JURNAL ILMIAH OBSGIN : Jurnal Ilmiah Ilmu Kebidanan & Kandungan P-ISSN : 1979-3340 e-ISSN : 2685-7987 https://stikes-nhm.e-journal.id/JOB JURNAL ILMIAH OBSGIN : Jurnal Ilmiah Ilmu Kebidanan & Kandungan en-US lppmnhm@yahoo.com (muhammad suhron) selviadp09@gmail.com (selvi) Wed, 08 May 2024 00:00:00 +0000 OJS 3.1.1.4 http://blogs.law.harvard.edu/tech/rss 60 FAKTOR-FAKTOR YANG MEMPENGARUHI KESIAPAN WUS DALAM MENGHADAPI MENOPAUSE DI KLINIK KEYSA TAHUN 2023 https://stikes-nhm.e-journal.id/JOB/article/view/1956 <p>Menopause&nbsp;adalah&nbsp;suatu&nbsp;masa&nbsp;peralihan&nbsp;dalam&nbsp;kehidupan&nbsp;wanita,&nbsp;dimana&nbsp;ovarium&nbsp;berhenti&nbsp;menghasilkan&nbsp;sel&nbsp;telur,&nbsp;aktivitas&nbsp;menstruasi&nbsp;berkurang dan akhirnya berhenti, dan pembentukan hormon wanita (estrogen&nbsp;dan progesteron) berkurang. Pada beberapa wanita, aktivitas&nbsp;menstruasi&nbsp;berhenti&nbsp;secara tiba-tiba,&nbsp;tetapi&nbsp;biasanya&nbsp;terjadi&nbsp;secara bertahap&nbsp;(baik jumlah maupun lamanya) dan jarak antara 2 siklus menjadi lebih dekat&nbsp;atau&nbsp;lebih&nbsp;jarang.&nbsp;Ketidakteraturan&nbsp;ini&nbsp;bisa&nbsp;berlangsung&nbsp;selama&nbsp;2-3&nbsp;tahun&nbsp;sebelum akhirnya siklus berhenti.(Nugroho, 2014). Sindrom &nbsp;premenopause &nbsp;dan menopause &nbsp;dialami &nbsp;perempuan di &nbsp;seluruh dunia. &nbsp;Diperkirakan &nbsp;70-80% &nbsp;wanita &nbsp;di Eropa mengalami sindrom ini, diikuti oleh Amerika &nbsp;60%, &nbsp;57% &nbsp;di &nbsp;Malaysia, &nbsp;18% &nbsp;di Cina &nbsp;dan &nbsp;10% &nbsp;di &nbsp;Jepang &nbsp;dan &nbsp;Indonesia mengalami &nbsp;sindrom &nbsp;tersebut &nbsp;(Hawari, 2009).Maka peneliti ini untuk mengetahui faktor-faktor apa saja yang mempengaruhi kesiapan WUS dalam menghadapi menopause di Klinik Keysa Tahun 2023.<strong>Metode </strong>penelitian ini bersifat analitik kuantitatif dengan pendekatan crosssectional. Sampel dalam penelitian ini menggunakan metode total sampel yaitu sebanyak 35 orang responden WUS. Analisis yang di gunakan univariat dan bivariat dengan uji statistik Chi-square. <strong>Hasil analisis</strong>&nbsp;bivariat ada hubungan umur nilai P-Value 0,000, pendidikanP-Value 0,002, pekerjaan P-Value 0,000, sumber informasi P-Value 0,049, pengetahuan P-Value 0,049 dan dukungan keluarga P-Value 0,026 terhadap kesiapan WUS dalam menghadapi menopause di Klinik Keysa Tahun 2023 P-Value =P&lt;α0,05.<strong>Kesimpulan</strong>&nbsp;dari penelitian ini, ada hubungan antara umur, pendidikan,pekerjaan, sumber informasi, pengetahuan dan dukungan keluarga dengan kesiapan menopause.Tentang faktor – faktor yang mempengaruhi kesiapan WUS dalam menghadapi menopause di klinik keysa Tahun 2023.Saran penelitian ini agar lebih menambah wawasan yang lebih luas mengenaipentingnya mempunyai pengetahuan dan pemahaman mengenai kesiapan WUS dalam menghadapi menopause.</p> Eneng Nia Yuningsih, Ida Widaningsih ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/1956 Sat, 01 Jun 2024 00:00:00 +0000 PENGARUH AIR REBUSAN DAUN SIRIH HIJAU UNTUK MENGURANGI GEJALA KEPUTIHAN PADA IBU HAMIL DI KLINIK SERUNI HUSADA 1 TAHUN 2023 https://stikes-nhm.e-journal.id/JOB/article/view/1948 <p>&nbsp; <em>Flour Albus</em> (keputihan) sangat sering terjadi pada kehamilan trimester I akan lebih meningkat di Trimester II sampai Trimester III yang disebakan oleh jamur dan bakterial vaginosis. Penggunaan pengobatan non farmakologi (menggunakan bahan alam sebagai obat) dinilai lebih aman dari pada menggunakan pengobatan farmakologi, karena efek samping non farmakologi relatif kecil jika digunakan secara tepat. Salah satu dari penggunaan pengobatan non farmakologi yaitu dengan menggunakan air rebusan daun sirih hijau yang memiliki manfaat serta khasiat tanpa efek samping sebagai solusi untuk mengatasi keputihan fisiologis maupun patologis dan untuk mencegah terjadinya keputihan pada wanita hamil. Tujuan Penelitian ini adalah untuk mengetahui pengaruh air rebusan daun sirih hijau untuk mengurangi gejala keputihan pada ibu hamil di Klinik Seruni Husada 1.</p> <p>Jenis penelitian ini merupakan penelitian kuantitatif yaitu <em>pra eksperimental</em> dengan desain penelitian <em>one grup pre test post test design</em>. Populasi dalam penelitian ini adalah 42 ibu hamil dengan keputihan. Teknik pengambilan sampel dengan menggunakan <em>total sampling</em> yaitu 42 orang ibu hamil. Instrumen yang digunakan pada penelitian ini adalah lembar observasi. Data dianalisis dengan analisis univariat dan Bivariat menggunakan uji <em>wilxocon</em>.</p> <p>Hasil analisis univariat didapatkan keputihan pada ibu hamil sebelum dilakukan pemberian air rebusan daun sirih hijau sebagian besar dengan gejala keluar cairan dari vagina sebanyak 42 (100%) namun setelah pemberian air rebusan daun sirih hijau sebagian besar keluar cairan dari vagina sebanyak 40 (95,2%). Hasil menunjukkan bahwa ada pengaruh pemberian air rebusan daun sirih hijau untuk mengurangi gejala keputihan pada ibu hamil di Klinik Seruni Husada diperoleh z skore 4,118 dan p-<em>value</em> 0.000 (p&lt;0.05). Saran dengan adanya penelitian ini diharapkan Ibu hamil diharapkan dapat menerapakn penggunaan air rebusan daun sirih hijau untuk mengurangi gejala keputihan. Kesimpulan penggunaan air rebusan daun sirih hijau dapat menurunkan gejala keputihan sehingga keputihan yang dialami ibu menjadi fisiologis dan tidak menggangu aktivitas ibu.</p> Sekar Pratiwi, Hajar Nur Fathur Rohmah ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/1948 Sat, 01 Jun 2024 00:00:00 +0000 FAKTOR-FAKTOR YANG MEMPENGARUHI ANEMIA PADA REMAJA PUTRI KELAS XI DI SMAN 2 CIBITUNG TAHUN 2023 https://stikes-nhm.e-journal.id/JOB/article/view/1957 <p>WHO melaporkan prevalensi anemia pada remaja putri di negara berkembang sekitar 53,7 % dari semua remaja putri. Di India anemia pada remaja putri sebesar 45 % di Indonesia sebesar 32%. Proporsi anemia pada perempuan 27,2 % lebih besar dibanding laki-laki 20,3%. Kejadian anemia pada remaja putri mengalami peningkatan dari 37,1% menjadi 48,9% (Riskesdas, 2018). Di Indonesia sekitar 12 % remaja laki-laki dan 23% remaja perempuan mengalami anemia defisiensi zat besi (Kemenkes, 2021). Tujuan penelitian ini untuk mengetahui hubungan pendidikan orangtua, pengetahuan, status gizi, pola makan dan pola menstruasi berhubungan dengan kejadian anemia. Desain penelitian yang digunakan analitik dengan pendekatan cross sectional yaitu jenis penelitian yang menilai hubungan dan menekankan waktu pengukuran data observasi dan variabel secara stimulant. Populasi dalam penelitian ini adalah 148 remaja putri. Teknik pengambilan sampel secara probability sampling dengan cara pengambilan proportional random sampling, total sampling sebanyak 108 orang remaja putri. Instrumen yang di gunakan yaitu kuisioner, data di analisa menggunakan uji chi-square. Hasil menunjukan bahwa variabel yang berhubungan dengan kejadian anemia pada remaja putri di SMAN 2 Cibitung Tahun 2023 adalah pendidikan orangtua (0,032), pengetahuan (0,008), status gizi (0,026), pola makan (0,007), pola menstruasi (0,010). Dari 5 variabel yang diteliti semuanya ada hubungan dengan kejadian anemia pada remaja putri. Saran peneliti untuk remaja putri diharapkan memperluas wawasan mengenai anemia dan rajin mengkonsumsi makanan yang bergizi. Bagi SMAN 2 Cibitung diharapkan untuk selalu memberikan edukasi mengenai anemia dan berkolaborasi dengan puskesmas setempat untuk memberikan Tablet Tambah Darah secara rutin kepada remaja putri.&nbsp;</p> Ade Kurniasih, Ida Widaningsih ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/1957 Sat, 01 Jun 2024 00:00:00 +0000 THE RELATIONSHIP BETWEEN BREASTFEEDING TECHNIQUES AND THE INCIDENT OF SCRATCHED NIPPLES IN PUBLIC WOMEN AT TPMB ARI KRISTIYANI, TAMBUN SELATAN DISTRICT, BEKASI https://stikes-nhm.e-journal.id/JOB/article/view/1944 <p>According to the results of the Indonesian Toddler Nutritional Status Study (2020), as many as 27.67% of toddlers in Indonesia experience stunting. One intervention that is considered capable of overcoming the problem of stunting is optimal exclusive breastfeeding. Indonesia's exclusive breastfeeding coverage in 2022 was recorded at only 67.96%, down from 69.7% in 2021. The causes of failure to provide exclusive breastfeeding are three factors, namely psychosocial factors, socio-demographic factors and health service factors. Providing knowledge about early breastfeeding will increase positive attitudes and the success of exclusive breastfeeding. The aim of this research is to identify the relationship between breastfeeding techniques and the incidence of sore nipples in postpartum mothers at TPMB Ari Kristiyani, Tambun Selatan District, Bekasi Regency in 2023.</p> <p>The research method used is a cross sectional survey method. sampling using a total sampling technique of 30 respondents. Univariate analysis uses a frequency distribution and for bivariate tests uses the Chi Square test. This research uses primary data from filling out questionnaires by respondents.</p> <p>The results showed that of The P value has a value of 0.000 &lt; 0.05, which means that Ha is accepted and Ho is rejected or means that there is a relationship between breastfeeding technique and the incidence of sore nipples at TPMB Ari Kristiyani.</p> <p>It is hoped that this research will become a reference for educational materials in independent practice settings, especially breast-feeding techniques so that the breastfeeding process is comfortable and pain-free. It is also hoped that this research will become a basis and reference for further research related to increasing knowledge and become material for further study</p> Finda Maygrani, Ida Widaningsih ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/1944 Mon, 03 Jun 2024 00:00:00 +0000 PENGARUH MEDIA AUDIO VISUAL TERHADAP PENGETAHUAN REMAJA PUTRI TENTANG PERINEAL HYGIENE SAAT MENSTRUASI DI SMAN 1 SUKAWANGI KABUPATEN BEKASI TAHUN 2023 https://stikes-nhm.e-journal.id/JOB/article/view/1951 <p>Dampak perineal hygiene yang kurang baik yang sering terjadi adalah keputihan (<em>Fluor Albus</em>), karena tidak memperhatikan kelembaban serta kurangnya menjaga kebersihan area genitalia dan kebiasaan-kebiasaan yang sering dilakukan setelah BAB dan BAK juga hal ini dikarenakan kurangnya menjaga kebersihan tangan. Tujuan penelitian ini untuk Mengetahui pengaruh media audio visual terhadap pengetahuan remaja putri tentang perineal hygiene saat menstruasi.</p> <p>Pada penelitian ini menggunakan kuantitatif dengan rancangan <em>pra-eksperimental. </em>Populasi dalam penelitian ini adalah seluruh siswi kelas X, XI, dan kelas XII. Metode pengumpulan sampel menggunakan simple random sampling yaitu peneliti mengambil responden yang memenuhi kriteria, secara acak yaitu jumlah sampel yaitu 321 responden. Instrument pengumpulan data dengan data primer, analisis data menggunakan analisa univariat dan bivariate dengan uji <em>Wilcoxon test</em>. Hasil uji uji <em>Wilcoxon</em> yang diperoleh yaitu P value 0,000, dimana nilai P &lt; 0,05, yang berarti adanya pengaruh pemberian media audio visual tentang perineal hygiene saat menstruasi pada remaja.