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All Journal Jurnal Keperawatan Jiwa (JKJ): Persatuan Perawat Nasional Indonesia Journal of Innovation and Applied Technology Indonesian Journal of Human Nutrition Jurnal Pengabdian Kepada Masyarakat (Indonesian Journal of Community Engagement) Majalah Kesehatan FKUB International Journal of Community Service Learning Viva Medika: Jurnal Kesehatan, Kebidanan dan Keperawatan Jurnal Aisyah : Jurnal Ilmu Kesehatan Poltekita: Jurnal Pengabdian Masyarakat Caring : Jurnal Pengabdian Masyarakat Nursing Information Journal Journal of Social Research Journal of Nursing Science Update Indonesian Nursing Journal of Education and Clinic (Jurnal Pendidikan dan Praktik Keperawatan Indonesia) Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)

Muladefi Choiriyah

Universitas Brawijaya

Author-ID : 565325

Humanities Computer Science & IT Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Education Environmental Science Health Professions Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary

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Analysis of Differences in Individual Characteristics, Lifestyle, Nutritional Status and Dieting Patterns in Pregnant Women with Preeclampsian History Asti Melani Astari; Nurul Evi; Muladefi Choiriyah; Puji Ariyani; Anif Lailatul Fitriy
Journal of Nursing Science Update (JNSU) Vol. 9 No. 1 (2021)
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Preeclampsia is a multisystem complication that occurs after 20 weeks of gestation. In recent years there has been no significant decrease in the incidence of preeclampsia, even in developed countries it is still the main cause of maternal and fetal morbidity and mortality. This study aims to analyze differences in individual characteristics, lifestyle (physical activity), nutritional status and diet in pregnant women with a history of preeclampsia. This research design is descriptive analytic with cross sectional approach. Samples were obtained from 55 pregnant women with consecutive sampling who met the inclusion criteria. Data analysis used chi-square test and spearman correlation test. The results showed a relationship between physical activity with systolic blood pressure (p value 0.001, r = 0.449) and diastolic (p value 0.43, r = 0.273), there was also a relationship between diet and risk factors for preeclampsia through blood pressure measurements as evidenced by increase in blood pressure (p value 0.000) in pregnant women in the working area of Puskesmas Kedungkandang Malang. The results of this study are expected to be used as a reference in intervening pregnant women at risk of preeclampsia, so that the disease does not develop more severely so that it does not endanger the lives of the mother and the fetus she is carrying.

Assessment Indicator from Grandmothers' Support Was the Strongest Correlation to Non-Exclusive Breastfeeding Practice in Young Primiparous Working Mothers Muladefi Choiriyah; Ziadah Nikmatur Rizqiyah; Setyoadi Setyoadi; Ayut Merdikawati
Journal of Nursing Science Update (JNSU) Vol. 9 No. 1 (2021)
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Primiparous mothers will experience various breastfeeding problems because it is the first experience, especially for working mothers. Therefore, they need to get support from their families, mainly from grandmothers. This study aims to analyze the correlation between the grandmother's support and exclusive breastfeeding for primiparous mothers working. This study, conducted in the Arjowinangun Community Health Center coverage area, Malang, used a cross-sectional study approach. The data collection used purposive sampling and questionnaires. One hundred thirty-two respondents had agreed to participate in this study. The results show that most mothers who choose non-exclusive breastfeeding had received insufficient support. There was a significant and strong correlation between grandmother's support and breastfeeding behavior (p-value = 0.000; r = 0.831), which means that the better the grandmother's support, the better exclusive breastfeeding behavior primiparous working mothers. All the support indicators were sufficient categories. The assessment support was the highest correlation to non-exclusive breastfeeding (r = 0.649). The conclusion is grandmother's support has a significant role in the success of exclusive breastfeeding for working mothers, so breastfeeding assistance by health workers should focus on mothers and families, especially grandmothers.

