling method, namely consecutive sampling. The sample consisted of 65 children suspected of having TB. Collecting data by distributing questions. Data analysis uses univariate in the form of frequency distribution. Results: Of the ten indicators, the respondents who mostly knew about the symptoms of TB in children were 83.1% and TB screening in children was 81.5%, while the respondents who mostly did not know about the pathogenesis of TB in children were 80.0% and treatment of TB disease in children was 67.7%. Conclusion: This research shows that the level of knowledge of parents about TB disease in children is mostly lacking, especially most do not know about pathogenesis and treatment. Suggestions: Health workers are expected to be able to carry out outreach with the health promotion team at the hospital, future researchers are expected to be able to develop descriptive research into relationship research, and parents are expected to be able to increase knowledge about TB disease in children to protect children from the threat of TB disease. Keywords: Level of Knowledge; Parents; Tuberculosis in Children

A Optimizing Target Group Empowerment in Increasing Healthy Behavior, in Kampung Toya Pakeh Village, Klungkung Regency Yuni Rahyani, Ni Komang; I Wayan Juniarsana; I Ketut Suardana; Burhannudin, Burhannudin; Suratiah, Suratiah; I Wayan Ambartana; Ida Bagus Putra Mahendra
Abdimas Kosala : Jurnal Pengabdian kepada Masyarakat Vol 4 No 1 (2025): ABDIMAS KOSALA: Jurnal Pengabdian Kepada Masyarakat
Publisher : SEKOLAH TINGGI ILMI KESEHATAN PANTI KOSALA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37831/akj.v4i1.353

Transformasi layanan kesehatan primer mencakup edukasi dan promosi kesehatan untuk meningkatkan pengetahuan dan kesadaran masyarakat meningkatkan derajat kesehatan. Masalah kesehatan yang menjadi prioritas terkait anemia dan hipertensi pada kelompok ibu hamil, remaja serta lanjut usia, di samping perilaku berisiko. Tujuan utama pengabdian masyarakat adalah untuk memberikan layanan nyata berupa transfer pengetahuan dan sikap kelompok sasaran untuk menatalaksana anemia dan hipertensi pada kelompok ibu hamil, lansia dan remaja, di samping edukasi bagi remaja untuk menghindari perilaku berisiko terutama merokok dan perilaku seks pranikah. Metode pengabdian dilakukan melalui tahapan perencanaan, pelaksanaan dan monitoring evaluasi serta pelaporan. Kegiatan pengabdian dilaksanakan sejak Mei sampai Agustus 2024. Hasil yang diperoleh, bahwa kelompok sasaran yang dilibatkan adalah kelompok ibu hamil, ibu balita dan kader posyandu (n= 21 orang), remaja masjid (n=21 orang), serta kelompok lansia (n= 31 orang). Peran serta kelompok sasaran sangat positif, kegiatan oleh pengabdi berupa edukasi dan pelayanan kesehatan sederhana seperti pemeriksaan berat badan (BB), tinggi badan (TB), pemeriksaan lab sederhana (Hb, kolesterol, gula darah, asam urat). Pelayanan kesehatan khusus bagi kelompok lansia khusus dilaksanakan bersama-sama pemegang program Lansia dari Puskesmas Nusa Penida III yang mewilayahi Desa Kampung Toya Pakeh. Hasil pengamatan dan wawancara kepada kelompok sasaran mengakui jika kegiatan pengabdian sangat bermanfaat dan diharapkan dapat dilaksanakan secara teratur. Luaran yang dihasilkan berupa media edukasi (video, buku saku, poster, lembar balik), video kegiatan pengabdian, diseminasi kegiatan pada media massa koran Fajar Bali, HKI serta MoU.

Postpartum Mothers' Perceptions about Yoga and Facial Acupressure Services to Prevent Baby Blues and Postpartum Depression at the Sawan II Community Health Center, Buleleng Regency, Bali Rahyani, Ni Komang Yuni; Budhi, Gusti Made Ayu Agung; Armini, Ni Wayan
Buletin Penelitian Kesehatan Vol. 52 No. 1 (2024)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/bpk.v52i1.3937

