Garuda - Garba Rujukan Digital

Determinan Gangguan Hipertensi Dalam Kehamilan (HDK) Di Wilayah Kerja Puskesmas Maospati Kabupaten Magetan Elly Marliana; Agung Suharto; Ayesha Hendriana Ngestiningrum
Gema Bidan Indonesia Vol. 10 No. 2 (2021): Juni
Publisher : Jurusan Kebidanan Politeknik Kesehatan Kemenkes Surabaya

Penyakit hipertensi dalam kehamilan (HDK) merupakan kelainan vaskular yang terjadi pada kehamilan atau timbul dalam kehamilan atau pada masa nifas. Tujuan penelitian untuk mengetahui pengaruh determinan riwayat hipertensi, obesitas, penggunaan KB hormonal terhadap kejadian hipertensi dalam kehamilan (HDK). Penelitian observasi analitik, dengan rancangan cross sectional. Populasi penelitian ibu hamil yang berkunjung dan tercatat Puskesmas Maospati Kabupaten Magetan pada 2018 sebanyak 332. Teknik pengambilan sample dengan teknik Simpel Random Sampling, besar sampel 183. Variabel bebas dalam penelitian ini adalah riwayat hipertensi, obesitas dan riwayat penggunaan KB hormonal. Variabel terikat dalam penelitian ini adalah kejadian HDK. Pengumbulan data dengan pendekatan studi dokumentasi, dengan lembar observasi. Analisis data mengunakan uji statistic Regresi Logistic, dengan penetapan tingkat kesalahan α 0,05. Hasil penelitian ibu hamil yang mengalami HDK tersebut yang terpapar hipertensi sebanyak 11%, yang ada riwayat atau terpapar obesitas 45,6%, terpapar KB Hormon sebesar 36.3%. Hasil analisis bivariat variabel Riwayat hipertensi dengan HDK ρ 0,01< α 0,05 , hasil Riwayat obesitas dengan HDK dρ 0,024< α 0,05 , Riwayat KB Hormon dengan HDK ρ 0,21< α 0,05. Hasil analisis multivariat menunjukkan hanya variabel riwayat hipertensi yang memenuhi syarat uji Regresi logistic dengan hasil ρ < α 0,05 (0,002<0,05), OR sebesar 0,099. Kesimpulan: faktor riwayat hipertensi dan riwayat obesitas saja yang berpengaruh sangat signifikan. Riwayat hipertensi menyumbang 9,9% dalam kejadian HDK. Saran: pendampingan ibu hamil resiko tinggi oleh masyarakat, peningkatan pemanfaatan Buku KIA, Penguatan ANC Terpadu: peningkatan peran bidan dan dokter umum dalam melakukan skreening bumil risti. Kata Kunci : Riwayat Hipertensi, Obesitas, HDK.

Survey Kualitas Pelayanan Posyandu Balita di Desa Majasem, Kecamatan Kendal, Kabupaten Ngawi Mufida Aziza Baroroh; Heru Santoso Wahito Nugroho; Ayesha Hendriana Ngestiningrum
Gema Bidan Indonesia Vol. 10 No. 1 (2021): Maret
Publisher : Jurusan Kebidanan Politeknik Kesehatan Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gebindo.v10i1.2

Posyandu is the role of the community, which organizes a system services to fulfill basic needs, improve human quality, empirically has been able to equalize services in the health sector. The utilization rate of posyandu services by the community especially to maternal is still not running optimally. This is show by the number of Posyandu visits that have not reach 70% target of Ngawi Regency. Therefore, researcher wanted to conduct a Quality Survey for child Posyandu Services. This research type is descriptive. The sample was 220 maternal. This research used Simple Random Sampling techniques. The instrument of this research closed questionnaire filled by respondents. The research only uses a single variable that’s Quality of child Posyandu Services. The results of the study shown that almost every attribute Quality of child posyandu services based on the leve l of importance and performance in relatively encouraging posyandu patients. Priority attributes include posyandu places, availability of toilets, consultation with officers (cadres or midwivery), officers in measuring height quickly and precisely and subsequent posyandu schedule information. Keywords: quality; attributes; posyandu.

