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The Analisis Faktor Determinan yang Memengaruhi Diare, Berat Badan Lahir, dan ASI Eksklusif Terhadap Risiko Kejadian Wasting Pada Balita di Aceh Yusran, Mawadhah; HS, Nurlaely; Santiana, Nazwa; Warzukni, Seri
Jurnal Ners Vol. 9 No. 4 (2025): OKTOBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i4.50956

Abstract

Prevalensi wasting pada balita di Aceh consistently melebihi ambang batas WHO dan menunjukkan tren fluktuatif yang mengkhawatirkan, dari 19,7% (2021) menjadi 51,3% (2023). Kondisi ini mengancam kesehatan, pertumbuhan, dan kelangsungan hidup balita. Penelitian ini bertujuan untuk menganalisis pengaruh tidak langsung faktor determinan (ibu dan anak, lingkungan, kesehatan, dan genetik) terhadap kejadian wasting yang dimediasi oleh diare, berat badan lahir (BBL), dan pemberian ASI Eksklusif. Metode Penelitian kuantitatif ini menggunakan desain cross-sectional dengan 160 ibu yang memiliki balita sebagai responden. Data dikumpulkan melalui kuesioner dan dianalisis menggunakan Structural Equation Modeling (SEM) dengan metode Partial Least Square (PLS) untuk menguji hubungan dan efek mediasi. Hasil analisis menunjukkan bahwa diare secara signifikan memediasi pengaruh faktor kesehatan (p=0,028) dan faktor lingkungan (p=0,001) terhadap wasting. Berat badan lahir signifikan memediasi pengaruh faktor ibu dan anak (p=0,036) dan faktor kesehatan (p=0,015) terhadap wasting. ASI Eksklusif signifikan memediasi pengaruh faktor ibu dan anak (p=0,002) terhadap wasting. Faktor genetik tidak menunjukkan pengaruh signifikan melalui ketiga mediator tersebut. Intervensi pencegahan wasting harus bersifat multisektoral, berfokus pada perbaikan sanitasi lingkungan dan layanan kesehatan untuk mengatasi diare, penguatan layanan kesehatan ibu dan anak untuk mencegah BBLR, serta pemberdayaan ibu melalui edukasi dan dukungan sosial untuk meningkatkan praktik pemberian ASI Eksklusif.
Pengembangan Media Edukasi Phbs Berbasis Kearifan Lokal Untuk Pencegahan Stunting Bagi Ibu Hamil Raodah, Raodah; Warzukni, Seri; Mahdalena, Mahdalena
Jurnal Ners Vol. 9 No. 4 (2025): OKTOBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i4.50957

Abstract

Stunting masih menjadi masalah kesehatan serius di Indonesia, khususnya di daerah dengan akses terbatas terhadap informasi kesehatan yang mudah dipahami. Penelitian ini bertujuan untuk mengembangkan media edukasi Perilaku Hidup Bersih dan Sehat (PHBS) berbasis kearifan lokal bahasa Gayo untuk meningkatkan pengetahuan dan perilaku ibu hamil dalam pencegahan stunting. Metode penelitian yang digunakan adalah Research and Development (R&D) dengan model Plomp, meliputi tahap investigasi awal, desain, realisasi, implementasi, dan evaluasi. Media yang dikembangkan divalidasi oleh ahli materi, media, dan bahasa. Hasil validasi menunjukkan tingkat kelayakan rata-rata 86,0% dengan kategori sangat layak. Uji efektivitas pada 75 ibu hamil menunjukkan peningkatan signifikan pada pengetahuan (skor rata-rata pretest 52,8 menjadi posttest 86,4; p < 0,001) dan perubahan perilaku PHBS, seperti penggunaan air bersih (93,3%) dan konsumsi makanan bergizi (80,0%). Simpulan penelitian ini adalah media edukasi berbasis kearifan lokal efektif dalam meningkatkan pengetahuan dan perilaku ibu hamil serta dapat dijadikan sebagai strategi intervensi kesehatan yang kontekstual dan berkelanjutan.
HUBUNGAN PENGETAHUAN DAN MINAT BIDAN DENGAN PELAKSANAAN KUNJUNGAN NIFAS DI WILAYAH PUSKESMAS BANDAR KECAMATAN BANDAR KABUPATEN BENER MERIAH Warzukni, Seri
Jurnal Maternitas Kebidanan Vol. 9 No. 1 (2024): Jurnal Maternitas Kebidanan
Publisher : Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jumkep.v9i1.4924

