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Breastfeeding Counseling to Improve Self Efficacy of Post Partum Mothers in Providing Exclusive Breastfeeding Jeniawaty, Sherly; Rijanto, Rijanto
Health Notions Vol 2 No 1 (2018): January, 2018
Publisher : Humanistic Network for Science and Technology (Address: Cemara street 25, Ds/Kec Sukorejo, Ponorogo, East Java, Indonesia 63453)

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Factors Affecting Menopause Rijanto, Rijanto; Jeniawaty, Sherly
Health Notions Vol 2 No 2 (2018): February 2018
Publisher : Humanistic Network for Science and Technology (Address: Cemara street 25, Ds/Kec Sukorejo, Ponorogo, East Java, Indonesia 63453)

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Background: The age of menopause between woman and other women is not similar and it depends on the factors that influence it. Some opinions suggest that menopause occurs at the age of 48-50 years, including in the climacteric period which is a syndrome of endocrine, somatic, and psychic changes at the end of the fertile / reproductive period (40-65 years). Objective: Analyze factors affecting menopause to woman. Methods: The type of this conducted research was survey research that was descriptive analytic. Population in this research was all women who aged 45-50 years at BPS Media in Surabaya, and there were 46 women. Multivariate analysis was conducted by utilizing multiple logistic regression in order to predict how far the value of dependent variable when the value of independent variable changed. Results: Multiple logistic regression analysis was performed to determine the effect of independent variables simultaneously to the dependent variable. The variable of menarcheage, job status, number of children, age in childbirthing for last child, contraception use, smoking, alcohol consumption, and disease history had p <0.25 and treated simultaneously by using forward stepwise method with 95% of confidence level. From the result of multiple logistic regression analysis, it turned out that the variable of menarche age (p = 0.762), the last childbirth age (p = 0.231), alcohol consumption (0.659), and disease history (p = 0.711) had no significant influence which p value was greater rather than Î± value (0.05), thus, it was excluded from the multiple logistic regression analysis model. Based on the result of multiple logistic regression analysis, the employment status, the number of children, the use of contraception, and smoking correlated with the occurrence of menopause with the probability value was smaller than Î± value  (0.05), which work status was p = 0.033, p = 0.003, and smoking was p = 0.003. Conclusion: From the result of multiple logistic regression analysis, it was found that job status, number of children, contraception use, and smoking were simultaneously correlated with the occurrence of menopause, which each variable had a smaller probability value than Î± value (0.05), employment status (p = 0.033), number of children (p = 0.000), contraception use (p = 0.004), and smoking (p = 0.003). From the results of logistic regression equations, it was known that the probability of premature menopause was occurred if woman who worked, had children less than 4 children, never used contraception, and ever smoked were 0.95 or 95%.  

INFLUENCE EXERCISE AEROBICS LOW IMPACT TO COMPLAINT PREMENOPAUSE Pusparini, Hanna; Jeniawaty, Sherly; Harumi, Ani Media; Nugrahini, Evi Yunita
Journal Midwifery Jurusan Kebidanan Politeknik Kesehatan Gorontalo Vol 10, No 2 (2024): Journal Midwifery
Publisher : Politeknik Kesehatan Kementrian Kesehatan Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52365/jm.v10i2.1089

During the premenopausal period there is a sharp decrease in estrogen, an increase in gonadotropins hormones, and hormonal balance disorders which cause several complaints including hot flush, bone and joint disorders, anxiety disorders, insomnia, memory loss, depression, irregular menstruation. This study aims to assess the effect of low impact aerobic exercise on premenopausal complaints. This research is a Pre-Experiment with OneGroupPretest-Posttest Designs. The sample in this study was 39 premenopausal mothers taken using purposive sumpling technique. The independent variable is low impact aerobic exercise, and the dependent variable is premenopausal complaints. Data collection used the MRS questionnaire instrument. Data were analyzed using the Wilcoxon Signed Rank Test with p<0.05. The results of the study showed that there was a decrease in premenopausal complaints after low impact aerobic exercise. From the results of the analysis using the Wilcoxon Signed Rank Test, it was concluded that there was an effect of low impact aerobics exercise on premenopausal complaints, which initially mostly had moderate complaints which changed to mild complaints. After the test was carried out, the results showed that there was an effect of low impact serobic exercise on premenopausal complaints with a p value of 0.000 < α 0.05.