</p> <p>Diharapkan dari pihak sekolah adanya mata pelajaran tentang kesehatan reproduksi perineal hygiene saat menstruasi, yang bertujuan untuk meningkatkan pengetahuan remaja purti tentang menjaga Kesehatan reproduksi Wanita.</p> Ratna Wulansari, Ika Kania Fatdo Wardani ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/1951 Mon, 03 Jun 2024 00:00:00 +0000 PENGARUH PENGGUNAAN BIRTH BALL TERHADAP PENURUNAN NYERI PERSALINAN KALA 1 FASE AKTIF DI RB MUSTIKA CIKARANG PUSAT TAHUN 2023 https://stikes-nhm.e-journal.id/JOB/article/view/1945 <p>Nyeri persalinan merupakan perasaan tidak nyaman karena adanya rasa fisik yang berkaitan dengan kondisi kontraksi uterus yang disertai penipisan serta terjadi pembukaan hingga mencapai puncak persalinan. Hal tersebut dapat berdampak stress pada ibu sehingga dapat menimbulkan persalinan memanjang, peningkatan kesakitan dan kematian ibu dan anak.&nbsp;&nbsp; Berbagai upaya dilakukan untuk mengurangi nyeri tersebut, salah satunya yaitu menggunakan terapi <em>birth ball</em>. Tujuan dari penelitian ini adalah untuk mengetahui pengaruh penggunaan birth ball terhadap penurunan nyeri persalinan kala 1 fase aktif di RB Mustika Cikarang Pusat tahun 2023.</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Penelitian ini menggunakan desain penelitian <em>quasy eksperimen </em>dengan <em>one group pretest posttest design. </em>Teknik pengambilan sampel menggunakan <em>total sampling </em>dengan jumlah sampel 34 orang ibu bersalin di RB Mustika dan pengumpulan data dilakukan dengan menggunakan lembar observasi. Uji statistik yang digunakan yaitu uji wilcoxon.</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Hasil penelitian menunjukan bahwa, dari 34 responden sebelum menggunakan <em>birth ball</em> terbanyak merasakan nyeri di skala 3 – 6 atau nyeri sedang sebanyak 24 responden (70,6%), sedangkan setelah menggunakan <em>birth ball</em> menurun ke skala 1 – 3 atau nyeri ringan sebanyak 21 responden (61,8%). Hasil uji statistik didapatkan nilai P Value = 0,000 (p&lt; 0,05).</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Kesimpulan dalam penelitian ini yaitu, terdapat pengaruh penggunaan <em>birth ball</em> terhadap penurunan nyeri persalinan kala 1 fase aktif di RB Mustika Cikarang Pusat tahun 2023. Diharapkan penelitian ini dapat dijadikan informasi untuk mengurangi nyeri persalinan pada ibu bersalin.</p> Nia Nurmayasari, Ika Kania Fatdo Wardani ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/1945 Mon, 03 Jun 2024 00:00:00 +0000 Pengaruh jus buat bit terhadap peningkatan kadar hemoglobin ibu hamil trimester 1 di PMB Sindya Melistari Januari tahun 2023 https://stikes-nhm.e-journal.id/JOB/article/view/1953 <p>Anemia pada kehamilan dapat memiliki dampak yang serius terhadap kesehatan ibu dan janin. Dalam kondisi anemia, risiko terjadinya abortus, persalinan prematur, serta gangguan pertumbuhan dan perkembangan janin dan rahim menjadi lebih tinggi. Selain itu, ibu hamil yang mengalami anemia juga rentan terhadap infeksi, pradaran antepartum, dan ketuban pecah dini (KPD). Selama proses persalinan, anemia dapat mengakibatkan gangguan pada kontraksi rahim (HIS) dan memperpanjang kala 1 persalinan, bahkan dapat menyebabkan partus terlantar. Buah bit diketahui mengandung zat besi, asam folat, dan vitamin C yang tinggi, yang semuanya merupakan nutrisi penting untuk memperbaiki dan meningkatkan produksi hemoglobin .Tujuan dari penelitian ini adalah untuk mengetahui pengaruh jus buah bit terhadap kadar hemoglobin pada ibu hamil dengan anemia melalui pemeriksaan labolatorium sederhana.</p> <p>Jenis penelitian ini merupakan penelitian kuantitatif <em>Quasy Eksperimental</em> dengan desain <em>&nbsp;Pretest Posttest Control Group</em>. Populasi dalam penelitian ini adalah ibu hamil yang kadar Hb nya &lt;11gr/dl di wilayah TPMB Sindiya Melistari sebanyak 30 orang. Variabel independen dalam penelitian ini adalah kadar Hb pada ibu hamil. Sampel pada penelitian ini menggunakan teknik total sampling. Variabel dependen dalam penelitian ini adalah pemberian jus buah bit</p> <p>Hasil uji <em>Wilcoxone Signed Test </em>diperoleh nilai nilai <em>p= </em>0.000 &lt;0,05 sehingga dapat disimpulkan terdapat pengaruh pemberian jus buah bit terhadap kadar hemoglobin pada ibu hamil di TPMB Sindya</p> <p>Ada pengaruh pemberian jus buah bit terhadap kadar hemoglobin pada ibu hamil di TPMB Sindya Saran penelitian ini dapat menjadi sumber informasi terkait penggunaan jus buah bit secara rutin sebagai alternatif non-farmakologi dalam meningkatkan kadar hemoglobin pada ibu hamil dengan anemia.</p> Sindya Melistari Januar, Hajar Nur Fathur Rohmah ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/1953 Mon, 03 Jun 2024 00:00:00 +0000 Pengaruh Massage Efflurage Terhadap Nyeri Pda Ibu Bersalin Kala 1 Fase Aktif Di TPMB Bd Hj Siti Aisyah S.SiT Sukatani Bekasi Tahun 2023 https://stikes-nhm.e-journal.id/JOB/article/view/1941 <p>Di indonesia kejadian nyeri persalinan pada 2.700 ibu bersalin hanya 15% persalinan yang berlangsung dengan nyeri ringan, 35% dengan nyeri sedang, 30% dengan nyeri hebat dan 20% persalinan disertai nyeri sangat berat. Tujuan penelitian ini untuk mengetahui pengaruh <em>massage efflurage</em> terhadap nyeri pada ibu bersalin kala I fase aktif di TPMB Bdn.Hj Siti Aisyah S.SiT Sukatani Bekasi Tahun 2023</p> <p>Metode penelitian yang digunakan adalah metode <em>Pra eksperimental One Group with Pretest-Post Test Design</em>. Pengambilan sampel dengan total sampling sebanyak 30 orang. Analisa data menggunakan distribusi frekuensi dan uji <em>Wilcoxon</em>.</p> <p>Hasil penelitian menunjukan bahwa tingkat nyeri sebelum dan sesudah dilakukan&nbsp; <em>massage efflurage</em>. Nilai Z hitung -5,007, nilai signifikasi p value (p&nbsp; &lt; 0,05) maka Ha diterima (H0 Ditolak) sehingga dapat disimpulkan ada pengaruh Massage Efflurage terhadap nyeri pada ibu bersalin kala I fase aktif di TPMB Bd Hj.Siti Aisyah S.SiT Sukatani Bekasi Tahun 2023.</p> <p>Kesimpulan hasil dari penelitian ini adalah ada pengaruh <em>massage efflurage</em> terhadap nyeri pada ibu bersalin kala I fase aktif Penelitian ini diharapkan Dapat dijadikan sebagai tambahan informasi bagi bidan tentang <em>massage efflurage</em> sebagai terapi non farmakologis yang dapat diberikan untuk mengurangi nyeri pada ibu bersalin.</p> <p>Kata Nyeri, <em>massage efflurage</em>, ibu bersalin.</p> Novianti Novianti, Rosi Kurnia Sugiharti ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/1941 Mon, 03 Jun 2024 00:00:00 +0000 HUBUNGAN PENGUNAAN KONTRASEPSI 3 BULAN DMPA DENGAN KENAIKAN BERAT BADAN DI TPMB ANNI LISTIAWATI https://stikes-nhm.e-journal.id/JOB/article/view/1975 <p>Injectable birth control is the most widely used form of birth control. Injectable birth control contains the hormone progesterone or a combination of the hormone estrogen progesterone. The 3-month injectable contraceptive type DMPA (depo medroxy progesterone acetate) is highly effective but has several side effects. One of the side effects that can result from using injectable birth control is weight gain. Generally, the increase in body weight is not too large, varying between less than 1 kg - 5 kg in the first year of use. <strong>Objective:</strong> To determine the relationship between the use of 3 month DMPA injection contraception and weight gain at TPMB Anni Listiawati. <strong>Method</strong>: This research uses correlational analysis with a cross sectional design. The research population was 58 3-month DMPA contraceptive acceptors at TPMB Anni Listiawati Researchers used the Total Sampling technique with a sample size of 58 people. <strong>Results</strong>: The research showed that there was a significant relationship between the use of 3-month DMPA contraceptive contraceptives and the weight gain of injectable contraceptive acceptors. The results of the Chi-Square test obtained a p-value of 0.000 &lt; 0.05, meaning that H1 was accepted, there was a relationship between the use of 3-month DMPA contraception and weight gain at TPMB Anni Listiawati, Lumajang City. Family planning acceptors are expected to pay more attention to its benefits,</p> <p>advantages and side effects of the contraception to be used. It is recommended that health workers be more active in providing health education to the public, especially to mothers who are prospective family planning acceptors about the types, benefits, advantages, disadvantages and side effects of contraception.</p> Novita Dewi Kusmira, Rosyidah Alfitri, Reny Retnaningsih ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/1975 Mon, 03 Jun 2024 00:00:00 +0000 HUBUNGAN TINGKAT KEPATUHAN WANITA USIA SUBUR (WUS) DALAM SKRINING HPV-DNA DENGAN KEJADIAN SUSPECT KANKER SERVIKS DI TOTAL LIFE CLINIC SURABAYA https://stikes-nhm.e-journal.id/JOB/article/view/1979 <p>Cervical cancer is the second most common of all cancer cases in Indonesia (Kemenkes RI, 2021). Prevention of cervical cancer can generally be done through routine screening activities and it has been proven that early detection can reduce the incidence rate. The aim of this study was to determine the relationship between the level of compliance of women of childbearing age (WUS) in HPV-DNA screening and the incidence of suspected cervical cancer at Total Life Clinic Surabaya. The design of this research is correlational analytic with a cross sectional approach. The population in this study were all women of childbearing age (WUS) who underwent HPV-DNA examination at the Total Life Clinic Surabaya from July 2022 to December 2023, a total of 38 patients. Total sampling technique. The instruments used in this research were observation sheets and notes made by the researcher. Data analysis uses the contingency test to determine the significance of the relationship between variables. The results showed that the majority of women of childbearing age (WUS) complied with HPV-DNA screening as many as 29 people (76.3%), the incidence of suspected cervical cancer was mostly in the undetected category, namely 34 people (89.5%) and 4 people ( 10.5%) were diagnosed with cervical cancer, there was a relationship between compliance with HPV-DNA screening and the incidence of cervical cancer in WUS at the Total Life Clinic using the contingency coefficient test p-value=0.011. Women who do not comply with cervical cancer screening have a higher risk of being diagnosed with suspected cervical cancer due to delays in detection and treatment of possible precancerous or cancerous conditions. Therefore, it is important to increase awareness, access, and compliance with cervical cancer screening among WUS to reduce this risk.