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All Journal Journal of Maternal and Child Health INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) JURNAL KEBIDANAN Jurnal Medikes (Media Informasi Kesehatan) Journal for Quality in Public Health Journal Of Health Science Community Journal for Quality in Women's Health
NINING ISTIGHOSAH
UNIVERSITAS STRADA INDONESIA
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Other

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PENGARUH PARITAS DENGAN KEJADIAN STRESS PSIKOLOGI IBU MENYUSUI MINGGU PERTAMA POST PARTUM DI MASA PANDEMI COVID-19 aprilia nurtika sari; Nining Istighosah
JURNAL KEBIDANAN Vol 11 No 1 (2022): JURNAL KEBIDANAN ( JKDH )
Publisher : AKADEMI KEBIDANAN DHARMA HUSADA KEDIRI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35890/jkdh.v11i1.252

Abstract

Pandemic covid-19 adalah pengalaman traumatis secara global yang dialami oleh hampir seluruh warga di dunia pada awal 2019 sampai 2020 terutama bagi kelompok dengan sensivitas tinggi yaitu ibu masa kehamilan sampai dengan menyusui. Stress yang dialami oleh ibu masa post partum dapat memengaruhi kesejahteraan bayi baru lahir . Stress dan kecemasan ini terkait dengan penurunan aktifitas social akibat pembatasan kegiatan fisik yang merupakan kebijakan pemerintah di seluruh dunia dalam rangka memutus mata rantai penyebaran covid-19. Pada masa nifas khususnya minggu pertama post partum terjadi banyak perubahan fisik dan psikologis pada ibu. Peran baru sebagai seorang ibu yang memutuskan apakah ibu akan memberikan ASI kepada bayinya ataupun tidak sangat dipengaruhi oleh kondisi dan pengalaman ibu pada saat melahirkan. Rasa nyeri akibat proses persalinan dan kelelahan dapat memengaruhi perubahan psikologi ibu dalam merawat bayinya. Kondisi ini jika dibiarkan akan menimbulkan gangguan kecemasan meliputi perasaan takut, tidak nyaman dan merasa tidak ada dukungan dari keluarga maupun tenaga kesehatan. Tujuan dari penelitian ini adalah untuk mengetahui pengaruh paritas terhadap tingkat kecemasan ibu post partum pada masa awal nifas ( 2 minggu post partum ). Subjek dan Metode: Penelitian ini menggunakan desain analitik dengan pendekatan cross sectional . Sampel pada penelitian ini adalah 30 ibu post partum yang melahirkan secara spontan di wilayah kabupaten Kediri. Pemilihan sampel menggunakan teknik purposive sampling dengan kriteria responden yang memenuhi kriteria inklusi dan bersedia dilakukan kunjungan rumah dan menandatangani surat persetujuan responden karena situasi pandemic. Penelitian dilaksanakan pada bulan Agustus 2020. Pengumpulan data menggunakan kuesioner PSS untuk skala stress psikologi .Uji statistic menggunakan Chi square test untuk mengetahui pengaruh paritas terhadap kejadian stress psikologi ibu didapatkan nilai p value 0,001 yang berarti lebih kecil dari alpha (0,05) . Kesimpulan dari penelitian ini adalah adanya pengaruh yang significant antara paritas dengan kejadian stress psikologi ibu menyusui pada minggu pertama post partum masa pandemic covid-19. The COVID-19 pandemic is a global traumatic experience experienced by almost all citizens in the world in early 2019 to 2020, especially for groups with high sensitivity, namely mothers during pregnancy to breastfeeding. Stress experienced by post partum mothers can affect the welfare of newborns. This stress and anxiety is related to the decline in social activities due to restrictions on physical activities which are government policies around the world in order to break the chain of the spread of COVID-19. During the puerperium, especially the first week of postpartum, there are many physical and psychological changes in the mother. The new role as a mother who decides whether the mother will breastfeed her baby or not is strongly influenced by the conditions and experiences of the mother at the time of delivery. Pain due to labor and fatigue can affect the psychological changes of mothers in caring for their babies. This condition if left unchecked will cause anxiety disorders including feelings of fear, discomfort and feeling that there is no support from family and health workers. The purpose of this study was to determine the effect of parity on the anxiety level of postpartum mothers in the early postpartum period (2 weeks postpartum). Subjects and Methods: This study used an analytical design with a cross sectional approach. The sample in this study were 30 postpartum mothers who gave birth spontaneously in the Kediri district. The sample selection used a purposive sampling technique with the criteria of respondents who met the inclusion criteria and were willing to make a home visit and sign the respondent's approval letter due to the pandemic situation. The study was carried out in August 2020. Data collection using the PSS questionnaire for the psychological stress scale. Statistical testing using the Chi square test to determine the effect of parity on maternal anxiety levels obtained a p value of 0.001 which means it is lower than alpha (0.05) .The conclusion of this study is that there is a significant effect between parity and the anxiety of breastfeeding mothers in the first week of post partum during the COVID-19 pandemic
PENGARUH STRESS PSIKOLOGI TERHADAP PRODUKSI ASI PADA IBU POST PARTUM Nining Istighosah; Aprilia Nurtika Sari
Jurnal Medikes (Media Informasi Kesehatan) Vol 8 No 1 (2021): Mei
Publisher : Politeknik Kesehatan Kementerian Kesehatan Banten

