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All Journal Jurnal Kreativitas PKM Manuju : Malahayati Nursing Journal JIDAN (Jurnal Ilmiah Bidan) Contagion: Scientific Periodical Journal of Public Health and Coastal Health Ahmar Metastasis Health Journal (AMHJ) Jurnal Kesehatan Kusuma Husada The Eastasouth Management and Business
Ratna Wati
Politeknik Kesehatan Kementerian Kesehatan Kalimantan Timur
Decision Sciences, Operations Research & Management Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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Kombinasi Aromaterapi Lavender dan Brain Gym Efektif terhadap Penurunan Tingkat Stres pada Mahasiswa Kebidanan Semester VI Dian Puspita Reni; Rezki Puspitaningsih; Fara Imelda Theresia Patty; Ratna Wati
JIDAN (Jurnal Ilmiah Bidan) Vol 9 No 1 (2021): Vol 9 No 1 (Edisi Juli - Desember 2021)
Publisher : POLTEKKES KEMENKES MANADO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47718/jib.v9i1.1551

Abstract

Background: Stress is the body's mental and physiological response to a physical. Students in the final semester have a heavier load and task. Students are prone to experiencing stress during the educational process. Handling stress can be solved with relaxation combined between lavender therapy and brain gym. The purpose was to determine the effectiveness of combination between lavender therapy and brain gym on decreasing stress level. Method: Quasi-experimental research with time series design. Sample was 24 people. Technique sampling used purposive sampling with inclusion and exclusion criteria. Lavender aromatherapy and brain gym are independent variables, student stress level is dependent variable. The daily data analysis technique of pretest and posttest stress levels uses Marginal Homogeneity and differences in stress levels using Friedman's test with post-hoc Wilcoxon. Result: Marginal Homogeneity test for stress levels on 1st day to 7th day of pretest and posttest obtained a significance value ρ <0.05 and Friedman's test with Post-hoc Wilcoxon 0,000 (ρ < 0.001). Conclusion: The combination of lavender aromatherapy and brain gym is effectively decreasing stress level on Semester VI of Midwifery Student and there is a difference in stress levels between pretest and posttest on 1st day to 7th day.
THE MATURITY OF MARRIAGE AGE AS A STRATEGY TO PREVENT PREMARITAL SEXUAL BEHAVIOR AMONG ADOLESCENTS IN SAMARINDA Wati, Ratna; Nurrachmawati, Annisa; Gunawan, Ike Anggraeni; Rohmah, Nur; Wahyutri, Endah; Arifin, Muhammad; Jasmawati, Jasmawati; Raihanah, Siti
Jurnal Kesehatan Kusuma Husada Vol. 16 No. 1, Januari 2025
Publisher : Universitas Kusuma Husada Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34035/jk.v16i1.1661

Abstract

Premarital sexual behavior has become a significant social issue among adolescents in Indonesia, particularly concerning the high rates of child marriage and unintended pregnancies. Despite efforts to promote Marriage Maturity to reduce these rates, its effectiveness requires further investigation, especially in the context of adolescent motivation to avoid risky sexual behavior. This study aims to explore adolescent motivation to avoid premarital sexual behavior by applying the Protection Motivation Theory (PMT), which involves threat appraisal and coping appraisal in adolescent decision-making to delay early marriage. This research employs a qualitative method with a phenomenological approach. Informant consisted of adolescents aged 15-19 years in Samarinda City who had received information about marriage maturity. Data was collected through in-depth interviews with six purposively selected Informant using intensity sampling techniques. Data validity was ensured through source triangulation and documentation. Collected data were analyzed using QSR NVIVO 12 Pro. The findings reveal that adolescents’ understanding of marriage maturityis still limited, and the threat of premarital sexual behavior is perceived as low by most Informant. Factors such as perceptions of severity adolescents are quite good because they have seen firsthand the impacts of premarital sex. For response efficacy and self-efficacy in delaying the age of marriage, these are relatively high among adolescents exposed to PUP. This is because they have parental and peer support providing information related to PUP. Additionally, social environment, media exposure, and education levels shape adolescents' responses to marriage maturityas a protective measure.
Edukasi Kesehatan Reproduksi dan Pelatihan Media Promosi Kesehatan untuk Aktivasi Posyandu Remaja Kelurahan Sengkotek Samarinda Wati, Ratna; Al Banjari, Safriansyah; Rahmawati, Dyah; Isnaini, Nahara; Ahmadi, Khumairotul Zahroh Al; Karina, Refryana; Nurrachmawati, Annisa
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 8, No 3 (2025): Volume 8 No 3 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v8i3.19082

