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Hubungan Kelelahan dan Ketegangan Emosional dengan Baby Blues pada Ibu Postpartum Apriani Apriani; Wira Ekdeni Aifa; Rizka Mardiya; Fajar Sari Tanberika
Jurnal Kesehatan Amanah Vol. 9 No. 2 (2025): Jurnal Kesehatan Amanah
Publisher : Universitas Muhammadiyah Manado

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jka.v9i2.962

Abstract

Baby blues is a mild and temporary mood disorder commonly experienced by mothers after childbirth. It is characterized by emotional instability, including sadness, anxiety, irritability, and frequent crying, which may interfere with maternal-infant bonding. This condition is often triggered by a combination of physical and psychological factors, such as hormonal changes, fatigue, and emotional tension. This study aims to examine the relationship between fatigue and emotional tension with the occurrence of baby blues among postpartum mothers at Klinik Pratama Annisa Medika 1. A quantitative research method with a cross-sectional design was employed. A total of 45 postpartum mothers were selected using purposive sampling. Data were collected through structured questionnaires measuring fatigue, emotional tension, and baby blues symptoms. The results were analyzed using the Chi-Square test with a significance level set at p<0.05. The findings indicate a statistically significant relationship between fatigue and the incidence of baby blues (p=0.019), as well as between emotional tension and baby blues (p=0.000). These results suggest that both physical and emotional well-being are crucial factors influencing postpartum mental health. The implications of this study highlight the importance of early identification and management of fatigue and emotional stress in postpartum mothers. Healthcare providers should prioritize psychological support, routine mental health screening, and postpartum education to help prevent the onset of baby blues. Early intervention may improve maternal well-being and promote healthier mother-infant interactions.
Edukasi Menyusui terhadap Peningkatan Efikasi Diri dalam Menyusui Herlena Herlena; Fajar Sari Tanberika; Rizka Mardiya; Rifa Yanti
Journal of Telenursing (JOTING) Vol. 8 No. 1 (2026): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/h6pkrb36

Abstract

This study aimed to determine the effect of breastfeeding education on improving breastfeeding self-efficacy among breastfeeding mothers at the Pangkalan Kasai Community Health Center (UPT Puskesmas) in Indragiri Hulu Regency. The method used was a quantitative study with a pre-experimental design using a one-group pretest-posttest. The results, using the Wilcoxon signed-rank test, yielded a p-value of 0.025 (p < 0.05). In conclusion, breastfeeding education significantly improves maternal breastfeeding self-efficacy and should be implemented as a routine education program in healthcare facilities. Keywords: Breastfeeding Education, Self-Efficacy, Breastfeeding
Woolwich Massage terhadap Pengeluaran ASI pada Ibu Postpartum Riskiyani Riskiyani; Fajar Sari Tanberika; Rizka Mardiya; Rifa Yanti
Journal of Telenursing (JOTING) Vol. 8 No. 1 (2026): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/q1ha2876

Abstract

This study aimed to determine the effect of Woolwich massage on breast milk production in postpartum mothers at the Pangkalan Kasai Community Health Center (UPT Puskesmas), Indragiri Hulu Regency. The method used was a quasi-experimental design with a one-group pretest-posttest. The results of bivariate analysis using the Wilcoxon signed-rank test yielded a p-value of 0.008 <0.05 for breast milk production. Woolwich massage provides comfort to postpartum mothers, reduces engorgement, relieves milk blockages, stimulates the release of the hormone oxytocin, and maintains breast milk production. The conclusion is that Woolwich massage has an effect on breast milk production in postpartum mothers at the Pangkalan Kasai Community Health Center (UPT Puskesmas), Indragiri Hulu Regency in 2025. Keywords: Postpartum Mothers, Breast Milk Production, Woolwich Massage
Kelas Ibu Hamil terhadap Kecemasan Ibu Primigravida Desi Ratnasari; Rifa Yanti; Fajar Sari Tanberika; Rizka Mardiya
Journal of Telenursing (JOTING) Vol. 8 No. 1 (2026): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/k3tvfz20

