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Ecological Social Development Model of Health Behavior of Conduct Achievement MDGs 5 Hilmi Yumni; Fendy Suhariadi; Oedojo Sudirham; Baiq Dewi Harnani R; Hasyim As’ari; Noer Saudah
International Journal of Public Health Science (IJPHS) Vol 5, No 4: December 2016
Publisher : Intelektual Pustaka Media Utama

Behavior of pregnant women who support the achievement of MDG 5 has not been fully achieved, one antenatal visit, shows there are still pregnant women who do not perform pregnancy tests regularly. The research aims to develop a model with Social Ecological Approach Model of Health Behavior in order to achieve the Millennium Development Goals by objective 5 with indicator of antenatal visits as well as aid delivery plan both place of birth and birth attendant. Observational study design, analytic, cross-sectional sample of 100 pregnant women who visit antenatal care at the health center Krembangan South Surabaya, simple random sampling, instruments using questionnaires, data analysis descriptive and inferential, using structural equation modeling (Structural Equation Modelling). The development of the social model of ecological models of health behavior to the behavior of the achievement of MDG 5 by the dominant factor is the construction of models intrapersonal factors include knowledge, attitude and self-efficacy, interpersonal factors include the support of family and community factors include health result support model testing goodness of fit note that the resulting model is an appropriate model used in the interpretation of the model because it has a model fit the criteria of empirical data generated by the study. The model can be used to strategize interventions in antenatal care is increasing knowledge, forming attitudes and self-efficacy through various activities such as prenatal classes or groups in pregnancy exercise as well as the involvement of family and health volunteers in assisting pregnant women to childbed.

The Meaning of Sexuality for Javaneese Adolecent at Senior High School, North Surabaya Hilmi Yumni; Siti Nur Kholifah; Asnani Asnani
Jurnal Ners Vol. 9 No. 1 (2014): April 2014
Publisher : Universitas Airlangga

Introduction: One of reproductive health issues on adolescent in developing countries was sexuality. Issues of sexuality was multifactor, such as cultural factors. Cultural barriers affect the socialization of reproductive health and sexual education in adolescents, because it was considered taboo to talk about it.Methods: This study was a qualitative study. The number of informants as many as 10 adolescent students, one community leader, 2 parent of adolescents, 2 teachers. The data shown is obtained from in-depth interviews. Data were then analyzed by using interactive analysis model, including data reduction, data display, and conclusion.Results: The result had shown that 1) perceptions of sexuality was understood as sexual intercourse or physical activity that was driven by the desire to the opposite sex, perceptions about adolescent promiscuity with regard to sexuality was seen as something that very concern because beyond norms and customs, many sexuality information was obtained from school environment such as peers, media, environment (in this case was people around the house) and none got information from the parents, and the norms-values -culture were believed as self-control in activities related to sexuality such as relationship; 2) adolecent’s behavior related to sexuality was associated with relationship and still done normatively, infl uenced by eastern culture, there was no informant who had sexual intercourse before marriage; 3) psychosexual of adolescent, were affected by social relationships in their environment at home, including closeness to parents, norms, values learned at home.Conclusion: Based on the research results can be given suggestions that one of them needed to talk openly about sex and sexuality information to youth.

Adaptif Conservation (Acm) Model in Increasing Family Support and Compliance Treatment in Patient with Pulonary Tuberculosis in Surabaya City Region Siti Nur Kholifah; Minarti Minarti; Hilmi Yumni
Jurnal Ners Vol. 7 No. 1 (2012): April 2012
Publisher : Universitas Airlangga

