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All Journal Jurnal Keperawatan Jurnal Keperawatan Muhammadiyah Holistik Jurnal Kesehatan Jurnal Kreativitas PKM Manuju : Malahayati Nursing Journal JKM (Jurnal Kebidanan Malahayati) JKPBL (Jurnal Kesehatan Panca Bhakti Lampung) Jurnal Perak Malahayati : Pengabdian Kepada Masyarakat Journal of Public Health Concerns JOURNAL OF Qualitative Health Research & Case Studies Reports JOURNAL OF Mother and Child Health Concerns Journal of Medical Surgical Concerns CHI JOURNAL OF Community Health Issues TMI JOURNAL OF Tropical Medicine Issues
Aryanti Wardiyah, Aryanti
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Health Professions Medicine & Pharmacology Nursing Public Health

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Pemberdayaan Kader Dan Keluarga Sebagai Motivator Asi (Kemasi) Untuk Pencegahan Stunting Secara Dini Wardiyah, Aryanti; Lathifah, Neneng Siti; Sari, Nova Nurwinda; Sutiyoko, Adi; Syakilah, Siti; Dora, Miranti Dea
Jurnal Perak Malahayati: Pengabdian Kepada Masyarakat Vol 7, No 1 (2025): Volume 7 Nomor 1 Mei 2025
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jpm.v7i1.19865

Abstract

Stunting  masih  menjadi  salah  satu  permasalahan  gizi  utama  hingga  saat  ini  pada  anak  di Indonesia pada tahun 2021 terdapat prevalensi balita yang mengalami stunting sebesar 24,4%. Untuk meningkatkan pencapaian target ASI Ekslusif serta pencegahan stunting secara dini, perlu peran masyarakat dalam mendukung keberhasilan ASI. Diperlukan upaya peningkatan motivasi kepada masyarakat  untuk  memberikan ASI  Ekslusif.  Puskesmas  Simpur  mempunyai  Kelompok  Kader Kesehatan Simpur (KKS). Terdapat masalah masih kurangnya pengetahuan  anggota  KKS  terkait ASI Eksklusif, dibentuk Kelompok Motivator ASI (KEMASI) yang memberikan motivasi pemberian ASI eksklusif yang lebih dekat pada masyarakat dengan memberi alat edukasi, aplikasi dan pengetahuan yang dibutuhkan. Terdapat peningkatan pengetahuan dalam aspek manajemen sumber daya dan ada peningkatan pengetahuan tentang menyusui dari kategori rendah sebanyak 65,62%% menjadi baik 86,81%. Ada peningkatan pengetahuan tentang manajemen SDM Kader dari 65,62 menjadi 86,81% Kesimpulan terbentuknya kelompok motivator ASI dapat meningkatkan pengetahuan bagi ibu menyusui dan pengetahuan manajemen SDM Kader.  Kata Kunci : ASI,Kader,Motivatro ABSTRACT Stunting is still one of the main nutritional problems currently among children in Indonesia. In 2021, the prevalence of toddlers experiencing stunting was 24.4%. To increase the achievement of exclusive breastfeeding targets and prevent stunting early, the community needs to play a role in supporting the success of breastfeeding. Efforts are needed to increase motivation for the community to provide exclusive breastfeeding. Simpur Community Health Center has a Simpur Health Cadre Group (KKS). There is a problem that KKS members still lack knowledge regarding exclusive breastfeeding. A Breastfeeding Motivator Group (KEMASI) was formed which provides motivation for exclusive breastfeeding that is closer to the community by providing the educational tools, applications and knowledge needed. There is an increase in knowledge in aspects of resource management and there is an increase in knowledge about breastfeeding from the low category of 65.62% to good 86.81%. There was an increase in knowledge about Cadre HR management from 65.62 to 86.81%. Conclusion: The formation of a breastfeeding motivator group can increase knowledge for breastfeeding mothers and knowledge of Cadre HR management. Keywords : ASI,Cader,Motivator
The Dominant Factor Affecting Quality Of Life In High-Risk Postpartum Mothers Andriyani, Veni; Wardiyah, Aryanti; Gunawan, Muhammad Ricko
JKM (Jurnal Kebidanan Malahayati) Vol 9, No 4 (2023): Volume 9 No. 4 Oktober 2023
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v9i4.12109