Determinan Gangguan Hipertensi Dalam Kehamilan (HDK) Di Wilayah Kerja Puskesmas Maospati Kabupaten Magetan Elly Marliana; Agung Suharto; Ayesha Hendriana Ngestiningrum
Gema Bidan Indonesia Vol. 10 No. 2 (2021): Juni
Publisher : Jurusan Kebidanan Politeknik Kesehatan Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gebindo.v10i2.9

Penyakit hipertensi dalam kehamilan (HDK) merupakan kelainan vaskular yang terjadi pada kehamilan atau timbul dalam kehamilan atau pada masa nifas. Tujuan penelitian untuk mengetahui pengaruh determinan riwayat hipertensi, obesitas, penggunaan KB hormonal terhadap kejadian hipertensi dalam kehamilan (HDK). Penelitian observasi analitik, dengan rancangan cross sectional. Populasi penelitian ibu hamil yang berkunjung dan tercatat Puskesmas Maospati Kabupaten Magetan pada 2018 sebanyak 332. Teknik pengambilan sample dengan teknik Simpel Random Sampling, besar sampel 183. Variabel bebas dalam penelitian ini adalah riwayat hipertensi, obesitas dan riwayat penggunaan KB hormonal. Variabel terikat dalam penelitian ini adalah kejadian HDK. Pengumbulan data dengan pendekatan studi dokumentasi, dengan lembar observasi. Analisis data mengunakan uji statistic Regresi Logistic, dengan penetapan tingkat kesalahan α 0,05. Hasil penelitian ibu hamil yang mengalami HDK tersebut yang terpapar hipertensi sebanyak 11%, yang ada riwayat atau terpapar obesitas 45,6%, terpapar KB Hormon sebesar 36.3%. Hasil analisis bivariat variabel Riwayat hipertensi dengan HDK ρ 0,01< α 0,05 , hasil Riwayat obesitas dengan HDK dρ 0,024< α 0,05 , Riwayat KB Hormon dengan HDK ρ 0,21< α 0,05. Hasil analisis multivariat menunjukkan hanya variabel riwayat hipertensi yang memenuhi syarat uji Regresi logistic dengan hasil ρ < α 0,05 (0,002<0,05), OR sebesar 0,099. Kesimpulan: faktor riwayat hipertensi dan riwayat obesitas saja yang berpengaruh sangat signifikan. Riwayat hipertensi menyumbang 9,9% dalam kejadian HDK. Saran: pendampingan ibu hamil resiko tinggi oleh masyarakat, peningkatan pemanfaatan Buku KIA, Penguatan ANC Terpadu: peningkatan peran bidan dan dokter umum dalam melakukan skreening bumil risti. Kata Kunci : Riwayat Hipertensi, Obesitas, HDK.

Effectiveness of the Problem-Based Learning (PBL) Method to Increase Students' Knowledge and Attitudes About Early Marriage Sri Ayomi; Ayesha Hendriana Ngestiningrum; Tutiek Herlina
Health Dynamics Vol 1, No 1 (2024): January 2024
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd10103

Background: High number of teenage marriages is a very worrying phenomenon because it causes various negative impacts on both reproductive health and social life. Indonesia is ranked second in ASEAN and eighth in the world for cases of early marriage. In the Mlarak sub-district, Ponorogo Regency, 8% of marriages were under 19 years of age. The purpose of the study was to determine the effectiveness of the Problem Based Learning (PBL) method to increased students' knowledge and attitudes about early marriage. Method: Research design was pre- experimental with a pretest - post test one group design. The sample was class VIII SMP Negeri 1 Mlarak, Ponorogo Regency, taken by proportional random sampling technique followed by Simple Random Sampling as many as 60 students. Collecting data using a questionnaire instrument. The independent variable is the PBL method while the dependent variable is knowledge and attitudes about early marriage. Data analysis used Paired Sample T Test with 0.05. Results: The results showed there is increase in the average knowledge of student by 14.08 and student attitudes by 12.2 after using the Problem Based Learning method. The results of the Paired Sample T Test 0.000 for the knowledge variable and 0.000 for the attitude variable, which means Ho is rejected and Ha is accepted. Conclusion: PBL method is effective in increasing knowledge about early marriage. The PBL method is effective in increasing attitudes about early marriage. Suggestions for teenagers to increase their knowledge about early marriage so that students' attitudes about early marriage can increase.

