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Jurnal Ilmiah JKA (Jurnal Kesehatan Aeromedika)
Published by Politeknik Kesehatan TNI AU Ciumbuleuit Bandung
ISSN : 24769517     EISSN : 24769525     DOI : https://doi.org/10.58550/jka
Core Subject : Health, Education,
Education Health Professions Medicine & Pharmacology Nursing Public Health
Jurnal Ilmiah JKA (Jurnal Kesehatan Aeromedika) ini memuat naskah dibidang kesehatan meliputi: Keperawatan, Kebidanan, Farmasi, serta bidang kesehatan lainnya. Naskah yang diajukan dapat berupa artikel penelitian, artikel penelaahan (review), dan makalah kebijakan yang belum pernah dipublikasikan ditempat lain dan tidak sedang diajukan ketempat lain.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 313 Documents
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Faktor Ibu Dalam Pemberian Imunisasi Lengkap Pada Balita Posyandu RW 17 Desa Serang Mekar Kecamatan Ciparay Kabupaten Bandung: Maternal Factors in Providing Complete Immunization to Toddlers at Integrated Health Post (Posyandu) RW 17 Serang Mekar Village Ciparay District Bandung Regency Mutiara alia zahra; Hanny Yuli Andini; Lara Santi Indah
Jurnal Ilmiah JKA (Jurnal Kesehatan Aeromedika) Vol. 12 No. 2 (2026): Jurnal Ilmiah JKA (Jurnal Kesehatan Aeromedika)
Publisher : Politeknik Kesehatan TNI AU Ciumbuleuit Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58550/jka.v12i2.440

Abstract

Imunisasi merupakan upaya preventif penting dalam menurunkan angka kesakitan dan kematian akibat Penyakit yang Dapat Dicegah dengan Imunisasi (PD3I). Meskipun program imunisasi telah dilaksanakan secara rutin, cakupan imunisasi dasar lengkap di beberapa daerah masih belum optimal, termasuk di Desa Serang Mekar, Kecamatan Ciparay, Kabupaten Bandung. Penelitian ini bertujuan untuk mengetahui faktor ibu dalam pemberian imunisasi lengkap pada balita di Posyandu RW 17. Metode yang digunakan adalah deskriptif kuantitatif dengan pendekatan cross-sectional . Data diperoleh dari data sekunder dan wawancara menggunakan kuesioner kepada ibu balita. Hasil penelitian menunjukkan bahwa pendidikan ibu paling banyak didapat ibu yang memiliki Pendidikan SD, pekerjaan ibu paling banyak didapat pada ibu yang bekerja, jumlah anak (paritas) paling banyak didapat pada ibu grande multipara. Oleh karena itu, peningkatan edukasi kesehatan dan penguatan dukungan ibu sangat diperlukan guna meningkatkan cakupan imunisasi. Penelitian ini diharapkan dapat menjadi bahan pertimbangan bagi tenaga kesehatan dan pemerintah dalam merancang intervensi yang tepat.   Abstract Immunization is a crucial preventive effort to reduce morbidity and mortality caused by Vaccine-Preventable Diseases (VPD). Although routine immunization programs have been implemented, the coverage of complete basic immunization in several regions remains suboptimal, including in Serang Mekar Village, Ciparay Subdistrict, Bandung Regency. This study aims to determine maternal factors in providing complete immunization toddlers at Posyandu  RW 17. The research design used is descriptive quantitative with a cross-sectional approach. Data were obtained through secondary data extraction and structured questionnaires for mothers of toddlers. The results of the study showed that the highest maternal education was obtained by mothers who had elementary school education, the highest maternal occupation was obtained by working mothers, the highest number of children (parity) was obtained by grande multipara mothers. Therefore, enhancing maternal health education and strengthening family involvement are essential to improve immunization coverage. This study is expected to serve as a reference for health workers and policymakers in designing effective interventions to increase immunization rates.
Studi Kasus: Penerapan Senam Nifas Dini Terhadap Penurunan Nyeri Post Sectio Caesarea di Ruang Cempaka RSUD Kraton Kabupaten Pekalongan: Case study: Application of Early Postpartum Exercise for Pain Reduction in Post-Cesarean Section Patients at Cempaka Ward, Kraton District Hospital, Pekalongan Regency Ratnawati Ratnawati; Annisa Risky Fadilla; Kusnul Khotimah
Jurnal Ilmiah JKA (Jurnal Kesehatan Aeromedika) Vol. 12 No. 2 (2026): Jurnal Ilmiah JKA (Jurnal Kesehatan Aeromedika)
Publisher : Politeknik Kesehatan TNI AU Ciumbuleuit Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58550/jka.v12i2.441