Abstract

Pendahuluan: Angka kematian ibu mengalami kenaikan dibandingkan tahun 2020 yaitu dari 115 kasus menjadi 187 kasus. Angka kematian bayi di Provinsi Lampung tahun 2019 sebesar 10,25%/1.000 kelahiran hidup, angka kematian ini meningkat bila dibandingkan dengan tahun 2017 sebesar 9,17%/1.000 kelahiran hidup.Tujuan: Diketahui faktor dominan yang mempengaruhi kualitas hidup ibu postpartum berisiko tinggi di rumah sakit pertamina bintang amin tahun 2023.Metode: Jenis penelitian yang diguakan dalam penelitian ini adalah kuantitatif dengan rancangan survei analitik dengan menggunakan pendekatan cross sectional. Teknik sampling yang digunakan adalah total sampling dengan jumlah sampel 48 responden.Hasil: Hasil penelitian dengan hasil uji statistik Chi-Square dan uji korelasi kendall’s tau membuktikan bahwa ada hubungan antara variabel usia, pendidikan, penghasilan, paritas dan riwayat abortus terhadap kualitas hidup postpartum berisiko tinggi dengan p-value (0,010), (0,003), (0,040), (0,001)dan (0,005). Faktor  yang paling dominan yang mempengaruhi kualitas hidup postpartum beisiko tinggi adalah Pendidikan dengan  p-value 0,011 dan dengan nilai OR 7.512.Simpulan: Berdasarkan hasil anaisis multivariat dapat diambil simpulan bahwa faktor yang paling dominan atau berpengaruh terhadap kualitas hidup ibu postpartum di RS Pertamina Bintang Amin Bandar Lampung adalah Pendidikan dengan nilai OR 7.512. Kata Kunci: Kualitas Hidup,Ibu Postpartum Berisiko Tinggi ABSTRACT Introduction: The maternal mortality rate has increased compared to 2020, namely from 115 cases to 187 cases.  The infant mortality rate in Lampung Province in 2019 was 10.25%/1,000 live births, this mortality rate increased when compared to 2017 of 9.17%/1,000 live births.Purpose: It is known that the dominant factors affecting the quality of life of high-risk postpartum mothers at the Pertamina Bintang Amin Hospital in 2023.Methods: The type of research used in this research is quantitative with an analytic survey design using a cross sectional approach.  In this study the sampling technique used was total sampling with a total sample of 48 respondents.Results: The results of the study using the results of the Chi-Square statistical test and the Kendall's tau correlation test prove that there is a relationship between the variables age, education, income, parity and history of abortion on the quality of life for high-risk postpartum with a p-value of (0.010), (0.003), (0.040), (0.001) and (0.005). Dominant factor affecting the quality of life at high risk postpartum is Education with a p-value of 0.011 and an OR of 7.512.Conclusions: Based on the results of multivariate analysis with multivariable logistic regression, it can be concluded that the most dominant factor or influence on the quality of life of postpartum mothers at Pertamina Bintang Amin Hospital Bandar Lampung is Education with an OR value of 7.512. Keywords: Quality Of Life, Postpartum Mothers are at High Risk 
Efektivitas konsumsi pisang kepok untuk menurunkan tekanan darah pada ibu hamil dengan hipertensi gestasional Dhitya, Ray Krisna; Wardiyah, Aryanti; Andoko, Andoko
JOURNAL of Public Health Concerns Vol. 5 No. 8 (2025): JOURNAL of Public Health Concerns
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerja sama dengan: Unit Penelitian dan Pengabdian Kep Akademi Keperawatan Baitul Hikmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/phc.v5i8.1501

