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Journal for Research in Public Health
Published by Universitas Strada Indonesia
ISSN : 26856528     EISSN : 26855275     DOI : https://doi.org/10.30994/jrph
Core Subject : Health,
Health Professions Nursing Public Health
The Journal of Research in Public Health (JRPH) is a scholarly publication dedicated to advancing the understanding and practice of public health. Through rigorous research articles, reviews, and analyses, JRPH serves as a platform for the dissemination of knowledge and insights aimed at improving population health and well-being. Topics covered in the journal may include Public Health Epidemiology Administration and Health Policy Health Promotion and Behavior Nursing Midwifery Occupational Health and Safety (OHS) JRPH provides valuable contributions to the academic community, policymakers, and practitioners striving to address contemporary public health challenges.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 6 Documents
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Search results for , issue "Vol. 6 No. 2 (2025): January" : 6 Documents clear
Description of the Psychological Adaptation Response of HIV/AIDS Sufferers in Accepting HIV/AIDS in the Spirit of the Pelangi Community of Nganjuk Regency Erni Tri Indarti; Puji Astutik; Galih Caesar Rini
Journal for Research in Public Health Vol. 6 No. 2 (2025): January
Publisher : Master of Public Health Program Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jrph.v6i2.100

Abstract

HIV/AIDS sufferers experience changes in psychological responses including sadness, loss of hope, helplessness, loss of self-esteem and social identity, which gives rise to feelings of worthlessness. The psychological adaptive response is self-acceptance when experiencing an illness, which will generate various feelings and reactions. The aim of the research was to determine the Psychological Adaptation Response of HIV/AIDS Sufferers in Accepting HIV/AIDS in the Spirit Pelangi Community, Nganjuk Regency. This research uses Descriptive research design, the research was carried out from 10th to 17th January 2024 in the Spirit Pelangi Community, Nganjuk Regency. The population is 48 HIV/AIDS sufferers who have just been detected in the Spirit Pelangi Community, Nganjuk Regency. The sample was 39 respondents, with purposive sampling technique. The variable used is the Psychological Adaptation Response of HIV/AIDS Sufferers in Accepting HIV/AIDS. Data collection techniques using questionnaires. The results of the research showed that of the 39 respondents, the majority, namely 23 respondents (58.97%) experienced a maladaptive psychological adaptation response, and almost half, namely 16 respondents (41.03%) experienced an adaptive psychological adaptation response. Based on research, most respondents experienced maladaptive psychological adaptation responses. Factors that influence the psychological adaptation response are gender, age, education level, social problems, and family support. Some of these factors are that family support has a very important role for HIV/AIDS sufferers because good family support will increase self-confidence and change coping mechanisms to be adaptive.
The Anxiety Level Of 3rd Trimester Primigravida Pregnant Woman In Facing Labor Astutik, Puji; Erni Tri Indarti
Journal for Research in Public Health Vol. 6 No. 2 (2025): January
Publisher : Master of Public Health Program Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jrph.v6i2.101

Abstract

Pregnancy is a condition in which women experience different physiological changes and stress and is accompanied by unique physical and psychological demands. For primigravida pregnant women, pregnancy is the first experience in their life. This situation can result in drastic changes in both the mother's physical and physiology. In general, feelings of anxiety in pregnant women arise from things such as fear of giving birth, worry about changes in their body, the health of the fetus, and worry about caring for a child when the child is born. The aim of this research was to determine the level of anxiety of 3rd trimester primigravida pregnant women in facing childbirth in Blongko Village, Ngetos District, Nganjuk Regency. This research used a descriptive design which was carried out on July 12 2023 in Blongko Village, Ngetos District, Nganjuk Regency. The population in this study was 18 primigravida trimester 3 pregnant women, the sample size was 18 respondents, 3 trimester primigravida pregnant women with a sampling technique, namely total sampling, the variable in this study was the anxiety level of 3 trimester primigravida pregnant women in facing childbirth. The research instrument used the PRAQ-R2 (Pregnancy Related Anxiety Questionnaire Revised) questionnaire. Based on the research results from 18 respondents, almost all of them, namely 14 respondents (78%) had a severe level of anxiety, a small portion, namely 4 respondents (22%) had a moderate level of anxiety, and none, namely 0 respondents (0%) had an anxiety level. light category. The research results showed that almost all of them had a severe level of anxiety when facing childbirth. This is influenced by the education and employment of primigravida pregnant women in the third trimester. The higher a person's education level, the more qualified they will be in terms of knowledge. Mothers who have jobs will get information and experiences about pregnancy from other people, while mothers who spend most of their time at home will experience higher anxiety than working mothers. Therefore, health workers are recommended to provide health education to primigravida pregnant women in the third trimester in preparation for childbirth.
The Effect of Early Breastfeeding Initiation (IMD) with Uterine Involution on First Day Post Partum Mothers Sefrina Rukmawati; Fatimah, Nur Aini
Journal for Research in Public Health Vol. 6 No. 2 (2025): January
Publisher : Master of Public Health Program Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jrph.v6i2.102

