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Faktor – Faktor Yang Mempengaruhi Pemilihan KB IUD Pasca Plasenta Di RSU Muslimat Ponorogo Naning Fitriana; Tut Rayani Aksohini Wijayanti
Journal of Innovative and Creativity Vol. 5 No. 3 (2025)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/joecy.v5i3.5709

Abstract

Postpartum contraception is essential because fertility can return unpredictably soon after childbirth, even before the resumption of menstruation. This study aimed to examine the factors associated with mothers’ decisions to use an intrauterine device (IUD) as a postpartum contraceptive method. A cross-sectional quantitative design was applied, involving 100 postpartum mothers recruited through purposive sampling based on established inclusion criteria. Data collection was conducted using a validated questionnaire, and data analysis employed the Chi-Square test to identify associations between variables. The findings revealed that maternal age (p < 0.05) and education level (p < 0.05) were significantly associated with the selection of postpartum IUD. In contrast, occupation (OR = 0.399), parity (OR = 0.838), type of delivery (OR = 1.528), and husband’s support (OR = 0.678) did not demonstrate significant relationships (p > 0.05). These results indicate that age and education are key determinants influencing postpartum IUD uptake, while other demographic and obstetric factors have little impact. Strengthening counseling on Long-Acting Contraceptive Methods (LACM), particularly for younger mothers and those with lower education levels, is therefore necessary to improve IUD utilization in healthcare facilities. Enhancing provider communication and ensuring that postpartum counseling is consistently integrated into maternal health services may further support informed contraceptive decision-making.
Pengaruh Pendidikan Breastfeeding Father terhadap Dukungan Ayah dalam Pemberian ASI pada Ibu Postpartum di RSU Muslimat Ponorogo Kun Marátin Sholikhah; Tut Rayani Aksohini Wijayanti
Journal of Innovative and Creativity Vol. 5 No. 3 (2025)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/joecy.v5i3.5736

Abstract

Exclusive breastfeeding during the first six months of life is crucial for ensuring optimal infant growth and preventing various diseases. The success of breastfeeding is not determined solely by the mother, but is also influenced by the husband’s involvement as a Breastfeeding Father. This study aims to examine the effect of Breastfeeding Father education on fathers’ support in exclusive breastfeeding. The research employed a quasi-experimental approach using a one-group pretest–posttest design. A total of 49 respondents were selected through purposive sampling. Data were collected using a questionnaire assessing fathers’ knowledge and support related to breastfeeding, and were analyzed using the Wilcoxon test. The findings demonstrated a significant effect of Breastfeeding Father education on increasing paternal support in exclusive breastfeeding (Z = –4.094; p < 0.001). Fathers’ support improved markedly after the educational intervention. Further analysis indicated that enhanced paternal knowledge directly contributed to stronger emotional and practical support for mothers. This study concludes that the husband’s involvement plays a vital role in the success of exclusive breastfeeding, and the results highlight the importance of implementing structured educational programs for fathers to strengthen exclusive breastfeeding outcomes.
PENGARUH PEMBERIAN AROMATERAPI PEPPERMINT TERHADAP MUAL MUNTAH PADA IBU HAMIL TRIMESTER 1: Riska Hadi Meilana Pratiwi1, Tut Rayani Aksohini Wijayanti2 Pratiwi, Riska Hadi Meilana; Wijayanti, Tut Rayani Aksohini
Jurnal Kesehatan Tambusai Vol. 7 No. 1 (2026): MARET 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v7i1.53217

