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Faktor-Faktor yang Mempengaruhi Perilaku Penundaan Usia Kehamilan Remaja Menikah Usia Kurang 20 Tahun di Blora Yuni Astuti; M. Zainal Abidin; Siswoko Siswoko
JURNAL KEBIDANAN Vol 2, No 5 (2013): Oktober 2013
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkb.v2i5.101

Abstract

There is a high number of Maternal Mortality Rate (164.5 per 100.000 live births) during the year of 2011 at Blora District. This number is far below MDG’s target. The aim of this study was to find out factors influence delaying pregnancy of adolescents under 20 years o1ld in Blora. This study is an explanatory research and uses cross sectional approach. The subjects consisted of 152 adolescents who had marriage under 20 years old in 2011. Tehnical sampling used in this study was purposive sampling. Data was gained at May 21th 2012 until August 2nd 2012. The data was analysed by frekuency distribution. Chi Square was used to find the correlation between variables. Moreover, logistic statistic test was used as multivariatee analyses. The results showed that 54,6% of them delayed their pregnancy. The study revealed that there were strong correlation between delaying pregnancy with the age of marriage, attitude toward delaying pregnancy and couple support for delaying pregnancy. The variables which influence behavior of delaying pregnancy among respondents are couple support for delaying pregnancy. The most influential factor is and couple support for delaying pregnancy.
The Influence of Socialization Activity in Group Therapy to Socialization Capabilities Cipto Cipto; Siswoko Siswoko; Ajeng Titah Normawati
Jurnal Studi Keperawatan Vol 1, No 2 (2020): September 2020
Publisher : Program Studi Keperawatan Blora, Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (206.696 KB) | DOI: 10.31983/j-sikep.v1i2.6345

Abstract

Social isolation is interpersonal relation disorders that caused by personal inflexibility, until maladaptive behavior and disturb the function of individual in relation. It isthe third largest mental disorder diagnosis in the hospital. This condition describe that it requirestherapiesfor decreasing cases. One of them is Socialization Activity in Group Therapy that facilitates clients doing socialization in group. The influence of Socialization Activity in Group Therapy to socialization capability in clients with social isolation was measured in this study. The method of it used experimental study with pretest and post-test one group design. Samples selected using purposive sampling(32 samples). In pretest, socialization capabilities of clients were assessed using GAT observation sheet, after that the intervention of Socialization Activity in Group Therapy was given every week until seven week for seven steps. At post-test, Socialization Activity in Group Therapy was evaluated using same tool in pretest. The result showed that the mean of socialization capabilities at pre-test was 2.73 and 6.70 at post-test, there was a statistically high significant difference with paired t-test at p 0,001 or 00,05 score.
An Overview of Post-Traumatic Stress Disorder (PTSD) Among Flash Flood Victims Cipto Cipto; Siswoko Siswoko; Muawanah Muawanah; Ajeng Titah Normawati
Journal of Applied Health Management and Technology Vol 5, No 1 (2023): January 2023
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jahmt.v5i1.9483

Abstract

Flash flood disaster is a natural disaster that can have a negative impact on victims. The psychological impact caused after the disaster is in the form of Post-Traumatic Stress Disorder (PTSD) which shows several symptoms in the form of Re-experiencing, Avoidance, and Hyper arousal. This research was conducted with the aim of knowing the description of Post-Traumatic Stress Disorder (PTSD) in the victims of the flash flood disaster one year after the incident. The method used in this study is descriptive research with a survey approach. The sample technique used in this study is a purposive technique. Data analysis used univariate analysis to determine the characteristics of the respondents which included age, occupation, gender, education, and description of PTSD symptoms. This study involved 48 people as respondents who showed the characteristics of 70% meeting the PTSD diagnostic criteria after the flash flood that hit their village two years ago. The results of this study can be used as a reference or basis for preparing interventions to improve mental health in communities especially those experiencing disasters. 
Asuhan Keperawatan Jiwa Gangguan Persepsi Sensori Halusinasi Pendengaran Dengan Diagnosa Medis Skizofrenia Tak Terinci Di Rumah Sakit Jiwa Daerah Dokter Arif Zainudin Surakarta Divana Indra; Cipto Cipto; Siswoko Siswoko; Kuswanto Kuswanto
Jurnal Studi Keperawatan Vol 4, No 2 (2023): SEPTEMBER 2023
Publisher : Program Studi Keperawatan Blora, Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/j-sikep.v4i2.10175

