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All Journal Journal of Midwifery JIK- JURNAL ILMU KESEHATAN Oksitosin : Jurnal Ilmiah Kebidanan Journal of Issues in Midwifery Jurnal Kebidanan Caring : Jurnal Pengabdian Masyarakat Jurnal Kesehatan Republik Indonesia Jurnal Pendidikan Anak Usia Dini Indonesia
Rahma Dian Hanifarizani
Program Studi Sarjana Kebidanan, FKUB
Biochemistry, Genetics & Molecular Biology Dentistry Education Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary Other

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Pengaruh Ekstrak Etanol Daun Turi Merah terhadap Jumlah Koloni Bakteri di Hepar dan Kadar TGF-β Mencit Nifas yang Diinokulasi Staphylococcus aureus Hanifarizani, Rahma Dian; Santoso, Sanarto; Indrawan, I Wayan Agung
Journal of Issues in Midwifery Vol 2, No 1 (2018)
Publisher : Journal of Issues in Midwifery

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (922.769 KB) | DOI: 10.21776/ub.JOIM.2018.002.01.5

Abstract

Masa nifas merupakan periode yang rentan terhadap infeksi akibat  masuknya bakteri melalui perlukaan jalan lahir. Strain bakteri yang umumnya ditemukan pada infeksi masa nifas adalah Staphylococcus aureus. Bakteri yang masuk melalui vagina dapat menyebar melaui pembuluh getah bening atau aliran darah dan menyebar ke deluruh tubuh termasuk ke hepar. Toksin eksotoksin baktri dalam tubuh memicu innate immunity. Makrofag aktif dan mengaktivasi pelepasan sitokin-sitokin proinflamasi. Respon berlebihan dari pelepasan sitokin-sitokin proinflamasi dapat menyebabkan kerusakan jaringan yang tidak terkontrol. Untuk mengimbangi hal tersebut, tubuh mengaktifkan sitokin-sitokin antiinflamasi dan TGF-β yang berperan dalam perbaikan jaringan. Pengobatan terhadap infeksi umumnya menggunakan antibiotik. Namun beberapa bakteri telah menjadi resisten termasuk Staphylococcus aureus. Dikembangkan berbagai terapi adjuvant dari bahan alam, salah satunya Sesbania Grandiflora L.pers yang dianggap memiliki kandungan antibakteri.Tujuan penelitian ini untuk membuktikan pengaruh ekstrak daun turi merah (Sesbania grandiflora L.Pers) terhadap jumlah koloni bakteri di hepar dan kadar TGF-β pada mencit nifas  yang diinokulasi Staphylococcus aureus.Penelitian ini menggunakan true experiment dengan posttest only control group design. Hewan coba yang digunakan adalah 25 ekor mencit nifas yang dibagi menjadi 5 kelompok. Pengukuran jumlah koloni memakai metode total plate count sedangkan kadar TGF- β dilakukan dengan metode ELISA. Hasilnya adalah pemberian ekstrak daun turi merah mampu menurunkan sebaran rerata jumlah koloni bakteri di hepar dan meningkatkan kadar TGF-β pada mencit nifas yang diinokulasi Staphylococcus aureus.
PENGARUH PEMBERIAN SARI TOMAT (Solanum lycopersicum L) DAN INSULIN TERHADAP KADAR GLUKOSA, KADAR LDL, KADAR KOLESTEROL DAN BERAT BADAN LAHIR TIKUS PUTIH STRAIN WISTAR (Rattus Norvegicus) BUNTING DENGAN MODEL DIABETES MELLITUS TIPE 2 Savitri, Faradea Ubaidurrohmah; Safitri, Risma Andani Ayu; Maharani, Wening Pangesthi; Andriani, Lela Dwi; Kalsum, Umi; Proborini, Astri; Reksohusodo, Subandi; Dian Hanifarizani, Rahma
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Publisher : Journal of Issues in Midwifery

