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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.
Analysis of Factors Associated with The Incidence of Stunting among Toddlers in The Working Area of Baron Health Center, Nganjuk District, Indonesia Marminingsih; Puspitasari, Yenny; Ambarika, Rahmania
Ficco Public Health Journal Vol. 2 No. 02 (2025): August 2025
Publisher : Ficco Scientific Corner

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/zenodo.16996160

Abstract

Background: Cases of stunting in children under five are still high. The prevalence of stunting in toddlers in Nganjuk Regency reached 17.1% (13,821 children aged 0-59 months). This study aims to analyze the factors associated with the incidence of stunting in toddlers aged 0-59 months in the working area of the Baron Health Center, Nganjuk Regency. Methods: This research is a quantitative study using a Cross Sectional study design. Total population 3,028 toddlers, with a sample of 379 children. Analysis using the Chi Square test. Results: The results of statistical tests of pregnant women who experience Chronic Energy Deficiency (CED), it can be concluded that there is a relationship between the status of pregnant women Chronic Energy Deficiency (CED) and the incidence of stunting in toddlers with a significance value is < 0.01. Women with anemia who are pregnant A significant correlation has been found between toddler stunting incidence and anemic status. is <0.01 and pregnant women who suffer from comorbidities there is a relationship between the history of comorbidities in pregnant women with the incidence of stunting in toddlers with a significance value is < 0.01. Conclusions: The incidence of stunting in toddlers can be caused by various factors. This study proves that pregnant women experiencing Chronic Energy Deficiency (CED) anemic pregnant women, and a history of comorbidities are significantly associated with the incidence of stunting in toddlers (sig < 0.01 < 0.05).
The Effect of Stress, Dietary Patterns, and Body Mass Index on The Incidence of Hypertension among Patients at Denkesyah Clinic, Madiun, East Java Lasito; Nurwijayanti; Ambarika, Rahmania
Ficco Public Health Journal Vol. 2 No. 02 (2025): August 2025
Publisher : Ficco Scientific Corner

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/zenodo.16996226

Abstract

Background: Hypertension remains a major global health problem and one of the leading risk factors for cardiovascular disease. Both non-modifiable and modifiable factors, such as stress, diet, and obesity, play a crucial role in its development. In Indonesia, hypertension continues to account for a high burden of morbidity, with an increasing prevalence reported in Madiun. This study aimed to analyze the association of stress, dietary patterns, and body mass index (BMI) with hypertension among patients at Denkesyah Clinic, Madiun, East Java. Methods: This study employed a cross-sectional study conducted at Denkesyah Clinic, Madiun, East Java, in October 2024. A total of 87 respondents were selected using purposive sampling from patients enrolled in the chronic disease management program (Prolanis). Data on stress were collected using the Self Reporting Questionnaire-20 (SRQ-20), dietary patterns were assessed with a Food Frequency Questionnaire (FFQ), and body mass index (BMI) was calculated using weight and height measurements. Hypertension was defined as systolic blood pressure ≥140 mmHg and/or diastolic ≥90 mmHg. Data analysis included univariate, bivariate (Chi-square test), and multivariate logistic regression. Results: The study found that 52.9% of respondents experienced high stress levels, 59.8% had poor dietary patterns, and 44.8% were obese. Stress, poor dietary pattern, and elevated BMI were all significantly associated with hypertension (p < 0.05). Multivariate analysis showed that BMI was the most dominant risk factor, with an odds ratio indicating that obese individuals were more likely to develop hypertension compared to those with normal BMI. Conclusions: Stress, dietary pattern, and BMI significantly are associated with hypertension, with BMI being the strongest predictor. Public health interventions should focus on promoting healthy dietary habits, stress management, and weight control strategies to reduce the burden of hypertension in the community.
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.
Penerapan Budaya Keselamatan Kerja Bagi Tenaga Kesehatan Nurwijayanti, Nurwijayanti; Ambarika, Rahmania; Harpika, Isa
Jurnal Medika: Medika Vol. 4 No. 4 (2025)
Publisher : LPPM Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/d015qm62