Abstract

Background: Hypertension, if not treated early, can progress to eclampsia, a leading cause of death. Pregnant women should minimize the need for medication (pharmacological) management as much as possible. One non-pharmacological treatment for lowering blood pressure in pregnant women with gestational hypertension is consuming kepok bananas. Purpose: To educate pregnant women about the effectiveness of consuming kepok bananas (musa acuminata) in lowering blood pressure in gestational hypertension. Method: The study was conducted on two respondents of third trimester pregnant women who experienced gestational hypertension in Way Bungur District, East Lampung Regency, on June 10–12, 2025. Qualitative descriptive research with a case study design aimed to determine the effectiveness of consuming kepok bananas on reducing blood pressure in pregnant women with gestational hypertension. Using a saturated sampling technique, two respondents of third trimester pregnant women who met the inclusion criteria were pregnant women diagnosed with gestational hypertension, willing to be respondents, and domiciled in the study area. Exclusion criteria were pregnant women with other pregnancy complications or unwilling to participate in the study. The intervention carried out was giving 1 kepok banana/day for 3 consecutive days according to the daily potassium needs of pregnant women, which is ±300 mg, while the potassium content in 1 kepok banana reaches ±358 mg. Results: The first respondent (Mrs. E, 28 years old, G1P0A0) complained of frequent dizziness and fatigue. Physical examination showed pale conjunctiva, increased pulse rate, and complaints of headache at the back of the head. The medical history had never experienced hypertension before, but had a diet lacking vegetables and fruit, and rarely rested during the day. The second respondent (Mrs. P, 26 years old, G1P0A0) was at 36 weeks of gestation. The patient complained of blurred vision, often felt weak, and had difficulty sleeping. Physical examination showed unstable blood pressure, normal fetal heart rate, and the patient appeared anxious about facing labor. Data showed that Mrs. E's blood pressure in the pre-test was 160/90 mmHg, in post-test 1 = 150/80 mmHg, in post-test 2 = 130/80 mmHg, and in post-test 3 = 120/80 mmHg. While Mrs. P in pre-test was 170/90 mmHg, in post-test1=150/90 mmHg, in post-test2=160/80 mmHg, and in post-test3=140/90 mmHg. Conclusion: Regular consumption of kepok bananas is effective in lowering blood pressure in pregnant women with gestational hypertension. Providing kepok bananas can be a safe and easy-to-implement non-pharmacological method to help control blood pressure during pregnancy. Suggestion: Healthcare professionals are expected to utilize kepok banana consumption as a supportive intervention in the management of gestational hypertension, accompanied by regular blood pressure monitoring and education about healthy eating habits during pregnancy. Keywords: Blood pressure reduction; Effectiveness; Gestational hypertension; Kepok bananas; Pregnant women Pendahuluan : Hipertensi yang tidak ditangani sedini mungkin akan berlanjut menjadi ekslampsia yang menjadi salah satu penyebab tertinggi kematian. Ibu hamil sebisa mungkin diminimalisir penanganan masalah penatalaksanaan pembelian obat-obatan (farmakologis). Salah satu penanganan non farmakologis untuk menurunkan tekanan darah ibu hamil pada hipertensi gestasional adalah dengan mengonsumsi pisang kepok dalam menurunkan tekanan darah ibu hamil dengan hipertensi gestasional. Tujuan : Untuk memberikan edukasi tentang efektivitas konsumsi pisang kepok (musa acuminata) pada ibu hamil dalam menurunkan tekanan darah pada hipertensi gestasional. Metode: Pengkajian dilakukan pada dua responden ibu hamil trimester III yang mengalami hipertensi gestasional di Kecamatan Way Bungur, Kabupaten Lampung Timur, pada tanggal 10–12 Juni 2025. Penelitian deskriptif kualitatif dengan rancangan studi kasus yang bertujuan untuk mengetahui efektivitas konsumsi pisang kepok terhadap penurunan tekanan darah pada ibu hamil dengan hipertensi gestasional. Dengan teknik sampling jenuh mendapatkan dua responden ibu hamil trimester III yang memenuhi kriteria inklusi yaitu ibu hamil dengan diagnosis hipertensi gestasional, bersedia menjadi responden, dan berdomisili di wilayah penelitian. Kriteria eksklusi adalah ibu hamil dengan komplikasi kehamilan lain atau tidak bersedia mengikuti penelitian. Intervensi yang dilakukan adalah pemberian pisang kepok sebanyak 1 buah/hari selama 3 hari berturut-turut sesuai kebutuhan kalium harian ibu hamil, yaitu ±300 mg, sedangkan kandungan kalium dalam 1 buah pisang kepok mencapai ±358 mg. Hasil : Responden pertama (Ny. E, usia 28 tahun, G1P0A0) dengan keluhan sering pusing dan kelelahan. Pemeriksaan fisik menunjukkan konjungtiva pucat, frekuensi nadi meningkat, serta keluhan nyeri kepala bagian belakang. Riwayat kesehatan belum pernah mengalami hipertensi sebelumnya, namun memiliki pola makan kurang sayur dan buah, serta jarang istirahat siang. Responden kedua (Ny. P, usia 26 tahun, G1P0A0) berada pada usia kehamilan 36 minggu. Pasien mengeluh pandangan kabur, sering merasa lemas, dan kesulitan tidur. Pemeriksaan fisik menunjukkan tekanan darah tidak stabil, denyut jantung janin normal, dan pasien tampak cemas menghadapi persalinan. Data menunjukkan bahwa tekanan darah Ny. E pada pre-test adalah 160/90 mmHg, pada post-test1=150/80 mmHg, pada post-test2=130/80 mmHg, dan pada post-test3=120/80 mmHg. Sedangkan tekanan darah Ny. P pada pre-test adalah 170/90 mmHg, pada post-test1=150/90 mmHg, pada post-test2=160/80 mmHg, dan pada post-test3=140/90 mmHg. Simpulan: Konsumsi pisang kepok secara rutin efektif membantu menurunkan tekanan darah pada ibu hamil dengan hipertensi gestasional. Pemberian pisang kepok dapat menjadi salah satu metode nonfarmakologis yang aman dan mudah diterapkan untuk membantu mengontrol tekanan darah selama kehamilan. Saran: Diharapkan tenaga kesehatan dapat menjadikan konsumsi pisang kepok sebagai intervensi pendukung dalam penatalaksanaan hipertensi gestasional, disertai dengan pemantauan tekanan darah secara berkala dan edukasi mengenai pola makan sehat selama kehamilan.
Hubungan Fasilitas dengan Tingkat Kepuasan Pelayanan Keperawatan di Ruang Rawat Inap RSUD Dr. A. Dadi Tjokrodipo Bandar Lampung Mualifah, Ria; Wardiyah, Aryanti; Gunawan, M. Ricko
Malahayati Nursing Journal Vol 6, No 5 (2024): Volume 6 Nomor 5 2024
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i5.11840