Introduction: Tuberculosis (TB) in Indonesia is still health problem and the prevalence rate is high. Discontinuing medication and lack of family support are the causalities. Numbers of strategies to overcome are seemingly not succeeded. Roles and responsibilities of family nursing are crucial to improve participation, motivation of individual, family and community in prevention, including pulmonary tuberculosis. Unfortunately, models of pulmonary tuberculosis currently unavailable. The combination of adaptation and conservation in complementarily improving family support and compliance in medication is introduced in this study.Method: This research intended to analyze Adaptive Conservation Model (ACM) in extending family support and treatment compliance. Modeling steps including model analysis, expert validation, ﬁeld trial, implementation and recommending the output model. Research subject involves 15 families who implement family Assistance and supervision in Medication (ASM) and other 15 families with ACM.Result: The study revealed ACM is better than ASM on the case of family support and medication compliances. It supports the role of environment as inﬂuential factor on individual health belief, values and decision making. Therefore, it is advised to apply ACM in enhancing family support and compliance of pulmonary TB patients.Discusion: Social and family supports to ACM group obtained by developing interaction through communication. Family interaction necessary to improve family support to pulmonary tuberculosis patients. And social support plays as motivator to maintain compliance on medication

UPAYA PENCEGAHAN STROKE PADA PENDERITA HIPERTENSI DENGAN MODEL TERAPI KELOMPOK (INTENSIVE PROBLEM SOLVING GROUP) DI WILAYAH PUSKESMAS KREMBANGAN SELATAN Asnani .; Loetfia Dwi Rahariyani; Hilmi Yumni
JURNAL PENELITIAN KESEHATAN Vol 13, No 1 (2015): Jurnal Penelitian Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (381.881 KB)

Stroke / evA are the symptoms of nervous system function deficits caused by cerebrovascular disease.One of the causes of stroke are hypertension. That people with hypertension do not have a stroke it isnecessary to make effective prevention group therapy model in the community at risk. The purpose ofresearch is to identify the prevention of stroke in hypertensive patients with group therapy models(Intensive Problem Solving Group). This research design "Pretest-Posttest Design". T!1e population of allpatients with hypertension who checked himself in PHCKrembangan Surabaya, the number of samples10-15 men / women and purposive sampling technique sampling, group therapy dependent variable,independent variable levels of knowledge about hypertension and stroke prevention, mode of datacollection by using questionnaires open, closed and discussiongroups. Researchdata shows an increase inthe level of knowledge of hypertensive patients after group therapy, efforts are being made to preventstroke include Diit food (65%), regular exercise (54%), check regularly (77%), consumption of drugs on aregular basis (92%) Management of conflict / stress (59%), Maintaining healthy behavior (61%), balanceof activity and rest (56%), and the results of the analysis of the level of knowledge of hypertensivepatients before and after treatment groups using a statistical test PairedT test obtained P values: 0,000,where H1 is accepted, meaning that there is a difference between the level of knowledge abouthypertension before and after group therapy.Keywords: Hypertension, level of knowledge, prevention of stroke.

ANALYSIS OF STUNTING RISK FACTORS IN CHILDREN IN THE MAGETAN DISTRICT Nurlailis Saadah; Hilmi Yumni; Sri Mugianti; Budi Yulianto
Jurnal Berkala Epidemiologi Vol. 10 No. 3 (2022): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V10I32022.265-273

Background: The condition of failure to thrive in toddlers due to chronic malnutrition and making children too short for their age is called stunting. Purpose: This research was conducted to analyze the risk factors of stunting in children. Methods: The study was conducted from mid-May to mid-August 2020. This study developed a model for maternal empowerment in preventing and managing stunting using a cross-sectional design, then implementing the model using a quasi-experimental non-randomized pre-post control group design. The population involved was all mothers with children under five years old in Posyandu Ngariboyo, Candirejo, and Plaosan, obtaining 250 mothers. Meanwhile, the study sample was 150 mothers who had children under five years old in Posyandu Ngariboyo, Candirejo, who met the inclusion criteria. Results: Mothers with good characteristics increased their knowledge of stunting prevention and control by 0.42 times (p=0.01). Mothers with good knowledge increased their maternal commitment by 0.23 (p=0.01), and mothers who had good commitment reduced stunting by 0.45 (p=0.01). Furthermore, mothers with good knowledge increased the family support by 0.24 (p=0.01). In addition, good family support also reduced stunting by 0.26 (p=0.01). Conclusion: Mother's knowledge contributes to the prevention and management of stunting. Children's physical health, family support, nutritional status, and home environment are also important factors in stunting prevention and management. Family support is needed by mothers to realize their commitment to carrying out early detection, prevention, and control stunting.

