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Hubungan Pemberian Asi Eksklusif di Tinjau Dari Kajian Sosial Budaya di Wilayah Kerja Puskesmas Wadas Karawang Kamalia, Rusyda; Idealistiana, Lia
MAHESA : Malahayati Health Student Journal Vol 5, No 4 (2025): Volume 5 Nomor 4 (2025)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v5i4.16872

Abstract

ABSTRAK ASI merupakan Air Susu Ibu yang dihasilkan oleh ibu dan mengandung semua zat gizi yang diperlukan oleh bayi untuk kebutuhan pertumbuhan dan perkembangan bayi. Definisi ASI eksklusif menurut WHO adalah pemberian ASI tanpa cairan atau makanan apapun kepada bayi sampai berumur 6 bulan. Puskesmas Wadas merupakan salah satu puskesmas  yang cakupan ASI Eksklusif di Puskesmas Wadas dari tahun 2019-2021 mengalami fluktuasi , pada tahun 2021 sebesar 55.1% dan pada tahun 2022 sebesar 37.1% dan pada tahun 2023 sebesar 42.1%. Beberapa faktor di antaranya adalah karena sosial budaya. Untuk mengetahui hubungan pemberian ASI Eksklusif di tinjau dari kajian sosial budaya di Wilayah Kerja Puskesmas Wadas tahun 2024. analitik kuantitatif dengan rancangan cross sectional. Sampel pada penelitian ini adalah ibu yang mempunyai bayi usia 6-12 bulan sebanyak 60 responden dengan teknik purposive sampling. Instrumen penelitian menggunakan kuesioner. Data merupakan data primer dianalisis menggunakan uji chi square. Analisis univariat diperoleh sebagian besar ibu memberikan ASI Eksklusif pada bayi sebanyak 71,7%, memberikan dukungan sosial budaya sebanyak 51,7%, agama 50%, pendidikan menengah 58,4% dan mendapatkan dukungan suami sebanyak 53,3%. Hasil analisis bivariat ada hubungan antara sosial budaya (p value = 0,01), agama (p value = 0,049), pendidikan (p value = 0,000), dukungan suami (p value = 0,004) dengan pemberian ASI Eksklusif pada bayi 6-12 bulan. Ada hubungan anatara sosial budaya, agama, pendidikan dan dukungan suami dalam pemberian ASI Eksklusif.  Kata Kunci: ASI Eksklusif, Sosial Budaya, Agama, Pendidikan, Dukungan Suami  ABSTRACT Breast milk is breast milk produced by the mother and contains all the nutrients needed by the baby for the baby's growth and development needs. The definition of exclusive breastfeeding according to WHO is giving breast milk without any liquid or food to babies until they are 6 months old. Wadas Health Center is one of the health centers where exclusive breastfeeding coverage at Wadas Health Center from 2019-2021 experienced fluctuations, in 2021 it was 55.1% and in 2022 it was 37.1% and in 2023 it was 42.1%. Some of these factors are social and cultural. To determine the relationship between exclusive breastfeeding in terms of socio-cultural studies in the Wadas Health Center Work Area in 2024. quantitative analysis with cross sectional design. The sample in this study was 60 mothers who had babies aged 6-12 months using a purposive sampling technique. The research instrument used a questionnaire. The data is primary data analyzed using the chi square test. Univariate analysis showed that the majority of mothers provided exclusive breast milk to babies as much as 71.7%, provided socio-cultural support as much as 51.7%, religion as much as 50%, secondary education as much as 58.4% and received support from their husbands as much as 53.3%. The results of bivariate analysis show a relationship between social culture (p value = 0.01), religion (p value = 0.049), education (p value = 0.000), husband's support (p value = 0.004) and exclusive breastfeeding for babies 6-12 month. there is a relationship between social culture, religion, education and husband's support in providing exclusive breastfeeding. Keywords: Exclusive Breastfeeding, Social Culture, Religion, Education, Husband's Support
Hubungan Minat Ibu, Dukungan Suami, dan Pelayanan KB terhadap Pemilihan Alat Kontrasepsi dalam Rahim (AKDR) di Rumah Sakit Nuraida Shintya, Yona; Idealistiana, Lia
MAHESA : Malahayati Health Student Journal Vol 5, No 4 (2025): Volume 5 Nomor 4 (2025)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v5i4.16889