Abstract

Keselamatan dan kesehatan kerja perlu diperhatikan dalam rangka melindungi pekerja agar tetap selamat dan sehat selama melaksanakan aktivitasnya. Berlaku untuk rumah sakit, dimana fokus dari pelaksanaan keselamatan dan kesehatan kerja di rumah sakit (K3RS) adalah melindungi tenaga medis, tenaga non medis, pasien dan pengunjung dari potensi risiko terjadinya penyakit menular selama berada dilingkungan rumah sakit (Suhariono, ST., M.M., 2018). Pengabdian kepada masyarakat dilakukan dengan cara sosialisasi tentang penerapan budaya keselamatan kerja bagi tenaga kesehatan. Penyuluh akan melakukan sosialisasi menggunakan materi yang disajikan dalam bentuk Power Point dan menggunakan lembaran kuisioner. Sosialisasi dilakukan di RSUD Tuan Rondahaim Kabupaten Simalungun. Sasaran dalam pengabdian masyarakat ini adalah tenaga Kesehatan yang ada di rumah sakit. Tahapan pelaksanaan kegiatan dimulai dengan koordinasi dengan direktur rumah sakit, koordinasi dengan unit pelayanan medis, dan Identifikasi masalah budaya keselamatan kerja. Pengabdian masyarakat ini di ikuti oleh 36 orang peserta dari rumah sakit umum daerah tuan rondahaim kabupaten simalungun.  Hasil pengabdian menunjukkan distribusi skor kepatuhan terhadap prosedur keselamatan pada penilaian aspek deteksi dini dan penanganan risiko diperoleh nilai yang menerapkan prosedur keselamatan sebanyak 25 orang (69,4%) dan yang tidak menerapkan sebanyak 11 orang (30.6%), selanjutnya penilaian aspek edukasi dan sosialisasi keselamatan diperoleh nilai yang menerapkan prosedur sebanyak 15 orang (41.7%) dan yang tidak menerapkan sebanyak 21 orang (58.7%), dan penilian aspek kepeimpinan dan pengawasan keselamatan diperoleh nilai yang menerapkan prosedur keselamatan sebanyak 17 orang (47.2%) dan yang tidak menerapkan sebanyak 19 (52.8%). Metode pendidikan dan pelatihan yang aktif terhadap penerapan budaya keselamatan kerja.
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.
The Effectiveness of Marmet Techniques, Oxytocin Massage, and Endorphin Massage to Breast-Milk Production on Post Cesarean Section at RSIA Puri Bunda Hospital Malang Nur Azizah; 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.v6i1.406

Abstract

Breast milk is the most ideal food for babies. One of the efforts to increase breast milk production in post partum is to stimulate its natural hormones, namely the hormone prolactin and the hormone oxytocin. There are several interventions to increase the smoothness of breast milk, namely oxytocin massage, endorphin massage, and the marmet technique.The research design used was a quasi-experimental design with a post-test only design. The research sample was 60 post-sectional mothers who were taken using simple random sampling. The independent variables are marmet technique, oxytocin massage, endorphin massage. The dependent variable is post-sectional milk production. Data were collected using a questionnaire and analyzed using the Kuskal Wallis Test with a significance of p <0.05.The results showed that the treatment of the marmet technique for breast milk production was not smooth as many as 15 respondents (75%). The endorphin massage treatment had smooth milk production as many as 17 respondents (85%). Oxytocin massage treatment for milk production was smooth as many as 20 respondents (100%). Based on the Kuskal Wallis Test, it is known that Asymp.Sig. (2-tailed) has a value of 0.0000 which is <0.05, it can be concluded that Ha is accepted, there is a significant difference between breast milk production with the marmet technique, oxytocin massage, and endorphin massage to breast-milk production on post caesarean section women at Puri Bunda Hospital Malang. It was concluded that oxytocin massage and endorphin massage are techniques that have the opportunity to launch breast milk compared to the marmet technique on the production of breast milk for post sectio mothers at Puri Bunda Hospital Malang. It is recommended for further researchers to be able to measure the intensity of oxytocin massage pressure, endorphins, and marmet techniques in order to increase the accuracy of giving oxytocin massage to post caesarean section women.
Psychological Impact on Health Officer Providing Treatment of COVID-19 Fitriya Fajar Wati; 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.v6i1.425

