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HEALTH BELIEF MODEL DALAM UPAYA MENINGKATKAN PERILAKU WASPADA STROKE PADA KELOMPOK RISIKO TINGGI DI WILAYAH KERJA PUSKESMAS PONCOKUSUMO KABUPATEN MALANG Rahmania Ambarika
STRADA : Jurnal Ilmiah Kesehatan Vol. 5 No. 2 (2016): November
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

The low awareness of stroke risk factors and less familiar symptoms of a stroke ar e major issues on stroke services in Indonesia. Lack of public awareness can slow stroke patients in seeking medical help and impact of delayed treatment of stroke, disability and death. Factors that influence the behavior seen through the stroke vigilance Healt theory Belief Model. The purpose of this study identify factors associated with the alert behavior stroke in high-risk groups to the theoretical approach of the Health Belief Model. This research uses descriptive analytic design with cross sectional approach. Total sample of 144 respondents using purposive sampling technique. The results of the bivariate analysis of correlation between a positive perception of prevention (p value 0.05), negative perceptions of preventive behavior (p value of 0.000). The ability of self-perception is not related to the alert behavior of stroke (p value 0.079). Perceptions of the obstacles associated with the alert behavior stroke (OR 0.338; 95% CI). Negative perceptions or barriers to behavioral change affecting the behavior of vigilance threat deciding stroke
Hubungan Pengetahuan Dengan Kunjungan Kelas Ibu Hamil Di Desa Jogomulyan Kecamatan Tirtoyudo Kabupaten Malang Atik Muji Rahayu; Rahmania Ambarika; Arina Chusnatayaini
Journal for Quality in Women's Health Vol. 3 No. 1 (2020): Journal for Quality in Women Health
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jqwh.v3i1.49

Abstract

Faktor kurangnya pengetahuan ibu hamil menyebabkan kunjungan ibu hamil di kelas ibu hamil mejadi sangat rendah. Hal ini mengakibatkan ibu hamil tidak mendapatkan manfaat dari kegiatan tersebut. Penelitian bertujuan mengetahui hubungan tingkat hubungan pengetahuan dengan kunjungan kelas ibu hamil. Penelitian deskriptif korelasional dengan pendekatan cross sectional. Populasi seluruh Ibu Hamil trimester 3 di Desa Jogomulyan Kecamatan Tirtoyudo Kabupaten Malang, pada bulan Februari 2019. Menggunakan teknik Purposive sampling, besar sampel 25 responden. Pengumpulan data dengan instrumen kuesioner. Hasil penelitian menunjukkan 64% tingkat pengetahuan cukup dan 72% mengikuti kelas ibu hamil. Hasil uji Chi square didapatkan p = 0,000, ada hubungan antara tingkat pengetahuan dengan kunjungan kelas ibu hamil. Kunjungan kelas ibu hamil merupakan wujud perilaku ibu hamil yang dalam pelaksanaannya berkaitan erat dengan pengetahuan yang dimiliki. Hal ini berarti bahwa semakin tinggi tingkat pengetahuan yang dimiliki semakin tinggi pula kunjungan kelas ibu hamil.
Analisis Faktor-Faktor Yang Mempengaruhi Terjadinya Kegawatdaruratan Hemorrhagic Post Partum (HPP) Rahmania Ambarika; Eva Agustina Yalestyarini
Journal for Quality in Women's Health Vol. 4 No. 2 (2021): Journal of Quality Women Health
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jqwh.v4i2.137