UNTILIZATION OF POCKET BOOKS AS PREMENOPAUSAL MOTHER'S EDUCATION ON ANXIETY FACING MENOPAUSE Utami, Intan Tri; Sumasto, Hery; Jeniawaty, Sherly; Harumi, Ani Media
Journal Midwifery Jurusan Kebidanan Politeknik Kesehatan Gorontalo Vol 10, No 2 (2024): Journal Midwifery
Publisher : Politeknik Kesehatan Kementrian Kesehatan Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52365/jm.v10i2.1082

The first phase of a woman's natural experience before menopause is called premenopause.Decreased estrogen levels affect the physical and psychological changes of menopausal women, and trigger anxiety. This study uses the pre-experiment method through the one group pretest-posttest designs approach. The sample was taken by purposive sampling with a total of 33 respondents. The independent variables of this study were pocket book education, the dependent variables of knowledge and anxiety. Data collection used a knowledge questionnaire and a zung self-rating anxiety scale (ZSAS). To analyze whether there is an effect, a test with a wilcoxon signed rank test with a p value of <0.05 is used.The results of the study were found to increase knowledge and reduce the level of anxiety of premenopausal mothers after education using pocket books. After the test was carried out, the results of the influence of pocket book education on knowledge and anxiety facing menopause with a p value of 0.000 < α 0.05 were obtained. It can be concluded that there is an influence of pocket book education on premenopausal knowledge and anxiety facing menopause. So it is recommended that premenopausal mothers make the best use of insights about menopause.

Hubungan Kadar Hemoglobin dengan Penyembuhan Luka Perineum Ibu Nifas di TPMB Kecamatan Kenjeran Indiarti, Amalia; Jeniawaty, Sherly; Nugrahini, Evi Yunita; Pramudianti, Domas Nurchandra
Journal of Issues in Midwifery Vol. 8 No. 2 (2024)
Publisher : Journal of Issues in Midwifery

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.JOIM.2024.008.02.1

Luka perineum merupakan trauma yang dialami oleh 75% wanita yang melahirkan dan dapat menyebabkan morbiditas jika proses penyembuhan luka terganggu. Salah satu faktor yang mempengaruhi proses penyembuhan luka perineum adalah oksigenasi jaringan dan nutrisi yang berhubungan dengan kadar hemoglobin dalam darah. Tujuan penelitian ini untuk mengetahui hubungan kadar hemoglobin dengan penyembuhan luka perineum pada ibu nifas di TPMB Kecamatan Kenjeran. Jenis penelitian ini adalah analitik korelasional dengan pendekatan prospektif. Sampel pada penelitian ini diambil dengan menggunakan teknik purposive sampling dengan jumlah sampel sebanyak 37 ibu nifas dengan luka perineum. Variabel bebas dalam penelitian ini adalah kadar hemoglobin dan variabel terikatnya adalah penyembuhan luka perineum ibu nifas. Untuk menganalisis hubungan antara dua variabel menggunakan uji analisis chi-square. Hasil penelitian menunjukkan bahwa 21 (56,8%) dari 37 ibu nifas mengalami anemia postpartum. Sedangkan penyembuhan luka perineum dengan kategori baik dialami oleh 23 (62,2%) dari 37 ibu nifas. Dari hasil uji analisis chi-square terhadap kedua variabel tersebut, didapatkan nilai p-value sebesar 0,006. Karena nilai p < 0,05, maka terdapat hubungan yang signifikan antara kadar hemoglobin dengan penyembuhan luka perineum pada ibu nifas. Kadar hemoglobin berhubungan dengan distribusi oksigen dan nutrisi ke jaringan perifer. Oleh karena itu, hubungan kadar hemoglobin dengan penyembuhan luka perineum menunjukkan bahwa jika kadar hemoglobin di atas batas normal, maka semakin baik kondisi luka perineum pada hari ke-7.

