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STRESS DAN INSOMNIA PADA MENOPAUSE Agustin Dwi Syalfina; Yudha Laga Hadi Kusuma
MEDICA MAJAPAHIT Vol 10 No 2 (2018): Medica Majapahit
Publisher : Sekolah Tinggi Ilmu Kesehatan Majapahit Mojokerto

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Abstract

Menopause is an important period in the final period of female reproduction. Menopause period occurs Hormonal changes that occur during menopause, namely reduced inhibitin substances produced by the ovaries causing an increase in FSH (follicle stimulating hormone) followed by an increase in estrogen hormones and testosterone. It’s causes complaints of biopsychosocial changes such as changes in mood, anxiety, sexual dysfunction, stress, forgetfulness and sleep disorders. The purpose of this study was to analyze the effect of stress and the incidence of insmonia in menopausal women. This study used an analytical method of analytic epidemiological research using a cross sectional. The independent variable in this study is stress and the variable depends is menopause insomnia. The study population was all menopausal women with the sampling technique used for sampling was simple random sampling. This research was conducted in Sumbertebu Village, Bangsal District, Mojokerto Regency. The data collection research used the Depression Anxiety Stress Questionnaire (DASS 42) for the measurement of Stress events and the Pittsburgh Sleep Quality Index (PSQI) to assess the respondent insomnia status. General data and special data after data tabulation is then analyzed using univariate and bivariate data analysis. Risk factors that significantly influence menopausal insomnia are work (P value = 0.003; PR = 3.938; 95% CI = 1.566-9.899) and stress (P value = 0.003; PR = 4.011; 95% CI = 1.553-10.3362). The dominant risk factors affecting insomnia were work (P value = 0.008; PR = 4.203; 95% CI = 1.463-12.079). Health workers are expected to improve health education about physiological and psychological changes at menopause, handling complaints during menopause, gender in menopausal women in gender roles in the family.
Asuhan Keperawatan Keluarga Dengan Anggota Keluarga Mengalami Gangguan Mobilitas Fisik Pasca Stroke Di Masa Pandemi Covid-19 Di Desa Sooko Kec. Sooko Kab. Mojokerto Yudha Laga Hadi Kusuma; Shofiyatun Nada
MEDICA MAJAPAHIT Vol 13 No 1 (2021): Medica Majapahit
Publisher : Sekolah Tinggi Ilmu Kesehatan Majapahit Mojokerto

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Abstract

Family support is very important in optimizing the health of sick family members. The purpose of this case study is for families to be able to care for a family member experiencing impaired physical mobility after a stroke at home to minimize going to health facilities due to the COVID-19 pandemic. The design used in this research is a case study, using 2 families, then nursing care diagnoses, interventions, implementation and evaluation are made. The diagnosis of impaired physical mobility is related to the inability of the family to care for sick family members. Methods of data collection by interview, observation, and documentation using the format of family nursing care. The results obtained from the study are that families are unable to care for sick family members. Interventions and implementations carried out are planning ROM (Range of Motion) therapy according to needs, teaching clients and families about ROM. The evaluation found that the family of client 1 and client 2 said that they could care for family members who had impaired physical mobility after stroke with ROM
HUBUNGAN PENGETAHUAN DAN STATUS EKONOMI DENGAN STATUS GIZI IBU HAMIL Rachmah, Siti; Yudha Laga hadi Kusuma; Wulandari
MEDICA MAJAPAHIT Vol 14 No 1 (2022): Medica Majapahit
Publisher : Sekolah Tinggi Ilmu Kesehatan Majapahit Mojokerto