Black swan theory: legal policy of the Indonesian national healthcare Budiono, Arief; Absori, Absori; Ngestiningrum, Ayesha Hendriana; Dewi, Elya Kusuma; Nurhayati, Nunik; Arum Prastyanti, Rina; Ibrahim, Alisa
Legality : Jurnal Ilmiah Hukum Vol. 30 No. 1 (2022): March
Publisher : Faculty of Law, University of Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22219/ljih.v30i1.16867

The Indonesian National Health Service (NHS) is part of Indonesia’s national social security system. Its implementation is full of problems, such as the rejection of patients, the NHS payment which is lower than the real health cost, sanctions, fines, etc. The Indonesian National Social Security System, especially the NHS services, was established by the state to give social protection to its citizens. The Black Swan Theory is based on the presumption that all swans are white, thus in this case, the Indonesian NHS is truly a program aimed to give social security in the health sector, just as the general conditions of social securities applied in other countries. This research studies this theory to explore the paradoxes which happen in the Indonesian NHS to find the black swan. In this case, the black swan is a paradoxical symbol regarding the regulations and the problems of the Indonesian NHS. This research uses the juridical-doctrinal or the normative method and is descriptive research with a qualitative approach. Based on the Black Swan theory, this research tries to find paradoxical, extreme, and unpredictable discrepancies in the Indonesian NHS. It is found that the Indonesian NHS is a black swan or unpredicted according to black swan theory. The objectives, practices, and regulations of this NHS are truly different from the NHS which is supposed to be given to the Indonesians. It transfers the government’s burden in establishing the health service and the rights of the citizens to the citizens, coupled with the threat of sanctions which is unknown in NHS. The applied Indonesian NHS has an extensive impact on hundreds of millions of Indonesian citizens.

The Influence of HIV/AIDS Literacy in Pregnant Women on Willingness to Undergo PMTCT Examination in Pematangsiantar City, North Sumatra, Indonesia Safrina, Safrina; Sirait, Sri Hernawati; Handayani, Tinuk Esti; Ngestiningrum, Ayesha Hendriana
Health Dynamics Vol 1, No 8 (2024): August 2024
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd10801

Background: In 2019, 2,370,473 pregnant women in Indonesia were tested for HIV, with 6,439 (0.27%) testing positive. Despite the importance of HIV testing during pregnancy to prevent mother-to-child transmission of HIV (PMTCT), not all pregnant women are willing to undergo testing. This study aims to evaluate the impact of health literacy about HIV/AIDS on pregnant women’s willingness to participate in PMTCT examinations in Pematangsiantar City. Methods: A quasi-experimental design with pretest and posttest, including a control group, was employed. The study population comprised pregnant women in Pematangsiantar City who had not undergone voluntary counseling and testing (VCT). A total of 102 participants (51 in the experimental group and 51 in the control group) were selected based on specific inclusion and exclusion criteria through consecutive sampling. Health literacy was measured using the Indonesian version of the health literacy questionnaire (HLS-EU-SQ10-IND). Data were analyzed using the McNemar test with a significance level set at p < 0.05. Results: In the HIV/AIDS literacy group, 32 participants (62.7%) were willing to undergo PMTCT, whereas in the control group, 32 participants (62.7%) were not willing. The literacy group showed significant improvements in willingness to undergo PMTCT after receiving information, with p-values of 0.012 (overall), 0.003 (understanding), 0.021 (assessing), and 0.007 (implementing). Conversely, the control group did not show significant changes, with p-values of 0.375, 0.210, 0.063, and 0.227, respectively. Conclusion: Health literacy about HIV/AIDS significantly enhances pregnant women’s willingness to participate in PMTCT. Increased counseling and information from health workers are crucial for improving PMTCT coverage.

Effectiveness of the Problem-Based Learning (PBL) Method to Increase Students' Knowledge and Attitudes About Early Marriage Ayomi, Sri; Ngestiningrum, Ayesha Hendriana; Herlina, Tutiek
Health Dynamics Vol 1, No 1 (2024): January 2024
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd10103

