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All Journal Al-Tamimi Kesmas: Jurnal Ilmu Kesehatan Masyarakat (Journal of Public Health Sciences) Journal of Comprehensive Science Midwifery And Complementary Care
Dewi Iswandari, Novita
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Computer Science & IT Economics, Econometrics & Finance Education Electrical & Electronics Engineering Health Professions Languange, Linguistic, Communication & Media Library & Information Science Nursing Public Health

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FAKTOR -FAKTOR YANG MEMPENGARUHI HIPERTENSI WANITA MENOPAUSE DI PUSKESMAS TERMINAL Dewi Iswandari, Novita; Siti Noor Hasanah
Midwifery And Complementary Care Vol 2 No 2 (2023): Midwifery and Complementary Care
Publisher : LPPM Universitas Sari Mulia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33859/mcc.v2i2.628

Abstract

Background: Menopause is a natural phase experienced by women. This condition is caused by a decrease in estrogen and progesterone hormones from the ovaries, which leads to the cessation of egg release and eventually stops menstrual activity altogether. Postmenopausal women have a higher risk of hypertension compared to premenopausal women. This is due to an increased risk of atherosclerosis, which can ultimately lead to hypertension. Hypertension can damage body organs and cause stroke, kidney failure, and heart attacks. The Terminal Community Health Center ranks first among the top ten diseases with the highest number of hypertension cases. Objective: To determine the incidence of hypertension in postmenopausal women in the working area of the Terminal Community Health Center. Method: This research uses a quantitative analytic survey with a cross-sectional approach. The population consists of all postmenopausal women in the working area of the Terminal Community Health Center, totaling 156 individuals. Sampling was done using purposive sampling, with 61 respondents. Data analysis was conducted using the chi-square test. Results: The study showed that the majority of respondents experienced stage 2 hypertension, totaling 33 respondents (54.1%). A total of 42 respondents (68.9%) had a history of hormonal contraceptive use, 33 respondents (54.1%) had a normal BMI, 57 respondents (93.4%) had a primary level of education, and 40 respondents (65.6%) were employed. Statistical analysis using the chi-square test showed no relationship between a history of contraceptive use (p=0.531, p>0.05), body mass index (p=0.458, p>0.05), education (p=0.403, p>0.05), and occupation (p=0.399, p>0.05) with the incidence of hypertension in postmenopausal women in the Terminal Health Center’s working area. Conclusion: There is no relationship between contraceptive history, body mass index, education, or occupation with the incidence of hypertension in postmenopausal women in the working area of the Terminal Community Health Center. Keywords: Hypertension, Body Mass Index, Menopause, Education, Contraceptive History
STUDI DESKRIPTIF KELOMPOK RISIKO WANITA USIA SUBUR DI WILAYAH KERJA UPT PUSKESMAS GUNTUNG Hartuti, Hartuti; Dewi Iswandari, Novita; Fajriannor TM, M.
Midwifery And Complementary Care Vol 3 No 1 (2024): Midwifery and Complementary Care
Publisher : LPPM Universitas Sari Mulia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33859/mcc.v3i1.392

Abstract

Background: Women of Reproductive Age (WRA) are defined by the Ministry of Health of the Republic of Indonesia as women between the ages of 15 and 49. Women in this age group fall into the "4 Too" risk category when pregnant. The "4 Too" conditions refer to giving birth too young, too often, too close in spacing, and too old. Objective: To identify the risk group of Women of Reproductive Age in the working area of the Guntung Community Health Center (UPT Puskesmas Guntung). Method: This research used a descriptive method with a sample of 113 Women of Reproductive Age who visited the Guntung Health Center. The sample was taken using a total sampling technique. Results: Women of Reproductive Age in the Guntung Health Center working area showed the following distribution based on the "4 Too" risks: Too young (<20 years old) 29 women (26%), Too old (>35 years old) 34 women (30%), Multiparous (≥2 children) 23 women (29%), Too close spacing between births 22 women (19%), Chronic illness (Hypertension) 25 women (22%), Chronic illness (Anemia) 20 women (18%) Conclusion: The risk groups among Women of Reproductive Age in the Guntung Health Center working area fall into the "4 Too" categories, Too young (<20 years) 29 women, Too old (>35 years) 34 women, Multiparous (≥2 children) 23 women, Too close in spacing 22 women, In addition, 25 women had chronic illnesses such as Hypertension, and 20 women had Anemia. Keywords: Risk group, Women of reproductive age, Chronic disease
FAKTOR -FAKTOR YANG MEMPENGARUHI KUNJUNGAN IBU HAMIL DI WILAYAH KERJA PUSKESMAS PELAIHARI KABUPATEN TANAH LAUT virgianti, risa; Dewi Iswandari, Novita; Vidiasari Darsono, Putri; Lestari, Yayuk Puji
Midwifery And Complementary Care Vol 3 No 2 (2024): Midwifery and Complementary Care
Publisher : LPPM Universitas Sari Mulia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33859/mcc.v3i2.472

