Kadek Agustina Puspa Ningrum
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PEMBERIAN PENDIDIKAN KESEHATAN DENGAN MEDIA VIDEO ANIMASI TERHADAP TINGKAT PENGETAHUAN DAN SIKAP TENTANG SEKS BEBAS Kadek Agustina Puspa Ningrum; Luh Ayu Purnami; Ni Komang Emi Wahyuni; Yopita Triguno
MIDWINERSLION : Jurnal Kesehatan STIKes Buleleng Vol. 8 No. 2 (2023): MIDWINERSLION Jurnal Kesehatan STIKes Buleleng
Publisher : LPPM STIKes Buleleng

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52073/midwinerslion.v8i2.364

Abstract

Pendahuluan: Kemudahan dalam mengakses media menjadi perilaku remaja sehari-hari dan mempengaruhi perilaku seksual yang ditampilkan. Pada kenyataannya, remaja belum memahami pendidikan seks khususnya perilaku seksual yang sehat terkait dengan kesehatan reproduksi. Akibat ketidakterbukaan mengenai pendidikan seks, banyak remaja yang malah terjerumus dalam masalah seksualias. Remaja tidak mengetahui dampak dan akibat dari hubungan seks karena kurangnya pendidikan seks yang diterima. Provinsi Bali merupakan salah satu dari wilayah Indonesia yang menyumbangkan angka pernikahan dini dengan peringkat ke-26 dikisaran 8,55% untuk perkawinan anak menurut Menteri Pemberdayaan Perempuan dan Perlindungan Anak (PPPA). Metode: Penelitian ini merupakan penelitian kuantitatif dengan menggunakan metode Quasi Eksperimental, dengan design perencanaan ialah Two Grup Pre Test dan Post Test Design. Populasi penelitian ini sebanyak 124 dan sampel pada penelitian ini ialah 80 orang siswa kelas VII A SMP Negeri 4 Kubu Karangasem. Hasil: Terdapat perbedaan sebelum dan sesudah diberikan pendidikan kesehatan melalui media video animasi yaitu 2,89 untuk pengetahuan dan 1.35 untuk sikap serta diperoleh nilai p=0,002 maka Ha diterima berarti ada pengaruh media video animasi terhadap pengetahuan dan sikap remaja tentang seks pranikah di SMP Negeri 4 Kubu Karangasem. Kesimpulan: Ada pengaruh pendidikan kesehatan melalui media video animasi terhadap pengetahuan dan sikap remaja tentang seks bebas.
MENGIDENTIFIKASI FAKTOR-FAKTOR YANG MEMPENGARUHI KEJADIAN RUPTUR PERINEUM PADA IBU BERSALIN DI WILAYAH KERJA PUSKESMAS KUBUTAMBAHAN 1 Luh Ayu Dianiati; Luh Ayu Purnami; Kadek Agustina Puspa Ningrum
MIDWINERSLION : Jurnal Kesehatan STIKes Buleleng Vol. 8 No. 2 (2023): MIDWINERSLION Jurnal Kesehatan STIKes Buleleng
Publisher : LPPM STIKes Buleleng

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52073/midwinerslion.v8i2.365

Abstract

Pendahuluan: Di Indonesia laserasi perineum dialami oleh 75% ibu melahirkan pervaginam, dari total dari total 1951 kelahiran spontan pervaginam, 57% ibu mendapat jahitan perineum. Metode: Jenis penelitian ini adalah penelitian observasional analtik dengan pendekatan retropespektif. Populasi pada penelitian ini seluruh ibu bersalin normal periode tahun Januari 2020-Maret 2023. Sampel pada penelitian ini menggunakan 105 sampel dengan tehnik pengambilan sampel purposive sampling. Instrumen pengumpulan data pada penelitian ini tertuang dalam master tabel. Analisa yang digunakan yaitu analisa univariat yang tertuang dalam tabel distribusi frekuensi, analisa bivariat yang digunakan adalah uji chi-square, analisa multivariat dengan metode analisis regresi linier berganda. Hasil: didapatkan variabel yang paling berpengaruh terhadap kejadian ruptur adalah berat badan janin dengan nilai sig. untuk hubungan berat badan janin terhadap kejadian ruptur sebesar 0,028 < 0,05 dan nilai t hitung 2,831 > t tabel 1.97. Simpulan: Ada hubungan usia, paritas, jarak kehamilan, lingkar kepala, distosia bahu, berat badan janin dengan kejadian ruptur perineum dan berat badan janin adalah variabel yang peling berpengaruh dengan kejadian ruptur perineum.
PENCEGAHAN STUNTING MELALUI INOVASI AUDIO AFIRMASI POSITIF ASI EKSLUSIF BERBASIS TRI KAYA PARISUDHA Kadek Agustina Puspa Ningrum; Ni Luh Linda Ayuni Tania
JOMIS (Journal of Midwifery Science) Vol. 10 No. 1 (2026): JOMIS (Journal Of Midwifery Science)
Publisher : LPPM Universitas Abdurrab