Abstract

ABSTRAK  Posyandu remaja berperan penting dalam menjaga kesehatan remaja termasuk kesehatan reproduksi. Beberapa kendala pelaksanaan posyandu remaja kurangnya pengetahuan kesehatan dari kader remaja serta rendahnya minat remaja untuk hadir. Salah satu strategi mengaktifkan posyandu remaja adalah dengan edukasi dan pelatihan kepada kader remaja. Tim pengabdian masyarakat melaksanakan edukasi kespro remaja dengan metode ceramah dan diskusi. Selain itu dilakukan pula pelatihan canva dengan metode cerahmah dan praktik langsung membuat media kesehatan berupa poster kesehatan. Hasil dari pengabdian ini adalah adanya peningkatan pengetahuan kader remaja mengenai kespro remaja, dan peningkatan keterampilan membuat media yaitu media poster. Implementasi pemberdayaan menggunakan motode Participatory Rural Action (PRA). Hasil kegiatan ini meliputi penyegaran dan sosialisasi kepada kader posyandu remaja, terjalin kemitraan dengan akademisi Universitas Mulawarman dan Poltekkes Kemenkes Kaltim. Kata Kunci: Pemberdayaan, Remaja, Kesehatan  ABSTRACT The Integrated Service Post (Posyandu) for adolescents plays an important role in maintaining adolescent health, including reproductive health. Some obstacles to implementing adolescent posyandu are the lack of health knowledge from adolescent cadres and the low interest of adolescents to attend. One strategy to activate adolescent posyandu is through education and training for adolescent cadres. The community service team carries out adolescent reproductive health education using lecture and discussion methods. In addition, Canva training was also carried out using the terangmah method and direct practice in making health media in the form of health posters. The results of this service are an increase in the knowledge of adolescent cadres regarding adolescent reproductive health, and an increase in skills in making media, namely poster media. The implementation of empowerment uses the Participatory Rural Action (PRA) method. The results of this activity include refreshment and socialization to adolescent posyandu cadres, establishing partnerships with academics from Mulawarman University and the Poltekkes of the Ministry of Health of East Kalimantan. Keywords: Empowerment, Youth, Health
Penerapan Aplikasi E-Duva untuk Deteksi Dini Kanker Serviks pada Wanita Usia Subur di Sempaja Jasmawati, Jasmawati; Raihanah, Siti; Wati, Ratna
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 8, No 3 (2025): Volume 8 No 3 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v8i3.19699