Abstract

ABSTRACT The use of Long-Term Contraceptive Methods (LCM), especially IUDs, has not been the main choice. In 2023, the prevalence of active IUD users in Nuraida Hospital was still low at 8.3%. Several factors that do not support the use of IUD contraceptive methods include maternal interest, husband's support, and family planning services. To determine the relationship between maternal interest, husband's support, and family planning services on the choice of Intrauterine Contraceptive Devices (IUDs) at Nuraida Hospital. This study is a quantitative analytical study with a cross-sectional design. . The sample in the study was 31 women of childbearing age with a purposive sampling technique. The research instrument used a questionnaire. The data is primary data analyzed using a square test. The results of the univariate analysis showed that most did not choose Intrauterine Contraceptive Devices (IUDs) 64.5%, with moderate maternal interest 54.8%, negative husband's role 61.3% and family planning services not available 58.1%. The results of the bivariate analysis showed that there was a significant relationship between interest (p value = 0.007), husband's role (p value = 0.007), and family planning services (p value = 0.021) with the selection of IUDs. There is a relationship between interest, husband's role and family planning services with the selection of IUDs.  Keywords: Interest, Husband's Role, Family Planning Services, Selection of IUDs  ABSTRAK Pengunaan Metode Kontrasepsi Jangka Panjang (MKJP) khususnya AKDR belum menjadi pilihan utama. Rumah Sakit Nuraida tahun 2023 prevalensi KB aktif pengguna AKDR masih rendah sebanyak 8,3%. Beberapa faktor yang kurang mendukung menggunakan metode kontrasepsi AKDR diantaranya minat ibu, dukungan suami dan pelayanan KB.Mengetahui hubungan minat ibu, dukungan suami, dan pelayanan kb terhadap pemilihan Alat Kontrasepsi Dalam Rahim (AKDR) di Rumah Sakit Nuraida. Penelitian ini merupakan penelitian analitik kuantitatif dengan rancangan cross sectional. . Sampel dalam penelitian adalah wanita usia subur sebanyak 31 responden dengan teknik purposive sampling. Instrumen penelitian menggunakan kuesioner. Data merupakan data primer dianalisis menggunakan uji uji  square. Hasil analisis univariat diketahui sebagian besar tidak memilih Alat Kontrasepsi Dalam Rahim (AKDR) 64,5%,dengan minat ibu sedang 54,8%, peran suami negatif 61,3% dan pelayanan KB tidak tersedia 58,1%. Hasil analisis bivariat diketahui bahwa ada hubungan yang signifikan antara minat (p value = 0,007), peran suami (p value = 0,007), dan pelayanan KB (p value = 0,021) dengan pemilihan AKDR. ada hubungan antara minat, peran suami dan pelayanan KB dengan pemilihan AKDR. Kata Kunci: Minat, Peran Suami, Pelayanan KB, Pemilihan AKDR
Accreditation Preparation on Stress Levels and Performance of Medical Personnel Hayatunufus, Hayatunufus; Idealistiana, Lia; Mariani, Mariani
MAHESA : Malahayati Health Student Journal Vol 5, No 4 (2025): Volume 5 Nomor 4 (2025)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v5i4.16987