Abstract

Tujuan penelitian untuk mengetahui dan menganalisis faktor yang berpengaruh pada HPP, yaitu faktor anemia, paritas, dan atonia uteri. Penelitian ini menggunakan jenis penelitian kuantitatif, desain korelasional dengan pendekatan cross sectional. Sampel dalam penelitian ini adalah pada bulan Agustus 2021– September 2021 ibu postpartum yang Mengalami hpp sebanyak 20 orang. Variabel dalam penelitian ini dibedakan menjadi variabel bebas (independent) dalam penelitian ini adalah (X1): anemia pada post partum, paritas, dan atonia uteri, sedangkan variabel tergantung (dependent) dalam penelitian ini adalah (Y1): kejadian haemorragic postpartum. Uji analisis yang dibuat pada penelitian ini adalah chi square. Hasil analisa data yang menggunakan uji che square didapatkan hasil nilai ρ value = 0,045 ada hubungan faktor anemia dengan kejadian hemorrhagic post partum. Paritas dengan hpp dari analisa data yang menggunakan uji chi square didapatkan hasil nilai ρ value = 0,683 tidak ada hubungan faktor paritas dengan kejadian hemorrhagic postpartum
POLICY ON ANESTHESIA SERVICES FOR HYPERTENSION PATIENTS IN PRE, INTRA, AND POST ANESTHESIA BY SPECIALIST ANESTHETISTS AND ANESTHESIA CAREGIVERS Ambarika , Rahmania; Rekso Negoro, Widigdo
HEARTY Vol 13 No 3 (2025): JUNI
Publisher : Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/hearty.v13i3.19731

Abstract

Anesthesia services are an important component of medical services in surgical procedures and other invasive procedures that aim to reduce or eliminate pain during the procedure. The success of anesthesia is not only triggered by the anesthetic technique used, but the patient's clinical condition also has an influence. Specialist anesthetists and anesthetists play an important role in determining patient suitability, adjusting the appropriate anesthesia technique, and monitoring during and after the procedure. Hypertension is a chronic disease that requires special attention in anesthesia services because of a higher risk of blood pressure fluctuations, organ perfusion disorders, and cardiovascular events such as stroke and myocardial infarction. This research aims to examine the anesthesia service policy at Pindad Turen Hospital and analyze the obstacles experienced by medical personnel in its implementation. The results of this study show that there is a main problem in implementing anesthesia service policies for hypertensive patients in hospitals, namely that there is no standardization of policies or SOPs related to determining the suitability of hypertensive patients to undergo anesthesia and there are differences in perception between specialist anesthetists and anesthetists, especially regarding safe blood pressure limits and recording the results of pre-anesthesia evaluations. From the problems found, a situation analysis was carried out using fishbone, USG, and SWOT diagrams, and priority problems were found, namely the absence of appropriate blood pressure standards for hypertensive patients and the absence of a special SOP for anesthesia services for hypertensive patients. These problems have the potential to affect patient safety during anesthesia. The intervention was carried out through outreach and training to health workers and it was proven to increase knowledge and uniformity of perception of medical staff in determining the suitability of hypertensive patients as evidenced by an increase in evaluation results from 2.8 (pretest) to 5 (posttest).
Strategi Edukasi Pemahaman Bahaya Anemia pada Ibu Hamil di Puskesmas Banggae 1 Kabupaten Majene Hairah, ST; Fira Musyawirah; Rahmania Ambarika
STIKes BBM Mengabdi: Jurnal Pengabdian Masyarakat Vol. 3 No. 1 (2025): STIKES BBM Mengabdi
Publisher : Sekolah Tinggi Ilmu Kesehatan Bina Bangsa Majene

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56467/bbm.v3i1.450

Abstract

Anemia adalah salah satu permasalahan dalam dunia kesehatan yang bisa meningkatkan kejadian kesakitan dan kematian. Ibu hamil yang menderita anemia bisa membahayakan kesehatan ibu dan anak pada 1000 hari pertama kehidupan. Salah satu penyebab meningkatnya jumlah kejadian anemia pada ibu hamil adalah karena keterbatasan akses terhadap pelayanan kesehatan dan kurangnya pendidikan ibu hamil tentang bahaya anemia pada ibu hamil (Subiyantin dan Revinel, 2022). Secara keseluruhan residensi ini dilaksanakan untuk memberikan edukasi tentang bahaya anemia pada ibu hamil di UPTD Puskesmas Banggae I Kabupaten Majene. Pelatihan ini melibatkan beberapa ibu hamil yang hadir pada kegiatan penyuluhan yang dilaksanakan pada tanggal 5 Juli 2024 di halaman Masjid Raudhatul Akhyar. Metode yang digunakan dalam penyuluhan ini adalah metode ceramah, metode diskusi, sedangkan untuk konsep penentuan prioritas masalah menggunakan metode Fishbone (Diagram Tulang Ikan) dan Ultrasonografi (Urgency, Seriousness, dan Growth) serta mengevaluasi secara langsung pemahaman ibu hamil terhadap bahaya anemia. Hasil dari kegiatan pengabdian ini adalah adanya peningkatan pemahaman dan pengetahuan ibu hamil mengenai bahaya anemia pada kehamilan. Edukasi yang dilakukan cukup membantu masyarakat khususnya ibu hamil, karena dengan adanya kegiatan ini ibu hamil banyak mendapatkan penjelasan dan masukan mengenai bahaya anemia pada ibu hamil.
Implementation of Nursing Management MAKP Method and Dosing Cards System to Reduce the Risk of Burnout in Nurses at Simpang Lima Gumul Kediri Regional General Hospital Rahmania Ambarika; Heri Hermawati; Rita Sukmawanti; Pramitha Nayana Librata; Hary Indah Fibriany; Titik Isbandiyah
Journal of Community Engagement in Health Vol. 8 No. 1 (2025): March
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jceh.v8i1.654

