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PERBEDAAN PENURUNAN NYERI DISMENOREA PADA REMAJA DENGAN TATALAKSANA GUIDED IMAGERY DAN KOMPRES HANGAT Diah Ulfah Wijayanti; Jupriyono .; Ari Kusmiwiyati
Jurnal Pendidikan Kesehatan Vol 8 No 1 (2019): Jurnal Pendidikan Kesehatan
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jpk.v8i1.713

Abstract

Dysmenorrhoea is pain that accompanies menstruation, with no abnormalities found in the reproductive organs. Management can be done disminorea pharmacological and non pharmacological. One way of non pharmacological treatment is with guided imagery and warm compresses. The research objective was to determine differences in pain reduction of primary dysmenorrhoea in adolescents with treatment of guided imagery and warm compresses. The study design using the design of experiment with design Quasi Non Equivalent Control Group. Population coverage by 45 female students in class X and XI SMA Negri 8 Malang. A sample size of 40 students by using purposive sampling, which are divided into two groups, namely the group of 20 students and 20 female students warm compresses guided imagery group. The research instrument is observation sheet NRS or Numeric Rating Scales. Data were analyzed using the Wilcoxon Signed Rank, Mann Whitney Test namely T approximately same as 0.05. Warm compresses and guided imagery are both contribute in reducing pain. On the Mann Whitney Test, with T approximately 0.05 p value of 0.000, therefore p is smaller than T approximately then there is a significant difference between the provision of guided imagery and warm compresses to the painful decline disminorea.
Studi Literatur: Efektivitas Birthing Ball Terhadap Nyeri Persalinan Ramhadani, Dwi Ajeng Ayu; Toyibah, Afnani; Kusmiwiyati, Ari
Malang Journal of Midwifery (MAJORY) Vol. 4 No. 1 (2022): MAJORY
Publisher : Poltekkes Kemenkes Malang & IBI Ranting Pendidikan Kota Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/majory.v4i1.3044

Abstract

Angka kematian ibu (AKI) di Indonesia pada tahun 2019 mencapai 305 per 100.000 kelahiran hidup. Salah satu penyebab AKI di Indonesia adalah partus lama. Partus lama bisa terjadi karena pelepasan hormon katekolamin dan steroid yang berlebihan. Upaya yang dilakukan dengan memberikan terapi alternative untuk membuat nyeri bersalin berkurang, salah satunya menggunakan birthing ball. Tujuan dari studi literature ini adalah untuk mengetahui efektivitas penggunaan birthing ball terhadap nyeri bersalin. Desain ini menggunakan Traditional Literature Review. Dengan kata kunci Birthing Ball, Birthing Ball Exercise, Birth Ball Labor Pain, Birth Ball labor pain relief. Seleksi jurnal terakreditasi sinta risekbrin dan scopus. 5 jurnal diambil dari database Google Scholar, 3 dari database Research gate, 2 jurnal dari database PubMed, 1 jurnal dari Science Direct, 1 jurnal dari Wiley, 1 jurnal dari El Sevier, 1 jurnal dari BMC, dan 1 jurnal lagi dari PMC. Jumlah total jurnal yang di dapatkan yaitu 15 jurnal. Penyeleksian jurnal dengan PICOS, kemudian dianalisis satu persatu. Dalam penelitian disebutkan bahwa penggunaan birthing ball bisa digunakan sejak usia kehamilan 32 minggu sampai inpartu kala I fase aktif, penggunaan birthing ball yang disarankan yaitu 40 menit. Sehingga didapatkan hasil telaah jurnal metode birthing ball ini terbukti efektif dalam menurunkan intensitas nyeri pada ibu bersalin dengan hasil p value < 0,005. Disimpulkan bahwa penggunaan birthing ball pada kala 1 persalinan sebagai metode pengurangan nyeri bersalin efektif untuk dilakukan. Kata kunci: birting ball, nyeri persalinan
Pemanfaatan Buku KIA Sebagai Bentuk Kesiapan Ibu Hamil Primigravida Dalam Perawatan Bayi Baru Lahir Rohani, Asri; Kusmiwiyati, Ari; Wandi, Wandi
Malang Journal of Midwifery (MAJORY) Vol. 3 No. 2 (2021): MAJORY
Publisher : Poltekkes Kemenkes Malang & IBI Ranting Pendidikan Kota Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/majory.v3i2.2870