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36743/medikes.v8i1.272

Abstract

ASI merupakan makanan terbaik untuk bayi baru lahir. Karena kandungan ASI terbukti mempunyai komponen – komponen nutrisi penting yang dibutuhkan pada bayi pada masa awal kehidupannya. Meskipun demikian sampai saat ini masih banyak ditemui hambatan- hambatan dalam pemberian ASI secara eksklusive yang menjadi penyebab ketidakcukupan pemenuhan ASI pada bayi. Ketidakcukupan pemberian ASI sering dihubungkan dengan factor stress pada ibu selama proses menyusui. Tujuan dari penelitian ini adalah untuk mengetahui pengaruh Stress psikologis terhadap produksi ASI pada ibu pada masa awal nifas ( 2 minggu post partum ). Subjek dan Metode: Penelitian ini menggunakan desain analitik dengan pendekatan cross sectional . Sampel pada penelitian ini adalah 30 ibu post partum yang melahirkan secara spontan di wilayah kabupaten Kediri. Penelitian dilaksanakan pada bulan Agustus 2020. Pengumpulan data menggunakan kuesioner PSS untuk skala stress psikologi dan untuk mengukur produksi ASI dilakukan observasi pada proses pemompaan ASI ketika payudara penuhatau minimal 2 jam setelah menyusui bayi. Uji statistic menggunakan Mann witney U test untuk mengetahui pengaruh stress terhadap produksi ASI didapatkan nilai p value 0,166 yang berarti lebih besar dari alpha (0,05) sehingga dapat disimpulkan tidak ada pengaruh tingkat stress terhadap produksi ASI. Kesimpulan dari penelitian ini adalah tidah adanya pengaruh yang significant antara stress psikologi ibu dengan jumlah produksi ASI yang dihasilkan pada awal masa menyusui.
Increase Breast Milk Production for Postpartum Mothers with Oxytocin Massage Using Innovative Massage Tools Istighosah, Nining; Sari, Aprilia Nurtika
Journal of Maternal and Child Health Vol. 6 No. 6 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (34.152 KB) | DOI: 10.26911/thejmch.2021.06.06.04

Abstract

Background: Goal 3 of Global commitment of 2015-2030 Sustainable Development Goals (SDGs) program is to ensure a healthy life and to promote well-being for all people at all ages in the 2nd achievement indicator targeting by 2030. It is hoped to end infant and under-five mortality that can be avoided, with all countries trying to reduce the Neonatal Mortality Rate to at least 12 per 1,000 KH and the Toddler Mortality Rate by 25 per 1,000 KH. Infant mortality cases caused by nutritional factors reached 53%. Several diseases that arise due to malnutrition include pneumonia (13.2%), diarrhea (17.2%) and perinatal problems (36%). Breast milk is the best food for babies and has the right balance of nutrients, is bioavailable, easy to digest, protects babies from disease, and has anti-inflammatory properties. This study aims to analyze the difference in the volume of breast milk before and after the mother received oxytocin massage with the Effleurage technique and a combination of innovative massage tools. Subjects and Method: This research is a quasi experiment. The study was conducted in the City of Kediri from August to September 2020. The sample used was post partum women on days 4 to 10 using simple random sampling technique. The dependent variable is the volume of breast milk. The independent variable is the type of oxytocin massage treatment with effleurage technique, and the combination of oxytocin massage with efflurage technique and innovative massage tools. Data analysis per treatment and control groups used the one-way annova test with 95% CI. Results: There was no difference in the mean volume of breast milk in mothers who received lactation massage using the innovative massage method (Mean= 21.65; SD= 15.43; p= 0.994), conventional Efflurage massage (Mean= 22.15; SD= 15.43; p= 0.330), and in control group (Mean= 20.50; SD= 15.43; p=0.386). Conclusion: There was no difference in the mean volume of breast milk in each group and this result was not statistically significant.
THE EFFECT OF HEALTH EDUCATION WITH AUDIOVISUAL MEDIA ON THE LEVEL OF KNOWLEDGE AND SKILLS OF EARLY DETECTION OF FIBROADENOMA MAMMAE (FAM) IN YOUNG WOMEN AT SMA IBRAHIMY WONGSOREJO Suci Anggraeni; Sarifatul Anisaro; Nur Yeni Hidajaturrokhmah; Nining Istighosah; Reni Yuli Astutik; Aprilia Nurtika Sari
JURNAL KEBIDANAN Vol 12 No 1 (2023): JURNAL KEBIDANAN
Publisher : AKADEMI KEBIDANAN DHARMA HUSADA KEDIRI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35890/jkdh.v12i1.266

