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Kecemasan Menyebabkan Terjadinya Kandidiasis Vulvovaginalis Pada Primigravida di BPS Widia Husada Malang Wiwik Agustina; Sumiatun Sumiatun; Diana Noor Fatmawati
Jurnal Keperawatan Sriwijaya Vol 1, No 1 (2014)
Publisher : Universitas Sriwijaya

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Abstract

Tujuan: Kecemasan pada ibu hamil dapat mengurangi kekebalan tubuh. Kecemasan yang terjadi dalam jangka panjang dapat mempengaruhi sistem kekebalan tubuh secara keseluruhan. Kondisi hamil merupakan kondisi imunosupresan. Perubahan respon imun pada kehamilan dapat mengurangi kemampuan ibu terhadap infeksi, sehingga rentan terhadap infeksi jamur C. albicans.  Tujuan penelitian ini untuk membuktikan hubungan antara tingkat kecemasan primigravida dengan terjadinya kandidiasis vulvovaginalis. Metode: Penelitian ini merupakan penelitian korelasi dengan case control (retrospektif) desain. Populasi yang digunakan adalah semua ibu hamil yang diuji dalam beberapa bulan dari Januari hingga Agustus 2014. Sampel dipilih sesuai dengan kriteria inklusi. Teknik pengambilan sampel dilakukan dengan total sampling. Hasil: Hasil uji Spearman menunjukkan p=0,00 dengan α=0,05; ada hubungan yang signifikan antara tingkat kecemasan dengan kandidiasis vulvovaginalis. Nilai korelasi r=0.507 menunjukkan kekuatan korelasi sedang, dan  arah korelasi positif. R2=0,24 menunjukkan kecemasan memiliki pengaruhsebesar 24% terhadap kejadian candidiasis vulvovaginalis. Simpulan: Kondisi kecemasan merangsang hipotalamus pituitari axis untuk  membentuk kortisol dan menurunkan s-IgA yang sehingga tubuh rentan terhadap infeksi C. albicans. Kesimpulan dari penelitian ini ada hubungan antara tingkat kecemasan pada primigravida dengan kandidiasis vulvovaginalis. Selanjutnya disarankan untuk dilakukan pengukuran kadar kortisol sebagai tanda kecemasan dan S-IgA sebagai tanda penurunan perlindungan mukosa vagina. Kata Kunci: Kecemasan, primigravida, candidiasis vulvovaginalis
Kecemasan Menyebabkan Terjadinya Kandidiasis Vulvovaginalis Pada Primigravida di BPS Widia Husada Malang Wiwik Agustina; Sumiatun; Diana Noor Fatmawati
Jurnal Keperawatan Sriwijaya Vol. 1 No. 1 (2014): Vol 1, No 1 (2014)
Publisher : Program Studi Ilmu Keperawatan Fakultas Kedokteran Universitas Sriwijaya

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Abstract

Tujuan: Kecemasan pada ibu hamil dapat mengurangi kekebalan tubuh. Kecemasan yang terjadi dalamjangka panjang dapat mempengaruhi sistem kekebalan tubuh secara keseluruhan. Kondisi hamil merupakankondisi imunosupresan. Perubahan respon imun pada kehamilan dapat mengurangi kemampuan ibu terhadapinfeksi, sehingga rentan terhadap infeksi jamur C. albicans. Tujuan penelitian ini untuk membuktikanhubungan antara tingkat kecemasan primigravida dengan terjadinya kandidiasis vulvovaginalis. Metode: Penelitian ini merupakan penelitian korelasi dengan case control (retrospektif) desain. Populasiyang digunakan adalah semua ibu hamil yang diuji dalam beberapa bulan dari Januari hingga Agustus 2014.Sampel dipilih sesuai dengan kriteria inklusi. Teknik pengambilan sampel dilakukan dengan total sampling. Hasil: Hasil uji Spearman menunjukkan p=0,00 dengan α=0,05; ada hubungan yang signifikan antara tingkatkecemasan dengan kandidiasis vulvovaginalis. Nilai korelasi r=0.507 menunjukkan kekuatan korelasi sedang, dan arah korelasi positif. R2=0,24 menunjukkan kecemasan memiliki pengaruhsebesar 24% terhadapkejadian candidiasis vulvovaginalis. Simpulan: Kondisi kecemasan merangsang hipotalamus pituitari axis untuk membentuk kortisol danmenurunkan s-IgA yang sehingga tubuh rentan terhadap infeksi C. albicans. Kesimpulan dari penelitian iniada hubungan antara tingkat kecemasan pada primigravida dengan kandidiasis vulvovaginalis. Selanjutnyadisarankan untuk dilakukan pengukuran kadar kortisol sebagai tanda kecemasan dan S-IgA sebagai tandapenurunan perlindungan mukosa vagina.
LITERATUR REWIEW: INISIASI MENYUSU DINI DAN ASI EKSLUSIF SEBAGAI PERCEPATAN PENURUNAN STUNTING Agnis Sabat Kristiana; Diana Noor Fatmawati; Dian Samtyaningsih; Afrihal Afiif Ibaadilah
Jurnal Keperawatan Terapan Vol 7 No 1 (2021): Jurnal Keperawatan Terapan (e-journal)
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jkt.v7i1.3088