</p> Novita Reni Asih, Widia Shofa Ilmiah, Tut Rayani AW ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/1979 Mon, 03 Jun 2024 00:00:00 +0000 BACK MASSAGE MENURUNKAN NYERI PUNGGUNG PADA IBU HAMIL TRIMESTER III https://stikes-nhm.e-journal.id/JOB/article/view/1974 <p>Pada kehamilan trimester III dengan membesarnya rahim dengan adanya pertumbuhan janin titik berat tubuh lebih condong kedepan sehingga ibu hamil harus menyesuaikan posisinya untuk mempertahankan keseimbangan, akibatnya tubuh akan berusaha menarik bagian punggung agar lebih kebelakang, tulang punggung bagian bawah pun lebih melengkung serta otot-otot tulang belakang memendek sehingga akan menyebabkan terjadinya nyeri pada punggung ibu hamil. Desain penelitian menggunakan <em>pra eksperimen</em> dengan rancangan <em>One Group Pretest Posttest</em>. Populasi penelitian: Ibu hamil trimester III di TPMB Suheti yang mengalami nyeri punggung sebanyak 38. Sampel penelitian berjumlah 30 ibu hamil trimester III dengan keluhan nyeri punggung, teknik pengambilan sampel menggunakan <em>purvosive sampling</em>. Pengumpulan data menggunakan lembar observasi nyeri punggung. Uji statistik menggunakan Uji <em>Wilcoxon.</em> Hasil perhitungan dengan membandingkan skala nyeri punggung sebelum dan setelah diberikan intervensi menunjukan bahwa ada perbedaan skala nyeri dengan nilai <em>p=</em> 0.000 &lt; 0,05 yang artinya ada pengaruh <em>back massage</em> terhadap pengurangan nyeri punggung pada ibu hamil trimester III. Kesimpulan pada penelitian ini adalah adanya Pengaruh Back Massage Terhadap Kejadian Nyeri Punggung Pada Ibu Hamil Trimester III di TPMB Suheti Bekasi 2023. Saran pada penelitian ini adalah penelitian ini dapat menambah wawasan bagi ibu hamil tentang upaya pengurangan nyeri punggung dengan menggunakan terapi non farmakologi <em>back massage.</em></p> vira pratiwi, Rosi Kurnia Sugiharti ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/1974 Mon, 03 Jun 2024 00:00:00 +0000 PENGARUH PELVIC ROCKING TERHADAP LAMA WAKTU KALA I PADA IBU BERSALIN DI TPMB AYU ANDINI KABUPATEN KARAWANG TAHUN 2023 https://stikes-nhm.e-journal.id/JOB/article/view/1973 <table width="636"> <tbody> <tr> <td width="353"> <p><strong>ABSTRACT</strong></p> </td> <td width="0">&nbsp;</td> </tr> <tr> <td rowspan="5" width="353"> <p>Lamanya Persalinan dapat berpengaruh pada kelelahan dan penurunan kondisi fisik ibu bersalin. Kelelahan dalam proses persalinan mengakibatkan kontraksi uterus tidak adekuat sehingga dapat meningkatkan resiko perdarahan postpartum. <em>Pelvic Rocking </em>salah satu gerakan yang dapat dilakukan untuk membantu proses persalinan berjalan nyaman. Penelitian ini bertujuan untuk mengetahui pengaruh <em>pelvic rocking exercise </em>terhadap lama kala II pada Multipara. Penelitian ini bertujuan untuk mengetahui Pengaruh <em>Pelvic Rocking </em>Terhadap Lama Waktu Kala I Pada Ibu Bersalin Di TPMB Ayu Andini Kabupaten Karawang Tahun 2023.</p> <p>Jenis penelitian ini merupakan penelitian kuantitatif <em>Pra Eksperimen </em>dengan desain statistik <em>group complision</em>. Jumlah populasi 30 Kasus pada bulan September – Desember 2023. Teknik pengambilan sampel menggunakan teknik <em>Total sampling</em>.</p> <p>Uji statistic <em>Chi-Square</em>: nilai p value 0.003 lebih kecil dari ɑ = 0,05 ( p value ≤ ɑ ). Hal ini menunjukkan adanya pengaruh yang signifikan antara pemberian <em>pelvic rocking </em>terhadap lama waktu kala I.</p> <p>Kesimpulan dari penelitian ini terdapat pengaruh <em>pelvic rocking </em>terhadap waktu kala I pada ibu bersalin di TPMB Ayu Andini Kabupaten Karawang Tahun 2023. Diharapkan dapat digunakan sebagai evaluasi tenaga kesehatan agar lebih memahami tentang efisiensi pemberian <em>pelvic rocking </em>pada ibu bersalin sebagai upaya untuk mengurangi terjadinya angka kesakitan ibu akibat persalinan yang lama dan sebagai terapi pelengkap selain konvensional.</p> <p>&nbsp;</p> <p><strong>Kata Kunci : </strong>Pelvic Rocking, Lama Waktu, Kala 1, Ibu Bersalin</p> </td> <td width="0">&nbsp;</td> </tr> </tbody> </table> Saroh Maesaroh, Rosi Kurnia Sugiharti ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/1973 Mon, 03 Jun 2024 00:00:00 +0000 Paritas dan Pemenuhan Gizi Seimbang Terhadap Kejadian KEK Pada Ibu Hamil https://stikes-nhm.e-journal.id/JOB/article/view/1662 <p>Chronic Energy Deficiency is a nutritional disorder that is still experienced by many pregnant women. The purpose of the study is to provide benefits to pregnant women, especially for pregnant women who are still experiencing CED so that they can maintain their balanced nutrition and can reduce the incidence of CED in the next&nbsp; years. The research design used was analytic with a cross sectional approach with samples of 27 pregnant women who carried out Integrated ANC at the their Tragah Health Center Bangkalan. The Independent variable was parity and fulfillment of balanced nutrition, while the dependent variable was CED. The result of this research shows us that majority of pregnant women were multigravida and those who well- fulfilled and sufficient balanced nutrition, did not experience CED. So it can be concluded that there was no relationship between parity and balanced nutrition fulfilment with the incidence of CED in pregnant women (ρ-value 0.689). It is necessary for the health workers to&nbsp; provide supplementary food, increase services in the field of counseling, and provide education related to balanced and nutritious food, especially for pregnant women to prevent CED.</p> Nuri Yanti, Selvia Nurul Qomari ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/1662 Wed, 05 Jun 2024 00:00:00 +0000 PENGARUH KONSUMSI DAUN KACANG PANJANG TERHADAP KELANCARAN PRODUKSI ASI PADA IBU MENYUSUI DI TPMB A KECAMATAN KOTABARU KABUPATEN KARAWANG TAHUN 2023 https://stikes-nhm.e-journal.id/JOB/article/view/1969 <p>&nbsp;</p> <p>Produksi ASI suatu proses pembentukan ASI yang melibatkan hormon prolaktin dan hormon oksitosin, masalah yang ditimbulkan dari ibu menyusui adalah produksi ASI yang tidak maksimal, sehingga banyak bayi yang kebutuhan nutrisinya tidak terpenuhi karena ibu tidak dapat memberikan ASI maksimal yang sesuai dengan kebutuhan nutrisi bayi. Sayur-sayuran mampu meningkatkan volume air susu ibu. Selain sayur-sayur tersebut, buah-buahan yang mengandung banyak air akan membantu ibu menghasilkan ASI yang berlimpah. Jumlah ASI yang sedikit juga dapat diatasi ibu dengan mengkonsumsi daun kacang panjang. Lembayung atau daun kacang panjang mengandung sipinon dan polifenol yang berperan dalam reflek prolactin, sehingga merangsang alveoli untuk memproduksi susu sebagai makanan yang dapat meningkatkan produksi ASI. Selain daun kacang panjang ibu juga dapat mengkonsumsi sayuran lain seperti daun katuk dan daun kelor untuk meningkatkan produksi ASI. Tujuan dari penelitian ini adalah Mengetahui Pengaruh konsumsi daun kacang panjang terhadap kelancaran produksi ASI pada ibu Menyusui di TPMB A Kecamatan Kotabaru Kabupaten Karawang tahun 2023</p> <p>Desain yang digunakan dalam penelitian ini adalah <em>one group pretest-post test design,</em> Populasi dalam penelitian ini adalah seluruh ibu postpartum di di TPMB A Kecamatan Kotabaru, Kabupaten Karawang penelitian dilaksanakan pada bulan Oktober 2023 sebanyak 30 orang Teknik pengumpulan sampel yaitu &nbsp;menggunakan <em>total sampling</em> yang artinya menggunakan seluruh populasi untuk dijadikan sampel penelitian sehingga total sampel yang dibutuhkan adalah 30 respoden.</p> <p>Hasil uji <em>Wilcoxone Signed Test </em>diperoleh nilai nilai <em>p=</em> 0.000 &lt; 0,05 sehingga dapat disimpulkan ada pengaruh konsumsi daun kacang panjang terhadap kelancaran produksi asi pada ibu menyusui di TPMB A Kecamatan Kotabaru Kabupaten Karawang Tahun 2023.</p> <p>Kesimpulan ada pengaruh konsumsi daun kacang panjang terhadap kelancaran produksi asi pada ibu menyusui di TPMB A Kecamatan Kotabaru Kabupaten Karawang Tahun 2023. Dapat memberikan informasi kepada ibu menyusui yang mengalami masalah produksi ASI untuk memperlancar produksi ASI selain dengan mengkonsumsi suplemen juga dapat dilakukan dengan cara terapi komplementer seperti mengkonsumsi daun kacang panjang.</p> <p>&nbsp;</p> <p><em>&nbsp;</em></p> <p>&nbsp;</p> <p>&nbsp;</p> Hartati Hartati, Rohani Siregar ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/1969 Wed, 05 Jun 2024 00:00:00 +0000 Pengaruh Konsumsi Jus Jambu Biji Terhadap Peningkatan Kadar Hemoglobin Pada Ibu Hamil Di klinik duta Medika Cileungsi kabupaten Bogor Tahun 2023 https://stikes-nhm.e-journal.id/JOB/article/view/1970 <p>Anemia merupakan salah satu kelainan darah yang umum terjadi ketika kadar sel darah merah (eritrosit) dalam tubuh terlalu rendah. sebagian besar perempuan mengalami anemia selama kehamilan, anemia tersebut yakni anemia defisiensi besi. berdasarkan data yang diperoleh dari dinas kesehatan kabupaten bogor persentasi anemia pada ibu hamil di kabupaten bogor pada tahun 2020 yaitu 4968 orang ibu hamil yang anemia, namun angka ini masih termasuk tinggi jika dibandingkan dengan kabupaten yang lain yang terdapat diprovinsi jawa barat. salah satu buah yang tinggi akan vitamin C sehingga dapat menaikan kadar hemoglobin pada ibu hamil adalah buah jambu biji merah (Psidium guajava). <strong>Tujuan</strong> <strong>penelitian</strong> untuk mengetahui pengaruh mengkonsumsi jambu biji merah terhadap peningkatan kadar hemoglobin ibu hamil di klinik duta medika cileungsi kabupaten bogor. <strong>Metode penelitian:</strong> jenis penelitian kuantitatif, rancangan penelitian metode&nbsp;quasi eksperimen dengan Desain penelitian yang digunakan adalah pre-eksperiment dengan pendekatan One Group Pre-test Post-test. populasi dalam penelitian ini adalah seluruh ibu hamil yang mengalami anemia di kilik duta medika sample pada penelitian sebanyak 30 sample ibu hamil yang mengalami anemia, teknik pengambilan sample total sampling, analisa data univariat dan bivariat menggunakan t-test. <strong>Hasil:</strong>Setelah dilakukan Uji normalitas dengan hasil yang diperoleh nilai p=0.346&gt;0.005, yang berarti data berdistribusi normal sehingga dilakukan analisa data menggunakan uji&nbsp; T test&nbsp; dengan tingkat kemaknaan p=0.000&lt; 0,005, ada perbedaan antara hasil pretest dan posttest . <strong>Kesimpulan :</strong> Dari hasil uji statistik diperoleh ada pengaruh mengkonsumsi jambu biji merah terhadap peningkatan kadar hemoglobin ibu hamil di klinik Duta Medika cileungsi kabupaten Bogor. <strong>Saran </strong>untuk ibu hamil untuk mengkonsumsi jus jambu biji sebagai salah satu solusi untuk mencegah anemia