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All Journal Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Gema Lingkungan Kesehatan
Luh Putu Widiastini
Study Program of Midwifery, STIKES Bina Usada Bali, Bali, Indonesia
Environmental Science Health Professions Immunology & microbiology Public Health

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Factors influencing the prevalence of anaemia in teenage girls in the workplace of Abiansemal III Community Health Center, Bali Luh Putu Widiastini; I Gusti Agung Manik Karuniadi
Gema Lingkungan Kesehatan Vol. 23 No. 2 (2025): Gema Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gelinkes.v23i2.252

Abstract

Anemia is a global health problem that has a serious impact, especially on children, adolescent girls, menstruating women, and pregnant and postpartum women. Approximately 30% of women aged 15-49 years in the world experience anemia. Efforts to prevent anemia are focused on vulnerable groups, including adolescent girls, one of which is through the provision of Blood Addition Tablets, although its implementation still faces various obstacles. In addition, other factors such as lack of knowledge, attitudes, and poor menstrual patterns also contribute to the high incidence of anemia. The purpose of this study was to analyze the factors that influence the incidence of anemia in adolescent girls. A quantitative research methodology with a cross-sectional approach was used. The sample selection technique was non-probability sampling, namely, purposive sampling. A total of 85 adolescent girls who attended adolescent posyandu were selected as the samples. The young women completed a questionnaire and had their hemoglobin levels measured. Spearman’s rho test and logistic regression were used for the analysis. Based on the results of Spearman’s rho analysis, 12 respondents were anemic, 9 respondents had a fair attitude, and 3 respondents had a good attitude. Logistic regression analysis showed that attitude was the dominant variable (p = 0.000). Based on the OR value obtained of 18.492, then the poor attitude of adolescent girls has an 18.492 times greater chance of causing anemia in adolescent girls
Reducing Postpartum Anxiety in IUD Users through Ylang-ylang Aromatherapy and Slow Deep Breathing: A Quasi-Experimental Study Luh Putu Widiastini; I Gusti Agung Manik Karuniadi; Luh Gede Susila Dewi
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 5 (2025)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i5.7232

Abstract

Introduction: The number of IUD contraceptive users has declined, influenced by factors such as anxiety. Individuals with anxiety experience psychological distress, necessitating complementary therapy. Alternative treatments include ylang-ylang aromatherapy and Slow Deep Breathing. This study aimed to determine the effectiveness of ylang-ylang aromatherapy and Slow Deep Breathing in reducing anxiety among post-placental IUD users at Mangusada Hospital. Methods: A quasi-experimental nonequivalent control group design was used, involving 70 postpartum IUD users divided into experimental (n=35) and control (n=35) groups. Anxiety was measured using the NRS-A questionnaire before and after a 15-minute intervention. Ethical approval was obtained (070/6854/RSDM/2024). Data were analyzed using descriptive statistics, Kolmogorov-Smirnov for normality, Wilcoxon Signed-Rank, and Mann–Whitney U tests, with a 95% confidence level. Results: There was no significant difference in pre-test anxiety between the groups (mean: 5.69 ± 0.900, p = 1.000). Post-test results showed a greater reduction in the treatment group (mean: 3.03 ± 0.664) than in the control group (mean: 3.83 ± 0.785). The Mann-Whitney U test confirmed a significant difference in anxiety levels post-intervention (Z = -3.998, p = 0.000). The effect size (r = 0.676) indicates a large impact of the intervention. Conclusion: Ylang-ylang aromatherapy and slow deep breathing are effective complementary interventions for reducing anxiety in post-placental IUD users.
Balinese Nurses and the Multifaceted Role Burden: A Qualitative Exploration Ni Luh Putu Dian Yunita Sari; Luh Putu Widiastini; I Putu Artha Wijaya
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 8 (2025)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i8.7622

