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Pengaruh William’s Flexion Exercise Terhadap Intensitas Dismenore Pada Remaja Putri Usia 12-15 Tahun Maulida, Kamila Rizka; Retnaningsih, Reny; Safitri, Rani
NUTRIX Vol 9 No 2 (2025): Volume 9, Issue 2, 2025
Publisher : Fakultas Ilmu Keperawatan Universitas Klabat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37771/nj.v9i2.1314

Abstract

Dysmenorrhea is menstrual pain that is often experienced by adolescent girls and can interfere with activities and reduce quality of life and academic achievement, so non-pharmacological efforts are needed to overcome menstrual pain, namely using William's Flexion Exercise. This study aims to determine the effect of William's Flexion Exercise on the intensity of dysmenorrhea in adolescent girls aged 12-15 years at SMP Budi Mulia Pakisaji Malang Regency. The design of this study is quantitative using a pre-experimental design with a one group pretest-posttest approach. The study sample consisted of 20 respondents selected using a purposive sampling technique. The instrument used an observation sheet for measuring pain intensity with a Numeric Rating Scale (NRS). Data analysis was carried out bivariately using the Paired T-test. The results of the study obtained an average value of pain intensity before being given exercise was 4.00 and after being given exercise the average value of pain intensity decreased to 2.70. From the results of the Paired T-test, a Sig value of 0.000 (p<0.05) was obtained, which indicates a significant effect of William's Flexion Exercise on reducing the intensity of dysmenorrhea in female adolescents aged 12-15 years at SMP Budi Mulia Pakisaji. William's Flexion Exercise can be used to reduce menstrual pain, so researchers recommend William's Flexion Exercise as a complementary therapy for non-pharmacological interventions for adolescents experiencing dysmenorrhea. Dismenore merupakan nyeri menstruasi yang sering dialami oleh remaja putri dan dapat mengganggu aktivitas serta menurunkan kualitas hidup dan prestasi belajar, sehingga diperlukan upaya non farmakologi untuk mengatasi nyeri menstruasi yaitu menggunakan William’s Flexion Exercise. Penelitian ini bertujuan untuk mengetahui pengaruh William’s Flexion Exercise terhadap intensitas dismenore pada remaja putri usia 12-15 tahun di SMP Budi Mulia Pakisaji Kabupaten Malang. Desain penelitian ini yaitu kuantitatif menggunakan desain pre-eksperimen dengan pendekatan one group pretest-posttest. Sampel penelitian terdiri dari 20 responden yang dipilih dengan teknik purposive sampling. Instrumen menggunakan lembar observasi pengukuran intensitas nyeri dengan skala Numeric Rating Scale (NRS). Analisis data dilakukan secara bivariate menggunakan uji Paired T-test. Hasil penelitian diperoleh nilai rata-rata intensitas nyeri sebelum diberikan latihan adalah 4,00 dan setelah diberikan latihan nilai rata-rata intensitas nyeri menurun menjadi 2,70. Dari hasil uji Paired T-test didapatkan nilai Sig 0,000 (p<0,05) yang menunjukkan adanya pengaruh signifikan dari latihan William’s Flexion Exercise terhadap penurunan intensitas dismenore pada remaja putri usia 12-15 tahun di SMP Budi Mulia Pakisaji. William’s Flexion Exercise dapat digunakan untuk menurunkan nyeri menstruasi sehingga peneliti merekomendasikan William’s Flexion Exercise sebagai terapi komplementer untuk intervensi nonfarmakologi bagi remaja putri yang mengalami dismenore.
Efektifitas Teknik Counter Pressure Terhadap Penurunan Tingkat Nyeri Persalinan Kala 1 Fase Aktif di Instalasi Gawat Darurat Maternal Firnanda, Nia; Retnaningsih, Reny
NUTRIX Vol 9 No 2 (2025): Volume 9, Issue 2, 2025
Publisher : Fakultas Ilmu Keperawatan Universitas Klabat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37771/nj.v9i2.1328