Abstract

Persalinan sectio ceasarea berisiko menimbulkan nyeri ringan sedang hingga berat pada luka. Sehingga perlunya penanganan nonfarmakologi salah satunya dengan senam nifas dini, dapat membantu memperlancar sirkulasi darah, mempercepat penyembuhan luka dan memberikan efek relaksasi yang dapat mengurangi intensitas nyeri. Penelitian ini bertujuan untuk melakukan senam nifas dini terhadap penurunan nyeri pada ibu post sectio caesarea, diruang Cempaka RSUD Kraton Pekalongan.Penelitian ini menggunakan metode studi kasus, dengan desain deskriptif yang dilakukan pada satu ibu post sectio ceasarea, dengan masalah keperawatan nyeri akut berhubungan dengan agen pencedera fisik (prosedur operasi). Penulis mengaplikasikan intervensi Evidence Based Practice In Nursing (EBN) senam nifas dini yang diterapkan selama 2 hari 3 kali, durasi ±15-30 menit. Pengukuran intensitas nyeri dilakukan menggunakan kuesioner Numerical Rating Scale (NRS). Pengumpulan data dilakukan melalui pendekatan wawancara, observasi serta evaluasi sebelum dan sesudah intervensi untuk mengetahui efektivitas senam nifas dalam menurunkan intensitas nyeri pada pasien post sectio caesarea. Setelah dilakukan intervensi senam nifas dini selama 2 hari, dengan berkolaborasi terapi farmakologi. Didapatkan penerapan pertama nyeri skala 7 sedikit berkurang menjadi skala 6, pada penerapan kedua masih nyeri namun sudah berkurang dari skala 6 menjadi skala 4, dan penerapan ke tiga nyeri skala 4 berkurang menjadi skala 3, badan menjadi rileks enteng, tidak kaku serta tekanan darah lebih stabil dan aktivitas meningkat. Penelitian ini merekomendasikan agar dilakukan senam nifas dini, perawat dapat mampu mengurangi intensitas nyeri pada ibu post sectio caesarea dan dapat menerapkannya, dalam pemberian asuhan keperawatan ibu post partum dengan masalah nyeri setelah melahirkan.   Abstract Cesarean section delivery poses a risk of mild-to-severe incisional pain. Therefore, non-pharmacological management is necessary. Early postpartum exercise can help improve blood circulation, accelerate wound healing, and provide a relaxation effect, which may reduce pain intensity. This study aimed to apply early postpartum exercise to reduce pain in postcesarean section mothers in the Cempaka Ward of Kraton District Hospital, Pekalongan. This study employed a case study method with a descriptive design, conducted on one post-cesarean section mother with acute pain related to a physical injury agent (surgical procedure). The author applied an Evidence-Based Nursing (EBN) intervention of early postpartum exercise, administered over 2 days (3 sessions), each lasting approximately 15-30 minutes. Pain intensity was measured using the Numerical Rating Scale (NRS). Data was collected through interviews, observation, and pre-and post-intervention evaluations to determine the effectiveness of postpartum exercise in reducing pain intensity in post-cesarean section patients. Following the 2 day early postpartum exercise intervention, in conjunction with pharmacological therapy, the pain scale decreased from 7 to 6 in the first session, from 6 to 4 in the second session, and from 4 to 3 in the third session. Furthermore, the patient reported feeling more relaxed, with reduced stiffness, more stable blood pressure, and increased activity.This study recommends doing early postpartum exercises; nurses can reduce pain intensity in post-cesarean mothers and can apply them in providing nursing care for postpartum mothers with pain problems after giving birth.
Hubungan Resiliensi Dengan Perilaku Merokok Saat Ini Pada Mahasiswa Keperawatan: Studi Potong Lintang: Association Between Resilience and Current Cigarette Smoking Among Nursing Students: A Cross-Sectional Study Dwi Agung Riyanto; Dedih Nuryatna; Delly Arfa Syukrowardi
Jurnal Ilmiah JKA (Jurnal Kesehatan Aeromedika) Vol. 12 No. 2 (2026): Jurnal Ilmiah JKA (Jurnal Kesehatan Aeromedika)
Publisher : Politeknik Kesehatan TNI AU Ciumbuleuit Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58550/jka.v12i2.442

