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Efektivitas pendidikan kesehatan reproduksi dan seksual berbasis syariah (PK-RSS) guna meningkatkan pengetahuan dan sikap remaja putri Rini Nur Andzani; Apriliani Yulianti Wuriningsih; Tutik Rahayu
JOURNAL OF Community Health Issues Vol. 3 No. 2 (2026): April Edition 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Ikatan Perawat Kesehatan Komunitas Indonesia (IPKKI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/chi.v3i2.2536

Background: Adolescence is a crucial transitional period characterized by rapid reproductive organ development and vulnerability to risky behaviors that impact reproductive health. Limited knowledge and negative attitudes toward reproductive health among adolescent girls require structured and culturally appropriate health education interventions. Purpose: To determine the effectiveness of Sharia-Based Reproductive and Sexual Health Education (PK-RSS) in improving the knowledge and attitudes of adolescent girls about reproductive health. Method: This quasi-experimental study with a control group design involved 60 respondents aged 15-18 years, divided into an intervention group (n=30) and a control group (n=30). Data were collected using validated knowledge and attitude questionnaires. The intervention group received PK-RSS education, while the control group received no intervention. Data analysis was performed using the Wilcoxon test. Results: Before the intervention, the majority of respondents in the intervention group had poor knowledge (63.3%) and negative attitudes (76.7%). After the PK-RSS intervention, there was a significant increase in knowledge, with 46.7% achieving good knowledge and 46.7% sufficient knowledge, while only 6.7% remained in the poor category. Attitudes also improved significantly, with 50.0% showing positive attitudes and 50.0% negative attitudes. The Wilcoxon test results showed significant differences in both knowledge (Z=-4.490, p=0.000) and attitudes (Z=-2.309, p=0.021) before and after the intervention. Conclusion: Sharia-Based Reproductive and Sexual Health Education (PK-RSS) was effective in improving knowledge and changing attitudes of adolescent girls regarding reproductive health. The sharia-based approach that integrates Islamic values provided a strong moral and spiritual foundation, making information more acceptable and internalized by Muslim adolescents. Keywords: Adolescent Girls; Attitudes; Knowledge; Reproductive Health Education; Sharia-Based Education. Pendahuluan: Periode remaja adalah tahap transisi krusial yang dikarakteristikkan dengan perkembangan organ reproduksi pesat dan kerentanan terhadap perilaku berisiko yang mempengaruhi kesehatan reproduksi. Keterbatasan pengetahuan dan sikap negatif terhadap kesehatan reproduksi pada remaja putri memerlukan intervensi pendidikan kesehatan yang terstruktur dan sesuai dengan budaya. Tujuan: Untuk mengidentifikasi efektivitas Pendidikan Kesehatan Reproduksi dan Seksual Berbasis Syariah (PK-RSS) dalam meningkatkan pemahaman dan perilaku remaja putri terkait kesehatan reproduksi. Metode: Penelitian ini menggunakan desain quasi-experimental dengan kelompok kontrol yang melibatkan 60 responden berusia 15-18 tahun, terbagi menjadi kelompok intervensi (n=30) dan kelompok kontrol (n=30). Data dikumpulkan menggunakan kuesioner pengetahuan dan sikap yang telah divalidasi. Kelompok intervensi menerima pendidikan PK-RSS, sedangkan kelompok kontrol tidak menerima intervensi. Analisis data menggunakan uji Wilcoxon. Hasil: Sebelum intervensi, mayoritas responden pada kelompok intervensi memiliki pengetahuan kurang (63,3%) dan sikap negatif (76.7%). Setelah intervensi PK-RSS, terjadi peningkatan signifikan pada pengetahuan dengan 46.7% mencapai pengetahuan baik dan 46.7% pengetahuan cukup, sementara hanya 6.7% yang masih dalam kategori kurang. Sikap juga mengalami perbaikan signifikan dengan 50% menunjukkan sikap positif dan 50% sikap negatif. Hasil uji Wilcoxon menunjukkan perbedaan signifikan baik pada pengetahuan (Z=-4.490, p=0.000) maupun sikap (Z=-2.309, p=0.021) sebelum dan setelah intervensi. Simpulan: Pendidikan Kesehatan Reproduksi dan Seksual Berbasis Syariah (PK-RSS) efektif meningkatkan pengetahuan dan mengubah sikap remaja putri tentang kesehatan reproduksI. Pendekatan berbasis syariah yang mengintegrasikan nilai-nilai Islam memberikan fondasi moral dan spiritual yang kuat sehingga informasi lebih mudah diterima dan diinternalisasi oleh remaja muslim. Kata Kunci: Pendidikan Kesehatan Reproduksi; Pendidikan Berbasis Syariah; Pengetahuan; Remaja Putri; Sikap.