Pemberdayaan Ibu Balita dan Kader Kesehatan dalam Inovasi Tumbuh Kembang Anak dengan “Gempita Coting” Mencegah dan Menangani Covid-19 serta Stunting Nurlailis Saadah; Hilmi Yumni; Annasari Mustafa; Budi Yulianto; Jenita Donsu; Dyah Noviawati Setya Arum; Teta Puji Rahayu; Uswatun Khasanah
JATI EMAS (Jurnal Aplikasi Teknik dan Pengabdian Masyarakat) Vol 6 No 3 (2022): Jati Emas (Jurnal Aplikasi Teknik dan Pengabdian Masyarakat)
Publisher : Dewan Pimpinan Daerah (DPD) Perkumpulan Dosen Indonesia Semesta (DIS) Jawa Timur

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36339/je.v6i3.659

In Pacalan Village in 2021 there are 14 stunted children, 11 are short, 3 are very short due to lack of nutritional intake and stimulation, improper parenting style, inadequate health at home. In addition, there are also quite complex problems in handling children related to the Covid-19 pandemic. This activity is a PPDS community service program (Healthy Village Development Program). This program is related to the role of universities in providing education and community assistance through Interproffesional Collaborations (IPC) and Interproffesional Educations (IPE). The aim of the activity is to create a healthy village through good habits for children, starting from educational play media, food consumed, and daily habits that support health. These activities were introduced as the GEMPITA COTING program (Playing Movement and Implementing Health Protocols in the Prevention of Covid-19 and Stunting). Forms of community service in the form of training and assistance regarding the implementation of the 5M health protocol for village communities, the use of media for playing board games for children, clean and healthy living behavior (PHBS), little doctors and trauma healing. This community service method involves 6 professions namely Nurse, Midwife, Environmental Health, Public Health, Psychology and Nutrition. The program targets are elementary school children, Covid working groups, sanitation, and health cadres. The results of community service are evaluated through monitoring evaluation and followed up by conveying the sustainability of the programs to the Head of Pacalan Village, Plaosan Health Center and the Magetan Health Office.

Pemberdayaan Keluarga Dalam Meningkatkan Perawatan Mandiri Pasien Gagal Ginjal Kronik di Wilayah Kerja Puskesmas Paciran Lamongan Dyah Wijayanti; Wijayanti Dyah; Fadilah Nikmatul; Minarti Minarti; Cahyono Intim; Nurkholifah Siti; Windi Yohanes Kambaru; Sulistijono Heru; Heriyanto Bambang; Asnani Asnani; Tumini Tumini; As’ari Hasyim; Suriana Suriana; Baiq Dewi Harnani; Hilmi Yumni; Dinarwiyata; Eko Rustamaji; Ferry Kumala
Health Community Engagement Vol. 2 No. 1 (2021): July
Publisher : Pusat Penelitian dan Pengabdian Masyarakat Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (179.945 KB)