Abstract

During the first week of March, the spike in 2019 coronavirus disease (COVID-19) cases reached more than 100 countries with more than 100,000 cases. Authorized health workers have initiated awareness and preparedness activities out of bounds. Recently, the Covid-19 pandemic has resulted in a decline in mental health for every person or group of people, even the wider community, including medical personnel. the purpose of this study is to determine the Psychological impact of Health Workers during the COVID-19 pandemic. This study is a literature review by comparing articles, journals or secondary data from previously published literature contained in the medical journal database Science Direct, PubMed and ClinicalKey. In conclusion, it found the prevalence of psychological impacts such as stress, anxiety and depression from mild to severe among health workers during the COVID-19 pandemic. These findings will help improve our understanding of the impact or impact of the COVID-19 pandemic on the Psychology of Health Worker.
HERMINA-HD SECURECARE™: Inovasi Sistem Terintegrasi Untuk Meningkatkan Keselamatan Hemodialisis Di Rumah Sakit Hermina Jakarta Ambarika, Rahmania; Yanis, Hardi; Puspitasari, Yenny
Jurnal Abdimas ITEKES Vol 5 No 1 (2025)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat Institute Teknologi dan Kesehatan (ITEKES) Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37294/jai.v5i1.786

Abstract

ABSTRAK   Hemodialisis merupakan terapi esensial bagi pasien dengan penyakit ginjal kronis stadium akhir. Meskipun demikian, prosedur ini masih dikaitkan dengan tingginya tingkat komplikasi di Indonesia, termasuk hipotensi (20–55%), kram otot (hingga 70%), dan infeksi vaskular. Unit Hemodialisis RS Hermina Daan Mogot Jakarta menghadapi sejumlah kendala, antara lain dokumentasi yang tidak konsisten, komunikasi antarprofesi yang belum terstandar, serta keterbatasan dalam deteksi dini risiko. Penelitian ini bertujuan mengembangkan Hermina-HD SecureCare™, sebuah sistem terintegrasi yang menggabungkan teknologi, edukasi pasien, dan pelaporan elektronik, untuk meningkatkan keselamatan prosedur hemodialisis. Kegiatan ini menggunakan pendekatan studi kasus. Data dikumpulkan melalui observasi alur layanan, wawancara dengan tenaga medis, penelusuran rekam medis, focus group discussion (FGD), dan uji coba prototipe sistem. Analisis masalah dilakukan menggunakan diagram fishbone dan metode 5-Whys untuk mengidentifikasi akar masalah, sedangkan evaluasi implementasi awal dilakukan melalui simulasi terbatas. Hasil analisis mengidentifikasi beberapa masalah utama, meliputi dokumentasi yang tidak lengkap, komunikasi antarprofesi yang tidak terstruktur, deteksi dini risiko yang belum optimal, serta budaya pelaporan insiden yang lemah. Implementasi awal Hermina-HD SecureCare™ menunjukkan peningkatan kepatuhan pelaporan sebesar 40%, standarisasi komunikasi antarprofesi melalui format digital SBAR, serta peningkatan pemahaman pasien setelah menerima edukasi audiovisual. Secara keseluruhan, Hermina-HD SecureCare™ terbukti meningkatkan keselamatan hemodialisis melalui integrasi monitoring real-time, sistem pelaporan digital, dan edukasi pasien. Model ini berpotensi direplikasi pada unit hemodialisis di rumah sakit lain di Indonesia, mendukung praktik keselamatan pasien yang lebih optimal. Kata kunci: Hemodialisis, Keselamatan Pasien, Inovasi Digital, Sistem Terintegrasi, Hermina-HD Securecare™
Perbedaan Pengetahuan Sebelum dan Sesudah Edukasi tentang Sistem Skoring APACHE II di ICU RS TK II DR Soepraoen Ambarika, Rahmania; Sintara, Sindu; Rodli, Muhammad; Susanto, Noor Annisa
Jurnal Pengabdian Masyarakat Bhinneka Vol. 4 No. 2 (2025): Bulan November
Publisher : Bhinneka Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58266/jpmb.v4i2.156