Abstract

This study aimed to determine the effect of prenatal classes on anxiety levels among primigravida mothers in the Pangkalan Kasai Community Health Center (UPT Puskesmas) working area, Indragiri Hulu Regency. The research method used was a pre-experimental study with a one-group pretest-posttest design. The results showed a decrease in anxiety levels among primigravida mothers after attending prenatal classes, with a p-value of 0.000 (<0.05), indicating a significant effect of prenatal classes on anxiety among primigravida mothers. In conclusion, prenatal classes significantly reduced anxiety levels among primigravida mothers. Therefore, the implementation of prenatal classes needs to be continuously improved, regularly, and structured, as a promotive and preventive effort to improve the mental preparedness of pregnant women for pregnancy and childbirth. Keywords: Primigravida Mothers, Anxiety, Prenatal Classes
EFEKTIFITAS PENDIDIDIKAN KESEHATAN MENGGUNAKAN AUDIO VISUAL TERHADAP PENGETAHUAN IBU TENTANG GIZI SEIMBANG PADA BALITA DI POSYANDU CEMARA KARYA INDAH PUSKESMAS PANTAI CERMIN Vivi Silviani; Lisviarose Lisviarose; Rizka Mardiya; Meirita Herawati
Ensiklopedia of Journal Vol 8, No 1 (2025): Vol. 8 No. 1 Edisi 2 Oktober 2025
Publisher : Lembaga Penelitian dan Penerbitan Hasil Penelitian Ensiklopedia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33559/eoj.v8i1.3542

Abstract

Balanced nutrition is an important factor in the growth and development of toddlers. Low maternal knowledge about balanced nutrition can affect the selection and preparation of food that is not appropriate for children. Audiovisual media is considered an effective health education method because it combines audio and visual elements, making information easier to understand and remember. This study aimed to determine the effectiveness of health education using audiovisual media on mothers’ knowledge of balanced nutrition for toddlers at Posyandu Cemara Karya Indah, in the working area of UPT Puskesmas Pantai Cermin. This research was quantitative with a quasi-experimental design and a pretest-posttest with control group approach. The sample consisted of 46 respondents, divided into intervention and control groups, with 23 people in each group, selected using purposive sampling. The instrument used was a questionnaire on knowledge about balanced nutrition. Data analysis was carried out using the Shapiro-Wilk normality test and the mann-whitney with a significance level of 0.05. The results showed that the average knowledge score of the control group was 62,22, while the intervention group, which was given health education using audiovisual media, had an average score of 82.61. The mean difference between the two groups was 20.39 points. Statistical testing showed a p-value = 0.001 (p 0.05), indicating a significant difference between the two groups. In conclusion, health education using audiovisual media is effective in increasing mothers’ knowledge about balanced nutrition for toddlers. It is recommended that health centers integrate audiovisual media into routine health education activities, and that future researchers conduct long-term measurements to assess behavioral change.Keywords: Balanced nutrition, health education, audiovisual media, toddlers
EFEKTIFITAS EDUKASI KESEHATAN MENGGUNAKAN MEDIA LEAFLET TERHADAP PENGETAHUAN REMAJA PUTRI TENTANG ANEMIA DI SMKS PERIKANAN AL-ITTIHADIYAH KABUPATEN ROKAN HILIR Isnaini Isnaini; Lisviarose Lisviarose; Fajar Sari Tanberika; Rizka Mardiya
Ensiklopedia of Journal Vol 8, No 2 (2026): Vol. 8 No. 2 Edisi 1 Januari 2026
Publisher : Lembaga Penelitian dan Penerbitan Hasil Penelitian Ensiklopedia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33559/eoj.v8i2.3606