yang bersifat non-farmakologi</p> handayani handayani, Rohani Siregar ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/1970 Wed, 05 Jun 2024 00:00:00 +0000 PENGARUH PUTIH TELUR TERHADAP PROSES PENYEMBUHAN LUKA OPERASI SECTIO CAESAREA PADA IBU NIFAS DIPUSKESMAS TAMBELANG TAHUN 2023 https://stikes-nhm.e-journal.id/JOB/article/view/1934 <p>Putih telur mengandung protein yang sangat tinggi, mutu protein, nilai cerna dan mutu cerna telur paling baik di antara bahan-bahan makanan lainnya. Putih telur mengandung albumin 95% yang berfungsi untuk penyembuhan luka operasi. Tujuan penelitian ini untuk Mengetahui pengaruh putih telur terhadap proses penyembuhan luka operasi <em>sectio caesarea</em>. Pada penelitian ini menggunakan desain penelitian <em>Quasi </em><em>experiment</em> dengan<em> Posttest only with control group Design</em> Populasi dalam penelitian ini adalah pasien inpartu yang rujukan dari Puskesmas Tambelang yang mendapatkan Tindakan operasi <em>sectio caesaria</em> pada bulan November 2023 sebanyak 40 orang yang terdiri dari 20 ibu post sc yang mendapat perlakuan dan 20 ibu nifas post sc yang tidak mendapatkan perlakuan. Metode pengumpulan sampel menggunakan <em>total sampling, </em>yaitu jumlah sampel sama dengan populasi sebanyak 40 orang. Instrument pengumpulan data dengan data primer, analisa data menggunakan analisa univariat dan bivariate dengan uji <em>Shapiro wilk</em>. Hasil Uji statistic dengan menggunakan uji non parametrik test Mann Whitney yaitu dengan nilai<em> Asymp Sig </em>P=0,006 (&lt;α=0,05)<em>, </em>maka dapat disimpulkan bahwa Ho ditolak dan Ha diterima. Diharapkan petugas PONED berkoordinasi dengan Bidan Desa lebih meningkatkan pemantauan kepada ibu nifas post <em>Sectio caesar</em><em>e</em><em>a</em> dalam proses penyembuhan luka operasinya khususnya pola nutrisi tinggi protein.</p> Dedeh Sumiyati, Ika Kania Fatdo Wardani ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/1934 Fri, 07 Jun 2024 00:00:00 +0000 FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN MINAT IBU DALAM PEMILIHAN ALAT KONTASEPSI IMPLAN DI KLINIK PRATAMA KEMALA KECAMATAN CIKARANG PUSAT KABUPATEN BEKASI TAHUN 2023 https://stikes-nhm.e-journal.id/JOB/article/view/1960 <table width="636"> <tbody> <tr> <td rowspan="5" width="353"> <p>WHO data shows that users of contraceptive implants throughout the world are still below injectable contraceptives, pills, condoms and IUDs, especially in developing countries. The percentage of use of injectable contraceptives is 35.3%, pills 30.5%, IUDs 15.2%, while implants are under 10%, namely 7.3%, and other contraceptives are 11.7%. Currently, it is estimated that 30% use an IUD/IUD in China, 13% in Europe, 5% in the United States, 6.7% in other developing countries (Nurmalita Sari et al., 2020). The aim of this research is to identify factors related to maternal interest in choosing an implant contraceptive device at the Pratama Kemala Cikarang Clinic, Bekasi Regency in 2023.</p> <p>The research method used is a cross sectional survey method. The analysis used is the Chi Square Test. This research uses primary data from filling out questionnaires by each respondent. The total population in this study was 197 people and the sample taken was 132 respondents. The sampling technique uses accidental sampling or a sampling technique based on chance, that is, anyone who meets the researcher by chance can be used as a sample.</p> <p>The results of the research show that the variables that are related to interest in implants at the Pratama Kemala Clinic, Cikarang Pusat, Bekasi Regency in 2023 are knowledge (P value 0.004), age (P value 0.001), and husband's support (P value 0.003), while the factors that are not related are education. (P value 0.558), parity (P value 0.082), and employment (P value 0.859).</p> <p>It is hoped that with this research, mothers of couples of childbearing age will be able to increase information and knowledge about the side effects, disadvantages, advantages and contra-indications of contraceptives so that they can choose which method of contraception is good by consulting and asking lots of questions to health workers to gain insight into knowledge about the contraceptives. contraception is wider and can provide information from anywhere, for example from social media.</p> </td> <td width="0">&nbsp;</td> </tr> </tbody> </table> fitri dwi handayani, Ika Kania Fatdo Wardani ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/1960 Fri, 07 Jun 2024 00:00:00 +0000 HUBUNGAN TINGKAT PENDIDIKAN IBU DENGAN PEMILIHAN METODE KONTRASEPSI DIDESA JAMBEARUM KECAMATAN PASRUJAMBE KABUPATEN LUMAJANG https://stikes-nhm.e-journal.id/JOB/article/view/1985 <p>The selected effective contraceptive method is the use of tools or methods to prevent pregnancy for an extended period, especially recommended for couples who do not wish to have more children and have high effectiveness (95%) when used properly and regularly. Selected effective contraceptive methods consist of several types; however, the community is not well-informed about these various contraceptive methods and lacks understanding in selecting the appropriate contraceptive method to use. This research aims to determine the relationship between the maternal education level and the choice of family planning contraceptive methods in Jambearum Village, Pasrujambe District, Lumajang Regency. This research is an analytical observational study using a cross-sectional design with a quantitative approach. A sample of 52 respondents was taken using purposive sampling technique. Data analysis was conducted using the chi-square test. The results of the research revealed that nearly half of the respondents had an elementary education level, with 21 respondents (40.4%). Furthermore, 49 respondents (94.2%) made appropriate choices in family planning. From the chi-square test analysis, the obtained value of α was 0.023, indicating that α &lt; 0.05, thus it can be concluded that there is a relationship between the maternal education level and the choice of family planning contraceptive methods in Jambearum Village, Pasrujambe District, Lumajang Regency. It is essential to improve access to and education about various effective contraceptive methods among rural communities and increase access to education for women to support informed choices regarding their reproductive health.</p> Eka Yusnia Wulandari, Ina Indriati, Rifzul Maulina ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/1985 Fri, 07 Jun 2024 00:00:00 +0000 PENGARUH PEMBERIAN AROMA TERAPI LAVENDER TERHADAP TINGKAT KECEMASAN CALON AKSEPTOR KB IUD DI KLINIK SYAHBI MEDITRA DI DESA BODANG KECAMATAN PADANG KABUPATEN LUMAJANG https://stikes-nhm.e-journal.id/JOB/article/view/1986 <p>The Maternal Mortality Rate (MMR) in Indonesia has not improved significantly from year to year. One way to reduce MMR is by using contraception. From brief interviews with 16 potential acceptors at the Syahbi Meditra clinic, some mothers said that they felt afraid and anxious about changing their family planning method to an IUD/implant method. Many factors influence the lack of IUD use, one of which is fear and anxiety among potential acceptors about installing the contraceptive device. The aim of this research was to determine the effect of providing lavender aromatherapy on the anxiety level of prospective IUD contraceptive acceptors. This research used a pre-experimental design with a one group pre-post test design method with a population of 16 potential IU family planning acceptors and a sample of 16 respondents using a total sampling technique. Data collection includes coding, editing and tabulating. Then the data was analyzed computer using the Paired Samples Test (asymp. Sig 2-tailed) p-value = 0.000 &lt; 0.05. So Ha is accepted, namely that there is an effect of giving Lavender Aromatherapy on the Anxiety Level of Prospective IUD KB Acceptors. The conclusion of this research is that there is an effect of giving Lavender Aromatherapy on the Anxiety Level of Prospective IUD KB Acceptors. The suggestion is that the research site should be able to make innovations related to reducing the anxiety level of prospective IUD acceptors with complementary therapies</p> Reny Rosalina, Rosyidah Alfitri, Nila Widya Keswara ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/1986 Fri, 07 Jun 2024 00:00:00 +0000 HUBUNGAN KADAR HEMOGLOBIN PADA IBU HAMIL TRIMESTER III DENGAN BERAT BADAN LAHIR BAYI DI TPMB LIDIATI DI DESA PULO KECAMATAN TEMPEH KABUPATEN LUMAJANG https://stikes-nhm.e-journal.id/JOB/article/view/1988 <p>Anemic pregmant women has risk of getting a baby with low birth weight and still more common in Indonesia, one of them is the working area of TPMB Lidiati of Pulo empeh Lumajang. This research was conducted to determine the relationship of hemoglobin levels on third trimester pregnant with birth weight infants. The purpose of this study is to identify the relationship of hemoglobin levels in third trimester pregnant with birth weight infants. This study was using cross sectional design that is data acquiring on maternal hemoglobin levels at third trimester and infant birth weight through medical record with once retrieval data. Januari 2023 – Desember 2023 and samples that are used as much as 79 of pregnant women by purposive sampling with only a hemoglobin level of pregnant women during third trimester and birth weight infant born are recorded in medical records. Data analyzing used is a frequency distribution, mean, and Pearson Product Moment. Average of hemoglobin levels on third trimester pregnant was still within the normal range with the prevalence of anemia of 21,5% (higher than government targets) and the average of birth weight by 12,7% (higher than government targets), and with α = 0,05 obtained p-value = 0,0005 dan r-value = +0,870, conclude there is a relationship of hemoglobin levels in third trimester pregnant with birth weight infant with very strong degree of relationship, while high levels of hemoglobin in the third trimester pregnant women, the birth weight infants will hingher.