cover
Contact Name
Adinda Juwita Sari
Contact Email
adindajuwitasari@poltekkes-tjk.ac.id
Phone
+6281369445898
Journal Mail Official
jkm@poltekkes-tjk.ac.id
Editorial Address
Jl. Brigjend. Soetiyoso No. 1 Kota Metro
Location
Kab. lampung selatan,
Lampung
INDONESIA
Jurnal Kesehatan Metro Sai Wawai
ISSN : 1979469X     EISSN : 26571390     DOI : https://doi.org/10.26630
Core Subject : Health, Social,
Jurnal Kesehatan Metro Sai Wawai E-ISSN 2657-1390 and P-ISSN 19779-469X is published by the Midwifery Department, Poltekkes Kemenkes Tanjung Karang, Metro City, Indonesia. The Jurnal Kesehatan Metro Sai Wawai was first published in December 2008 as print media. Since 2016, the Journal has been published in print and online twice a year (June and December). All manuscripts submitted will go through double-blind peer review and editorial before being given acceptance for publication. The scope is midwifery, public health, nursing, nutrition, complementary and alternative medicine (CAM), and education in health.
Articles 185 Documents
Effects of Low Knowledge on Anemia, Weight Gain, and Chronic Energy Deficiency in Pregnant Women Sudarmi, Sudarmi; Pranajaya, Pranajaya; Riyanto, Riyanto
Jurnal Kesehatan Metro Sai Wawai Vol. 16 No. 2 (2023): Jurnal Kesehatan Metro Sai Wawai
Publisher : Poltekkes Kemenkes Tanjung Karang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jkmsaw.v16i2.4350

Abstract

Introduction: High risks of pregnancy, such as anemia, chronic energy deficiency, and hypertension at risk of emergencies, can be prevented. However, its prevalence is still high. This situation is triggered by a low of information and low knowledge of pregnant women. Purpose: This study was to analyze the effect of the knowledge level of pregnant women with the incidence of anemia, chronic energy deficiency, weight gain, and hypertension as a high risk of pregnancy. Method: A cross-sectional study was used to design this study involving 74 pregnant women selected according to inclusion criteria. A questionnaire measuring tool to collect data on the mother's level of knowledge about the high risk of pregnancy and the incidence of high risk of pregnancy: anemia, lack of protein-energy, weight gain, and hypertension. Analysis of bivariate data using a chi-square test with a confidence level of 0.05. Results: Low knowledge in high-risk pregnant women about one-third (34%), anemia 28.4%, chronic energy deficiency 18.9%, weight gain more than 14.9%, and hypertension 8.1%. Low knowledge of pregnant women affects the incidence of high risk of pregnancy with anemia (p=0.013; OR=3.996), weight gain (p= 0.004; OR=13.44), and chronic energy deficiency (p=0.012; OR=3.778). Meanwhile, the incidence of hypertension does not indicate any association (p = 0.084) Conclusion: Less knowledgeable pregnant women contribute to an increased incidence of high-risk pregnancy and pregnancy complications. Efforts to educate about high-risk and pregnancy complications need to be increased by innovating the development of easy and affordable educational methods, such as online media to increase maternal knowledge. Latar belakang: Risiko tinggi kehamilan, seperti anemia, kekurangan energi kronik dan hipertensi berisiko mengalami kegawatdaruratan, dapat di cegah. Namun, kenyatannya prevalensinya masih tinggi. Keadaan ini dipicu oleh kurang informasi dan pengetahuan kurang pada ibu hamil. Tujuan: Studi ini untuk menganalisis pengaruh tingkat pengetahuan ibu hamil dengan kejadian anemia, kekurangan energi kronis, peningkatan berat badan, dan hipertensi sebagai risiko tinggi kehamilan. Metode: Studi cross sectional digunakan sebagai desain penelitian ini yang melibatkan 74 ibu hamil yang dipilih sesuai kriteria inklusi. Alat ukur kuesioner untuk mengumpulkan data tingkat pengetahuan ibu tentang risiko tinggi kehamilan dan kejadian risiko tinggi kehamilan: anemia, kekurangan energi kronik, penambahan berat badan dan hipertensi. Analisis data bivariat menggunakan uji chi square dengan tingkat kepercayaan 0,05. Hasil: Pengetahun rendah pada ibu hamil risiko tinggi sekitar sepertiga (34%), mengalami anemia 28,4%, kekurangan energi kronik 18,9%, penambahan berat badan lebih 14,9%, dan hipertensi 8,1%. Pengetahuan rendah ibu hamil berpengaruh terhadap kejadian risiko tinggi kehamilan dengan anemia (p=0.013; OR=3.996), kenaikan berat badan (p=0.004; OR=13.44) dan kekurangan energi kronik (p=0.012; OR=3.778). Sedangkan, kejadian hypertensi tidak menunjukkan ada hubungan (p=0.084). Simpulan: Ibu hamil yang berpengetahuan kurang berkontribusi pada kejadian peningkatan kejadian risiko tinggi kehamilan dan komplikasi kehamilan. Upaya edukasi risiko tinggi dan komplikasi kehamilan perlu ditingkatkan dengan inovasi pengembangan metode edukasi yang mudah dan terjangkau, seperti media online untuk meningkatkan pengetahuan ibu.
A Scoping Review of Unmet Family Planning Needs in Young Couple: Effects of Socio-Demographic Factors, Parity, and Health Services Pratami, Yustika Rahmawati; Yuliarti, Yayu; Pitasari, Nawang Wulan Nago
Jurnal Kesehatan Metro Sai Wawai Vol. 16 No. 2 (2023): Jurnal Kesehatan Metro Sai Wawai
Publisher : Poltekkes Kemenkes Tanjung Karang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jkmsaw.v16i2.4395