Abstract

Introduction: Female nurses in Bali face several challenges after marriage, including cultural expectations, domestic responsibilities, and professional demands in the workplace. This may be a risk factor for physical and psychological problems. This study aimed to determine the perspectives of female Balinese nurses on their triple roles, so it contribute to existing literature on gender roles and nursing in patriarchal. Methods: This study uses a qualitative methodology underpinned by a phenomenological framework. Data were obtained through in-depth interviews and subjected to a systematic analysis involving transcription, thematic categorization, and processing using N-Vivo 12 software. The population in this study consisted of Balinese Hindu women who worked as nurses. Participants were determined using a purposive sampling technique with the following inclusion criteria: willing to be a participant, able to speak Indonesian, a nurse, as a housewife and already having children, working with a shift system or clearly scheduled (at least 40 hours/week), and active in traditional activities. The exclusion criterion was Balinese women with cognitive, mental, and verbal communication disorders. Twelve participants were interviewed until data saturation was reached. This study was approved by the Health Research Ethics Committee of Stikes Bina Usada Bali (Approval Number: 082/EA/KEPK-BUB-2025). All participants provided informed consent before participating in the study. Results: This research resulted in 6 themes, namely adaptation process, challenges as a Balinese' woman, perceived complaints, strategies to balance roles as Balinese women, support received, and feeling as a Balinese' woman. Participants explained their perspectives and experiences in balancing roles at home, as workers, and as part of Balinese society. Their multiple roles have led to physical and psychological complaints. However, some participants also revealed that there is support from the environment and positive affirmation that being a married Balinese woman is pride, because it is strong and awesome. Conclusion: This study uncovered six themes that deeply describe what Balinese female nurses experience and feel. These results are expected to help community nurses take strategic steps in providing nursing care to a special aggregate, namely, working women in the Balinese community.
Integrative Nadi Sodhana and Self-Hypnosis Mind Body Intervention to Improve Self Esteem and Mindfulness Among Adolescents Luh Putu Widiastini; Putu Ayu Dina Saraswati; Ni Luh Putu Dian Yunita Sari
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 9 (2025)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i9.7772

Abstract

Introduction: Adolescents often face psychological challenges such as low mindfulness and self-esteem, which can increase their vulnerability to emotional distress. Nadi Sodhana Pranayama and Self-Hypnosis have been identified as mind–body techniques that may improve emotional regulation and self-perception, yet their combined effect in adolescent populations is understudied. Objective: This study aimed to examine the effectiveness of combined Nadi Sodhana Pranayama and Self-Hypnosis interventions in enhancing mindfulness and self-esteem among female adolescents. Methods: We used a quasi-experimental nonequivalent control group structure. Purposive sampling identified forty-seven seventh-grade female students from the SMP Negeri Abiansemal; these students were split into treatment (n = 20) and control (n = 20) groups. Twice daily, for three straight days, the intervention consisted in ten minutes of Nadi Sodhana mixed with fifteen minutes of guided self-hypnosis. The five-facet mindfulness questionnaire (FFMQ) and Rosenberg Self-Esteem Scale (RSES) were used in pretest and post-test evaluations. T tests both paired and independent helped to examine the data. The STIKES Bina Usada Bali Ethics Committee (number 081/EA/KEPK-BUB-2025) gave ethical approval. Results: The treatment group showed significant improvements in mindfulness (p = 0.004) and self-esteem (p = 0.015) compared with the control group. No significant changes were observed in the control group. The between-group effect size was moderate for mindfulness (Cohen’s d = 0.40) and large for self-esteem (Cohen’s d = 0.96), indicating the practical impact of the intervention. Conclusion: The combination of Nadi Sodhana Pranayama and Self-Hypnosis is effective in enhancing mindfulness and self-esteem in adolescents. This approach is feasible for school-based mental health programmes.
Co-Authors I Gusti Agung Manik Karuniadi I Putu Artha Wijaya Luh Gede Susila Dewi Ni Luh Putu Dian Yunita Sari Ni Luh Putu Dian Yunita Sari Putu Ayu Dina Saraswati