The Relationship Between Pregnant Women's Compliance in Consuming Fe Tablets and Anemia Incidence Yuniarti, Dwi; Maharani, Titi; Jeniawaty, Sherly; Sumaningsih, Rahayu
Journal Midwifery Jurusan Kebidanan Politeknik Kesehatan Gorontalo Vol 11, No 1 (2025): Jurnal Midwifery
Publisher : Politeknik Kesehatan Kementrian Kesehatan Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52365/jm.v11i1.1202

Anemia pada ibu hamil menimbulkan berbagai masalah selama masa kehamilan. Pencegahan anemia dilakukan melalui pemberian tablet Fe. Tujuan penelitian ini adalah untuk mengetahui hubungan tingkat kepatuhan konsumsi makanan mengandung zat besi pada ibu hamil dengan kejadian anemia di wilayah Puskesmas Peneleh. Metode pengambilan sampel menggunakan purposive sampling. Sampel penelitian ini sebanyak 115 ibu hamil. Penelitian ini dilaksanakan pada bulan Oktober 2023 sampai dengan Mei 2024. Analisis data univariat dan bivariat menggunakan uji Chi Square. Hasil penelitian ini menunjukkan adanya hubungan yang signifikan antara kepatuhan konsumsi tablet Fe dengan kejadian anemia pada kehamilan, dengan nilai p sebesar 0,002 < α = 0,05. Penelitian ini menemukan bahwa kepatuhan konsumsi tablet Fe pada ibu hamil di wilayah Puskesmas Peneleh berhubungan dengan kejadian anemia.

PENDEKATAN PENDIDIKAN KESEHATAN BERBASIS HEALTH BELIEF MODEL DALAM UPAYA MENCEGAH STUNTING PADA IBU BALITA Jeniawaty, Sherly
2-TRIK: TUNAS-TUNAS RISET KESEHATAN Vol 15, No 2 (2025): April-Juni2025
Publisher : FORUM ILMIAH KESEHATAN

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Penelitian ini dimaksudkan untuk menganalisis pendekatan pendidikan kesehatan berbasis Health Belief Model dalam upaya mencegah stunting pada ibu balita di Desa Wonoayu Wilayah Puskesmas Wonoayu Sidoarjo. Penelitian ini merupakan penelitian pemula yang direncanakan dilaksanakan selama periode waktu 6 - 12 bulan. Health Belief Model (HBM) merupakan teori untuk mengetahui persepsi individu dalam menerima atau tidak kondisi kesehatan mereka atau menentukan sikap bagaimana individu terhadap perilaku kesehatan, namun diharapkan dapat mendorong masyarakat terutama peran ibu untuk melakukan perubahan perilaku untuk meningkatkan kesehatan dalam upaya pencegahan stunting.Stunting merupakan kondisi yang menggambarkan terhambatnya pertumbuhan seseorang dikarenakan malnutrisi jangka panjang dan meningkatkan resiko terjadinya kesakitan dan kematian serta terhambatnya pertumbuhan mental dan motorik. Oleh sebab itu penelitian ini bertujuan untuk mengetahui bagaimana pendekatan pendidikan kesehatan berbasis Health Belief Model dalam upaya mencegah stunting pada ibu balita. Secara khusus penelitian ini bertujuan untuk: (1) mengidentifikasi program pendidikan kesehatan berbasis Health Belief Model; (2) mengidentifikasi perilaku ibu balita dalam upaya mencegah stunting; (3) menganalisis pengaruh program pendidikan kesehatan berbasis Health Belief Model dalam upaya mencegah stunting pada ibu balita. Rancangan penelitian ini menggunakan quasy eksperimetal dengan pendekatan pre and post test control group design. Subjek penelitian adalah ibu yang memiliki balita di wilayah kerja Puskesmas Wonoayu. Dengan jumlah subjek penelitian adalah 30 orang untuk kelompok kontrol dan 30 orang untuk kelompok perlakuan. Teknik pengumpulan data yang digunakan adalah dengan menggunakan kuesioner dibantu dengan data dari Puskesmas serta buku pintar stunting. Teknik pengambilan data dengan non probability sampling dengan teknik purposive sampling. Data di analisis dengan menggunakan uji statistic Mc.Nemar dan untuk melihat perbedaan menggunakan uji Chi Square. Kata Kunci : Pendidikan Kesehatan, HBM, Stunting