Abstract

Labor pain is a common occurrence. Nearly 90% of women experience it. Mild, moderate, and severe discomfort is experienced by approximately 15%, 35%, 30%, and 20% of 2,700 mothers giving birth. There are various methods to reduce pain, one of which is the Counter Pressure massage technique. The aim of this study is to analyze the effect of the Counter Pressure massage technique on reducing the intensity of labor pain during the active phase of the first stage of labor at Ciremai Hospital in Cirebon in May 2025. The study method used is a Pre-Experimental One Group Pre-Test-Post-Test Design. The sample size was 16 laboring women in the first stage of labor at Ciremai Hospital in Cirebon, selected using purposive sampling. The Numerical Rating Scale was used for data collection. Univariate analysis was used to examine the average pretest and posttest back pain scores, while bivariate analysis employed the Wilcoxon test. The study results showed that before the intervention, the average pain score was 8. After the intervention, the average pain score decreased to 6.12. The intervention data analysis revealed a p-value of 0.001 (p<0.05), indicating that the Counter Pressure massage technique is effective in reducing labor pain during the active phase. Nyeri persalinan menjadi hal yang wajar terjadi. Hampir 90% wanita mengalami keadaan tersebut. Rasa tidak nyaman tingkat ringan, sedang, dan berat dialami oleh sekitar 15%, 35%, 30%, dan 20% dari 2.700 ibu bersalin. Terdapat berbagai cara untuk mengurangi rasa sakit, salah satunya yakni teknik pijat Counter Pressure. Tujuan dari studi ini yakni menganalisis pengaruh teknik pijat Counter Pressure terhadap turunnya intesnsitas nyeri persalinan kala I fase aktif di Rumah Sakit Ciremai Cirebon pada Mei tahun 2025. Metode studi yang diterapkan yaitu Pra-Eksperimen One Group Pre Test- Post Test Design. Jumlah sampel 16 ibu bersalin fase kala I  di Rumah Sakit Ciremai Cirebon yang diambil dengan teknik Purposive sampling. Numerical Rating Scale digunakan dalam pengumpulan data. Analisis univariat digunakan untuk melihat rata-rata nyeri punggung pretest dan posttest, analisis bivariat menggunakan uji Wilcoxon.  Adapun hasil studi menunjukkan sebelum penerapan intervensi, rata-rata skor nyeri yaitu 8. Setelah penerapan intervensi, rata-rata skor nyeri turun menjadi 6,12. Hasil analisis data intervensi ditemukan besar nilai p 0,001 (p<0,05) sehingga bisa diartikan teknik pijat Counter Pressure bermanfaat mengurangi rasa nyeri persalinan dalam periode aktif.
PREGNANCY ANEMIA EDUCATION AND MONITORING PROGRAM IN BANDUNGREJOSARI URBAN VILLAGE Retnaningsih, Reny; Anik Sri Purwanti; Tut Rayani Aksohini Wijayanti; Zainal Alim
Jurnal Pengabdian Masyarakat Dalam Kesehatan Vol. 7 No. 2 (2025): OCTOBER 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpmk.v7i2.62718

Abstract

Introduction: Anaemia in pregnancy is a major public health issue linked to adverse maternal and neonatal outcomes, particularly in developing countries. In Bandungrejosari Village, Malang City, anaemia affects about 35% of pregnant women. This program aimed to implement community-based education and monitoring programme in improving knowledge, adherence to iron supplementation, and haemoglobin levels. Methods: Community service was conducted with 20 pregnant women purposively selected from Puskesmas Janti. Eligible participants had a gestational age of ≥12 weeks and no haematological disorders. Data were collected using validated questionnaires on knowledge and adherence, and haemoglobin levels were measured using a portable hemoglobinometer. Statistical analysis employed paired t-tests and chi-square tests with a significance level of p < 0.05. Results: The program significantly improved knowledge levels, with mean increases ranging from 38% to 42% (p < 0.001). Adherence to iron supplementation rose from 57% to 90%, while the prevalence of anaemia decreased from 35% to 18%. The mean haemoglobin concentration increased from 10.5 ± 0.8 g/dL to 12.2 ± 0.7 g/dL (p < 0.001). Conclusion: The findings demonstrate that a community-based anaemia education and monitoring programme can effectively enhance knowledge, adherence to supplementation, and haemoglobin status among pregnant women. The authors declare no potential conflict of interest in conducting this study.
Relationship Between Husband's Support and the Completeness of Basic Immunization Christine Manialup; Tut Rayani Aksohini Wijayanti; Reny Retnaningsih
Proceeding International Conference Of Innovation Science, Technology, Education, Children And Health Vol. 5 No. 1 (2025): Proceeding of The International Conference of Inovation, Science, Technology, E
Publisher : Program Studi DIII Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/icistech.v5i1.242