Tahap akhir penyakit gagal ginjal dengan terapi hemodialisis dilaporkan menyebabkan masalah yang kompleks bagi pasien dan keluarga yang merawat. Kondisi berupa peningkatan biaya pengobatan serta jumlah tenaga edukator yang tidak cukup juga turut andil menjadi alasan perawatan mandiri penting ditingkatkan sebagai upaya meningkatkan kualitas hidup pasien dengan penyakit kronis beserta keluarganya. Keluarga dapat menjadi faktor yang sangat berpengaruh dalam menentukan keyakinan, nilai dan penerimaan pasien terhadap program pengobatan yang seharusnya dijalani. Keluarga dapat memberi dukungan dan membuat keputusan mengenai perawatan dari anggota keluarga yang sakit Tujuan pengabdian masyarakat ini adalah memberdayaan keluarga dalam meningkatkan perawatan mandiri pasien gagal ginjal kronik di wilayah kerja Puskesmas Paciran Kabupaten Lamongan. Komitmen keluarga dalam memelihara kesehatan bagi anggota keluarga yang sakit sangat diperlukan. Keluarga (pasangan/anak) adalah orang yang terdekat bagi pasien gagal ginjal kronik yang diharapkan dapat menjadi pendukung pasien dalam mencapai kemandirian perawatan. Pengabdian masyarakat ini diikuti oleh 40 orang anggota keluarga pasien gagal ginjal kronik. Kegiatan meliputi peningkatan pengetahuan dan dilanjutkan proses pendampingan keluarga terhadap perawatan mandiri pasien. Modul tentang perawatan mandiri sebagai media pendidikan kesehatan disosialisaikan terlebih dahulu kepada keluarga pasien. Hasil pengabdian masyarakat ini menujukkan peningkatan pengetahuan pada anggota keluarga pasien dan peningkatan peran keluarga dalam meningkatkan kemadirian perawatan mandiri pasien. Rekomendasi dari pengabdian masyarakat ini adalah pemberdayaan anggota keluarga sebagai pemberi perawatan perlu dikembangkan sebagai bagian dari program kesehatan masyarakat berbasis keluarga di Dinas Kesehatan Kabupaten/Kota. Dukungan dan pemantauan yang berkesinambungan dari anggota keluarga dapat meningkatkan kualtas hidup pasien gagal ginjal kronik dan keluarganya.

Empowerment of Mother's Groups to Improve Adolescent Reproductive Health in Kampung Nelayan Health Center Siti Nurkholifah; Nikmatul Fadilah; Minarti Minarti; Intim Cahyono; Yohanes Kambaru Windi; Heru Sulistijono; Bambang Heriyanto; Asnani Asnani; Tumini Tumini; Dyah Wijayanti; Hasyim As'ari; Suriana Suriana; Baiq Dewi Harnani; Hilmi Yumni; Dinarwiyata Dinarwiyata; Eko Rustamaji; Ferry Kumala
Community Empowerment in Health Vol. 1 No. 1 (2023): June 2023
Publisher : Pusat Unggulan Ipteks Poltekkes Kemenkes Surabaya

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Now, adolescent reproductive health problems are increasing, which may be caused by a lack ofknowledge, self-confidence, religiosity and family support. So we need community service activities thataim to empower women's groups in improving adolescent reproductive health in the work area of theKampung Nelayan Health Center, Gresik Regency. Adolescents' commitment to maintaining reproductivehealth requires support from the family. Mothers are the closest people to their children, so mother'ssupport is an important component in improving adolescent reproductive health. This activity wasattended by 40 mothers of adolescents. The first stage was increasing knowledge, then mentoring andthe next was empowerment. The module on reproductive health as a media for health education wasfirst socialized to the mother group. The results of the activity showed that there was an increase in theknowledge and role of mothers in improving adolescent reproductive health.

Pemberdayaan Keluarga Dalam Meningkatkan Perawatan Mandiri Pasien Gagal Ginjal Kronik di Wilayah Kerja Puskesmas Paciran Lamongan Dyah Wijayanti; Wijayanti Dyah; Fadilah Nikmatul; Minarti Minarti; Cahyono Intim; Nurkholifah Siti; Windi Yohanes Kambaru; Sulistijono Heru; Heriyanto Bambang; Asnani Asnani; Tumini Tumini; As’ari Hasyim; Suriana Suriana; Baiq Dewi Harnani; Hilmi Yumni; Dinarwiyata; Eko Rustamaji; Ferry Kumala
Health Community Engagement Vol. 4 No. 1 (2022): Januari-April
Publisher : Poltekkes Kemenkes Surabaya