Abstract

Resiliensi berpotensi membantu mahasiswa menghadapi tekanan dan memilih strategi koping yang lebih adaptif. Bukti mengenai hubungan resiliensi dengan perilaku merokok pada mahasiswa keperawatan di Indonesia masih terbatas. Penelitian ini bertujuan menganalisis hubungan skor resiliensi dengan perilaku merokok saat ini pada mahasiswa keperawatan. Penelitian menggunakan desain potong lintang pada mahasiswa D3 dan S1 Keperawatan Universitas Faletehan. Dataset awal terdiri atas 182 respons. Enam respons teridentifikasi sebagai pengulangan dari lima identitas responden, sehingga satu respons terbaru untuk setiap identitas dipertahankan dan 176 respons digunakan dalam analisis utama. Resiliensi diukur menggunakan enam item yang secara isi sesuai dengan Brief Resilience Scale (BRS). Item negatif diberi skor terbalik dan skor resiliensi dihitung dari rerata enam item. Perilaku merokok saat ini ditetapkan berdasarkan laporan merokok pada sedikitnya satu hari selama 30 hari terakhir. Analisis meliputi uji Mann–Whitney U, korelasi point-biserial, dan regresi logistik sederhana. Sebanyak 25 dari 176 responden (14,2%) memenuhi definisi perokok saat ini. Rerata skor resiliensi adalah 3,23 ± 0,58. Median skor resiliensi pada perokok saat ini adalah 3,00 (IQR 2,79–3,83), sedangkan pada responden yang tidak merokok saat ini adalah 3,17 (IQR 3,00–3,50). Uji Mann–Whitney U tidak menunjukkan perbedaan yang bermakna (p = 0,630). Korelasi point-biserial juga tidak menunjukkan hubungan yang bermakna (r = 0,058; p = 0,441). Regresi logistik sederhana menghasilkan OR 1,33 (95% CI 0,64–2,76; p = 0,439) untuk setiap kenaikan satu poin skor resiliensi. Konsistensi internal keenam item relatif rendah (Cronbach’s α = 0,49). Penelitian ini tidak menemukan hubungan yang bermakna antara skor resiliensi dan perilaku merokok saat ini pada mahasiswa keperawatan. Ketidakseimbangan jenis kelamin yang besar dan konsistensi internal instrumen yang rendah membatasi ketepatan interpretasi. Penelitian berikutnya perlu menggunakan instrumen resiliensi yang telah melalui proses adaptasi dan validasi bahasa Indonesia serta melibatkan sampel yang lebih besar dan lebih seimbang. Abstract Resilience may help students manage stress and use more adaptive coping strategies. Evidence on the association between resilience and cigarette smoking among nursing students in Indonesia remains limited. This study examined the association between resilience scores and current cigarette smoking among nursing students. A cross-sectional study was conducted among diploma and bachelor of nursing students at Universitas Faletehan. The initial dataset contained 182 responses. Six repeated records from five respondent identifiers were identified, and the most recent response for each identifier was retained, leaving 176 records for the primary analysis. Resilience was assessed using six items that were content-consistent with the Brief Resilience Scale (BRS). Negatively worded items were reverse-scored, and the resilience score was calculated as the mean of the six items. Current smoking was defined as smoking on at least one day during the previous 30 days. The analyses included the Mann–Whitney U test, point-biserial correlation, and simple logistic regression. Twenty-five of 176 respondents (14.2%) met the definition of current smoking. The mean resilience score was 3.23 ± 0.58. The median resilience score was 3.00 (IQR 2.79–3.83) among current smokers and 3.17 (IQR 3.00–3.50) among non-current smokers. The Mann–Whitney U test showed no statistically significant difference (p = .630). Point-biserial correlation was also not significant (r = .058; p = .441). Simple logistic regression yielded an OR of 1.33 (95% CI 0.64–2.76; p = .439) for each one-point increase in resilience. Internal consistency of the six-item measure was low (Cronbach’s α = .49). No statistically significant association was observed between resilience and current cigarette smoking in this nursing-student sample. The substantial sex imbalance and low internal consistency of the measure limit the precision of the findings. Future studies should use a locally validated Indonesian resilience instrument and recruit larger, more balanced samples.
Analisis Faktor-Faktor Penyebab Rujukan Maternal Di Puskesmas Poned Bunder Kecamatan Susukan Kabupaten Cirebon Periode 2023–2025: Analysis of Factors Associated with Maternal Referrals at PONED Bunder Community Health Center Susukan District Cirebon Regency 2023–2025 Vivi Sofiah Kohar; Suratmi Suratmi; Rinela Padmawati; Jahidul Fikri Amrullah
Jurnal Ilmiah JKA (Jurnal Kesehatan Aeromedika) Vol. 12 No. 2 (2026): Jurnal Ilmiah JKA (Jurnal Kesehatan Aeromedika)
Publisher : Politeknik Kesehatan TNI AU Ciumbuleuit Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58550/jka.v12i2.444