Abstract

ABSTRAK Program penerapan Aplikasi E-DUVA bertujuan meningkatkan kesadaran dan cakupan pemeriksaan IVA pada Wanita Usia Subur (WUS) di Kelurahan Sempaja Selatan guna menurunkan angka kejadian kanker serviks. Berdasarkan data dari Puskesmas Sempaja, hanya 40% WUS yang telah melakukan pemeriksaan IVA, dengan 10% hasil positif dan satu kasus kanker serviks yang sedang dalam pengobatan. Rendahnya angka pemeriksaan ini menunjukkan perlunya upaya edukasi yang lebih intensif mengenai pentingnya skrining dini. Metode yang digunakan dalam program ini adalah edukasi dan penerapan Aplikasi E-DUVA, yang berisi informasi mengenai kanker serviks dan pentingnya pemeriksaan IVA. Program ini melibatkan tokoh masyarakat, kader kesehatan, dan tenaga medis dalam penyuluhan dan pendampingan. Selain itu, dilakukan pre-test dan post-test untuk mengukur peningkatan pengetahuan WUS setelah intervensi. Hasil program menunjukkan bahwa penggunaan Aplikasi E-DUVA meningkatkan pemahaman dan kesadaran WUS terhadap pentingnya pemeriksaan IVA, dengan peningkatan pengetahuan sebesar 90%. Selain itu, terjadi peningkatan jumlah WUS yang bersedia melakukan pemeriksaan IVA. Keberhasilan program ini menunjukkan bahwa edukasi berbasis teknologi dapat menjadi solusi efektif dalam meningkatkan cakupan skrining dini kanker serviks. Kesimpulannya, Aplikasi E-DUVA efektif dalam meningkatkan kesadaran dan partisipasi WUS dalam pemeriksaan IVA. Disarankan agar program ini terus berlanjut dengan dukungan dari tenaga kesehatan, kader, dan pemerintah setempat agar angka kejadian kanker serviks dapat terus menurun melalui deteksi dini yang optimal. Kata Kunci: Pemeriksaan IVA, Kanker serviks, Edukasi kesehatan, Aplikasi E-DUVA, Deteksi dini  ABSTRACT The implementation of the E-DUVA application aimed to increase awareness and coverage of IVA screening among women of reproductive age (WUS) in Sempaja Selatan to reduce the incidence of cervical cancer. Based on data from Puskesmas Sempaja, only 40% of WUS had undergone IVA screening, with 10% testing positive and one case undergoing cervical cancer treatment. The low screening rate indicated the need for more intensive educational efforts regarding the importance of early detection. The method used in this program involved education and the application of E-DUVA, which provided information about cervical cancer and the significance of IVA screening. This program engaged community leaders, health cadres, and medical personnel in outreach and assistance. Additionally, pre-tests and post-tests were conducted to measure the increase in WUS knowledge after the intervention. The results of the program showed that the use of the E-DUVA application improved WUS understanding and awareness of the importance of IVA screening, with a 90% increase in knowledge. Furthermore, there was a rise in the number of WUS willing to undergo IVA screening. The program's success indicated that technology-based education could be an effective solution in enhancing early cervical cancer screening coverage. In conclusion, the E-DUVA application was effective in raising awareness and participation in IVA screening. It was recommended that this program be sustained with support from healthcare workers, cadres, and local government to further decrease cervical cancer incidence through optimal early detection. Keywords: IVA screening, Cervical cancer, Health education, E-DUVA application, Early detection
Field Massage as a Complementary Therapy to Phototherapy in Neonates with Hyperbilirubinemia Rizki Amelia; Motik, Rachmawati Putri; Hendra, Hendra; Supriadi, Supriadi; Pramono, Joko Sapto; Jasmawati, Jasmawati; Syukur, Nursari Abdul; Raihana, Siti; Ratna Wati; Putri, Rosalin Ariefah; Cholsakhon, Panyada
Ahmar Metastasis Health Journal Vol. 4 No. 4 (2025): Ahmar Metastasis Health Journal
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amhj.v4i4.429