Abstract

Burnout is a psychological syndrome resulting from prolonged exposure to chronic stress, especially prevalent in high-pressure environments such as healthcare. Among the healthcare providers,  such as nurse appear to be at a higher risk of burnout, which can have serious personal consequences (substance abuse, broken relationships, and even suicide), as well as serious professional consequences such as lower patient satisfaction, lower quality of care, and even medical errors which expense carers and hospitals considerable funds. We conducted a community service by identifying the leading factors that caused burnout among nurses at Simpang Lima Gumul Kediri General Hospital. We found that Burnout among nurses in Simpang Lima Gumul Kediri is intensified by some factors including excessive workload, overcrowding, and challenging non-physical work environments. We proposed two interventions the Professional Nursing Care Model (Model Asuhan Keperawatan Profesional, MAKP) and the Dosage Card System as strategies to mitigate burnout among nurses at Simpang Lima Gumul Kediri Hospital. Through a community service activity, socialization sessions were conducted with department heads, nurses, and service administrators, where pre-test and post-test were administered to evaluate understanding of the interventions. Findings suggest that these sessions effectively enhanced participants' knowledge of the MAKP and Dosage Card System, providing actionable insights into applying these methods in clinical settings to help alleviate nurse workload and reduce burnout. The participants also raised another option which is Timbang Terima Digital as a third potential tool for enhancing nursing efficiency and patient care quality.
Physical Status Relationship American Society of Anesthesia (ASA) with Time to Achieve Bromage Score 2 in Spinal Anesthesia Patients in the IBS Recovery Room of Dr Iskak Tulungagung Hospital Novita Ana Anggraini; Annisa Ary Saifutri; Nurma Afiani; Rahmania Ambarika
Journal Of Nursing Practice Vol. 8 No. 4 (2025): July
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v8i4.871

Abstract

Background: The American Society of Anesthesiologists (ASA) Physical Status classification is used to assess a patient’s overall health and predict potential complications related to spinal anesthesia. The Bromage score is commonly used to evaluate motor block recovery following spinal anesthesia, with the achievement of Bromage score 2 indicating partial motor function return. Purpose: This study aimed to analyze the relationship between ASA physical status and the time required to achieve Bromage score 2 in patients undergoing spinal anesthesia in the recovery room of Dr. Iskak Tulungagung Hospital. Methods: This research employed a cross-sectional design. The study population included all spinal anesthesia patients in the hospital’s recovery room, totaling 250 individuals. A sample of 38 respondents was selected using simple random sampling. Data were collected using observation sheets and analyzed with the Spearman Rho test at a 95% confidence level (α = 0.05). Results: The results showed that the majority of respondents (57.9%) had an ASA status of 2, and most (60.5%) achieved Bromage score 2 within 120–149 minutes. Statistical analysis revealed a p-value of 0.017 (<0.05), indicating a significant relationship between ASA physical status and time to achieve Bromage score 2. Conclusion: Higher ASA classifications are associated with more severe systemic conditions, which may slow the body's response to anesthetic drugs, resulting in a longer time to reach motor recovery.
Pengaruh Edukasi Terhadap Pengetahuan, Minat dan Pengambilan Keputusan Penggunaan Metode Kontrasepsi Jangka Panjang Pada Ibu Hamil Resiko Tinggi Kholifatur Rizkiyah, Nur; Puspitasari, Yenny; Ambarika, Rahmania
Jurnal Locus Penelitian dan Pengabdian Vol. 4 No. 8 (2025): JURNAL LOCUS: Penelitian dan Pengabdian
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/locus.v4i8.4163

