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Pengaruh Aktifitas Fisik terhadap Resiko Jatuh dan Pemenuhan Activity Daily Living pada Lansia Yuli Arnita Pakpahan; Sìti Farida Noor Layla; Yuly Peristiowati; Byba Melda Suhita; Rahmania Ambarika
Jurnal Penelitian Kesehatan SUARA FORIKES 2022
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf.v0i0.2870

Abstract

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Metode Persalinan, Berat Badan Lahir dan Refleks Primitif Pada Kemampuan Motorik Anak Usia Dini Sunarto Sunarto; Sentot Imam Suprapto; Byba Melda Suhita; Yuly Peristiowati; Rahmania Ambarika
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 14, No 2 (2023): April 2023
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf14235

Abstract

Primitive reflexes are involuntary and stereotypical movements that are controlled by the brainstem. The purpose of this study was to analyze the effect of the method of delivery, birth weight and active primitive reflexes on motor skills in early childhood. The population in this study were early childhood (4-5 years) who had no history or record of being children with special needs who came to Posyandu in Pondok Kacang Timur sub-district, Pondok Aren District, South Tangerang City, Banten Province. The sample was 106 children selected using accidental sampling technique. Data were collected through document study and direct examination, then analyzed using ordinal regression tests. The results of the analysis showed that the p-value for the analysis of the effect for each pair of variables was as follows: method of delivery for gross motor skills = 0.418, method of delivery for fine motor skills = 0.624, birth weight for gross motor skills = 0.031, birth weight for fine motor skills = 0.034, Asymmetric Tonic Neck Reflex for gross motor = 0.049, Asymmetric Tonic Neck Reflex for fine motor = 0.065, Symmetric Tonic Neck Reflex for gross motor = 0.792, Symmetric Tonic Neck Reflex for fine motor = 0.362, Tonic Labyrinth Reflex for gross motor = 0.046, Tonic Labyrinth Reflex on fine motor = 0.021, simultaneous effect on gross motor = 0.000 and simultaneous effect on fine motor = 0.001. It was concluded that there was an influence between birth weight, Asymetric Tonic Neck Reflex and Tonic Labyrinth Reflex on the motor skills of early childhood.Keywords: child; motor skills; birth weight; primitive reflex ABSTRAK Refleks primitif merupakan gerakan involunter dan bersifat stereotipikal yang dikendalikan oleh batang otak. Tujuan penelitian ini adalah menganalisis pengaruh metode persalinan, berat badan lahir dan refleks primitif yang aktif terhadap kemampuan motorik pada anak usia dini. Populasi dalam penelitian ini adalah anak usia dini (4-5 tahun) yang tidak memiliki riwayat atau catatan sebagai anak berkebutuhan khusus yang datang ke Posyandu di kelurahan Pondok Kacang Timur, Kecamatan Pondok Aren, Kota Tangerang Selatan, Propinsi Banten. Sampel adalah 106 anak yang dipilih menggunakan teknik accidental sampling. Data dikumpulkan melalui studi dokumen dan pemeriksaan langsung, lalu dilakukan analisis menggunakan uji regresi ordinal. Hasil analisis menunjukkan nilai p untuk analisis pengaruh bagi setiap pasangan variabel adalah sebagai berikut: metode persalinan terhadap motorik kasar = 0,418, metode persalinan terhadap motorik halus = 0,624, berat badan lahir terhadap motorik kasar = 0,031, berat badan lahir terhadap motorik halus = 0,034, Asimetric Tonic Neck Reflex terhadap motorik kasar = 0,049, Asimetric Tonic Neck Reflex terhadap motorik halus = 0,065, Simetric Tonic Neck Reflex terhadap motorik kasar = 0,792, Simetric Tonic Neck Reflex terhadap motorik halus = 0,362, Tonic Labyrint Reflex terhadap motorik kasar = 0,046,  Tonic Labyrint Reflex terhadap motorik halus = 0,021, pengaruh simultan terhadap morik kasar = 0,000 dan pengaruh simultan terhadap motorik halus = 0,001. Disimpulkan bahwa terdapat pengaruh antara berat badan lahir, Asimetric Tonic Neck Reflex dan Tonic Labyrint Reflex terhadap kemampuan motorik anak usia dini.Kata kunci: anak; kemampuan motorik; berat badan lahir; refleks primitif
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).
Analisis Kesiapan Perawatan dalam Melaksanakan Triase di Unit Intalasi Gawat Darurat Dirumah Sakit Tipe B Kota Palembang Tahun 2024 Jannah, Indah Noer; KK, Indra Frana Jaya; Ambarika, Rahmania; Wardani, Ratna
Jurnal Ners Vol. 9 No. 2 (2025): APRIL 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i2.43519