</p> Anni Listiawati, Rifzul Maulina, Anik Purwati ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/1988 Sat, 08 Jun 2024 00:00:00 +0000 HUBUNGAN PENGETAHUAN IBU HAMIL TENTANG ANEMIA DEFISIENSI BESI DENGAN KEPATUHAN IBU HAMIL DALAM MENGKONSUMSI TABLET TAMBAH DARAH DI PUSKESMAS TARUS KECAMATAN KUPANG TENGAH KABUPATEN KUPANG https://stikes-nhm.e-journal.id/JOB/article/view/1981 <p>Anemia in pregnancy is a condition in which a mother has a hemoglobin level of less than 11 grams per deciliter of blood at 0-12 weeks gestation and at 25 to 42 weeks gestation, or hemoglobin levels less than 10.5 grams per deciliter of blood at 13 to 24 weeks gestation. One of the causes of maternal death is iron deficiency anemia in pregnant women which can cause complications in pregnancy(Teja et al., 2021). The impact of iron deficiency anemia on pregnant women is 12%-28% fetal mortality, 30% perinatal mortality and 7%-10% neonatal mortality rate. Efforts made to prevent and overcome anemia in pregnant women are to give blood tablets. This study aims to determine the relationship between pregnant women’s knowledge about iron deficiency anemia with the compliance of pregnant women in taking blood-added tablets. This study used an observational analytical design with an approach <em>Cross Sectional</em>. The population in this study is all pregnant women who checked their wombs at the Tarus Health Center for the period April-July 2023. The sampling technique is <em>Purposive Sampling</em>. Analysis with test <em>Chi-Square </em>by using SPSS 25 <em>for Windows</em>. The results showed a significant relationship between the knowledge of pregnant women about iron deficiency anemia with the compliance of pregnant women taking iron tablets in pregnant women with a p value = 0.017 (p &lt; 0.05). Conclusion: There is a significant relationship between the knowledge of pregnant women about iron deficiency anemia with the compliance of pregnant women to consume blood-added tablets in pregnant women.</p> Vani Lalo, Juliana Alda Parera, Christin Inriati Rambu Podu, Hasri Yulianti, Kamilus Mamoh, Matje Meriaty Huru, Mariana Ngundju Awang, Agustina Abuk Seran ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/1981 Sat, 08 Jun 2024 00:00:00 +0000 HUBUNGAN DUKUNGAN KELUARGA DENGAN PEMBERIAN ASI EKSKLUSIF di RW 3 dan 4 KELURAHAN KEDUNG ASEM KECAMATAN WONOASIH KOTA PROBOLINGGO https://stikes-nhm.e-journal.id/JOB/article/view/1991 <p>According to WHO data, Indonesia's exclusive breastfeeding coverage in 2022 was recorded at only 67.96%, down from 69.7% in 2021, indicating the need for more intensive support so that this coverage can increase. While a mother is breastfeeding, in order to achieve exclusive breastfeeding, the mother needs support, one of which is family support. Family support plays a very important role in the smooth process of breastfeeding and breastfeeding. The aim of the research was to determine the relationship between family support and exclusive breastfeeding in RW 3 and 4, Kedung Asem Village, Wonoasih District, Probolinggo City. The research design used a correlation study with a cross sectional approach. The research subjects were breastfeeding mothers who had babies aged 6-24 months. The sampling technique was simple random sampling with a total of 50 respondents. The research instrument was a questionnaire and data analysis used the chi square test. Based on research results, 18 mothers' families supported and provided exclusive breastfeeding. Based on the output results table, the value of Asymp. Sig (2-sided) in the person chi square test is 0.001. Due to the value of Adymp. Sig (2-sided) 0.001 &lt;0.005, so based on the decision above, it can be concluded that Ho is rejected and Ha is accepted. There is a significant relationship between family support and exclusive breastfeeding based on the significance value of person chi square which is smaller than 0.05. Family support is related to the success of providing exclusive breastfeeding to babies, this is supported by family knowledge about good breastfeeding. Breastfeeding mothers need to increase their self-confidence and motivation in providing breast milk, increasing knowledge about correct breastfeeding through counseling in health care settings.</p> Kiki Hidayati, Rosyidah Alfitri, Anik Purwati ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/1991 Mon, 10 Jun 2024 00:00:00 +0000 HUBUNGAN ANTARA INTERAKSI ORANG TUA DAN ANAK DENGAN PERKEMBANGAN BAHASA DAN KOGNITIF ANAK USIA (4-6 TAHUN) DI TK-MUSLIMAT AL HIDAYAH KEPANJEN https://stikes-nhm.e-journal.id/JOB/article/view/1993 <p>Children are the biggest investment for the nation and family because children are the nation's next generation. Parents' active role in children's development is very necessary. Parenting style is the total interaction between parents and children, where parents provide encouragement for children by changing behavior, knowledge and values that are considered important for parents so that children can be independent, grow and develop healthily and optimally, have self-confident, curious, friendly, success-oriented. The type of research used in this research is an observational or ex post facto study using a cross sectional approach. The population in this study was all students and parents of Kindergarten A and Kindergarten B classes at TK-Muslimat Al-Hidayah Kepanjen in November 2023, totaling 147 people. The sample technique uses purposive sampling. The number of samples in this study was 60 people who were divided into two groups of equal size. The research results showed that the majority of respondents, 36 (60%) of them, had good parent-child interactions. Most of the respondents, 36 (60%) people, had good language development. Most of the respondents, 36 (60%) people, had good cognitive development. There is a relationship between parent-child interaction and language development in children aged (4-6 years) with Pvalue = (0.000) &lt; (0.05). And the relationship between parent-child interaction and the cognitive development of children aged (4-6 years) with Pvalue = (0.000) &lt; (0.05).</p> Indah Nadhyfa Zahara Mevia, Widia Shofa Ilmiah, Ina Indriati ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/1993 Mon, 10 Jun 2024 00:00:00 +0000 PENGARUH INTERVENSI KOMPRES HANGAT AIR REBUSAN BATANG SERAI TERHADAP PENURUNAN NYERI DIMINORE PADA REMAJA BERUSIA 12-21 TAHUN DI ASRAMA DARA JUANTI DI KOTA MALANG https://stikes-nhm.e-journal.id/JOB/article/view/1995 <p>This study aims to evaluate the effect of warm compress intervention with boiled lemongrass stems on reducing dysmenorrhea pain in female adolescents at the Dara Juanti Dormitory in Malang City. This research method uses a pre-experimental research design with one group, using a one-group pretest-posttest design. The total population of female teenagers at the Dara Juanti Dormitory in Malang City was 30 respondents, all of whom experienced desminorrhea pain. The sampling technique used was total sampling. Intervention is carried out by giving a warm compress with boiled lemongrass stems for 15-20 minutes. Data were analyzed using the Wilcoxon paired test. The results showed that the majority of respondents experienced a decrease in desminore pain levels after the intervention. Before the intervention, the majority of respondents experienced moderate pain, but after the intervention, the majority experienced mild pain. Conclusion: Based on data analysis, there is a significant effect between the intervention of warm compresses with boiled lemongrass stems and a reduction in desminore pain in female adolescents at the Dara Juanti Dormitory in Malang City. Therefore, this intervention can be used as an alternative for managing desminorrhea pain in female adolescents.</p> Maya Fitri Susi Andriani, Tut Rayani Aksohini Wijayanti, Anik Sri Purwanti ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/1995 Mon, 10 Jun 2024 00:00:00 +0000 PENGARUH PEMBERIAN JUS BUAH PEPAYA UNTUK PRODUKSI ASI PADA IBU MENYUSUI DI TPMB NY. S DI DESA BULUNGANYAR KECAMATAN LEKOK PASURUAN https://stikes-nhm.e-journal.id/JOB/article/view/1996 <p>Exclusive breast milk based on Government Regulation Number 33 of 2012 is breast milk given to babies from birth for six months, without adding or replacing it with other food or drinks (except medicines, vitamins and minerals). The regulation of exclusive breastfeeding aims to guarantee the fulfillment of the baby's right to exclusive breastfeeding from birth to six months of age by paying attention to growth and development, providing protection to mothers in providing exclusive breastfeeding to their babies and increasing the role and support of the family, community, regional government and the government. towards exclusive breastfeeding (Ministry of Health of the Republic of Indonesia, 2018). This study aims to determine the effect of giving processed papaya fruit juice to facilitate breast milk production for breastfeeding mothers in TPMB Ny S Lekok Pasuruan. The type of research used is pre-experimental, the method used is quantitative with a quasi-experimental design, pretest and posttest group approach. The population in this research is postpartum mothers on days 3 to 7 based on data obtained from the month of August to October 2023. Mothers obtained 20 people gave birth with exclusive breast milk. The analysis used the Wilcoxon paired test. The results of the Wilcoxon paried test show that (p=0.000), meaning there is an effect of giving processed papaya fruit juice to increase breast milk production for breastfeeding mothers. Giving processed papaya fruit juice can increase breast milk production for nursing mothers.</p> Putri Mauludiah, Raden Maria Veronika Widiatril, Sulistiyah Sulistiyah ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/1996 Mon, 10 Jun 2024 00:00:00 +0000 PENGARUH YOGA TERHADAP TINGKAT KECEMASAN IBU NIFAS DI PUSKESMAS PADANG KABUPATEN LUMAJANG https://stikes-nhm.e-journal.id/JOB/article/view/1983 <p>Postpartum mothers experience various significant physical and emotional changes after giving birth, which can trigger anxiety. Anxiety in postpartum mothers can have a negative influence on the baby's growth and development, the mental health of the individual mother, and the mother's role as a wife. Efforts to handle or minimize postpartum anxiety can be done in several ways, one of which is by doing yoga for postpartum mothers. The purpose of this study was to analyze the effect of yoga on the anxiety level of postpartum mothers in Padang Health Center, Lumajang. The research method used is one group pretest posttest design. Sampling using purposive sampling, the number of samples is 30 respondents. The research instrument used a questionnaire. The results showed that the results of statistical tests using the Wilcoxon test obtained a p value of 0.001 (p &lt; 0.05), so it can be concluded that there is a significant influence between the anxiety level of postpartum mothers before and after warm breast compresses, with a 3-fold reduction in anxiety levels. Anxiety decreased by 30 respondents. Postpartum mothers are expected to be able to follow or practice yoga movements regularly, namely 1-2 times a week as an alternative to achieve a feeling of comfort, relaxation and help reduce complaints during the postpartum period. Apart from that, it is hoped that midwives can provide yoga intervention as an effort to help reduce the anxiety level of postpartum mothers.