Background: High number of teenage marriages is a very worrying phenomenon because it causes various negative impacts on both reproductive health and social life. Indonesia is ranked second in ASEAN and eighth in the world for cases of early marriage. In the Mlarak sub-district, Ponorogo Regency, 8% of marriages were under 19 years of age. The purpose of the study was to determine the effectiveness of the Problem Based Learning (PBL) method to increased students' knowledge and attitudes about early marriage. Method: Research design was pre- experimental with a pretest - post test one group design. The sample was class VIII SMP Negeri 1 Mlarak, Ponorogo Regency, taken by proportional random sampling technique followed by Simple Random Sampling as many as 60 students. Collecting data using a questionnaire instrument. The independent variable is the PBL method while the dependent variable is knowledge and attitudes about early marriage. Data analysis used Paired Sample T Test with 0.05. Results: The results showed there is increase in the average knowledge of student by 14.08 and student attitudes by 12.2 after using the Problem Based Learning method. The results of the Paired Sample T Test 0.000 for the knowledge variable and 0.000 for the attitude variable, which means Ho is rejected and Ha is accepted. Conclusion: PBL method is effective in increasing knowledge about early marriage. The PBL method is effective in increasing attitudes about early marriage. Suggestions for teenagers to increase their knowledge about early marriage so that students' attitudes about early marriage can increase.

Prevention of Early Jaundice in Babies Through Empowerment: Quasi-Experiments with Pregnant Women Nainggolan, Lenny; Wahyuni, Tengku Sri; Rahayu, Teta Puji; Ngestiningrum, Ayesha Hendriana
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 13 No. 1 (2025): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educatio
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V13.I1.2025.18-26

Background: Jaundice is a health problem for newborns that occurs in around 60% of term pregnancies and around 80% of premature pregnancies. Babies who experience severe jaundice need to receive proper examination and treatment to prevent morbidity and death. Mothers' role in overcoming the lack of breast milk in newborn babies is important. Hence, they need to be educated and empowered to avoid health problems that can be prevented if mothers and babies receive timely care. Objectives: This research aims to analyze the effect of maternal empowerment on preventing early jaundice in babies in Pematangsiantar City. Method: The method used was the quasi-experimental design with a non-equivalent control group design model, carried out on 62 pregnant women and jaundice assessment on 62 newborns (31 pregnant women who were given education and monitored for empowerment and 31 mothers who were given education but not monitored). Sampling was taken using consecutive sampling. Data collection used a validated questionnaire and statistical tests with chi-square. Results: Statistical tests showed that, after empowering mothers, 90.3% implemented IMD in the intervention group and 83.9% in the control group (p=0.707). The results showed that after empowering mothers there were 93.5% of babies did not experience jaundice, and in the control group 71.0% did not experience jaundice. Statistically, there was a difference between the two groups (p=0.46). Conclusion: Maternal empowerment can influence the prevention of jaundice in babies. Implementation of empowerment through providing education about IMD, breastfeeding, and jaundice needs to be carried out by health workers.

Effectiveness of Couple Classes in Increasing Breastfeeding Rates and Preventing Breast Engorgement Ngestiningrum, Ayesha Hendriana; Nuryani, Nuryani
Health Dynamics Vol 2, No 2s (2025): February 2025 (Special Issue)
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd202s05

Background: Exclusive breastfeeding (EBF) faces significant barriers, particularly in the first 7 days postpartum, primarily due to a lack of knowledge and skills about lactation among mothers and their partners. Couple classes have been proposed as a potential solution, as they provide lactation education to both mothers and their partners from pregnancy onward. This study aimed to evaluate the effectiveness of couple classes in enhancing breastfeeding rates and preventing breast milk stagnation during the early postpartum period. Methods: A quasi-experimental design with a posttest control group was used, targeting third-trimester pregnant women. The sample consisted of pregnant women who met the inclusion criteria, along with their husbands, who lived together and consented to participate. Exclusion criteria included husbands who worked out of town, those who did not attend all sessions, and those who experienced emergencies during pregnancy, childbirth, or postpartum. A total of 25 participants were assigned to each group through simple random sampling. The intervention group received couple class education, which was delivered online via WhatsApp Groups, along with direct assistance within the first 7 days postpartum. This support lasted for one month. The control group received standard care according to the PMB’s (Praktik Mandiri Bidan or Independent Midwife Practices) SOP (Standard operational procedure). Posttests were conducted on the seventh day postpartum. Breastfeeding rates and the occurrence of breast milk engorgement were assessed using a checklist. Statistical analysis was performed using the chi-square test to compare differences between the groups. Results: A significant difference in breastfeeding rates during the first 7 days was observed between the two groups (p = 0.034). Additionally, there was a significant difference in the prevention of breast milk engorgement (p = 0.017). Conclusions: Couple classes effectively increase breastfeeding rates and prevent breast engorgement, with online materials providing an efficient and impactful method of support.