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Abstract

ABSTRACT Nutrition of pregnant women greatly determines their health and their content. The food consumed by pregnant women is useful for facilitating birth and for the production of breast milk for the baby. Lack of knowledge and low economic status causes the nutritional needs of pregnant women to be unfulfilled, resulting in SEZ. This study aims to determine the relationship between knowledge and economic status with nutritional status in pregnant women. Analytical survey research design with a cross sectional approach. The independent variables are knowledge and economic status, the dependent variable is the nutritional status of pregnant women. The population is all pregnant women at the Mojosari Health Center, totaling 33 pregnant women, with a simple random sampling technique obtained 30 respondents. Data analysis used the Spearman Rank test. The results of statistical tests that the value of count = 0.000 table = 0.01, The results of statistical tests obtained count = 0.002 table = 0.01. Based on the correlation coefficient, it was found that the value of C = 0.533 had a moderate level of closeness. The better the knowledge, the easier it is to receive information and the more knowledge they have, as well as the knowledge of pregnant women will affect daily consumption patterns which have an impact on nutritional status. Families with high economic status will certainly try to meet the needs of pregnant women as well as possible, quality and diverse nutritional intake can support the nutritional status of pregnant women. ABSTRAK Nutrisi ibu hamil sangat menentukan kesehatan dan kandungannya. Makanan yang dikonsumsi ibu hamil berguna untuk memperlancar persalinan dan untuk produksi ASI bagi bayi. Kurangnya pengetahuan dan status ekonomi yang rendah menyebabkan kebutuhan gizi ibu hamil tidak terpenuhi sehingga terjadi KEK. Penelitian ini bertujuan untuk mengetahui hubungan antara pengetahuan dan status ekonomi dengan status gizi pada ibu hamil. Desain penelitian survey analitik dengan pendekatan cross sectional. Variabel bebas adalah pengetahuan dan status ekonomi, variabel terikat adalah status gizi ibu hamil. Populasi adalah seluruh ibu hamil di Puskesmas Mojosari yang berjumlah 33 ibu hamil, dengan teknik simple random sampling diperoleh 30 responden. Analisis data menggunakan uji Rank Spearman. Hasil uji statistik bahwa nilai hitung = 0,000 tabel = 0,01, Hasil uji statistik diperoleh hitung = 0,002 tabel = 0,01. Berdasarkan koefisien korelasi diketahui bahwa nilai C = 0,533 memiliki tingkat keeratan sedang. Semakin baik pengetahuan maka semakin mudah menerima informasi dan semakin banyak pengetahuan yang dimilikinya, begitu juga dengan pengetahuan ibu hamil akan mempengaruhi pola konsumsi sehari-hari yang berdampak pada status gizi. Keluarga dengan status ekonomi tinggi tentunya akan berusaha memenuhi kebutuhan ibu hamil dengan sebaik-baiknya, asupan gizi yang berkualitas dan beragam dapat menunjang status gizi ibu hamil.
PELATIHAN PERTOLONGAN PERTAMA PADA KECELAKAAN LALU LINTAS METODE AUDIO VISUAL TERHADAP PENGETAHUAN PEMUDA KARANG TARUNA Nanda Wira Saputri; Dwiharini Puspitaningsih; Yudha Laga Hadi Kusuma
MEDICA MAJAPAHIT Vol 15 No 1 (2023): Medica Majapahit
Publisher : Sekolah Tinggi Ilmu Kesehatan Majapahit Mojokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55316/mm.v15i1.908

Abstract

Quick first aid is very important for victims to anticipate the severity of further injuries. Providing first aid training in traffic accidents can increase knowledge to help correctly and appropriately. The purpose of this study was to determine the effect of providing first aid training on traffic accidents with the audiovisual method to youth organizations awareness in Bareng villange Sumberejo Pandaan Pasuruan. This study used pre-experimental research method with the one-group pre-post test design. The population in this study were the youth organizations in Bareng villange Sumberejo as many as 52 people. The sampling technique is using the simple random sampling of 46 samples. Data analysis using the Wilcoxon Signed Ranks Test results in p value = 0.000 with alpha level of α = 0.05, which means there is a difference before and after being given first aid training in traffic accidents with the audiovisual method to youths awareness. The results of this study was should that there is an improvement knowledge from the respondens regarding the first aid on traffic accidents Most of the respondents have great awareness about first aid in traffic accidents
AKTIVITAS FISIK BERSEPEDA DAN KEBUGARAN FISIK LANSIA BINA KELUARGA LANSIA DESA GAYAMAN Kusuma, Yudha Laga Hadi; Astuti, Leni
MEDICA MAJAPAHIT Vol 15 No 2 (2023): MEDICA MAJAPAHIT
Publisher : Sekolah Tinggi Ilmu Kesehatan Majapahit Mojokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55316/mm.v15i2.1002