</p> Tititan Nur Ari Dwi Kartikasari, Nila Widya Keswara, Rifzul Maulina ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/1983 Tue, 11 Jun 2024 00:00:00 +0000 FAKTOR-FAKTOR YANG MEMPENGARUHI KELENGKAPAN PEMBERIAN IMUNISASI DASAR PADA BAYI DAN BALITA DI POSYANDU DESA PANDAWANGI TEMPEH LUMAJANG https://stikes-nhm.e-journal.id/JOB/article/view/1982 <p>Immunization is one of the most effective health interventions in an effortto reduce the mortality rate of infants and toddlers. Pandanwangi Village The problem in this research are mother’s age, maternal education level, the support from family of immunization with complete primary immunization in infants. This type of research is observational analytic with a cross sectional approach. The population in this study are mothers who have children that reached the age of 9-12 months in the Pandanwangi village. The ratio 1:1 for case and control groups, then a large sample study of 30 are obtained cases and 30 controls. The sample selection technique uses propotional area probability random sampling. The instrument is form of questionnaires. From the result showed that the variables related to the completeness of immunization are the maternal education level (p value = 0,008, OR = 4,297), maternal knowledge level (p value = 0,004, OR = 4,750), maternal employment status (p value = 0,0001, OR = 7,667), and support of family members on immunization (p value = 0,003, OR = 5,714). Based on the research results, suggestions which may be presented for health workers is to provide information to mother and families about the importance of basic immunization and monitoring the completeness of immunization is needed and for the mothers who have babies should take the time to immunizing children.</p> Lailatul Badriatus Soleha, Rifzul Maulina, Sulistiyah Sulistiyah ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/1982 Tue, 11 Jun 2024 00:00:00 +0000 PENGARUH KOMPRES HANGAT PADA PAYUDARA TERHADAP PRODUKSI ASI PADA IBU NIFAS DI KLINIK GRAND RAYA HUSADA PANDANARUM https://stikes-nhm.e-journal.id/JOB/article/view/1984 <p>Mother's breast milk production is one of the factors so that toddlers' breast milk needs can be met. Lack of breastfeeding for children aged 0-3 years will have an impact on the child's cognitive development and physical growth. Warm compresses on the breasts during breastfeeding will increase the flow of breast milk from the breast-producing glands. Other benefits of warm compresses on the breasts include stimulating the let down reflex, preventing dams in the breasts, improving blood circulation in the breast area, and reducing muscle pain caused by ischemia. The purpose of this study was to analyze the effect of warm compresses on the breasts on breast milk production in postpartum mothers at the Grand Raya Husada Pandanarum Clinic. The research method used was pre-experimental with a one group pretest posttest design. Sampling used accidental sampling, the number of samples is 30 respondents. The research instrument used a questionnaire. The results showed that the average breast milk production before warm breast compresses (Pre-test) was 18.5 cc with a standard deviation of 11.74 cc. After applying a warm breast compress (post test), the average breast milk production was 40.50 cc with a standard deviation of 20.04 cc. It can be seen that the mean difference between the pre-test and post-test is 22 cc with a standard deviation of 8.2 cc. The statistical test results also obtained a p value = 0.000, so it can be concluded that there is a significant influence between breast milk production before and after warm breast compresses. To help smooth breast milk production for post-partum mothers, health workers can provide warm breast compress intervention to stimulate the hormone oxytocin which can facilitate post-partum mothers' breast milk production.</p> Riris Wahyuwihayanti, Widia Shofa Ilmiah, Tut Rayani Aksohini Wijayanti ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/1984 Tue, 11 Jun 2024 00:00:00 +0000 PEMBERDAYAAN PEREMPUAN DALAM PEMBUATAN AIR JAHE UNTUK MENGURANGI MUAL MUNTAH PADA IBU HAMIL DI RW.006 DESA JATIREJA KECAMATAN CIKARANG TIMUR KABUPATEN BEKASI TAHUN 2024 https://stikes-nhm.e-journal.id/JOB/article/view/1997 <p>Pemberdayaan perempuan adalah upaya pemampuan perempuan untuk memperoleh akses dan kontrol terhadap sumber daya, ekonomi, politik, sosial, budaya, agar perempuan dapat mengatur diri dan meningkatkan rasa percaya diri untuk mampu berperan dan berpartisipasi aktif dalam memecahkan masalah, sehingga mampu membangun kemampuan dan konsep diri.</p> <p>Mual muntah merupakan keluhan umum pada kehamilan muda. Di Indonesia terdapat 50-75% kasus mual muntah oleh ibu hamil trimester pertama sedangkan ibu hamil yang mengalami mual muntah di Jawa Barat sebanyak 13%. Penatalaksanaan dengan menggunakan terapi komplementer salah satunya dengan pemberian air jahe. Tujuan penelitian ini untuk mengetahui pengaruh pemberian air jahe terhadap frekuensi mual muntah pada ibu hamil serta memberdayakan perempuan agar bias berperan untuk meningkatkan kesejahteraan keluarga terutama dirinya sendiri.</p> <p>Desain penelitian menggunakan metode penelitian deskriptif. Dimana penelitian atau prosedur penelitian atau pemecahan masalah yang diselidiki dengan gambaran tentang rebusan air jahe untuk mengurangi mual dan muntah pada ibu hamil yang berada di wilayah kerja RW.006 Desa Jatireja Kec. Cikarang Utara. Kelompok penelitian yaitu para ibu rumah tangga berjumlah 30 orang.</p> <p>Hasil penelitian didapatkan bahwa Dari hasil penelitian didapatkan bahwa 30 orang ibu rumah tangga yang dijadikan sample penelitian semuanya memahami tentang mual muntah dan dapat membuat rebusan air jahe yang di sarankan untuk mengurangi mual muntah tersebut</p> Karmila Karmila, Dewita Rahmatul Amin, Masitoh Hardiyanti, Teti Susanti, Hartini Hartini, Sri Rahayuningsih, Masriani Masriani, Riski Neli Maryati ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/1997 Tue, 11 Jun 2024 00:00:00 +0000 PENGEMBANGAN FORMULA MAKANAN POMPOM POTATO WITH PEANUT BUTTER SEBAGAI SELINGAN TINGGI KALORI TINGGI PROTEIN UNTUK PENCEGAHAN STUNTING https://stikes-nhm.e-journal.id/JOB/article/view/1999 <p>Pencegahan stunting jauh lebih efektif dibandingkan pengobatan stunting. Sebelas intervensi stunting difokuskan pada masa sebelum kelahiran (wanita usia subur dan kehamilan), anak usia 6 – 23 bulan dan balita, diantaranya adalah pemberian makanan tambahan bagi ibu hamil kurang energi kronis (KEK) dan pemberian MPASI kaya protein hewani bagi baduta. Salah satu produk pangan yang dapat dijadikan alternatif makanan selingan adalah Pompom Potato with Peanut Butter..</p> <p>Tujuan penelitian ini adalah Menghasilkan formula makanan selingan <em>Pompom Potato with Peanut Butter </em>yang paling disukai yang tinggi kalori dan protein.</p> <p>Penelitian eksperimen dengan perlakuan enrichment pada pembuatan Pompom Potato with Peanut Butter. Teknik yang digunakan berupa Rancangan Acak Kelompok Lengkap (RAKL) dengan lima formula pada pembuatan isian nugget dengan perbandingan ayam dan wortel secara berurutan F0 (0), F1 (6:4), F2 (7:3), F3 (8:2), F4 (9:1). Pengamatan meliputi organoleptik dengan metode uji rating hedonik dan perhitungan nilai gizi. Analisis data meliputi uji ANOVA α=0,05 dengan uji lanjutan Duncan.</p> <p>Hasil penelitian ini menunjukkan bahwa seluruh formula produk Pompom Potato with Peanut Butter berada diantara kategori agak suka dan suka. Produk yang paling disukai adalah F4 yaitu formula Pompom Potato yang diberi isian nugget noissete dengan perbandingan daging ayam dan wortel adalah 90:10. Hasil uji ANOVA menunjukkan ada perbedaan yang signifikan pada seluruh penilaian organoleptik antara kelima produk meliputi warna pada F0 (p-value 0,001), rasa pada F4 (p-value 0,004), aroma pada F4 (p-value 0,002), tekstur pada F1 (p-value 0,008), dan penerimaan keseluruhan (p-value 0,023).</p> <p>Informasi nilai gizi Pompom Potato with Peanut Butter yang paling disukai dalam 1 sajian (70 g atau setara dengan 10 buah) senilai 191,6 kkal, 6,3 g protein, 14,7 g lemak, 0,8 mg zat besi.</p> Yulia Novika J, Antun Rahmadi, Anggun Rusyantia, Bertalina Bertalina ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/1999 Tue, 11 Jun 2024 00:00:00 +0000 PENGARUH REBUSAN KAYU MANIS TERHADAP NYERI JAHITAN PERINEUM PADA IBU NIFAS DIPMB KHUSNIA,S.ST.bd DESA TAMBAK LEKOK KEC. LEKOK KAB.PASURUAN https://stikes-nhm.e-journal.id/JOB/article/view/2000 <p>The postpartum period is the period during labor and immediately after birth which includes the following weeks when the reproductive tract returns to its normal non-pregnant state (Noviana Evin, 2018). Pain is a form of discomfort, which is defined in various perspectives. Stitching pain is pain that occurs in the perineum due to the suturing/hectating process due to tearing of the birth canal during the birth process, whether torn spontaneously or due to an episiotomy (scientific, 2017). Birth canal tears occur when the perineal tissue is torn during childbirth. According to (Zuliati 2016) 65% of birth canal tears occur in mothers in the second stage when giving birth to a baby. This wound usually occurs spontaneously or occurs due to an episiotomy. To determine whether there is an effect of cinnamon decoction on perineal suture pain in PMB Khusnia in Tambak Lekok Village, Kec. Lekok, Pasuruan Regency. The type of research used was a purposive sampling technique, the method used was quantitative with pre-experiment one group pretest-posttest design. The population in this study was postpartum mothers on days 1-6 based on data available in Khort in January-March 2024, obtained by mothers postpartum with perineal suture pain as many as 20 people 20% of the total 28% analysis used Wilcoxon signed rank test. The results of the Wilcoxon signed rank test showed that the effect of giving cinnamon decoction on perineal suture pain in postpartum mothers, the results were 0.005 where &lt;0.05, which means there was an effect before and after being given cinnamon decoction. Giving cinnamon decoction can reduce the pain of perineal stitches in postpartum mothers.