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Peningkatan Kompetensi Kader Terhadap Kemandirian Dalam Penatalaksanaan Perdarahan Dalam Kehamilan Suprapti Suprapti; Didien Ika Setyarini; Lisa Purbawaning Wulandari
Malang Journal of Midwifery (MAJORY) Vol 4 No 1 (2022): MAJORY
Publisher : Poltekkes Kemenkes Malang & IBI Ranting Pendidikan Kota Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/majory.v4i1.3100

Maternal mortality is still a challenge for the health system in Indonesia, one of the causes is bleeding during pregnancy as a result of the 3 Late (3 T) namely: late in making a decision/diagnosing, being late in getting to the referral place and being late in getting treatment. Detection of 3T bleeding in pregnant women can be done by anyone, including cadres as the spearhead in assisting pregnant women because of their presence in the community. This study aimed to analyse the competence of cadres in detecting and managing bleeding pregnant women according to their duties in the community to prevent 3T, one of which is animation media for bleeding pregnant women. The research design was a pre-experimental design using a quasi-experimental design using a pre-test-post-test design descriptive statistical analysis with a cross-sectional approach, a sample of 60 cadres who met the inclusion criteria (30 Parangargo and 30 Sidorahayu) in the working area of ??the Wagir Public Health Center, Malang Regency. The results of the pre-test-post-test between the control group and the treatment group showed the independence of cadres in the treatment of bleeding to perform 3T (p-value <0.001) and an increase in independence towards independence in treatment with the use of animation media between the control and treatment groups (p-value 0.001), with the acceptance of H1, an animation method that can provide a deeper understanding of the differences in blood flow, the color that occurs in early or late pregnancy, so that cadres in management are related to preventing 3 T according to the role of cadres in the community by escorting them to the location health services/ report to the regional midwife. Keywords: Cadre Competence, Management of Pregnancy Hemorrhagic

Pemberian Buah Pepino (Solanum Muricatum Aiton) Terhadap Perubahan Tekanan Darah Pada Wanita Menopause Dengan Hipertensi Primer Didien Ika Setyarini; Heni Tirta Kinasih
Malang Journal of Midwifery (MAJORY) Vol 3 No 1 (2021): MAJORY
Publisher : Poltekkes Kemenkes Malang & IBI Ranting Pendidikan Kota Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/majory.v3i1.2372

Menopause is a cycle that all women will experience. During menopause, many symptoms are associated with reduced estrogen production. Menopause also affects cholesterol levels, causing an increase in LDL, which can narrow and clog arteries so that blood flow becomes blocked and consequently increases blood pressure. This study aims to determine the effect of giving pepino fruit to changes in blood pressure in postmenopausal women with primary hypertension. The design used is a pre-experiment with a one group pre test post test design. The total population is 26 postmenopausal women aged 45-60 years. This study used purposive sampling technique and obtained a sample of 21 respondents. Respondents who entered the inclusion criteria were given the treatment of giving pepino fruit for each rice to be consumed after breakfast for 7 consecutive days. The instruments used to collect data are mercury sphygmomanometer and questionnaire. The results showed that there was a decrease in systolic blood pressure by 62.5% and diastolic blood pressure by 74.2%. The results of the statistical paired t-test with a significant level of 0.05 and dk = 20 have obtained t-count > t-table (systole = 8.05> 1.72 and diastole = 8.22> 1.72) there is an effect administration of pepino fruit on changes in blood pressure in postmenopausal women with primary hypertension. Purple pepino fruit contains potassium which can lower blood pressure by blocking calcium channels. Thus, health workers are expected to pay more attention to the health of postmenopausal women by means of early detection, counseling and treatment of hypertension. Keywords: The effect of Pepino Fruit, Blood Pressure, Menopause

Peningkatan Perilaku Personal Hygiene Genital Dengan Metode Storytelling Liza Eri Widyawati; Reni Wahyu Triningsih; Didien Ika Setyarini
Malang Journal of Midwifery (MAJORY) Vol 1 No 2 (2019): MAJORY
Publisher : Poltekkes Kemenkes Malang & IBI Ranting Pendidikan Kota Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar

Genital personal hygine is an important part because if a girl is not enough to maintain the cleanliness of her reproductive organs, there is a risk of infection in the reproductive organs. The introduction of personal hygiene needs to be given starting early, one of them with the storytelling method. The purpose of this study was to determine personal hygiene behavior before and after storytelling was given. The method used is a one group pretest-post test. Respondents in this study were 34 female students at SDN Junrejo 01 Batu, selected by purposive sampling. Data collected using a questionnaire that has been designed to test its validity and reliability. The results showed that before storytelling 64.7% of students had behaviors in the poor category and 35.3% in the moderate category. After storytelling, 70.6% of students had behaviors in the category and 26.5% were in the moderate category, and 3% in the poor category. The results of statistical analysis using the Wilcoxon signed rank test showed p value <0.001 which means that there is an influence of the storytelling method on the increase in personal genital hygiene behavior at SDN Junrejo 01 Batu. Provision of health education needs to be done by health workers periodically as an effort to promote reproductive health in adolescents so that adolescents can behave properly in maintaining reproductive health. Keywords: Storytelling, Adolescent Behavior, Genital Personal Hygiene

Teenage Pregnancy in Malang: The Analysis on Stunting Incidence in Toddler Aged 24-59 Months Setyarini, Didien Ika; Triningsih, Reny Wahyu; Aryani, Hening Ryan
Journal of Maternal and Child Health Vol. 7 No. 5 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Stunting is a chronic malnutrition problem characterized by short stature. Stunting toddlers are generally susceptible to disease, have a below normal level of intelligence and low productivity. The high prevalence of stunting in the long term will have an impact on economic losses for Indonesia, which one of the causes of it is early pregnancy. The aim of this study was to described teenage pregnancy with the incidence of stunting in 24-59 months toddlers. Subjects and Method: This research was a cross-sectional study. Sampling was carried out by a two-stage cluster sampling method using purposive sampling. 96 stunted toddlers were obtained. The dependent variable was mother's age at first pregnancy. The independent variable was stunting incidence. Data was collected using questionnaire data, body length, and weight measurements. Data were analyzed with descriptive analysis using SPSS Statististic 20. Results: 51.6% stunted toddlers were born by <20 years old mother at the time of first pregnancy. Almost all stunted toddlers were in the moderate stunting category (92.5%). 65.6% stunted toddlers didn’t get exclusive breastfeeding. 5.4% of 7.5% severe stunted toddlers were born by < 20 years old- mother at the time of first pregnancy. Conclusion: Pregnancy in teenager, when the mother herself is still growing, increases the risk of stunting. Stunting can also occur due to the lack of breastfeeding. It is necessary to make efforts to mature early marriage because it has an impact on unfavorable outcomes. Keywords: 24-59 months, pregnancy, stunting, teenage, and toddlers. Correspondence:Didien Ika Setyarini. Department of Midwifery, Poltekkes Kemenkes Malang. Jl. Besar Ijen No. 77C Malang 65119, East Java, Indonesia. Email:didien_ika@poltekkes-malang.ac.id. Mobile:08164- 296003

Analisis Dampak Screen Time terhadap Potensi Tantrum dan Perkembangan Anak Usia Dini Didien Ika Setyarini; Silviana Galuh Rengganis; Innas Tiara Ardhiani; Endah Kamila Mas’udah
Jurnal Obsesi : Jurnal Pendidikan Anak Usia Dini Vol 7, No 2 (2023)
Publisher : LPPM Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/obsesi.v7i2.3376

Perkembangan pada anak usia dini dipengaruhi oleh faktor internal dan eksternal, faktor eksternal diantaranya penggunaan gadget. Screen time pada anak usia dini tidak boleh lebih dari 1 jam/satu hari. Penelitian ini bertujuan untuk mengetahui dampak screen time terhadap potensi tantrum dan perkembangan pada anak usia dini. Penelitian ini merupakan studi kuantitatif, dengan desain analitik observasional, memanfaatkan pendekatan Cross Sectional. Uji statistik mengimplementasikan analisa Rank Spearman’s. Jumlah sampel merupakan total populasi sebanyak 40 responden. Instrumen yang digunakan lembar DDST dan kuisioner. Hasil penelitian 17 responden berpotensi tantrum, dan 15 responden dengan kategori perkembangan suspect. Analisis uji korelasi didapatkan tingkat korelasi yang kuat, dimana semakin tinggi intensitas screen time, akan meningkatkan potensi tantrum dan keterlambatan perkembangan pada anak usia dini.