Abstract

Physical fitness is a person's body's ability to carry out daily tasks or work without causing significant fatigue. In addition, physical activity has a positive impact on energy balance and weight control. Thus, individual fitness and productivity levels increase because the body functions effectively and has sufficient energy. The aim of this research was to determine the physical activity of cycling and the physical fitness of the elderly in Gayaman Village Elderly Family Development. This research uses a cross sectional research design. The population in this study was all 60 cycling participants at Bina Keluarga Lansia (BKL) with a purposive sampling technique. Data was collected using the Physical Activity and Physical Fitness questionnaire. The collected data was processed and analyzed using the Spearman Rank test. The research results showed that the majority of respondents carried out the physical activity of cycling regularly, 43 (71.7%), the majority of respondents had moderate physical fitness, 42 (70%). The p value obtained was 0.000 < α 0.05, which means there is a relationship between the physical activity of cycling and the physical fitness of the Elderly Family Development (BKL) participants in Gayaman Village, Mojokerto. Good fitness will certainly benefit someone, especially the elderly, when carrying out their daily activities both outside and at home. To be able to have good fitness, the family should provide encouragement (motivation) and facilities for the elderly to be willing and responsible for their physical fitness.Physical fitness is a person's body's ability to carry out daily tasks or work without causing significant fatigue. In addition, physical activity has a positive impact on energy balance and weight control. Thus, individual fitness and productivity levels increase because the body functions effectively and has sufficient energy. The aim of this research was to determine the physical activity of cycling and the physical fitness of the elderly in Gayaman Village Elderly Family Development. This research uses a cross sectional research design. The population in this study was all 60 cycling participants at Bina Keluarga Lansia (BKL) with a purposive sampling technique. Data was collected using the Physical Activity and Physical Fitness questionnaire. The collected data was processed and analyzed using the Spearman Rank test. The research results showed that the majority of respondents carried out the physical activity of cycling regularly, 43 (71.7%), the majority of respondents had moderate physical fitness, 42 (70%). The p value obtained was 0.000 < α 0.05, which means there is a relationship between the physical activity of cycling and the physical fitness of the Elderly Family Development (BKL) participants in Gayaman Village, Mojokerto. Good fitness will certainly benefit someone, especially the elderly, when carrying out their daily activities both outside and at home. To be able to have good fitness, the family should provide encouragement (motivation) and facilities for the elderly to be willing and responsible for their physical fitness.
POLA ASUH KELUARGA DAN PERILAKU BULLIYING DI SEKOLAH MENENGAH KEJURUAN Anisa Amiliana Angin; Kusuma, Yudha Laga Hadi; Atikah Fatmawati
MEDICA MAJAPAHIT Vol 16 No 1 (2024): MARET
Publisher : Sekolah Tinggi Ilmu Kesehatan Majapahit Mojokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55316/mm.v16i1.1039

Abstract

Bullying is the intentional and conscious desire to hurt another person and put them under pressure. This study aimed to analyze the relationship between family upbringing and bullying behaviour in adolescents at SMKN 1 Dlanggu Mojokerto. This study used a correlational research design with a cross-sectional approach. The population in this study were 967 students in grades 10 and 11 at SMK N 1 Dlanggu Mojokerto. This study used 212 respondents as a sample using the Proportionate Stratified Random Sampling technique. The instrument used in this study was a parenting questionnaire and Adolescent Peer Relations Instrument – ​​Bullying (APRI-BT). The results showed that almost half of the respondents had authoritarian parenting styles (38.7%), and almost half tended to be victims of bullying (42.0%). The chi-square test results obtained a p–value of 0.314, meaning there is no relationship between parenting style and bullying behaviour in adolescents at SMKN 1 Dlanggu Mojokerto. Factors that influence bullying are family factors, peers, media influence, school factors, and social environmental conditions factor. Increasing understanding of adolescent bullying behaviour and parenting by parents is essential. This reduces the occurrence of bullying behaviour among adolescents.
PERAWATAN KELUARGA TERHADAP GANGGUAN PERTUMBUHAN ANAK TODDLER Kartiningrum, Eka Diah; Patty, Siti Hajar; kusuma, yudha laga hadi
MEDICA MAJAPAHIT Vol 16 No 2 (2024): SEPTEMBER
Publisher : Sekolah Tinggi Ilmu Kesehatan Majapahit Mojokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55316/mm.v16i2.1082