Abstract

Adolescent girls are a group that is vulnerable to anemia due to lack of knowledge about anemia and its prevention. Data from SMKS Fisheries Al-Ittihadiyah Rokan Hilir Regency shows that 3 adolescent girls often feel sleepy while studying, while 7 adolescent girls feel weak and dizzy during menstruation. One way to prevent anemia in adolescent girls is to increase knowledge about anemia through providing health education using leaflets. The study aims to determine the effectiveness of health education using leaflets on adolescent girls' knowledge about anemia at SMKS Fisheries Al-Ittihadiyah Rokan Hilir Regency. This type of research is quantitative with a quasi-experimental approach, pre-test and post-test. The population is 43 adolescent girls, the sample is 43 respondents. Sampling uses a total sampling technique. The research instrument is a questionnaire. Data are analyzed using the Dependent T-test. The results of the study showed that before health education using leaflets, there were more respondents with low knowledge, namely 83.7%. After health education using leaflets, there were more respondents with high knowledge, namely 88.4%. There is effectiveness of health education using leaflets on adolescent girls' knowledge about anemia (P = 0.000). It is recommended that schools also collaborate with community health centers (Puskesmas) to conduct regular health education activities using leaflets to ensure all students have a strong understanding of anemia and its prevention.Keywords: Health Education, Leaflets, Adolescent Girls' Knowledge, Anemia
PENGARUH CAHAYA REDUP TERHADAP FREKUENSI NADI PADA BAYI BBLR DI RUANG NICU RSUD PURI HUSADA TEMBILAHAN Jumatul Awaliah; Wira Ekdeni Aifa; Rizka Mardiya; Fajar Sari Tanberika
Jurnal Kesehatan Husada Gemilang Vol 9 No 1 (2026): JURNAL KESEHATAN HUSADA GEMILANG
Publisher : STIKES HUSADA GEMILANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61129/jkhg.v9i1.150

Abstract

Bayi BBLR mengalami masalah karena imaturitas organ tubuhnya, kondisi lingkungan luar rahim yang berbeda dengan kondisi rahim menimbulkan stress sehingga berdampak pada kondisi fisiologisnya. Tujuan Penelitian ini untuk mengetahui pengaruh pemberian cahaya redup terhadap frekuensi nadi pada bayi BBLR di Ruang NICU Rumah Sakit Umum Daerah Puri Husada Tembilahan Tahun 2025 Metode Penelitian ini Menggunakan pre experimental design dengan rancangan pre-test and post- test without control. Pengambilan sampe menggunakan rumus Slovin dengan tingkat signifikansi 5%, sehingga diperoleh 29 responden. Diberikan terapi cahaya redup intensitas cahaya <50 lux Uji statistik dengan Wilcoxon test. Berdaasrkan Hasil dari penelitian ini bahwa nilai P value < α ( 0,05) yaitu 0,000 pada tingkat kepercayaan 95%, usia bayi paling banyak 10 hari dan 15 hari. Rata-rata frekuensi nadi sebelum terapi cahaya redup 167.69 dan rata- rata fekuensi nadi sesudah terapi cahaya redup 138.52. Kesimpulan Terdapat pengaruh pemberian cahaya redup terhadap frekuensi nadi BBLR di Ruang NICU Rumah Sakit Umum Daerah Puri Husada Tembilahan Tahun 2025 dengan P value 0,000. Sehingga cahaya redup dapat dipakai sebagai terapi   Low Birth Weight (LBW) infants experience problems due to the immaturity of their organs. The external environment outside the womb, which differs from the conditions in the womb, causes stress that impacts their physiological condition. The purpose of this study is to determine the effect of dim light administration on the heart rate of LBW infants in the NICU Room of Puri Husada Tembilahan Regional General Hospital in 2025. This study uses a pre-experimental design with a pre-test and post-test without control. Sampling was carried out using Slovin's formula with a significance level of 5%, resulting in 29 respondents. They were given dim light therapy with an intensity of <50 lux. Statistical analysis was performed using the Wilcoxon test. Based on the results of this study, the P value < α (0.05), which is 0.000, at a 95% confidence level. The age of the infants was mostly 10 days and 15 days. The average pulse frequency before dim light therapy was 167.69, and the average pulse frequency after dim light therapy was 138.52. Conclusion: There is an effect of dim light therapy on the pulse frequency of low birth weight infants (LBW) in the NICU of Puri Husada Regional General Hospital in Tembilahan in 2025, with a P value of 0.000. Therefore, dim light can be used as a complementary therapy in midwifery practice in the NICU of Puri Husada Regional General Hospital in Tembilahan.
HUBUNGAN PENGETAHUAN DAN PERILAKU REMAJA DALAM KESEHATAN REPRODUKSI TERHADAP PENCEGAHAN KEHAMILAN TIDAK DI INGINKAN DI KLINIK DOKTER HABIB KOTO GASIB Windi Kurniawati; Wira Ekdeni Aifa; Nurhidaya Fitria; Rizka Mardiya
Jurnal Kesehatan Husada Gemilang Vol 9 No 1 (2026): JURNAL KESEHATAN HUSADA GEMILANG
Publisher : STIKES HUSADA GEMILANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61129/jkhg.v9i1.153