Abstract

Kehamilan trimester pertama sering disertai mual muntah (emesis gravidarum) akibat perubahan hormonal yang dapat mengganggu asupan nutrisi ibu. Aromaterapi peppermint merupakan salah satu pendekatan komplementer nonfarmakologis yang berpotensi meredakan keluhan tersebut. Menilai dampak Efektivitas aromaterapi peppermint terhadap tingkat mual muntah pada ibu hamil trimester pertama. Desain penelitian berupa kuasi-eksperimen dengan pretest–posttest dan kelompok kontrol. Sebanyak 32 ibu hamil menjadi sampel melalui consecutive sampling. Kriteria inklusi meliputi usia gestasi 8–12 minggu, kehamilan tunggal, dan frekuensi mual muntah tidak lebih dari 10 kali per hari (kategori non-hyperemesis). Kriteria eksklusi yaitu adanya komplikasi kehamilan seperti hyperemesis gravidarum, perdarahan pervaginam, serta alergi terhadap aromaterapi peppermint. Analisis data memakai uji statistik McNemar dan Fisher exact Hasil penelitian mengungkapkan bahwa aromaterapi peppermint secara signifikan mampu mengurangi emesis gravidarum (p = 0,001). Skor PUQE di kelompok intervensi turun dari 9 menjadi 5 dengan pergeseran kategori dari sedang (75%) menjadi ringan (87,5%) (p < 0,001). Sebaliknya, di kelompok kontrol, skor PUQE hanya berubah dari 9 menjadi 8 (p = 0,500), sehingga tidak terdapat perubahan yang bermakna. Aromaterapi peppermint yang diberikan setiap pagi selama empat hari efektif membantu mengurangi emesis pada ibu hamil trimester pertama. Data ini menegaskan bahwa aromaterapi peppermint berpeluang menjadi metode komplementer yang praktis, aman, dan non-farmakologi, serta dapat diintegrasikan ke dalam perawatan antenatal rutin.
Pengaruh Pemberian Jus Wortel Berastagi (Daucus Carota L Berastagi) terhadap Intensitas Nyeri Haid (Dismenorea Primer) pada Siswi di SMP Ma’arif Kota Batu Rida Rahmawati; Tut Rayani Aksohini Wijayanti; Anik Purwati
Malahayati Nursing Journal Vol 7, No 7 (2025): Volume 7 Nomor 7 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v7i7.20724

Abstract

ABSTRAK Dismenorea atau nyeri menstruasi adalah penyakit yang terjadi selama menstruasi, yang dapat merusak aktivitas dan membutuhkan pengobatan. Jenis -jenis dismenorea primer terdiri dari nyeri selama menstruasi dan jenis disfungsi sekunder dari infeksi uterus lama. Remaja memiliki berbagai metode, termasuk nyeri menstruasi dan dismenorea, yaitu perawatan farmakologis dan non-farmakologis. Nyeri menstruasi (dismenorea primer) juga dapat diatasi dengan terapi yang tanpa obat , termasuk pijat, kompres hangat, olahraga ringan, dan konsumsi buah-buahan dan sayuran seperti jus wortel. Penyediaan jus wortel berastagi adalah salah satu kemungkinan non-farmakologis untuk mengurangi intensitas nyeri menstruasi atau dismenorea. Tujuan dari penelitian ini adalah untuk menentukan intensitas nyeri menstruasi atau dismenorea primer pada siswa dengan memberi jus wortel berastagi. Jenis-jenis studi yang digunakan dalam penelitian ini dilakukan secara kuantitatif dengan menggunakan tes sebelum dan sesudah intervensi dengan teknik pengambilan purposive sampel. Sampel dalam penelitian ini adalah remaja usia muda antara 12 dan 15 tahun, dan yang mengalami dismenorea primer yang menggunakan hingga 53 siswa. Dalam penelitian ini, menggunakan metode sampel yang ditargetkan. Survei menggunakan NRS (skala angka)  adalah alat yang digunakan dalam penelitian ini. Para peneliti menggunakan rasio nilai-p value = 0,05 untuk analisis univariat dan bivariat. Efek dari penelitian ini, yaitu, penunjukan administrasi jus wortel terhadap nyeri menstruasi siswa atau kekuatan sistem dismenorea primer dengan hasil akhir 0,000 0,05 dan H1 diterima. Kata Kunci: Dismenorea Primer, Intensitas Nyeri, Jus wortel, Menstruasi  ABSTRACT Dysmenorrhea or menstrual pain is a disease that occurs during menstruation, which can disrupt activities and requires treatment. Types of primary dysmenorrhea consist of pain during menstruation and types of secondary dysfunction from old uterine infections. Adolescents have various methods, including menstrual pain and dysmenorrhea, namely pharmacological and non-pharmacological treatments. Menstrual pain (primary dysmenorrhea) can also be overcome with non-drug therapy, including massage, warm compression, light exercise, and consumption of fruits and vegetables such as carrot juice. Providing Berastagi carrot juice is one of the non-pharmacological possibilities to reduce the intensity of menstrual pain or dysmenorrhea. The purpose of this study was to determine the intensity of menstrual pain or primary dysmenorrhea in students by feeding Berastagi carrot juice. The types of studies used in this study were carried out quantitatively using a post-post test draft with a negative sampling technique. The sample in this study was a young age between 12 and 15 years, and primary dysmenorrhea, which used up to 53 students in this study, used a targeted sampling method. Survey using NRS (number scale) is the tool used in this study. The researchers used the ratio of p-value = 0.05 for univariate and bivariate analysis. The effect of this study, namely, the appointment of carrot juice administration on students' menstrual pain or primary menstrual system strength, can be 0.000 LT. 0.05 and H1 is accepted Keywords: Primary Dysmenorrhea, Pain Intensity, Carrot Juice, Menstruation
The Impact of Audio-Visual Educational Media on Infant Basic Immunization Adherence at Rum Balibunga Primary Health Center Tika Nofiyanti Iskandar; Tut Rayani Aksohini Wijayanti
Jurnal Ilmu Kesehatan dan Gizi Vol. 4 No. 1 (2026): Januari: Jurnal Ilmu Kesehatan dan Gizi
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jig.v4i1.8786

