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All Journal Saintika Medika: Jurnal Ilmu Kesehatan dan Kedokteran Keluarga. Jurnal Kesehatan Hesti Wira Sakti Journal of Islamic Medicine Jurnal Ilmu Kesehatan JURNAL PENDIDIKAN TAMBUSAI Manuju : Malahayati Nursing Journal Journal of Issues in Midwifery JURNAL ILMIAH OBSGIN : Jurnal Ilmiah Ilmu Kebidanan & Kandungan Jurnal Ilmiah Manusia dan Kesehatan Placentum: Jurnal Ilmiah Kesehatan dan Aplikasinya Nutrix Journal Babali Nursing Research Jurnal Kesehatan Tambusai Jurnal Midwifery Jurnal Kesehatan Saintika Meditory Jurnal EduHealth Binawan Student Journal Jurnal Locus Penelitian dan Pengabdian Maternity and Neonatal : Jurnal Kebidanan Jurnal Ilmu Multidisplin Jurnal Riset Rumpun Ilmu Kesehatan (JURRIKES) Jurnal Ilmu Kesehatan MAKIA Jurnal Asuhan Ibu dan Anak Jurnal Multidisiplin West Science Health and Technology Journal (HTECHJ) International Journal of Health, Engineering and Technology Jurnal Ilmu Kesehatan dan Gizi Journal of Educational Innovation and Public Health Jurnal Pengabdian Masyarakat dan Riset Pendidikan Journal of Innovative and Creativity Jurnal Kesehatan International Journal Of Public Health Jurnal Siti Rufaidah Jurnal Praba: Jurnal Rumpun Kesehatan Umum Proceeding International Conference Of Innovation Science, Technology, Education, Children And Health Proceeding International Conference Of Innovation Science, Technology, Education, Children And Health
Keswara, Nila Widya
Institut Teknologi Sains Dan Kesehatan RS Dr Soepraoen, Malang, Indonesia
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PENGARUH PEMBERIAN PISANG AMBON TERHADAP PENINGKATAN KADAR HEMOGLOBIN IBU HAMIL ANEMIA Nur Azizah, Karlina Zhelda; Aksohini, Tut Rayani; Keswara, Nila Widya
coba Vol 14 No 1 (2025): November 2025
Publisher : Akademi Keperawatan Dharma Husada Kediri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32831/jik.v14i1.873

Abstract

Pendahuluan: Kehamilan merupakan berbagai perubahan anatomi dan fisiologis yang terjadi pada tubuh ibu, kehamilan sering menyebabkan masalah karena merupakan kondisi alamiah. Perubahan hemodinamik, atau aliran darah, adalah salah satu perubahan fisiologis. Penikatan volume plasma lebih besar daripada peningkatan eritrosit, yang menyebabkan anemia. Metodologi: metode penelitian yang digunakan adalah Quasi-Eksperimental Design. Bentuk desain ini yaitu Nonequivalent control group desain. Hasil:. Berdasarkan Hasil uji menunjukkan nilai Z = -3,298 dengan Asymp. Sig. (2-tailed) = 0,001. Karena nilai signifikansi < 0,05, maka dapat disimpulkan bahwa terdapat perbedaan yang signifikan antara kadar Hb sebelum dan sesudah intervensi. Artinya, pemberian tablet Fe yang disertai konsumsi Pisang Ambon secara signifikan meningkatkan kadar hemoglobin pada ibu hamil trimester II. Kesimpulan: kelompok intervensi menunjukkan peningkatan yang lebih besar dalam distribusi nilai minimum dan maksimum Hb, meskipun kedua kelompok menunjukkan peningkatan. Hasil uji statistik menunjukkan bahwa ibu hamil anemia di trimester II mendapatkan kadar hemoglobin yang lebih tinggi ketika mereka diberi Pisang Ambon dan tablet besi. Kata Kunci: Anemia, Kehamilan, Pisang Ambon.
Pengaruh Pemberian Teh Chamomile (Matricaria Chamomilla) terhadap Nyeri Desminore Primer pada Remaja Putri Usia 15 – 18 Tahun di SMK PGRI Ampelgading Sayyidaty Lailatul Jannahuthor; Nila Widya Keswara; Anik Sri Purwanti
Jurnal Ilmu Multidisiplin Vol. 4 No. 2 (2025): Jurnal Ilmu Multidisplin (Juni–Juli 2025)
Publisher : Green Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38035/jim.v4i2.1033