Introduction: There are several problems commonly experienced by women during the postpartum period, in the form of physical, psychological, social and sexual problems due to drastic hormonal changes. The aim of the research was to explore the perceptions of postpartum mothers regarding efforts to prevent baby blues and postpartum depression through yoga and facial acupressure at the Sawan II Community Health Center, Buleleng, Bali. Method: qualitative research type, with narrative analysis. The informants or resource persons involved were 15 pregnant women in the third trimester (gestational age >36 weeks), and are willing to become informants, without any pregnancy complications until the 42nd day of postpartum. The research instrument uses in-depth interview guidelines and Edinburgh Postnatal Depression Scale (EDPS). Research from May-August 2024 in the work area of Sawan II Community Health Center. Results: It was found that 12 people (80%) of informants were aged between ≥20 years - <35 years, two people (13.33%) were <20 years old and one respondent was > 35 years old (6.67%). A total of 8 informants were multigravida (53.33%), and one person was grandemulti gravida (6.67%). Informants admitted that yoga was very useful, especially during meditation, to reduce anxiety, sadness, increase feelings of gratitude and peace. The perception of facial acupressure is that it feels very relaxed, comfortable, even calming. Conclusion: The informant's perception regarding the yoga and facial acupressure efforts that have been provided through antenatal classes is that they are very useful and can be applied at home.

Education Parenting in Preventting Temper Tantrum Empowerment of Healthcare Workers and Mothers of Toddlers at Independent Midwifery Practice in South Denpasar Somoyani, Ni Ketut; Yuni Rahyani, Ni Komang
Jurnal Pengabmas Masyarakat Sehat Vol 7, No 1 (2025): JANUARI
Publisher : Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jpms.v7i1.3794

Temper tantrums are episodes of extreme anger and frustration, which appear as a loss of control as characterized by crying, screaming, and violent or aggressive body movements such as throwing things, rolling on the floor, banging the head, and stomping the floor. One of the factors that causes temper tantrums is the form of parenting from those closest to them or their mother Parental knowledge can be increased by providing education or counseling about parenting patterns in preventing temper tantrum behavior in children from an early age. Activities will be held from May-September 2023, at Midwife”s Independent Practice Luh Ayu Koriawati and Ni Wayan Gatri, with a target number of 50 mothers of toddlers. The results of the service show that the most age characteristics are 21-30 years old at 66%, the majority of education is high school at 66% and the majority (30%) of the targets are not working. The level of target knowledge regarding temper tantrums and parenting patterns in preventing temper tantrums has increased from 0% to 100%. Establishment of a consultation forum for toddler mothers regarding parenting patterns to prevent temper tantrums in toddlers and Increasing the role of midwives/health workers in providing education on parenting patterns to prevent temper tantrums in toddlers from 0% to 50 %. The conclusion of this community service activity is that the education provided and the existence of a consultation forum increases the knowledge of mothers of toddlers about parenting patterns in preventing temper tantrums in toddlers. Suggestions to midwife to increase the role of existing health workers to provide education regarding parenting patterns in preventing temper tantrums.

PERBEDAAN PENGETAHUAN IBU HAMIL TRIMESTER III TENTANG SKRINING HIPOTIROID KONGENITAL SEBELUM DAN SETELAH DIBERIKAN PENYULUHAN DENGAN MEDIA VIDEO Antarini Dewi, Ni Putu Yuli; Rahyani, Ni Komang Yuni
KOSALA : Jurnal Ilmu Kesehatan Vol. 13 No. 1 (2025): KOSALA : Jurnal Ilmu Kesehatan
Publisher : Sekolah Tinggi Ilmu Kesehatan Panti Kosala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37831/kjik.v13i1.349