Abstract

Children are unique figures with different stages of growth and development. The period of child development is stunting. The prevalence of stunting in Indonesia is from 37.2% in 2013 to 30.8% in 2018. One of the stunting interventions is the initiation of early breastfeeding by giving breast milk or colostrum and encouraging exclusive breastfeeding. The purpose of this literature review is to analyze early initiation of breastfeeding and exclusive breastfeeding as an acceleration of stunting reduction. Search articles using databases on Google Scholar, Garuda Portal and Pubmed. There were 7 articles that met the inclusion criteria. The results of a literature review of 7 research journals stated that there was a relationship between IMD and exclusive breastfeeding with stunting. Therefore, to accelerate the reduction of stunting, it is necessary to increase the provision of IMD and exclusive breastfeeding to infants aged 0-6 months with methods that are in accordance with standards. Keywords: Early Initiation of Breastfeeding, Exclusive Breastfeeding, Stunting
Supervisi Model Akademik Terbukti Meningkatkan Kepatuhan Identifikasi Pasien Oleh Perawat Agista Paramitha Sari; Regista Trigantara; Diana Noor Fatmawati
Jurnal Keperawatan Florence Nightingale Vol 7 No 1 (2024)
Publisher : Sekolah Tinggi Ilmu Kesehatan Stella Maris Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52774/jkfn.v7i1.127

Abstract

Patient identification compliance is important in preventing patient safety incidents, so the role of the head of the room through supervision is needed to ensure that the implementation is in accordance with procedures. This study aims to determine the effect of academic model supervision in improving compliance with patient identification by nurses. The type of research is quantitative with One Group Pretest-Posttest Design. This study took the population of implementing nurses at the Inpatient Installation of Malang City Hospital as many as 55 respondents. Based on purposive sampling technique, a sample of 49 respondents was obtained. Data collection using observation sheets. The data were analyzed univariately and bivariately using the Wilcoxon test and obtained a p-value of 0.000 (<0.05). The results of this study show that the supervision of the academic model of the head of the room has a significant influence on improving the compliance of patient identification by nurses at the Inpatient Installation of Malang City Hospital. The head of the room is given the opportunity to attach a sense of responsibility and compliance of the implementing nurse to the standard procedures that have been set through the application of academic model supervision in educative, supportive, and managerial activities.
Gambaran Kadar Hemoglobin Pada Petani Buah Jeruk Pengguna Pestisida Di Desa Karangwidoro Kecamatan Dau Kabupaten Malang: Description of Hemoglobin Levels in Citrus Fruit Farmers Using Pesticide in Karangwidoro Village, Dau District, Malang Regency Azizah, Dinar Silky; Faisa, Faisa; Fatmawati, Diana Noor
Borneo Journal of Medical Laboratory Technology Vol. 6 No. 1 (2023): Borneo Journal of Medical Laboratory Technology
Publisher : Institute for Research and Community Services Universitas Muhammadiyah Palangkaraya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33084/bjmlt.v6i1.6088