Abstract

Latar Belakang: Rujukan maternal merupakan bagian penting dalam pelayanan kesehatan untuk mencegah kesakitan dan kematian ibu. Jumlah rujukan maternal di Puskesmas PONED Bunder periode 2023–2025 masih cukup tinggi sehingga perlu diketahui faktor yang berhubungan. Tujuan: Menganalisis faktor-faktor yang berhubungan dengan kejadian rujukan maternal di Puskesmas PONED Bunder Kecamatan Susukan Kabupaten Cirebon periode 2023–2025. Metode: Penelitian kuantitatif dengan desain observasional pendekatan cross sectional menggunakan data sekunder rekam medis. Sampel sebanyak 344 rekam medis diambil dengan teknik total sampling dan dianalisis menggunakan uji Chi-Square pada α=0,05. Hasil: Ditemukan 168 kasus rujukan (48,8%). Terdapat hubungan antara usia (p=0,025), paritas (p=0,034), tingkat pendidikan (p=0,002), faktor klinis (p<0,001), dan keterlambatan (p<0,001) dengan rujukan maternal. Status pekerjaan tidak berhubungan signifikan (p=0,083). Kesimpulan: Faktor klinis dan keterlambatan merupakan faktor yang berhubungan dengan rujukan maternal. Diperlukan peningkatan skrining risiko, deteksi dini komplikasi, serta edukasi kepada ibu dan keluarga. Abstract Background: Maternal referral is an important component of health services to prevent maternal morbidity and mortality. The number of maternal referrals at Puskesmas PONED Bunder during 2023–2025 was relatively high, requiring identification of associated factors. Objective: To analyze factors associated with maternal referral at Puskesmas PONED Bunder, Susukan District, Cirebon Regency, during 2023–2025. Methods: A quantitative observational study with a cross-sectional approach used secondary medical-record data. A total of 344 records were selected using total sampling and analyzed using the Chi-Square test at α=0.05. Results: There were 168 maternal referrals (48.8%). Significant associations were found for age (p=0.025), parity (p=0.034), education level (p=0.002), clinical factors (p<0.001), and delays (p<0.001). Employment status was not significantly associated (p=0.083). Conclusion: Clinical factors and delays were associated with maternal referral. Risk screening, early detection of complications, and education for mothers and families should be strengthened.
Hubungan Riwayat Berat Badan Lahir Rendah (BBLR) Dengan Status Stunting Pada Balita Di Wilayah Kerja Puskesmas Pasawahan Kabupaten Kuningan: The Relationship Between a History of Low Birth Weight (LBW) and Stunting Status Among Toddlers in the Working Area of Pasawahan Community Health Center, Kuningan Regency Dian Oktapiani; Endang Nurrochmi; Suratmi Suratmi; Jahidul Fikri Amrullah
Jurnal Ilmiah JKA (Jurnal Kesehatan Aeromedika) Vol. 12 No. 2 (2026): Jurnal Ilmiah JKA (Jurnal Kesehatan Aeromedika)
Publisher : Politeknik Kesehatan TNI AU Ciumbuleuit Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58550/jka.v12i2.446