</p> Salsabila Salsabila, Anik Sri Purwanti, Raden Maria Veronika Widiatril ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/2000 Tue, 11 Jun 2024 00:00:00 +0000 PENGARUH PENDIDIKAN KESEHATAN REPRODUKSI TERHADAP PENGETAHUAN REMAJA PUTRI TENTANG DAMPAK PERNIKAHAN DINI DI SMKN 1 KOTA PROBOLINGGO https://stikes-nhm.e-journal.id/JOB/article/view/2001 <p>Teenagers are individuals aged between 10 and 24 years and are not married. During adolescence, significant physical and psychological changes occur. In today's teenagers, early marriage often occurs. Indonesia is ranked second after Cambodia in cases of early marriage. According to Basic Health Research, 2.6% of women were married before the age of 15 years, and 23.9% were married between the ages of 15-19 years (RISKESDAS, 2018). Increasing the level of education and empowering women is also the key to reducing cases of early marriage. This research aims to determine the effect of reproductive health education on young women's knowledge about the impact of early marriage at SMKN 1 Probolinggo city in 2023. The type of research used is correlational analysis with a cross sectional design. The population in this study were all young female students in class XI of SMKN 1 Probolinggo City with a sample of 203 female students obtained using random sampling techniques. Data were collected using a questionnaire and research data were analyzed using the Wilcoxon test. The results of the research, before being given health education, the majority of respondents had good knowledge (1.5%), enough (21.7%) and respondents who had less knowledge (76.8%). Meanwhile, after being given health education, the majority had good knowledge (96.1%), enough (3.9%) and respondents with less knowledge (0%). From the results of the Wilxcon test, the p-value = 0.000 &lt; 0.05 means that there is an influence of reproductive health education on the knowledge of young women about the impact of early marriage at SMKN 1 Probolinggo City in 2023. So reproductive health education needs to be promoted today. by related parties to minimize cases of early marriage and maternal mortality rates.</p> Beta Permata Cahyaningtyas, Ina Indriarti, Nila Widya Keswara ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/2001 Thu, 13 Jun 2024 00:00:00 +0000 EFEKTIVITAS PEMBERIAN BUAH NAGA (HYLOCEREUS POLYRHIIZUS) TERHADAP KEJADIAN KONSTIPASI PADA IBU HAMIL DI POLINDES SUMBERMUJUR https://stikes-nhm.e-journal.id/JOB/article/view/2002 <p>Pregnancy results in various changes in pregnant women, including mood, hormones, and physical conditions. Constipation often occurs in the third trimester of pregnancy, which can cause discomfort and health disturbances. The aim of this study is to evaluate the effectiveness of consuming dragon fruit (Hylocereus Polyrhizus) in reducing the incidence of constipation in pregnant women at the Sumbermujur Community Health Center. The research method used is a quantitative experimental design with data collection through direct observation before and after the intervention of dragon fruit. The results show that the majority of respondents were pregnant women aged 21-25 years, primipara, with an average gestational age of 34 weeks. Before the intervention, all respondents experienced constipation. However, after the intervention, 28 out of 30 respondents (93.3%) no longer experienced constipation. In conclusion, the consumption of dragon fruit is effective in reducing constipation in pregnant women at the Sumbermujur Community Health Center, providing a significant contribution to improving the health of pregnant women in rural areas. Further research is recommended to validate these findings and evaluate the long-term impact of this intervention.</p> Dwi Ernawati, Raden Maria Veronika Widiatrilupi, Rani Safitri ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/2002 Thu, 13 Jun 2024 00:00:00 +0000 PENGARUH BABY MASSAGE TERHADAP KUANTITAS TIDUR BAYI USIA 3-6 BULAN DI ATHA MOM AND BABY CARE LUMAJANG https://stikes-nhm.e-journal.id/JOB/article/view/2003 <p>The quantity of sleep in infants aged 3-6 months is an essential aspect of their development and well-being, as well as for their families. During this stage, infants undergo rapid changes in their sleep patterns, and parents often face challenges in ensuring that their babies sleep soundly. This study aims to determine the Influence of Baby Massage on the Quantity of Sleep in Infants Aged 3-6 months at Atha Mom And Baby Care Lumajang. The type of research to be used in this study is pre-experimental design using the pretest and posttest one-group design method. The sample of this study consists of 20 infants aged 3-6 months using total sampling technique. From the research results, it was found that the majority of respondents had poor sleep quality, with 12 respondents (60%) before receiving Baby Massage, and those with good sleep quality were 18 respondents (90%) after receiving Baby Massage. From the analysis table using the Wilcoxon test, the α value obtained was 0.002, which means that α &lt;0.05, and it can be concluded that there is an Influence of Baby Massage on the Quantity of Sleep in Infants Aged 3-6 months at Atha Mom And Baby Care Lumajang. The increase in sleep quantity in infants who received massage is caused by an increase in the secretion of serotonin produced during the massage. Serotonin is the main neurotransmitter associated with the onset of sleep by suppressing the activity of the reticular activating system and other brain activities.</p> Hindun Wasaynab Dian Cahya Saputri, Tut Rayani Aksohini Wijayanti, Anik Sri Purwanti ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/2003 Thu, 13 Jun 2024 00:00:00 +0000 HUBUNGAN PEMAKAIAN KB SUNTIK 3 BULAN DENGAN GANGGUAN HAID PADA WANITA USIA SUBUR DI PMB EKA YUSNIA WULANDARI KABUPATEN LUMAJANG https://stikes-nhm.e-journal.id/JOB/article/view/2004 <p>The use of 3-monthly injectable contraceptive (Kb Suntik 3 Bulan) may cause menstrual disorders, such as shorter or even absent menstruation. This change is in line with the decrease in menstrual blood due to the use of Kb Suntik 3 Bulan. After long-term use, the amount of menstrual blood decreases and amenorrhea may occur. This study aims to determine the Relationship between the Use of 3-Monthly Injectable Contraceptive and Menstrual Disorders in Women of Childbearing Age at Eka Yusnia Wulandari Primary Health Center, Lumajang Regency.This research method employed quantitative research with a quantitative analytical design using a cross-sectional study design, with a total of 35 respondents selected through total sampling technique. The results of the study showed that the majority of respondents were users of Kb Suntik 3 Bulan, amounting to 26 respondents (74.3%), and it was found that the majority of respondents experienced menstrual disorders, amounting to 24 respondents (68.6%).From the analysis using the chi-square test, the significance value obtained was α: 0.001, which means that α &lt;0.05, leading to the conclusion that there is a relationship between the use of Kb Suntik 3 Bulan and menstrual disorders in women of childbearing age at Eka Yusnia Wulandari Primary Health Center, Lumajang Regency.The use of Kb Suntik 3 Bulan can cause side effects, one of which is menstrual disorders. This side effect occurs because Kb Suntik 3 Bulan contains synthetic hormones that can affect the natural hormonal balance in the body. Some women may experience changes in their menstrual cycles after starting to use Kb Suntik 3 Bulan, such as cycle length, amount of blood loss, or intensity of other symptoms such as abdominal pain or discomfort.</p> Siti Nur Alfia, Rosyidah Alfitri, Sulistiyah Sulistiyah ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/2004 Thu, 13 Jun 2024 00:00:00 +0000 PENGARUH PENGGUNAAN LEMBAR KEPATUHAN PEMBERIAN TABLET TAMBAH DARAH TERHADAP KADAR HB PADA REMAJA PUTRI DI SMP NEGERI 1 TEMPEH KABUPATEN LUMAJANG https://stikes-nhm.e-journal.id/JOB/article/view/2005 <p>Anemia is a condition in which the body experiences a decrease in which the level of hemoglobin (Hb) in red blood cells is lower than the normal standard value set by WHO. This research is a type of quantitative research using a correlation research design, pre-experimental design with Univariate, Bivariate data analysis (Independent T Test). The majority of the intervention group had a menarche age of 12 years, while the majority in the control group were 13 years old, 37.5%. while the majority of Hb levels in the intervention group were 11.6 gr/dl. Meanwhile, in the control group, the majority had Hb levels of 11.8 gr / dl. Meanwhile, the p value in this study is 0.001. There is an effect of using the compliance sheet for administering blood supplement tablets on HB levels in adolescent girls at SMP Negeri 1 Tempeh Lumajang Regency</p> Handayani Dwizen, Anik Purwati, Rosyidah Alfitri ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/2005 Thu, 13 Jun 2024 00:00:00 +0000 HUBUNGAN PERILAKU HIDUP BERSIH DAN SEHAT TERHADAP KEJADIAN DIARE PADA BAYI USIA 6-12 BULAN DI PMB SRI INDIARTI, S.Keb., Bd SINGOSARI KABUPATEN MALANG https://stikes-nhm.e-journal.id/JOB/article/view/2009 <p>According to the Extraordinary Events (KLB) of diarrhea in the 2018 Basic Health Research Results, 12.3% of toddlers had diarrhea on average that year. (The Ministry of Health of the Indonesian Republic, 2021). Diarrhea cases were highest in West Java (151,878 cases) and lowest in East Java (Ministry of Health, 2018). The Singosari Community Health Center in Malang Regency reported 1,362 cases of diarrhea in 2014, 2,601 cases in 2015, and 4,904 cases in 2016. In the meantime, PMB Bu Indi, Nampes Batu Retno Hamlet, Singosari District, Malang Regency, reported 80 instances of diarrhea episodes. This study's objectives were to promote clean, healthy living habits and ascertain the frequency of diarrhea episodes in babies aged 6 to 12 months at PMB Sri Indiarti Singosari in Malang Regency. In this study, a correlational research design and cross-sectional technique are used. This study involved 72 participants, with 61 randomly selected from the 72 children (6–12 months) suffering from diarrhea at PMB Sri Indriarti Singosari. The findings indicated that twenty respondents exhibited poor PHBS behavior, forty-one respondents had diarrhea, and twenty respondents did not have diarrhea. The lambda contingency coefficient test revealed a p-value of 0.007 &lt; 0.05, indicating a correlation between diarrhea and clean and healthy living practices in newborns 6 to 12 months old in PMB Sri Indiarti, S.Keb., and Bd Singosari Malang Regency. Health education about clean and healthy living habits is crucial to lowering the incidence of baby diarrhea episodes.