Abstract

ABSTRACT Preliminary data from 15 patients found that 10 respondents (66.7%) were dissatisfied with the availability of service facilities at RSUD Dr. A. Dadi Tjokrodipo, the patient said that if the nurse performed the infusion change and release the infusion without carrying a tray, the nurse would only bring a bowl and a container of alcohol cotton. In addition, patients also complain of hard patient beds, uncomfortable linens/sheets. Then 5 other respondents (33.3%) were satisfied with the facilities provided by the Hospital, including the availability of clean bathrooms, the availability of litter boxes, good ventilation and lighting. To determine the relationship between the facility and the level of patient satisfaction in the inpatient room of RSUD Dr. A. Dadi Tjokrodipo Bandar Lampung. This type of research uses quantitative, the research design uses a survey with a cross sectional approach. P The population in this study were clients who were hospitalized in Room E4 RSUD DR. A. Dadi Tjokrodipo Bandar Lampung City in November as many as 320 respondents. The sampling technique uses purposive sampling. Univariate and bivariate data analysis The sample in this study used the slovin formula so that a sample of 178 respondents was obtained. This research was conducted in July 2023. Data analysis used the univariate and bivariate tests using the chi square test. Most of the respondents stated that the facilities were in the good category, 91 respondents (51.1%). Most of the respondents stated patient satisfaction in the satisfied category as many as 100 respondents (56.2%). The results of data analysis using the chi square test obtained a p-value = 0.000 (<α 0.05), which means that there is a relationship between facilities and the level of patient satisfaction in the inpatient room of RSUD Dr. A. Dadi Tjokrodipo Bandar Lampung. It is also hoped that medical personnel and paramedics need to provide appropriate services according to establi Keywords: Facilities, Satisfaction Level, Patients  ABSTRAK Data pendahuluan dari 15 pasien ditemukan 10 responden (66,7%) memiliki rasa kurang puas dengan ketersediaan fasilitas pelayanan di RSUD Dr. A. Dadi Tjokrodipo, pasien menyebutkan jika perawat melakukan tindakan penggantian infus dan pelepasan infus tanpa membawa baki, perawat hanya membawa bengkok dan wadah kom kapas alkohol. Selain itu pasien juga mengeluhkan bed pasien yang keras, laken/ sprei yang tidak nyaman. Kemudian 5 responden lainnya (33,3%) memiliki rasa puas dengan fasilitas yang diberikan oleh Rumah Sakit, meliputi tersedianya kamar mandi yang bersih, tersedianya kotak sampah, ventilasi dan pencahayaan yang baik. Untuk mengetahui hubungan fasilitas dengan tingkat kepuasan pasien di ruang rawat inap RSUD Dr. A. Dadi Tjokrodipo Bandar Lampung. Jenis penelitian menggunakan kuantitatif, rancangan penelitian menggunakan survey dengan pendekatan cross sectional. P Populasi dalam penelitian ini adalah klien yang melakukan rawat inap di Ruang E4 RSUD DR. A. Dadi Tjokrodipo Kota Bandar Lampung pada bulan November sebanyak 320 responden.  Teknik sampling menggunakan purposive sampling.  Analisa data univariat dan bivariat Sampel dalam penelitian ini menggunakan rumus slovin sehingga didapat sampel 178 responden. Penelitian ini dilakukan pada bulan Juli tahun 2023. Analisa data menggunakan uji univariate dan bivariate menggunakan uji chi square. Sebagian besar responden menyatakan fasilitas dengan kategori baik sebanyak 91 responden (51,1%). Sebagian besar responden menyatakan kepuasan pasien dengan kategori puas sebanyak 100 responden (56,2%). Hasil analisa data menggunakan uji chi square didapat nilai p-value = 0.000 (< α 0,05) yang artinya ada hubungan fasilitas dengan tingkat kepuasan pasien di ruang rawat inap RSUD Dr. A. Dadi Tjokrodipo Bandar Lampung. Diharapkan pula, bagi tenaga medis dan para medis perlu memberikan pelayanan yang tepat sesuai prosedur yang ditetapkan seperti memberikan perhatian kepada setiap pasiennya dan memberi informasi kesehatan yang jelas kepada pasien. Kata Kunci: Fasilitas, Tingkat Kepuasan, Pasien
Analisis Hambatan Belajar Secara Metode Zoom Pada Mahasiswa Keperawatan Selama Masa Pandemi Covid 19 di Universitas Malahayati Bandar Lampung Tahun 2019 – 2023 Epilasari, Epilasari; Rilyani, Rilyani; Wardiyah, Aryanti; Bustami, Anita
Malahayati Nursing Journal Vol 6, No 6 (2024): Volume 6 Nomor 6 2024
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i6.12009

Abstract

ABSTRACT Learning problems during the pandemic experienced changes and problems where students were required to study at home using zoom media. Data on the number of nursing students for the 2019-2021 period at Malahayati University, a total of 154 people. About 56% of students experience problems with lack of knowledge and mastery of material in zoom activities, while 44% are due to factors from the internet network in the learning room which is difficult to access. The purpose of this research is to find out the learning barriers using the zoom method for nursing students during the Covid 19 pandemic at the Malahayati University in Bandar Lampung in 2023. The research will be carried out in February 2023 at the Nursing Study Program, Faculty of Health, Malahayati University, Bandar Lampung. This type of observational analytic research with a quantitative research design and cross sectional approach. The research was conducted using primary data from a questionnaire. The frequency distribution of online learning barriers based on internal factors was very high category 49 (44.1%), high barriers 21(18.9%) moderate barriers 14 (12.6%), very low barriers 16 (14.4%), very low barriers 11 (9.9%). Frequency distribution of online learning barriers based on external factors with very high category 49 (36.9%), high barriers 17(15.3%) moderate barriers 21 (18.7%) respondents, very low barriers 19 (17.1%) ), very low resistance 13 (11.7%). The conclusion is that there are learning barriers using the zoom method for nursing students during the Covid 19 pandemic at the University of Malahayati Bandar Lampung in 2023. It is expected to be able to increase understanding of learning techniques using zoom media. Keywords: Online Barriers, Covid 19, Internal and External Barriers  ABSTRAK Masalah pembelajaran pada masa pandemi mengalami perubahan dan masalah dimana mahasiswa diharuskan untuk belajar di rumah dengan menggunakan media zoom. Data jumlah mahasiswa/i perawat periode 2019-2021 di Universitas Malahayati, sejumlah     154 orang.Dari sekitar 56% mahasiswa mengalami masalah kurangan pengetahuan dan menguasai materi dalam kegiatan zoom, sedangkan 44% dikarenakn faktor dari jaringan internet di ruangan pemberlajaran susah untuk di akses. Tujuan untuk mengetahui hambatan belajar secara metode zoom pada mahasiswa keperawatan selama masa pandemi Covid 19 Di Universitas Malahayati Bandar Lampung Tahun 2023. Penelitian dilaksanakan pada bulan Februari 2023 di Program Studi Keperawatan Fakultas Kesehatan Universitas Malahayati Bandar Lampung. Jenis penelitian analitik observasional dengan desain penelitian kuantitatif dan pendekatan cross sectional. Penelitian dilakukan dengan menggunakan data primer dari kuesioner. Distribusi frekuensi hambatan belajar secara daring berdasarkan faktor internal kategori sangat tinggi 49 (44,1%), hambatan tinggi 21(18,9%) hambatan sedang 14 (12,6%), hambatan rendah 16 (14,4%), hambatan sangat rendah 11 (9,9%). Distribusi frekuensi hambatan belajar secara daring berdasarkan faktor eksternal dengan kategori sangat tinggi 41 (36,9%), hambatan tinggi 17(15,3%) hambatan sedang 21 (18,7%) responden, hambatan sangat rendah 19 (17,1%), hambatan sangat rendah 13 (11,7%). Ada hambatan belajar secara metode zoom pada mahasiswa keperawatan selama masa pandemi Covid 19 Di Universitas Malahayati Bandar Lampung Tahun 2023. Diharapkan mampu meningkatkan pemahaman mengenai teknik pembelajaran menggunakan media zoom Kata Kunci: Hambatan Metode Zoom, Covid 19, Hambatan Internal Dan Eksternal
Faktor-Faktor yang Berhubungan dengan Kejadian Anemia pada Remaja Putri di SMA Negeri 14 Bandar Lampung dan SMA IT Baitul Jannah Bandar Lampung Juliawan, Ladin; Bustami, Anita; Wardiyah, Aryanti
Malahayati Nursing Journal Vol 6, No 8 (2024): Volume 6 Nomor 8 (2024)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i8.16109