Abstract

Hyperbilirubinemia is a common neonatal condition requiring prompt treatment to prevent complications. While phototherapy is the standard approach, it has limitations and potential side effects, such as diarrhea, dehydration, skin rashes, retinal damage, hyperthermia, extended hospital stays, maternal-infant separation, and disruptions in breastfeeding. This study aimed to evaluate the effectiveness of Field massage as a complementary therapy to phototherapy in reducing serum bilirubin levels in neonates. Field massage is a gentle manipulation technique performed on the face, chest, abdomen, limbs, and neck to stimulate the vagus nerve and enhance metabolic processes, which is believed to help lower serum bilirubin levels and has shown no negative side effects. This research method used a quasi-experimental study conducted at Abdoel Wahab Sjahranie Hospital from March to June 2024 involving 20 neonates divided into two groups: a treatment group that received Field massage and phototherapy (n = 10) and a control group that only received phototherapy (n = 10). Field massage was administered twice daily at 07:00 and 16:00 for 15–20 minutes, at least one hour after feeding. Statistical analysis was conducted using the Paired T-Test to assess changes in bilirubin levels before and after treatment, while the Independent T-Test was used to compare outcomes between the treatment and control groups. The results of the study showed serum bilirubin levels decreased significantly in both groups, with a greater reduction observed in the treatment group (15.28 ± 3.01 mg/dL to 7.09 ± 1.60 mg/dL, p = 0.000) compared to the control group (15.94 ± 2.88 mg/dL to 8.63 ± 1.57 mg/dL, p = 0.000). Post-intervention analysis confirmed the superior efficacy of the combined therapy (p = 0.043). These results suggest that combining field massage with phototherapy is more effective in reducing bilirubin levels than is phototherapy alone. It was concluded that Field massage enhances phototherapy’s effectiveness in managing neonatal hyperbilirubinemia. Future research should include larger samples and explore additional therapies to reduce bilirubin. Examining phototherapy duration, hospitalization length, and bowel movement frequency could provide deeper insights.
Persepsi Remaja tentang Pendewasaan Usia Perkawinan di Wilayah Kerja Puskesmas Air Putih Kota Samarinda Ratna Wati; Khumairotul Zahro Al Ahmadi; Dyah Rahmawati; Annisa Nurrachmawati
Malahayati Nursing Journal Vol 7, No 4 (2025): Volume 7 Nomor 4 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v7i4.19134