Abstract

Dismenore primer, atau nyeri menstruasi, adalah keluhan kesehatan yang umum dialami oleh remaja putri dan dapat mengganggu kegiatan sehari-hari. Salah satu pendekatan non-farmakologis yang banyak digunakan untuk mengurangi rasa sakit ini adalah konsumsi teh chamomile (Matricaria chamomilla). Penelitian ini bertujuan untuk mengevaluasi efektivitas teh chamomile dalam mengurangi intensitas nyeri menstruasi di kalangan remaja putri berusia 15–18 tahun di SMK PGRI Ampelgading. Penelitian ini menggunakan desain quasi-experimental dengan pendekatan pretest-posttest tanpa kelompok kontrol. Sampel terdiri dari 45 siswa perempuan yang mengalami dismenore primer, yang dipilih melalui sampling berurutan. Intervensi melibatkan pemberian teh chamomile selama tiga hari berturut-turut. Intensitas nyeri diukur menggunakan Numeric Rating Scale (NRS) sebelum dan sesudah intervensi. Hasil statistik mengungkapkan nilai signifikansi (2-tailed) sebesar 0.000 (< 0.05), menunjukkan adanya penurunan signifikan dalam tingkat nyeri setelah intervensi. Sebagai kesimpulan, teh chamomile efektif dalam mengurangi dismenore primer pada remaja putri. Disarankan agar perempuan muda mempertimbangkan penggunaan teh chamomile sebagai alternatif alami dan aman untuk mengelola nyeri menstruasi.
Hubungan Indeks Masa Tubuh (IMT) Dengan Intensitas Nyeri Punggung Pada Ibu Hamil Trimester III Keswara, Nila Widya; Syarifah, Lailatus
Jurnal Multidisiplin West Science Vol 4 No 12 (2025): Jurnal Multidisiplin West Science
Publisher : Westscience Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58812/jmws.v4i12.2909

Abstract

Pertemuan sel telur wanita dan sperma pria menghasilkan kehamilan. Masa kehamilan berlangsung dari pembuahan hingga janin lahir. Sendi panggul sedikit bergeser untuk mengakomodasi pertumbuhan janin di dalam rahim ibu. Terjadi peningkatan kelengkungan pada tulang belakang lumbal disertai tarikan bahu ke belakang. Nyeri punggung dapat terjadi karena sendi tulang belakang menjadi lebih fleksibel. Menelaah bagaimana nyeri punggung dan BMI berhubungan satu sama lain pada wanita ibu mengandung trimester III di daerah cakupan Puskesmas Jelbuk. Pengujian normalitas mengimplementasikan Kolmogorov–Smirnov, serta Uji Spearman Rank diterapkan sebagai alat uji hipotesis dalam rangkaian analisis bivariat penelitian ini. Terdapat hubungan IMT dengan nyeri punggun Perempuan hamil usia kehamilan trimester akhir yang memeriksakan diri di Puskesmas Jelbuk. Masalah nyeri belakang selama kehamilan disebabkan oleh adanya perubahan postur dan penurunan massa otot sehingga mempengaruhi keseimbangan berjalan Di kalangan ibu hamil. Dalam riset ini didapatkan hasil yang sama, dimana Indeks Massa Tubuh (IMT) dapat berhubungan dengan derajat sakit punggung yang dirasakan ibu hamil pada trimester akhir.
Hubungan Usia Awal Hamil Saat ANC Pertama Dengan Kejadian Stunting di Puskesmas Semboro Keswara, Nila Widya; Agustin, Selly
Jurnal Multidisiplin West Science Vol 4 No 12 (2025): Jurnal Multidisiplin West Science
Publisher : Westscience Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58812/jmws.v4i12.2956

