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HUBUNGAN KARAKTERISTIK DAN TINGKAT PENGETAHUAN IBU DENGAN PEMBERIAN ASI EKSKLUSIF DI WILAYAH KERJA PUSKESMAS BUNYU Ariyani, Wiwin; Nulhakim, Lukman; Siregar, Nursyahid
Aspiration of Health Journal Vol. 1 No. 3: Aspiration of Health Journal, September 2023
Publisher : LPPM Institut Teknologi Dan Kesehatan Aspirasi

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Abstract

Cakupan ASI eksklusif di Indonesia masih ada yang belum memenuhi target Millenium Development Goals (MDGs) 80%. Cakupan ASI eksklusif nasional rata- rata 54,3%, Kalimantan Utara menempati peringkat ketiga yaitu 81% dan kabupaten Bulungan mempunyai angka terendah cakupan ASI eksklusif 67.4 %. Keberhasilan ASI eksklusif dipengaruhi beberapa faktor karakteristik ibu seperti usia, paritas, pendidikan, dan pekerjaan, faktor lain yang mempengaruhi pemberian ASI adalah pengetahuan ibu. Tujuan penelitian ini yaitu untuk mengetahui hubungan karakteristik dan pengetahuan ibu dengan pemberian ASI eksklusif pada bayi usia 7- 12 bulan di wilayah kerja Puskesmas Bunyu Tahun 2023. Metode Penelitian ini adalah crosssectional, menggunakan total sampling. Sampel penelitian ini adalah ibu yang memiliki bayi usia 7-12 bulan yang memenuhi kriteria inklusi dan eksklusi di wilayah kerja Puskesmas Bunyu. Instrumen dalam penelitian ini adalah kuesioner pemberian ASI dan pengetahuan ibu mengenai ASI. Analisis yang digunakan adalah bivariat dengan Chi-Square. Hasil analisis dengan uji chi-square test menunjukkan Terdapat hubungan yang antara Umur ibu dengan pemberian ASI eksklusif , dengan p value : 0,039 < α : 0,05. Terdapat hubungan antara paritas ibu dengan pemberian ASI eksklusif , dengan p value : 0,004 < α : 0,05 dan Terdapat hubungan antara tingkat pengetahuan ibu dengan pemberian ASI eksklusif dengan p value : 0,000 < α : 0,05. Hubungan tingkat pengetahuan, umur dan paritas ibu dengan ASI eksklusif secara positif berkorelasi dengan pemberian ASI eksklusif. Upaya untuk meningkatkan pengetahuan ibu tentang manfaat ASI eksklusif melalui pendidikan kesehatan dan dukungan dari tenaga medis dan lingkungan sekitarnya dapat meningkatkan tingkat pemberian ASI eksklusif. Kesimpulan pertama terdapat hubungan antara umur, Paritas dengan pemberian ASI eksklusif. Kesimpulan kedua ada hubungan tingkat pengetahuan dengan pemberian ASI ekslusif. Diharapkan Petugas Kesehatan agar memberikan penyuluhan ASI eksklusif yang lebih intens kepada ibu-ibu hamil beserta keluarganya, memfasilitasi konsultasi ASI eksklusif melalui sosmed dan mengaktifkan kelompok pendukung ASI di setiap desa/kelurahan.
PENGARUH PENDIDIKAN KESEHATAN TENTANG SADARI TERHADAP PENGETAHUAN, SIKAP DAN KETERAMPILAN WANITA USIA SUBUR DI DESA SILVA RAHAYU TAHUN 2023 Aseri, Nur Fitriana Wira; Nulhakim, Lukman; Siregar, Nursyahid
Aspiration of Health Journal Vol. 1 No. 4: Aspiration of Health Journal, Desember 2023
Publisher : LPPM Institut Teknologi Dan Kesehatan Aspirasi