Abstract

Background: Mental health is when a person feels healthy and happy, is able to face life's challenges and accept others as he wishes, and has a positive attitude towards himself and towards others. So it requires a more serious handling. One of the mental disorders is schizophrenia. In clients with mental disorders, one of the symptoms that is often found is hallucinations. Hallucinations are synonymous with schizophrenia. All clients with schizophrenia experience hallucinations.Method : The method used in this case study is a narrative method which includes the implementation of nursing care for both patients with auditory hallucinations, the analysis is continued with discussion and results to get an overview between theory and practice of nursing care for both respondents.Results: After nursing actions were carried out for four meetings which were carried out to two respondents to control the hallucinations experienced by patients. At client evaluation Mr. E Mr. M strategies one through four can be carried out with an evaluation the client can re-do strategies one through four.Conclusion: Patients who experience auditory hallucination sensory perception disorders can be given nursing care by implementing strategies 1 to 4 as well as family support to support the patient's recovery.Keywords : mental disorders, audiotory hallucinations, nursing care
Korelasi Pengetahuan dan Sikap Ibu Nifas terhadap Implementasi Ambulasi Dini Siswoko, Siswoko; Cipto, Cipto; Normawati, Ajeng Titah
Jurnal Studi Keperawatan Vol 5, No 2 (2024): SEPTEMBER 2024
Publisher : Program Studi Keperawatan Blora, Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/j-sikep.v5i2.12163

Abstract

Latar Belakang: Angka kematian ibu di Indonesia masih tinggi, salah satu upaya untuk mengurangi angka kematian ibu adalah dengan perawatan masa nifas. Perawatan ibu nifas dalam 6 – 8 jam pertama bertujuan untuk mencegah perdarahan nifas karena atonia uteri. Berdasarkan pra survey di Puskesmas Kunduran Kabupaten Blora diketahui hasil wawancara kepada 10 ibu post partum didapatkan hanya 4 ibu yang melaksanakan ambulasi dini yaitu mobilisasi dini post partum.Tujuan penelitian ini adalah Untuk mengetahui hubungan antara pengetahuan dan sikap ibu nifas tentang ambulasi dini dengan pelaksanaan ambulasi dini di Puskesmas Kunduran.Metode Penelitian: Jenis penelitian ini adalah penelitian analitik. Metode penelitian ini menggunakan metode survey dengan melakukan pendekatan secara cross sectional.  Populasi penelitian ini adalah semua ibu nifas normal 6-8 jam post partum dengan teknik pengambilan sampel adalah sampling jenuh sebanyak 58 orang. Analisa data yang digunakan adalah Chi Square dan Koreksi Yates.Hasil Penelitian: Berdasarkan penelitian diperoleh hasil tingkat pengetahuan ibu nifas tentang ambulasi dini dalam kategori cukup yaitu sebanyak 31 orang (53,5%). Sikap ibu nifas adalah negatif yaitu sebanyak 30 orang (51,72%). Pelaksanaan ambulasi dini kategori kurang yaitu sebanyak 33 orang (56,9%).Kesimpulan: Ada hubungan pengetahuan dan sikap pada ibu nifas tentang ambulasi dini dengan pelaksanaan ambulasi dini di Puskesmas Kunduran Keyword :  Pengetahuan, Perilaku Kesehatan, Masa Nifas, Ambulasi Dini Post Partum
Kajian Karakteristik Penderita Gagal Ginjal Kronis Dalam Terapi Hemodialisis Cipto, Cipto; Siswoko, Siswoko; Normawati, Ajeng Titah; Uripno, Pambayun Sugeng
Jurnal Studi Keperawatan Vol 5, No 1 (2024): MARCH 2024
Publisher : Program Studi Keperawatan Blora, Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/j-sikep.v5i1.11279