Abstract

ABSTRACT Lampung Province is the province that has the highest prevalence of anemia on the island of Sumatra with a percentage of 63%. Based on this data, it shows that 24% of anemia sufferers in Lampung Province occur in teenage girls. Based on the results of a pre-survey of 60 students, hemoglobin levels were checked. The results showed The total sample was 213 respondents using Purposive Sampling technique. And analyzed using the Chi Square test.  The results of the chi-square analysis of the relationship between knowledge and the incidence of anemia with a p-value of 0.000 and 0.003. The relationship between diet and the incidence of anemia with a p-value of 0.015 and 0.020. The relationship between menstrual patterns and the incidence of anemia with a p-value of 0.001 and 0.017. The relationship between economic status and the incidence of anemia with a p-value of 0.025. The relationship between consumption of Fe tablets and the incidence of anemia with a p-value of 0.039 and 0.020. Then the relationship between place of residence and the incidence of anemia with a p-value of 0.768. This shows that there is a relationship between knowledge, diet, menstrual patterns, economic status, and table Fe consumption and the incidence of anemia. Then there is no relationship between place of residence and the incidence of anemia. Young women are advised to maintain their diet and consume Fe tablets regularly to prevent anemia. Keywords : Anemia, Adolescent Girls, Anemia Incidence Factors ABSTRAK  Provinsi Lampung adalah Provinsi yang memiliki prevalensi kejadian anemia tertinggi di pulau sumatra dengan persentase 63%. Berdasarkan data tersebut menunjukan bahwa 24% penderita anemia di Provinsi Lampung terjadi pada usia remaja. Berdasarkan hasil pre survey terhadap 60 siswa dengan dilakukan pengecekan kadar hemoglobin. Didapatkan hasil bahwa diketahui faktor-faktor yang berhubungan dengan kejadian anemia pada remaja putri. Jumlah sampel 213 responden dengan teknik Purposive Sampling. Dan dianalisis menggunakan uji Chi Square. Hasil analisis chi-square hubungan antara pengetahuan dengan kejadian anemia dengan nilai p-value 0,001 dan 0,003. Hubungan antara pola makan dengan kejadian anemia dengan nilai p-value 0,015 dan 0,020. Hubungan antara pola menstruasi dengan kejadian anemia dengan nilai p-value 0,000 dan 0,017. Hubungan antara status ekonomi dengan kejadian anemia dengan nilai p-value 0,025. Hubungan antara kosumsi tablet Fe dengan kejadian anemia dengan nilai p-value 0,039 dan 0,020. Kemudian hubungan antara tempat tinggal dengan kejadian anemia dengan niali p-value 0,768. Hal ini menunjukan bahwa ada hubungan antara pengetahuan, pola makan, pola menstruasi, status ekonomi, dan kosumsi table Fe dengan kejadian anemia. Kemudian tidak ada hubungan antara tempat tinggal dengan kejadian anemia. Remaja putri disarankan untuk menjaga pola makan dan mengkosumsi tablet Fe secara teratur untuk mencegah terjadinya anemia. Kata Kunci : Anemia, Remaja Putri, Faktor Kejadian Anemia
Hubungan Lama Menjalani Hemodialisa (HD) dengan Harga Diri Pada Pasien Gagal Ginjal Kronik di Rumah Sakit Bintang Amin Bandar Lampung Rosa, Destiana; Furqoni, Prima Dian; Wardiyah, Aryanti
Malahayati Nursing Journal Vol 7, No 5 (2025): Volume 7 Nomor 5 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v7i5.19781