Abstract

Abstract Introduction: Young couples who have become mothers and do not have sufficient knowledge about family planning but are in the unmet need group for family planning have a higher risk of experiencing pregnancy complications. Pregnancy complications can lead to an increased risk of maternal mortality and morbidity. Purpose: This study explored the factors influencing the unmet need for family planning among young couples using the rapid review method. Methods: This scoping review study was sourced from ScienceDirect, Pubmed, and Wiley Online Library databases for article searches from 2010-2021. The primary study refers to young couples with unmet needs for a family planning group and explores its determinants, adapting the PRISMA-ScR 2020 checklist framework. Results: 14 articles met the inclusion criteria from 1,020 articles. The review found two determinants of unmet need for family planning among young couples: sociodemographic and health factors. Sociodemographic factors were divided into ten factors: age, place of residence, community culture, maternal motivation to participate in family planning, maternal autonomy in decision-making, knowledge, religion, marital status, economic status, and desire for family planning. Health factors are divided into two categories, namely parity and health services. Conclusion: The study found similar reasons for women's unmet family planning needs. The unmet need for family planning among young couples is common in developing countries. Latar Belakang: Pasangan muda yang telah menjadi Ibu dan tidak memiliki pengetahuan yang cukup tentang keluarga berencana, namun menjadi kelompok unmet need KB memiliki risiko lebih tinggi mengalami komplikasi kehamilan. Komplikasi kehamilan dapat menjadi penyebab peningkatan risiko kematian dan morbiditas ibu. Tujuan: Studi ini bertujuan mengeksplor faktor-faktor yang mempengaruhi unmet need KB pada pasangan muda dengan metode rapid review. Metode: Studi scoping review ini bersumber dari ScienceDirect, Pubmed, dan Wiley Online Library, sebagai database untuk pencarian artikel dengan rentang waktu 2010-2021. Kajian utama studi ini mengacu pasangan muda yang menjadi kelompok unmet need KB dan mengeskplorasi determinannya, mengadaptasi kerangka checklist PRISMA-ScR 2020. Hasil: Artikel ditemukan 14 yang memenuhi kriteria inklusi dari seleksi 1.020 artikel. Kajian telah menemukan dua faktor penentu unmet need KB pada pasangan muda, yaitu faktor sosio-demografi dan kesehatan. Faktor sosiodemografi dibagi menjadi 10 faktor yaitu umur, tempat tinggal, budaya masyarakat, motivasi ibu untuk megikuti Keluarga Berencana, otonomi ibu dalam pengambilan keputusan, pengetahuan, agama, status perkawinan, status ekonomi dan keinginan berKB. Sedangkan faktor kesehatan dibagi menjadi dua yaitu paritas dan pelayanan kesehatan. Simpulan: Studi menemukan alasan yang sama pada setiap perempuan yang kebutuhannya tidak terpenuhi padahal mereka membutuhkannya. Unmet need KB pada pasangan muda banyak dijumpai di negara-negara berkembang. Keadaan ini mengindikasikan bahwa fokus kontrasepsi di negara-negara berkembang harus ditingkatkan pada perempuan muda.
The Impact of the Combination Therapy of Listening to the Holy Quran and Progressive Muscle Relaxation on Blood Pressure Reduction in Women of Reproductive Age with Hypertension: A Randomized Controlled Trial Study Ningsih, Erna; Islamiyati, Islamiyati; Riyanto, Riyanto; Gumelar, Rizki
Jurnal Kesehatan Metro Sai Wawai Vol. 17 No. 1 (2024): Jurnal Kesehatan Metro Sai Wawai
Publisher : Poltekkes Kemenkes Tanjung Karang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jkmsaw.v17i1.4514