Abstract

Characteristics that greatly influence a person's lifestyle include chronic kidney failure sufferers undergoing hemodialysis therapy. Patients with chronic kidney failure experience a gradual decline in kidney function which is quite severe. This is caused by various diseases that are progressive and generally cannot be recovered. The aim of this research is to determine the picture of chronic kidney failure undergoing hemodialysis therapy. This research method is descriptive quantitative by explaining the distribution of frequencies and percentages. The sample in this study amounted to 30 people with the criteria being patients suffering from chronic kidney failure who underwent hemodialysis with compensatory awareness. The research was conducted at the Blora District Hospital by researchers in October 2023. The results of the study showed that the majority of kidney failure patients undergoing hemodialysis therapy were women, the age characteristics reached early old age or in the range of 45 to 55 years, the majority had a high school or equivalent education, and the average is a housewife. Most of the responders had undergone hemodialysis for more than two years. Based on these results, it can be a basis or suggestion for developing further studies to analyze the correlation of each characteristic with the phenomenon of symptoms that occur in hemodialysis patients.Keywords: chronic renal failure, hemodialysis, characteristics
Tingkat Pengetahuan Dan Sikap Ibu Menghadapi Masa Menopause Cipto, Cipto; Siswoko, Siswoko; Saptaningrum, Epi
Jurnal Studi Keperawatan Vol 1, No 1 (2020): March 2020
Publisher : Program Studi Keperawatan Blora, Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (697.986 KB) | DOI: 10.31983/j-sikep.v1i1.5644

Abstract

ABSTRACTBackground: Life is a process of continuous change from birth to death. One of the changes that are unavoidable and will face a woman is menopausal. Results of preliminary studies have been conducted in the village Kunduran showed that of 10 postmenopausal women (aged 45-55 years) is known that most do not know about menopause.Objectives: The general objective of the study was to determine the knowledge and attitude of mothers facing menopause. Interest in particular know the characteristics of respondents by education, employment, knowledge level and attitude of the mother in the face menopause.Methods: The study was a descriptive study using cross sectional method, the type of design that survey. Population is the mother menopause aged 40-45 years. Samples obtained through purposive sampling techniques, descriptive analysis with frequency destribusi.Results: The characteristics of respondents in terms of maternal education level premenopausal with basic education as much as 56 respondents (70%). While the work of the mother is a housewife 43 respondents (53.8%). The level of knowledge of mothers premenopausal good category 47 respondents (58.8%). Premenopausal mothers positive attitude as much as 47 respondents (58.8%). Keywords: Knowledge, Attitude, menopause
Pendampingan Kader Kesehatan Dan Keluarga Dalam Pemanfaatan Kearifan Lokal Sebagai Bahan Olahan Makanan Pencegahan Stunting Di Desa Sukorejo Tunjungan Blora Abidin, M. Zainal; Prasetyo, Agus; Siswoko, Siswoko
Jurnal Pengabdian Masyarakat Bangsa Vol. 2 No. 10 (2024): Desember
Publisher : Amirul Bangun Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59837/jpmba.v2i10.1866