The Effectiveness of Pregnancy Exercise and Birthing Ball Use on Labor Progress among Pregnant Women Gita Rahmadani; Tutik Rahayu; Hernandia Distinarista
Health Gate Vol 4, No 2 (2026): April, 2026
Publisher : Dewan Pimpinan Daerah Persatuan Perawat Nasional Indonesia Kota Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70111/hg4214

Physical unpreparedness, manifestations of anxiety, and pain intensity often hinder labor progress, which in turn escalates the risk of invasive medical interventions. Non-pharmacological approaches, particularly through prenatal exercise activities and the use of birthing balls, are considered to have a positive contribution in optimizing labor mechanisms. This study aims to investigate the efficacy of prenatal exercise and birthing ball education on parameters of smooth labor processes in mothers. The methodology applied was a quasi-experimental design with a pretest-posttest control group design approach. A total of 62 respondents were involved as samples distributed into the experimental group and the control group. The intervention group received treatment in the form of prenatal exercise and education on the use of birthing balls, while the control group only received standard midwifery care. Data were collected through observations using standardized instruments, which were then analyzed using the Mann-Whitney U statistical test. The analysis results showed a significant difference in the level of smooth labor between the intervention and control groups. Pregnant women who received prenatal exercise and birthing ball education tended to have smoother labors compared to those who did not receive these interventions. It can be concluded that the integration of prenatal exercise and birthing ball education has been proven effective in improving the smoothness of labor. This intervention can be implemented as a safe and beneficial non-pharmacological alternative within maternity nursing care. It is hoped that healthcare practitioners can integrate this program into antenatal care to optimize maternal preparedness for labor.

HUBUNGAN TINGKAT STRES DENGAN KADAR GULA DARAH PADA PASIEN DIABETES MELITUS TIPE II RUMAH SAKIT X Siti Aminah; Hernandia Distinarista; Tutik Rahayu
Journal Healthcare Education Vol. 4 No. 1 (2026): Volume 4 No. 1 2026
Publisher : Yayasan Healing and Healthcare Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.1234/jhce.v4i1.140

Based on the 2018 National Health Research (RISKESDAS), the prevalence of doctor-diagnosed diabetes mellitus in Banten province reached 2.1%, slightly higher than the national average. Specifically, in Serang City, the capital of Banten Province, the prevalence of diabetes mellitus shows a number that deserves attention. Data from the Serang City Health Office (2023) shows that non-communicable diseases (NCDs) are the most common among the community. As one of the main referral hospitals in Serang City, Sari Asih Serang Hospital also feels the impact of the increasing number of diabetes mellitus sufferers. Based on medical record data from the internal medicine polyclinic, there were 277 patient visits with a diagnosis of diabetes mellitus in the period March to May 2025. Diabetes mellitus sufferers with unstable blood sugar regulation have a two-fold greater risk of experiencing a spike in glucose levels when experiencing stress, compared to diabetes sufferers who have better blood sugar control. Factors that can affect a person's blood sugar levels include lack of exercise, diet, stress, obesity, genetic factors, and consumption of certain medications. The general objective of this study was to determine the relationship between stress levels and blood sugar levels in patients with type II diabetes mellitus. This study is a quantitative study with a cross-sectional design. The population of this study were patients at Sari Asih Hospital in Serang City who suffered from diabetes mellitus. The research sample consisted of 74 participants. The results of the study were carried out with a correlation test with a sig value (2-tailed) of (0.005). So Ho was rejected and Ha was accepted, it can be concluded that there is a relationship between stress levels and blood sugar levels in patients with type 2 diabetes mellitus controlled at the hospital. Sari Asih Serang. And the correlation coefficient value is known to be 0.005a r= 0.005 (r < 0.05).