Abstract

Immunization is one of the most important health activities necessary for improving children's health, helping prevent various infectious diseases. Despite its crucial role, many children still miss out on receiving complete basic immunization, a concerning public health issue. Among the various factors influencing the successful implementation of immunization programs, the support of family members, particularly husbands, plays a critical role. This study aims to explore the relationship between the support provided by husbands and the basic immunization status of children. A quantitative research design with a cross-sectional approach was employed in this study. The sample consisted of 40 respondents, selected through purposive sampling. The study used the Chi-Square test for data analysis to determine any significant associations between the variables. The results indicate a significant relationship between husband support and the basic immunization status, with a p-value of 0.02. The findings suggest that social support, especially from husbands, is essential in encouraging mothers to ensure their children receive complete immunization. The support not only involves emotional and informational backing but also practical assistance, such as accompanying the mother to health facilities or assisting in scheduling appointments. By involving husbands in the immunization process, mothers may experience less stress and greater encouragement, leading to higher rates of immunization compliance. These results emphasize the importance of engaging family members, particularly husbands, in health initiatives aimed at improving child health outcomes. Public health programs should consider strategies to enhance family involvement, particularly targeting husbands, to achieve better immunization rates and, consequently, improved public health among children
Relationship Between Knowledge Level of Adolescent Girls About The Effect of Warm Water on Dysminorhea Pain Fransiska Marhaba; Tut Rayani Aksohini Wijayanti; Reny Retnaningsih
Proceeding International Conference Of Innovation Science, Technology, Education, Children And Health Vol. 5 No. 1 (2025): Proceeding of The International Conference of Inovation, Science, Technology, E
Publisher : Program Studi DIII Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/icistech.v5i1.245

Abstract

Menstrual pain (dysmenorrhea) experienced by each woman is different, some are slightly disturbed but some are very disturbed to the point of being unable to carry out daily activities and making them have to rest or even be absent from school. Data in the UKS book records show that 16 female students were treated at the UKS where 13 (81.2%) complained of pain during menstruation. The purpose of this study was to determine the effect of warm compresses on reducing dysmenorrhea pain in female adolescents. The type of quantitative research with a pre-experimental research design on the one group pretest and post-test group design research approach. The population of this study was female adolescents who experienced menstrual pain with a sample of 30 female adolescents using a purposive sampling technique. Data collection used an observation sheet. Univariate and bivariate analysis (Wilcoxon test). The results of this study showed that the average menstrual pain in adolescents before being given warm compresses was 4.7 and after being given warm compresses was 1.4. There is an effect of warm compresses on reducing menstrual pain in female adolescents (p-value = 0.000). Advice for young women is to apply warm compresses to reduce pain during menstruation.
Relationship Between 3-Month Injection Contraception and Breast Milk Production Madona Lolangion; Tut Rayani Aksohini Wijayanti; Reny Retnaningsih
Proceeding International Conference Of Innovation Science, Technology, Education, Children And Health Vol. 5 No. 1 (2025): Proceeding of The International Conference of Inovation, Science, Technology, E
Publisher : Program Studi DIII Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/icistech.v5i1.247