Abstract

Kehamilan Tidak Diinginkan (KTD) masih menjadi masalah serius dalam kesehatan reproduksi remaja di Indonesia, termasuk di Kabupaten Siak. KTD berdampak luas terhadap kehidupan remaja, seperti peningkatan risiko putus sekolah, gangguan psikologis, serta komplikasi kesehatan. Penelitian ini bertujuan untuk mengetahui hubungan antara pengetahuan dan perilaku remaja tentang kesehatan reproduksi dengan upaya pencegahan KTD di Klinik Dokter Habib Koto Gasib tahun 2025. Desain penelitian menggunakan metode kuantitatif dengan pendekatan cross sectional. Populasi penelitian adalah seluruh remaja yang berkunjung ke klinik tersebut dengan total 44 responden, diperoleh melalui teknik accidental sampling. Data dikumpulkan menggunakan kuesioner yang menilai pengetahuan, perilaku, dan tindakan pencegahan KTD. Analisis dilakukan secara univariat dan bivariat menggunakan uji Chi Square. Hasil penelitian menunjukkan bahwa 77,3% responden memiliki pengetahuan baik, 63,6% berperilaku baik, dan 54,5% memiliki pencegahan KTD yang baik. Uji statistik menunjukkan hubungan signifikan antara pengetahuan (p=0,006) dan perilaku (p=0,001) dengan pencegahan KTD. Kesimpulannya, pengetahuan dan perilaku remaja berpengaruh signifikan terhadap pencegahan KTD. Oleh karena itu, edukasi reproduksi remaja perlu ditingkatkan melalui penyuluhan berkelanjutan agar remaja mampu menerapkan perilaku pencegahan secara konsisten. Kata kunci : Pengetahuan, Perilaku, KTD, Remaja, Kesehatan Reproduksi
HUBUNGAN PAPARAN ASAP ROKOK DENGAN KEJADIAN KEHAMILAN RESIKO TINGGI DI RSUD MINAS KABUPATEN SIAK Kurnia Gusti Utami; Yesi eptina Wati; Rizka Mardiya; Nurhidaya Fitria
Jurnal Kesehatan Husada Gemilang Vol 9 No 1 (2026): JURNAL KESEHATAN HUSADA GEMILANG
Publisher : STIKES HUSADA GEMILANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61129/jkhg.v9i1.158