The Effect of Giving Cinnamon Decoction Water on The Healing of Perineal Wounds of Postpartum Women at Sri Wahyuni’s PMB and Erlia Saraswati’s PMB Nely; Harumi, Ani Media; Sukesi; Jeniawaty, Sherly
Jurnal Ilmiah Kesehatan Vol 17 No 01 (2024): Vol. 17 No. 01 (2024): Jurnal Ilmiah Kesehatan (Journal of Health Science)
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/jhs.v17i01.4519

The puerperium is a sensitive time for mothers because they must care for themselves while recovering after giving birth and caring for their babies. So, a good and effective postpartum healing process can help the mother get through the puerperium. Perineal infection is a common infection in mothers after giving birth. Some literature shows that cinnamon has ingredients that can heal wounds. This study aims to see how the influence of cinnamon cooking water on the healing of perineal wounds in postpartum women. This quantitative study used a quasi-experimental design and a nonequivalent control group design approach. The population in this study were postpartum women who gave birth in March and April 2023, respectively. Using a purposive sampling approach, 60 respondents were selected and were divided into two groups. Observation sheets and checklists were used to collect data. Wilcoxon Signed Rank Test, and Mann Whitney U Test was used to analyze the data. The results showed that the average perineal wound healing in the control group was 1.60, while the average in the intervention group was 1.87. The Wilcoxon Sign Ranked Test results obtained a p-value (0.000), namely <0.05, which means there was a difference in wound healing before and after being given treatment for each group. Then, the results of the Mann-Whitney U Test obtained a p-value (0.021) <0.05, meaning there was a difference in wound healing between the treatment and control groups. So, the conclusion that can be made in this study is that giving cinnamon-boiled water affects the healing of perineal wounds in postpartum mothers.

Pemberdayaan Kader dalam Pemantauan Tumbuh Kembang Anak melalui Buku Kia di Kelurahan Wonoayu Kabupaten Sidoarjo Jeniawaty, Sherly; Utami, Sri; Rekawati, Rekawati; Sukesi, Sukesi; Sujati, Ni Ketut
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 7, No 10 (2024): Volume 7 No 10 (2024)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v7i10.16185