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Abstract

Tingginya angka wanita yang terkena kanker payudara diakibatkan kurang pengetahuan masyarakat tentang deteksi dini kanker payudara. Pendidikan Kesehatan, pemeriksaan payudara sendiri (SADARI) diberikan kepada masyarakat khususnya wanita subur agar terbentuk pengetahuan, sikap dan keterampilan tentang bahaya kanker payudara. tujuan penelitian untuk mengetahui pengaruh pendidikan kesehatan tentang SADARI terhadap pengetahuan, sikap dan keterampilan  WUS di Desa silva rahayu. Penelitian ini adalah quasi experiment dengan desain  pretest-postest, populasi adalah wanita usia subur yang berdomisili di Desa Silva Rahayu. Teknik pengambilan sampel dengan purposive sampling sebanyak 30 orang. Menggunakan Uji Wilcoxon. Terdapat perbedaan signifikan antara pengetahuan, sikap, dan keterampilan wanita usia subur sebelum dan sesudah diberikan pendidikan kesehatan dengan nilai p-value 0,000 < α 0,05 (uji Wilcoxon Signed Rank Test). Sebagian besar responden memiliki nilai posttest lebih tinggi daripada nilai pretest. Kanker payudara pada tahap awal tidak menimbulkan gejala apapun, namun bersamaan dengan berkembangnya kanker payudara ini akan timbul suatu gejala yang dapat mnyebabkan suatu perubahan pada payudara seseorang. Maka dari itu dianjurkan untuk melakukan pemeriksaan payudara sendiri (SADARI) secara berkala guna mendeteksi dini kanker payudara. Terdapat peningkatan pengetahuan, sikap dan keterampilan Sadari setelah diberikan pendidikan kesehatan. Diharapkan petugas Puskesmas dapat selalu mengawasi pemeriksaan Sadari agar pencegahan kanker payudara semakin meningkat.
Hubungan pemberian prelakteal dengan kegagalan pemberian ASI selama 6 bulan B/R Haloho, Cristinawati; Imelda Th Patty, Fara; Siregar, Nursyahid; Ariefah Putri, Rosalin; Lushinta, Lidia
Jurnal Kebidanan Indonesia Vol 16, No 1 (2025): JANUARI
Publisher : STIKES Mamba'ul 'Ulum Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36419/jki.v16i1.1317

Abstract

PENGARUH PENERAPAN BOOKLET PRAKTIK PEMBERIAN MAKAN TERHADAP PERTUMBUHAN BALITA USIA 1-2 TAHUN Siregar, Nursyahid; Adib Chifdillah, Nino; B/R Haloho, Christin
Jurnal Kebidanan Indonesia Vol 14, No 2 (2023): JULI
Publisher : STIKES Mamba'ul 'Ulum Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36419/jki.v14i2.855

Abstract

Perbedaan Keefektifan Minuman Jeruk Nipis Dan Jahe Merah Terhadap Emesis Gravidarum Fitriana, Ratih; Sukamto, Edi; Siregar, Nursyahid
Bunda Edu-Midwifery Journal (BEMJ) Vol. 7 No. 1 (2024): Februari 2024
Publisher : Akademi Kebidanan Bunga Husada Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54100/bemj.v7i1.129

Abstract

The incidence of hyperemesis gravidarum in Indonesia in 2019 was 1,904 people (5.42 percent) out of 25,234 pregnant women who checked themselves into health care facilities. The guidelines issued by the American College of Obstetrics and Gynecology (ACOG) say that treating emesis gravidarum should begin with non-pharmacological therapy. The purpose of this study was to determine the differences in the effectiveness of lime and red ginger drinks against emesis gravidarum at PMB EKAWATY. Methods research Quasi-experimental research with the Two Group Pretest Posttest design. The design of this study was carried out in two different groups that received different treatments. The study population consisted of 26 people, for each group 13 lime respondents and 13 red ginger respondents. The sampling technique uses total sampling. Statistical test used Wilcoxon test and Mann Whitney test. Results The significance value of ρ 0.002 less than 0.05 or ρ less than α in drinking lime, as well as in red ginger drinks obtained a significance value of 0.001 less than 0.05 or ρ less than α. The difference test using the Mann-Whitney test obtained a significance value of ρ 0.377 more than 0.05 or ρ more than α. Lime and red ginger drinks can reduce emesis gravidarum, namely there are ingredients in each, namely Flavonoids in lime and essential oil in ginger. Lime and red ginger drinks can reduce emesis gravidarum. There was no difference between drinking lime or red ginger and emesis gravidarum at PMB Ekawaty with a ρ value of 0.377 more than 0.05
The Influence of Video Media on Improving Knowledge and Attitudes of Adolescent Girls Regarding Chronic Energy Deficiency Sari, Riana Trinovita; Wulandari, Nadya; Siregar, Nursyahid; Amelia, Rizki; Supriatin, Supriatin
Ahmar Metastasis Health Journal Vol. 5 No. 1 (2025): Ahmar Metastasis Health Journal
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amhj.v5i1.547