Kekurangan hormon pada bayi sejak lahir dapat mengakibatkan gangguan pertumbuhan, perkembangan dan keterbelakangan mental. Diketahui sebagian besar ibu hamil belum mengetahui mengenai skrining hipotiroid kongenital. Upaya peningkatan pengetahuan mengenai skrining hipotiroid kongenital melalui penyuluhan dengan media video. Tujuan penelitian untuk mengetahui perbedaan skor pengetahuan ibu hamil trimester III tentang skrining hipotiroid kongenital yang diberikan penyuluhan dengan media video. Jenis penelitian ini pre-experiment dengan menggunakan desain one group pretest posttest. Sampel terdiri dari 35 orang ibu hamil trimester III yang dipilih dengan metode sampling yang digunakan adalah non probability sampling yakni purposive sampling. Hasil analisis univariat yaitu sebelum diberikan penyuluhan didapatkan rata-rata nilai pengetahuan yaitu 73,72, dengan standar deviasi 6,828, nilai terendah 66 dan nilai tertinggi 87. Setelah diberikan penyuluhan rata-rata nilai pengetahuan ibu hamil trimester III meningkat menjadi 97,51, dengan standar deviasi 3,285, nilai terendah 93 dan nilai tertinggi 100.Hasil analisis bivariat menggunakan uji Wilcoxon ? < 0,05 dengan nilai p = 0,000 < ? (0,05). Simpulannya adalah ada perbedaan skor pengetahuan ibu hamil trimester III tentang skrining hipotiroid kongenital (SHK) sebelum dan sesudah diberikan penyuluhan dengan media video. Layanan dan petugas kesehatan dapat memberikan penyuluhan dengan media video secara berkesinambungan mengenai SHK untuk bayi baru lahir kepada ibu hamil trimester III. Kata kunci: hipotiroid kongenital; ibu hamil; penyuluhan; skrining; trimester III, video Hormone deficiency in babies from birth can result in impaired growth, development and mental retardation. It is known that most pregnant women do not know about screening for congenital hypothyroidism. Efforts to increase knowledge regarding congenital hypothyroid screening through education using video media. The aim of the research was to determine the difference in knowledge scores of third trimester pregnant women regarding congenital hypothyroid screening who were given counseling using video media. This type of research is a pre-experiment using a one group pretest posttest design. The sample consisted of 35 pregnant women in the third trimester who were selected using the sampling method used, namely non-probability sampling, namely purposive sampling. The results of the univariate analysis, namely that before the counseling was given, the average knowledge score was 73.72, with a standard deviation of 6.828, the lowest score was 66 and the highest score was 87. After being given the counseling, the average knowledge score for third trimester pregnant women increased to 97.51, with standard deviation 3.285, lowest value 93 and highest value 100. The results of bivariate analysis used the Wilcoxon test ? < 0.05 with p value = 0.000 < ? (0.05). The conclusion is that there is a difference in the knowledge scores of third trimester pregnant women regarding congenital hypothyroidism screening before and after being given counseling using video media. Health services and workers can provide continuous education via video media regarding for newborn babies to pregnant women in the third trimester. Keywords: congenital hypothyroidism screening, third trimester pregnant women, counseling, video

Education Parenting in Preventting Temper Tantrum Empowerment of Healthcare Workers and Mothers of Toddlers at Independent Midwifery Practice in South Denpasar Somoyani, Ni Ketut; Yuni Rahyani, Ni Komang
Jurnal Pengabmas Masyarakat Sehat Vol 7, No 1 (2025): JANUARI
Publisher : Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jpms.v7i1.3794

Temper tantrums are episodes of extreme anger and frustration, which appear as a loss of control as characterized by crying, screaming, and violent or aggressive body movements such as throwing things, rolling on the floor, banging the head, and stomping the floor. One of the factors that causes temper tantrums is the form of parenting from those closest to them or their mother Parental knowledge can be increased by providing education or counseling about parenting patterns in preventing temper tantrum behavior in children from an early age. Activities will be held from May-September 2023, at Midwife”s Independent Practice Luh Ayu Koriawati and Ni Wayan Gatri, with a target number of 50 mothers of toddlers. The results of the service show that the most age characteristics are 21-30 years old at 66%, the majority of education is high school at 66% and the majority (30%) of the targets are not working. The level of target knowledge regarding temper tantrums and parenting patterns in preventing temper tantrums has increased from 0% to 100%. Establishment of a consultation forum for toddler mothers regarding parenting patterns to prevent temper tantrums in toddlers and Increasing the role of midwives/health workers in providing education on parenting patterns to prevent temper tantrums in toddlers from 0% to 50 %. The conclusion of this community service activity is that the education provided and the existence of a consultation forum increases the knowledge of mothers of toddlers about parenting patterns in preventing temper tantrums in toddlers. Suggestions to midwife to increase the role of existing health workers to provide education regarding parenting patterns in preventing temper tantrums.

