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All Journal Journal of Epidemiology and Public Health Jurnal Kesehatan Jurnal Kesehatan Jurnal Pengabdian Serulingmas (JPS) Jurnal Pengabdian Kepada Masyarakat: Kesehatan (JPKMK)
Monica Kartini
Sekolah Tinggi Ilmu Kesehatan Ngesti Waluyo
Health Professions Medicine & Pharmacology Nursing Public Health

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Risk Factors of Prenatal and Postnatal Depression Kartini, Monica; Kusumadewi, Berlian Nurtyashesti
Journal of Epidemiology and Public Health Vol 5, No 1 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: The postpartum period is the time when many women or mothers ex­­pe­rience vulnerability to various psychological pro­­b­lems that can cause significant distress for them, especially postpartum depression (PPD). The­re­fore, it is important to do depression screen­­­ing and assessment of risk factors for post­partum depression in pregnant women and new mot­­hers. This study aimed to determine the inci­dence and biopsychosocial risk factors for post­partum depression.Subjects and Method: This was a prospective cohort study conducted at Bulu, Kranggan, and Kedu health centers, in Temanggung, Central Java. A sample of 100 preg­nant women with 32-42 weeks gestation aged was selected for this study. The dependent variable was post­­partum depression (PPD). The inde­pen­dent vari­ables were marital satisfaction, sympt­oms of premens­trual syndrome, social support, gene­ral health status, and parenting self-efficacy/PSE. PPD was measured by the Edinburgh Post­­natal Depression Scale. Parenting self-efficacy (PSE) was measured by the Karitane parenting confidence scale. The data were ana­lyz­ed by Chi square.Results: 5% of subjects have a severe risk of experiencing PPD. PSE was positively correlated with PPD (OR = 10.29; 95% CI = 1.20 to 88.07; p= 0.008), while marital satisfaction, social sup­port, premenstrual syndrome symptoms and ge­ne­­ral health status were not statistically sig­ni­ficant with PPD incidence.Conclusion: PSE increased the risk of PPD.Keywords: post partum depression, parenting self-efficacyCorrespondence: Monica Kartini. Nursing Academy of Ngesti Wa­lu­yo. Email: monica.kartini@gmail.com. Mo­bi­le: 081392445771.Journal of Epidemiology and Public Health (2020), 05(01): 97-105https://doi.org/10.26911/jepublichealth.2020.05.01.10
Knowledge and Attitude about Health Reproduction among Female Adolescents using The SKATA-BKKBN Instrument Monica Kartini; Masruchi Masruchi
Jurnal Kesehatan Vol 10, No 1 (2021)
Publisher : Sekolah Tinggi Ilmu Kesehatan Ngesti Waluyo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46815/jkanwvol8.v10i1.118

Abstract

Adolescents is a vulnerable group and face various challenges, especially in the area of sexual and reproductive health (SRH). The problem that is often faced by adolescents is lack of understanding about developments that occur, as well as how to respond to these developments. This study aims to determine the level of knowledge and attitude regarding reproductive health among female adolescents living in rural areas using the SKATA instrument from the BKKBN. This study is a non-experimental study with a cross-sectional approach. The research subjects were 42 female adolescents aged 10-20 years with total sampling technique. The questionnaire to determine the subject's knowledge of reproductive health used the SKATA instrument compiled by the BKKBN. Data were analyzed using univariate analysis and bivariate analysis with Chi-square. The respondents’ level of knowledge about reproductive health was mostly in the poor category (71.4%), while the adequate level of knowledge was as many as 7 people (16.7%) and the level of good knowledge was 5 adolescents (11, 9%). Most of the respondents had sufficient attitudes regarding reproductive health (59.5%), while 11 people (26.2%) had poor attitudes, and 6 adolescents (14.3%) had good attitudes towards reproductive health. There was no significant correlation between respondents' knowledge and attitudes about reproductive health (p=0.341). The level of knowledge of respondents about reproductive health was mostly inadequate, and the attitudes of the respondents were mostly in the sufficient category. Innovative efforts are needed to be able to reach the adolescents and their families to increase their understanding and attitudes about reproductive health.
Efektivitas Massage untuk Menurunkan Nyeri pada Pasien Post Operasi Sectio Caesarea (The Effectiveness of Massage in Pain Reduction of Post Caesarean Section Patients) Yumiati Padaka Reda Mata; Monica Kartini
Jurnal Kesehatan Vol 9, No 2 (2020)
Publisher : Sekolah Tinggi Ilmu Kesehatan Ngesti Waluyo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46815/jkanwvol8.v9i2.99