Abstract

Adolescent girls are a vulnerable group to nutritional problems, particularly Chronic Energy Deficiency (CED), which can affect reproductive health and the quality of future generations. One of the main contributing factors to CED is the lack of knowledge and attitude toward nutrition. Video media is considered an effective educational tool as it combines engaging visual and audio elements. This study aimed to determine the effect of video media on improving the knowledge and attitudes of adolescent girls regarding CED at SMAN 4 Samarinda. The study employed a pre-experimental one-group pre-test post-test design with a sample of 39 eleventh-grade students selected through purposive sampling. The intervention consisted of a ±10-minute educational video on CED shown twice a week. Data were collected using questionnaires and analyzed using univariate and bivariate analysis with the Wilcoxon test. Results showed that most respondents were 16 years old (64.1%) and had a below-normal Body Mass Index (84.6%), indicating a risk of CED. The most common physical activity was participation in scouting (35.9%), followed by dance and volleyball. After the intervention, there was a significant increase in knowledge, from a median score of 10.00 to 13.00 (p = 0.002), and in attitude, from a median score of 31.00 to 33.00 (p = 0.001). These findings indicate that video media is effective in improving adolescents' understanding of CED. However, its effectiveness may also be influenced by age and prior access to information. Therefore, video media is highly recommended as a nutritional education tool in adolescent health programs.
Edukasi Prelakteal Pada Kader Dalam Upaya Meningkatkan Pemberian ASI Eksklusif di Desa Bukit Raya Sihaloho, Cristinawati B/R; Siregar, Nursyahid; Putri, Rosalin Ariefah; Lushinta, Lidia
Jurnal SOLMA Vol. 14 No. 2 (2025)
Publisher : Universitas Muhammadiyah Prof. DR. Hamka (UHAMKA Press)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22236/solma.v14i2.18597

Abstract

Background: Prelakteal adalah pemberian makanan atau minuman selain ASI sejak lahir atau sebelum ASI keluar, yang berkontribusi pada rendahnya cakupan ASI dan meningkatnya angka stunting. Di Kalimantan Timur, angka prelakteal mencapai 23,9%. Meski pemerintah telah mempromosikan pentingnya ASI eksklusif, cakupan pemberian ASI hingga 6 bulan di Kutai Kartanegara menurun dari 69,1% (2020) menjadi 50% (2022). Penelitian sebelumnya menunjukkan 73% ibu di Desa Bukit Raya memberikan prelakteal, dan tak satu pun dari bayi tersebut menerima ASI hingga 6 bulan. Dari ibu yang tidak memberikan prelakteal, hanya sebagian yang memberi ASI selama 6 bulan. Kegiatan ini bertujuan meningkatkan pengetahuan kader dan mencegah praktik prelakteal. Metode: Metode edukasi dilakukakan dalam kegiatan ini. Tahap pertama yang dilakukan adalah melakukan pengkajian alasan terkait prelakteal yang dilakukan masyarakat kemudian tahap kedua memberikan edukasi terkait cara mencegah prelakteal berdasakan keluhan yang ada di masyarakat kemudian mempraktikkan metode pijat oksitosin dan pemberian minuman pelancar ASI yaitu kunyit asam yang dipercaya mengandung laktogogum untuk melancarkan ASI. Hasil: Sebanyak 30 kader mengalami peningkatan pengetahuan terkait bahaya dan cara mencegah prelakteal menggunakan pijatan oksitosin serta ramuan kunyit asam. Kesimpulan: Dalam kegiatan ini kader berkomitmen menjadi tim pencegah prelakteal dan diketahui oleh kepala desa untuk seterusnya membantu ibu nifas dalam melancarkan ASI.
Impact of maternal nutritional status on anemia in the third trimester of pregnancy Febiana, Clarita Emilia; Siregar, Nursyahid; Astuti, Dewi Rinda; Jasmawati, Jasmawati
Jurnal Kesehatan Ibu dan Anak Vol. 18 No. 1
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/kia.v18i1.2217