PENGARUH CANDLE THERAPY TERHADAP TINGKAT AFTERPAIN IBU POSTPARTUM Didien Ika Setyarini
Jurnal Informasi Kesehatan Indonesia (JIKI) Vol 4 No 1 (2018): Jurnal Informasi Kesehatan Indonesia
Publisher : Politeknik Kesehatan Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jiki.v4i1.178

Afterpain is a pain tipically lasts for 2-3 days after birth, this condition is caused by uterine contractions. The use of pharmacological methods can indirectly affect the quality of breast milk and the baby who consumes them. Then, it would be required an alternative method to reduce afterpain. The goal of the research is to determine the influence of Candle Therapy to the level of afterpain. The research is included into pre experiment with taking 10 respondents by purposive sampling. The research design is one group pre-post-test design. Research instruments are colored candles and NRS (Numerical Rating Scale). Results of the study before the Candle Therapy are 10% controlled severe pain, 33% mild pain, and 57% medium pain, whereas after the Candle Therapy are 3% medium pain, 30% no pain, and 67% mild pain. The results were analyzed using Paired T-Test, with df=18 and Î±=0,05 indicates the value of tcount=8,054 and ttable=2,101; so that tcount > ttable. The test result by using SPSS 16 indicates the value of p=0,000, so that p< Î±. Then Ho is rejected. Thus, it can be concluded that there is influence of Candle Therapy to the level of afterpain Keywords: Candle Therapy, afterpain, postpartum women

PENGARUH ASSOCIATIVE PLAY TERHADAP TINGKAT STRESS PADA ANAK USIA 3-5 TAHUN Ines Ratni Pravitasari; Didien Ika Setyaraini; Reni Wahyu Triningsih
Jurnal Informasi Kesehatan Indonesia (JIKI) Vol 5 No 1 (2019): Jurnal Informasi Kesehatan Indonesia (JIKI)
Publisher : Politeknik Kesehatan Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jiki.v5i1.673

The Phenomenon of fear more experienced by the child during pre-school than any other time.Continual fear will cause stress. This study aims to determine the effect of associative play on stresslevels in children aged 3-5 years. The methods used was quasy-experimental design with one grup pretest post test approach. Large sample is 25 students who experience stress. The research instrument wasthe School Anxiety Scale-Teacher Report (SAS-TR) questionnaire sheet. The results showed the stresslevel of children aged 3-5 years before associative play, namely the majority of respondents (52%)experienced moderate stress and after associative play experienced mild stress (60%). The results of thestudy were analyzed using the Wilcoxon Signed Rank Test with dan = 0.05 and showed the value of rvalue = 0,000 so that r value < H0, then H0 was rejected which means that there was an associative playeffect on stress levels in children aged 3-5 years.

Peningkatan Kompetensi Kader Terhadap Kemandirian Dalam Penatalaksanaan Perdarahan Dalam Kehamilan Suprapti, Suprapti; Setyarini, Didien Ika; Wulandari, Lisa Purbawaning
Malang Journal of Midwifery (MAJORY) Vol. 4 No. 1 (2022): MAJORY
Publisher : Poltekkes Kemenkes Malang & IBI Ranting Pendidikan Kota Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/majory.v4i1.3100

Maternal mortality is still a challenge for the health system in Indonesia, one of the causes is bleeding during pregnancy as a result of the 3 Late (3 T) namely: late in making a decision/diagnosing, being late in getting to the referral place and being late in getting treatment. Detection of 3T bleeding in pregnant women can be done by anyone, including cadres as the spearhead in assisting pregnant women because of their presence in the community. This study aimed to analyse the competence of cadres in detecting and managing bleeding pregnant women according to their duties in the community to prevent 3T, one of which is animation media for bleeding pregnant women. The research design was a pre-experimental design using a quasi-experimental design using a pre-test-post-test design descriptive statistical analysis with a cross-sectional approach, a sample of 60 cadres who met the inclusion criteria (30 Parangargo and 30 Sidorahayu) in the working area of ??the Wagir Public Health Center, Malang Regency. The results of the pre-test-post-test between the control group and the treatment group showed the independence of cadres in the treatment of bleeding to perform 3T (p-value <0.001) and an increase in independence towards independence in treatment with the use of animation media between the control and treatment groups (p-value 0.001), with the acceptance of H1, an animation method that can provide a deeper understanding of the differences in blood flow, the color that occurs in early or late pregnancy, so that cadres in management are related to preventing 3 T according to the role of cadres in the community by escorting them to the location health services/ report to the regional midwife. Keywords: Cadre Competence, Management of Pregnancy Hemorrhagic

