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The time is ripe: a scoping review of risk factors and barriers in preconception care Puspitasari, Halfie Zaqiyah Gusti; Widyawati; Hapsari, Elsi Dwi; Nuzulullail, Agung Subakti; Irawan, Dana Prayoga
BKM Public Health and Community Medicine Vol 41 No 09 (2025)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v41i09.23771

Abstract

Purpose: Preconception care (PCC) is fundamental to preparing for a healthy pregnancy by reducing risk factors. However, there are still various obstacles to its implementation. This review aims to identify risk factors and barriers to accessing and implementing PCC. Methods: The research design used a scoping review compiled from articles obtained from four databases: PubMed, ScienceDirect, ProQuest, and Web of Science. The inclusion criteria include original articles published between 2020 and 2025 that are fully accessible, written in English, and reports on PCC risk factors and barriers. Exclusion criteria include theoretical articles without practical applications, research related to specific medical conditions, and articles that are not relevant to the research objectives. The selection process was conducted in accordance with the PRISMA-ScR (2020) guidelines. Data from selected articles were extracted and synthesized narratively in accordance with the Update Methodological Guidance for the Conduct of Scoping Reviews (2020). Results: A total of 896 articles were found in the search. After screening, 14 articles were selected for analysis. These articles represented eight countries, including Ethiopia, the United States of America, and Australia. Low PCC knowledge, poor obstetric history, and maternal age were the most frequently discussed risk factors for PCC. Meanwhile, barriers to PCC implementation were attributed to the lack of PCC guidelines and service standards, low PCC education and promotion, and low motivation and knowledge of healthcare workers. Conclusion: The implementation of PCC remains hindered by policy limitations, system readiness, and health worker capacity, underscoring the need for further research as a basis for developing comprehensive guidelines.
Efek Pemberian Aromaterapi Jeruk Masam terhadap Intensitas Nyeri pasca Bedah Sesar Sulastri, S; Wahyuningsih, Mae Sri Hartati; Hapsari, Elsi Dwi
Prosiding University Research Colloquium Proceeding of The 7th University Research Colloquium 2018: Bidang MIPA dan Kesehatan
Publisher : Konsorsium Lembaga Penelitian dan Pengabdian kepada Masyarakat Perguruan Tinggi Muhammadiyah 'Aisyiyah (PTMA) Koordinator Wilayah Jawa Tengah - DIY

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Abstract

Tindakan SC dapat menyebabkan nyeri danmengakibatkan terjadinya perubahan kontinuitas jaringan karenaadanya pembedahan. Dampak nyeri terhadap ibu, yaitu terbatasnyaADL, bonding attachment dan mobilisasi karena adanya peningkatanintensitas nyeri apabila ibu bergerak. Dampak nyeri terhadap bayiyaitu dalam pemberian ASI, dan kurangnya perawatan bayi yangdilakukan oleh ibunya. Manajemen non farmakologi yang biasadigunakan salah satunya adalah dengan menggunakan aromaterapi.Tujuan: Mengetahui efek antara aromaterapi Jeruk Masam terhadapintensitas nyeri pasca SC di RSUI YAKSSI Gemolong. Metode:Rancangan penelitian quasi experiment dengan pendekatan pre-testdan post-test with control group. Waktu pengambilan data Agustus-Oktober 2015 di RSUI Yakssi Gemolong Sragen Jawa Tengah.Populasi dalam penelitian ini adalah ibu pasca SC di Rumah SakitUmum Islam (RSUI) Yakssi Gemolong pada bulan Agustus-Oktober2015 sejumlah 97 orang. Sampel sejumlah 34. Teknik samplingdengan consecutive sampling. Variabel independen yaitu JerukMasam, variabel dependen yaitu penurunan intensitas nyeri pascaSC. Instrumen yang digunakan Numerical Rating Scale. Analisis datamenggunakan Wilcoxon dan uji Mann Whitney. Hasil: Intensitasnyeri sebelum dan sesudah intervensi 6,00±1,044 vs 4,91±1,379,P=0,00. Penurunan nyeri 1,09. Ada perbedaan yang signifikanantara nyeri sebelum dan sesudah diberikan aromaterapi jerukmasam. Kesimpulan: Aromaterapi Jeruk Masam mempunyai efekdalam menurunkan intensitas nyeri pasca SC.
Analysis of factors affecting fear and mental health awareness of coronavirus disease infection Nursalam, Nursalam; Elsi Dwi Hapsari; Setiawan Setiawan; Ni Luh Putu Inca Buntari Agustini; Diah Priyantini; Khatijah Lim Lim Abdullah
Jurnal Ners Vol. 18 No. 3 (2023): SEPTEMBER 2023
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v18i3.48168