Abstract

Long-term Contraceptive Method is a contraceptive that can be used for more than two years, effective and efficient for the purpose of ending pregnancy or no longer wanting to have more children. The limited information received by prospective KB acceptors affects pregnant women in making decisions about choosing postpartum contraceptive methods. This study is an analytical study, namely to analyze the Effect of KB Education on Knowledge, Interest and Decision Making for the Use of MKJP KB in Pregnant Women Resti with a sample of pregnant women at the Obsgyn Polyclinic at Ngudi Waluyo Hospital in Wlingi, Blitar Regency. The research design with a classic experiment, is to group research subjects (commonly called respondents) into experimental groups and control groups. The results showed that KB education significantly increased the knowledge of pregnant women about the use of long-term contraceptive methods (MKJP), with an increase in knowledge scores from 55.75 to 61.88 (p = 0.000), while the group without education did not experience significant changes. In addition, interest in using MKJP KB also increased significantly after education, from an average of 25.05 to 29.18 (p = 0.000), while the group without education did not show significant changes. However, although knowledge and interest increased, decision-making to use MKJP actually decreased significantly from 16.40 to 14.78 (p = 0.005) in the group given education, while the group without education did not experience significant changes. This indicates that other factors such as social pressure and family support also influence pregnant women's decisions to use MKJP, so that education is effective in increasing knowledge and interest, but not always directly proportional to decision-making to use MKJP KB.
Optimizing the Effectiveness of Hospital Health Promotion Implementation at Simpang Lima Gumul Regional Hospital, Kediri Regency Rahmania Ambarika; Moh Khoirul Anam; Erick Berto Yahya; Seno Arif Amrullah; Alfi Yudisianto
Journal of Community Engagement in Health Vol. 8 No. 2 (2025): September
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jceh.v8i2.656

Abstract

Hospital Health Promotion is an important function in health care settings that aims to empower patients, families and communities to actively participate in health maintenance and improve well-being. This study analyzed the implementation of Hospital Health Promotion in Simpang Lima Gumul Kediri Hospital to identify factors that influence its effectiveness and develop optimization strategies. A mixed approach was used in this study, including interviews with hospital management and staff, analysis of hospital documents, and review of relevant literature. The results showed that although the hospital has implemented various Hospital Health Promotion programs, there are several challenges that hinder its full potential, lack of training for hospital health promoters, lack of communication among staff, suboptimal program evaluation, and attitudinal barriers from some implementers that hinder the effectiveness of Hospital Health Promotion. To overcome these challenges, the management of Simpang Lima Gumul Hospital in Kediri needs to optimize its Health Promotion program through regular monitoring and evaluation. This process will be supported by a self-assessment form to simplify the evaluation and will include efforts to identify problems, strengthen human resources, develop innovative and integrated programs, utilize technology, increase collaboration with external partners, and measure program achievements for continuous improvement. Implementing this strategy is expected to increase the effectiveness of the hospital's health promotion program and contribute to better health outcomes for the community it serves.
Effectiveness of the “Ular Tangga” Method Against the Motivation and Activeness of the Class of Pregnant Women in Ngepoh Village Dringu Sub District, Probolinggo Regency Kasri Astuti; Rahmania Ambarika
Journal for Quality in Public Health Vol. 6 No. 1 (2022): November
Publisher : Master of Public Health Program Institut Ilmu Kesehatan STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jqph.v6i1.405