Abstract

Exclusive breastfeeding is a practice where infants are fed only breast milk, without additional food, drink, or water, for the first six months of life. This practice is crucial for the infant’s growth and development. One factor that may affect breast milk production is the use of contraceptives, particularly the 3-month injection. This study aims to determine the relationship between the use of 3-month injections and the adequacy of exclusive breast milk production in mothers of children aged 7 to 23 months. A cross-sectional study design was employed, utilizing both primary and secondary data. The sample consisted of 72 mothers with children aged 7–23 months, of whom some used 3-month contraceptive injections and others did not. The data collected from the participants included their contraceptive usage and breast milk production status. The results showed that 29 out of 36 mothers (80.6%) who used 3-month injections still produced adequate amounts of breast milk. A bivariate analysis revealed a statistically significant relationship between the use of 3-month injections and the adequacy of exclusive breast milk production, with a p-value of 0.039. This finding suggests that, while most mothers who use 3-month injections still have sufficient breast milk production, there is a clear relationship between the use of contraceptive injections and the adequacy of milk. It is important to note that while the majority of mothers on 3-month injections maintained adequate milk production, the choice of contraceptive method during breastfeeding should still be carefully considered. Health workers play a vital role in providing guidance to ensure the best choice of contraception for breastfeeding mothers to support both maternal and infant health.
Relationship Between Pregnant Women’s Knowledge of Iron Tablets and Adherence to Iron Tablet Consumption at Saritani Health Center Deisylia Karim; Sulistiyah Sulistiyah; Reny Retnaningsih
Proceeding International Conference Of Innovation Science, Technology, Education, Children And Health Vol. 5 No. 1 (2025): Proceeding of The International Conference of Inovation, Science, Technology, E
Publisher : Program Studi DIII Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/icistech.v5i1.249

Abstract

Anemia is a common condition among pregnant women, often caused by insufficient iron intake or poor absorption due to digestive issues. This condition can have serious implications for both maternal and fetal health. The primary objective of this study was to explore the relationship between pregnant women’s knowledge about iron tablets and their adherence to the prescribed regimen at Saritani Health Center. This study utilized a quantitative approach with a cross-sectional design. The population for this study consisted of all pregnant women visiting Saritani Health Center, with a sample size of 78 women selected through purposive sampling, based on predetermined inclusion criteria. The study’s findings indicated that the majority of respondents had a sufficient level of knowledge regarding the importance of iron tablets. A statistical analysis using the Spearman Rank test revealed a very strong correlation between the level of knowledge about iron tablets and adherence to their consumption, with a correlation coefficient of rs = 0.812 and a p-value of 0.000 (p < 0.05). This suggests that the higher the level of knowledge about iron tablets among pregnant women, the greater their compliance with taking these supplements. The study also found that while most respondents had sufficient knowledge about iron tablets, their compliance was moderate, which highlights the importance of ongoing education and support. The results of this study emphasize the critical role that knowledge plays in improving compliance with iron supplementation among pregnant women. Health education initiatives targeting pregnant women should focus on increasing awareness and understanding of the benefits of iron supplementation to prevent anemia and its associated risks. This study calls for enhanced counseling and educational efforts at the community health level to ensure better maternal health outcomes.
Pregnant Women's Knowledge and Attitudes Towards Antenatal Care (ANC) Services at Siko Public Health Center Eka Lestari Duwila; Sulistiyah Sulistiyah; Reny Retnaningsih
Proceeding International Conference Of Innovation Science, Technology, Education, Children And Health Vol. 5 No. 1 (2025): Proceeding of The International Conference of Inovation, Science, Technology, E
Publisher : Program Studi DIII Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/icistech.v5i1.251

Abstract

Antenatal care (ANC) is critical for ensuring the health and well-being of pregnant women and their fetuses, particularly in reducing maternal mortality rates, which remain high in Indonesia. One of the contributing factors to this issue is a lack of knowledge and non-compliance with ANC visits. The goal of this study is to examine the knowledge and attitudes of pregnant women towards ANC services at Puskesmas Siko, a health center located in Indonesia. The study used a descriptive quantitative approach with a cross-sectional design. A sample of 34 pregnant women was selected using purposive sampling. A structured questionnaire was administered to assess their knowledge and attitudes regarding ANC services. Data analysis was conducted using the Chi-Square test. The results indicated a significant relationship between pregnant women’s knowledge and their adherence to ANC visits, with a p-value of 0.001 (p < 0.05). Similarly, the study found a significant relationship between the attitudes of pregnant women and their participation in ANC visits, with a p-value of 0.004 (p < 0.05). These findings suggest that pregnant women who possess more knowledge and have a positive attitude toward ANC are more likely to utilize these services. The study highlights the critical role that improving knowledge and attitudes plays in increasing ANC utilization, which is essential for preventing pregnancy-related complications and improving overall maternal health outcomes. Given the significant impact of ANC on reducing maternal and fetal health risks, it is crucial to implement targeted health education programs that aim to enhance pregnant women’s understanding of ANC’s importance and encourage positive attitudes towards attending these visits. The findings from this study call for greater emphasis on health education interventions that can improve the knowledge and attitudes of pregnant women, thereby contributing to a reduction in maternal mortality and improved pregnancy outcomes in the region.
The Influence of Family Support and Maternal Preparedness on Anxiety in Pregnant Women Before Delivery at Bongo Nol Health Center Febrina Idas Wara; Sulistiyah Sulistiyah; Reny Retnaningsih
Proceeding International Conference Of Innovation Science, Technology, Education, Children And Health Vol. 5 No. 1 (2025): Proceeding of The International Conference of Inovation, Science, Technology, E
Publisher : Program Studi DIII Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/icistech.v5i1.258