Factors Affecting Antenatal Care Visit Obedience during the Covid-19 Pandemic in Konawe District, Southeast Sulawesi Ayut Merdikawati; Eka Nurjannah; Asti Melani Astari; Muladefi Choiriyah
Journal of Nursing Science Update (JNSU) Vol. 10 No. 1 (2022): May
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

The Covid-19 pandemic impacts both the access and quality of health services resulting in many restrictions on almost all routine services—the coverage of antenatal care visits in Indonesian public health centers decreases. Research on the factors affecting antenatal care visits of pregnant women during the Covid-19 pandemic in the eastern Indonesian population is currently limited. This study aims to analyze the factors affecting ANC visits of pregnant women during the covid-19 pandemic. This research implements a cross-sectional design by conducting the study on the coverage area of Pondidaha Health Center, Konawe, in January 2021. Respondents fulfilling the criteria included pregnant women residing in Konawe, experiencing the third trimester of pregnancy (28−40 weeks), having a personal Maternal-Child Health book, and recording the pregnancy visit at Pondidaha Public Health Center or Integrated healthcare center. The exclusion criteria included a mother who did not complete the questionnaires. The data analysis implements the Spearman rank test. Forty-six respondents participating in this study (with most of Pondidaha's pregnant women) were found to have incomplete ANC visits. Factors affecting incomplete ANC visits included knowledge, attitude, health care system, and health workers' support. The result indicated that the level of knowledge, mothers' attitude, healthcare, and health workers' support significantly indicated the positive outcome of ANC visits during the COVID-19 pandemic. In conclusion, the level of knowledge exhibited the highest correlation to the obedience of ANC visits.

INCREASING CLINICAL PRECEPTOR COMPETENCE THROUGH PRECEPTORSHIP METHOD TRAINING IN BANGIL HOSPITAL, PASURUAN REGENCY Sholihatul Amaliya; Rinik Eko Kapti; Muladefi Choiriyah; Efris Kartika Sari; Ikhda Ulya; Ika Setyo Rini
Caring : Jurnal Pengabdian Masyarakat Vol 2, No 2 (2022): CARING Jurnal Pengabdian Masyarakat (Agustus 2022)
Publisher : Caring : Jurnal Pengabdian Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.caringjpm.2022.002.02.3

The Preceptorship method facilitates students to develop their cognitive, affective, and psychomotor abilities. Through Preceptorship, clinical instructors/preceptors become role models as tutors, leaders, supervisors, and mentors for students. Furthermore, nursing staff who meet the qualifications of a preceptor need Preceptorship training. The Pasuruan District Hospital is one of the network hospitals where nursing students practice the nursing profession, and there are only a few preceptors have attended Preceptorship training. Therefore, it is necessary to conduct Preceptorship training for preceptors. This activity aims to achieve preceptor competence with the Preceptorship method. The respondents were health care staff from Bangil Hospital, such as nurses, midwives, nutritionists, radiographers, medical recorders clerks, and physical therapists. The activity included training for three days from 19-21 November 2019 by providing material, demonstrating, and simulating the Preceptorship method in several rooms at Bangil Hospital. The data collection to measure the level of knowledge used pre-test and post-test questionnaires, while for skills using observation in the implementation of simulations directly to students in the hospital room. Forty-seven respondents participating in this training were male (32%) and female (68%). The results of the level of knowledge were pre-test mean 47.74 and post-test 88.85 with p-value paired t-test results 0.001. Observation results show that the preceptor can practice the Preceptorship method well with students. In conclusion, this training activity increases the knowledge and skills of Preceptorship clinical education methods for preceptors.

THE INCREASE IN COLOSTRUM SECRETION ON EARLY SKIN-TO-SKIN CONTACT ON POSTPARTUM MOTHER Laily Yuliatun; Muladefi Choiriyah; Yulaily Riza
INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC) Vol 1, No 2 (2014): INJEC
Publisher : Asosiasi Institusi Pendidikan Ners Indonesia (AIPNI)

Introduction. Colostrum contains a large number of protective factors providing passive and active protection to a wide variety of known pathogens. Its production could be stimulated by early skin-to-skin contact between mother and baby. Hence, this study aimed to investigate the effect of early skin-to-skin contact on the onset of colostrum secretion in postpartum mother. Methods. This study was cross sectional. The data were analyzed by Mann–Whitney test. Literate postpartum mothers, underwent pervaginam delivery in >37 weeks of gestational age with clear amniotic fluid, having baby with > 2500 gr of weight, Apgar score 6 – 8, and no congenital defects were included in this study. The onset of colostrum secretion was measured through observation sheet. 26 samples were recruited in this study. Results. The onset of colostrum secretion was faster in mother underwent early skin-to-skin contact (p=0.002). Discussion. Thus, this study suggested that early skin-to-skin contact enhanced the onset of colostrum secretion. Keywords: Early skin-to-skin contact, Colostrum, Postpartum