Abstract

ABSTRACT Data from the International Society of Nephology in 2022 covered 6,908,440 patients, and reported a global prevalence of 13.4% for CKD stages 1–5 and 10.6% for CKD stages 3–5.8. Indonesian Health Survey (2023) The prevalence of chronic kidney failure was 638,178 cases and Lampung province 21,021 cases. Bintang Amin Hospital cases of kidney failure itself were 479 cases in 2021, 482 cases in 2022, 590 cases in 2023. To determine the relationship between the length of hemodialysis (HD) and self-esteem in chronic kidney failure patients at Bintang Amin Hospital Bandar Lampung in 2024. This type of quantitative research with a cross-sectional research design, the population is all kidney failure patients undergoing hemodialysis at the Hospital. Bintang Amin January-December 2023 as many as 190 patients, the sampling technique used was purposive sampling with a sample of 129 respondents. The instrument used a questionnaire and the statistical test used the Pearson chi square test. The frequency distribution of the average duration of hemodialysis (HD) showed that most patients had a duration of hemodialysis > 24 months, (45.7%). Self-esteem showed that most patients (51.9%) had low self-esteem from 129 respondents. The results of the Pearson chi square p-value test were 0.000 ≤ 0.05. There is a relationship between the duration of hemodialysis and self-esteem in kidney failure patients at the Bintang Amin Hospital, Bandar Lampung in 2024 Keywords: Patients, Chronic Kidney Failure, Self-Esteem  ABSTRAK Data dari International Society of Nephology tahun 2022 mencakup 6.908.440 pasien, dan melaporkan prevalensi global sebesar 13,4% untuk CKD stadium 1–5 dan 10,6% untuk CKD stadium 3–5.8. Survei Kesehatan Indonesia (2023) Prevalensi gagal ginjal kronik adalah 638.178 kasus dan sedangkan provinsi Lampung 21.021 kasus. Rumah Sakit Bintang Amin kasus gagal ginjal sendiri yaitu 479 kasus ditahun 2021, 482 kasus ditahun 2022, 590  kasus di tahun 2023. Diketahui hubungan lama menjalani hemodialisa (HD) dengan harga diri pada pasien gagal ginjal kronik di rumah sakit Bintang Amin Bandar Lampung tahun 2024. Jenis penelitian kuantitatif dengan rancangan penelitian cross sectional, populasi adalah seluruh pasien gagal ginjal yang menjalani hemodialisa di RS. Bintang Amin Januari-Desember 2023 sebanyak 190 pasien, teknik sampling yang digunakan adalah purposive sampling dengan sampel 129 responden. Instrumen menggunakan kuesioner dan uji statistic yang digunakan  uji pearson chi square. Distribusi frekuensi rata-rata lama hemodialisa (HD) didapatkan bahwa sebagian besar pasien lama hemodialisa >24 bulan, (45,7%). Harga diri didapatkan bahwa sebagian besar pasien (51,9%) harga diri rendah dari 129 responden. Hasil uji pearson chi square pvalue 0,000 ≤ 0,05. Ada hubungan lama menjalani hemodialisa dengan harga diri pada pasien gagal ginjal di Rumah Sakit Bintang Amin Bandar Lampung tahun 2024 Kata Kunci: Pasien, Gagal Ginjal Kronik, Harga Diri
Asuhan keperawatan pada ibu hamil yang mengalami anemia dengan intervensi jus bayam dan tomat Irgi, Muhammad; Wardiyah, Aryanti; Rilyani, Rilyani
THE JOURNAL OF Mother and Child Health  Concerns Vol. 4 No. 7 (2025): October Edition
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mchc.v4i7.1753

Abstract

Background: Anemia in pregnant women carries the risk of giving birth to a baby that is not yet full term (premature), miscarriage, bleeding both before and after delivery, uneventful delivery, fetal death in the womb, death of the pregnant woman, and convulsions during pregnancy. In October 2023-January 2024 the Kedaton Community Health Center had a total of 733 pregnant women and it was found that 76 pregnant women were anemic. Purpose : to make a report on maternity nursing care by giving spinach and tomato juice to increase hemoglobin levels in pregnant women who experience anemia in Kedaton District, Bandar Lampung City in 2025 Method: This type of research uses qualitative descriptive research. The research design uses a descriptive research approach and a nursing care case study approach, which includes assessment, nursing diagnosis, planning, implementation, and evaluation. This case study is the application of spinach and tomato juice therapy by Maternity Nursing Care to increase hemoglobin levels Results: Both respondents experienced significant changes, namely in Mrs. P with a difference of 1.5 g/dL, while Mrs. A with a difference of 1.8 g/dL. From the results of the analysis of hemoglobin levels, the author concluded that there was a significant increase in hemoglobin levels in pregnant women. Conclusion: Giving spinach and tomato juice can increase hemoglobin levels in pregnant women
Asuhan keperawatan diare pada anak dengan pemberian terapi madu Ryalita, Novindri; Novikasari, Linawati; Wardiyah, Aryanti
THE JOURNAL OF Mother and Child Health  Concerns Vol. 4 No. 7 (2025): October Edition
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

