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Persepsi Orang Tua dan Pengasuh terhadap Pemberian Imunisasi Rutin pada Balita Pasca Pandemi Covid-19 Dian Kusumaningtyas; Rahma Dian Hanifarizani
Oksitosin : Jurnal Ilmiah Kebidanan Vol. 11 No. 2 (2024): OKSITOSIN : Jurnal Ilmiah Kebidanan
Publisher : Prodi D III Kebidanan Fakultas Ilmu Kesehatan Universitas Ibrahimy

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35316/oksitosin.v11i2.4519

Abstract

Immunization is an effective strategy of the government to reduce morbidity and mortality from Preventable Diseases by Immunization (PD3I). During the Covid-19 pandemic, this situation had a significant impact on the health sector, reducing immunization coverage rates. Currently, Indonesia is in the post-Covid-19 pandemic phase characterized by positive trends in pandemic control. This study aims to understand the perceptions of parents or caregivers regarding the provision of routine immunization to children in the post-Covid-19 pandemic era. The research method used a cross-sectional design with sampling using the quota sampling method, with a total of 100 respondents. Data were collected through a questionnaire adopting the health belief model theory to parents or caregivers who brought their children to the Posyandu for immunization. The results showed that perceptions of vulnerability (p value = 0,071), seriousness (p value = 0,121), and cues to action (p value = 0,731) had an insignificant effect on immunization for toddlers, while perceptions of benefits (p value = 0,008), barriers (p value = 0,000), and self-efficacy (p value = 0,000) had a significant effect on immunization for toddlers in the post-Covid-19 pandemic era (p value < 0.05). The components of the health belief model that form the perceptions of parents or caregivers towards immunization are interconnected, although not all are statistically significant. Therefore, perceptions of vulnerability, seriousness, and cues to action need to be improved to form a good perception of immunization after the Covid-19 pandemic
Pengaruh Mindfulness Breathing Exercise Terhadap Tingkat Kecemasan Ibu Menopause Nazella Ghaniya Abdullah; Holipah; Rahma Dian Hanifarizani
Jurnal Kesehatan Republik Indonesia Vol 1 No 7 (2024): JKRI - Juli 2024
Publisher : PT. INOVASI TEKNOLOGI KOMPUTER

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Abstract

Menopause merupakan masa saat ovarium wanita mulai berhenti memproduksi hormon estrogen, hal ini berdampak pada perubahan fisik dan psikologis. Perubahan psikologis yang umum dirasakan oleh wanita menopause adalah kecemasan. Salah satu cara mengatasi kecemasan adalah melakukan terapi berdasarkan prinsip mindfulness breathing exercise. Tujuan penelitian ini ialah untuk mengidentifikasi pengaruh mindfulness breathing exercise terhadap tingkat kecemasan wanita menopause. Metode penelitian merupakan pre experimental dengan prepost test design. Sampel yang digunakan sebanyak 40 responden. Pengukuran dilakukan pada hari ke -1 (sebelum dilakukan intervensi mindfulness), serta post test pada hari ke-3,5,8,10,12, dan 14. Analisis data yang digunakan ialah Repeated ANOVA. Hasil penelitian menunjukkan adanya penurunan signifikan skor kecemasan wanita menopause (p<0.002 di hari ke-14). Kesimpulan penelitian ini adalah intervensi mindfulness breathing exercise menurunkan tingkat kecemasan wanita menopause
Hubungan Usia saat Melahirkan dengan Gangguan Kesehatan Mental Postpartum Azizah Fristi Wulandari; Safrina Dewi Ratnaningrum; Rahma Dian Hanifarizani
Journal of Issues in Midwifery Vol. 9 No. 3 (2025): Volume 9 No 3 Tahun 2025
Publisher : Journal of Issues in Midwifery

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.JOIM.2025.009.03.5

Abstract

ABSTRACTThe postpartum period is a complex phase of adaptation that increases maternal vulnerability to mental health disorders, in which maternal age at childbirth is assumed to play an important role in determining biological, psychological, and social readiness during the postpartum period. This study aimed to analyze the association between maternal age at childbirth and the likelihood of postpartum mental health disorders based on screening results. This study employed an observational analytic design with a cross-sectional approach involving 61 postpartum mothers selected using purposive sampling. Maternal age was categorized into high-risk age (<20 years and >35 years) and healthy reproductive age. The likelihood of postpartum mental health disorders was assessed using the Edinburgh Postnatal Depression Scale (EPDS). Data were analyzed using univariate and bivariate analyses with the Chi-Square test, supported by the Fisher–Freeman–Halton Exact Test, with a significance level of 0.05. The results demonstrated a significant association between maternal age at childbirth and the likelihood of postpartum mental health disorders (p < 0.05), where mothers in the high-risk age group showed a higher proportion of potential postpartum mental health disorders compared to those in the healthy reproductive age group. In conclusion, maternal age at childbirth is associated with the likelihood of postpartum mental health disorders; therefore, early screening and mental health monitoring should be prioritized for high-risk age groups.Keywords: maternal age, postpartum, mental health, postpartum depression, EPDSABSTRAKMasa postpartum merupakan periode adaptasi yang kompleks dan meningkatkan kerentanan ibu terhadap gangguan kesehatan mental, di mana usia ibu saat melahirkan diduga berperan dalam menentukan kesiapan biologis, psikologis, dan sosial ibu dalam menghadapi masa nifas. Penelitian ini bertujuan untuk menganalisis hubungan usia ibu saat melahirkan dengan kemungkinan gangguan kesehatan mental postpartum berdasarkan hasil skrining. Penelitian ini merupakan studi analitik observasional dengan desain cross-sectional yang melibatkan 61 ibu postpartum yang dipilih menggunakan teknik purposive sampling. Usia ibu dikategorikan menjadi usia berisiko (<20 tahun dan >35 tahun) dan usia reproduksi sehat. Kemungkinan gangguan kesehatan mental postpartum diukur menggunakan Edinburgh Postnatal Depression Scale (EPDS). Analisis data dilakukan secara univariat dan bivariat menggunakan uji Chi-Square serta diperkuat dengan uji Fisher–Freeman–Halton Exact Test dengan tingkat signifikansi 0,05. Hasil penelitian menunjukkan terdapat hubungan yang signifikan antara usia ibu saat melahirkan dengan kemungkinan gangguan kesehatan mental postpartum (p < 0,05), di mana ibu pada kelompok usia berisiko memiliki proporsi kemungkinan gangguan kesehatan mental postpartum yang lebih tinggi dibandingkan ibu pada usia reproduksi sehat. Kesimpulannya, usia ibu saat melahirkan berhubungan dengan kemungkinan gangguan kesehatan mental postpartum, sehingga skrining dini dan pemantauan kesehatan mental perlu diprioritaskan pada kelompok usia berisiko.Kata kunci: usia ibu, postpartum, kesehatan mental, depresi postpartum, EPDS