The SHARING-AJA Website for Adolescent Reproductive Health Knowledge Levels Niko Dima Kristianingrum; Ayut Merdikawati Merdikawati; Muladefi Choiriyah Choiriyah; Annisa Wuri Kartika
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 4: December 2022
Publisher : Universitas Aisyah Pringsewu

Risk of sexual behaviour, abortion, and early marriage are the most common reproductive health problems in adolescents. Prevention strategies with digital technology are considered effective and appropriate by the development of adolescents. The aim of this study to analyze the use of SHARING AJA (Sadari keseHAtan ReproduksI saNG remaJA) media as an online educational media for the promotion of reproductive health. The study was Quasi-experimental with one group design approach (pre-post-test) in 26 respondents selected by consecutive sampling. Inclusion criteria are unmarried, have internet access via smartphone or laptop and are willing to be research respondents. The intervention was in the form of access to SHARING AJA for four weeks. The research instrument used a pre-test and post-test questionnaire. Data analysis using paired t-test. Results showed there is a significant difference between the knowledge of adolescents after being given intervention with a p-value of 0.001. The majority of respondents are satisfied with the use of the website with the highest average satisfaction on the ease of learning about reproductive health anytime and anywhere with a mean value of 4.27 ± 0.92. Conclusions was socialization and integration of the SHARING AJA website for the learning process and youth health development program in schools in collaboration with schools and public health centers. Abstrak: Masalah kesehatan reproduksi pada remaja meliputi perilaku seks berisiko, aborsi, dan pernikahan dini merupakan masalah yang paling sering terjadi. Strategi pencegahan berupa upaya promosi kesehatan dengan teknologi digital dinilai efektif dan tepat sesuai dengan tumbuh kembang remaja. Tujuan penelitian untuk menganalisis penggunaan media SHARING AJA (Sadari keseHAtan ReproduksI saNG remaJA) sebagai media edukasi online untuk promosi kesehatan reproduksi. Metode penelitian adalah Quasi eksperimental dengan pendekatan one group design (pre-posttest) pada 26 responden dipilih dengan consecutive sampling. Kriteria inklusi belum menikah, memiliki akses intrenet melalui smartphone atau laptop dan bersedia menjadi responden penelitian. Intervensi berupa akses ke SHARING AJA selama empat minggu. Instrumen penelitian menggunakan kuesioner pretest dan post-test. Analisa data menggunakan Uji paired t-test. Hasil didapatkan perbedaan yang signifikan antara pengetahuan remaja setelah diberikan intervensi dengan p-value 0,001. Mayoritas responden puas terhadap penggunaan website dengan rerata kepuasan tertinggi pada kemudahan untuk untuk mempelajari tentang kesehatan reproduksi kapan saja dan dimana pun berada dengan nilai rerata 4,27 ± 0,92. Kesimpulan yaitu sosialisasi dan integrasi website SHARING AJA untuk proses pembelajaran dan program pembinaan Kesehatan remaja di sekolah dengan kolaborasi bersama sekolah dan Puskesmas Wilayah

Nutritional Status of Pregnant Women Aged Less Than 20 Years is a Risk Factor For The Incidence of Babies With Low Birth Weight (LBW) Asti Melani Astari Astari; Ayut Merdikawati; Muladefi Choiriyah; Helmi Nindra Agustin
Indonesian Journal of Human Nutrition Vol. 9 No. 1 (2022)
Publisher : Department of Nutrition, Faculty of Health Sciences, Universitas Brawijaya Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.ijhn.2022.009.01.6

Low birth weight (LBW) is influenced by various factors, such as maternal education, gestational age, maternal nutritional status, and economic level. The high pregnancy rate in adolescent mothers is in line with pregnancy complications experienced, one of which is giving birth to LBW babies. The aim of this study was to analyze the risk factors most associated with the incidence of LBW babies in mothers aged less than 20 years old in Wagir District, Malang Regency. The data collection method was used cross-sectional. The inclusion criteria in this study were mothers who were less than 20 years old, had given birth to a baby with LBW, and were domiciled in Wagir District. The data was analysed by logistic regression test. A total of 106 respondents participated in this study. The results showed that the factors that were significantly related were nutritional status (p-value 0.012), economic level (p-value 0.030), and gestational age (p-value 0.046). The dominant factor was nutritional status (p-value 0,012; OR 0,666). Nutritional status is the most influential thing for the health of both mother and baby, so the role of health workers in educating women during the preconception period regarding nutrition and the risk of pregnancy is essential.