Abstract

Background: Puskesmas as one of the health service facilities has a strategic role in efforts to improve the degree of public health at large. The main role of Puskesmas is to provide quality services to individuals, families, groups and communities to achieve maximum health status. Purpose: Knowing the factors that affect the visit of pregnant women in the working area of the Pelaihari Health Center, Tanah Laut Regency. Methods: Type of quantitative research with a crosssectional approach. Sample of 68 pregnant women. The sampling technique uses accidental sampling. The instrument used univariate and bivariate Chi-square analyzed questionnaires. Result: Univariate results of maternal age 98.5% of the non-risk category, low category education as much as 61.8%, remote home category 52.9%, the most knowledge of the less category is 54.4%, and the husband category supports 75%. The results of the study statistically factor age (p value 0.324) was not related to visits of pregnant women, education (p value 0.007) was related to visits of pregnant women, distance from home (p value 0.799) was not related to visits of pregnant women. Knowledge (p value 0.615) is not related to visits by pregnant women, and husband support (p value 0.385) is not related to visits by pregnant women in the Working Area of Pelaihari Health Center. Conclusion: Factors that are not related to pregnant women's visits are age, home distance, knowledge and husband support. While the related factor is the mother's education. So that health workers can innovate by means of education to adjust maternal education. Keywords: Husband Support, Home Distance, Education, Knowledge, Age.
Efektivitas Pijat Effleurage Dan Teknik Marmet Terhadap Produksi Asi Ibu Postpartum Di Wilayah Kerja Puskesmas Nursanti, Lili; Yuliana, Fitri; Dewi Iswandari, Novita; Widiya Ningrum, Novalia
Journal of Comprehensive Science Vol. 3 No. 3 (2024): Journal of Comprehensive Science (JCS)
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/jcs.v3i3.639

Abstract

Latar Belakang: ASI merupakan makanan terbaik untuk bayi karena komposisinya sesuai untuk setiap tumbuh kembang bayi, tetapi saat ini pemberian ASI masih rendah karena produksi ASI yang kurang, sehingga perlu adanya upaya untuk meningkatkan produksi ASI melalui pijat effleurage dan teknik marmet. Berdasarkan data Dinas Kesehatan Kabupaten Paser Tahun 2022, cakupan ASI Eksklusif Puskesmas Suliliran Baru mengalami penurunan sebesar 24,2% dan termasuk paling rendah nomor 5 diantara 19 Puskesmas yang ada di Kabupaten Paser.Tujuan: Mengetahui efektivitas pijat effleurage dan teknik marmet terhadap produksi ASI ibu postpartum di Wilayah Kerja Puskesmas Suliliran Baru. Metode: Metode penelitian quasi eksperiment dengan pendekatan Two Group pretest dan postest, Populasi penelitian ibu post partum hari ke 4 diambil sebanyak 32 orang yang terbagi menjadi 2 kelompok dengan Teknik pengambilan sampel purposive sampling. Instrument menggunakan lembar observasi, gelas ukur kemudian data di analisis dengan uji independent t test. Hasil: Teknik marmet lebih efektif meningkatkan produksi ASI dibandingkan dengan pijat effleurage dimana pijat effleurage rata-rata peningkatan produksi ASI sebesar 37,50 cc sedangkan pada kelompok teknik marmet terdapat peningkatan produksi ASI sebesar 50,87 cc sehingga terdapat selisih peningkatan produksi ASI sebanyak 13,37 cc. Simpulan: Teknik marmet lebih efektif meningkatkan produksi ASI dibandingkan dengan pijat effleurage karena Teknik marmet merupakan kombinasi cara memerah ASI dan memijat payudara sehingga refleks pengeluaran ASI dapat optimal. Keberhasilan dari teknik marmet ini adalah merupakan kombinasi dari metode pijat dan pengeluaran ASI.
PENGARUH APLIKASI CERIA TERHADAP PENINGKATAN KEPATUHAN KONSUMSI TABLET TAMBAH DARAH DI SMPN RUNGAN BARAT Astrid Oktavorina; astrid Okta; Yunita, Laurensia; Mariana , Frani; Dewi Iswandari, Novita
Al Tamimi Kesmas: Jurnal Ilmu Kesehatan Masyarakat (Journal of Public Health Sciences) Vol 12 No 2 (2023): Al-Tamimi Kesmas: Jurnal Ilmu Kesehatan Masyarakat (Journal of Public Health Sci
Publisher : Institut Kesehatan dan Teknologi Al Insyirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35328/kesmas.v12i2.2512

Abstract

Hasil Riskesdas 2018 menyatakan anak usia 5-14 tahun menderita anemia dan 32% pada usia 15-24 tahun, yang mengartikan 3 dari 10 orang menderita anemia. Untuk mengetahui Pengaruh Aplikasi CERIA Terhadap Peningkatan Kepatuhan Konsumsi TTD Sebagai Langkah Pemutusan Kejadian Stunting di SMPN Rungan Barat.Penelitian eksperimen dengan kelompok kontrol pretest-posttest dengan sampel dalam penelitian ini adalah 40 orang dengan keterangan 20 orang kelompok intervensi dan 20 orang kelompok kontrol. Uji yang digunakan adalah uji Mc Nemar.Kelompok perlakuan sebelum dan sesudah penerapan aplikasi CERIA di SMPN Rungan Barat sebagian besar tidak patuh, yaitu 13 orang (65%). Kelompok perlakuan sesudah penerapan aplikasi CERIA 10 orang (50%) dan kelompok kontrol 11 orang (55%). Hasil uji Mc Nemar pada kelompok perlakuan menggunakan menunjukkan p value 0,453 dan kelompok kontrol menunjukkan p value 0,727 sehingga Ho diterima dan Ha ditolak. Tingkat kepatuhan dalam mengonsumsi TTD sebelum penggunaan aplikasi CERIA di SMPN Rungan Barat sebesar 65%, yang mana masih rendah. Setelah penerapan aplikasi CERIA, kelompok kontrol terdapat 5 responden yang semula tidak patuh menjadi patuh, sementara 8 responden tetap tidak patuh.
Co-Authors astrid Okta Astrid Oktavorina Fajriannor TM, M. Fitri Yuliana, Fitri Hartuti Hartuti Laurensia Yunita, Laurensia Lestari, Yayuk Puji Mariana , Frani Nursanti, Lili Siti Noor Hasanah Vidiasari Darsono, Putri virgianti, risa Widiya Ningrum, Novalia