Tingginya Frekuensi Minum Teh Mempengaruhi Kejadian Anemia Ibu Hamil Nabilla Chindi Cantika; Tutik Rahayu; Sri Wahyuni
Journal of Health, Medical, and Psychological Studies Vol 1 No 2 (2025): December: Sanitas: Journal of Health, Medical, and Psychological Studies
Publisher : CV SCRIPTA INTELEKTUAL MANDIRI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.65310/sqvamq11

Gestational anemia is a health issue that contributes to high Maternal Mortality Rates (MMR) and infant complications, such as Low Birth Weight (LBW). This study aims to determine the correlation between the frequency of tea consumption and the incidence of anemia. This quantitative study employed a cross-sectional approach, with a total of 114 respondents selected via consecutive sampling. The research instruments included demographic data (maternal age, gestational age, weight, height, mid-upper arm circumference/MUAC, and hemoglobin levels) and a Food Frequency Questionnaire (FFQ). Data were analyzed using univariate and bivariate (Chi-square) analysis. The results showed a significant correlation between the frequency of tea consumption in pregnant women and the incidence of anemia (p-value 0.011). Consequently, it is recommended to limit tea intake and avoid consuming it alongside meals or supplements to maintain maternal and fetal hematological stability; this is because the tannin content in tea acts as a chelating agent for iron, thereby inhibiting intestinal absorption and decreasing hemoglobin levels.

Faktor-Faktor yang Memengaruhi Terjadinnya Dismenore Primer pada Remaja Putri Nazhifan Zalfaa Sujatmiko Putri; Apriliani Yulianti Wuriningsih; Tutik Rahayu
Journal of Health, Medical, and Psychological Studies Vol 1 No 2 (2025): December: Sanitas: Journal of Health, Medical, and Psychological Studies
Publisher : CV SCRIPTA INTELEKTUAL MANDIRI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.65310/sg565a09

There is a substantial increase in physical, psychological, and emotional development during adolescence, the developmental period before adulthood. Primary dysmenorrhea, or menstrual pain caused by an unexplained medical cause, affects many young women during this period and can negatively impact their learning ability and overall well-being. This study aims to analyze the factors influencing the occurrence of primary dysmenorrhea in adolescent girls at SMA Negeri 10 Semarang. This study used a cross-sectional technique to measure correlation. A questionnaire was used to collect data. Using a stratified random sampling procedure, a total of 128 respondents were selected. Multiple logistic regression and the chi-square test were used for statistical analysis of the collected data. Based on the analysis results obtained from 128 research respondents, it was shown that the duration of menstruation (p=0.003), family history (p=0.000), body mass index (p=0.003), and physical activity (p=0.003) were significantly associated with the occurrence of primary dysmenorrhea. Meanwhile, age at menarche (p=0.060), and menstrual cycle (p=0.654) did not show a significant relationship. Conclusion there are factors that influence the occurrence of primary dysmenorrhea in female adolescents at SMA Negeri 10 Semarang.

Edukasi PIK-R Program GenRe Berbasis Sekolah Sebagai Tindakan Inovatif untuk Meningkatkan Pengetahuan Kesehatan Reproduksi Nur Aini Dyah Prasetyaningrum; Sri Wahyuni; Tutik Rahayu
Journal of Health, Medical, and Psychological Studies Vol 1 No 2 (2025): December: Sanitas: Journal of Health, Medical, and Psychological Studies
Publisher : CV SCRIPTA INTELEKTUAL MANDIRI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.65310/wbt6pe92