Abstract

Introduction: Hypertension is a global public health problem, including Indonesia as a silent killer. Nonpharmacological (complementary) therapies are experiencing an increasing trend to be given along with pharmacological therapy requires evaluation as a blood pressure lowering for evidence-based practice. Objective: To evaluate the effect of combined therapy of listening to the Holy Quran and progressive muscle relaxation (PMR) on lowering blood pressure in women of reproductive age with hypertension. Methods: The research design used a quasi-experimental study with a pretest-posttest control group design approach. Women of reproductive age with mild and moderate hypertension in the experimental and control groups, a total of 21 participants each, were carried out at the Community Health Center in Metro City, Indonesia. Participants were given audio or listening to the Holy Quran and RPO as an experimental group and standard hypertension drug therapy in the control group. Mann-Witney test to prove the hypothesis with a significant level < 0.05 was chosen as statistical analysis. Results: This study found that women of reproductive age who were given a combination therapy of listening to the Holy Quran and PMR affected lowering their blood pressure (p-value 0,001). Participant, after being given the treatment, experienced a decrease in systolic blood pressure of 15,71 mmHg (CI 95%: 13,77-17,66) and diastolic 10,71 mmHg (CI 95%: 9,41-12,02). Conclusion: Nonpharmacological therapy (complementary) of listening to the Holy Quran audio and PMR given simultaneously can reduce blood pressure in women of reproductive age with hypertension. Therefore, this complementary therapy can be used as a companion therapy along with conventional therapy for community health services.Latar Belakang: Hipertensi menjadi masalah kesehatan masyarakat global, termasuk Indonesia sebagai silent killer. Terapi nonfarmakologi (komplementer) mengalami trend peningkatan untuk diberikan bersamaan dengan terapi farmakologi memerlukan evaluasi sebagai penurun tekanan darah untuk evidence base practice. Tujuan: Untuk mengevaluasi efek terapi kombinasi mendengarkan Al-Qur’an dan relaksasi otot progresif (ROP) terhadap penurunan tekanan darah pada wanita usia subur dengan hipertensi. Metode: Rancangan penelitian menggunakan studi quasi eksperimen pendekatan pretest posttest control group design. Wanita usia subur dengan hipertensi ringan dan sedang pada kelompok eksperimen dan kontrol masing-masing total 21 sebagai Partisipan yang dilaksanakan di Pusat Kesehatan Masyarakat di kota Metro, Indonesia. Partisipan diberikan terapi audio mendengarkan al-quran dan ROP sebagai kelompok eksperimen dan pemberian terapi obat standar hipertensi pada kelompok control. Uji mann-witney untuk membuktikan hipotesis dengan tingkat signifikan < 0,05 dipilih sebagai analisis statistic. Hasil: Studi ini menemukan bahwa ada pengaruh wanita usia subur yang diberikan terapi kombinasi mendengarkan al-quran dan ROP terhadap penurunan tekanan darah (p-value 0,001). Partisapan setelah diberikan perlakuan mengalami penurunan tekanan darah sistolik 15,71 mmHg (CI 95%: 13,77-17,66) dan diastolic 10,71 mmHg (CI 95%: 9,41-12,02). Simpulan: Terapi nonfarmakologi (komplementer) mendengarkan Al-Qur’an dan relaksasi otot progresif yang diberikan bersamaan mampu memberikan efek penurunan tekanan darah pada wanita usia subur dengan hipertensi. Oleh karena itu, terapi komplementer ini dapat dijadikan terapi pendamping bersamaan dengan terapi konvensional untuk pelayanan kesehatan komunitas.
The Effect of Cat Stretch Exercise on Reducing Menstrual Pain in Female Students Paryono, Paryono; Rosalina, Rosalina; Wahyuni, Sri; Srimulati, Triwik
Jurnal Kesehatan Metro Sai Wawai Vol. 17 No. 1 (2024): Jurnal Kesehatan Metro Sai Wawai
Publisher : Poltekkes Kemenkes Tanjung Karang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jkmsaw.v17i1.4515