Abstract

ABSTRACT The Ministry of Health of the Republic of Indonesia establishes an independent licensing body called hospital accreditation after verifying that the hospital meets the required hospital service standards. Nurses in hospitals have many duties and responsibilities determined by the hospital itself, so their work can pose a lot of pressure and responsibility. The results of initial research on nine nurses at RSIA Mutiara Bunda Cilegon showed that they experienced stress due to waiting for accreditation, which had an impact on their performance as nurses. This type of research is qualitative research. The research design used is the case control study method. Based on the results of statistical tests, no significant influence between accreditation preparation on stress levels and performance of medical personnel was analyzed. There is no influence between accreditation preparation and nurses' stress level. RSIA Mutiara Bunda Cilegon is expected to provide greater support to medical personnel during accreditation preparation, such as training, counseling, or welfare programs to reduce the level of stress experienced. Keywords: Accreditation Preparation, Stress Level, Nurse Performance
Analysis of Nutritional Program Implementation in Pregnant Women with Chronic Energy Deficiency with Increased Weight Murti, Ida Ari; Idealistiana, Lia
Indonesian Journal of Global Health Research Vol 6 No 2 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i2.2776

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Chronic Energy Deficiency (CED/ KEK) is a nutritional problem in pregnant women that cannot be handled properly. So public health policies are needed that guarantee the availability of nutritious food for pregnant women, such as providing nutritious food for pregnant women, increasing the knowledge of pregnant women so they can provide food for their nutritional needs. The aim of this research is to analyze the implementation of nutritional programs in pregnant women with CED (chronic energy deficiency) with increased body weight. This research is a type of quasi-experimental research. The location used for this research was the Pabuaran Community Health Center, Serang Regency, Banten Province in December 2023. In this study, the population used was a limited population, namely all pregnant women registered in the "Cheerful Space" nutrition program, 53 pregnant women with a diagnosis of CED. Samples were taken using total sampling technique. Univariate analysis was used to see mean differences, and the analysis used after going through the data normality test was the Mann Whitney U test. The results of the Mann-Whitney test show a p value of 0.041 < 0.05, so it can be concluded that the analysis of nutrition and ANC programs by measuring differences in body weight is considered effective in overcoming the problem of pregnant women diagnosed with chronic energy deficiency (CED).
Hubungan Pola Tidur dan Dukungan Keluarga dengan Tingkat Stres pada Mahasiswa S1 Keperawatan yang Sedang Menyusun Skripsi di Stikes Abdi Nusantara Jakarta Alfitriani, Alfitriani; Idealistiana, Lia
MAHESA : Malahayati Health Student Journal Vol 5, No 2 (2025): Volume 5 Nomor 2 (2025)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v5i2.16672

