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All Journal JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Contagion: Scientific Periodical Journal of Public Health and Coastal Health
Yanniarti, Sri
Poltekkes Kemenkes Bengkulu
Health Professions Medicine & Pharmacology Nursing Public Health Other

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Improvement of Breastfeeding Efficacy Through Small Group Education of Cadres with Pregnant Women Yorita, Epti; Yanniarti, Sri; Yulinda, Yulinda; Rina, Rina; Burhan, Rialike
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 5, No 4 (2023): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v5i4.18015

Abstract

WHO recommends that every infant should be exclusively breastfed, but until now the coverage of exclusive breastfeeding is still low due to factors such as knowledge, breastfeeding efficacy, family support, lactation problems, and barriers in the health care system.  This study aims to determine the effectiveness of Small group education of cadres with pregnant women on breastfeeding efficacy among third trimester pregnant women on Enggano Island. The research design was a quasi-experimental pre-test and post-test with a control group. The treathird trimesterent group was pregnant women who received Small group education of cadres with pregnant women while the control group was pregnant women who received conventional education. The study was conducted at Enggano Health Centre from January to November 2023 with a sample of 50 pregnant women in the third trimester of pregnancy from 25-36 weeks of age, selected by purposive sampling.  The research instruments were modules and leaflets on exclusive breastfeeding, developed through a needs assessment, while breastfeeding efficacy was measured using the Breastfeeding Self-efficacy Scale-Short Form (BSES-SF). Data were analysed univariate, bivariate with  wilcoxon and multivariate with spearman rank test. The results showed that there was an effect of Small group education of cadres with pregnant women class education on breastfeeding effectiveness with p=0.00 mean difference of 19.56. There was an effect of conventional class education on breastfeeding effectiveness in the control group with p=0.46 mean difference of 1.12. The class was more effective in improving breastfeeding practices among pregnant women with p=0.00 mean difference of 47.26. Class and education level were the most dominant factors in improving breastfeeding efficiency among pregnant women. The conclusion of this study is that the small group education of cadre with pregnant women is effective in improving breastfeeding efficacy in pregnant women in the third trimester.  Keywords: Breastfeeding, Education, Efficacy, Small Group
Preeclampsia is a risk factor for Low Birth Weight (LBW) infants Indriany, Daffina Syazah; Yorita, Epti; Ekanugraheni, Diah; Yanniarti, Sri
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 12, No 2 (2024)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2024.12(2).151-167

Abstract

Background: Infant mortality remains high and is more common in the neonatal period. Causes of neonatal death include asphyxia, sepsis, infection and LBW(LBW) in preterm and term infants. One of the factors influencing the incidence of LBW is pre-eclampsia. This is because pre-eclampsia affects the utero-placental circulation so that it affects the delivery of nutrients to the fetus, resulting in fetal nutrient deprivation and intrauterine growth restriction. Objectives: This study aims to assess the relationship between pre-eclampsia and the incidence of LBW in the Mawar Room of Dr M. Yunus Bengkulu Hospital. Methods: This study used a case-control design. The sample was all babies born in M Yunus Hospital in the years 2019-2022.The case group were LBWbabies and the control group were normal birth weight babies. The total sample size was 128 with a ratio of 1:1. Samples were collected using purposive sampling with inclusion criteria of babies born alive with complete medical records. Data analysis in this study used univariate analysis to view frequency distribution, bivariate with chi-squared test and multivariate with logistic regression using SPPS software version 24. Results: The incidence of pre-eclampsia was 13.3%, 34% age at risk, parity 37.5% garande multipara, 4imipara and multipara and most (62.5%) had primary education 47.5%. There is an association of pre-eclampsia with the incidence of LBW. There is an association of age, parity and education with the incidence of LBW, but pre-eclampsia is the most dominant factor that is the most dominant risk variable that affects the incidence of LBW. Conclusions: There is an association between pre-eclampsia, age, parity and education with the incidence of LBW. Pre-eclampsia is the most dominant factor in the incidence of LBW.
Small group classes with pregnancy cadres (kekasih) can improve knowledge and attitudes about exclusive breastfeeding among third-trimester pregnant women on the remote Island of Enggano, Bengkulu Province Yorita, Epti; Yanniarti, Sri; Yulinda, Yulinda; Pasaribu, Saur Sariaty; Rina, Rina
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 12, No 1 (2024)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2024.12(1).83-95