The Effect of Exclusive Breastfeeding on Mother's Weight Retention in Postpartum Period Ayut Merdikawati; Laily Yuliatun; Muladefi Choiriyah; Devi Hana Purnama Sari; Rani Diana Balqis
Journal of Social Research Vol. 2 No. 11 (2023): Journal of Social Research
Publisher : International Journal Labs

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55324/josr.v2i11.1489

Exclusive breastfeeding is giving only breast milk to babies, without other drinks food, or water, except for oral rehydration fluids, drops, or syrup containing vitamins, mineral supplements, or drugs recommended by health workers for medical reasons. Breast milk contains complete nutrition which is very good for growth and development and is easily digested by babies. Mothers who exclusively breastfeed find it easier and faster to lose weight to their pre-pregnancy state. As the gestational age increases, there is a progressive accumulation of maternal body fat. These fat reserves are a source of energy that will be used in the process of producing breast milk. By breastfeeding, the body will produce more breast milk so that fat deposits that function as energy reserves will be used. Thus shrinking fat deposits, the mother's weight will quickly return to its pre-pregnancy state. At present, postpartum weight gain is a separate problem for mothers because of frequent postpartum weight retention. The purpose of this study was to determine the effect of exclusive breastfeeding on maternal weight in the postpartum period. A research design used in this study is the pretest-posttest control group design. This study used a group of mothers who exclusively breastfed and a group of mothers who did not exclusively breastfeed as a control group. Data on exclusive and non-exclusive breastfeeding were taken using a questionnaire, while the mother's weight immediately after delivery was taken from the mother's KMS or health worker documents. Calorie intake data was taken using the semi-SSQ questionnaire. While data on body weight in the range of 0-6 months, was taken by way of the researcher weighing directly using the same scales for each respondent. research results obtained Exclusive breastfeeding on mothers causing maternal weight loss in the first 6 months postpartum. Weight retention did not occur as in the non-exclusive breastfeeding group.

IMPROVING REPRODUCTIVE HEALTH KNOWLEDGE THROUGH THE RESSIK PROGRAM (HEALTHY REPRODUCTION FOR STUDENTS WITHOUT ILLNESSES) AT PUBLIC SENIOR HIGH SCHOOL 2 MALANG Astari, Asti Melani; Yuliatun, Laily; Choiriyah, Muladefi; Merdikawati, Ayut; Fevriasanty, Fransiska Imavike; Ruliatna, Etty Fitria
Caring: Jurnal Pengabdian Masyarakat Vol 3, No 2 (2023): CARING Jurnal Pengabdian Masyarakat (Agustus 2023)
Publisher : Caring: Jurnal Pengabdian Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.caringjpm.2023.003.02.3

AbstractReproductive health information for adolescent students is still considered taboo and has not yet been included in the school curriculum. A good understanding of adolescent reproductive health is crucial because adolescents are expected to have responsible attitudes and behaviors regarding the reproductive process. The high-risk sexual behaviors among adolescents are due to a lack of accurate knowledge about reproductive health and sexually transmitted diseases. This activity aims to enhance the knowledge of high school adolescents regarding reproductive health. The activity was held in November 2021 at Public Senior High School 2 Malang, involving male and female students. The activity was conducted through health education, discussions, and demonstrations about reproductive health. The chosen media for delivery were audiovisual materials (PowerPoint presentations and videos). Evaluation was carried out using pre-test and post-test questionnaires related to knowledge. The complete questionnaires underwent data analysis. The data analysis results from the participants, with a total of 218 respondents who thoroughly answered the provided questions, showed that the majority of participants were female (71%), aged 16 years (49.1%), from 10th grade (54.6%), enrolled in the science stream (66.6%), and had previously received information about reproductive health (77.1%). Furthermore, a significant difference in reproductive health knowledge scores was found among male students (p-value 0.000), while for female students, the difference was not significant (p-value 0.892). In conclusion, audiovisual educational media effectively enhances reproductive health knowledge.