ABSTRAK Salah satu daerah yang masih perlu untuk diberikan pemahaman pentingnya pemantauan tumbuh kembang adalah keluarahan Wonoayu yang berada di Kabupaten Sidoarjo. Jumlah bayi balita dan anak pra sekolah ada 261. Dari jumlah tersebut ada 1,5 % yang mengalami BGM dan 6% mengalami stunting. Untuk pemantauan tumbuh kembang, 92% rutin melakukan di posyandu. Pemantauan tumbuh kembang yang dimaksudkan lebih pada penimbangan BB, sedangkan untuk perkembangannnya belum secara khusus dilaksanakan. Hal ini dapat diketahui dari buku KIA. Bagian cek list pemantauan perkembangaan dalam buku KIA seringkali masih kosong. Jika orang tua telah melakukan deteksi, seharusnya ada tanda centang (Ѵ) pada cek list yang dimaksud. Peran kader sangat diperlukan untuk menumbuhkan kemauan dan motivasi ibu dalam pemantauan tumbuh kembang anaknya dengan menggunakan buku KIA. Pada umumnya kader kesehatan sudah dilatih dalam menjalankan tugasnya seperti cara menimbang berat badan yang benar, mengisi KMS, mengisi buku KIA, sedangkan untuk memantau perkembangan belum dilakukan karena lebih banyak disibukan untuk melakukan pencatatan yang harus dilaporkan ke puskesmas. Oleh karena itu, perlu adanya pelatihan bagi kader tentang pemantauan tumbuh kembang anak dengan menggunakan buku KIA. Jika kader sudah paham bagaimana mudahnya cara memantau perkembangan anak dengan menggunakan buku KIA, mereka bisa mengajarkan pada orang tua cara memantau perkembangan, sehingga lebih meringankan tugas kader. Adanya pelatihan kader merupakan upaya menumbuhkan komitmen keluarga untuk melakukan pemantauan tumbuh kembang anak secara berkelanjutan sesuai usianya. Pelatihan dalam upaya Pemberdayan kader, dilaksanakan dengan menggunakan pendekatan system yaitu merujuk konsep Input, Proses dan Output. Dengan mengikuti kegiatan pelatihan, diharapkan orang tua lebih memahami isi buku KIA dan dapat menentukan tindakan yang harus dilakukan jika ada masalah kesehatan, khususnya tentang tumbuh kembang anaknya. Kata Kunci: Kader, Pemantauan Tumbuh Kembang, Buku KIA, ABSTRACT One area that still needs to be given an understanding of the importance of monitoring growth and development is the Wonoayu sub-district in Sidoarjo Regency. The number of toddlers and pre-school children is 261. Of that number, 1.5% experience BGM and 6% experience stunting. For growth and development monitoring, 92% routinely do it at the integrated health post. The growth and development monitoring in question is more about weighing, while for development it has not been specifically implemented. This can be seen from the KIA book. The development monitoring checklist section in the KIA book is often still empty. If parents have carried out detection, there should be a check mark (Ѵ) on the checklist in question. The role of cadres is very much needed to foster the willingness and motivation of mothers in monitoring their children's growth and development using the KIA book. In general, health cadres have been trained in carrying out their duties such as how to weigh properly, fill out the KMS, fill out the KIA book, while monitoring development has not been done because they are more busy making records that must be reported to the health center. Therefore, there needs to be training for cadres on monitoring child growth and development using the KIA book. If cadres already understand how easy it is to monitor child development using the KIA book, they can teach parents how to monitor development, thus lightening the cadres' tasks. The existence of cadre training is an effort to foster family commitment to continuously monitor child growth and development according to their age. Training in an effort to empower cadres is carried out using a system approach, namely referring to the concepts of Input, Process and Output. By participating in training activities, it is hoped that parents will better understand the contents of the KIA book and can determine the actions to be taken if there are health problems, especially regarding their child's growth and development. Keywords: Kader, Growth and Development Monitoring, KIA Book

CEGAH ANEMIA SANTRIWATI DI WILAYAH PONDOK PESANTREN KOTA SURABAYA Mairo, Queen Khoirun Nisa’; Jeniawaty, Sherly; Ginarsih, Yuni; Ngestiningrum, Ayesha Hendriana; Harumi, Ani Media; Alfiah, Siti; Purwanti, Dwi; Sari, Ira Rahayu Tiyar
MAJU : Indonesian Journal of Community Empowerment Vol. 2 No. 6 (2025): MAJU : Indonesian Journal of Community Empowerment, November 2025
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/maju.v2i6.1900

Anemia remains a global public health problem and continues to pose a significant burden in many developing countries. Several national and regional studies have reported that the prevalence of anemia among adolescent girls ranges from 14% to 50%, depending on location and survey methods, with many studies showing rates exceeding 30% in certain populations. Female students (santriwati) living in Islamic boarding schools (pondok pesantren) are particularly vulnerable to anemia. Common contributing factors include inadequate iron intake, irregular communal eating practices, limited nutritional knowledge, excessive menstrual bleeding, and restricted access to health services. The implementation of the community engagement program consisted of three main stages: (1) Socialization and initial hemoglobin (Hb) screening to obtain a preliminary overview of anemia status; (2) Health education and interactive discussions delivered through lectures, question-and-answer sessions, and educational video presentations; and (3) Evaluation and post-activity monitoring through joint reflections involving both the boarding school administrators and the participants. The combination of Hb screening, interactive counseling sessions, leaflet-based educational media, and institutional support from the boarding schools proved effective in creating a conducive environment for promoting healthy behaviors. However, challenges such as limited availability of Hb testing equipment and negative perceptions toward iron supplementation still need to be addressed through continuous approaches and cross-sectoral collaboration.

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