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36341/jomis.v10i1.6971

Abstract

Background: Stunting is a significant health issue in Indonesia, affecting 21.50% of the population. In the province of Bali, the stunting rate is 14.4%. The highest incidence of stunting in Buleleng is found in Banjar District, at 9.15%, primarily because Banjar District has the lowest rate of exclusive breastfeeding at just 14.3%. Currently, numerous efforts are being made to prevent stunting, one of which is promoting exclusive breastfeeding; however, many mothers still do not provide exclusive breastfeeding. The cause is attributed to poor maternal mental health. The purpose of this study is to enhance the success of mothers in providing exclusive breastfeeding to their babies through positive affirmation audio innovations based on Tri Kaya Parisudha. The method employed is a mixed-method approach, utilizing qualitative assessments for media development and quantitative distribution of questionnaires across 17 villages in Banjar District, involving a total of 34 respondents with infants. Changes in breastfeeding practices were observed before and after the intervention (one group pre-posttest). Research results: The findings from the assessments conducted by three experts—namely, a mental health expert, a lactation expert, and a Hindu cultural expert—indicate several areas that require improvement, including: the absence of technical education on breastfeeding positions, the signs of adequate breastfeeding, and a lack of explicit affirmation of breastfeeding as a gift from Ida Sang Hyang Widhi. The results of the Wilcoxon test revealed a significance value of 0.000 < 0.05, leading to the conclusion that the alternative hypothesis (Ha) is accepted. This indicates a significant influence on mental health, knowledge, attitudes, behaviors, and milk production before and after the implementation of positive affirmations for exclusive breastfeeding based on Tri Kaya Parisudha
ANALISIS FAKTOR YANG BERHUBUNGAN DENGAN PEMBERIAN KOLOSTRUM PADA HARI PERTAMA KELAHIRAN Indrie Lutfiana; Kadek Agustina Puspa Ningrum
Optimal Midwife Journal Volume 3 No 1 Juni 2026
Publisher : PT Nuansa Fajar Cemerlang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.67717/740739

Abstract

Background: Nutrition provided through Breast Milk (ASI) has substantial implications for the quality of a child's development. An observation conducted in the Postpartum Room indicated that some breastfeeding mothers do not provide colostrum to their babies. This occurs quite frequently, with factors such as knowledge, education, and family support being among the reasons for not providing colostrum. Method: This study adopts a quantitative paradigm through the design of an analytical survey with a cross-sectional design. The participants of this study included 250 postpartum mothers, with 80 mothers sampled using purposive sampling technique. The research location was in the postpartum ward the period of March 2026. The research instrument consisted of a questionnaire that collected participant demographic data, knowledge level, family support, and educational history. Univariate analysis focused on frequency distribution, while bivariate analysis applied the Spearman-rank test. Results: Of the 80 participants studied, the majority of respondents showed an adequate level of knowledge, comprising 66 mothers (82.5%), those with a high school education background numbering 66 mothers (82.5%), and family support assessed as sufficient by 50 mothers (62.5%). Statistical analysis using the Spearman-rank method yielded a p-value of 0.001, which is significantly lower than the established threshold (< 0.05), thus the alternative hypothesis (Ha) is accepted. This finding indicates a correlation between the knowledge level of breastfeeding mothers and the practice of colostrum feeding on the first day of birth in the postpartum room. Conclusion: There is a significant correlation between the knowledge level of breastfeeding mothers and the practice of colostrum administration on the first day of birth in the postpartum room. It is expected that health workers regularly provide education and counseling to breastfeeding mothers to improve colostrum administration on the first day of birth
The effectiveness of baby massage in increasing infant's body weight Risa Arieska; Kadek Agustina Puspa Ningrum; Ni Luh Linda Ayuni Tani
Malahayati International Journal of Nursing and Health Science Vol. 7 No. 11 (2025): Volume 7 Number 11
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v7i11.499