Abstract

Early initiation of breastfeeding (IMD) is a breastfeeding practice carried out within the first hour after birth. This study aims to explore the influence of IMD on the uterine involution process in post partum mothers. Uterine involution is the process of the uterus returning to its normal size after giving birth, which is important for the mother's health. This study aims to explore the effect of IMD on uterine involution in postpartum mothers. By understanding this relationship, it is hoped that it can provide further insight into the importance of IMD in improving maternal and infant health and reducing the risk of postpartum complications. This research will also discuss the factors that influence the success of IMD and its impact on maternal health. Data shows that mothers who undergo IMD tend to experience uterine involution more quickly than those who do not. This research used a quantitative method with a cross-sectional design involving 30 post partum mothers. The average height of the uterine fundus on the third day after delivery for the IMD group was 12 cm, while for the non-IMD group it was 15 cm (p < 0.01). On the seventh day, the average uterine fundal height for the IMD group decreased to 8 cm, while the non-IMD group was still at 10 cm (p < 0.01). The results showed that there was a significant influence between IMD and the speed of uterine involution. It is hoped that these findings will provide insight for health workers in efforts to improve maternal health after giving birth. Keywords: Early Initiation of Breastfeeding, Uterine Involution, Post Partum Mothers, Maternal Health, Postpartum.     I.  Introduction Early Initiation of Breastfeeding (IMD) is a recommended practice to improve the health of mothers and babies after birth. IMD is carried out by giving the baby the opportunity to breastfeed within the first hour after birth. This practice is not only important for providing initial nutrition to babies, but also has a significant impact on maternal health, including the process of uterine involution. Uterine involution is the process of returning the size and position of the uterus to its normal state after giving birth. This process is very important to prevent postpartum complications, such as bleeding and infection. Based on data from WHO, around 830 women die every day due to complications related to pregnancy and childbirth, and many of these are caused by uterine involution (World Health Organization, 2020). Research shows that the practice of IMD can speed up the process of uterine involution, thereby reducing the risk of postpartum complications. However, even though there is a lot of evidence supporting the benefits of IMD, there are still challenges in implementing it in various countries, including Indonesia. In this context, this study aims to explore the effect of IMD on uterine involution in postpartum mothers. By understanding this relationship, it is hoped that it can provide further insight into the importance of IMD in improving maternal and infant health and reducing the risk of postpartum complications. This research will also discuss the factors that influence the success of IMD and its impact on maternal health.   II.             Methods This research uses an observational study design with a pre-experimental design type approach one group pre-post test design. Samples were taken randomly accidental sampling with the inclusion criteria of mothers who gave birth normally, and were willing to participate in the research. The total sample taken was 30 postpartum mothers. Divided into 2 groups, namely the treatment group and the control group. Data analysis was carried out using SPSS version 25.0 statistical software. The statistical test used was the t test to compare the average uterine involution between the groups who underwent IMD and those who did not. In addition, linear regression analysis was also carried out to identify factors that influence uterine involution. The analysis results are considered significant if the p value <0.05. III.          Results and Discussion The results of the study showed that there were significant differences in the uterine involution process between the groups who underwent IMD and those who did not. The average height of the uterine fundus on the third day after delivery for the IMD group was 12 cm, while for the non-IMD group it was 15 cm (p < 0.01). On the seventh day, the average uterine fundal height for the IMD group decreased to 8 cm, while the non-IMD group was still at 10 cm (p < 0.01). These data indicate that IMD practice contributes to accelerated uterine involution, which is in line with previous research which found that IMD can stimulate uterine contractions through the release of the hormone oxytocin (Nirmala et