Abstract

ABSTRACT The final project of scribbry is one of the requirements for graduating and obtaining a bachelor's degree. As a result of the work process and obstacles in the thesis preparation process, many students feel burdened and in the end feel tension, worry, anxiety Fear makes students stressed. One of the efforts in stress management is the support of family. Family support is obtained in the form of emotional support, instrumental support, award support and information support. With family support, it motivates individuals to face every problem and can reduce the stress felt. To find out the relationship between sleep patterns and family support with stress levels in S1 Nursing students who are preparing their thesis at STIKES ABDI NUSANTARA JAKARTA 2024. This study uses quasi-analytical with a cross-sectional research design. Sampling was conducted using a purposive sampling technique with a sample of 49 respondents. Data collection uses questionnaire sheets. The data techniques included univariate analysis using frequency distribution and bivariate analysis using the SPSS. The results showed that there was no relationship between sleep patterns and stress levels, the results of the chi-square statistical test obtained a p-value of 0.714, and there was a relationship between family support and the level of chi-square statistical test results obtained a p-value of 0.0033. There was no relationship between sleep patterns and stress levels and there was a relationship between family support and stress levels. Keywords: Sleepn Paterns, Family Support, Stress Levels  ABSTRAK Tugas akhir srikpsi merupakan salah satu syarat untuk lulus dan memperoleh gelar sarjana. Akibat dari proses pengerjaan dan hambatan-hambatan dalam proses penyusunan skripsi, banyak mahasiswa yang merasa terbebani dan pada akhirnya merasakan ketegangan, kekhawatiran, kecemasan, rasa takut sehingga membuat mahasiswa menjadi stres. Salah satu upaya dalam manajemen stres adalah adanya dukungan keluarga. Dukungan keluarga yang didapatkan dalam bentuk dukungan emosional, dukungan instrumental, dukungan penghargaan dan dukungan informasi. Dengan adanya dukungan keluarga memotivasi individu untuk menghadapi setiap masalahnya dan dapat mengurangi stres yang dirasakan. Tujuan dari penelitian ini untuk mengetahui Hubungan pola tidur dan dukungan keluarga dengan tingkat stress pada mahasiswa S1 Keperawatan yang sedang menyusun skripsi di STIKES ABDI NUSANTARA JAKARTA 2024. Penelitian ini menggunakan quasi analitik dengan desain penelitian cross sectional. Pengambilan sampel menggunakan teknik purposive sampling dengan sampel 49 responden. Pengambilan data menggunakan lembar kuesioner. Teknik data termasuk dalam analisis univariat menggunakan distribusi frekuensi dan analisis bivariat menggunakan uji chi-square program SPSS. Hasil penelitian menunjukan bahwa tidak terdapat hubungan pola tidur dengan tingkat stress hasil uji statistik chi-square diperoleh nilai p-value 0,714,dan dan ada hubungan dukungan keluarga dengan tingkat hasil uji statistik chi-square diperoleh nilai p-value0,0033. Tidak terdapat hubungan pola tidur dengan tingkat stress dan terdapat hubungan dukungan keluarga dengan tingkat stress. Kata Kunci: Pola Tidur, Dukungan Keluarga, Tingkat Stress.
Efektivitas Pemeriksaan Fisik Dan Edukasi Pada Premenopause Dan Lansia Dengan Tingkat Kecemasan Di Wilayah Puskesmas Cimarga Syahriawati , Lisna; Idealistiana , Lia
Jurnal Keperawatan Muhammadiyah Vol 9 No 1 (2024): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

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

Abstract

Objective: Changes that occur physically, psychologically and sexually cause women who are facing menopause to be anxious and worried. Excessive anxiety can have bad effects on the body. Methods: research with a cross sectional study approach, for the educational variable, the type of research used is quasi-experimental. The research design uses two group measurements (observations) with a Pretest Posttest design. Sampling used a minimum experimental research sample according to Gay and Diehl, namely 20 samples per group, a total of 40 people. The sampling technique used was purposive sampling Results & Conclusion: 1) The level of anxiety in premenopausal and elderly people after a physical examination of blood pressure is dominant at the level of mild anxiety with normal blood pressure physical examination results, namely 17 people (37.0%). 2) The level of anxiety in premenopausal and elderly people after a physical temperature examination, the level of mild anxiety with normal examination results was the highest, namely 20 people (43.5%). 3) The level of anxiety in premenopausal and elderly people after Hb examination mostly showed a mild level of anxiety with normal examination results, totaling 13 people (28%). 4) The level of anxiety in premenopausal and elderly people after the GDS physical examination was carried out showed that mild levels of anxiety dominated the normal GDS examination results with a figure of 14 people (30.4%). 5) The mean value of the pretest results for the intervention group was 2.74, the mean value of the posttest results was 1.91. The results of the Wilcoxon test were significant, p-value 0.001 <0.05, which means there was a difference in pretest and posttest anxiety levels in the intervention group. 6) The results of the Mann Whitney test are significant p-value .032 < 0.05. This means that there is an influence of physical examination and education on changes in anxiety levels in premenopausal and elderly people.
Hubungan Frekuensi Baby Spa Dengan Pertumbuhan Fisik Bayi Usia 6-12 Bulan Di Klinik Salsabila Mom & Baby Spa Kota Tangerang Tahun 2023 Hanafiah , Iis; Idealistiana , Lia
Jurnal Keperawatan Muhammadiyah Vol 9 No 3 (2024): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v9i3.21841