Abstract

Anemia during pregnancy remains a prevalent public health concern, particularly in low- and middle-income countries. Nutritional status, including body mass index (BMI), mid-upper arm circumference (MUAC), and gestational weight gain (GWG), is believed to play a crucial role in the development of anemia, especially during the third trimester when physiological hemodilution peak. This cross-sectional study was conducted among 53 pregnant women in their third trimester at the Bengkuring Samarinda Public Health Centre, Indonesia in 2023. Data were collected using structured questionnaires and clinical assessments. Nutritional status was assessed via BMI, MUAC, and GWG, while anemia was determined using hemoglobin levels. Statistical analysis included chi-square tests and Spearman correlation to determine the association between nutritional indicators and anemia incidence. A significant relationship was found between nutritional status and anemia. Underweight and overweight BMI were both associated with increased anemia prevalence (p < 0.05), indicating that extreme BMI values pose a risk. Women with low MUAC (indicative of chronic energy deficiency) showed a higher proportion of anemia (p = 0.046; r = –0.275). Inadequate GWG was also significantly related to anemia (p = 0.011; r = –0.345). Most anemic cases were classified as mild, with overweight and undernourished women exhibiting higher susceptibility due to impaired iron metabolism and suboptimal nutrient reserves. The findings support the hypothesis that maternal nutritional status significantly influences anemia in late pregnancy. The results emphasize the need for early identification of at-risk women based on BMI, MUAC, and GWG. These parameters can serve as simple, cost-effective screening tools in antenatal care settings to prevent adverse maternal and fetal outcomes. This study concludes that both undernutrition and overnutrition are significantly associated with anemia during late pregnancy. Monitoring maternal nutritional indicators such as BMI, MUAC, and GWG is essential in antenatal practice to reduce anemia-related complications.
Inhaled lavender aromatherapy as an effective non-pharmalogical intervention for pain relief in the active phase of labour Manurung, Monica; Siregar, Nursyahid; Astuti, Dewi Rinda; Jasmawati, Jasmawati
Jurnal Kesehatan Ibu dan Anak Vol. 18 No. 1
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/kia.v18i1.2222

Abstract

Labour pain is a physiological process that can cause significant anxiety, tension, and fatigue. Non-pharmacological interventions such as aromatherapy are increasingly considered to manage labour pain with minimal side effects. Lavender essential oil, known for its sedative and anxiolytic properties, has shown promise in reducing pain perception during childbirth. This study aimed to examine the effect of lavender aromatherapy on the level of labour pain among women in the active phase of the first stage of labour. A quasi-experimental study with a pretest-posttest control group design was conducted at Dirgahayu Hospital, Samarinda, Indonesia. A total of 36 women in the active phase of labour were recruited using purposive sampling and assigned to intervention (n = 18) and control (n = 18) groups. The intervention group received lavender aromatherapy via inhalation using a diffuser (4–5 drops of lavender oil in 20 ml of water) for 1 hour, while the control group was instructed in deep breathing relaxation techniques. Labour pain was assessed before and after the intervention using the Numeric Rating Scale (NRS). The intervention group showed a significant reduction in pain scores, from a mean of 6.33 to 5.56 (Mean different = –0.77), while the control group showed a minimal increase from 6.06 to 6.11 (Mean different = +0.05). Statistical analysis using a paired t-test revealed a significant difference in the intervention group (p = 0.001), indicating the effectiveness of lavender aromatherapy in reducing labour pain. Lavender aromatherapy significantly reduced the intensity of labour pain during the active phase of the first stage of labour. This non-invasive and cost-effective intervention can be considered as a complementary method in intrapartum care to enhance maternal comfort and support physiological childbirth.
The Effect of The Combination Juice of Guava and Red Spinach on The Hemoglobin Level of Pregnant Women on Third Trimester in Health Center of Melak Susanti, Indah; Kalsum, Umi; Siregar, Nursyahid
Jurnal KESANS : Kesehatan dan Sains Vol 2 No 4 (2023): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v2i4.133

Abstract

Introduction: Indonesia is a developing country that has a very high prevalence of anemia in pregnancy. The results of the Riskesdas data show that pregnant women experiencing anemia in Indonesia increased from 37.1% to 48.9%. Anemic pregnant women have difficulty, and bleeding during childbirth. Meanwhile, babies are at risk of being born LBW. Objective: The purpose of this study was to determine the effect of giving a combination of red guava juice and red spinach on the Hb levels of pregnant women in the third trimester in the working area of the Melak Health Center. Methods: This study uses a quantitative approach, quasi experiment with Non-Equivalent Control Group Design. Resultand Discussion: The results showed that there were differences in the Hb levels of respondents between the intervention and control groups after being given the research intervention (p-value = 0,000).  There was a difference in Hb levels of pregnant women in the third trimester in the intervention group between before and after being given the research intervention. Conclusion: It is expected that pregnant women can increase the intake of vegetables that are high in iron and vitamin C such as guava and red spinach, as an effort to prevent and overcome anemia in pregnancy