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

Tahap akhir penyakit gagal ginjal dengan terapi hemodialisis dilaporkan menyebabkan masalah yang kompleks bagi pasien dan keluarga yang merawat. Kondisi berupa peningkatan biaya pengobatan serta jumlah tenaga edukator yang tidak cukup juga turut andil menjadi alasan perawatan mandiri penting ditingkatkan sebagai upaya meningkatkan kualitas hidup pasien dengan penyakit kronis beserta keluarganya. Keluarga dapat menjadi faktor yang sangat berpengaruh dalam menentukan keyakinan, nilai dan penerimaan pasien terhadap program pengobatan yang seharusnya dijalani. Keluarga dapat memberi dukungan dan membuat keputusan mengenai perawatan dari anggota keluarga yang sakit Tujuan pengabdian masyarakat ini adalah memberdayaan keluarga dalam meningkatkan perawatan mandiri pasien gagal ginjal kronik di wilayah kerja Puskesmas Paciran Kabupaten Lamongan. Komitmen keluarga dalam memelihara kesehatan bagi anggota keluarga yang sakit sangat diperlukan. Keluarga (pasangan/anak) adalah orang yang terdekat bagi pasien gagal ginjal kronik yang diharapkan dapat menjadi pendukung pasien dalam mencapai kemandirian perawatan. Pengabdian masyarakat ini diikuti oleh 40 orang anggota keluarga pasien gagal ginjal kronik. Kegiatan meliputi peningkatan pengetahuan dan dilanjutkan proses pendampingan keluarga terhadap perawatan mandiri pasien. Modul tentang perawatan mandiri sebagai media pendidikan kesehatan disosialisaikan terlebih dahulu kepada keluarga pasien. Hasil pengabdian masyarakat ini menujukkan peningkatan pengetahuan pada anggota keluarga pasien dan peningkatan peran keluarga dalam meningkatkan kemadirian perawatan mandiri pasien. Rekomendasi dari pengabdian masyarakat ini adalah pemberdayaan anggota keluarga sebagai pemberi perawatan perlu dikembangkan sebagai bagian dari program kesehatan masyarakat berbasis keluarga di Dinas Kesehatan Kabupaten/Kota. Dukungan dan pemantauan yang berkesinambungan dari anggota keluarga dapat meningkatkan kualtas hidup pasien gagal ginjal kronik dan keluarganya.

Model of Guidance: Effective Communication with the Elderly for Empowering Elderly Caregivers in Nursing Homes in Indonesia Minarti Minarti; Siti Nur Kholifah; Heru Sulistijono; Hilmi Yumni; Y.K Windi; Asnani Asnani; Intim Cahyono; Hasyim As’ari; Bambang Heriyanto; Nikmatul Fadilah; Dyah Wijayanti; Suriana Suriana; Baiq Dewi Harnani; Dinarwiyata Dinarwiyata; Eko Rustamaji W; Ferry Kumala
Frontiers in Community Service and Empowerment Vol. 1 No. 2 (2022): June
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ficse.v1i2.11

Activities related to increasing the caregiver's ability to care for the elderly who experience daily problems related to psychological approaches and the like have never been carried out. Caregiver communication does not support effective communication and is still social communication. Supported by the results of research conducted at the Nursing Home for the Elderly, it showed that there was a difference between pre and post-test in the group that received guidance or counseling treatment on the happiness of the elderly with a significant value. The purpose of this training is to empower elderly caregivers at Nursing Home at St. Yosef, Surabaya, and identify the effectiveness of the guidance model (Guidance) by caregivers. The number of participants is 50 people. The method used is cadre training through discussions, demonstrations, competence training and competence assessment. The result of training for caregivers is an increase in knowledge based on pre-test and post-test scores. There was an increase in skills seen in four skills, namely communication in the elderly, active movement, passive movement, mobilization, and daily activity training. The advantage of this cadre training is that it can effectively improve communication with the elderly people who are cared for in the orphanage. The implication of this activity is to increase the knowledge and skills of caregivers in providing care for the elderly through effective communication with the elderly in nursing homes as an effort to improve the health of the elderly.

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