Abstract

Background: Baby's weight is an indicator in measuring baby's growth. One of the supporting factors that really determines physical growth is providing stimulation using Baby Solus Per Aqua (SPA) because it can increase the baby's appetite and thus influence the baby's physical growth. It is said to be routine if baby SPA is done twice a week. Purpose of writing: To determine the relationship between the frequency of baby SPA and the physical growth of babies aged 6-12 months at the Salsabila Mom & Baby SPA Clinic, Tangerang City in 2023. Research Method: This research is a quantitative analytical research with a case sectional design. The sample in this study was 60 respondents aged 6-12 months, divided into two, namely 30 respondents for the case group and 30 respondents for the control group using total sampling technique. The research instrument uses an observation sheet. The data is primary data analyzed using the square test. Research Results: The results of the univariate analysis showed that 50.0% of babies aged 6-12 months routinely and non-routinely did baby SPA, most of the babies aged 6-12 months with physical growth increased by 61.7%. The results of the bivariate analysis showed a relationship between the frequency of baby SPA and the physical growth of babies aged 6-12 months with a p value of 0.008. Conclusions and Suggestions: there is a relationship between the frequency of baby SPA and the physical growth of babies aged 6-12 months. Mothers of babies are expected to increase their knowledge about the benefits and how to do baby SPA so that mothers can do massage at home independently and do it regularly so that the baby's growth is optimal.
SmartBreastfeed: Effectiveness of a Digital Intervention in Reducing Postpartum Fatigue and Enhancing Breastfeeding Motivation Idealistiana, Lia; Fauzi, Achmad; Mutiar, Astri; Lindayani, Linlin; Darmawati, Irma
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 11 No. 4 (2025): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v11i4.923

Abstract

Background: Postpartum fatigue is a highly prevalent condition affecting up to 88% of mothers in the early postpartum period, negatively influencing maternal well-being and breastfeeding outcomes. In Indonesia, fatigue contributes to low exclusive breastfeeding rates, which remain below national and WHO targets. Digital health solutions offer promising opportunities to provide continuous breastfeeding support; however, existing applications are predominantly infant-focused and rarely address maternal psychosocial needs such as fatigue and motivation. Objective: To evaluate the effectiveness of the SmartBreastfeed mobile application in reducing postpartum fatigue and enhancing breastfeeding motivation among mothers during the first six weeks after childbirth. Methods: A quasi-experimental pretest–posttest control group design was employed among 64 postpartum mothers recruited from two urban health facilities. Participants were assigned to either the intervention group using SmartBreastfeed for four weeks or the control group receiving standard education through leaflets. Postpartum fatigue and breastfeeding motivation were assessed using validated Indonesian versions of the Postpartum Fatigue Scale (PFS) and Breastfeeding Motivation Scale (BFMS). Data were analyzed using paired t-tests and ANCOVA with significance set at p < 0.05. Results: Mothers using SmartBreastfeed experienced a significantly greater reduction in fatigue scores compared with controls (Δ = -13.5 ± 5.2 vs. -4.1 ± 3.8; p < 0.001). The intervention group also demonstrated significant improvements in breastfeeding motivation—including increased intrinsic (p < 0.001) and extrinsic motivation (p = 0.02), and reduced amotivation (p = 0.01). ANCOVA showed the intervention as the strongest predictor for improved outcomes, with medium-to-large effects (partial η² = 0.09–0.27). Conclusion: SmartBreastfeed effectively reduced postpartum fatigue and enhanced breastfeeding motivation through personalized digital support integrating self-monitoring, educational modules, reminders, and motivational messaging. This user-centered innovation shows potential to complement community maternal health programs and improve breastfeeding success in Indonesia
Hubungan Dukungan Suami dengan Frekuensi Keikutsertaan Ibu pada Kelas Ibu Hamil di PMB Katarina Sunu Sujati Kota Rangkasbitung Nur Siti Yaroh; Amelie Yuliana; Lia Idealistiana
Journal of Innovative and Creativity Vol. 5 No. 2 (2025)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/joecy.v5i2.2924