Abstract

Introduction: Dysmenorrhea can reduce school productivity and quality of life in adolescent girls. Cat Stretch exercises can reduce pain but have never been taught to junior high school students at SMP Negeri 1 Gondangrejo Karanganyar. Purpose: The purpose of this research is to determine how giving stretch exercise paint reduces dysmenorrhoea in junior high school students. Method: The type of research used is quantitative with a Quasi-Experimental research design with pretest and posttest with group control. Researchers measured pain at the beginning, then provided intervention for one month and measured dysmenorrhea pain again during the next menstruation. The purposive sampling technique obtained a sample size of 50 junior high school female students, of which 25 were in the intervention group and 25 were in the control group. The data analysis technique used was the Independent T-Test. Results: The average pre-test intensity of menstrual pain in the intervention group was 4.04, decreasing to 2.72 during the post-test. There was a significant difference in students before and after the cat stretching intervention (p=0.000). In contrast, the control group showed an average pain intensity of 3.56 in the pre-test and almost did not decrease during the post-test, namely 3.52 with p=0.327. Testing for pain reduction in the intervention group was 1.32 while the control group was 0.04 with significant difference results (p-value 0.014). Conclusion: Providing cat stretch exercises can reduce dysmenorrhoea pain in female students. Therefore, young women can use stretch paint exercises to reduce dysmenorrhoea non-pharmacologically. Latar Belakang: Dismenorea dapat menurunkan produktivitas sekolah dan kualitas hidup pada remaja putri perempuan. Latihan Cat Stretch dapat menurunkan nyeri namun belum pernah diajakan pada siswa SMP di SMP Negeri 1 Gondangrejo Karanganyar. Penelitian ini bertujuan untuk mengetahui pengaruh dari pemberian cat stretch exercise terhadap pengurangan dismenorea pada siswi SMP Metode: Jenis penelitian yang digunakan kuantitatif dengan rancangan penelitian Quasi Eksperimen dengan pretest posttest with control gruop. Peneliti mengukur nyeri di awal kemudian diberikan intervensi selama satu bulan dan mengukur nyeri dismenore kembali saat menstruasi selanjutnya. Teknik pengambilan sampel purposive sampling, diperoleh jumlah sampel 50 responden siswi Smp, dimana 25 responden kelompok intervensi dan 25 responden kelompok kontrol. Teknik analisa data yang digunakan adalah Independent T Test Hasil: Rata-rata pre test intensitas dismenorea pada kelompok intervensi 4,04 menurun menjadi 2,72 saat posttest. Terdapat perbedaan bermakna pada siswa sebelum dan setelah intervensi cat stretching (p=0,000). Berbeda pada kelompok kontrol yang menunjukkan intensitas nyeri rata- rata pre test 3,56 dan hampir tidak turun saat post test yaitu 3,52 dengan p=0,327. Pengujian penurunan nyeri pada kelompok intervensi 1,32 sedangkan kelompok kontrol 0,04 dengan hasil perbedaan bermakna (p-value 0,014). Simpulan:  Pemberian Latihan cat stretch mampu menurunkan nyeri disminorea pada siswi. Oleh karena itu, remaja putri dapat menjadikan latihan cat stretching sebagai upaya menurunkan disminorea secara nonfarmakologi secara mandiri.  
The Hypnobirth Relaxation Influences Anxiety, Labor Pain, and APGAR Score in Newborns Rosalinna, Rosalinna; Kurniarum, Ari; Puspita Sari, Luthfiana
Jurnal Kesehatan Metro Sai Wawai Vol. 17 No. 1 (2024): Jurnal Kesehatan Metro Sai Wawai
Publisher : Poltekkes Kemenkes Tanjung Karang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jkmsaw.v17i1.4517

Abstract

Introduction: Hypnotherapy has been developed to improve labor outcomes. However, research on the effects of anxiety, pain and APGAR measured simultaneously is still rarely carried out. This study evaluated the effect of hypnobirthing relaxation techniques on anxiety, labor pain, and APGAR scores of newborn babies. Methods: This study used a Quasy experiment. This study used two groups: control and treatment. The control group received no intervention, while the treatment group was given hypnobirthing. Anxiety and pain levels were measured with standard scales, and APGAR scores were assessed within the first minute. Results: The results showed that the control group experienced an increase in anxiety from 33.4 (SD=4.1) to 34.5 (SD=3.5) and pain of 5.83 (SD=1.7). The treatment group experienced a decrease in anxiety from 28.0 (SD=3.8) to 26.7 (SD=3.7), pain decreased to 3.57 (SD=1.7), and the APGAR score increased to 8.3 (SD=0.5). Statistical analysis showed significant differences (ρ < 0.0001).). Conclusion: Hypnobirthing effectively reduces anxiety, labor pain and improves APGAR scores. Therefore, midwifery care for mothers can include hypnobirthing techniques that can be integrated by health supervisors in preparation for childbirth. Latar Belakang: Hypnotherapy telah dikembangkan untuk meningkatkan luaran persalinan. Namun demikian, efek penelitian pada kecemasan, nyeri dan APGAR yang diukur bersamaan masih jarang dlakukan. Penelitian ini mengevaluasi efek teknik relaksasi hypnobirthing terhadap kecemasan, nyeri persalinan, dan skor APGAR bayi baru lahir. Metode: Penelitian ini menggunakan  Quasy experiment Studi ini menggunakan dua kelompok: kontrol dan perlakuan. Kelompok kontrol tidak menerima intervensi, sementara kelompok perlakuan diberikan hypnobirthing. Tingkat kecemasan dan nyeri diukur dengan skala standar, dan skor APGAR dinilai pada satu menit pertama. Hasil: Hasil menunjukkan kelompok kontrol mengalami peningkatan kecemasan dari 33,4 (SD=4,1) menjadi 34,5 (SD=3,5) dan nyeri sebesar 5,83 (SD=1,7). Kelompok perlakuan mengalami penurunan kecemasan dari 28,0 (SD=3,8) menjadi 26,7 (SD=3,7), nyeri berkurang menjadi 3,57 (SD=1,7), dan skor APGAR meningkat menjadi 8,3 (SD=0,5). Analisis statistik menunjukkan perbedaan signifikan (ρ < 0,0001). Simpulan: Hypnobirthing efektif mengurangi kecemasan, nyeri persalinan dan meningkatkan skor APGAR. Oleh karena itu, Asuhan kebidanan pada ibu dapat memasukkan teknik hypnobirthing dapat diintegrasikan oleh Penyelia kesehatan dalam persiapan persalinan.
The Qualitative Study: Evaluation of Tuberculosis Control Program in Bandar Lampung City Karbito, Karbito; Purwaningsih, Dewi; Aliyanto, Warjidin; Muslim, Azhari; Fikri, Ahmad; Purwanto, Bambang
Jurnal Kesehatan Metro Sai Wawai Vol. 17 No. 1 (2024): Jurnal Kesehatan Metro Sai Wawai
Publisher : Poltekkes Kemenkes Tanjung Karang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jkmsaw.v17i1.4544