Pelatihan Pertolongan Pertama pada Kegawatdaruratan di Sekolah Children Centre Brawijaya Smart School Malang Kusumaningrum, Bintari Ratih; Kartika, Annisa Wuri; Ulya, Ikhda; Choiriyah, Muladefi; Ningsih, Dewi Kartikawati; Kartikasari, Efris
International Journal of Community Service Learning Vol. 2 No. 4 (2018): November 2018
Publisher : Universitas Pendidikan Ganesha

Anak-anak merupakan usia yang rentan mengalami kecelakaan atau cedera karena keingintahuan tentang hal disekitarnya, terutama anak usia pra sekolah. Kecelakaan tersebut bisa dicegah, jika di sekolah atau dipenitipan anak hal ini bisa di cegah oleh guru atau pengasuh anak, jika di rumah bisa dicegah oleh orang tua. Pencegahan dan pertolongan pertama pada kecelakaan sangat penting dilakukan di sekolah dan di penitipan anak untuk menciptakan lingkungan yang aman untuk anak-anak. Pada program ini dilakukan program safe community pada sekolah bertujuan untuk mengetahui praktik pencegahan dan P3K,serta melatih guru dalam P3K. Metode pelaksanaan kegiatan yaitu diskusi kelompok terfokus, penyuluhan dan pelatihan P3K. Hasil yang didapatkan yaitu para guru telah melakukan praktik pencegahan dan terdapat peningkatan pengetahuan penanganan kegawatdaruratan di lingkungan sekolahnya. Adanya program ini dapat meningkatkan pengetahuan dan kepercayaan diri mereka serta memotivasi mereka untuk terus belajar tentang P3K dan menyamakan persepsi dengan orang tua siswa tentang pertolongan pertama pada kecelakaan di sekolah. kata kunci : Pertolongan pertama pada kegawatdaruratan, guru TK, pencegahan kecelakaan, sekolah

Co-Authors Ade Ajeng Aulia Ajeng Aulia Aulia Agus Putra Murdani Agustina, Mulya Amanda, Efina Anif Lailatul Fitriy Ariska, Hanisa Iis Ariyani, Anita Dwi Asti Melani Astari Ayut Merdikawati Ayut Merdikawati Ayut Merdikawati Ayut Merdikawati Merdikawati Ayut Merdikawati, Ayut Azizha Adila Fitri Balqis, Rani Diana Bintari Ratih Kusumaningrum, Bintari Ratih Caressa, Dea Amanda Damayanti, Fransiska Erna Devi Hana Purnama Sari Dewi Kartikawati Ningsih, Dewi Kartikawati Efris Kartika Sari Eka Nurjannah Elsi Dwi Hapsari Elvira Sari Dewi Endah Panca Lidya Fatma Fatma, Endah Panca Lydia Fransiska Imavike Fransiska Imavike Fevriasanty Fransiska Imavike Fevriasanty Helmi Nindra Agustin Hermanto, Andrik Ika Setyo Rini Ikhda Ulya Ikhda Ulya, Ikhda Inggita Kusumastuty Intan Yusuf Habibie Ismail, Dina Dewi Sartika Lestari Kartika, Annisa Wuri Kartika, Annisa Wuri Kartika, Annisa Wuri Kartikasari, Efris Kartikasari, Efris Kawitantri, Orchidara Herning Kristianingrum, Niko Dima Kumboyono Kumboyono Kusumawati, Diana Laily Yuliatun Laily Yuliatun LInda WIeke Noviyanti Lola Ayu Istifiani Munif, Badrul Niken Ummu Raehana Nurona Azizah Nurul Evi Nurul Evi Pamungkas, Akhmad Yanuar Fahmi Prasetyawan, Riyan Dwi Puji Ariyani Rachel Victoriana Raharjo Rahmawan, Fajri Andi Rani Diana Balqis Ridhoyanti Hidayah Rinik Eko Kapti Roshanti, Dian Rosuli, Ahmad Rudiyanto Rudiyanto, Rudiyanto Ruliatna, Etty Fitria Satrianto, Anang Setyoadi Setyoadi Sholihatul Amaliya Supriyanto Supriyanto Suryanto Suryanto Titin Andri Wihastuti Toga, Erik Ulfa Fauziyah Hayati Windarwati, Heni Dwi Wiwin Lismidiati Yulaily Riza Ziadah Nikmatur Rizqiyah

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