Abstract

Stunting merupakan salah satu masalah gizi kronis yang berdampak pada pertumbuhan fisik, perkembangan kognitif, dan produktivitas jangka panjang anak. Faktor maternal, termasuk usia ibu saat pertama kali hamil dan melakukan pemeriksaan antenatal care (ANC), diketahui berpengaruh terhadap kondisi kesehatan janin dan risiko stunting. Usia ibu yang terlalu muda sering kali dikaitkan dengan ketidakmatangan biologis, kurangnya kesiapan psikologis, serta keterbatasan akses informasi kesehatan, sehingga dapat meningkatkan risiko gangguan pertumbuhan anak. Mengetahui hubungan antara usia awal hamil saat ANC pertama dengan kejadian stunting di wilayah kerja Puskesmas Semboro. Penelitian ini menggunakan desain analitik observasional dengan pendekatan cross-sectional. Sampel berjumlah 35 ibu yang memiliki balita dan tercatat di wilayah kerja Puskesmas Semboro. Pengumpulan data dilakukan pada bulan Agustus melalui kuesioner dan data sekunder dari buku KIA. Analisis hubungan menggunakan uji Chi-Square dengan tingkat signifikansi p < 0,05. Mayoritas responden melakukan ANC pertama pada usia ≥20 tahun (71,4%) dan sebagian besar balita termasuk kategori tidak stunting (65,7%). Hasil uji Chi-Square menunjukkan adanya hubungan signifikan antara usia awal hamil saat ANC pertama dengan kejadian stunting (p = 0,021). Terdapat hubungan bermakna antara usia awal hamil saat ANC pertama dengan kejadian stunting. Ibu yang memulai kehamilan pada usia <20 tahun memiliki risiko lebih tinggi memiliki anak stunting. Upaya edukasi kesehatan reproduksi dan peningkatan cakupan ANC dini sangat diperlukan untuk mencegah stunting.
Faktor-Faktor yang Mempengaruhi Kejadian Stunting di Desa Sukowiryo Wilayah Kerja Puskesmas Jelbuk Kabupaten Jember Puspita, Meila Putri; Keswara, Nila Widya
Jurnal Ilmiah Manusia Dan Kesehatan Vol. 9 No. 1 (2026): Jurnal Ilmiah MANUSIA DAN KESEHATAN
Publisher : FAKULTAS ILMU KESEHATAN UNIVERSITAS MUHAMMADIYAH PAREPARE

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31850/makes.v9i1.4207

Abstract

Stunting is a chronic nutritional problem that has a long-term impact on children's growth and development, and is a priority for health programmes in Indonesia. Sukowiryo Village, which is part of the Jelbuk Community Health Centre's working area in Jember Regency, still has cases of stunting among toddlers, which are thought to be influenced by multidimensional factors such as maternal education, family income, exclusive breastfeeding, the quality of complementary foods, history of infection, and environmental sanitation conditions. This study aims to identify the factors that influence the incidence of stunting and determine the dominant factors in Sukowiryo Village. The study uses an observational analytical design with a cross-sectional approach. The study population consists of all toddlers aged 24–59 months residing in the village, and the sample was determined through total sampling of 30 toddlers. The dependent variable was the incidence of stunting. The independent variables included maternal education, family income, exclusive breastfeeding, quality of complementary foods, history of infection, and environmental sanitation. Data were collected through questionnaires, anthropometric measurements, and verification of maternal and child health (MCH) cards. Analysis was performed using the Chi-Square test for bivariate relationships and logistic regression for multivariate analysis. The results of the study indicate that maternal education, family income, exclusive breastfeeding, quality of complementary feeding, history of infection, and environmental sanitation are significantly associated with stunting (p
Pengaruh Senam Hamil Yoga Butterfly terhadap Intensitas Nyeri Punggung pada Ibu Hamil Trimester Tiga Umamah Aisyah; Nila Widya Keswara
JURNAL RISET RUMPUN ILMU KESEHATAN Vol. 5 No. 1 (2026): April: Jurnal Riset Rumpun Ilmu Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jurrikes.v5i1.7615

Abstract

During gravidity, back pain is a significant issue, especially due to changes in posture along with increasing physical load in the third trimester. Muscle relaxation and stretching exercises for pregnant women can help reduce back pain, one of which is the butterfly exercise. That study aims until determine the impact to the butterfly activity on gravidity in their third trimester at TPMB Amilia Intarti Klampisrejo, Pasuruan Regency. A quantitative method was used with a quasi-experimental approach employing a one-group pre-test also post-test design. The study involved 32 third-trimester gravidity as respondents. Data were collected using purposive sampling, before-and-after measurements, and assessed with the Numeric Rating Scale (NRS). The intervention be carried out over a period of four weeks. The findings show that the butterfly pregnancy exercise effectively reduces back pain in third-trimester gravid. Therefore, the butterfly exercise can serve as an alternative method to help alleviate back pain and enhance comfort during pregnancy.
Faktor-faktor yang Mempengaruhi kepatuhan ibu dalam Memberikan Imunisasi Dasar Lengkap di TPMB Tutik Wahyuningsih Amd. Keb Firdauziah, Nicky Aurelia; Keswara, Nila Widya
Jurnal Pendidikan Tambusai Vol. 10 No. 1 (2026)
Publisher : LPPM Universitas Pahlawan Tuanku Tambusai, Riau, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jptam.v10i1.36405