Abstract

Selama masa kehamilan sampai dengan persalinan ibu hamil menghadapi berbagai risiko komplikasi kehamilan dan persalinan yang merupakan penyebab utama kematian ibu. Perlunya kesadaran ibu hamilmengenai pentingnya pengetahuan tentang kesehatan dan risiko tinggi ibu selama hamil sebagai upaya yang dilakukan dalam pencegahan permasalahan kehamilan. Salah satu sarana untuk meningkatkan pengetahuan dan kesadaran ibu terkait masa kehamilan yaitu dengan mengikuti kelas ibu hamil. penelitian ini bertujuan untuk mengetahui hubungan dukungan suami dengan frekuensi keikutsertaan ibu pada kelas ibu hamil di PMB Katarina Sunu Sujati S.Tr. Keb Di Kota Rangkasbitung Kab Lebak-Banten. Penelitian ini merupakan penelitian kuantitatif dengan desain cross sectional. Pengambilan sampel secara purposive sampling berdasarkan kriteria inklusi dan ekslusi didapatkan 51 responden. Analisis data menggunakan uji statistic Chi-Square. Hasil penelitian menunjukkan dukungan suami sebagian besar ada di kategori tinggi sebanyak 39 orang (76,5%), dan ibu yang ikut serta (frekuensi ≥4x) dalam kelas ibu hamil sebagian besar sebanyak 29 orang (56,9%). Hasil uji Chi-Square menunjukkan p-value 0,000 yang artinya terdapat hubungan antara dukungan suami dengan frekuensi keikutsertaan ibu pada kelas ibu hamil di Pmb Katarina Sunu Sujati Kota Rangkasbitung. Simpulan dari penelitian ini adalah terdapat hubungan antara dukungan suami dengan frekuensi keikutsertaan ibu pada kelas ibu hamil di Pmb Katarina Sunu Sujati Kota Rangkasbitung. Dengan adanya penelitian ini diharapkan bagi bidan untuk membuat inovasi baru mengenai metode promosi pelaksanaan kegiatan kelas ibu hamil yaitu ibu yang melakukan pemeriksaan antenatal care sebanyak tiga kali akan mendapatkan benefit mengikuti kelas ibu hamil secara gratis. Juga diharapkan untuk menyediakan leaflet/poster terkait keterlibatan suami dalam kelas ibu hamil.
Efektivitas Pemberian Jus Buah Nanas dan Madu Terhadap Proses Penyembuhan Luka Perineum Pada Ibu Post Partum Lia Idealistiana; Andriani Utami
Jurnal Ners Vol. 9 No. 2 (2025): APRIL 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i2.42791

Abstract

Perineal wounds are injuries that occur during childbirth in the perineum due to pressure from the baby's head at birth, there are most women who experience perineal rupture during childbirth, approximately 50-60% of these women require stitches. Healing of perineal wounds can be done using pharmacological and non-pharmacological therapy, mothers who choose non-pharmacology can be done at home easily and cheaply, one of which is by giving pineapple juice and honey. This type of research is a descriptive analytical pre-experimental study with a pretest posttest non-equivalent group design with a hypothesis test using the Wilcoxon approach. The sampling technique is Total sampling. The results of the study of Perineal Wounds of Postpartum Mothers Before and After Giving Pineapple Juice and Honey on day 1, the significance value is 1,000 (> 0.05) and on days 2 to 7 the significance value (<0.05). The value of Asym.sig 2 failed < 0.05 means there is an average difference from day 4 to day 7 with a significance value of less than 0.05.