al., 2021). Linear regression analysis shows that factors such as level of education, social support, and previous experience in breastfeeding also have a significant effect on the uterine involution process. Mothers with a higher level of education tend to better understand the importance of IMD and are more motivated to do it. Social support from family and medical personnel also plays an important role in the success of IMD practice, which in turn has an impact on postpartum maternal health (Sari & Rachmawati, 2022). A relevant case example is a 28 year old mother who gave birth naturally and underwent IMD. This mother reported that she felt more comfortable and confident in breastfeeding her baby, which made her more motivated to maintain her health. The results of uterine fundus palpation showed that uterine involution was progressing well, with normal uterine fundus height on the third and seventh days. This case reflects the importance of support and education in IMD practice to support maternal health. Statistics from this study show that 75% of mothers who underwent IMD experienced good uterine involution, compared to only 45% in the non-IMD group. This shows that IMD is not only beneficial for the baby, but is also very important for the mother's health. This finding is in line with other research which shows that IMD can reduce the risk of postpartum bleeding and speed up the healing process (Putri, 2020). Thus, it is important to increase awareness and training for medical personnel and the public regarding the benefits of IMD. Educational programs involving families and communities also need to be strengthened to support IMD practices, so that they can maximize the benefits for maternal and infant health.   IV.  Conclusion Based on the research results, it can be concluded that the practice of Early Breastfeeding Initiation (IMD) has a positive influence on the uterine involution process in postpartum mothers. Mothers who underwent IMD showed a faster uterine involution process compared to those who did not. Additionally, factors such as education, social support, and previous experience in breastfeeding also play an important role in the success of IMD practices and overall maternal health. Therefore, further efforts are needed to increase awareness and training regarding IMD among medical personnel and the public V.    References Nirmala, S., & Rachmawati, D. (2021). The Effect of Early Initiation of Breastfeeding on Uterine Involution in Postpartum Mothers. *Journal of Maternal and Child Health*, 6(1), 15-22. Putri, A. (2020). The Role of Early Breastfeeding Initiation in Reducing Postpartum Hemorrhage. *Health Science Journal*, 8(3), 45-50. Sari, R., & Rachmawati, D. (2022). Factors Influencing the Success of Early Breastfeeding Initiation in Postpartum Mothers. *International Journal of Nursing Studies*, 29(2), 100-110. World Health Organization. (2020). Maternal mortality. Retrieved from [WHO website](https://www.who.int/news-room/fact-sheets/detail/maternal-mortality). Alavi, M., et al. (2020). The effect of early initiation of breastfeeding on uterine involution in postpartum women. *Journal of Maternal-Fetal & Neonatal Medicine*, 33(12), 2030-2035. American College of Obstetricians and Gynecologists (ACOG). (2021). Postpartum care. Retrieved from https://www.acog.org Bhandari, N., et al. (2019). Early initiation of breastfeeding and its impact on maternal and neonatal health: A systematic review. *International Breastfeeding Journal*, 14(1), 1-10. Dewi, R. S., et al. (2021). The impact of early breastfeeding initiation on uterine involution in postpartum mothers at Surabaya Hospital. *Indonesian Journal of Health Sciences*, 7(2), 45-50. Gavin, N. I., et al. (2005). Perinatal depression: A systematic review of prevalence and incidence. *Obstetrics & Gynecology*, 106(5), 1071-1083. Ghosh, S., et al. (2018). The role of oxytocin in uterine involution and breastfeeding: A review. *Journal of Obstetrics and Gynaecology*, 38(6), 823-829. Hidayati, S., et al. (2021). The effect of psychological support on postpartum depression among mothers in Jakarta. *Indonesian Journal of Psychiatry*, 4(1), 15-22. Kaur, M., et al. (2018). Oxytocin levels and uterine involution in breastfeeding mothers: A comparative study. *Indian Journal of Obstetrics and Gynecology Research*, 5(3), 400-404.
The Effect of Providing Health Education on Knowledge About Cinnamon for Reducing Blood Sugar Levels in Diabetes Mellitus Sufferers in Sumengko Village Sukomoro District Nganjuk Regency Sony Wahyu Tri Cahyono; Oktaffrastya W. Septafani; Yolanda Herlinasari
Journal for Research in Public Health Vol. 6 No. 2 (2025): January
Publisher : Master of Public Health Program Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jrph.v6i2.103