Abstract

Imunisasi dasar lengkap merupakan upaya penting dalam mencegah penyakit menular pada bayi. Namun, pada cakupan1imunisasi di beberapa wilayah, termasuk Kecamatan Kaliwates, Jember, masih belum mencapai target yang direkomendasikan. Rendahnya kepatuhan ibu dalam membawa anaknya untuk imunisasi1dipengaruhi1oleh berbagai faktor, seperti pendidikan, pengetahuan, dukungan1keluarga, akses layanan kesehatan, serta peran tenaga kesehatan. Kondisi ini juga terlihat di TPMB Tutik Wahyuningsih Amd.Keb, sehingga diperlukan kajian lebih mendalam terkait faktor-faktor1yang1memengaruhi kepatuhan ibu. Penelitian ini bertujuan untuk menganalisis faktor-faktor yang memengaruhi kepatuhan1ibu dalam memberikan imunisasi dasar lengkap di TPMB Tutik Wahyuningsih Amd.Keb, Kaliwates, Jember. Penelitian ini menerapkan rancangan deskriptif analitik dengan metode potong lintang. Sebanyak 30 ibu yang memiliki bayi usia 0–12 bulan dijadikan responden melalui teknik purposive sampling. Pengumpulan data dilakukan memakai kuesioner terstruktur yang mencakup variabel pengetahuan, tingkat pendidikan, status pekerjaan, akses terhadap layanan kesehatan, dukungan keluarga, serta peran tenaga kesehatan. Analisis data dilakukan secara univariat dan bivariat menggunakan uji chi-square. Temuan penelitian mengungkapkan bahwa pengetahuan ibu (p1<10,05), pendidikan (p1<10,05), dukungan keluarga (p1<10,05), dan peran tenaga kesehatan (p1<10,05) berhubungan secara signifikan dengan kepatuhan dalam pemberian imunisasi dasar lengkap. Sementara itu, pekerjaan ibu dan akses ke fasilitas pelayanan kesehatan menunjukkan hubungan yang tidak signifikan. Berdasarkan penelitian ini disimpulkan bahwa kepatuhan ibu dalam memberikan imunisasi dasar lengkap dipengaruhi1oleh1faktor internal dan eksternal, terutama pengetahuan, pendidikan, dukungan1keluarga, dan peran1tenaga1kesehatan. Upaya peningkatan cakupan imunisasi perlu difokuskan pada edukasi ibu, penguatan dukungan keluarga, serta optimalisasi konseling dan komunikasi tenaga kesehatan.  
HUBUNGAN LAMA PENGGUNAAN ALAT KONTRASEPSI SUNTIK 3 BULAN DMPA (DEPO MEDROXYPROGESTERONE ACETATE) DENGAN PENURUNAN LIBIDO PADA AKSEPTOR KB DI PMB HANIFATUZZAQIYA SENDURO LUMAJANG Cicik Widayanti; Nila widya Keswara; Anik Sri Purwanti
Health and Technology Journal (HTechJ) Vol. 2 No. 4 (2024): August 2024
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v2i4.207

Abstract

DMPA is a hormonal contraceptive method that is often used because of its high effectiveness. However, some users report side effects in the form of decreased libido. This study used a cross-sectional design involving 150 DMPA injectable contraceptive acceptors at several health centers in City Y. This study aims to determine the relationship between the duration of use of the 3-month DMPA (Depo Medroxy Progesterone Acetate) injectable contraceptive device and the decrease in libido in birth control acceptors in PMB Hanifatuzzaqiya Senduro Lumajang. In this research, the research design used is a quantitative research design with a cross-sectional approach, namely a type of research that emphasizes measuring or observing independent and dependent variable data only once at a time. The sampling method uses a purposive sampling method, namely samples taken according to certain characteristics of 75 respondents. The data analysis technique used is data quality testing which consists of validity and reliability tests. The results of this study indicate that there is a relationship between the duration of DMPA injection contraceptive use for 3 months and a decrease in libido in contraceptive acceptors with p-value = 0.007.
The Effect of Pregnancy Exercises on Sleep Quality among Pregnant Women Sri Wahyuni; Nila Widya Keswara
Health and Technology Journal (HTechJ) Vol. 4 No. 1 (2026): February 2026
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v4i1.577