Platform E-Learning Belajar Kesga Kelas Ibu Balita berhasil Meningkatkan Pengetahuan Ibu Mengenai Pertumbuhan dan Perkembangan Anak Herlina, Tutiek; Nisrina, Salsabilla; Ngestiningrum, Ayesha Hendriana; Purwanto, Triana Septianti
2-TRIK: TUNAS-TUNAS RISET KESEHATAN Vol 14, No 3 (2024): Juli-September 2024
Publisher : FORUM ILMIAH KESEHATAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/2trik14302

The Mother Toddler Class program facilitates parents in monitoring their children's growth and development. During the pandemic, the Mother Toddler Class program cannot be implemented, but independent monitoring of children's growth and development can be carried out using the e-learning platform Belajar Kesga. This study aims to determine the effect of the e-learning platform Belajar Kesga Mother Toddler Class on mothers' knowledge of child growth and development. This study used a non-equivalent control group design, involving 88 mothers of toddlers selected using the cluster sampling method, divided into two groups: a treatment group and a control group, each with 44 people. Knowledge was measured in both groups, both before and after the intervention, using Google Forms. Data were then analyzed using the Wilcoxon test and the Mann-Whitney test. In the treatment group, a p-value of 0.000 was obtained, indicating a significant difference in knowledge levels before and after the intervention. In the control group, a p-value of 0.443 was obtained, indicating no significant difference in knowledge levels before and after the intervention. The comparison test of the final knowledge levels between the two groups yielded a p-value of 0.000, indicating a difference in knowledge levels between the two groups, with higher levels in the treatment group. In conclusion, the e-learning platform "Learning Kesga" successfully increased the knowledge of mothers of toddlers regarding child growth and development. Therefore, it is hoped that the use of the e-learning platform "Learning Kesga" can be encouraged.Keywords: toddlers; growth; development; e-learning platform; mothers' knowledge ABSTRAK Kegiatan kelas ibu balita menjadikan orangtua terfasilitasi dalam mendeteksi pertumbuhan dan perkembangan anak. Di masa pandemi, kegiatan kelas ibu balita tidak dapat terlaksana, namun dapat dilakukan pemantauan pertumbuhan dan perkembangan anak secara mandiri dengan menggunakan platform e-learning belajar kesga. Penelitian ini bertujuan untuk mengetahui pengaruh platform e-learning belajar kesga kelas ibu balita terhadap pengetahuan ibu mengenai pertumbuhan dan perkembangan anak. Penelitian ini menggunakan rancangan non-equivalent control group, yang melibatkan 88 ibu balita yang dipilih menggunakan metode cluster sampling, yang dibagi menjadi dua untuk kelompok perlakuan dan kelompok kontrol, masing-masing 44 orang. Pada kedua kelompok dilakukan pengukuran pengetahuan, baik pada fase sebelum maupun sesudah intervensi, menggunakan Google Form. Selanjutnya data dianalisis menggunakan uji Wilcoxon dan uji Mann-Whitney. Pada kelompok perlakuan didapatkan nilai p = 0,000 yang bisa dimaknai bahwa ada perbedaan tingkat pengetahuan secara signifikan antara sebelum dan sesudah intervensi. Pada kelompok kontrol didapatkan nilai p = 0,443 yang bisa dimaknai bahwa ada tidak perbedaan tingkat pengetahuan secara signifikan antara sebelum dan sesudah intervensi. Pada uji perbandingan tingkat pengetahuan akhir antara kedua kelompok didapatkan nilai p = 0,000, yang bisa dimaknai bahwa ada perbedaan tingkat pengetahuan antara kedua kelompok, dengan tingkat yang lebih tinggi pada kelompok perlakuan. Sebagai kesimpulan, platform e-learning belajar kesga berhasil meningkatkan pengetahuan ibu balita mengenai pertumbuhan dan perkembangan anak, sehingga diharapkan penggunaan platform e-learning belajar kesga dapat digalakkan.Kata kunci: balita; pertumbuhan; perkembangan; platform e-learning; pengetahuan ibu

Title

Found 31 Documents
Search

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Title Search

Found 31 Documents Search

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Title

Found 31 Documents
Search