Abstract

Latar Belakang: Stunting merupakan masalah gizi kronis yang berdampak pada pertumbuhan fisik, perkembangan kognitif, produktivitas, dan kualitas sumber daya manusia. Salah satu faktor yang berhubungan dengan stunting adalah riwayat Berat Badan Lahir Rendah (BBLR). Penelitian ini bertujuan mengetahui hubungan riwayat BBLR dengan status stunting pada balita di wilayah kerja Puskesmas Pasawahan Kabupaten Kuningan. Metode: Penelitian menggunakan desain analitik observasional dengan pendekatan case control. Sampel berjumlah 750 balita usia 12–59 bulan, terdiri atas 150 balita stunting sebagai kasus dan 600 balita tidak stunting sebagai kontrol (1:4). Data diperoleh dari aplikasi e-PPGM (Sigizi Kesga) tahun 2024–2025 dan dianalisis secara univariat serta bivariat menggunakan uji chi-square dan Odds Ratio (OR). Hasil: Sebanyak 710 balita (94,7%) tidak memiliki riwayat BBLR dan 40 (5,3%) memiliki riwayat BBLR. Terdapat hubungan signifikan antara riwayat BBLR dan stunting (p<0,001), dengan OR 6,45 (95% CI 3,284–12,678). Kesimpulan: Riwayat BBLR berhubungan signifikan dengan stunting. Pencegahan perlu dimulai sejak kehamilan melalui pelayanan antenatal, pemantauan gizi ibu, pencegahan BBLR, dan intervensi pada 1.000 Hari Pertama Kehidupan. Abstract Background: Stunting is a chronic nutritional problem affecting physical growth, cognitive development, productivity, and human resource quality. One factor associated with stunting is a history of Low Birth Weight (LBW). This study aimed to determine the association between LBW history and stunting among children under five in the working area of Pasawahan Community Health Center, Kuningan Regency. Methods: This observational analytic study used a case-control design. The sample comprised 750 children aged 12–59 months, including 150 stunted children as cases and 600 non-stunted children as controls (1:4). Data were obtained from the e-PPGM (Sigizi Kesga) application for 2024–2025 and analyzed using univariate and bivariate analyses with the chi-square test and Odds Ratio (OR). Results: A total of 710 children (94.7%) had no LBW history, while 40 (5.3%) had a history of LBW. LBW history was significantly associated with stunting (p<0.001), with an OR of 6.45 (95% CI 3.284–12.678). Conclusion: LBW history was significantly associated with stunting. Prevention should begin during pregnancy through antenatal care, maternal nutritional monitoring, prevention of LBW, and interventions during the first 1,000 days of life.
Pengaruh Edukasi Berbasis Website Rem Cienta Terhadap Pengetahuan dan Sikap Remaja Putri Tentang Pencegahan Anemia di SMK Syntax Business School Kuningan Tahun 2026: The Effect Of Website-Based Rem Cienta Education On The Knowledge And Attitudes Of Adolescent Girls Regarding Anemia Prevention At Syntax Business School Vocational High School Kuningan, 2026 Lora Mayangsari Putri; Lia Nurcahyani; Nina Nirmaya Mariani; Jahidul Fikri Amrullah
Jurnal Ilmiah JKA (Jurnal Kesehatan Aeromedika) Vol. 12 No. 2 (2026): Jurnal Ilmiah JKA (Jurnal Kesehatan Aeromedika)
Publisher : Politeknik Kesehatan TNI AU Ciumbuleuit Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58550/jka.v12i2.447

Abstract

Anemia merupakan masalah kesehatan pada remaja putri yang umum terjadi dan dapat memengaruhi kesehatan, konsentrasi belajar, serta kesehatan reproduksi. Faktor pengetahuan dan sikap mengenai pencegahan anemia yang masih belum optimal menunjukkan perlunya media edukasi yang sesuai dengan karakteristik remaja. Penelitian ini bertujuan menganalisis pengaruh edukasi berbasis Website Rem Cienta terhadap pengetahuan dan sikap remaja putri tentang pencegahan anemia. Penelitian menggunakan desain pre-experimental one group pretest-posttest. Sampel terdiri atas 43 siswi kelas X yang dipilih secara purposive sampling. Data diperoleh melalui kuesioner pengetahuan dan sikap yang tersedia dalam Website Rem Cienta, kemudian dianalisis menggunakan Wilcoxon Signed Rank Test. Rerata skor pengetahuan meningkat dari 51,40 menjadi 88,37, sedangkan rerata skor sikap meningkat dari 83,95 menjadi 98,51. Hasil uji Wilcoxon menunjukkan p=0,000 (p<0,05) pada kedua variabel. Kesimpulan hasil penelitian ini menunjukan Edukasi berbasis Website Rem Cienta berpengaruh terhadap peningkatan pengetahuan dan sikap remaja putri dalam pencegahan anemia. Abstract Anemia is a common health problem among adolescent girls and may adversely affect overall health, learning concentration, and reproductive health. Suboptimal levels of knowledge and attitudes regarding anemia prevention highlight the need for educational media that are appropriate to adolescents’ characteristics and preferences. This study aimed to analyze the effect of Rem Cienta Website-based education on adolescent girls’ knowledge and attitudes toward anemia prevention. A pre-experimental one-group pretest-posttest design was employed. The sample consisted of 43 tenth-grade female students selected using purposive sampling. Data were collected using knowledge and attitude questionnaires available on the Rem Cienta Website and analyzed using the Wilcoxon Signed-Rank Test. The mean knowledge score increased from 51.40 to 88.37, while the mean attitude score increased from 83.95 to 98.51. The Wilcoxon test demonstrated a statistically significant difference for both variables (p = 0.000; p < 0.05). These findings indicate that Rem Cienta Website-based education significantly improves adolescent girls’ knowledge and attitudes regarding anemia prevention.
Pengaruh Kombinasi Senam Hamil dan Afirmasi Positif Terhadap Skor Kecemasan Ibu Hamil Trimester III Dalam Menghadapi Persalinan di Wilayah Kerja UPTD Puskesmas Darma Kabupaten Kuningan Tahun 2026: The Effect of a Combination of Pregnancy Exercise and Positive Affirmations on Anxiety Scores Among Third-Trimester Pregnant Women in Preparation for Childbirth in the Working Area of Darma Community Health Center Kuningan Regency 2026 Ulfah Yuliandini; Peni Cahyati; Dede Gantini; Jahidul Fikri Amrullah
Jurnal Ilmiah JKA (Jurnal Kesehatan Aeromedika) Vol. 12 No. 2 (2026): Jurnal Ilmiah JKA (Jurnal Kesehatan Aeromedika)
Publisher : Politeknik Kesehatan TNI AU Ciumbuleuit Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58550/jka.v12i2.448