Abstract

The KIA handbook is a guideline to broaden the knowledge of pregnant women about newborn care. Baby care that is carried out by the mother correctly and appropriately will ensure a healthy life for the baby. This study aims to determine the relationship between the use of KIA books and the readiness of primigravida pregnant women in caring for newborns at the Kedungkandang Public Health Center, Malang City. The correlative analytic study design used a cross-sectional approach, with the population of all TM III primigravida pregnant women who made repeat visits in June-July 2020, taken by total sampling. The research instrument used a questionnaire. The data analysis technique used the Spearman's Rho Test. The results showed that a small portion of the primigravida pregnant women (11.1%) used the MCH handbook, the majority 74.1% used the medium category, and a small portion (14.8%) used the low category. while the results of the readiness of primigravida pregnant women in the care of newborns were mostly (51.9%) ready, and almost half (48.1%) in the unprepared category. The results of data analysis showed that there was a significant relationship between the use of MCH handbooks and the readiness of primigravida pregnant women in caring for newborns (p-value 0.006). The higher the mother's use of the MCH handbook, the higher the mother's knowledge and the more prepared the mother is to take care of her newborn. Keywords: Utilization of MCH Handbook, Readiness of Newborn Care
Peran Kader Sebagai Motivator Dalam Kelengkapan Kunjungan Antenatal Pada Ibu Hamil Trimester III Handayani, Sari Putri; Jupriyono, Jupriyono; Kusmiwiyati, Ari
Malang Journal of Midwifery (MAJORY) Vol. 6 No. 1 (2024): MAJORY
Publisher : Poltekkes Kemenkes Malang & IBI Ranting Pendidikan Kota Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/majory.v6i1.4409

Abstract

Target cakupan kelengkapan kunjungan ANC secara nasional masih belum tercapai hingga saat ini. Salah satu faktor yang mempengaruhi frekuensi kunjungan antenatal care tersebut adalah peran kader kesehatan di masyarakat. Kader kesehatan memiliki peran sebagai motivator yang bisa mempengaruhi perilaku masyarakat sehingga dapat berperilaku positif untuk mencapai derajat kesehatan yang optimal. Kader diharapkan mampu memberikan edukasi yang tepat agar ibu hamil di Indonesia mempunyai motivasi yang lebih tinggi untuk melakukan pemeriksaan kehamilan secara rutin dan lengkap. Penelitian ini bertujuan untuk mengetahui peran kader sebagai motivator dengan kelengkapan kunjungan antenatal pada ibu hamil trimester III. Desain penelitian analitik korelatif dengan pendekatan cross sectional, dengan populasi semua kader berjumlah 31 orang dan ibu hamil sebanyak 35 orang. Pengumpulan data menggunakain kuesioner. Analisis data menggunakan uji statistik Pearson Chi square. Hasil penelitian menunjukkan peran kader sebagai motivator sebagian kecil baik (9,7%) dan sebagian besar (90,3%) sangat baik. Sedangkan hasil evaluasi terhadap kelengkapan kunjungan antenatal ibu hamil trimester III yaitu sebagian besar (82,9%) lengkap dan sebagian kecil (17,1%) dalam kategori tidak lengkap. Dari hasil analisa data didapatkan bahwa bahwa ada hubungan antara peran kader sebagai motivator dengan kelengkapan kunjungan antenatal ibu hamil trimester III (p-value 0,013). Pendampingan yang dilakukan kader secara tidak langsung mampu membuat ibu hamil dan keluarga menjadi lebih perduli dan lebih memperhatikan kondisi kesehatan ibu dan bayinya
Pelatihan Pengisian KSPR Kader Berpengaruh terhadap Keterampilan Deteksi Dini Kehamilan Resiko Tinggi Kusmiwiyati, Ari; Jupriyono, Jupriyono
Malang Journal of Midwifery (MAJORY) Vol. 2 No. 1 (2020): MAJORY
Publisher : Poltekkes Kemenkes Malang & IBI Ranting Pendidikan Kota Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/majory.v2i1.2198

Abstract

The presence of health cadres in early detection of high risk pregnancies is important to identify possible complications of pregnant women. Not all cadres have the skills in early detection of high-risk pregnancies. In this case, it is necessary to make efforts to increase knowledge and skills through training in filling out the Poedji Rochjati Score Card. The aim of the study was to determine the effect of training in filling out pregnancy risk assessments on the skills of posyandu cadres in early detection of high-risk pregnancies. The pre-experimental research design used the one group pretest-posttest design approach, with a population of all Posyandu cadres in Ampeldento. The sampling used a total sampling technique with a sample size of 30 respondents. The research instrument used the Poedji Rochjati Scorecard and checklist. Data analysis used the Wilcoxon Signed Rank Test. The results showed that there was an effect of training in filling out pregnancy risk assessments on the skills of Posyandu cadres in early detection of high-risk pregnancies (p value <0.001 with Z score -4.630). Cross-program and sectoral coordination is needed in implementing cadre skills in early detection of risky pregnancies. Keywords: Pregnancy Risk Assessment Training, Early Detection of Risk Pregnancy
PENGARUH PENYULUHAN KB DENGAN MEDIA E-BOOKLET TERHADAP PENGETAHUAN DAN SIKAP CATIN TENTANG KB DI PUSKESMAS KEPANJEN, KABUPATEN MALANG. SKRIPSI, PROGRAM STUDI SARJANA TERAPAN KEBIDANAN MALANG Sarah Mardliyah Aprilia; Suprapti Suprapti; Ari Kusmiwiyati
Jurnal Ilmu Kesehatan dan Gizi Vol. 1 No. 3 (2023): Juli: Jurnal Imu Kesehatan dan Gizi
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (409.745 KB) | DOI: 10.55606/jikg.v1i3.1280