Abstract

Background: Compliance with routine infant immunization is essential for the success of vaccination programs and the prevention of vaccine-preventable diseases. However, adherence to immunization schedules remains suboptimal due to limited parental knowledge, concerns about vaccine safety, and the limited effectiveness of conventional health education. Audio-visual media offer a promising solution by delivering information in a more engaging, clear, and consistent manner. Objective: This study aimed to evaluate the effectiveness of audio-visual educational media in improving adherence to basic immunization among infants in the service area of the Rum Balibunga Community Health Center. Methods: A quasi-experimental design with a one-group pretest-posttest approach was used. The sample included 40 mothers with infants aged 0-12 months selected through purposive sampling. Participants received an educational video on basic immunization. Adherence was assessed before and after the intervention based on completeness and timeliness according to the national schedule. Data were analyzed using univariate and bivariate methods, with the McNemar test for paired categorical data. Results: There was a significant improvement in immunization adherence after the intervention. Statistical analysis confirmed a meaningful difference before and after exposure, indicating the effectiveness of audio-visual media. Conclusion: Audio-visual education is an effective strategy to improve infant immunization adherence and can be widely applied in primary healthcare settings.
Pengaruh Progressive Muscle Relaxation ( PMR) Terhadap Kualitas Tidur Ibu Hamil Trimester III di TPMB Yulia Kabupaten Malang ANISSATUL VAUZAH; TUT RAYANI AKSOHINI WIJAYANTI; SULISTIYAH
Hang Tuah Medical Journal Vol 23 No 2 (2026): Hang Tuah Medical Journal
Publisher : Universitas Hang Tuah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30649/htmj.v23i2.974

Abstract

Due to the substantial hormonal and physiological changes that occur throughout pregnancy, it is a crucial time. These changes may occasionally result in sleep disruptions during the third trimester, such as trouble falling asleep and numerous awakenings during the night. The health of both the mother and the fetus can be negatively impacted by inadequate sleep in the later stages of pregnancy, which raises the risk of postpartum depression, prolonged labor, preeclampsia, and cesarean delivery. This study examined how third-trimester pregnant women at TPMB Yulia Tri Jayanti Turen, Malang Regency, slept better after using Progressive Muscle Relaxation (PMR). Twenty respondents were chosen by deliberate sampling for this pre-experimental study, which employed a one-group pretest-posttest design. The Pittsburgh Sleep Quality Index (PSQI) was used to measure sleep quality both before and after the PMR intervention, which lasted for 10 to 15 minutes every day for two to four weeks.The data was examined using the Wilcoxon Signed Rank Test.According to the findings, all respondents (100%) had poor sleep quality prior to the intervention, while 45% had good sleep quality following it. After PMR, sleep quality significantly improved, according to statistical analysis (p = 0.003). By methodically tensing and releasing muscle groups, PMR lowers sympathetic nervous system activity, increases parasympathetic dominance, stabilizes heart rate and blood pressure, and encourages relaxation—all of which improve sleep. These results imply that PMR is a successful non-pharmacological treatment to enhance third-trimester pregnant women's quality of sleep.
Pengaruh Pemberian Sari Kurma Terhadap Produksi ASI Pada Ibu Nifas Di PMB Prima Apriantika Kota Malang Sisca Indah Maharani; Rifzul Maulina; Tut Rayani Aksohini Wijayanti
Borneo Nursing Journal (BNJ) Vol. 8 No. 1 (2026)
Publisher : Akademi Keperawatan Yarsi Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61878/bnj.v8i2.720