Abstract

Diabetes Mellitus is a chronic disease characterized by excessive blood sugar levels which can result in long-term complications. One non-pharmacological treatment with herbal plants is cinnamon. In general, many people do not know how to understand the use of medicinal plants as anti-diabetics. This research aims to determine the effect of providing health education on knowledge about cinnamon for reducing blood sugar levels in diabetes mellitus sufferers in Sumengko Village, Sukomoro District, Nganjuk Regency. The design of this research was pre-experimental with a pre-posttest design with one group (One Group Pre-Post Test Design) which was carried out on September 5 2023 in Sumengko Village, Sukomoro District, Nganjuk Regency. Population of 68 people suffering from Diabetes Mellitus, purposive sampling technique. The sample in this study was 54 respondents. The independent variable is Health Education about cinnamon which is measured using SAP Knowledge about cinnamon for reducing blood sugar levels. The dependent variable is knowledge about cinnamon for reducing sugar levels in diabetes mellitus sufferers using the Cinnamon Knowledge questionnaire. Statistical tests use Wilcoxon ρ-value = 0.000, ρ-value ≤ a (0.05). The results obtained from 54 respondents before providing Health Education, almost all of it had insufficient knowledge, 44 respondents (81.5%). After being given Health Education, the majority had good knowledge, 32 respondents (59.3%). Wilcoxon statistical test results ρ-value = 0.000, ρ-value ≤ a (0.05). So that Ha is accepted and there is an effect of providing Health Education on Knowledge about Cinnamon for Reducing Blood Sugar Levels in Diabetes Mellitus Sufferers in Sumengko Village, Sukomoro District, Nganjuk Regency. Providing health education can increase the knowledge of Diabetes Mellitus sufferers about the use of cinnamon to control blood glucose levels.
KNOWLEDGE AND ATTITUDES OF PREGNANT WOMEN TOWARDS THE BEHAVIOR OF USING ULTRASONOGRAPHY IN PREGNANCY EXAMINATION AT THE MAIN INPATIENT CLINIC OF SRI HARTI SOEROSO, SURABAYA CITY Wulandari, Anggrawati; Linda Lutfiyatus Sholika
Journal for Research in Public Health Vol. 6 No. 2 (2025): January
Publisher : Master of Public Health Program Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jrph.v6i2.106

Abstract

The highs and lows of the problem are caused by lack of knowledge and attitudes toward behavior of using ultrasound in pregnancy checks. Influencing factors are factors related to use by pregnant women, including knowledge, attitudes and behavior of pregnant women. The aim of this study was to determine the relationship between knowledge, attitudes and behavior of pregnant women and the use of ultrasound in pregnancy examinations. The aim of this research is to determine the level of knowledge of pregnant women about Ultrasonography and their use of behavior to support pregnancy examinations.This research uses descriptive research with a cross sectional approach located in the city of Surabaya, East Java. The research sample was 20 people taken using the Accidental Sampling technique. Data collection was carried out using a questionnaire. The data analysis technique used in this research is: Chi – Square. The results of this research show that 70% of pregnant women have good knowledge. The results of research in the attitude category were 65% in the good category, and the results of behavioral research were 55% in the good category regarding the use of ultrasound in pregnancy checks. The results of data analysis show that p value of 0.000 is less than 0.05, meaning there is a significant relationship between knowledge and attitudes in the behavior of using ultrasound. Based on the research results, it was concluded that the good knowledge possessed by pregnant women is supported by the attitudes and behavior of mothers who always carry out routine ultrasound examinations so that the health of the mother and fetus can be known well.
THE EFFECT OF EDUCATIONAL VIDEOS ON KNOWLEDGE ABOUT MENOPAUSE OF ELDERLY POSYANDU PARTICIPANTS IN BLABAK VILLAGE, KEDIRI REGENCY Priyanto, Kurniawan Edi; Saifulah, Dedi
Journal for Research in Public Health Vol. 6 No. 2 (2025): January
Publisher : Master of Public Health Program Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jrph.v6i2.107

Abstract

One of the factors that affect women's readiness in facing menopause is maternal knowledge. The cause of the lack of maternal knowledge is education where each mother has a different last education. This study aims to analyze the effect of health education on knowledge about menopause in elderly posyandu participants in Blabak Village, Kediri Regency. The research design used by the researcher is a pre-experimental design with one-group pre-post test design research. The number of samples is 36 respondents with a population of 40 elderly people. with a simple random sampling technique. The research instrument uses a questionnaire. The independent variable is health education. The dependent variable is knowledge about menopause. The results of knowledge about menopause before health education were in the poor category of 27 respondents (75%). After health education about menopause, respondents experienced an increase in the category to good by 33 respondents (91.7%). The results of the study using the Wilcoxon Test with a value of α = 0.05 obtained a significant result of 0.000, because the significant value <0.05 which means that there is an effect of health education on knowledge about menopause in elderly posyandu participants in Blabak Village, Kediri Regency. In this study, knowledge after being given health education about menopause has increased. This proves that health education can be obtained, one of which is from listening and reading on health education videos. very influential on a person's knowledge because they get health education with material that is given repeatedly and discussions are held with respondents.

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