Abstract

One of the efforts to reduce maternal and child mortality is by implementing classes for pregnant women. However, the number of pregnant women participating in the class for pregnant women in Indonesia is still low. This is because pregnant women class participants feel bored with the method used. The purpose of the study was to determine the effectiveness of the application of the snake and ladder method on the motivation and activeness of attending classes for pregnant women in Ngepoh village, Dringu district, Probolinggo district. This type of research uses a quasi-experimental pre-post test design with a non-equivalent control group. This research was conducted for 3 months. The population in this study were all pregnant women in the second and third trimesters who had their pregnancy checked. The sample of this study amounted to 10 people. The results obtained indicate that based on the Wilcoxon test results indicate that value = 0.038 which means that there is an effect of the snake and ladder method on the motivation of pregnant women to take classes for pregnant women and at value = 0.046 which means that there is an effect of the snake and ladder method on the activity of pregnant women in participating in maternal classes. pregnant. It can be concluded that there is an increase in the motivation and activeness of mothers in attending classes for pregnant women.
Co-Authors Agung Sahari Agus Santosa Ahmad Syauqi Mubarok Alfi Yudisianto Almaidah, Indah Amalia, Mawaddatul Angga Ladzi Syafroni Annisa Ary Saifutri Ans Syafrie Amroyan Apriyani Puji Hastuti Arif Mustofa Arta Lebrina Nakmofa Arta Lebrina Nakmofa Atik Muji Rahayu Aulia, Hana Agustin Billy Anoraga, Aditya Byba Melda Suhita Byba Melda Suhita Cahya Eka Sudrajad Chusnatayaini, Arina Darmawati Abdul Rachman Dedi Saifulah Diyah Ayu Purnaningtyas Dwiana, Winda Gusya Effendi, Yuskinau Erick Berto Yahya Eva Agustina Evrin Anggasari Fadhliya, Lailiyatul Faridah Moh Said Fira Musyawirah Fitriya Fajar Wati Frederikus Haloko Gusti Ayu Agung Mas Mahadewi Hairah, ST Haloko, Frederikus Hapipul Fahri Hargiani, Fransisca Xaveria Hary Indah Fibriany Haryani, Mukti Sri Has’ad Rahman Attamimi Heri Hermawati Herman Adhi Wijaya Herwati Herwati Ida Nuryanti Ida Nuryati Indah Almaidah Indah Aprilia Angelina Indah Noer Jannah Indasah Indasah INDRA FRANA JAYA KK Irsyad Herminofa Joko Prasetyo Joko Prasetyo Kasri Astuti Kholifatur Rizkiyah, Nur Kurniawan, Ardhiles Wahyu Langit Kresna Janitra Lauchul Machfudoh Layla, Siti Farida Noor Librata, Pramitha Nayana Lingga Kusuma Wardani Lingga Kusuma Wardani Machfudoh, Lauchul Mardianto, Rudy Maria Nubatonis Mawaddatul Amalia Moh Khoirul Anam Mohammad Saifulaman Muhammad Imam Fakhrudin Muhammad Rodli Natalia Ningsi Katupu Nency Natalia Tho Niken Sri Wahyuni Noor Annisa Susanto Novita Ana Anggraini Nur Azizah Nur Syazana Umar Nurma Afiani Nurwijayanti Osnawati H. Marsaoly Pramitha Nayana Librata Prima Dewi Kusumawati Purnaningtyas, Diyah Ayu Putri Mayasari R. Anggi Dwi Putra JS Rahmi, Dianita Ratna Wardani Ratna WardanI Ratna Wardani Reni Nurhidayah Risky Siwi Pradini Risqy Siwi Pradini Rita Sukmawanti Roesardhyati, Ratna Salsabila, Unik Hanifah Samrina Samrina Sandu Siyoto Saputri, Priska Delima Sarippy, Jesseline Selviana Timuneno Seno Arif Amrullah Sentot Imam Sentot Imam Suprapto Sentot Imam Suprapto Seran, Adriyani Nahak Sindu Sintara Siti Aisyah Siti Farida Sìti Farida Noor Layla Siti Farida Noor Layla Solo, Rosalia Astria Tanggu Sri Kardjati Maria SUMIYATI SUMIYATI Sunarto Sunarto Sutrisno Sutrisno Timuneno, Selviana Titik Isbandiyah Tutik Nushah Wahyu Kresnawati Wahyu Kresnawati Wardah Fauziah Wardhani, Lingga Kusuma Widigdo Rekso Negoro Winda Gusya Dwiana Yalestyarini, Eva Agustina Yanis, Hardi Yeni Yenny Puspitasari Yuli Arnita Pakpahan Yuli Peristiowati Yully Asmariana Yuly Peristiowati Yuly Peristiowati Yuly Peristiowati Yuly Peristiowati Yuly Peristiowati Yuly Peristiowati