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Kualitas Hidup Terkait Kesehatan Pada Ibu Hamil Pasca Operasi Caesar: Studi Longitudinal Nuryana, Riska; Elsanti, Devita; Sumarmi, Sumarmi
Jurnal Keperawatan Muhammadiyah Vol 9 No 4 (2024): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v9i4.24937

Abstract

Background: Research focusing on the quality of life after Caesarean Section (CS) and during subsequent pregnancies is still minimal. In addition, research on the quality of life after multiple CSs is still lacking. Several studies focus on the assessment of the quality of life of pregnant women after giving birth by comparing the type of birth: CS versus vaginal delivery (normal delivery). Objective: This study aims to compare the assessment of health-related quality of life in pregnant women who have a history of CS in the first, second and multiple CSs depending on the number of CSs in the pregnant woman's health history. Methods: A short longitudinal study will be conducted on pregnant women with a history of CS on the day before the planned caesarean section (CS)-T1, and on the third day after CS-T2. Pregnant women with a history of CS are divided into three groups. Group 1: never CS; Group 2: ever CS 1 time; Group 3: ever CS two or more times. Pregnant women will fill out a questionnaire regarding respondent characteristics, obstetric history, surgical or anesthesia history and the health-Related Quality of Life (HRQoL) Questionnaire. General linear model for repeated measurement is used by analyzing correlated and non-independent data that are measured repeatedly. Results: The results of this study showed that GLM with repeated measures was conducted to examine the effect of time (time I, time II and time III) on the quality of life variable. The analysis revealed a significant main effect of time, F (2.39) = 4750.43, p-value = 0.000, indicating that quality of life changed significantly at three time points. Conclusion: An individual approach is needed in planning pregnancy after cesarean, especially to prevent long-term health risks. Education and counseling to help mothers understand the recovery process and manage stress or anxiety. This study provides important insights for health professionals to improve post-cesarean services, both in terms of medical interventions and psychosocial support. Keywords : Sectio Caesarea (CS); quality of life; pregnant women, surgery
Pengambilan Keputusan Orang Tua Mengenai Vaksinasi HPV Untuk Remaja Perempuan Hamka, Hamka; Yusuf, Rezky Aulia; Sumarmi, Sumarmi
Jurnal Keperawatan Muhammadiyah Vol 9 No 4 (2024): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v9i4.24967

Abstract

Background: Cervical cancer ranks second in prevalence in women in Indonesia. Human Papillomavirus (HPV) vaccination has been proven effective in reducing the incidence and mortality from cervical cancer. HPV vaccination has been available in Indonesia since 2022 and the Indonesian Government is targeting 90% of girls to receive HPV immunization by 2030. The decision to vaccinate adolescent girls is generally left to parents. This study applies the Theory of Planned Behavior (TPB) to predict parents' desires and behaviors in carrying out HPV vaccination. Objective: This study aims to predict HPV vaccination behavior in parents who have adolescent daughters. Methods: A prospective study design was conducted for 3 months. 130 participants were recruited from 5 elementary schools in Takalar Regency, Indonesia by convenience sampling. Participants involved in this study were parents who have adolescent daughters, adolescent girls aged 11-12 years and are able to speak Indonesian, both literate and illiterate. The exclusion criteria were adolescent girls who were allergic to one of the ingredients in the HPV vaccination. Questionnaires used in this study such as the Health Behavior Survey HPV Vaccination Subscale, demographic data, and related health factors. Logistic regression was used to confirm the causal relationship of variables and to test the TPB constructs. Results: The final logistic regression model of undergoing HPV vaccination included the variables: parental income (OR: 4.60, 95% CI: 1.10 - 9.01). Conclusion: The results of this study indicate a relationship between parental income and HPV vaccination behavior.
Dampak Climate Change Dan Ketahanan Pangan Selama Kehamilan Pada Ibu Hamil Di Pedesaan Indonesia: Studi Kualitatif Dampak Badai El Nino Ernawati, Ernawati; Wijaya, Yosi Maria; Elsanti, Devita; Sumarmi, Sumarmi; Rahayu, Mesra
Jurnal Keperawatan Muhammadiyah Vol 9 No 4 (2024): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v9i4.25026

Abstract

Background: Agriculture and food are negatively impacted by climate change, especially the long dry season caused by El Niño in Indonesia, especially in rural areas. High dependence on rainfall, land, and lack of representation in decision-making groups result in increased challenges and limited adaptive capacity of pregnant women in climate change including its impact on food security. Objectives: This study aims to characterize: 1) sensitivity to decreased food security related to El Niño for pregnant women; 2) pregnant women's perceptions of the impact of El Niño on food security during pregnancy; and 3) changes in food security and maternal and infant health over time, as observed by pregnant women in rural Indonesia. Methods: This study design is a qualitative design. This study was conducted in one district in South Sulawesi and Central Java Provinces. A semi-structured interview guide was used. Data analysis using qualitative thematic analysis methods of data using the constant comparative method. Transcripts were uploaded to NVivo© 12 to facilitate manual coding. with the constant comparative method and thematic analysis. Results: All informants did not know or did not understand the term El Niño. The most felt impacts due to the long dry season are drought and strong winds that make it difficult to obtain food. The way to overcome food insecurity is to utilize food that is still available to be processed into food that can be consumed and shared or shared with family to survive. Conclusion: Climate change has a significant impact on food security, especially in rural areas, which results in the risk of malnutrition in pregnant women.