Abstract

Introduction: Coronavirus disease 2019 (COVID-19) is a global health challenge that persists in causing both health emergencies and mental health crises around the world. This study aimed to analyze the factors contributing to COVID-19 infection and their impact on mental health crises on Java Island. Methods: A cross-sectional study was conducted between June and July 2020 on Java Island, Indonesia, involving 1,218 respondents selected through convenience sampling. The independent variables included demographic, individual internal, and psychological factors, while the dependent variable was mental health crisis occurrence. Data were collected through demographic information, knowledge and attitude questionnaires, depression anxiety stress scores, the brief-COPE inventory, as well as surveys addressing encountered problems and mental health emergencies. The collected data underwent analysis using chi-square and multivariate logistic regression. Results: Significance was observed in the relationship between demographic, individual internal, and psychological factors, and their impact on mental health crises (p < 0.05). Following adjustment with logistic regression, psychological factors exhibited a more pronounced relationship, with the highest association observed in stress levels (p = 0.000, 95% CI: 1.064-2.131). Conclusions: Individual stress levels emerged as the foremost contributing factor to mental health crises. Psychological elements, encompassing anxiety levels, stress, coping mechanisms, and encountered challenges, played substantial roles in disrupting psychological well-being and mental health.
Co-Authors Agatha, Naysilla Gisha Agustin Agustin Ainia Herminiati, Ainia Ami Novianti Subagya Anis Rahmawati Anita Liliana Aulia Hanif Fathudin Budi Wahyuni Christantie Effendy Citrawati, Ni Ketut Daniswari, Handitya Devry, Devry Pramesti Dewi Kusumaningtyas Dewi, Tri Kesuma Diah Astutiningrum Diah Priyantini Dora Samaria Dwi Sri Handayani Erviana Dewi Muslikhah Fauziah H Wada Fitri Haryanti Gultom, Nikodemus Happy Indah Kusumawati Haryanti Fitri Helieniastuti, Riris Chintya Heny Suseani Pangastuti Hery Ernawati Hutami, Nurfitria Anisa Ibrahim Rahmat Ika Nur Pratiwi Imam Rahmawati, Natasya Putri Indah Wulaningsih Irawan, Dana Prayoga Irma Fidora Jelita Siska Herlina Hinonaung Junitasari, Rizky Khatijah Lim Lim Abdullah Kristanti, Dita Kusumaningtyas, Khariza Layuk, Yenny Tangke Lely Lusmilasari, Lely Machmudah Machmudah Machmudah, Machmudah Mae Sri Hartati Wahyuningsih Mardliyah, Ainun Saidatul Mar’atun Ulaa Maulida Rahmawati Emha Mokodompit, Hariansyah Muladefi Choiriyah Ni Luh Putu Inca Buntari Agustini Nikmatul Khayati Nugraha, Adikarya Nurhasanah, Erna Nuring Pangastuti Nuring Pangastuti Nuring Pangastuti Nursalam Nursalam Nuzulullail, Agung Subakti Parmawati, Ika Permatasari, Ana Primastika Supadmi Priyantini, Diah Purwanta Purwanta Purwanta Purwanta Purwanta Purwanto Puspitasari, Halfie Zaqiyah Gusti Rahayu, Anisa Rini Rahmawati, Nadia Ramadhani, Hanin Retno, Hersinta Rifky Octavia Pradipta Riyati, Riyati Rizki Handayani Fasimi Robert Priharjo S Sulastri Sadewa, Deskantari Murti Ari Sari, Apriani Susmita Selwis Raistanti, Sihqina Ramadhani Setiaboma, Woro Setiawan Setiawan Setiawan Setiawan Shodiq, Abror Shofwal Widad Sibualamu, Khalida Ziah Sri Hartini Sri Widodo Sri Widodo Subangkit, Arsad Tirta Sulastri, S Totok Harjanto tri kusuma dewi Tsauroh, Salsabila Fiqrotu Ujang Sumarwan Viegas, Bonifacio de Jesus Wahyuni, Triska Septi Wasis Pujiati Wenny Artanti Nisman Wenny Artanti Nisman Wenny Artanty Wenny Artanty Nisman, Wenny Artanty Wibawa, Shinta Restu Widyandana Widyandana Widyandana Widyandana Widyawati Widyawati Widyawati Widyawati Widyawati Witman, Steven Wiwin Lismidiati Yanita Trisetiyaningsih Yayi Suryo Prabandari Yunistyaningrum, Vina