Deteksi Dini Anemia Melalui Pemeriksaan Hemoglobin Dan Penyuluhan Di Desa Batubulan Kangin Kecamatan Sukawati Kabupaten Gianyar Tirtawati, Gusti Ayu; Somoyani, Ni Ketut; Rahyani, Ni Komang Yuni; Erawati, Ni Luh Putu Sri; Mahayati, Ni Made Dwi; Purnamayanti, Ni Made Dwi
Jurnal Pengabdian dan Pengembangan Masyarakat Indonesia Vol. 3 No. 2 (2024)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jppmi.v3i2.299

Pengabdian kepada masyarakat ini bertujuan untuk melakukan deteksi dini anemia melalui pemeriksaan hemoglobin dan memberikan penyuluhan kesehatan kepada remaja di Desa Batubulan Kangin, Kecamatan Sukawati, Kabupaten Gianyar. Kegiatan pengabdian masyarakat ini dilaksanakan oleh tim Jurusan Kebidanan pada tanggal 19 Oktober 2024 di Banjar Bude Ireng, Desa Batubulan Kangin. Kegiatan meliputi skrining anemia melalui pemeriksaan hemoglobin dan penyuluhan tentang pencegahan anemia pada remaja. Hasil kegiatan pengabdian yaitu sebanyak 17 remaja berpartisipasi dalam kegiatan ini. Hasil skrining menunjukkan 7 orang (41%) terdeteksi mengalami anemia, sementara 10 orang (59%) tidak mengalami anemia. Penyuluhan tentang pencegahan anemia dilakukan untuk meningkatkan pengetahuan dan kesadaran remaja tentang pentingnya gizi seimbang dan pola hidup sehat. Kegiatan ini berhasil mengidentifikasi prevalensi anemia yang cukup tinggi di kalangan remaja peserta. Kombinasi antara skrining dan penyuluhan merupakan pendekatan efektif dalam upaya deteksi dini dan pencegahan anemia pada remaja. Namun, untuk mencapai hasil optimal, program pencegahan anemia perlu mempertimbangkan berbagai faktor seperti asupan gizi seimbang, pola makan, dan gaya hidup sehat secara menyeluruh. Penggunaan metode inovatif seperti pendidikan sebaya dan media online dapat meningkatkan efektivitas program di masa mendatang

Perilaku Seks Pranikah Remaja Rahyani, Komang Yuni; Utarini, Adi; Wilopo, Siswanto Agus; Hakimi, Mohammad
Kesmas Vol. 7, No. 4
Publisher : UI Scholars Hub

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

Hubungan seksual sebelum nikah pada remaja merupakan masalah yang serius, berhubungan dengan peningkatan penularan penyakit menular seksual, mempunyai pasangan lebih dari satu, dan kehamilan dini. Suatu kerangka kerja model perilaku terintegrasi (Integrated Behavioral Model, IBM) digunakan untuk menilai berbagai faktor prediktor hubungan seksual prematur pada remaja. Tujuan penelitian ini adalah mengeksplorasi inisiasi hubungan seksual sebelum nikah pada remaja level 10 dan 11 berdasarkan kerangka kerja IBM, meliputi komunikasi tentang seks kelompok peers, orang tua, paparan perilaku pornografi, kepercayaan normatif, agen personal, dan keinginan hubungan seksual. Metode yang digunakan adalah menyertakan 626 responden dalam survei awal. Responden adalah siswa sekolah menengah atas level 10 – 11 di kota Denpasar. Data dikumpulkan dengan kuesioner laporan sendiri khususnya prediktor inisiasi hubungan seksual sebelum menikah. Penelitian ini menemukan bahwa pajanan pornografi, perilaku langsung dan tidak langsung berhubungan secara signifikan dengan inisiasi hubungan seksual sebelum nikah (nilai p < 0,05). Remaja laki-laki tampaknya melakukan lebih banyak aktivitas seksual daripada remaja perempuan. Penelitian ini berimplikasi terhadap pemahaman perilaku langsung dan pajanan pornografi mungkin digunakan dalam meningkatkan program kesehatan dan kesehatan remaja. Premarital sexual inisiation on adolescence is a serious problem, associated with increased transmition sexually transmitted disease/STD, had having more partners, and early pregnancy. An Integrated Behavioral Model (IBM) framework used to assess predictors of premarital sexual on adolescents. The purpose of this research is to explore predictors of premarital sexual inisiation in adolescents grade 10 and 11 based on IBM framework, includes: communication about sex with peers, parents, pornography exposure, attitude, normative belief, personal agency, and intention to have sex. Method that used is 626 respondent included in earlier survey, and respondent were students of senior high school grade 10 – 11 in Denpasar City. Data collected with self reported questionaire particularly predictor of premarital sexual initiation. The result found that pornography exposure, indirectly attitude, and directly attitude were significantly associated with premarital sexual initiation (p < 0,05). Male adolescents engage in more sexual activity like premarital sexual inisiation than female adolescents. This study has implications for understanding how directly attitude and pornography exposure may be used in intervention to promoting adolescents health program and adolescents ressiliency.

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