Abstract

AbstractPain is one of the most common problem experienced by post caesarean section (SC) patients. Pain can lead to other impacts, such as decrease the comfort levels, impair patient mobilization, and interfere mother-baby bonding process. There are several nonpharmacological interventions to deal with pain, one of which is by doing massage, where there are several variations in the implementation of post SC maternal massage. The purpose of this literature review is to evaluate the literature on the effect of massage on decreasing intensity in post section caesarean mothers. Literature search is carried out electronically through google scholar pages, Cochrane, BMJ and Pubmed databases. The keywords used are massage, pain, caesarean, post SC, or post cesarean section. There are 11 research articles that discuss massage for decreasing maternal pain. The literature search results show that massage in post section caesarean mothers has an impact on decreasing the pain scale, providing comfort, and reducing stress. Massage is a safe and effective intervention performed in post caesarean section mothers. Keywords: massage; pain; post section caesarean  AbstrakNyeri merupakan salah satu masalah utama yang dialami oleh ibu post section caesarea (SC). Nyeri dapat berdampak pada berbagai hal, diantaranya menurunnya tingkat kenyamanan pasien, mengganggu mobilisasi, dan menghambat dalam proses bonding ibu dan bayi. Terdapat beberapa intervensi nonfarmakologi untuk mengurangi nyeri, salah satunya adalah dengan massage. literature review ini bertujuan untuk mengevaluasi hasil-hasil penelitian tentang pengaruh massage dalam menurunkan intensitas nyeri pada ibu post SC. Penelusuran literatur dilakukan secara elektronik melalui google scholar, Cochrane, BMJ dan Pubmed. Kata kunci yang digunakan adalah massage, nyeri, post SC, dan post section caesarean. Terdapat 11 artikel penelitian mengenai massage untuk menurunkan nyeri maternal. Hasil penelusuran literatur menunjukkan bahwa massage pada ibu post SC bermanfaat dalam menurunkan skala nyeri, memberikan kenyamanan, dan mengurangi stress. Massage merupakan intervensi yang aman dan efektif dilaksanakan untuk ibu post SC. Kata kunci: massage; nyeri; post section caesarea
HARAPAN MAHASISWA KEPERAWATAN TERHADAP PENAMPILAN DOSEN-DOSEN DI PROGRAM KEPERAWATAN Monica Kartini; Ermayani Putriyanti
Jurnal Kesehatan Vol 1 No 1 (2013): Volume 02/Nomor1/2013
Publisher : STIKES Ngesti Waluyo

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Abstract

Background: Assessing what students expect of their teachers may provide some insight for teachers about what performances that are expected from them and a base to enhance their teaching performance. The study was conducted in two YAKKUM nursing schools, which have two entry levels for students, those graduated from senior high school and upgrading students. Objectives: The study aimed to identify the expectations of nursing students about the performance of their teachers and determine if there was a difference in expectations between students who graduated from senior high school and upgrading students. Methods: This research is a descriptive exploratory study using a survey questionnaire. The questionnaire consisted of five categories each with a variety of question and one open-ended question. The quantitative data was analyzed using descriptive statistics, while the qualitative data used thematic analysis. Result: All five categories of quantitative data rendered mean values of 3 or more. They were teaching preparation and procedures (mean=3.12), classroom management (3.11), knowledge of subject (mean=3.37), personal characteristics (mean=3.12), and interpersonal characteristics (mean=3.08). Conclusion: In summary, students had a high expectation of five categories of teachers’ performances, with knowledge of subject as the most expected performances. There was one category, interpersonal characteristics, that was significantly different between the two types of respondents.
The Effectiveness of Nursing Documentation Training on Nurse's Knowledge about SDKI, SLKI, and SIKI) Monica Kartini; Eka Ratnawati
Jurnal Kesehatan Vol 11 No 1 (2022)
Publisher : STIKES Ngesti Waluyo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46815/jk.v11i1.78

Abstract

Good and correct nursing documentation is important to be able to meet the medico-legal requirements of nursing practice. Beside that, there is evidence indicating that nursing documentation is associated with patient mortality. Several factors that influence nursing documentation are patient burden, lack of time, lack of knowledge and training. This study aims to determine the effectiveness of 3S-based (SDKI, SLKI, SIKI) nursing documentation training on the level of knowledge of nurses. The research method used is quasi-experimental with one-group pre-test post-test design approach. There are 150 nurses in a hospital in Central Java who participate in this study. The sampling technique used was total sampling method. The results showed that the average level of pre-test knowledge was 38.05, and post-test was 65.51. Data analysis using t-test obtained the p-value 0.000 (<0.05). Nursing documentation training is effective in increasing the knowledge and ability of nurses in documenting nursing care using 3S.
Prenatal Yoga untuk Meningkatkan Kenyamanan Ibu Hamil: Prenatal Yoga for Improving Pregnant Women’s Comfort Monica Kartini
Jurnal Pengabdian Kepada Masyarakat : Kesehatan Vol. 3 No. 1 (2023): Maret
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat (LPPM) STIKES Notokusumo Yogyakarta