Abstract

ABSTRACT Postpartum visits are a process of decision making and actions carried out by midwives during the postpartum period in accordance with their authority and scope of practice based on midwifery knowledge and tips, services during the postpartum period through home visits at least 4 times, namely 6 - 8 hours after delivery, the 6th day after delivery, the 2nd week after delivery, and the 6th week after delivery, the implementation of postpartum visits carried out by midwives is also related to knowledge and interest. This is the main cause of not implementing postpartum visits well. Research Objective: to determine the relationship between midwives' knowledge and interest and the implementation of postpartum visits. This type of research is descriptive and analytical with a cross sectional approach. The sampling method was carried out with the total population, namely by taking the entire population of midwives in the Bandar Community Health Center working area as a sample of 36 respondents. This research was carried out on April 19 2024. The results showed that 9 people (25%) had poor knowledge of midwives, 11 people had sufficient knowledge (30.6%), and 16 people had good knowledge (44.4%). while the relationship between midwife's knowledge and the implementation of postpartum visits has a significant relationship with a P-Value of 0.003. Conclusions and Suggestions there is a relationship between midwife's knowledge and the implementation of postpartum visits. Midwives' positive interest in implementing postpartum visits. amounting to 27 people (75%), and negative amounting to 9 (25%), while the relationship between midwife interest and the implementation of postpartum visits. It has a significant relationship with a P-Value value of 0.032, so it can be concluded that there is a relationship between midwife interest and the implementation of postpartum visits. From this understanding, additional information has been provided so that midwives can understand and understand how to carry out postpartum visits well. Keywords: Knowledge, Interests, Midwives, Implementation of Postpartum Visits
The Relationship Between Knowledge And Attitude Of Postpartum Mothers About The Correct Way To Breastfeed Infants With The Incidence Of Breast Milk Gain In The Work Area Of Jeunieb Community Health Center, Jeunieb District, Bireuen Regency Warzukni, Seri
Jurnal Maternitas Kebidanan Vol. 10 No. 1 (2025): Jurnal Maternitas Kebidanan
Publisher : Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jumkep.v10i1.6630

Abstract

Breast engorgement is an inflammation of the breast that may or may not be accompanied by infection. Breast engorgement is a breast infection that occurs in 1-2% of breastfeeding women. To determine the relationship between knowledge and attitudes of postpartum mothers about the correct way to breastfeed with the incidence of breast engorgement in the Jeunieb Alue Health Center Work Area, Jeunieb District, Bireuen Regency in 2022. Analytical research design with a cross-sectional approach. The population in this study were all postpartum mothers in the Jeunieb Health Center Work Area, Jeunieb District, Bireuen Regency in 2022, totaling 223 people. Data collection using a questionnaire. The sampling technique used in this study was purposive sampling. To determine the sample size, this study used the Slovin formula so that 69 samples were obtained. The results of the study were that there was a relationship between postpartum mothers' knowledge and the incidence of breast engorgement where the p-value = 0.007 (p-value ≤ 0.05). There is a relationship between attitude and breast milk stagnation where the p-value = 0.000 (p-value ≤ 0.05). It is expected that health workers will increase health promotion to the community, especially counseling on how to breastfeed properly to avoid breast milk stagnation problems. Keywords: Knowledge, Attitude, Breastfeeding ASI