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.JOIM.2021.005.01.2

Abstract

Diabetes Mellitus is a chronic disease caused by abnormal working insulin, insulin secretion or both so that the body tends to have high glucose levels. Type 2 diabetes mellitus can cause elevated levels of LDL and cholesterol. Risks obtained by fetuses with type 2 diabetes can be in the form of macrosomia due to hyperglycemia and hyperinsulin in the body of the fetus. Insulin is the first choice pharmacological therapy for type 2 DM that can be given during pregnancy. Non-pharmacological therapy as recommended by the World Health Organization (WHO) on a healthy diet by increasing consumption of fruits and vegetables. Good fruit consumed for pregnant women with diabetes mellitus (DM) type 2 is tomatoes (Solanum lycopersicum L). The purpose of this study was to determine the administration of tomato extract (Solanum lycopersicum L) and insulin can affect glucose levels, LDL levels, cholesterol levels and birth weight of white wistar strain (Rattus norvegicus) pregnant women with type 2 diabetes mellitus models. experimental design using the pre post test only control group design and post test only control group design. Termination was done on the 17th day of pregnancy and then followed by measurements of LDL levels, cholesterol and birth weight. Data analysis using the One Way Anova test and Kruskal Wallis then continued with the Post Hoc test using. The results showed that there were significant differences between glucose levels, LDL levels, cholesterol levels and BW born in the insulin treatment group and the tomato juice treatment (p value = 0.00 <α = 0.05). The conclusion of giving insulin and tomato juice affects a decrease in glucose levels, LDL levels, cholesterol levels and birth weight.
HIGH RISK PREGNANCY DETECTION USING TELEHEALTH-BASED SCREENING Fatmawati Fatmawati; Yulia Silvani; Mustika Dewi; Ningrum Paramita Sari; Rahma Dian Hanifarizani; Anin Indriani; Rahma Ega Prospera Haryunita; Berliana Maduratna Irawati
Caring : Jurnal Pengabdian Masyarakat Vol 1, No 3 (2021): CARING Jurnal Pengabdian Masyarakat (Desember 2021)
Publisher : Caring : Jurnal Pengabdian Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (625.767 KB) | DOI: 10.21776/ub.caringjpm.2021.001.03.3

Abstract

High-risk pregnancy is a pregnancy that is likely to cause harm or complications to the mother and fetus. The high maternal mortality rate (MMR) is one of the indicators in determining the degree of public health. Early detection in pregnancy can be used as an effort to increase mother's knowledge about her pregnancy and can facilitate decision making in management. During the COVID-19 pandemic that has hit Indonesia since March 2020, it has caused changes in various aspects of life, especially having a significant impact on the public health aspect. Given the high rate of disease transmission, the use of telehealth technology can be an effective and efficient way to deal with the spread of the virus. Telehealth is one solution to overcome the problem of access to health, with telehealth it can perform screening to detect high-risk pregnancies early so that pregnant women can get continuous monitoring. The purpose of this activity is to conduct and determine the effectiveness of telehealth-based high-risk detection in pregnant women. The method of activity is in the form of community service through webinars and screenings which are carried out within 6 months online. The result of the activity is an increase in the knowledge of webinar respondents with an average pre-test value of 120 and a post-test 157 out of a total of 200. Based on the results of screening using the SIBIDAN application, from 25 pregnant women in trimesters 1,2, and 3 who became respondents, the results were 52%, low-risk group, 32% high-risk group, and 16% very high-risk group. Therefore, further assistance, monitoring, and referral are needed to minimize pregnancy complications.
PENGARUH MEDIA AUDIO VISUAL TERHADAP PENGETAHUAN KESEHATAN REPRODUKSI CALON PENGANTIN Krisjentha Iffah Agustasari; Dian Kusumaningtyas; Rahma Dian Hanifarizani
Bahasa Indonesia Vol 11 No 2 (2022): Jurnal Kebidanan
Publisher : STIKes William Booth Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47560/keb.v11i2.392

Abstract

Pengetahuan terkait kesehatan reproduksi pada calon pengantin dibutuhkan untuk meningkatkan pengetahuan calon pengantin. Pendidikan kesehatan berbasis teknologi seperti audio visual merupakan jalur yang inovatif untuk pemberian informasi kesehatan. Tujuan penelitian ini untuk mengetahui pengaruh media audio visual terhadap pengetahuan calon pengantin. Desain penelitian pre-eksperimen dengan one group pre test dan post test design. Populasi semua peserta kulwap berjumlah 61 orang dengan teknik total sampling. Analisis data dengan uji statistik Wilcoxon. Berdasarkan hasil uji Wilcoxon didapatkan ρ value < α (0.000). Tingkat pengetahuan sebelum penyuluhan (pre test) sebagian besar (75,4%) memiliki pengetahuan cukupdan setelah diberikan penyuluhan (post test) Sebagian besar (88,5%) memiliki pengetahuan baik. Hasil penelitian dapat disimpulkan penyuluhan media audio visual dapat meningkatkan pengetahuan kesehatan reproduksi calon pengantin.
Pengaruh ASI Eksklusif dan Frekuensi Menyusui terhadap Kembalinya Masa Subur pada Ibu Post Partum di Wilayah Kerja Puskesmas Arjosari Kabupaten Pacitan Dinar Kusumaningrum; Laurentia Ima Monica; Rahma Dian Hanifarizani
Journal of Issues in Midwifery Vol. 6 No. 3 (2022)
Publisher : Journal of Issues in Midwifery