Abstract

Growth disorders in children can be affected by a less supportive environment. Parent knowledge in necessary in process of growth in toddlers. Role of family in health and social support contributes to child growth and development process normally so that there are on disorders. Research objective wa carry out family nursing care for toddler with growth disorderin Sumbertebu Village. Design used a case study. Number of respondent were 2 people with inclusion criteria: boys and girls under 5 years old, nurtured by their biological parents. This data was collected by interview, observation and documentation techniques. Then in validation test used triangulation techniques and analyzed. Resulth of the study showed, there was diagnosis of growth disorders associated with inadequate nutrition and growth disorder associated with inability of families to recognize health problem. Intervention and implementataion conducted twice in form of providing education abaout eating pattern and good dietary. Families were able to do the health education that was given or solve existing problem so that problem was partially resolved intervention can be stopped and continued by family to be applied to the child. Growth is prosess of increasing in a person that is quantitative or increase in size. Provide information of education about good diet in toddlers, identify a good dietary menu, giving examples of healthy menus with balanced nutrition, as well as positive feedback for behavior can be done to achieve good growth in toddler
KETERKAITAN PENGEMBANGAN KARIR DAN STRES EKRJA PERAWAT DI RSU AISYIYAH SITI FATIMAH TULANGAN Ema Retiyaningsih; Ike Prafita Sari; Yudha Laga Hadi Kusuma
MEDICA MAJAPAHIT Vol 17 No 1 (2025): MARET
Publisher : Sekolah Tinggi Ilmu Kesehatan Majapahit Mojokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55316/mm.v17i1.1123

Abstract

Nurses work by providing 24 hour care to patients which causes nurses to be faced with the emotional burden of various stressors. One of the causes of dissatisfaction at work is related to career satisfaction obtained. The aim of the research is to determine the relationship between career development and workstress in nurses. This research design is correlational with a cross-sectional approach. The independent variable is career development and the dependent variable is work stress. The population of this study were all nurses in the inpatient room at Aisyiyah Siti Fatimah Tulangan Sidoarjo Hospital, totaling 65 nurses. The sample was taken using a simple random sampling technique of 56 respondents. Data was collected using a questionnaire instrument and tested using the Spearman Rho test. The research results showed that half of the respondents who stated that their career development was negative experienced work stress in the moderate category, namely 7 respondents (50%). Most of the respondents who stated that career development in hospitals was positive experienced work stress in the mild category, 31 respondents (73.8%). The Spearman rho test results obtained values of ρ = 0.000, α = 0.05, r = 0.573. This shows that the value of ρ = 0.000 < α = 0.05 so that H0 is rejected and H1 is accepted, so there is a relationship between career development and work stress for nurses at RSU 'Aisyiyah Siti Fatimah Tulangan Sidoarjo. Based on the correlation coefficient value, the value r = 0.573 is obtained, this shows that the close relationship between the two variables is quite strong. Nurses should be able to make good use of rest time so that they do not experience fatigue and need to create harmonious cooperation so that working conditions are good and enjoyable so that work stress is reduced.
PENGARUH DUKUNGAN KADER KESEHATAN MELALUI MEDIA GRUP WHATSAPP TERHADAP KEPATUHAN MINUM OBAT PADA PASIEN TBC PARU Yudha Laga Hadi Kusuma; Siti Mahnunah; Fitria Wahyu Ariyanti
MEDICA MAJAPAHIT Vol 17 No 2 (2025): SEPTEMBER
Publisher : Sekolah Tinggi Ilmu Kesehatan Majapahit Mojokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55316/mm.v17i2.1155

Abstract

Compliance with taking medication is still a problem for pulmonary TB patients even though a medication supervisors (PMO) has been appointed to make treatment successful and prevent TB transmission in the community. Non-compliance with treatment will cause a high rate of treatment failure in pulmonary TB patients and the incidence of drug resistance. This study aims to determine the Influence of Health Cadre Support as Medication Supervisors (PMO) through WhatsApp Group Media on Medication Compliance in Pulmonary Patients in the UPTD Puskesmas Pungging Area.This research uses a research design pre-experiment one group pretest-posttest. The population in this study was 40 respondents. The sample in this study consisted of 15 respondents, who are taken using tsimple random sampling echniques. The instrument used was the MMAS-8 questionnaire to measure medication adherence. Statistical test using Wilcoxon sign rank test. The research results show that the average score of adherence to taking medication in pulmonary TB patients before intervention was given in the UPTD Puskesmas Pungging area was 5.47 in the low compliance category. Meanwhile, the average score of adherence to taking medication in pulmonary TB patients after being given intervention in the UPTD Puskesmas Pungging area was 7.47 in the moderate compliance category.Statistical test results show significance value (p) 0.001 which means that there is an influence of support from health cadres as medication supervisors (PMO) through WhatsApp group media on medication compliance in pulmonary TB patients in the UPTD Puskesmas Pungging area. The test results also show mark positive rank 15, which means that all respondents (100%) experienced an increase in compliance scores (positive ranks 15). Based on the results of this study, it is expected that the UPTD Puskesmas Punggig area can continue to implement PMO in the WhatsApp group which aims to monitor OAT consumption in pulmonary TB patients. In addition, a WhatsApp group can be formed within the patient's family members to help supervise the patient's medication consumption.