Abstract

Hemoglobin is a protein that contains iron and is found in erythrocytes which functions as a carrier of oxygen from the lungs throughout the body. Hemoglobin also carries carbon dioxide back to the lungs to be exhaled out of the body. When the level of hemoglobin in the body is low, anemia is indicated. Low hemoglobin levels can be caused by the use of pesticides which are toxic chemicals and are often used by farmers to eradicate pests in the agricultural sector. Exposure to pesticides in the body causes the formation of sulfhemoglobin and methemoglobin binding which is the cause of the low amount of hemoglobin in red blood cells resulting in anemia. The purpose of this study was to describe the level of hemoglobin in citrus fruit farmers using pesticides in Karangwidoro Village, Dau District, Malang Regency. This research is a descriptive research with purposive sampling technique. The population is 76 farmers and the sample consists of 22 male farmers. Hemoglobin levels were checked using the Easy Touch Hemoglobin tool. The normal value of hemoglobin level is 13.0 g/dL-17.0 g/dL. The results showed that Hemoglobin levels in citrus fruit farmers using pesticides ranged on average 14.9 g/dL, the lowest value was 11.5 g/dL, and the highest value was 18.0 g/dL. The conclusion in this study is that almost all farmers who use pesticides have hemoglobin levels within normal limits. The suggestion for this research is to be able to add a series of complete blood profile examinations such as erythrocytes, hematocrit, leukocytes, and platelets.
FAMILY SUPPORT FOR BREAST CANCER PATIENTS WHO ARE ANXIOUS ABOUT UNDERGOING CHEMOTHERAPY Wahyudi, Rony; Trigantara, Regista; Fatmawati, Diana Noor
Jurnal Keperawatan Terapan Vol 10 No 1 (2024): Jurnal Keperawatan Terapan (E-Journal)
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jkt.v10i1.5111

Abstract

The International Agency for Research on Cancer (IARC) 2018 stated that there is an increase in cancer sufferers every year and increase in cases of breast cancer affecting women with increasing death rates. Cancer will be the biggest obstacle for humans to increase life expectancy. The research method used observational analytic with a cross sectional approach. 40 respondents had breast cancer and underwent chemotherapy using a total sampling technique. The results showed that 37 respondents (92.5%) had high family support and 32 respondents (80%) had low anxiety. The results of the Spearman's rho test show a significance value of 0.000<0.05, it can be concluded that there is a relationship between family support and the level of anxiety in breast cancer patients undergoing chemotherapy at the oncology clinic at Dr. Saiful Anwar Malang, and correlation coefficient is -0,654, it’s means that the two variables have a strong correlation with a negative value. With good family support, anxiety resulting from separation can be overcome so that patients will feel comfortable while undergoing treatment. Patients who feel comfortable during treatment prevent a decrease in the immune system which affects the healing process. Adequate family support is expected to reduce patient anxiety, so that patients can focus on treatment and recovery.
Hubungan Kejadian Hipertensi dengan Kadar Trigliserida pada Supir Bus di Terminal Arjosari Kota Malang Diki, Asrini Rambu; Fatmawati, Diana Noor; Husnah, Yeni Avidhatul
Jaringan Laboratorium Medis Vol 6, No 2 (2024): November 2024
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jlm.v6i2.12140

Abstract

Hypertension is a health problem that is widely encountered in the community and correlates with other diseases. There are many factors that cause hypertension, one of which is abnormal triglyceride levels or hypertriglycerides. Higher levels of triglycerides will inhibit the occurrence of lipogenesis. Lipogenesis is a factor that causes hypertension from food intake, this is because food has a significant role in increasing blood pressure, especially protein and fat. This study aims to determine the relationship between triglyceride levels and hypertension. This type of research is an analytical research with the crosssectional method, statistical data analysis using correlation regression, the number of population as many as 50 respondents and the sample used as many as 21 respondents. Data collection using questionnaires, blood pressure measurements and triglyceride level checks. Blood pressure measurement is done manually and then for the examination of triglyceride levels using the GPO-PAP method is carried out in the laboratory of the Bareng Health Center using a spectrophotometer. The statistical analysis used is the correlation Pearson test. The results of the study on bus drivers with high blood pressure showed that some respondents had high triglyceride levels because they often ate fatty foods. Based on the examination that has been carried out on 21 bus driver respondents at the Arjosari Terminal, Malang City, it shows that triglyceride levels and high blood pressure have no relationship, with the test results using the Pearson correlation statistical test obtained a result of P=0.0766 0.05 with a Pearson value of P=-0.069 correlation meaning that it does not have a relationship with the degree of very weak relationship.
Nurses’ therapeutic communication and its correlation with family anxiety in the intensive care unit setting Dwi Winarti, Tutik; Trigantara, Regista; Fatmawati, Diana Noor
The Journal of Palembang Nursing Studies Vol. 3 No. 3 (2024): September 2024
Publisher : Palembang MediRose Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55048/jpns135