Abstract

Stunting merupakan permasalahan gizi yang harus segera di tuntaskan di Indonesia agar menghasilkan generasi cerdas dan berkualitas. Pemerintah mengupayakan untuk percepatan penurunan angka stunting. Pemberian asupan nutrisi yang kurang tepat, akan berdampak pada pertumbuhan dan perkembangan balita jangka panjang, bersifat permanen dan sulit untuk diperbaiki. Pemberian makanan pendamping ASI (MPASI) dapat dibuat dari bahan pangan lokal sehingga balita mendapatkan asupan nutrisi yang cukup sesuai dengan usianya. Kelor merupakan bahan pangan yang kaya akan zat gizi makro dan mikro. Kandungan nilai gizi yang tinggi dalam daun kelor dapat dimanfaatkan untuk pemenuhan kebutuhan nutrisi pada ibu menyusui dan balita dalam masa pertumbuhan. Tujuan: Terbentuknya kader kesehatan dan Keluarga yang efektif dalam pengetahuan, dan ketrampilan  dalam pencegahan stunting sertapemanfaatan kearifan lokal dari tanaman alam daun kelor (moringa oleifera) sebagai bahan olahan makanan pencegahan stuntingdi desa binaan Sukorejo Kec. Tunjungan Kab. Blora. Metode: Penyuluhan, refresing kader, pendampingan, dan demonstrasi pemanfaatan kearifan lokal dari tanaman alam daun kelor (moringa oleifera) sebagai bahan olahan makanan pendamping pencegahan stunting.  Hasil: Didapatkan sebagian besar peserta menyatakan materi refresing bagus (88,4%), ketepatan waktu cukup (68,6%), suasana bagus (80,1%), kelengkapan materi bagus (80,5%), media atau alat bantu bagus (70,2%). Evaluasi sikap berupa  keaktifan kader bagus (82,1%). Evaluasi psikomotor berupa mandiri dalam pemanfaatan kearifan lokal dari tanaman alam daun kelor (Moringa Oleifera) Sebagai Bahan Olahan Makanan Pencegahan Stunting, yaitu Nugget Ayam Daun Kelor (80 %), Moringa Egg Roll / Egg Roll Daun Kelor (85 %), Cookies Enak Daun Kelor (80 %), dan Yoghurt Daun Kelor (78%).
Pengaruh Bantal Aromaterapi dalam Reduksi Kecemasan Cipto, Cipto; Siswoko, Siswoko; Normawati, Ajeng Titah
JOURNAL OF NONCOMMUNICABLE DISEASES Vol 5, No 1 (2025): April 2025
Publisher : Poltekkes Kemenkes Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52365/jond.v5i1.1139