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Abstract

Abstrak: Kondisi kehamilan seringkali menimbulkan masalah ketidaknyamanan pada tubuh ibu, seperti nyeri punggung atau kaki yang ditimbulkan karena adanya perubahan-perubahan fisiologis. Prenatal yoga diyakini memiliki efek penyembuhan pada organ reproduksi, meningkatkan sirkulasi darah, meningkatkan kenyamanan ibu hamil, menurunkan nyeri, kecemasan dan depresi, serta meningkatkan outcomes kehamilan. Kondisi ibu hamil di Desa Gandurejo sebagian besar tidak pernah melakukan aktivitas khusus untuk menjaga kehamilannya, demikian pula tingkat Pendidikan maupun keterpaparan informasi mengenai prenatal yoga untuk meningkatkan outcomes kehamilan juga masih rendah. Kegiatan pengabdian masyarakat prenatal yoga ini bertujuan untuk meningkatkan kenyamanan ibu hamil, khususnya yang mengikuti kelas ibu hamil di Desa Gandurejo. Pelaksanaan kegiatan diawali dengan tahapan perencanaan dan persiapan, selanjutnya tahap pelaksanaan, dan evaluasi. Pelaksanaan prenatal yoga diawali dengan penjelasan dan diskusi mengenai manfaat prenatal yoga, dilanjutkan dengan praktik prenatal yoga. Prenatal yoga dilakukan selama 60 menit diiringi dengan music instrumental, diikuti oleh 13 ibu hamil trimester II-III di Desa Gandurejo, Kecamatan Bulu, Temanggung. Seluruh ibu hamil dapat mengikuti praktik prenatal yoga dengan bimbingan. Setelah latihan yoga, ibu-ibu hamil menyatakan bahwa tubuh terasa lebih nyaman dan lebih rileks/ tenang. Kegiatan prenatal yoga ini dilaksanakan sebanyak satu kali, dan untuk keberlanjutan kegiatan, ibu-ibu hamil diberikan tautan video untuk dapat dipraktikkan secara mandiri. Abstract: Prenatal yoga is believed to have a healing effect on the reproductive organs, increase comfort for pregnant women, reduce pain, anxiety, and also improve pregnancy outcomes. Most of the pregnant women in a village in Temanggung, namely Gandurejo, are never carried out special activities to maintain their pregnancies. Furthermore, their level of education and exposure to information regarding prenatal yoga are also still in low level. This prenatal yoga class was carried out as a community service program to improve pregnant women’s comfort during pregnancy. The method of the program consists of several stages: planning and preparation, implementation, and evaluation. The implementation of prenatal yoga class begins with an explanation and discussion regarding the benefits of prenatal yoga, followed by the practice session. Prenatal yoga was performed for 60 minutes accompanied by instrumental music. The session was conducted in Gandurejo Village and followed by 13 pregnant women who were in their second and third trimester. All expectant mothers can take part in practicing prenatal yoga with guidance. After practicing yoga, the participants stated that they feel more comfortable and more relaxed. There is a need for the continuation of the activity, therefore a video link is given so they could practice it independently.
Aspek Budaya selama Kehamilan pada Masyarakat Suku Jawa Kartini, Monica; Nurtyashesti Kusumadewi, Berlian
Jurnal Kesehatan Vol 11 No 2 (2022): Jurnal Kesehatan
Publisher : STIKES Ngesti Waluyo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46815/jk.v11i2.109

Abstract

Pregnancy is a physiological process, where there are many beliefs, rituals or myths that have been practiced by people from generation to generation to care for the pregnancy in various cultures in the world. The aim of this study is to describe the community’s behaviour or practices related maternity care according to Javanese cultural values. This research is a qualitative descriptive study located in Bulu district, Temanggung regency, Central Jawa. The results:Javanese culture in maternity care, parental advice pregnancy care in Javanese culture, pregnant women awareness for choosing culture in maternity care at the preesent time. The practice of pregnancy care based on cultural aspects is still carried out by the community in the form of dietary restrictions, prohibitions and recommendations in behaviour, and rituals or ceremonies during pregnancy. The development of culturally appropriate health care is very important to provide support for pregnant women during the transition to motherhood, and also to provide culturally sensitive care in overcoming health problems related to aspects of cultural beliefs.
Efektivitas Massage untuk Meningkatkan Produksi Air Susu Ibu (ASI) pada Ibu Postpartum Kartini, Monica; Kusumadewi, Berlian Nurtyashesti
Jurnal Kesehatan Vol 12 No 1 (2023): Jurnal Kesehatan
Publisher : STIKES Ngesti Waluyo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46815/jk.v12i1.146