Abstract

ABSTRACT Marriage is a planned path and prepared to form a prosperous and happy family. However, child marriage is recognized as a detrimental practice. Field facts often ignore the priority of age maturity, maturity, mentality towards marriage. Early marriage is almost in all regions with a trend of first child marriage of girls before 18 years or 15 years. The background factors for early marriage are related to economics, education, parental coercion, customs and also because of pregnancy outside of marriage. Based on that, the researcher wants to raise the focus of the research, namely to explore in depth the perception of adolescents about the maturity of the age of marriage in the Air Putih Health Center work area. The purpose of the study is to explore in depth the perception of adolescents including knowledge related to the Maturation of the Age of Marriage, practice, views, and beliefs of social norms related to early marriage, adolescent behavior towards external motivation to marry early, and adolescent self-efficacy in maintaining attitudes to prevent early marriage in the Air Putih Health Center Work Area, Samarinda City. This type of research uses a qualitative method with a phenomenological approach. The informants of this study were male and female teenagers aged 16-18 years who lived in Samarinda City, whether or not they had received PUP information. The selection of purposive adolescent informants used intensity sampling techniques, accidental through searches with 5 research subjects consisting of 2 male teenagers and 3 female teenagers. The data collection technique used was in-depth interviews. Then the data obtained was analyzed and reduced through a coding system assisted by open code software, followed by categorization of open code output data. The output, adolescents with good economic status, educated parents, strong culture and traditions, is sufficient to realize PUP. Adolescent perceptions need to be strengthened by efforts to raise awareness of the importance of PUP through health education and efforts by community leaders.  Keywords: Motivation, Leadership Style, Nurse’s Behavior, Medical Waste ABSTRAK Pernikahan ialah jalan terencana juga disiapkan guna terbentuknya sebuah keluarga sejahtera juga bahagia. Namun, pernikahan anak diakui selaku praktik merugikan. Fakta lapangan banyak pengabaian keutamaan pematangan usia, kedewasaan, mental menuju pernikahan. Pernikahan usia dini hampir diseluruh wilayah dengan tren perkawinan anak perempuan pertama sebelum 18 tahun ataupun 15 tahun. Adapun faktor latar belakang adanya pernikahan dini terkait ekonomi, pendidikan, paksaan orang tua, adat istiadat juga sebab hamil di luar nikah. Berdasar itu, peneliti ingin mengangkat fokus penelitian yakni menggali secara mendalam persepsi remaja tentang pendewasaan usia perkawinan di wilayah kerja Puskesmas Air Putih. Tujuan penelitian guna penggalian mendalam persepsi remaja diantaranya pengetahuan terkait Pendewasan Usia Perkawinan, pengamalan, pandangan, juga keyakinan norma sosial terkait pernikahan dini, perilaku remaja ke motivasi ekternal untuk menikah dini, serta efikasi diri remaja atas pertahanan sikap pencegahan pernikahan dini di Wilayah Kerja Puskesmas Air Putih Kota Samarinda. Jenis penelitian ini bermetode kualitatif berpendekatan fenomenologi. Informan penelitian ini yakni remaja pria juga wanita 16-18 tahun yang tinggal di Kota Samarinda, baik pernah/belum mendapat informasi PUP. Pemilihan informan remaja purposiveberteknik intensity sampling, accidental lewat pencarian dengan subjek penelitian ini berjumlah 5 orang terdiri dari 2 remaja laki-laki juga 3 remaja Perempuan. Teknik pengumpulan data yang digunakan adalah wawancara mendalam (indepth interviews). Lalu perolehan data dianalisa dan direduksi lewat sistem coding berbantuan software open code, dilanjutkan pengkategorisasian data output open code. Outputnya, remaja berperekonomian baik, orang tua berpendidikan, budaya juga tradisi kuat, cukup guna mewujudkan PUP. Persepsi remaja perlu diperkuat dengan upaya penyadaran pentingnya PUP melalui pendidikan kesehatan juga upaya tokoh masyarakat. Kata Kunci: Pernikahan, Pernikahan Dini, Pendewasaan Pernikahan, Remaja, Persepsi 
THE MATURITY OF MARRIAGE AGE AS A STRATEGY TO PREVENT PREMARITAL SEXUAL BEHAVIOR AMONG ADOLESCENTS IN SAMARINDA Ratna Wati; Annisa Nurrachmawati; Ike Anggraeni Gunawan; Nur Rohmah; Endah Wahyutri; Muhammad Arifin; Jasmawati Jasmawati; Siti Raihanah
Jurnal Kesehatan Kusuma Husada Vol. 16 No. 1, Januari 2025
Publisher : Universitas Kusuma Husada Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34035/jk.v16i1.1661

Abstract

Premarital sexual behavior has become a significant social issue among adolescents in Indonesia, particularly concerning the high rates of child marriage and unintended pregnancies. Despite efforts to promote Marriage Maturity to reduce these rates, its effectiveness requires further investigation, especially in the context of adolescent motivation to avoid risky sexual behavior. This study aims to explore adolescent motivation to avoid premarital sexual behavior by applying the Protection Motivation Theory (PMT), which involves threat appraisal and coping appraisal in adolescent decision-making to delay early marriage. This research employs a qualitative method with a phenomenological approach. Informant consisted of adolescents aged 15-19 years in Samarinda City who had received information about marriage maturity. Data was collected through in-depth interviews with six purposively selected Informant using intensity sampling techniques. Data validity was ensured through source triangulation and documentation. Collected data were analyzed using QSR NVIVO 12 Pro. The findings reveal that adolescents’ understanding of marriage maturityis still limited, and the threat of premarital sexual behavior is perceived as low by most Informant. Factors such as perceptions of severity adolescents are quite good because they have seen firsthand the impacts of premarital sex. For response efficacy and self-efficacy in delaying the age of marriage, these are relatively high among adolescents exposed to PUP. This is because they have parental and peer support providing information related to PUP. Additionally, social environment, media exposure, and education levels shape adolescents' responses to marriage maturityas a protective measure.
Decision Making Behavior in Seeking Help and Utilizing Health Services in Maternal Death Cases in Berau Regency: Application of Andersen's Behavior Model and Pass Model Heni Sudiastiningsih; Iwan Muhammad Ramdan; Annisa Nurrahmawati; Nur Rohmah; Jasmawati Jasmawati; Dini Indo Virawati; Ratna Wati; Muhammad Arifin
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 7, No 3 (2025): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v7i3.26127