Abstract

Introduction: Indonesia has committed to implementing a TB control programme that is directed at accelerating the achievement of TB elimination by 2030, including Lampung Province and Bandar Lampung city is an area with a high prevalence of TB. Implementation of the TB control programme has been carried out. However, the cause of the high prevalence of TB remains unknown. Purpose: This study aims to evaluate the implementation of the TB control programme in Bandar Lampung City. Thus, it can contribute to planning efforts to reduce TB prevalence. Methods: This study is a qualitative research with a system approach based on input, process and output components. Data were collected at the Health Office of Bandar Lampung City and at three Community Health Centres in Bandar Lampung City. Data were collected using in-depth interviews, observation, and document review. Informants included policy makers, managers, cadres and TB patients. Data were analysed by collaborating the research data using triangulation methods, both source triangulation, method triangulation and data triangulation to draw conclusions. Results: The findings of this study showed that the TB control program in Bandar Lampung City has been running well and is in line with the achievement of the TB elimination acceleration program target in the input, process and output components, but TB prevention health promotion efforts are still not optimally implemented and coverage figures that describe TB prevention behaviour are not yet available. Conclusion: In general, the TB control programme in Bandar Lampung City is good and in line with the targets of the TB elimination acceleration programme.  However, there is no evaluation of TB prevention health promotion efforts related to the attitudes and behaviour of TB prevention by vulnerable communities. Latar Belakang: Indonesia telah berkomitmen melaksanakan program penanggulangan TB yang diarahkan untuk mempercepat pencapaian eliminasi TB tahun 2030, termasuk Provinsi Lampung dan kota Bandar Lampung yang merupakan wilayah dengan prevalensi TB yang tinggi. Implementasi program penanggulangan TB telah dilakukan. Namun belum diketahui penyebab prevalensi TB masih tinggi. Tujuan: Penelitian ini untuk mengevaluasi program pelaksanaan penanggulangan TB di Kota Bandar Lampung. Sehingga, dapat memberikan kontribusi untuk upaya perencaan penurunan prevalensi TB. Metode: Penelitian ini merupakan penelitian kualitatif dengan pendekatan sistem berdasarkan komponen input, proses dan output. Pengumpulan data dilakukan di Dinas Kesehatan Kota Bandar Lampung dan di tiga Pusat Kesehatan Masyarakat di kota Bandar Lampung. Data dikumpulkan dengan metode wawancara mendalam, observasi, dan telaah dokumen. Informan terdiri dari para pengambil kebijakan, pengelola, kader dan pasien TB. Analisis data dilakukan dengan mengkolaborasikan data hasil penelitian menggunakan metode triangulasi, baik triangulasi sumber, triangulasi metode maupun triangulasi data untuk diambil kesimpulan. Hasil: Temuan pada penelitian ini diketahui bahwa program penanggulangan TB di Kota Bandar Lampung sudah berjalan baik dan sejalan dengan pencapaian target program percepatan eliminasi TB baik pada komponen input, proses dan output, namun upaya promosi kesehatan pencegahan TB masih belum terlaksana secara optimal dan angka cakupan yang menggambarkan perilaku pencegahan TB belum tersedia. Simpulan: Secara umum program penanggulangan TB di Kota Bandar Lampung sudah baik dan sejalan dengan pencapaian target program percepatan eliminasi TB.  Namun, upaya promkes pencegahan TB tidak ada hasil evaluasi terkait sikap dan prilaku pencegahan TB oleh masyarakat yang rentan.
The Stigma of Abortion among Adolescent Girls in the Community: A Qualitative Study in North Lampung District, Indonesia Fitarina, Fitarina; Ningshih, Yuliati Ampera; Krismaningrum, Hasti Primadilla
Jurnal Kesehatan Metro Sai Wawai Vol. 17 No. 1 (2024): Jurnal Kesehatan Metro Sai Wawai
Publisher : Poltekkes Kemenkes Tanjung Karang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jkmsaw.v17i1.4545