Abstract

Giving breast milk in the first two years of a baby's life improves the health, growth, development and intelligence of children, and provides protection against various diseases. However, various obstacles are often encountered, both from the mother's side and the less optimal role of health workers in providing care for postpartum mothers, so that the target of early and exclusive breastfeeding for babies has not been achieved. This study aims to identify, evaluate and synthesize literature on massage methods and their effect on breast milk production and postpartum depression. Using the literature review method, research articles were searched in the Pubmed and GARUDA databases for articles published in 2013-2023 using keywords: massage, milk production, breast milk, breastfeeding, postpartum. The initial search results found 122 articles, and after checking and appraisal, there were 22 relevant articles for review. There are various types of massage methods for postpartum mothers that are effective for increasing milk production, and the most widely practiced is oxytocin massage, either just oxytocin massage or in combination with other techniques such as acupressure, marmet massage, oketani massage, music therapy or massage using lavender essential oil. Massage performed on postpartum mothers will make mothers feel comfortable, reduce depression and pain sensations, make the body more relaxed, reduce stress hormones, increase the level of hormones prolactin and oxytocin, and increase milk production. Massage that is done twice a day (morning and evening) with a duration of 10-15 minutes or 30-60 minutes for 3-14 days is effective for increasing the production of breast milk in postpartum mothers and reducing depression.
Prenatal Yoga bagi Ibu Hamil Risiko Tinggi Monica Kartini
Jurnal Pengabdian Serulingmas Vol. 3 No. 2 (2023): Oktober
Publisher : Jurnal Pengabdian Serulingmas

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Abstract

Background: High risk pregnancy (HRP) is a pregnancy where the pregnant mother and fetus are at higher risk of illness or death during pregnancy, labor and after delivery. One of the efforts that can be made to prevent complications due to high-risk pregnancies is to do prenatal yoga. This community service program is aimed to improve comfort level of the women with HRP through prenatal yoga. Methods: The community service activity begins with the preparation stage, followed by implementation of prenatal yoga, and evaluation. The implementation of prenatal yoga was carried out for 60 minutes accompanied by instrumental music and was attended by 7 pregnant women in the second and third trimesters. Results: During prenatal yoga practice sessions, the participants can follow the yoga postures of the instructor. After practicing yoga, the mothers said that they felt more comfortable and relax. Conclusion: Prenatal yoga improves the pregnant women’s comfort and is safe to do for high-risk pregnant women. Continuous program is needed to facilitate pregnant women to attend prenatal yoga classes regularly. Also, further research is needed to study the effects of prenatal yoga in high-risk pregnancies.
Studi mengenai Hambatan Menyusui pada Ibu Bayi Usia 0-2 Tahun Kartini, Monica; Purnamiasih, Desak Putu Kristian
Jurnal Kesehatan Vol 13 No 2 (2024): JURNAL KESEHATAN
Publisher : STIKES Ngesti Waluyo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46815/jk.v13i2.316

Abstract

WHO recommends exclusive breastfeeding because of its short-term and long-term benefits for infants and mothers. However, the coverage of exclusive breastfeeding has not yet reached the expected target. This study aims to describe breastfeeding barriers experienced or felt by breastfeeding mothers and to determine the relationship between breastfeeding barriers and maternal demographic variables. The study was conducted using quantitative methods and a cross-sectional approach. The study subjects were mothers with infants aged 0-2 years in the Bulu Health Center work area, Temanggung Regency, a total of 122 people were taken using the cluster-random sampling technique. The data obtained were analyzed using descriptive statistics and Spearman correlation analysis. The results showed that the most common breastfeeding barriers felt by respondents were experiencing sore nipples (59%), being embarrassed to breastfeed in public (54.1%), swollen breasts (51.2%), feeling inadequate knowledge about breastfeeding (40.5%), and feeling pain after childbirth (38.5%). Correlational analysis showed no significant relationship between breastfeeding barriers and maternal age, number of children, maternal education, occupation, and type of delivery (p-value>0.05). In conclusion, most mothers experience at least one barrier to breastfeeding. Appropriate interventions are needed to address these barriers, especially in terms of increasing the knowledge of mothers or prospective mothers about lactation so that they can prevent breast problems. Further qualitative research is needed to explore the barriers or supporting factors in providing exclusive breastfeeding.
Co-Authors Eka Ratnawati Ermayani Putriyanti Kusumadewi, Berlian Nurtyashesti Masruchi Masruchi Nurtyashesti Kusumadewi, Berlian Purnamiasih, Desak Putu Kristian Yumiati Padaka Reda Mata