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.JOIM.2022.006.03.4

Abstract

ABSTRAK ASI eksklusif merupakan pemberian air susu ibu kepada bayi sejak lahir hingga usia enam bulan sebagai nutrisi dasar bayi, tanpa menambahkan dan/atau mengganti dengan makanan dan minuman lain. Capaian ASI eksklusif di Indonesia 2019 sebesar 67,74%. Berdasarkan studi terdahulu pemberian ASI dapat digunakan oleh ibu sebagai kontrasepsi yang disebut metode amenorea laktasi namun terdapat 65,7% ibu yang tidak memanfaatkannya. Tujuan penelitian ini untuk mengetahui pengaruh ASI eksklusif dan frekuensi menyusui terhadap kembalinya masa subur pada ibu post partum. Sampel penelitian berjumlah 23 ibu post partum yang memiliki anak usia 6-18 bulan. Desain penelitian menggunakan metode kuantitatif analitik korelasi dengan pendekatan waktu cross sectional dan analisis data yaitu uji chi square. Hasil penelitian menunjukkan ibu dengan kembalinya masa subur lebih dari 6 bulan sejumlah 20 responden (87%), ibu dengan kembalinya masa subur kurang dari 6 bulan sejumlah 3 responden (13%) dengan nilai p-value 0,000 (α < 0,05). Dapat disimpulkan bahwa terdapat pengaruh ASI eksklusif dan frekuensi menyusui terhadap kembalinya masa subur ibu post partum. Kata kunci: ASI Eksklusif, Metode Amenorea Laktasi (MAL), Frekuensi Menyusui, Masa Subur, Post Partum
Persepsi Orang Tua dan Pengasuh terhadap Pemberian Imunisasi Rutin pada Balita Pasca Pandemi Covid-19 Dian Kusumaningtyas; Rahma Dian Hanifarizani
Oksitosin : Jurnal Ilmiah Kebidanan Vol. 11 No. 2 (2024): OKSITOSIN : Jurnal Ilmiah Kebidanan
Publisher : Prodi D III Kebidanan Fakultas Ilmu Kesehatan Universitas Ibrahimy

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35316/oksitosin.v11i2.4519

Abstract

Immunization is an effective strategy of the government to reduce morbidity and mortality from Preventable Diseases by Immunization (PD3I). During the Covid-19 pandemic, this situation had a significant impact on the health sector, reducing immunization coverage rates. Currently, Indonesia is in the post-Covid-19 pandemic phase characterized by positive trends in pandemic control. This study aims to understand the perceptions of parents or caregivers regarding the provision of routine immunization to children in the post-Covid-19 pandemic era. The research method used a cross-sectional design with sampling using the quota sampling method, with a total of 100 respondents. Data were collected through a questionnaire adopting the health belief model theory to parents or caregivers who brought their children to the Posyandu for immunization. The results showed that perceptions of vulnerability (p value = 0,071), seriousness (p value = 0,121), and cues to action (p value = 0,731) had an insignificant effect on immunization for toddlers, while perceptions of benefits (p value = 0,008), barriers (p value = 0,000), and self-efficacy (p value = 0,000) had a significant effect on immunization for toddlers in the post-Covid-19 pandemic era (p value < 0.05). The components of the health belief model that form the perceptions of parents or caregivers towards immunization are interconnected, although not all are statistically significant. Therefore, perceptions of vulnerability, seriousness, and cues to action need to be improved to form a good perception of immunization after the Covid-19 pandemic
Pengaruh Mindfulness Breathing Exercise Terhadap Tingkat Kecemasan Ibu Menopause Nazella Ghaniya Abdullah; Holipah; Rahma Dian Hanifarizani
Jurnal Kesehatan Republik Indonesia Vol 1 No 7 (2024): JKRI - Juli 2024
Publisher : PT. INOVASI TEKNOLOGI KOMPUTER