Abstract

Introduction: Adolescent abortion remains a contentious moral dilemma in Indonesia. The choice to have an abortion is due to enduring an unwanted pregnancy, despite the stigma of abortion from society. Purpose: The study focused on assessing abortion stigma information and attitudes toward abortion among adolescent girls. Methods: Descriptive qualitative study using survey method was the research design. 450 participants from junior high school, high school and university students were recruited. Data were collected by survey technique using a questionnaire adapted from the Stigma Attitude, Believe of Absortion Scale (SABAS). Data were analyzed quantitatively using frequency distribution and qualitatively to evaluate young women's attitudes towards abortion by grouping data and problem trees. Results: Participant characteristics 100% had no abortion experience and 88% were not dating, 98% of adolescent girls had a high stigma scale. Stigma content identified included cruelty, stupidity, sin, sad, risk of psychosocial and health problems.  Adolescents also expressed positive sentiments related to concern and empathy for women experiencing unfortunate situations, either due to rape or health emergencies. Conclusion: Adolescent girls stigmatized the act of abortion and also cared about victims in unfortunate situations. Efforts are needed to make the community understand the stigma of abortion which has a psychological and social impact on adolescents by increasing socialization. It is important for adolescent girls to be educated through sexual education and to prevent unwanted pregnancies and abortions. Family and community empathy for adolescents by providing affection, especially for adolescent girls to have reproductive readiness or safe pregnancy. Latar Belakang: Aborsi pada remaja masih menjadi dilema moral yang terus diperdebatkan di Indonesia. Pilihan  melakukan aborsi disebabkan menanggung kehamilan tidak diinginkan, walaupun ada stigma abortus dari masyarakat. Tujuan: Penelitian berfokus pada mengkaji informasi stigma abortus dan sikap menghadapi aborsi pada remaja putri. Metode: Studi kualitatif deskriptif menggunakan metode survey meru[akan desain penelitian ini. Merekrut 450 partisipan dari Siswa Sekolah Menengah Pertama, Sekolah Menengah Atas dan Mahasiswa Perguruan Tinggi. Data dikumpulkan dengan teknik survei menggunakan kuesioner diadaptasi dari Stigma Attitude, Believe of Absortion Scale (SABAS). Data dianalisis secara kuantitatif menggunakan distribusi frekuensi dan kualitatif untuk mengevaluasi sikap remaja putri terhadap abortus dengan mengelompokkan data dan pohon masalah. Hasil: karakteristik partisipan 100% tidak memiliki pengalaman aborsi dan 88% tidak pacaran, 98% remaja putri memiliki skala stigma tinggi. Isi stigma yang teridentifikasi meliputi kekejaman, kebodohan, dosa, menyedihkan, berisiko terjadi masalah psikososial dan kesehatan.  Remaja juga mengungkapkan sentimen positif terkait keprihatinan dan rasa empati terhadap perempuan yang mengalami situasi yang tidak menguntungkan, baik karena pemerkosaan maupun kegawatan kesehatan. Simpulan: Remaja Putri memberikan stigma terhadap tindakan aborsi dan juga sikap peduli terhadap korban yang berada pada situasi tidak menguntungkan. Perlu upaya memahamkan kepada komunitas tentang stigma abortus  yang berdampak psikologis dan social kepada remaja dengan peningkatan sosialisasi. Remaja putri penting diberikan edukasi melalui pendidikan mengenai sexual dan untuk mencegah kehamilan yang tidak diinginkan, melakukan abortus. Keluarga dan komunitas empati pada remaja dengan memberikan kasih sayang, khususnya pada remaja putri untuk memiliki kesiapan reproduktif atau hamil yang aman.
Efektifitas Psikoedukasi Keluarga Terhadap Klien Gangguan Jiwa Mariani, Rina
Jurnal Kesehatan Metro Sai Wawai Vol. 17 No. 2 (2024): Jurnal Kesehatan Metro Sai Wawai
Publisher : Poltekkes Kemenkes Tanjung Karang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jkmsaw.v17i2.4722

Abstract

Background: One of the obstacles in efforts to cure clients with mental disorders is the family's lack of knowledge of caring for clients at home. Hospital treatment will be in vain if the family does not continue it. One way of caring for families is psychoeducation. Objective: To determine the effectiveness of psychoeducation for families of clients with mental disorders after treatment. Method: Quasi-experimental design using pre-post test design without control group. The research population was all families who had family members with mental disorders after treatment with a sample size of 44 (22 intervention and 22 controls, inclusion criteria for clients with mental disorders after treatment for more than 1 month, and were willing to be respondents. The research instrument used a questionnaire answered by the family containing statements regarding cognitive and psychomotor. The research instrument was valid and reliable with a validity test value of 0.382 and a Cronbach alpha value of 0.74. The intervention group was given 3 sessions, each session lasting 20 minutes and the control group was given no intervention other, only medication. Bivariate analysis using t-independent and t-dependent. Results: for respondent characteristics, 72.7% of clients were women, 77.3% had basic education and 68.2% had average cognitive abilities before the action 41.59 and after the action 45.00. Average psychomotor ability before the action 23.00 and after the action 25.3. There is an influence of family psychoeducation on client care at home with a p value of 0.000. Conclusion: Family psychoeducation is effective for families in caring for clients with mental disorders after treatment at home so that the frequency of relapse is smaller and the prognosis is better. Latar Belakang: Salah satu kendala dalam upaya penyembuhan klien gangguan jiwa adalah minimnya pengetahuan keluarga merawat klien di rumah Perawatan di rumah sakit akan sia-sia bila tidak diteruskan oleh keluarga. Salah satu cara perawatan untuk  keluarga adalah psikoedukasi. Tujuan: Mengetahui efektifitas psikoedukasi keluarga klien gangguan jiwa pasca rawat. Metode: Desain quasi eksperiment dengan menggunakan pre post test design without control group. Populasi penelitian yaitu seluruh keluarga yang memiliki anggota keluarga gangguan jiwa pasca rawat dengan jumlah  sampel 44 (22 intervensi dan 22 kontrol), kriteria inklusi klien gangguan jiwa pasca rawat lebih dari 1 bulan, dan bersedia menjadi responden. Instrumen penelitian menggunakan kuesioner yang dijawab keluarga berisi pernyataan tentang kognitif dan psikomotor. Instrument penelitian valid dan reliable dengan nilai uji validitas 0.382 dan nilai Cronbach alpha 0.74. Pada kelompok intervensi diberikan tindakan sebanyak 3 sesi, setisp sesi waktunya 20 menit serta pemberian obat. Kelompok kontrol tidak diberikan intervensi lain, hanya obat saja. Analisis bivariat menggunakan t-independent dan t-dependent.  Hasil: untuk karakteristik responden didapatkan 72,7% klien adalah perempuan, 77,3% dengan  pendidikan dasar dan 68,2% bekerja. Rata-rata kemampuan kognitif sebelum tindakan 41,59 dan setelah tindakan 45,00. Rata-rata kemampuan psikomotor sebelum tindakan 23,00 dan setelah tindakan 25,3. Ada pengaruh psikoedukasi keluarga terhadap perawatan klien di rumah dengan p value 0,000. Simpulan: Psikoedukasi keluarga efektif dilakukan keluarga dalam merawat klien gangguan jiwa pasca perawatan di rumah sehingga frekuensi kekambuhan lebih kecil dan prognosis lebih baik.
Lifestyle Risk Factors Increasing the Prevalence of Hypertension in Women of Reproductive Age in Metro City, Indonesia: A Community-Based Case Control Study Sofia, Meta; Riyanto, Riyanto; Udani, Giri; Lebuso, Mapitso
Jurnal Kesehatan Metro Sai Wawai Vol. 17 No. 2 (2024): Jurnal Kesehatan Metro Sai Wawai
Publisher : Poltekkes Kemenkes Tanjung Karang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jkmsaw.v17i2.4814