Abstract

Kecemasan pada ibu hamil trimester III dapat meningkat menjelang persalinan dan berpotensi memengaruhi kesiapan fisik maupun psikologis. Penelitian ini bertujuan menganalisis pengaruh kombinasi senam hamil dan afirmasi positif terhadap skor kecemasan ibu hamil trimester III dalam menghadapi persalinan di wilayah kerja UPTD Puskesmas Darma Kabupaten Kuningan. Penelitian menggunakan pendekatan kuantitatif dengan desain quasi-experimental pre-test post-test with control group. Sebanyak 50 ibu hamil trimester III dipilih melalui stratified random sampling, terdiri atas 25 responden kelompok intervensi dan 25 kelompok kontrol. Kelompok intervensi mengikuti kombinasi senam hamil dan afirmasi positif selama empat minggu, satu kali setiap minggu, sedangkan kelompok kontrol mengikuti senam hamil. Kecemasan diukur menggunakan Hamilton Anxiety Rating Scale (HARS). Rerata skor kecemasan kelompok intervensi turun dari 39,00 (SD 7,360) menjadi 9,72 (SD 4,138), sedangkan kelompok kontrol berubah dari 38,00 (SD 7,360) menjadi 33,12 (SD 7,748). Uji paired sample t-test menunjukkan pengaruh pada kelompok intervensi (p=0,000) dan kelompok kontrol (p=0,028). Perbandingan antarkelompok menunjukkan perbedaan bermakna (p=0,000). Kombinasi senam hamil dan afirmasi positif lebih efektif menurunkan kecemasan dibandingkan senam hamil saja. Abstract Anxiety among third-trimester pregnant women may increase as childbirth approaches and can affect physical and psychological readiness. This study aimed to analyze the effect of combining pregnancy exercise and positive affirmations on anxiety scores among third-trimester pregnant women preparing for childbirth in the working area of Darma Public Health Center, Kuningan Regency. A quantitative quasi-experimental study with a pre-test post-test control group design was conducted. Fifty third-trimester pregnant women were selected using stratified random sampling, with 25 participants assigned to the intervention group and 25 to the control group. The intervention group received pregnancy exercise combined with positive affirmations for four weeks, once weekly, while the control group received pregnancy exercise. Anxiety was assessed using the Hamilton Anxiety Rating Scale (HARS). The intervention group mean score decreased from 39.00 (SD 7.360) to 9.72 (SD 4.138), whereas the control group decreased from 38.00 (SD 7.360) to 33.12 (SD 7.748). Paired sample t-tests showed significant changes in both the intervention (p=0.000) and control groups (p=0.028). The between-group comparison was also significant (p=0.000). The combination of pregnancy exercise and positive affirmations was more effective in reducing anxiety than pregnancy exercise alone.
Hubungan Kepatuhan Ibu Hamil Dalam Konsumsi Tablet Tambah Darah Terhadap Kejadian Anemia Di Puskesmas Plered Kabupaten Cirebon: The Relationship Between Pregnant Women's Adherence to Iron Supplement Consumption and the Incidence of Anemia at Plered Community Health Center Cirebon Regency Putri Andriyani; Dyah Widiyastuti; Yeni Fitrianingsih; Jahidul Fikri Amrullah
Jurnal Ilmiah JKA (Jurnal Kesehatan Aeromedika) Vol. 12 No. 2 (2026): Jurnal Ilmiah JKA (Jurnal Kesehatan Aeromedika)
Publisher : Politeknik Kesehatan TNI AU Ciumbuleuit Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58550/jka.v12i2.449