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

Abstract

Menopause merupakan masa saat ovarium wanita mulai berhenti memproduksi hormon estrogen, hal ini berdampak pada perubahan fisik dan psikologis. Perubahan psikologis yang umum dirasakan oleh wanita menopause adalah kecemasan. Salah satu cara mengatasi kecemasan adalah melakukan terapi berdasarkan prinsip mindfulness breathing exercise. Tujuan penelitian ini ialah untuk mengidentifikasi pengaruh mindfulness breathing exercise terhadap tingkat kecemasan wanita menopause. Metode penelitian merupakan pre experimental dengan prepost test design. Sampel yang digunakan sebanyak 40 responden. Pengukuran dilakukan pada hari ke -1 (sebelum dilakukan intervensi mindfulness), serta post test pada hari ke-3,5,8,10,12, dan 14. Analisis data yang digunakan ialah Repeated ANOVA. Hasil penelitian menunjukkan adanya penurunan signifikan skor kecemasan wanita menopause (p<0.002 di hari ke-14). Kesimpulan penelitian ini adalah intervensi mindfulness breathing exercise menurunkan tingkat kecemasan wanita menopause
Factors Affecting Cadres’ Knowledge and Ability to Identify Breastfeeding Problems in Malang District Wati, Linda Ratna; Indahwati, Lilik; Putri, Rismaina; Jannah, Miftahul; Windari, Era Nurisa; Hanifarizani, Rahma Dian
Journal of Midwifery Vol 9, No 1 (2024): Published on June 2024
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jom.9.1.26-35.2024

Abstract

Background: Breast milk is the ideal nutrient to support the growth and development of the baby. The government strives to increase exclusive breastfeeding, one of which is through the empowerment of cadres, so intensive efforts are needed to optimize the role of cadres in supporting exclusive breastfeeding. Objectives: This study aims to analyze factors related to the knowledge and ability of cadres in identifying breastfeeding problems. Methods: The research design used observational analytic with a cross-sectional approach. A total of 46 posyandu cadres in the Malang Regency area were involved in this research. Bivariate analysis using Spearman’s correlation with SPSS software version 26 and multivariate using path analysis with Smartpls software version 3. Results: The cadres' knowledge related to breast milk and breastfeeding is mostly sufficient (65.22%). The ability of cadres to identify the breastfeeding problems the most in the category is sufficient (63.04%). The pathway analysis showed that the factors that influenced knowledge were education (r=0.488) and breastfeeding experience (r=0.336), but age had a negative effect (r=-0.267). Factors that influenced the ability to identify breastfeeding problems were breastfeeding experience (r=0.542) and breastfeeding training history (r=0.469). Conclusions: Education and age are important factors in the recruitment of cadres, in addition, information and practices related to breast milk and breastfeeding obtained through experience and training are also needed to support exclusive breastfeeding.
Perspektif Orangtua Tentang Telekonsultasi Dalam Pemantauan Tumbuh Kembang Balita Mega Ulfah; Rahma Dian Hanifarizani; Mustika Dewi
JIK-JURNAL ILMU KESEHATAN Vol 6, No 2 (2022): JIK-Oktober Volume 6 Nomor 2 Tahun 2022
Publisher : STIKes ALIFAH PADANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33757/jik.v6i2.599

Abstract

Penggunaan layanan telekonsultasi mengalami peningkatan pada masa pandemi COVID-19. Metode telekonsultasi memberikan pengaruh pada masyarakat untuk memanfaatkan layanan konsultasi kesehatan guna meminimalkan rantai penyebaran COVID-19. Telekonsultasi diartikan sebagai pemberian layanan konsultasi untuk memberikan penilaian, diagnosis dan penatalaksanaan secara jarak jauh. Tujuan penelitian ini adalah untuk mengetahui perspektif orangtua tentang telekonsultasi dalam pemantauan tumbuh kembang balita. Penelitian ini dilakukan di Malang dengan pendekatan cross sectional study. Sasaran penelitian adalah orangtua yang memiliki anak dengan usia 0-5 tahun yang berjumlah 140 orang. Pengumpulan data dilakukan dengan wawancara secara daring dan luring dengan mematuhi protokol kesehatan. Berdasarkan hasil penelitian didapatkan 52 responden memikiki perspektif baik dan 88 responden memiliki perspektif kurang baik. Terdapat hubungan antara perspektif orangtua dengan penggunaan telekonsultasi dengan p value 0,006.
Karakteristik Orang Tua yang Berhubungan dengan Pengetahuan 1000 Hari Pertama Kehidupan dan Stimulasi Perkembangan Anak di Kecamatan Pakis Kabupaten Malang Iftinan, Yasmin; Andarini, Sri; Hanifarizani, Rahma Dian
Journal of Issues in Midwifery Vol. 9 No. 2 (2025): Volume 9 No 2 Tahun 2025
Publisher : Journal of Issues in Midwifery