Abstract

Pregnant women commonly experience sleep disturbances, which may affect maternal well-being. Prenatal exercise is a non-pharmacological intervention that can improve sleep quality by promoting relaxation and reducing physical discomfort. This study aimed to examine the effect of prenatal exercise on sleep quality among pregnant women. A quasi-experimental study with a one-group pre-test and post-test design was conducted from May to August 2024. A total of 33 pregnant women were selected using purposive sampling. Sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI) before and after participation in a structured prenatal exercise program conducted regularly. Data were analyzed using a paired sample t-test. The mean PSQI score decreased significantly from 12.39 before the intervention to 5.44 after the intervention, with a p-value of 0.000, indicating a substantial improvement in sleep quality. Prenatal exercise has a significant positive effect on sleep quality in pregnant women. It can be recommended as a safe and effective intervention to be integrated into routine antenatal care services.
The Effectiveness of Pregnancy Exercises on Back Pain among Third Trimester Pregnant Women Novi Andani; Nila Widya Keswara
Health and Technology Journal (HTechJ) Vol. 4 No. 1 (2026): February 2026
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v4i1.613

Abstract

Back pain is one of the most common discomforts experienced by pregnant women in the third trimester. Back pain can occur due to pressure on the back muscles or shifting of the spine, which puts pressure on joints. Back pain in pregnant women often arises from pressure on the back muscles or spinal shifts, leading to joint compression. This study aimed to evaluate the effectiveness of prenatal exercise in alleviating back pain among third-trimester pregnant women. A quantitative approach with a pre-experimental design, specifically a one-group pretest-posttest, was employed. The population included all third-trimester pregnant women visiting PMB Safara Kedawung Kulon, totaling 35 individuals, who were sampled using a total sampling technique. Pain assessment was conducted using the standardized Face Pain Scale-Revised questionnaire, which did not require additional validity testing. Data were analyzed univariately through frequency percentages and bivariately using the Wilcoxon Signed Ranks Test. The results indicated that all respondents experienced back pain. During the pretest, the highest level of reported pain was more severe, experienced by 13 respondents (37.1%). Following the prenatal exercise intervention, the posttest showed that 18 respondents (51.4%) reported mild pain. Wilcoxon statistical testing yielded an Asymp. Sig. 0.001, demonstrating a significant difference between pretest and posttest results. Consequently, it was concluded that prenatal exercise has a significant effect on back pain in pregnant women in the third trimester. These findings advocate for the systematic integration of evidence-based exercise protocols into standard maternal healthcare practices, empowering midwives to offer safe, cost-effective pain management strategies that enhance maternal comfort and well-being during late pregnancy.
Co-Authors ., Sulistiyah Agustin, Selly aksohini, tut rayani Alim, Zainul Andrio, Prawasti Rahayuningtyas Anik Purwati Anik Sri Purwanti Bayu Budi Laksono Cahyaningtyas, Beta Permata Cicik Widayanti Daeri Daeri Damaiyanti, Putri Dewi Lestari Sayem Diajeng Retno Noviyati Diti Arianti Diyah Amelia Ayu K.D Eka Putri, Lita Immanda Eni Adeko Fatmawati, Yuris Firdauziah, Nicky Aurelia Indah Rahmawati Indriarti, Ina Ine Febrianti Suswardani Jannahuthor, Sayyidaty Lailatul Jumratul Aini Kartikasari, Ayudina Kartikasari, Tititan Nur Ari Dwi Kerangan, Silvana Maulina, Rifzul Mega Sanjaya Monica Marcelina Kindangen Nicke Arresta Novi Andani Novi Yuliastuti, Novi Nur Azizah, Karlina Zhelda Nuraini, Ayu Eka Nurhusna H. Umar Nurjanah Abubakar Nurkhasanah, Riya Ayomi Nurmahidayati, Intan Pitaloka, Riris Dea Pondaag, Olfi Pratiwi Rintang Puspita, Meila Putri Putri Amarela Wardana Putri, Diana Maulidia Anastasya Putri, Vina Della Septiana Agustini Qoridatul Mu&#039;awiyah Qurota Akyuni Raden Maria Veronika Widiatrilupi Rahmawati, Emilia Ramdani Dian Kartika Rani Safitri Reny Retnaningsih Reny Rosalina, Reny Rina Lasmilawati Rohi, Shelindian Lanesta Roslina Roslina Rosyidah Alfitri Rutiana Rutiana Saha, Regina sanif, dharmawati Sayyidaty Lailatul Jannahuthor Siska Sandra Masulili Siti Maimuna Bin Gani Sri Marliani Dondo Sri Wahyuni Srikandi Potabuga Sulastri Sulastri Sulistiyah Sulistyah Sulistyah suoth, yanti maslin Syarifah, Lailatus Tiyas, Ani Widianing Tut Rayani Aksohini Wijayanti Ulfa Sa’idah Umamah Aisyah Umyana . Widia Shofa Ilmiah Winanda, Shanty Windanoraya, Rhisa Windy Indrawaty Pusung Zhafirah, Muti’ah Jihan