Abstract

Air Susu Ibu (ASI) merupakan sumber nutrisi utama bagi bayi yang berperan penting dalam tumbuh kembang dan daya tahan tubuh. Namun, cakupan ASI eksklusif masih belum optimal. Data menunjukkan bahwa secara global hanya 48% bayi yang mendapatkan ASI eksklusif, di Indonesia sebesar 58,6%, dan di Kota Malang sebesar 65,2%, yang masih belum mencapai target. Salah satu faktor penyebabnya adalah produksi ASI yang kurang pada ibu nifas. Upaya peningkatan produksi ASI dapat dilakukan melalui pendekatan nonfarmakologis, salah satunya dengan konsumsi sari kurma yang mengandung nutrisi dan fitohormon yang dapat merangsang produksi ASI. Penelitian ini bertujuan untuk menganalisis pengaruh pemberian sari kurma terhadap produksi ASI pada ibu nifas di TPMB Prima Apriantika Kota Malang. Penelitian ini menggunakan desain quasi eksperimen dengan pendekatan posttest-only control group design. Sampel berjumlah 32 responden yang dibagi menjadi kelompok intervensi dan kontrol masing-masing 16 orang. Hasil penelitian menunjukkan bahwa kelompok intervensi mayoritas memiliki produksi ASI kategori banyak (50%), sedangkan kelompok kontrol didominasi kategori kurang (43,8%). Uji Mann-Whitney menunjukkan nilai p = 0,028 (p < 0,05), sehingga terdapat pengaruh signifikan pemberian sari kurma terhadap produksi ASI. Disarankan ibu nifas mengonsumsi sari kurma secara rutin, menjaga pola makan seimbang, dan meningkatkan frekuensi menyusui agar produksi ASI optimal.
Factors Affecting Mothers Regarding the Completeness of Immunisation in Infants Aged 0-12 Months in the Kamawen Auxiliary Health Centre Working Area Ketut Senenawati; Tut Rayani Aksohini Wijayanti
Jurnal Riset Ilmu Kesehatan Umum dan Farmasi (JRIKUF) Vol. 3 No. 1 (2025): Januari : Jurnal Riset Ilmu Kesehatan Umum dan Farmasi (JRIKUF)
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/jrikuf.v3i1.1018

Abstract

Immunization is among the most efficacious health strategies for avoiding infectious illnesses in babies and diminishing child morbidity and mortality. Despite the extensive implementation of routine immunisation programmes, immunization coverage among infants aged 0–12 months remains suboptimal and is affected by numerous factors, especially maternal characteristics. Maternal factors significantly influence adherence to the immunization regimen throughout early infancy. This study seeks to examine the determinants affecting immunization coverage in infants aged 0–12 months within the jurisdiction of the Kamawen Auxiliary Health Centre. The research employs an observational analytical design with a cross-sectional methodology. The study sample comprises women with infants aged 0–12 months, selected using purposive sampling. Data were gathered via structured interviews employing questionnaires and by verifying newborn immunization status through the Mother and Child Health (MCH) book. Data analysis was conducted univariately and bivariately employing the chi-square test, with a significance threshold of p < 0.05. The findings indicated that the majority of newborns had attained full immunization in accordance with the established schedule. Bivariate analysis revealed a substantial correlation between maternal education level and age and the completion of baby immunization. Mothers with elevated educational attainment and of advanced reproductive age were inclined to produce infants with full immunization status. The characteristics of maternal education and age are substantially correlated with the completion of immunization for infants aged 0–12 months. These findings underscore the necessity of enhancing immunization teaching and counseling customized to maternal factors to elevate immunization coverage at the primary health care level.
Hubungan Pemberian Ekstrak Jahe Merah (Zingiber Officinale Var.Rubrum) Terhadap Tekanan Darah Pada Ibu Lansia dengan Hipertensi Di Muslimat Nu Anak Cabang Bugul Kidul Kota Pasuruan Yunietha Firdaus Safirah; Tut Rayani Aksohini Wijayanti
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 4 No. 3 (2025): September: Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/klinik.v4i3.4710