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.JOIM.2025.009.02.2

Abstract

ABSTRAK1000 hari pertama kehidupan (HPK) mencakup fase awal dari konsepsi hingga anak mencapai usia 2 tahun, dimana masa ini dimulai dari periode kehamilan selama 270 hari. Proses perkembangan melibatkan peningkatan kompleksitas struktur dan kinerja tubuh, termasuk kemampuan motorik kasar, motorik halus, komunikasi verbal, interaksi sosial, dan kemandirian. Penelitian ini merupakan penelitian kuantitatif deskriptif metode observasional dengan pendekatan cross sectional dengan sampel menggunakan metode purposive sampling. Hasil analisis menggunakan Chi-Square memiliki nilai signifikansi pada hubungan pengetahuan 1000 HPK dengan usia ibu (P-value 0.008), pendidikan terakhir (P-value 0.000), dan pekerjaan (P-value 0.000). Pada hubungan pengetahuan stimulasi perkembangan anak dengan usia ibu (P-value 0.000), pendidikan terakhir (P-value 0.142), dan pekerjaan (P-value 0.005). Secara statistik sebagian besar terdapat hubungan antara karakteristik orang tua dengan pengetahuan orang tua mengenai 1000 HPK dan pengetahuan stimulasi perkembangan anak. Pengetahuan orang tua mengenai 1000 HPK tergolong kurang dan pengetahuan stimulasi perkembangan anak tergolong cukup. Oleh karena itu, penelitian ini dapat ditindaklanjuti untuk mengevaluasi lebih lanjut terkait pengetahuan orang tua mengenai 1000 HPK dan pengetahuan orang tua mengenai stimulasi perkembangan anak pada orang tua. Kata kunci : 1000 hari pertama kehidupan, karakteristik, pengetahuan, stimulasi perkembangan ABSTRACT             The first thousand days of life (HPK) covers the initial phase from conception until the child reaches the age of 2 years, which starts from the 270-day pregnancy period. The first thousand days of life is the golden period for children to experience the development of physical, cognitive, emotional and social aspects. This study aims to analyze the relationship between parental characteristics with knowledge of 1000 HPK and knowledge of child development stimulation in Pakis District, Malang Regency. This study is a descriptive quantitative research observational method with a cross sectional approach with a sample using purposive sampling technique with a total sample of 80 parents who have children aged 0-2 years in Pakis District, Malang Regency. The results showed that the characteristics associated with knowledge of 1000 HPK were maternal age (P-value 0.008), latest education (P-value 0.000), and occupation (P-value 0.000). In the relationship of knowledge of child development stimulation with maternal age (P-value 0.000), last education (P-value 0.142), and occupation (P-value 0.005). Statistically, there was mostly a relationship between parental characteristics and parental knowledge about 1000 HPK and knowledge of child development stimulation. Parents' knowledge of 1000 HPK was classified as insufficient and knowledge of child development stimulation was classified as moderate. Therefore, this research can be used as a government program and intensify the 1000 HPK program and the importance of stimulating child development by parents or making certain policies related to it. Keywords : first 1000 days of life, characteristics, knowledge, developmental stimulation
Co-Authors Abd. Rasyid Syamsuri Andriani, Lela Dwi Anin Indriani Astri Proborini Azizah Fristi Wulandari Berliana Maduratna Irawati Dian Kusumaningtyas Dinar Kusumaningrum Era Nurisa Windari Fatmawati Fatmawati Fitria Silvi Nur Aini Holipah Holipah I Wayan Agung Indrawan Iftinan, Yasmin Indriati Dwi Rahayu Krisjentha Iffah Agustasari Laurentia Ima Monica Lilik Indahwati Maharani, Wening Pangesthi Mega Ulfah Miftahul Jannah Mustika Dewi Nazella Ghaniya Abdullah Ningrum Paramita Sari Rahma Ega Prospera Haryunita Rismaina Putri Safitri, Risma Andani Ayu Safrina Dewi Ratnaningrum Sanarto Santoso Savitri, Faradea Ubaidurrohmah Shibarani Gita Pratiwi Sri Andarini Subandi Subandi Wati, Linda Ratna Yulia Silvani