Abstract

Intensive care unit (ICU) merupakan perawat unit kritis di rumah sakit. Berbagai sistem skoring klinis dikembangkan untuk meningkatkan akurasi prediksi resiko mortalitas dan pengambilan keputusan medis, salah satunya sistem skoring APACHE II. Pengabdian ini bertujuan untuk memberikan edukasi kepada tim ICU RS TK II dr.Soepraoen tentang APACHE II serta melihat perbedaan pengetahuan sebelum dan sesudah edukasi. Pengabdian menggunakan metode participatory action research (PAR). Instrumen menggunakan kuesioner lalu dianalisa dengan uji willcoxone. Edukasi diikuti oleh 25 peserta dan diperoleh hasil pengetahuan peserta sebelum edukasi yaitu 67,6% dan 79,2% setelah edukasi. Hasil uji willcoxone didapat nilai p=0,031 (<0,05) sehingga dapat disimpulkan terdapat perbedaan bermakna dari pengetahuan responden terhadap sistem skoring dengan APACHE II sebelum dan sesudah pemberian edukasi.
Co-Authors Agus Santosa Agusta Dian Ellina 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 Baiq Nirmalasari Billy Anoraga, Aditya Byba Melda Suhita Byba Melda Suhita Cahya Eka Sudrajad Chusnatayaini, Arina Darmawati Abdul Rachman Dedi Saifulah Desak Gede Sri Baktiasih Diyah Ayu Purnaningtyas Dwiana, Winda Gusya Effendi, Yuskinau Elfi, Elfi Quyumi 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 Hargiani, Fransisca Xaveria Harpika, Isa Hary Indah Fibriany Haryani, Mukti Sri Has’ad Rahman Attamimi Heri Hermawati Herman Adhi Wijaya Herwati Herwati I Kadek Mulyawan Ida Nuryanti Ida Nuryati Indah Aprilia Angelina Indah Noer Jannah Indasah Indasah Indra Frana Jaya KK Irsyad Herminofa Jaswadi JASWADI, Jaswadi Joko Prasetyo Joko Prasetyo Kasri Astuti Kholifatur Rizkiyah, Nur Kurnianti, Nur Rochmah 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 Melda Suhita, Byba Moh Khoirul Anam Mohammad Saifulaman Muhammad Imam Fakhrudin Natalia Ningsi Katupu Nency Natalia Tho Noor Annisa Susanto Novita Ana Anggraini Nur Azizah Nur Syazana Umar 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 Ratna WardanI Reni Nurhidayah Risky Siwi Pradini Risqy Siwi Pradini Rita Sukmawanti Rizal Smith Rodli, Muhammad 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 setiyaningsih, yunnita sintara, sindu Siti Farida Siti Farida Noor Layla Sìti Farida Noor Layla Sri Kardjati Maria SUMIYATI SUMIYATI Sunarto Sunarto SUTRISNO Timuneno, Selviana Titik Isbandiyah Tutik Nushah Wahyu Kresnawati Wahyu Kresnawati Wardah Fauziah Wardhani, Lingga Kusuma Watna, Ida Widigdo Rekso Negoro Wijayanto, Herman Adhi Wildan Hapiz Winda Gusya Dwiana Yalestyarini, Eva Agustina Yanis, Hardi Yeni Yenny Puspitasari Yuli Arnita Pakpahan Yuly Peristiowati Yuly Peristiowati Yuly Peristiowati Yuly Peristiowati Yuly Peristiowati Yuly Peristiowati