Abstract

Hypertension is a chronic disease that is often experienced by the elderly and is often called a silent killer because it often does not cause symptoms until it causes serious complications such as stroke, kidney failure, or heart attack. The purpose of this study was to see the impact of giving red ginger extract on reducing blood pressure in elderly mothers with hypertension. This study used a pre-experimental design with a one group pretest-posttest design pattern involving 32 elderly people with hypertension as samples, obtained through total sampling techniques. The intervention was carried out by giving 4 grams of red ginger extract per day for seven consecutive days. Testing was carried out using a paired t-test. The average value before the intervention was 1.9375, while after the intervention the average decreased to 1.5313. Statistical tests showed a significant difference between blood pressure before and after the intervention with a p value = 0.000 (p <0.05). Administration of red ginger extract has been proven effective in lowering blood pressure in elderly people with hypertension.
Pengaruh Progressive Muscle Relaxation ( PMR) Terhadap Kualitas Tidur Ibu Hamil Trimester III di TPMB Yulia Kabupaten Malang VAUZAH, ANISSATUL; AKSOHINI WIJAYANTI, TUT RAYANI; SULISTIYAH
Hang Tuah Medical Journal Vol 23 No 2 (2026): Hang Tuah Medical Journal
Publisher : Universitas Hang Tuah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30649/htmj.v23i2.974

Abstract

Due to the substantial hormonal and physiological changes that occur throughout pregnancy, it is a crucial time. These changes may occasionally result in sleep disruptions during the third trimester, such as trouble falling asleep and numerous awakenings during the night. The health of both the mother and the fetus can be negatively impacted by inadequate sleep in the later stages of pregnancy, which raises the risk of postpartum depression, prolonged labor, preeclampsia, and cesarean delivery. This study examined how third-trimester pregnant women at TPMB Yulia Tri Jayanti Turen, Malang Regency, slept better after using Progressive Muscle Relaxation (PMR). Twenty respondents were chosen by deliberate sampling for this pre-experimental study, which employed a one-group pretest-posttest design. The Pittsburgh Sleep Quality Index (PSQI) was used to measure sleep quality both before and after the PMR intervention, which lasted for 10 to 15 minutes every day for two to four weeks.The data was examined using the Wilcoxon Signed Rank Test.According to the findings, all respondents (100%) had poor sleep quality prior to the intervention, while 45% had good sleep quality following it. After PMR, sleep quality significantly improved, according to statistical analysis (p = 0.003). By methodically tensing and releasing muscle groups, PMR lowers sympathetic nervous system activity, increases parasympathetic dominance, stabilizes heart rate and blood pressure, and encourages relaxation—all of which improve sleep. These results imply that PMR is a successful non-pharmacological treatment to enhance third-trimester pregnant women's quality of sleep.
Co-Authors Alim, Zainal Andikasari, Eprilia Redita Andriani, Maya Fitri Susi Anggreni Bulu Anik Purwati Anik Sri Purwanti ANISSATUL VAUZAH Annisa Zakiyah Fadil Ary Lukmana Ate, Astimurdiani Aura, Annastasya Christine Manialup Cindy Mustika Sari DEWI WULANSARI Dhea Nazlyta Rusman Dina Hanifa Fanimah Hi Yusup Fransiska Marhaba Handayani , Luky hasim, rina Ilmiah, Widi Shofa Ina Indriati Indriani Hippy Indriati, Ina Jayanti, Putri Agus Nur Dwi Kartikasari, Linda Kasih Bene Gollu Keswara, Nila Widya Ketut Senenawati Kun Marátin Sholikhah Lede, Veronika Madona Lolangion Maulina, Rifzul Melda Yulia Putri Melinda Septiyana Mohammed Saifulaman Mohammed Said Mubarrokah, Ernila Nurul Islami Mucharomah, Lailatul Mukti Rahajeng Naning Fitriana Novita Matantu Nur Azizah, Karina Fitetry Nuriyah Nabila Nurmahidayati, Intan Nurul Fajriah Fatmawati Pratiwi, Riska Hadi Meilana Raden Maria Veronika Widiatrilupi Rahmawati, Emilia Rani Safitri Rani Safitri Rany Safitri Reny Retnaningsih Retnosari, Ana Dewi Rida Rahmawati Rita Setyorini Rosyidah Alfitri Saida, dan Saputri, Hindun Wasaynab Dian Cahya Septian Windayanti Septiyorini, Indah Setiya, Rani Sisca Indah Maharani Siti Nurhalifa Luvasi Sufadilah, Sufadilah Sulistiyah sulistiyah SULISTIYAH Syafiatul Maghfiroh Tika Nofiyanti Iskandar Triasmawarni, Silvia Tristiani, Ade Angga Pradini VAUZAH, ANISSATUL Veronika, Raden Maria Vinanda Dzurriyyatun Nisa Wahyuwihayanti, Riris Widia Shofa Ilmiah Wijayati, Nurul Ani Yulia Tri Jayantj, Yulia Yunietha Firdaus Safirah Z. Wahid, Rusna Zainal Alim Zhafirah, Muti’ah Jihan