Low knowledge of reproductive health among adolescents is characterized by an increase in premarital sexual behavior and limited access to information. The government, through the National Population and Family Planning Agency (BKKBN), developed the Generasi Berencana (GenRe) Program with the Youth Information and Counseling Center (PIK-R) based in schools as an effort to educate adolescents about reproductive health. Objective: This study aims to analyze the effectiveness of PIK-R education in improving adolescents' knowledge of reproductive health. The research design was quasi-experimental with a pre-post test with control group. A sample of 180 respondents was determined using purposive sampling and divided into intervention and control groups. The research instrument used a reproductive health knowledge questionnaire. Data analysis was performed using the Wilcoxon signed rank test and Mann-Whitney test. Results the study showed a significant increase in knowledge in the intervention group (p=0.000) after receiving PIK-R education compared to the control group (p=0.000). Education combined with board games and interactive counseling sessions proved to be effective in improving students' understanding and engagement in the learning process regarding reproductive health. Conclusion school-based PIK-R education has been proven effective in improving adolescents' reproductive health knowledge using an innovative approach.

Analisis Faktor yang Mempengaruhi Siklus Menstruasi Berbasis Teori Handerson pada Remaja Putri di SMA 10 Kota Semarang Adelia Wahmi Amanda; Sri Wahyuni; Tutik Rahayu
Journal of Health, Medical, and Psychological Studies Vol 1 No 2 (2025): December: Sanitas: Journal of Health, Medical, and Psychological Studies
Publisher : CV SCRIPTA INTELEKTUAL MANDIRI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.65310/ynjkcj80

This study aimed to analyze factors influencing menstrual cycle regularity among adolescent girls using Virginia Henderson’s basic needs theory framework. A quantitative correlational design with a cross-sectional approach was conducted among 128 tenth-grade students at a public senior high school in Semarang, Indonesia. Biological, psychological, sociological, and spiritual variables were assessed using validated instruments, and data were analyzed through chi-square tests and multivariate logistic regression. The findings indicate that menstrual cycle regularity is not determined by a single factor but reflects the interaction of multiple unmet basic needs. Sleep quality and physical activity emerged as the most dominant predictors, while nutritional status and stress showed indirect effects after controlling for other variables. These results suggest that lifestyle-related needs play a central role in maintaining reproductive health during adolescence. The application of Henderson’s theory provides a comprehensive explanatory model by linking physiological regulation with daily functional behaviors. This study contributes empirically to adolescent reproductive health research by demonstrating the relevance of a nursing-based theoretical framework in identifying dominant determinants of menstrual health and informing school-based health promotion strategies.

Hubungan Perilaku Merokok Keluarga dengan Bronkopneumonia pada Balita di RS Sari Asih Ciledug Iin Indriani; Hernandia Distinarista; Tutik Rahayu
Journal of Health, Medical, and Psychological Studies Vol 1 No 3 (2026): April: Sanitas: Journal of Health, Medical, and Psychological Studies
Publisher : CV SCRIPTA INTELEKTUAL MANDIRI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.65310/anrh6q05

Bronchopneumonia is one of the leading causes of morbidity among children under five years of age and remains a common health problem. Exposure to cigarette smoke inside the household due to the smoking behavior of family members is an important environmental risk factor. Toddlers have immature immune systems and lung function, making them more susceptible to the adverse effects of cigarette smoke. This study aimed to determine the relationship between family members’ smoking behavior and the incidence of bronchopneumonia among children under five at Sari Asih Ciledug Hospital. This study employed a quantitative research design with a cross-sectional approach. The sample consisted of 83 respondents selected using a total sampling technique. Data on family members’ smoking behavior were collected through a structured questionnaire, while data on the incidence of bronchopneumonia in toddlers were obtained from hospital medical records. Data analysis was performed using univariate analysis to describe respondent characteristics and bivariate analysis using the Chi-Square test to examine the relationship between variables. The results showed a statistically significant relationship between family members’ smoking behavior and the incidence of bronchopneumonia among toddlers (p < 0.05). The Prevalence Odds Ratio (POR) value of 16.640 indicated that toddlers exposed to cigarette smoke had a higher risk of developing bronchopneumonia compared to those who were not exposed

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