Abstract

Anemia pada kehamilan merupakan masalah Kesehatan yang umum terjadi sehingga dapat meningkatkan risiko komplikasi bagi ibu dan janin. Di wilayah kerja Puskesmas Plered, dari 82 ibu hamil trimester III hingga April 2026 terdapat 10 ibu yang teridentifikasi mengalami anemia. Penelitian ini bertujuan menganalisis hubungan kepatuhan konsumsi tablet tambah darah (TTD) dengan kejadian anemia pada ibu hamil. Penelitian ini menggunakan desain analitik observasional dengan pendekatan case control terhadap 50 ibu hamil trimester III. Data kepatuhan diperoleh melalui lembar pemantauan konsumsi TTD, sedangkan status anemia ditentukan berdasarkan kadar hemoglobin yang tercatat pada buku KIA dan rekam medis. Analisis pada penelitian ini dilakukan secara univariat dengan hasil sebanyak 40 responden (80%) patuh mengonsumsi TTD dan 10 responden  (20%) tidak patuh serta kejadian anemia ditemukan pada 10 responden (20%) dan analisis bivariat menggunakan uji chi-square dengan hasil p=0,000 sehingga terdapat hubungan antara kepatuhan konsumsi tablet tambah darah dengan kejadian anemia pada ibu hamil. Abstract Anemia during pregnancy is a common health problem that may increase the risk of complications for both mothers and fetuses. In the working area of Plered Community Health Center, among 82 third-trimester pregnant women as of April 2026, 10 were identified as having anemia. This study aimed to analyze the relationship between adherence to iron and folic acid tablet (IFA) consumption and the occurrence of anemia among pregnant women. An observational analytic study with a case-control approach was conducted involving 50 third-trimester pregnant women. Adherence to IFA consumption was assessed using an IFA consumption monitoring form, while anemia status was determined based on hemoglobin levels recorded in the Maternal and Child Health (MCH) handbook and medical records. Univariate analysis showed that 40 respondents (80%) were adherent to IFA consumption, while 10 respondents (20%) were non-adherent. Anemia was identified in 10 respondents (20%). Bivariate analysis using the Chi-square test demonstrated a statistically significant association between adherence to IFA consumption and the occurrence of anemia (p = 0.000). These findings indicate that adherence to iron and folic acid supplementation is significantly associated with the occurrence of anemia among pregnant women.
Pengaruh Senam Hamil Terhadap Keluhan Nyeri Punggung Pada Ibu Hamil Usia Kehamilan 28-32 Minggu Di Wilayah Kerja Puskesmas Cilimus Kabupaten Kuningan Tahun 2026: The Effect of Pregnancy Exercise on Back Pain Complaints Among Pregnant Women at 28–32 Weeks of Gestation in the Working Area of Cilimus Community Health Center Kuningan Regency 2026 Wini Indriani Dewi; Herni Kurnia; Lia Nurcahyani; Jahidul Fikri Amrullah
Jurnal Ilmiah JKA (Jurnal Kesehatan Aeromedika) Vol. 12 No. 2 (2026): Jurnal Ilmiah JKA (Jurnal Kesehatan Aeromedika)
Publisher : Politeknik Kesehatan TNI AU Ciumbuleuit Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58550/jka.v12i2.450

Abstract

Latar belakang: Nyeri punggung merupakan keluhan yang sering muncul pada kehamilan, terutama trimester III, seiring bertambahnya ukuran uterus, perubahan pusat gravitasi, peningkatan berat badan, dan perubahan hormonal. Kondisi tersebut dapat mengganggu kenyamanan dan aktivitas ibu. Senam hamil merupakan salah satu pendekatan nonfarmakologis yang digunakan untuk membantu mengurangi keluhan tersebut. Tujuan: mengetahui pengaruh senam hamil terhadap keluhan nyeri punggung pada ibu hamil usia kehamilan 28–32 minggu di Wilayah Kerja Puskesmas Cilimus Kabupaten Kuningan. Metode: penelitian quasi-eksperimental dengan rancangan one-group pretest-posttest. Sebanyak 32 ibu hamil dipilih secara purposive sesuai kriteria penelitian. Intensitas nyeri dinilai menggunakan Visual Analog Scale (VAS) sebelum dan setelah intervensi. Senam hamil diberikan dua kali setiap minggu selama tiga minggu. Analisis menggunakan Wilcoxon Signed Rank Test. Hasil: median skor nyeri sebelum intervensi adalah 6,5 (rentang 4–9), sedangkan setelah intervensi menjadi 4,5 (rentang 2–7). Sebanyak 28 responden (87,5%) mengalami penurunan skor nyeri dan empat responden (12,5%) tetap. Uji Wilcoxon menghasilkan Z = −4,796 dengan p < 0,001. Kesimpulan: senam hamil berpengaruh signifikan terhadap penurunan keluhan nyeri punggung pada ibu hamil 28–32 minggu. Abstract Background: Back pain is a common discomfort during pregnancy, particularly in the third trimester, associated with uterine enlargement, altered body balance, weight gain, and hormonal changes. Pregnancy exercise may provide a non-pharmacological option to reduce this discomfort. Objective: to determine the effect of pregnancy exercise on back pain complaints among pregnant women at 28–32 weeks of gestation in the working area of Cilimus Public Health Center, Kuningan Regency. Methods: a quasi-experimental study using a one-group pretest-posttest design was conducted among 32 pregnant women selected purposively according to the study criteria. Pain intensity was measured with a Visual Analog Scale (VAS) before and after the intervention. Pregnancy exercise was delivered twice weekly for three weeks. Data were analyzed using the Wilcoxon Signed Rank Test. Results: the median pain score decreased from 6.5 before the intervention (range 4–9) to 4.5 after the intervention (range 2–7). A decrease in pain score occurred in 28 participants (87.5%), while four participants (12.5%) showed no change. The Wilcoxon test yielded Z = −4.796 with p < 0.001. Conclusion: pregnancy exercise significantly reduced back pain complaints among pregnant women at 28–32 weeks of gestation
Perbedaan Pengetahuan Ibu Hamil Tentang Pencegahan Diabetes Mellitus Gestasional Sebelum dan Setelah Konseling Gizi Pada Kelas Ibu Hamil Di Wilayah Kerja UPTD Puskesmas Cilimus Kabupaten Kuningan Tahun 2026: The Difference in Pregnant Women's Knowledge About the Prevention of Gestational Diabetes Mellitus Before and After Nutritional Counseling in Pregnant Women's Classes in the Working Area of Cilimus Community Health Center Kuningan Regency 2026 Kurnia Restu Illahi; Yeni Fitrianingsih; Nurasih Nurasih; Jahidul Fikri Amrullah
Jurnal Ilmiah JKA (Jurnal Kesehatan Aeromedika) Vol. 12 No. 2 (2026): Jurnal Ilmiah JKA (Jurnal Kesehatan Aeromedika)
Publisher : Politeknik Kesehatan TNI AU Ciumbuleuit Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58550/jka.v12i2.451