Abstract

Anxiety in pregnant women is often characterized by intense fear or panic, and if left unaddressed, it can lead to various complications such as prolonged labor, maternal fatigue, and even labor stall. This study aimed to determine the relationship between family support and maternal preparedness with the anxiety levels of pregnant women prior to childbirth. The research utilized a quantitative design with a cross-sectional approach, conducted in the working area of the Bongo Nol Health Center. The study population consisted of pregnant women in their second and third trimesters (TM II and TM III). A total of 40 pregnant women participated in the study, selected through simple random sampling. Data were collected using questionnaires designed to assess family support, maternal preparedness, and anxiety levels. The results revealed that 20% of the pregnant women who received inadequate family support experienced severe anxiety, with a statistically significant p-value of 0.001. Similarly, 15% of mothers with lower levels of preparedness reported severe anxiety, also with a p-value of 0.001. These findings suggest a significant relationship between both family support and maternal preparedness with anxiety levels in pregnant women prior to delivery. The study concludes that increased family support and maternal readiness can help reduce anxiety levels in pregnant women, particularly in the lead-up to childbirth. Healthcare providers should prioritize interventions to strengthen family involvement and support maternal readiness, especially for women at risk of high anxiety, to improve birth outcomes and maternal well-being. Future research should explore additional factors contributing to anxiety and the effectiveness of targeted interventions for high-risk pregnancies
The Connection Between Parity and the Incidence of Abortion in Reproductive Health Studies Novita Matantu; Tut Rayani Aksohini Wijayanti; Reny Retnaningsih
Proceeding International Conference Of Innovation Science, Technology, Education, Children And Health Vol. 5 No. 1 (2025): Proceeding of The International Conference of Inovation, Science, Technology, E
Publisher : Program Studi DIII Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/icistech.v5i1.265

Abstract

Abortion remains a significant reproductive health issue worldwide, with around 20 million cases recorded annually, leading to approximately 70,000 maternal deaths each year. In Southeast Asia, including Indonesia, approximately 4.2 million abortion cases occur annually. In Indonesia, spontaneous abortion accounts for 10-15% of all pregnancies, while induced (provoked) abortion is estimated to range from 750,000 to 1.5 million cases per year. Several factors can influence the incidence of abortion, one of which is parity the number of previous pregnancies a woman has carried to a viable gestational age. This study aims to analyze the relationship between parity and the incidence of abortion, contributing to a better understanding of how reproductive history impacts abortion rates. The research used an analytical design with a cross-sectional approach, involving a sample of 122 mothers selected through simple random sampling. The findings revealed that 45.9% of the mothers had safe parity, while 54.1% had unsafe parity. Regarding the type of abortion, 97.5% of respondents experienced spontaneous abortion, while 2.5% underwent induced abortion. Data analysis was conducted using the chi-square test at a significance level of 0.05, which produced a p-value of 0.562, indicating no significant relationship between parity and the incidence of abortion. These results suggest that parity is not a significant factor influencing abortion incidence in this sample. While other factors may contribute to abortion risk, further research is needed to explore additional variables that may play a role. This study underscores the complexity of abortion incidents and highlights the need for broader investigations to understand the diverse influences on reproductive health outcomes, beyond parity alone.