Abstract

One of the causes of the high maternal mortality rate is the delay in seeking help. Delays in seeking help will have an impact on further delays, namely delays in utilizing health facilities which result in delays in receiving appropriate and adequate services. This study is a qualitative research with a phenomenological approach by collecting data through in-depth interviews with families of cases of maternal death in Berau with the aim of exploring the family's experience in the process of seeking health help by utilizing health services for pregnant women. The results showed that social support was related to family demographics with treatment practices still found based on local tribal customs. Perceived severity and vulnerability motivated families to seek health care. Trust in the ability of health workers also plays a role in the utilization of health facilities. This study provides information for families of pregnant women, communities and policy makers in designing more effective health programs, especially increasing knowledge related to maternal health. Improving the professionalism and competence of health workers as an attraction for the community to choose health services as the first choice when they need help Keyword: Maternal mortality;health seeking behavior ;health care utilization
Pilot Project in Educational Service Marketing : Case Study: Poltekkes Kemenkes Kalimantan Timur Ratna Wati; Sri Wahyuni; Desi Iska Fadhila; Andi Sirajuddin; Nur Laili; Masrur Yahya
The Eastasouth Management and Business Vol. 4 No. 03 (2026): The Eastasouth Management and Business (ESMB)
Publisher : Eastasouth Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58812/esmb.v4i03.1061

Abstract

Digital transformation in educational service marketing has become a strategic necessity for enhancing institutional competitiveness, compelling educational institutions to adopt adaptive and innovative marketing strategies. This study aims to analyze the implementation of the Ministry of Health (Kementerian Kesehatan/Kemenkes) branding at Poltekkes Kemenkes East Kalimantan, one of five Poltekkes designated as pilot projects. The study focuses on the optimization of Instagram as a medium for educational service marketing. A qualitative case study approach was employed. Data were collected through in-depth interviews, observation, and documentation. The findings indicate that digital branding implementation significantly improved institutional visibility, reflected in the increase of Instagram followers from 9,000 to 19,200 within three months. Four important findings emerged: transformation of digital strategy, academic community involvement, effectiveness of value-based content, and the gap between awareness and engagement. The study concludes that digital branding effectiveness is determined not only by content distribution but also by audience interaction quality.
Co-Authors Ahmadi, Khumairotul Zahroh Al Al Banjari, Safriansyah Andi Sirajuddin Annisa Nurrachmawati Annisa Nurrachmawati Annisa Nurrahmawati Cholsakhon, Panyada Desi Iska Fadhila Dian Puspita Reni Dini Indo Virawati Dyah Rahmawati Endah Wahyutri Endah Wahyutri Fara Imelda Theresia Patty Heni Sudiastiningsih Ike Anggraeni Ike Anggraeni Gunawan Isnaini, Nahara Iwan Muhammad Ramdan Jasmawati Jasmawati Jasmawati Jasmawati Jasmawati, Jasmawati Joko Sapto Pramono Karina, Refryana Khumairotul Zahro Al Ahmadi Masrur Yahya Motik, Rachmawati Putri Muhammad Arifin Muhammad Arifin Muhammad Arifin Nur Laili Nur Rohmah Nur Rohmah Nur Rohmah Nursari Abdul Syukur Nurwijayanti Rahmawati, Dyah Raihana, Siti Rezki Puspitaningsih Rizki Amelia Rosalin Ariefah Putri Siti Raihanah Siti Raihanah Sri Wahyuni Supriadi Supriadi