Abstract

The lack of knowledge and skills of young women about breast self-examination to detect fibroadenoma mammae is caused by the lack of information among young women about early detection of fibroadenoma mammae. The purpose of this study was to determine the effect of health education with audiovisual media on the level of knowledge and skills of early detection of fibroadenoma mammae (FAM) in adolescent girls at SMA Ibrahimy Wongsorejo. This study uses a quasi-experimental quantitative research design with the Non Equivalent Control Group Design method, with a Stratified Random Sampling technique obtained a sample of 125 students. The dependent variable is health education with audiovisual, the independent variable is the level of knowledge and skills of young women. Data analysis used Wilcoxon test and Mc Nemar test. The results showed that in the intervention group there were 55 respondents (87.3%), while in the control group there were 3 respondents (4.8%). And it was found that young women who had qualified skills in the intervention group were 63 respondents (100%) while in the control group 31 respondents (49.2%). The results of the Wilcoxon and Mc Nemar Test statistical tests obtained a significance value of 0.000 (<0.05), it can be concluded that there is an effect of health education with audiovisual media on the level of knowledge and skills of early detection of fibroadenoma mammae (FAM) in adolescent girls at SMA Ibrahimy Wongsorejo. Audiovisual media is effective for increasing knowledge and skills of early detection of fibroadenoma mammae in young women because respondents can not only listen to the material given, but also see firsthand the steps for early detection of fibroadenoma mammae on video.
The Relationship of Breastfeeding Patterns with The Nutritional Status of Infants 6–24 Months Yuli Astutik, Reni; Nining Istighosah; Suci Anggraeni; Stevani Basuki Putri; Martina Marlince Walla
Journal for Quality in Public Health Vol. 7 No. 2 (2024): May
Publisher : Master of Public Health Program Institut Ilmu Kesehatan STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jqph.v7i2.505

Abstract

Babies who are exclusively breastfed will get all the advantages of breast milk and maximum nutrition. On the other hand, the incidence of malnutrition in the future is largely determined by breastfeeding patterns. The aim of this research is to determine the relationship between breastfeeding patterns and the nutritional status of babies aged 6–24 months at the Islamic Boarding School I Community Health Center, Kediri City. This study used a cross-sectional design. The research population was mothers who had babies aged 6–24 months at the Pesantren I Health Center in Kediri City in August–October 2023, for a total of 150 babies. The research sample consisted of several mothers who had babies aged 6–24 months at the Pesantren I Health Center in Kediri City who met the inclusion and exclusion criteria. There were 110 respondents. The research instrument for assessing breastfeeding patterns uses a questionnaire, while nutritional status is assessed using height and weight measurements. Data analysis used the Spearman rho statistical test. Half of the mothers had a pattern of predominant breastfeeding, namely 50%. Based on nutritional status, undernutrition 28.2%,. The Lambda test results show p = 0.016, meaning that there was a relationship between breastfeeding patterns and the nutritional status of children aged 6-24 months. The magnitude of the correlation was 0.152 which indicates the correlation very weak category. Breast milk given exclusively during the first 6 months of life can provide sufficient nutrition for the baby's growth and development.
FACTORS ASSOCIATED WITH PHYSICAL ACTIVITY AMID AMBIENT PM 2.5 AIR POLLUTION AMONG ADOLESCENTS IN SUPHANBURI PROVINCE, THAILAND: A CROSS-SECTIONAL STUDY Waenkaew, Katthaleeya; Laisuwannachart, Panjarut; Sejati, Putri Eka; Zaw, Kaung; Istighosah, Nining; Kehanak, Srisurang; Bunsiriluck, Supaporn; Thongnak, Thanittha; Duangchinda, Aittiphol
INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) Vol 8 No 3 (2024): VOLUME 8 ISSUE 3 DECEMBER 2024
Publisher : Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29082/IJNMS/2024/Vol8/Iss3/662

