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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

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 EFFECTIVENESS COMBINATION OF HYPNOBREASTFEEDING AND BREAST EXERCISES ON BREAST MILK PRODUCTION TIME IN THIRD TRIMESTER PREGNANT WOMEN Dian Puspita Reni; Rezki Puspitaningsih; Ratna Wati; Evy Nurachma
Placentum: Jurnal Ilmiah Kesehatan dan Aplikasinya Vol 11, No 1 (2023): February
Publisher : Program Studi Kebidanan Fakultas Kedokteran Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20961/placentum.v11i1.66967

Background : Global Breastfeeding Scorecard report that evaluates breastfeeding data from 194 countries, the percentage of infants under six months who are exclusively breastfed is only 9.79% (9 countries). Meanwhile, in Indonesia exclusive breastfeeding for 0-6 months is only 50.67%. Several factor inhibiting exclusive breastfeeding such as lack of breast care during antenatal and physiological conditions of the breast before or during breastfeeding. Pregnant women have difficulty expressing breast milk on the first day until third day after giving birth. One of the alternative method to speed up the breast milk production time is using hypnobreastfeeding and breast exercises.Methods: Quasi Experiment with Static Group Comparison design. Hypnobreastfeeding and breast exercises are independent variables. Breast milk production time is the dependent variable. The research sample was third trimester pregnant women whose breast milk has not come out at the Clinic Samarinda City. Total sample are 38 respondents and used purposive sampling. Samples were selected by according to inclusion and exclusion criteria. Technique analysis data bivariate used Chi-Square.Result: ρvalue (0.016) < α (0.05). The relative risk (RR) is 5,152.Conclusion: The combination of hypnobreastfeeding and breast exercises is effective on breast milk production time in third trimester pregnant women at the Clinic Samarinda City. Researchers suggest that health workers can provide training on hypnobreastfeeding and breast exercises to pregnant women whose breast milk has not come out (from 28-36 weeks of gestation), training can be done from 36 weeks of gestation.

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

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

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

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

Persepsi Remaja tentang Pendewasaan Usia Perkawinan di Wilayah Kerja Puskesmas Air Putih Kota Samarinda Wati, Ratna; Ahmadi, Khumairotul Zahro Al; Rahmawati, Dyah; Nurrachmawati, Annisa
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 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

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