Abstract

Paparan asap rokok merupakan faktor lingkungan yang berpengaruh terhadap kesehatan ibu hamil. Rokok mengandung lebih dari 7.000 zat kimia berbahaya yang dapat meningkatkan risiko komplikasi kehamilan. Ibu hamil yang tidak merokok secara aktif tetap berisiko menjadi perokok pasif akibat paparan asap rokok di rumah maupun di tempat kerja. Penelitian ini bertujuan untuk mengetahui hubungan antara paparan asap rokok dengan kejadian kehamilan risiko tinggi di RSUD Minas Kabupaten Siak. Penelitian ini menggunakan metode kuantitatif dengan desain cross sectional. Populasi penelitian adalah seluruh ibu hamil yang melakukan pemeriksaan kehamilan di Poli KIA RSUD Minas Kabupaten Siak sebanyak 80 orang. Sampel penelitian berjumlah 67 ibu hamil yang ditentukan menggunakan rumus Slovin. Pengumpulan data dilakukan dengan kuesioner dan dianalisis menggunakan uji chi-square. Hasil penelitian menunjukkan bahwa ibu hamil yang tidak terpapar asap rokok sebanyak 15 orang (22,4%), sedangkan yang terpapar asap rokok sebanyak 52 orang (77,6%). Hasil analisis statistik menunjukkan terdapat hubungan yang signifikan antara paparan asap rokok dengan kejadian kehamilan risiko tinggi dengan nilai p value sebesar 0,009 (< 0,05). Kesimpulan penelitian ini adalah terdapat hubungan bermakna antara paparan asap rokok dan kejadian kehamilan risiko tinggi. Ibu hamil diharapkan dapat menghindari paparan asap rokok untuk menjaga kesehatan ibu dan janin.   Exposure to cigarette smoke is an environmental factor that affects maternal health during pregnancy. Cigarettes contain more than 7,000 harmful chemical substances that may increase the risk of pregnancy complications. Pregnant women who do not actively smoke can still become passive smokers due to exposure to cigarette smoke at home or in the workplace. This study aimed to determine the relationship between cigarette smoke exposure and the incidence of high-risk pregnancy at RSUD Minas, Siak Regency. This study employed a quantitative method with a cross-sectional design. The population consisted of 80 pregnant women attending antenatal care at the Maternal and Child Health Clinic of RSUD Minas, Siak Regency. A total of 67 respondents were selected using the Slovin formula. Data were collected using a questionnaire and analyzed using the chi-square test. The results showed that 15 pregnant women (22.4%) were not exposed to cigarette smoke, while 52 pregnant women (77.6%) were exposed. Statistical analysis indicated a significant relationship between cigarette smoke exposure and high-risk pregnancy, with a p-value of 0.009 (< 0.05). In conclusion, cigarette smoke exposure is significantly associated with high-risk pregnancy. Pregnant women are encouraged to avoid cigarette smoke exposure to protect maternal and fetal health.
Pengaruh Pemberian Aromaterapi Lavender Terhadap Kecemasan Akseptor Kb Implan Di Puskesmas Sapta Taruna Kota Pekanbaru Rizka Mardiya; Tengku Isni Yuli Lestari Putri; Hirza Rahmita
Khatulistiwa Nursing Journal Vol. 8 No. 1 (2026): January 2026
Publisher : STIKes YARSI Pontianak

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53399/knj.v8i1.340

Abstract

Latar Belakang: Kontrasepsi Implan merupakan salah satu metode pengendalian kelahiran jangka panjang yang memiliki tingkat efektivitas tinggi. Meskipun demikian, banyak calon akseptor mengalami kecemasan sebelum pemasangan, yang dapat menghambat proses penerapannya. Pendekatan non farmakologis seperti aromaterapi dengan minyak esensial lavender diketahui memiliki sifat menenangkan yang berpotensi mengurangi kecemasan secara alami. Tujuan: Penelitian ini bertujuan untuk mengevaluasi pengaruh intervensi aromaterapi lavender terhadap tingkat kecemasan pada perempuan yang menjadi akseptor KB implan. Metode: Penelitian ini menerapkan desain kuasi-eksperimen dengan pendekatan pretest-posttest one group design. Responden terdiri dari akseptor KB implan yang dipilih berdasarkan kriteria inklusi dan eksklusi yang telah ditetapkan. Pengumpulan data dilakukan melalui pengisian kuesioner tingkat kecemasan sebelum dan sesudah pemberian aromaterapi. Analisis data menggunakan uji statistik yang relevan untuk menguji signifikansi perubahan yang terjadi. Hasil: Temuan menunjukkan bahwa terdapat penurunan tingkat kecemasan yang signifikan setelah pemberian aromaterapi lavender. Berdasarkan hasil analisis statistik, diperoleh nilai p sebesar 0,000 (p<0,05), yang mengindikasikan adanya pengaruh yang bermakna secara statistik. Rata-rata skor kecemasan sebelum intervensi adalah 21,77 dan menurun menjadi 18,90 setelah intervensi, dengan selisih rata-rata sebesar 13,87 poin. Kesimpulan: Aromaterapi lavender terbukti efektif dalam menurunkan tingkat kecemasan pada akseptor KB implan. Efek relaksasi dari aroma lavender diyakini mampu meredakan ketegangan emosional serta meningkatkan kenyamanan selama prosedur pemasangan implant berlangsung.