Abstract

Diabetes Mellitus Gestasional (DMG) merupakan gangguan toleransi glukosa yang pertama kali dikenali selama kehamilan dan berpotensi menimbulkan komplikasi bagi ibu maupun janin. Di wilayah kerja UPTD Puskesmas Cilimus, ditemukan peningkatan ibu hamil dengan risiko atau indikasi terkait diabetes pada periode 2023–2025, sementara pemahaman mengenai pencegahan DMG masih perlu diperkuat. Penelitian ini bertujuan menganalisis perbedaan pengetahuan ibu hamil tentang pencegahan DMG sebelum dan sesudah konseling gizi pada Kelas Ibu Hamil. Penelitian menggunakan desain pre-experimental one-group pretest-posttest dengan 111 responden yang dipilih secara purposive. Data dikumpulkan melalui kuesioner 15 pernyataan sebelum dan sesudah intervensi. Karena data tidak berdistribusi normal, perubahan skor dianalisis menggunakan Wilcoxon Signed-Rank Test. Rata-rata skor pengetahuan meningkat dari 9,78 sebelum konseling menjadi 13,35 sesudah konseling, dengan peningkatan sebesar 3,57 poin. Uji Wilcoxon menunjukkan Z = -8,749 dan p = 0,000 (p < 0,05), sehingga terdapat perbedaan pengetahuan yang bermakna setelah pemberian konseling gizi. Konseling gizi yang dilaksanakan secara interaktif dalam Kelas Ibu Hamil efektif meningkatkan pengetahuan mengenai pencegahan DMG. Abstract Gestational Diabetes Mellitus (GDM) is a glucose tolerance disorder first recognized during pregnancy and may lead to complications affecting both mothers and fetuses. In the working area of UPTD Puskesmas Cilimus, the number of pregnant women with diabetes-related risks or indications increased during 2023–2025, while understanding of GDM prevention still requires strengthening. This study aimed to determine the difference in pregnant women's knowledge of GDM prevention before and after nutrition counseling delivered through Pregnant Women's Classes. A pre-experimental one-group pretest-posttest design was applied to 111 pregnant women selected by purposive sampling. Data were collected using a 15-item knowledge questionnaire administered before and after the intervention. Because the data were not normally distributed, changes in knowledge scores were analyzed using the Wilcoxon Signed-Rank Test. The mean knowledge score increased from 9.78 before counseling to 13.35 after counseling, representing a 3.57-point increase. The Wilcoxon test yielded Z = -8.749 with p = 0.000 (p < 0.05), indicating a statistically significant difference in knowledge following the intervention. Interactive nutrition counseling delivered through Pregnant Women's Classes was effective in improving pregnant women's knowledge of GDM prevention. Keywords: ; ; ; pregnant women; .

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