Abstract

Program KB sebagai salah satu upaya pemerintah untuk mengatasi kepadatan penduduk mengalami masalah tingginya angka unmet need di Indonesia serta berpeluang terhadap tingginya AKI dan AKB. Hal tersebut disebabkan karena kurangnya pengetahuan tentang KB. Usaha promotif dan preventif untuk meningkatkan pengetahuan dan sikap catin tentang KB yaitu pemberian penyuluhan KB melalui program Inovasi Kelas Catin. Dalam peningkatan inovasi dan perkembangan di bidang teknologi, e-booklet digunakan sebagai media penyuluhan dengan kelebihan yang lebih praktis, mudah diakses melalui smartphone, tidak lapuk, serta mudah didistribusikan. Tujuan dari penelitian ini untuk mengetahui pengaruh penyuluhan KB dengan media e-booklet terhadap pengetahuan dan sikap catin tentang KB di Puskesmas Kepanjen, Kabupaten Malang. Penelitian ini menggunakan desain pre eksperimental dengan pendekataan one group pretest posttest design. Hasil penelitian didapatkan bahwa pengetahuan catin sebelum diberikan penyuluhan sebagian besar dalam kategori cukup dan meningkat setelah diberikan penyuluhan. Sikap catin sebelum diberikan penyuluhan sebagian besar dalam kategori negatif dan meningkat positif setelah diberikan penyuluhan. Uji statistik didapatkan nilai p-value < 0,001. Kesimpulannya bahwa terdapat pengaruh penyuluhan KB dengan media e-booklet terhadap pengetahuan dan sikap catin tentang KB di Puskesmas Kepanjen, Kabupaten Malang.
HUBUNGAN STRESS AKADEMIK DAN INDEKS MASSA TUBUH ( IMT ) DENGAN PREMENSTRUAL SYNDROME PADA SISWI KELAS 9 SMPN 1 SUMBERPUCUNG Yunisari, Siti Zulaika; Panggayuh, Ardi; Kusmiwiyati, Ari
Jurnal Pendidikan Kesehatan (e-Journal) Vol. 12 No. 2 (2023): Jurnal Pendidikan Kesehatan (E-Journal)
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jpk.v12i2.3868

Abstract

Menstruation is bleeding that repeats every month and indicates that the female reproductive organs are ready to be fertilized. In the menstrual cycle, changes in hormone levels will occur when a young woman will experience menstruation. This can affect changes in the physical and emotional conditions of adolescent girls before menstruation, which is commonly referred to as premenstrual syndrome (Ministry of Women and Children Empowerment of the Republic of Indonesia, 2015). The prevalence of premenstrual syndrome in Indonesia is 70-90% in women of childbearing age and it is found that 2-10% are experiencing severe symptoms of premenstrual syndrome (Sari and Priyanto, 2018). The purpose of this study was to determine the relationship between academic stress and body mass index (BMI) with premenstrual syndrome in 9th grade students of SMPN 1 SUMBERPUCUNG. This type of research is a correlation design that uses a cross sectional approach. A sample of 31 9th grade students were selected using a total sampling technique. In research using Spearman Rank data analysis, there is a relationship between academic stress and premenstrual syndrome which results in value < (0.002 < 0.05). Meanwhile, the relationship between body mass index (BMI) and premenstrual syndrome produces a value of value < (0.015 < 0.05). based on the results of this study, students should be able to manage and control their emotions so that stress does not occur and always maintain a pattern eat to stay at a normal BMI.
PERBEDAAN EFEKTIVITAS RENDAM AIR HANGAT DENGAN RENDAM AIR KENCUR GARAM EPSOM TERHADAP PENURUNAN EDEMA KAKI IBU HAMIL Putri, Sekar Maharani Shila; Fajar, Ibnu; Kusmiwiyati, Ari
Malang Journal of Midwifery (MAJORY) Vol. 7 No. 1 (2025): MAJORY : Malang Journal of Midwifery
Publisher : Poltekkes Kemenkes Malang & IBI Ranting Pendidikan Kota Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/majory.v7i1.5512