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

Abstract

Background: Diarrhea is a common health problem among children and can lead to dehydration and even death if not managed properly. In addition to medical treatment, natural therapies such as honey administration have the potential to accelerate recovery. Honey is known to have antimicrobial properties and can help restore fluid and electrolyte balance. Purpose: to describe nursing care for children with diarrhea who were given honey as a complementary therapy as part of independent nursing interventions. Method: This research uses a case study approach with a sample of two pediatric patients experiencing diarrhea. Data collection was conducted through interviews, observation, and documentation review. The nursing care process included assessment, nursing diagnosis, planning, implementation, and evaluation, with a focus on the administration of honey over a period of three days, given three times a day in the morning, afternoon, and evening at a dose of 2.5 ml each time. Result: After three days of honey administration, both patients showed improvement in the severity of diarrhea. Initially, both were categorized as having severe diarrhea. Following the intervention, their condition improved to mild diarrhea. The frequency of bowel movements decreased from 7 and 6 times (pre-test) to 2 and 3 times (post-test), and stool consistency changed from watery to solid. Conclusion: Honey therapy has been proven to help accelerate the healing process in children with diarrhea. This intervention can serve as a safe and easily applied alternative for independent nursing care
Pemberian teknik relaksasi nafas dalam untuk menurunkan nyeri pada pasien post operasi sectio caesarea dengan indikasi pre-eklampsia Dwiartho, Muhammad Fiqi; Rilyani, Rilyani; Wardiyah, Aryanti
JOURNAL of Public Health Concerns Vol. 5 No. 9 (2025): JOURNAL of Public Health Concerns
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerja sama dengan: Unit Penelitian dan Pengabdian Kep Akademi Keperawatan Baitul Hikmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/phc.v5i9.1585