Abstract

Introduction: The prevalence of hypertension is still a global health problem, and efforts have been made to control and prevent it, including in Indonesia. However, the trend of high prevalence of hypertension and healthy lifestyle has not indicated a significant decrease, including in women of reproductive age. Objective: This study is to evaluate the lifestyle factors associated with the incidence of hypertension in women of reproductive age, so that evidence base practice can be used in prevention and control efforts. Methods: Observational study with case control design involving women of reproductive age with hypertension in Yosomulyo Primary Health Care, Metro city. Case group and control group with a ratio of 26: 26 were selected by consecutive sampling technique that fulfilled the research requirements. Hypertension data was collected using a digital tensimeter, while lifestyle factors data was collected using a questionnaire tool that has been tested for validity and reliability. The chi square test was used to prove the relationship between lifestyle risk factors and hypertension. Results: The results showed that lifestyle factors associated with women of reproductive age were obesity (OR=5.127; p=0.012), high sodium consumption (OR=14.00; p=0.000), experiencing stress (OR=8.80; p=0.002), and the use of hormonal contraception (OR=7.50; p=0.021). Meanwhile, exercise activity had no statistical association (p-value 0.404). Conclusion: Unhealthy lifestyle factors, such as obesity, excessive sodium consumption, stress and prolonged use of hormonal contraceptives increase the incidence of hypertension in women of reproductive age. Strengthening healthy lifestyle efforts by increasing education on hypertension risk factors to women of reproductive age is important for the prevention and control of hypertension. Pendahuluan: Masalah prevalensi hipertensi masih menjadi masalah kesehatan global, termasuk Indonesia telah dilakukan upaya pengendalian dan pencegahan. Namun, trend tingginya prevalensi hipertensi dan pola hidup sehat belum mengindikasikan penurunan yang signifikan, termasuk pada wanita usia subur (WUS). Tujuan: Mengevaluasi factor-faktor pola hidup yang berhubungn dengan kejadian hipertensi pada WUS, sehingga dapat digunakan evidence base practise dalam upaya pencegahan dan pengendalian. Metode: Studi observasional dengan rancangan case control melibatkan wanita usia subur dengan hipertensi di Pelayanan Kesehatan Primer Yosomulyo, kota Metro. Kelompok kasus dan kelompok control dengan perbandingan 26 : 26 yang dipilih dengan teknik consecutive sampling yang memenuhi syarat penelitian. Data hipertensi menggunakan tensimeter digital, sedangkan data factor-faktor pola hidup dikumpulkan menggunakan alat kuesioner yang telah diuji validitas dan reabilitas. Uji chi square digunakan untuk membuktikan hubungan faktor risiko pola hidup dengan hipertensi. Hasil: Hasil penelitian menunjukkan bahwa factor pola hidup yang berhubungan dengan wanita usia subur adalah obesitas (OR=5,127; p= 0,012), konsumsi tinggi natrium (OR=14,00; p=0,000), mengalami stress (OR=8,80; p=0,002), dan penggunaan kontrasepsi hormonal (OR=7,50; p=0,021). Sedangkan, aktivitas olahraga tidak ada hubungan secara statistik (p-value 0,404). Simpulan: Faktor pola hidup yang tidak sehat, seperti obesitas, konsumsi natrium berlebihan, stress dan lama penggunaan kontrasepsi hormonal meningkatkan kejadian hipertensi pada wanita usia subur. Penguatan upaya pola hidup sehat dengan peningkatan edukasi factor-faktor risiko hipertensi kepada wanita usia subur penting dilakukan untuk pencegahan dan pengendalian hipertensi
Nurse Communication, Quality of Health Services, and Its Relationship with Patient Satisfaction in Inpatient Ward Heltty, Heltty; Zahalim, Zahalim; Krismiadi, Dedi
Jurnal Kesehatan Metro Sai Wawai Vol. 18 No. 1 (2025): Jurnal Kesehatan Metro Sai Wawai
Publisher : Poltekkes Kemenkes Tanjung Karang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jkmsw.v18i1.4902