Abstract

Pregnant women often experience physiological discomfort in the second and third trimesters, one of which is leg edema. Leg edema that occurs in pregnant women is caused by uterine pressure which disrupts venous return and gravity which affects fluid collection. The aim of this study was to determine the effectiveness of warm water soaking versus warm water soaking with aromatic ginger and epsom salt in reduce leg edema in pregnant women in trimesters II and III at the Lawang Health Center. This study used a quasi-experimental design, with a sample of 18 pregnant women divided into two groups a control group and an intervention group, with purposive sampling technique. The data were analyzed using the Wilcoxon Signed Rank Test. The Wilcoxon test found a significant difference in the effectiveness of warm water soaking and warm water soaking with aromatic ginger and epsom salt in reducing leg edema in pregnant women in trimesters II and III (p-value = 0.008 < 0.05) At Lawang Health Center. Pregnant women find that bathing their feet in warm water with an aromatic ginger and epsom salt works better than soaking warm water to reduce foot edema. This study will motivate pregnant women and healthcare providers to create more effective treatments for reduce leg edema in pregnancy
PERBEDAAN POLA KENAIKAN TEKANAN DARAH PADA AKSEPTOR KB IMPLAN DAN SUNTIK Rizky Ramadhani; Jupriyono; Ari Kusmiwiyati
EZRA SCIENCE BULLETIN Vol. 3 No. 2 (2025): July-December 2025
Publisher : Kirana Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58526/ezrasciencebulletin.v3i2.440

Abstract

Kenaikan tekanan darah dapat disebabkan oleh penggunaan kontrasepsi hormonal dalam jangka panjang sehingga meningkatkan kadar hormon estrogen dan meningkatkan kerja jantung dalam memompa darah. Penelitian ini bertujuan untuk mengetahui perbedaan kenaikan tekanan darah pada akseptor KB implan dan suntik. Desain penelitian yang digunakan adalah analitik komparasi. Sampel penelitian ini diambil dengan teknik purposive sampling dengan jumlah 87 orang yang telah memenuhi kriteria inklusi dan pertimbangan peneliti di PMB S Kecamatan Lowokwaru Kota Malang. Instrumen yang digunakan adalah catatan rekam medik hasil pengukuran tekanan darah pada kartu KB masing masing akseptor dan tensimeter untuk pengukuran tekanan darah terakhir. Analisis yang digunakan adalah uji Mann-Whitney dengan hasil p value 0,982 > 0,05 dan p value 0,508 > 0,05 yang berarti H0 diterima atau tidak ada perbedaan kenaikan tekanan darah pada akseptor KB suntik dan implan. Meskipun demikian, akseptor KB hormonal memiliki risiko lebih tinggi mengalami kenaikan tekanan darah sehingga perlu memantau hasil pengukuran tekanan darah.
The Relationship Between Cadre Mentoring and Adolescent Participation in Youth Posyandu Activities Hasanah, Ainani; Rita Yulifah; Ari Kusmiwiyati
Health Access Journal Vol. 2 No. 3 (2025): Vol. 2 No.3 (October, 2025)
Publisher : Poltekkes Kemenkes Malang, Campus III Blitar

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

Abstract

Adolescence is a critical developmental period that strongly influences reproductive health, where insufficient knowledge may increase the risk of unwanted pregnancy and sexually transmitted infections. The youth posyandu plays an important role in providing reproductive health education; however, adolescent participation remains low due to limited awareness, stigma, and restricted access to information. This study aimed to examine the relationship between cadre mentoring and adolescent participation in youth posyandu activities in Petungsewu Village, Dau Subdistrict, Malang Regency. A correlational analytic design with a cross-sectional approach was employed, involving 18 cadres and 35 adolescents actively engaged in youth posyandu activities, selected through total sampling. Data were collected using a structured questionnaire and analyzed with the Spearman rank test. Results showed that 50% of cadres provided good mentoring, while 74.3% of adolescents demonstrated moderate participation. The Spearman rank test yielded a p-value of 0.028 and a correlation coefficient of 0.518, indicating a significant positive relationship between cadre mentoring and adolescent participation. It can be concluded that continuous and structured cadre mentoring effectively enhances adolescent engagement in youth posyandu activities. Appropriate mentoring approaches may strengthen adolescents’ sense of support, motivation, and knowledge, thereby encouraging more active participation.Keyword: Adolescent Health; Adolescent Participation, Cadre Assistance, Youth Posyandu