Abstract

Background: Baby care that is not optimal at a critical period can cause death in the baby. The Neonatal Mortality Rate (NMR) is set to be up to 12 per 1000 live births in 2030. Massage provides a stimulus to the systems in the body, a substance that regulates functions such as appetite, sleep, memory, and learning, regulates temperature, mood, behavior, the function of blood vessels, muscle contraction, regulation of the endocrine system, and depression. Purpose: The purpose of this study is to determine the effectiveness of giving a baby massage to increase baby weight. Method: A quasi- experimental approach, specifically focusing on one group pretest - posttest. The study took place from April 2023, in Ubud Health Center, Bali. The independent variable was baby massage while the dependent variables is a baby weight. Using purposive sampling and the Slovin formula, 30 participants were selected. Univariate statistical analysis was conducted, bivariate data analysis using Shapiro-Wilk dan Wilcoxon test. Results: Shows an increase in average infant weight from 5.24 kg pre-test became to 6.19 kg after post-test and a p-value of 0.000 (<0.05), indicating that infant massage significantly affected infant weight gain. Conclusion: Proves that giving massage to babies can help optimize baby growth by increasing baby weight. Infants who are massaged have increased levels of absorption enzymes and insulin so that the absorption of food extracts becomes better.
EFEKTIVITAS PIJAT LAKTASI TERHADAP PRODUKSI ASI PADA IBU NIFAS DI DESA BUKTI Kadek Agustina Puspa Ningrum; Indrie Lutfiana; Desak Ketut Sugiartini
Midwinerslion : Jurnal Kesehatan STIKes Buleleng Vol 10 No 2 (2025): MIDWINERSLION Jurnal Kesehatan STIKes Buleleng
Publisher : LPPM STIKes Buleleng

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52073/mjksb.v10i2.580

Abstract

Introduction: Lactation massage involves massaging the neck, shoulders, scapula, back, and breast area, performed twice a day for 5 minutes over a period of 3 days. This method of breast care is painless and can stimulate the strength of the breast muscles, aiming to enhance the production of the hormones prolactin and oxytocin, which in turn increases milk production. Additionally, it can make the breasts more elastic, facilitating the baby's ability to latch and suckle effectively. The purpose of this study is to assess breast milk production following lactation massage in normal postpartum mothers, comparing the control group with the treatment group.Methods: This study employed a quasi-experimental design with a two-group pre-post test control group approach, utilizing purposive sampling with a sample size of 30. Data collection was conducted using questionnaires and observation sheets. Results: The statistical analysis using the paired t-test revealed a p-value of less than 0.05, leading to the rejection of the null hypothesis (Ho), which indicates a significant relationship between the effect of lactation massage on breast milk production in postpartum mothers in the village. Conclusion: The findings of this study can serve as valuable input for healthcare providers working with patients experiencing irregular milk production in normal postpartum mothers, enabling them to enhance milk production through the application of lactation massage techniques.
OPTIMALISASI EDUKASI KESEHATAN DALAM PENCEGAHAN STUNTING PADA IBU BALITA SEBAGAI UPAYA PENINGKATAN STATUS GIZI DI DESA BUKTI Kadek Agustina Puspa Ningrum; Desak Ketut Sugiartini; Indrie Lutfiana
Jurnal Pengabdian Masyarakat Sundaram Vol. 3 No. 2 (2025): JPMS
Publisher : LPPM STIKes Buleleng

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52073/jpms.v3i2.80

Abstract

Latar belakang : Masalah stunting di Indonesia merupakan salah satu ancaman yang serius dan memerlukan penanganan yang tepat. Para pemerintah sudah menanggulangi terjadinya stunting pada balita di Indonesia dengan menargetkan program penurunan stunting menjadi 14% pada tahun 2024 mendatang. Tujuan: Setelah diberikan pendidikan kesehatan selama 30 menit, diharapkan peserta penyuluhan dapat memahami dan mengerti tentang stunting dan cara mengatasinya. Metode: ceramah, diskusi, tanya jawab mengenai Pencegahan Stunting pada Balita. Hasil : Pendidikan Kesehatan dengan melakukan penyuluhan merupakan intervensi yang tepat dilakukan pada orang tua balita karena akan memberikan pola pikir yang baik yang berdampak pada setiap pengambilan keputusan dan dalam berperilaku. Pembahasan: Audien yang hadir dalam acara ini ada 20 orang anak balita beserta orang tuanya, audien tampak responsif dan aktif dalam berdiskusi saat penyuluhan berlangsung. Simpulan: Ada perbedaan hasil pre test dan post test jawaban pertanyaan peserta mengenai pengertian stunting, penyebab stunting, tanda dan gejala stunting, dampak stunting, pencegahan stunting.