HUBUNGAN SENAM NIFAS DENGAN PENURUNAN TINGGI FUNDUS UTERI PADA IBU NIFAS HARI KE 3 DI TPMB I DAN TPMB S Ramadhani, Azizah Ayu; Suprapti, Suprapti; Aryani, Hening Ryan; Setyarini, Didien Ika
Malang Journal of Midwifery (MAJORY) Vol. 6 No. 1 (2024): MAJORY
Publisher : Poltekkes Kemenkes Malang & IBI Ranting Pendidikan Kota Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/majory.v6i1.4397

Masa Nifas merupakan masa yang dimulai setelah plasenta lahir dan berakhir ketika alat kandungan kembali seperti keadaan semula. Proses involusi uterus dipengaruhi oleh beberapa faktor, diantaranya senam nifas. Apabila proses involusi terganggu, maka dapat menyebabkan terjadinya subinvolusi uterus. Tujuan penelitian ini untuk mengetahui hubungan senam nifas dengan penurunan tinggi fundus uteri pada ibu nifas hari ke 3. Desain penelitian menggunakan quasy eksperimen kelompok perlakuan dan kontrol. Populasi sebanyak 15 ibu nifas multipara yang melahirkan di TPMB Ida Priyanti dan 15 ibu nifas multipara yang melahirkan di TPMB Sidemiarti. Pengambilan sampel menggunakan teknik Purposive sampling. Data dikumpulkan dengan lembar observasi senam nifas dan penurunan TFU dengan jari. Analisa data menggunakan uji Chi-Square lalu dilanjutkan dengan uji Mann-Whitney. Hasil penelitian didapatkan ibu nifas yang melakukan senam nifas (40%) mengalami penurunan tinggi fundus uteri cepat dan ibu nifas yang tidak melakukan senam nifas (30%) mengalami keterlambatan penurunan tinggi fundus uteri. Analisis uji Mann-Whitney menunjukkan nilai signifikansi <0,001 berarti senam nifas dapat mempengaruhi penurunan tinggi fundus uteri ibu nifas pada hari ke 3. Senam nifas dapat mempengaruhi penurunan tinggi fundus uteri dikarenakan senam hari ke 3 terdapat latihan pengembalian rahim pada bentuk dan posisi semula dan mengurangi mulas pada ibu nifas

Peningkatan Perilaku Personal Hygiene Genital Dengan Metode Storytelling Widyawati, Liza Eri; Triningsih, Reni Wahyu; Setyarini, Didien Ika
Malang Journal of Midwifery (MAJORY) Vol. 1 No. 2 (2019): MAJORY
Publisher : Poltekkes Kemenkes Malang & IBI Ranting Pendidikan Kota Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/majory.v1i2.2202

Genital personal hygine is an important part because if a girl is not enough to maintain the cleanliness of her reproductive organs, there is a risk of infection in the reproductive organs. The introduction of personal hygiene needs to be given starting early, one of them with the storytelling method. The purpose of this study was to determine personal hygiene behavior before and after storytelling was given. The method used is a one group pretest-post test. Respondents in this study were 34 female students at SDN Junrejo 01 Batu, selected by purposive sampling. Data collected using a questionnaire that has been designed to test its validity and reliability. The results showed that before storytelling 64.7% of students had behaviors in the poor category and 35.3% in the moderate category. After storytelling, 70.6% of students had behaviors in the category and 26.5% were in the moderate category, and 3% in the poor category. The results of statistical analysis using the Wilcoxon signed rank test showed p value <0.001 which means that there is an influence of the storytelling method on the increase in personal genital hygiene behavior at SDN Junrejo 01 Batu. Provision of health education needs to be done by health workers periodically as an effort to promote reproductive health in adolescents so that adolescents can behave properly in maintaining reproductive health. Keywords: Storytelling, Adolescent Behavior, Genital Personal Hygiene

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