Abstract

Background: The rate of cesarean section (CS) deliveries in Indonesia is increasing and has exceeded the WHO threshold, with a national prevalence of approximately 17.6% and significant regional variation. Most cesarean sections are caused by pregnancy complications such as severe preeclampsia, a leading cause of maternal mortality. Cesarean sections leave scars and acute pain that require pharmacological and non-pharmacological treatment. Deep breathing relaxation techniques have been shown to significantly reduce pain intensity by increasing parasympathetic activity and reducing stress hormones. Deep breathing techniques are simple, economical, and self-administered. This study focused on the effectiveness of this intervention in post-cesarean section patients with preeclampsia. Purpose: To evaluate the effectiveness of deep breathing relaxation techniques as a non-pharmacological intervention to reduce pain intensity in post-cesarean section patients with preeclampsia. Method: The activity was conducted over three days in 2025, taking place at the patient's home in Dusun 3 Batu Menyan, Sukajaya Lempasing Village, Teluk Pandan District, Pesawaran Regency, Lampung. The subjects were two post-cesarean section patients with preeclampsia. Non-pharmacological interventions, including deep breathing relaxation therapy, were performed twice daily (morning and evening), 5–7 times each, for a maximum of 5 minutes per session, for three consecutive days. The pain measurement instrument used the Numerical Rating Scale (NRS), a numerical pain assessment with a range of values ​​from 0 to 10, where 0 = no pain, 1–3 = mild pain, 4–6 = moderate pain, and 7–10 = severe pain. Results: Data obtained showed that the characteristics of participant Mrs. S. is 27 years old, weighs 68 kg, is 156 cm tall, has no history of hypertension, and at the time of examination had a blood pressure of 150/100 mmHg. While the characteristics of participant Mrs. T. are 32 years old, weighs 67 kg, is 161 cm tall, has no history of hypertension, and at the time of examination had a blood pressure of 140/80 mmHg. After three days of deep breathing relaxation technique intervention, pain intensity in Mrs. S decreased from a scale of 5 to 2, and in Mrs. T from a scale of 6 to 3. Conclusion: Deep breathing relaxation techniques have been proven effective in reducing acute pain intensity in post-cesarean section patients with preeclampsia, through routine intervention over three days. This method is safe, practical, and can be independently implemented as a non-pharmacological alternative in post-operative pain management. Suggestion: Healthcare workers need to integrate deep breathing relaxation techniques into post-cesarean section nursing care, especially for patients with preeclampsia, and improve self-education so that this therapy can be consistently continued at home to support recovery without dependence on analgesics. Keywords: Deep breathing relaxation; Pain; Post-cesarean section; Preeclampsia Pendahuluan: Angka persalinan sectio caesarea (SC) di Indonesia meningkat dan telah melampaui ambang WHO, dengan prevalensi nasional sekitar 17.6% dan variasi wilayah yang signifikan. Sebagian sectio caesarea disebabkan oleh komplikasi kehamilan seperti pre-eklampsia berat, yang merupakan salah satu penyebab utama kematian ibu. Sectio caesarea meninggalkan luka dan nyeri akut yang memerlukan penanganan farmakologis dan nonfarmakologis. Teknik relaksasi napas dalam terbukti menurunkan intensitas nyeri secara signifikan dengan mekanisme peningkatan aktivitas parasimpatik dan pengurangan hormon stres. Teknik napas dalam sederhana, ekonomis, dan dapat dilakukan mandiri, penelitian ini difokuskan pada efektivitas intervensi tersebut pada pasien pasca sectio caesarea dengan indikasi pre-eklampsia. Tujuan: Mengevaluasi efektivitas teknik relaksasi napas dalam sebagai intervensi nonfarmakologis untuk menurunkan intensitas nyeri pada pasien pasca operasi sectio caesarea dengan indikasi pre-eklampsia. Metode: Kegiatan dilaksanakan selama 3 hari pada tahun 2025, bertempat di rumah pasien di Dusun 3 Batu Menyan, Desa Sukajaya Lempasing, Kecamatan Teluk Pandan, Kabupaten Pesawaran, Lampung. Subjek dalam kegiatan ini adalah dua pasien post operasi sectio caesarea dengan indikasi pre-eklampsia. Intervensi nonfarmakologis berupa terapi relaksasi nafas dalam dilakukan dua kali sehari (pagi dan sore), masing-masing sebanyak 5–7 kali atau maksimal 5 menit per sesi, selama tiga hari berturut-turut. Instrumen pengukuran tingkat nyeri menggunakan Numerical Rating Scale (NRS) adalah penilaian nilai nyeri secara numerik dengan rentang nilai 0 sampai dengan 10, dimana dengan kategori nilai 0=tidak merasakan nyeri, nilai 1-3=nyeri ringan, nilai 4-6=nyeri sedang, dan nilai 7-10=nyeri berat. Hasil: Mendapatkan data bahwa karakteristik partisipan Ny.S. adalah berusia 27 tahun, berat badan 68 Kg, tinggi badan 156 cm, tidak memiliki riwayat hipertensi, dan pada waktu pemeriksaan memiliki tekanan darah 150/100 mmHg. Sedangkan karakteristik partisipan Ny.T. adalah berusia 32 tahun, berat badan 67 Kg, tinggi badan 161 cm, tidak memiliki riwayat hipertensi, dan pada waktu pemeriksaan memiliki tekanan darah 140/80 mmHg. Setelah tiga hari intervensi teknik relaksasi napas dalam, intensitas nyeri pada Ny. S menurun dari skala 5 menjadi 2, dan pada Ny. T dari skala 6 menjadi 3. Simpulan: Teknik relaksasi napas dalam terbukti efektif menurunkan intensitas nyeri akut pada pasien pasca operasi sectio caesarea dengan pre-eklampsia, melalui intervensi rutin selama tiga hari. Metode ini aman, praktis, dan dapat diterapkan secara mandiri sebagai alternatif nonfarmakologis dalam manajemen nyeri pasca operasi. Saran: Tenaga kesehatan perlu mengintegrasikan teknik relaksasi napas dalam dalam asuhan keperawatan pasca operasi sectio caesarea, khususnya pada pasien dengan pre-eklampsia, serta meningkatkan edukasi mandiri agar terapi ini dapat dilanjutkan secara konsisten di rumah untuk mendukung pemulihan tanpa ketergantungan pada analgesik.
Co-Authors Adha, Adinda Wulan Agung Budi Setiyawan Agustina, Marlina Alam, Rama Rajasa Ferlanda Amartya, Salsa Anastasya Ananda, Kiki Erlita Andoko Andoko, Andoko Andriyani, Veni Anggara, Respa Agustina Anjani, Ni Wayan Oktavia Anjeli, Riri Aprilia, Hanisa Aprina, Aprina Ariyansyah , Ariyansyah Aryanti, Lidya Budiarti Budiarti, Budiarti Bustami, Anita Cahyanti, Anisa Capilo, Pabio Leo Caristia, Angga Chrisanto, Eka Yudha Crista, Angga Dea, Mutia Ade Dewi Kusumaningsih DEWI SARTIKA Dhitya, Ray Krisna Dora, Miranti Dea Dwiartho, Muhammad Fiqi Eliya, Rahma Elliya, Rahma Epilasari, Epilasari Fachry Abda El Rahman Fadila, Enggar Fitri Julianti Furqoni, Prima Dian Gunawan, M. Ricko Gusleni, Meri Gustiani, Dwi Hesti Wulandari Hikma, Okva Hizrian, Emir Fajar Irgi, Muhammad Istawala, Anggun Jamhari Jamhari Juana, Rika Juliawan, Ladin Keswara, Umi Romayati Khairunnisa , Liyana Khoirudin, Parid Ladin, Juliawan Lathifah, Neneng Siti Lensi, Yufia Lestari, Linda Maharani, Erliana Marliyana Marliyana, Marliyana Marzuna, Marzuna Mualifah, Ria Muarif, Muhammad Syamsul Mu’alifah, Ria Nadira, Khoirul Nafisah, Nida Nepiana, Nurul Novikasari, Linawati Novitasari, Linawati Nurfadila, Nima Oktaliana, Oktaliana Palupi, Antika Pratiwi, Liza Ayu Prayogo, Idfy Dwi Putri, Mia Rahayu Rahayu Rahmatika, Ida Ramadhani, Gita Rillyani ., Rillyani Rilyani Rilyani, Rilyani Riska Wandini, Riska Riyanto, Eko Rizka, Mahda Rohmah, Eis Ainun Romayati, Umi Rosa, Destiana Ryalita, Novindri Safitri, Hilda Meilinda Sahara, Amalia Saputra, Raihan Saputri, Maida Sari, nova Nurwinda Sari, Yunidha Puspita Setiawati Setiawati Setiawati Sintia, Monica Bela Dwi Slivia, Eka Sofa, Taufik Surani, Eka Sri Sutiyoko, Adi Suwares, Fara Millinia Syakilah, Siti Teguh Pribadi Trismiyana, Eka utami, deviani Velda, Ines Livia Warzati, Linda Winarno, Rudi Yati Afiyanti Yogi Kurniawan, Yogi Yuhono, Tuwi