Abstract

Background: Patients admitted to the Intensive Care Unit (ICU) are often in critical, life-threatening conditions, which are typically sudden and unplanned. This situation can lead to significant anxiety among their family members. Therapeutic communication is one strategy used by nurses to help reduce the anxiety levels of patients’ families.Objective: This study aimed to examine the relationship between nurses’ therapeutic communication skills and the anxiety levels of patients’ family members in the ICU.Methods: A cross-sectional study was conducted using purposive sampling to select 80 participants. Data were collected using the Hamilton Anxiety Rating Scale (HARS) and a therapeutic communication questionnaire. Descriptive analysis was performed, and the Spearman Rho test was used to assess correlations, with a significance level set at ? = 0.05. Results: The findings showed that 58 respondents (72.5%) perceived nurses’ therapeutic communication as being in the “good” category, while 52 respondents (65.0%) experienced mild levels of anxiety. Statistical analysis revealed a significant relationship between therapeutic communication and the anxiety levels of patients’ family members, with a p-value of 0.001 (p < 0.05) and a correlation coefficient of r = -0.351.Conclusion: The results indicate that better therapeutic communication by nurses is associated with lower anxiety levels among family members of ICU patients. Therefore, it is recommended that nurses enhance their therapeutic communication techniques to help reduce family members’ anxiety during ICU patient care.
The Correlation Study between Newborn Weight and Degree of Perineal Rupture in Spontaneous Labor: The Correlation Study between Newborn Weight and Degree of Perineal Tears in Spontaneous Labor Salsabila, Gema Alya; Diana Noor Fatmawati
Journal of Nursing Care and Biomolecular Vol 10 No 1 (2025): Journal of Nursing Care and Biomolecular
Publisher : STIKes Maharani Malang

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Abstract

Introduction: Perineal rupture is a tear in the tissue between the vagina and anus that occurs spontaneously during vaginal delivery. The clinical impact of perineal rupture is quite complex, ranging from prolonged pain, impaired wound healing, dyspareunia (pain during sexual intercourse), urinary and fecal incontinence, and psychological disorders such as anxiety and postpartum trauma. Considering the high prevalence of perineal rupture, both nationally and globally, and its impact on increasing maternal morbidity and mortality due to bleeding and infection, it is important to identify preventable risk factors, one of which is birth weight. This study aims to determine the relationship between birth weight and the incidence of spontaneous perineal rupture in normal delivery at TPMB "Suharti" Lumajang. Method: This study used an analytical observational research design, with a cross-sectional approach. Result and analysis: The results of the study showed that the Spearman's rho correlation coefficient value was 0.336 with a sig level = 0.024 <0.05 so that H0 was rejected and H1 was accepted, so it can be explained that there is a significant relationship between birth weight and the incidence of spontaneous perineal rupture in normal delivery. the greater the weight of the newborn, the greater the chance of perineal rupture.
THE THE RELATIONSHIP BETWEEN BREAST CANCER EARLY DETECTION MOTIVATION AND “SADARI” PRACTICE TOWARDS MEDICAL STUDENTS OF STIKES MAHARANI: HUBUNGAN ANTARA MOTIVASI DETEKSI DINI KANKER PAYUDARA DENGAN PRAKTIK SADARI MAHASISWI STIKes MAHARANI Fatmawati, Diana Noor; Prasitiwi, Evi Dwi
Jurnal Keperawatan Terapan Vol 7 No 1 (2021): Vol 7 No 01 (2021): Jurnal Keperawatan Terapan (e-journal)
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jkt.v7i1.3086

Abstract

Late diagnosis of breast cancer generally occurs because it is not detected at an early stage. The safest way to deal with cancer is detect it as soon as possible before it develops become more severe. Therefore, it is very important to have regular check-ups on a regular basis as an effort to prevent and detect breast cancer earlier. Breast self-examination or periksa payudara sendiri (SADARI) is one of the early detection self-procedure to prevent breast cancer. This procedure will be more effective if done as early as possible starting when women already reach their reproductive age. Objective: This research aimed to find out the relationship between motivation about breast cancer early detection and “Sadari practice. Methods: This research was correlational non-experimental with crosssectional approach. The sampling technique used is simple random sampling with a research sample of 77 students from STIKes Maharani. Collected data were analyzed using Spearman Rho. Results: 55 (71.4%) female students who have high motivation for early detection of breast cancer practice “Sadari” and 14 (18.2%) female students who have low motivation for early detection of breast cancer do not practice “Sadari”. Spearman Rho test result showed that p value is 0.001 (p less than 0.01) and in this case, mean the Ho is rejected and Ha is accepted. This result suggested that there is a relationship between motivation for early detection of breast cancer and “SADARI” practice. Conclusions and Suggestions: The female students should be able to be more routine in doing ”SADARI” practice. Keywords: Motivation, Mindfulness Practice, Early Detection of Breast Cancer