Abstract

This study investigates the influence of Particulate Matter 2.5 (PM2.5) air pollution on adolescent engagement in physical activities, which are critical for their physical and social development. Utilizing the PRECEDE framework, this cross-sectional study identifies key factors affecting adolescents' willingness to participate in physical activities during periods of high PM2.5 concentration. A total of 227 adolescents completed an online self-administered questionnaire. Descriptive statistics and Chi-Square tests were employed for data analysis, with statistical significance set at p < .05. The analysis revealed that two factors—academic discipline (χ² = 12.10, p = .033) and knowledge of safe physical activity during elevated PM2.5 periods (χ² = 13.91, p = .000)—significantly influence adolescents' engagement in outdoor activities despite pollution risks. These findings suggest that adolescents with certain educational backgrounds and greater knowledge of protective measures are more likely to remain active during high pollution episodes. This study underscores the need for tailored educational interventions to foster safe physical activity practices among adolescents in polluted environments. The results contribute to understanding how educational and knowledge-based factors can mitigate the adverse effects of PM2.5 pollution on adolescent lifestyles, offering insights for policy development aimed at promoting health-conscious behaviors in urban settings with elevated pollution levels.
Analysis Of Factors Influencing Sexual Behavior In Adolescents At Sma Negeri 1 Tanah Miring Niece Alce; Eri Puji Kumalasari; Nining Istighosah; Riza Tsalatsatul Mufida
Journal of Health Science Community Vol. 5 No. 2 (2024): November
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jhsc.v5i2.254

Abstract

In adolescence curiosity about sexual problems is essential in the formation of more mature relationships with the opposite sex. The maturity of the sexual function also gives rise to impulses and desires for sexual gratification. To analyze the relationship between adolescent knowledge and family and social support on sexual behavior in SMA Negeri 1 Tanah Miring. The research was conducted on 04-05 December 2024 at SMA Negeri 1 Tanah Miring, Meruake Regency, South Papua. The study used an Analytical Survey research design with a crosssectional approach. With the total sampling technique , 60 samples were obtained. The Chi-Square test was used to determine the relationship between variables. The results showed that there were 28 (45.2%) respondents with sufficient knowledge, 35 (80.8%) respondents received family support, and 10 (7.3%) respondents received social support. There is no relationship between adolescents' knowledge about sex and sexual behavior in adolescents in SMA Negeri 1 Tanah Miring, and there is a relationship between family and social support and sexual behavior in adolescents in SMA Negeri 1 Tanah Miring. It is hoped that the most important parental support is to provide education, as well as good parenting to form the character of the teenager himself.
Kegel Exercises For Perineal Wound Healing In Postpartum At The Driyorejo Gresik Health Center Astutik, Reni Yuli; Mei Ringga Peni Santiana; Retno Palupi Yonni Siwi; Devi Putri Nursanti; Nining Istighosah
Journal for Quality in Women's Health Vol. 7 No. 2 (2024): September
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jqwh.v7i2.259

Abstract

Kegel exercises are exercises to strengthen the pelvic floor muscles, help prevent urinary incontinence problems, stretching the perineal tissue. The aim was to determine the effectiveness of Kegel exercises in healing perineal wounds in postpartum mothers at the Driyorejo Gresik Community Health Center. Methods used Pre-Experimental with One-Group Pretest-Posttest Design. Samples were 30 postpartum with perineal wound healing in the Driyorejo Gresik Health Center working area in March 2024. Respondents underwent a pre-test on day 1 and a post-test on 7 days postpartum. Data were collected using questionnaires and observation sheets using the REEDA score. Data analysis used Chi-Square test. The results showed that the mean of REEDA score pretest was 11.54 and posttest was 4.32.  The result showed that there was a difference in REEDA scores before and after Kegel exercises (p=0.016). There was a difference in the perineal wound healing before and after Kegel exercises were given (p=0.007).
Co-Authors Aprilia Nurtika Sari Aprilia Nurtika Sari Bunsiriluck, Supaporn Devi Putri Nursanti Duangchinda, Aittiphol Kehanak, Srisurang Kumalasari, Eri Puji Laisuwannachart, Panjarut Martina Marlince Walla Mei Ringga Peni Santiana Niece Alce Nur Yeni Hidajaturrokhmah Reni Yuli Astutik Reni Yuli Astutik Retno Palupi Yonni Siwi Riza Tsalatsatul Mufida Sari, Aprilia Nurtika Sarifatul Anisaro Sejati, Putri Eka Stevani Basuki Putri Suci Anggraeni Suci Anggraeni Thongnak, Thanittha Waenkaew, Katthaleeya Yuli Astutik, Reni Zaw, Kaung