Abstract

Nurses are among the healthcare workers who play a crucial role in enhancing patient satisfaction. Communication plays an essential role in implementing nursing care to deliver high-quality services that ensure patient satisfaction with the care they receive. Patient satisfaction is a key indicator of the quality of nursing services in hospitals. The study aims to determine the relationship between nurse communication and the quality of health services, with a focus on increasing patient satisfaction, in the inpatient rooms of Muna Barat Hospital. The type of research used is quantitative research with a correlational design; the population in this study was patients in the inpatient room of Muna Barat Hospital. The samples selected for this study employed a random sampling technique. A total of 81 respondents participated in this study. The data analysis method used the Chi-Square test using a significance level of 0.05. The Chi-Square test obtained a p value = 0.001 which indicates that there is a relationship between nurse communication and patient satisfaction at Muna Barat Hospital. Meanwhile, in the Quality of Health Services, a p-value of 0.002 was obtained, indicating that there is a relationship between the Quality of Health Services and patient satisfaction at Muna Barat Regional Hospital. The results of the phi coefficient test also showed a low and positive patterned relationship between nurse communication and patient satisfaction (Ⴔ=0.310), quality of health services and patient satisfaction (Ⴔ=0.336). Nurse communication and Quality of Health Services are related to Increasing Patient Satisfaction. Patient satisfaction as consumers who receive nursing services is an essential component in improving the quality of nursing services. A nurse needs to implement effective communication in providing surgical procedures, as good communication leads to patient satisfaction with the service received.

Filter by Year

2011 2025


Filter By Issues
All Issue Vol. 18 No. 2 (2025): Jurnal Kesehatan Metro Sai Wawai Vol. 18 No. 1 (2025): Jurnal Kesehatan Metro Sai Wawai Vol. 17 No. 2 (2024): Jurnal Kesehatan Metro Sai Wawai Vol. 17 No. 1 (2024): Jurnal Kesehatan Metro Sai Wawai Vol. 16 No. 2 (2023): Jurnal Kesehatan Metro Sai Wawai Vol. 16 No. 1 (2023): Jurnal Kesehatan Metro Sai Wawai Vol. 15 No. 2 (2022): Jurnal Kesehatan Metro Sai Wawai Vol 15, No 1 (2022): Jurnal Kesehatan Metro Sai Wawai Vol 14, No 2 (2021): Jurnal Kesehatan Metro Sai Wawai Vol 14, No 1 (2021): Jurnal Kesehatan Metro Sai Wawai Vol 13, No 2 (2020): Jurnal Kesehatan Metro Sai Wawai Vol 13, No 1 (2020): Jurnal Kesehatan Metro Sai Wawai Vol 12, No 2 (2019): Jurnal Kesehatan Metro Sai Wawai Vol 12, No 1 (2019): Jurnal Kesehatan Metro Sai Wawai Vol 11, No 2 (2018): Jurnal Kesehatan Metro Sai Wawai Vol 11, No 1 (2018): Jurnal Kesehatan Metro Sai Wawai Vol 10, No 2 (2017): Jurnal Kesehatan Metro Sai Wawai Vol 10, No 1 (2017): Jurnal Kesehatan Metro Sai Wawai Vol 9, No 2 (2016): Jurnal Kesehatan Metro Sai Wawai Vol. 9 No. 1 (2016): Jurnal Kesehatan Metro Sai Wawai Vol 8, No 2 (2015): Jurnal Kesehatan Metro Sai Wawai Vol 8, No 1 (2015): Jurnal Kesehatan Metro Sai Wawai Vol 7, No 2 (2014): JURNAL KESEHATAN METRO SAI WAWAI Vol 7, No 1 (2014): Jurnal Kesehatan Metro Sai Wawai Vol 6, No 2 (2013): Jurnal Kesehatan Metro Sai Wawai Vol 6, No 1 (2013): Jurnal Kesehatan Metro Sai Wawai Vol 5, No 2 (2012): Jurnal Kesehatan Metro Sai Wawai Vol 5, No 1 (2012): Jurnal Kesehatan Metro Sai Wawai Vol 4, No 2 (2011): JURNAL KESEHATAN METRO SAI WAWAI Vol 4, No 1 (2011): JURNAL KESEHATAN METRO SAI WAWAI More Issue