Abstract

Background: One of the government programs that focuses on the first 1000 days of life is exclusive breastfeeding for infants aged 0-6 months, but there is often a failure of exclusive breastfeeding at the age of 0-3 days due to pre-lactal feeding, so education during pregnancy is needed to improve the knowledge and attitudes of pregnant women through KEKASIH (Small Group of Cadres with Pregnant Women) classes. Objectives: This study aims to determine the effectiveness of KEKASIH classes on knowledge and attitudes of pregnant women trimester III in remote areas of Enggano Island, Bengkulu Province in 2023.Methods: Quasi-experimental research design with pre- and post-test and control group. Intervention in the form of KEKASIH class, which is a modified class for pregnant women divided into small groups with cadres as facilitators. Independent variables were KEKASIH class, dependent variables were knowledge and attitude. External variables are age, parity, education, distance of pregnancy, employment. The sample was trimester III pregnant women a total of 50 people consisting of the treatrimesterent group is pregnant women in KEKASIH class, the control group is pregnant women who receive conventional health promotion.Results:The results of the study showed that there was a difference in the mean knowledge score before and after exclusive breastfeeding education through KEKASIH class from 27.36 to 49.04, p=0.00. There is no difference in the mean attitude score before and after exclusive breastfeeding education in the control group from 28.16 to 28.96 p=0.00.Conclusions: KEKASIH Class is more effective in improving mothers' knowledge and attitudes about exclusive breastfeeding with a value of p=00. Educational factors affect mothers' knowledge, but gestational distance and parity affect mothers' attitudes about exclusive breastfeeding.
Compliance with consuming blood supplement tablets can reduce the incidence of anemia in young women in Bengkulu City Yanniarti, Sri; Nurhaliza, Siska; Baska, Dwie Yunita; Widiyanti, Desi; Savitri, Wewet
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 11, No 4 (2023)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2023.11(4).416-429

Abstract

Background: Anemia is a public health problem throughout the world, globally the highest prevalence of anemia is in the Southeast Asia region at 46.6%, while in Indonesia it is 31.2%.  Objectives: The aim of the study was to determine the relationship between adherence to blood supplement consumption and the incidence of anemia in young women in Bengkulu City.Methods: The research uses a cross sectional approach. The sample was calculated using the Slovin formula, obtaining a minimum sample of 160 people. The independent variable is compliance with blood supplement tablet consumption, the dependent variable is the incidence of anemia, while the confounding variables in this research are knowledge, attitudes, perceptions and peer support. Data collection on hemoglobin levels used easy touch GCHb while data on compliance, knowledge, attitudes, perceptions and peer support used a questionnaire. All data obtained were tested for univariate, bivariate and multivariate analysis using the Chi Square test and Logistic RegressionResults: The results of research using univariate analysis tests showed that respondents were anemic (14%) and respondents were not anemic (86%). Respondents did not comply with taking blood supplement tablets (27.5%) respondents complied (72.5%). The results of the bivariate analysis test were that there was a significant relationship between compliance and the incidence of anemia in adolescent girls (p value 0.000 < 0.05). There is no relationship between knowledge, attitudes, perceptions and the incidence of anemia, and there is a significant relationship between peer support and the incidence of anemia as well as the results of the multivariate analysis test, namely the most influential variable is Compliance with PR value (119.214).Conclusions: Conclusions and research suggestions show a relationship between adherence to consuming blood supplement tablets and the incidence of anemia in adolescent girls, so support from parents, health professionals, teachers and peers, as well as increased knowledge of the importance of adolescent girls consuming iron supplements are needed to increase compliance. taking blood enhancing tablets
Co-Authors Baska, Dwie Yunita Ekanugraheni, Diah Indriany, Daffina Syazah Nurhaliza, Siska Pasaribu, Saur Sariaty Rialike Burhan Rina, Rina Wewet Savitri Widiyanti, Desi Yorita, Epti Yulinda, Yulinda