Abstract

Instalasi gawat darurat merupakan salah satu unit pelayanan di rumah sakit yang memberikan pertolongan pertama dan sebagai jalan utama masuknya pasien dengan kondisi gawat darurat. Triage merupakan suatu kegiatan memilih dan memilah pasien yang akan masuk ke IGD, dari proses memilih dan memilah pasien yang masuk ke IGD akan dikategorikan kedalam pasien true emergency dan false emergency. Untuk mengetahui analisis kesiapan perawat dalam pelaksanaan Triage di unit Instalasi Gawat Darurat di RSUD Siti Fatimah Palembang tahun 2024 dan RSUD BARI Palembang. Penelitian ini menggunakan jenis kuantitatif dengan deskriptif menggunakan pendekatan cross-sectional. Pengumpulan data dimulai pada bulan November hingga desember 2024 di ruang instalasi unit gawatdarurat dengan sampel sebanyak 69 responden dengan menggunakan teknik total Sampling. Alat pengumpulan data menggunakan kuesioner dan dianalisis menggunakan uji chi-square. Memiliki hubungan antara tingkat pengetahuan dalam melaksanakan triase di instalasi gawat darurat dengan hasil P-Value 0.001 yang berarti kurang dari 0.05. sikap perawat dalam melaksanaka triase di instalasi gawat darurat dengan hasil P-Value 0.048 yang berarti kurang dari 0.05, dan tingkat stres perawat dalam melaksanakan triase di instalasi gawat darurat dengan hasil P-Value 0.000 yang berarti kurang dari 0.05. sehingga dapat disimpulkan bahwa tingkat pengetahuan, sikap, dan tingkat stres perawat memiliki hubungan dengan kesiapan perawat dalam melaksanakan triase di instalasi gawat darurat Rumah Sakit Tipe B di kota Palembang Tahun 2024
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.
Co-Authors 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 Dedi Saifulah Diyah Ayu Purnaningtyas Dwiana, Winda Gusya Erick Berto Yahya Eva Agustina Evrin Anggasari Fira Musyawirah Fitriya Fajar Wati Frederikus Haloko Gusti Ayu Agung Mas Mahadewi Hairah, ST Haloko, Frederikus Hargiani, Fransisca Xaveria Harpika, Isa Hary Indah Fibriany Haryani, Mukti Sri Heri Hermawati Herwati Herwati Ida Nuryanti Ida Nuryati Indah Aprilia Angelina Indasah Indasah Irsyad Herminofa Jannah, Indah Noer Joko Prasetyo Joko Prasetyo Kasri Astuti Kholifatur Rizkiyah, Nur KK, Indra Frana Jaya Kurniawan, Ardhiles Wahyu Langit Kresna Janitra Lasito Lauchul Machfudoh Layla, Siti Farida Noor Librata, Pramitha Nayana Lingga Kusuma Wardani Lingga Kusuma Wardani Machfudoh, Lauchul Mardianto, Rudy Maria Nubatonis Marminingsih Mawaddatul Amalia Moh Khoirul Anam Mohammad Saifulaman Muhammad Imam Fakhrudin Natalia Ningsi Katupu Nency Natalia Tho Noor Annisa Susanto Novita Ana Anggraini Nur Azizah Nurma Afiani Nurwijayanti Nurwijayanti Kusumaningrum Osnawati H. Marsaoly Pramitha Nayana Librata Prima Dewi Kusumawati Purnaningtyas, Diyah Ayu Putri Mayasari R. Anggi Dwi Putra JS Rahmi, Dianita Ratna Roesardhyati Ratna Wardani Ratna Wardani Rekso Negoro, Widigdo Risky Siwi Pradini Risqy Siwi Pradini Rita Sukmawanti Rodli, Muhammad Roesardhyati, Ratna Salsabila, Unik Hanifah Samrina Samrina Sandu Siyoto Sarippy, Jesseline Selviana Timuneno Seno Arif Amrullah Sentot Imam Sentot Imam Suprapto Sentot Imam Suprapto Seran, Adriyani Nahak sintara, sindu Siti Farida Sìti Farida Noor Layla Siti Farida Noor Layla Sri Kardjati Maria Sunarto Sunarto SUTRISNO Timuneno, Selviana Titik Isbandiyah Tutik Nushah Wahyu Kresnawati Wahyu Kresnawati Wardah Fauziah Wardhani, Lingga Kusuma Watna, Ida Wijayanto, Herman Adhi Winda Gusya Dwiana Yalestyarini, Eva Agustina Yanis, Hardi Yeni Yenny Puspitasari Yuli Arnita Pakpahan Yuly Peristiowati Yuly Peristiowati Yuly Peristiowati Yuly Peristiowati Yuly Peristiowati