Abstract

Ketergantungan pasien dengan gagal ginjal kronik (GGK) yang menjalani hemodialisis seumur hidup berisiko mengalami gangguan psikologis, seperti kecemasan dan depresi. Kecemasan merupakan respons emosional terhadap ancaman yang dirasakan, dan apabila tidak ditangani secara tepat, dapat memperburuk kondisi pasien. Terapi nonfarmakologis, seperti aromaterapi, merupakan salah satu pendekatan yang dapat digunakan untuk mengurangi kecemasan. Namun, pemanfaatan aromaterapi lavender melalui media bantal belum pernah diterapkan pada pasien hemodialisis. Penelitian ini bertujuan untuk menganalisis pengaruh penggunaan bantal aromaterapi lavender terhadap tingkat kecemasan pasien GGK selama menjalani hemodialisis. Penelitian menggunakan desain quasi-eksperimen dengan pendekatan one group pre-test and post-test, melibatkan 30 responden yang dipilih secara simple random sampling di Unit Hemodialisis RSUD dr. R. Soetijono Blora. Tingkat kecemasan diukur menggunakan instrumen Zung Self-Rating Anxiety Scale (Z-SAS) yang memiliki validitas dan reliabilitas baik (Cronbach's Alpha = 0,725). Analisis data menggunakan uji Wilcoxon menunjukkan nilai signifikansi p = 0,000, yang mengindikasikan adanya pengaruh signifikan dari intervensi. Terdapat penurunan rerata skor kecemasan sebesar 5,0 poin, dengan pergeseran kategori kecemasan dari sedang menjadi ringan pada mayoritas responden. Hasil ini menunjukkan bahwa bantal aromaterapi berpotensi digunakan sebagai media relaksasi untuk menurunkan kecemasan pada pasien GGK selama menjalani hemodialisis.Patients with chronic kidney disease (CKD) who undergo lifelong hemodialysis are at risk of developing psychological disorders, such as anxiety and depression. Anxiety is an emotional response to perceived threats and, if not managed appropriately, can worsen the patient's condition. Non-pharmacological therapies, such as aromatherapy, are among the approaches that can be used to alleviate anxiety. However, the use of lavender aromatherapy through a pillow medium has not previously been applied to hemodialysis patients. This study aims to analyze the effect of using a lavender aromatherapy pillow on the anxiety levels of CKD patients undergoing hemodialysis. The research employed a quasi-experimental design with a one-group pre-test and post-test approach, involving 30 respondents selected through simple random sampling in the Hemodialysis Unit of Dr. R. Soetijono Regional Public Hospital, Blora. Anxiety levels were measured using the Zung Self-Rating Anxiety Scale (Z-SAS), which demonstrated good validity and reliability (Cronbach's Alpha = 0.725). Data analysis using the Wilcoxon test yielded a significance value of p = 0.000, indicating a significant effect of the intervention. There was an average reduction in anxiety scores of 5.0 points, with a shift in anxiety category from moderate to mild in the majority of respondents. These findings suggest that aromatherapy pillows have the potential to be used as a relaxation medium to reduce anxiety in CKD patients undergoing hemodialysis.
KEPATUHAN IMUNISASI DASAR PADA BAYI: APAKAH JARAK PELAYANAN KESEHATAN DAN TOKOH MASYARAKAT BERPENGARUH? Aisyah, Aisyah; Alhidayah, Alhidayah; Siswoko, Siswoko; Pasiriani, Novi
Ensiklopedia of Journal Vol 7, No 4 (2025): Vol. 7 No. 4 Edisi 3 Juli 2025
Publisher : Lembaga Penelitian dan Penerbitan Hasil Penelitian Ensiklopedia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33559/eoj.v7i4.3354

Abstract

Abstract: Based on global data, approximately 11 million children under the age of 5 die each year, a very high number that highlights a major challenge in fulfilling children's health rights. The objective of this study is to determine the distance between health services and community leaders and immunization compliance. The research design used in this study is cross-sectional. The study was conducted at the Lelogama Community Health Center in September 2024. The study population consisted of all mothers with infants aged 9–24 months, totaling 219 individuals. The sample size was 70 individuals. The sampling technique used in this study was purposive sampling. Data analysis was performed using univariate and bivariate methods. The results of the study showed a relationship between the distance to health services (p-value: 0.002) and community leader support (p-value: 0.044) with immunization compliance. It is recommended that the Community Health Center (Puskesmas) improve the compliance rate of mothers in bringing their infants to the Posyandu by increasing mothers' knowledge through socialization by local Posyandu cadres about the importance of the Posyandu program, the benefits of Posyandu, and the consequences if mothers do not comply in bringing their infants to Posyandu. There needs to be collaboration between the Puskesmas and the local village authorities to regularly refresh the cadres' knowledge and provide rewards to active cadres.Keywords: Immunization, Distance, Community Leaders.
Co-Authors Achmad, Afif Nuryansyah Agus Prasetyo Aisyah Aisyah Ajeng Titah Normawati Alhidayah Cipto Cipto Cipto Cipto, Cipto Divana Indra Epi Saptaningrum Kuswanto Kuswanto Luqman, Mohammad M. Zainal Abidin M. Zainal Abidin Mayrita Syam Muawanah Muawanah Muawanah Muawanah noorma, nilam Oktavioni, Triana Pasiriani, Novi Ria Angelina Jessica Rotinsulu Uripno, Pambayun Sugeng Yuni Astuti