</p> Ayu Eka Nuraini, Ina Indriarti, Nila Widya Keswara ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/2009 Thu, 13 Jun 2024 00:00:00 +0000 HUBUNGAN DUKUNGAN KELUARGA DENGAN PROSES RUJUKAN DINI BERENCANA DI WILAYAH KABUPATEN LUMAJANG https://stikes-nhm.e-journal.id/JOB/article/view/2010 <p>According to the World Health Organization (WHO) report, globally around 830 women die every day due to complications during pregnancy and childbirth, with a maternal mortality rate of 216 per 100,000 live births, where 99% of maternal deaths are caused by problems related to pregnancy and childbirth. , One of the factors causing death is delays in getting fast and appropriate health services. Early referral is an important step in dealing with high-risk patients (Listyorini, 2019). Support from the family has an important role in increasing a person's self-confidence, especially for pregnant women who are at high risk in making decisions (Harahap, 2021). The research aims to determine the relationship between family support and the early planning referral process in the Lumajang Regency area. This research is a quantitative research with a cross sectional approach. The population and sample of this research were 18 pregnant women in the Penanggal Community Health Center, Lumajang Regency, the sample was taken using accidental sampling technique. Data was collected using a questionnaire and the data was analyzed using the contingency coefficient test. The results of the research illustrate that 8 respondents had sufficient family support, 5 respondents each had good and poor support. Meanwhile, there were 9 respondents who experienced early planning referrals, the same as respondents who did not experience early planning referrals. The statistical results of the contingency coefficient test obtained p-value = 0.007 &lt; 0.05, which means that there is a relationship between family support and the planned early referral process in the Lumajang Regency area. Because family support is so important in carrying out the early referral planning process, providing health services requires strong supervision and education for family involvement in every medical service that will be provided.</p> Greasia Adi Kusuma, Rosyidah Alfitri, Ina Indriati ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/2010 Thu, 13 Jun 2024 00:00:00 +0000 Pengaruh Metode Demonstrasi Terhadap Hasil Ketepatan Praktik Pemberian Makanan Pendamping ASI (MP-ASI) Pada Balita Stunting Usia 6-23 Bulan di Wilayah Kerja UPTD Puskesmas Hariang dan UPTD Puskesmas Buahdua Sumedang https://stikes-nhm.e-journal.id/JOB/article/view/1989 <p>Stunting merupakan kondisi dimana tinggi badan menurut umur berada di bawah minus 2 Standar Deviasi (&lt;-2SD) dari standar median WHO pada anak berusia 0-59 bulan. Stunting akan berdampak pada proses kembang otak yang terganggu. Stunting salah satunya penyebabnya adalah pengetahuan ibu yang kurang dalam memberikan perawatan kebutuhan gizi pada anak. Cara meningkatkan pengetahuan ibu yaitu dengan metode demonstrasi. Penelitian ini bertujuan untuk mengetahui pengaruh metode demontrasi terhadap hasil ketepatan praktik pemberian makanan pendamping ASI (MP-ASI) pada balita stunting usia 6-23 bulan di wilayah kerja UPTD Puskesmas Hariang dan UPTD Puskesmas Buahdua Tahun 2023.</p> <p>Penelitian ini menggunakan pendekatan kuantitatif dengan metode pre-Eksperimen, one grup pretest post test design. Populasi yang digunakan seluruh balita stunting sejumlah 85 orang yang memenuhi kriteria inklusi inklusi. Teknik pengambilan sampel menggunakan purposive sampling dengan jumlah sampel yaitu seluruh sasaran balita stunting 6-23 bulan sebanyak 30 orang.Teknik analisis data yang digunakan adalah uji wilcoxon melalui program spss. Pada taraf signifikansi α = 0,05.</p> <p>Hasil penelitian ini menunjukan adanya pengaruh metode demonstrasi terhadap hasil ketepatan praktik pemberian MPASI pada balita stunting 6-23 bulan. Dari hasil penelitian ini diharapkan ada peningkatan status gizi balita dan adanya penurunan stunting</p> Agi Yulia Ria Dini, Yosi Yusrotul K., Dewi Ratnnawati, Warisatul Istiqomah ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/1989 Sat, 15 Jun 2024 00:00:00 +0000 Hubungan Antara Tingkat Pendidikan dan Tingkat Pengetahuan Dengan Kejadian Anemia Pada Ibu Hamil di UPTD Puskesmas Rancabango Kabupaten Subang https://stikes-nhm.e-journal.id/JOB/article/view/2006 <p>Angka kematian ibu di Indonesia tahun 2019 sebesar 205 per 1.000 KH, 40% kematian ibu di negara berkembang berkaitan dengan anemia pada kehamilan. Angka anemia pada ibu hamil di Indonesia masih cukup tinggi, yaitu telah meningkat sebesar 11,8% selama 5 tahun terakhir. Ibu hamil sebaiknya memiliki pengetahuan tentang segala hal yang menyangkut dengan kehamilannya. Tingkat Pendidikan ibu hamil dapat mempengaruhi tingkat pengetahuan, sehingga tidak acuh terhadap informasi kesehatan khususnya tentang masalah yang terjadi saat hamil. Tujuan penelitian ini adalah untuk mengetahui Hubungan Antara Tingkat Pendidikan dan Tingkat Pengetahuan Dengan Kejadian Anemia Pada Ibu Hamil di UPTD Puskesmas Rancabango Kabupaten Subang.</p> <p>Metode penelitian ini menggunakan survey analitik dengan pendekatan <em>cross sectional</em>.&nbsp; Populasi dalam penelitian ini adalah seluruh ibu hamil yang pernah memeriksakan kehamilannya di UPTD Puskesmas Rancabango&nbsp; Kabupaten Subang pada bulan September – November 2023. Teknik pengambilan sampel dengan <em>accidental sampling</em> yaitu berjumlah 39 responden.&nbsp; Analisa data dalam penelitian ini menggunakan analisis univariat dan bivariat dengan uji <em>Chi – Square.</em></p> <p>Hasil penelitian menunjukkan bahwa terdapat hubungan antara tingkat pendidikan dengan kejadian anemia (p = 0,015 &lt; α = 0,05). Terdapat hubungan antara tingkat pengetahuan dengan kejadian anemia (p = 0,039 &lt; α = 0,05).</p> <p>Disarankan petugas kesehatan untuk terus memberikan tablet Fe dan memantau status gizi pada ibu hamil serta memberikan penyuluhan tentang pentingnya pencegahan anemia.</p> Siti Nurdiyana, Heny Puspasari, Santi Melisa ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/2006 Sat, 15 Jun 2024 00:00:00 +0000 Hubungan antara Tingkat Pengetahuan dan Status Pekerjaan dengan Kegagalan ASI Eksklusif di UPTD Puskesmas Rancabango Kabupaten Subang https://stikes-nhm.e-journal.id/JOB/article/view/2007 <table width="636"> <tbody> <tr> <td width="353"> <p>ASI Eksklusif adalah pemberian ASI kepada bayi tanpa makanan dan minuman pendamping yang dimulai sejak bayi baru lahir sampai dengan usia 6 bulan. Pemberian ASI eksklusif sangatlah penting, namun di Indonesia angka kesadaran tersebut masih sangat rendah terkhususnya di Kabupaten Subang. Rendahnya cakupan ASI eksklusif disebabkan oleh berbagai faktor, yaitu: 1) Kurangnya pengetahuan ibu tentang ASI eksklusif, 2) Aktivitas ibu yang menghambat pemberian ASI Eksklusif.&nbsp; Tujuan penelitian ini adalah Untuk mengetahui hubungan antara tingkat pengetahuan dan pekerjaan ibu dengan kegagalan Asi Eksklusif di UPTD Puskesmas Rancabango Kabupaten Subang.</p> <p>Metode penelitian ini menggunakan survey analitik dengan pendekatan <em>cross sectional</em>.&nbsp; Populasi adalah seluruh ibu yang mempunyai bayi berumur 7 – 12 bulan periode bulan September – November 2023 di UPTD Puskesmas Rancabango Kabupaten Subang sebanyak 106 bayi. Teknik pengambilan sampel dengan <em>accidental sampling</em> yaitu berjumlah 35 orang.&nbsp; Analisa data dalam penelitian ini menggunakan analisis univariat dan bivariat dengan uji <em>Chi – Square.</em></p> <p>Hasil penelitian menunjukkan bahwa terdapat hubungan antara tingkat pengetahuan dengan kegagalan ASI Eksklusif (p = 0,037 &lt; α = 0,05). Terdapat hubungan antara status pekerjaan dengan kegagalan ASI Eksklusif (p = 0,026 &lt; α = 0,05).</p> <p>Disarankan kepada Petugas kesehatan mengadakan penyuluhan tentang ASI dengan membentuk kelas busui (ibu menyusui) dan menyebarkan leaflet atau brosur tentang ASI eksklusif yang dapat dicerna dengan baik dan tidak mempromosikan susu formula.</p> </td> </tr> </tbody> </table> Siti Nurdiyana, Yosi Yusrotul Khasanah, Heny Puspasari, Agi Yulia Ria Dini, Rika Aeni ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/2007 Sat, 15 Jun 2024 00:00:00 +0000 Pengaruh Teman Sebaya Dan Akses Informasi Terhadap Kejadian Kehamilan Remaja di Kota Kupang https://stikes-nhm.e-journal.id/JOB/article/view/2008 <p>Kehamilan di usia remaja dapat berisiko pada ibu dan bayi. Pada wanita yang berusia di bawah 20 tahun memiliki kondisi rahim dan panggul yang belum berkembang secara optimal. Sejak tahun 2020 angka kejadian kehamilan remaja di Kota Kupang terus meningkat, hal ini akan berdampak pada persalinan, nifas, serta bayi yang dilahirkan juga berdampak pada tingginya Angka Kematian Ibu (AKI) dan Angka Kematian Bayi (AKB). Tujuan penelitian mengetahui pengaruh peran teman sebaya dan akses informasi terhadap kejadian kehamilan remaja&nbsp; di Kota Kupang. Jenis penelitian kuantitatif dengan rancangan observasional analitik dengan desain <em>cross sectional</em>.&nbsp; Populasi sebesar 431 remaja dan sampel sebesar 205 remaja. Teknik pengambilan sampel menggunakan teknik <em>simple random sampling.</em> Variabel penelitian yaitu peran teman sebaya dan akses informasi. instrumen penelitian menggunakan kuesioner. Analisis statistik dalam penelitian ini adalah <em>Regresi linear sederhana</em> dengan tingkat kepercayaan α=0,05. Hasil penelitian menunjukkan signifikan peran teman sebaya ρ-value 0,007 dan&nbsp; akses informasi <em>p-value </em>0,000.</p> Martina Fenansia Diaz, Hasri Yulianti, Ignasensia Dua Mirong ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/2008 Sat, 15 Jun 2024 00:00:00 +0000 HUBUNGAN STATUS GIZI DENGAN KEJADIAN ANEMIA PADA REMAJA PUTRI DIPONDOK PESANTREN AL-AZIZI KANDANGTEPUS KECAMATAN SENDURO KABUPATEN LUMAJANG https://stikes-nhm.e-journal.id/JOB/article/view/2012 <p>Anemia is a type of disease where the sufferer experiences a lack of hemoglobin levels in the blood. Most of those who experience anemia are women, especially teenagers. Because teenage girls often do not consume food with sufficient nutritional content and experience menstruation every month. Adolescence is also a period of nutritional vulnerability which is caused by various things, such as changes in lifestyle and eating habits of teenagers which will affect their nutritional intake and needs. The purpose of this study was to analyze the correlation between nutritional status and the incidence of anemia in boarding school teenagers. This research method is an analytical survey research using a cross-sectional approach/design. The population is 40 teenagers. The sampling technique used in this research was the Total Sampling technique. The sample for this research was 26 young women in Islamic boarding schools. Data collection using an observation questionnaire. The results of the study showed that 13 people (50%) experienced poor nutritional status, while the remaining 10 people (38%) had normal weight. Some 13 respondents (50%) had HB levels of 10 mg/dl, while the remaining 11% had normal Hb levels of 12 mg/dl. statistical test Pearson correlation statistical test was carried out. The results of the study of 26 respondents showed a significant relationship between nutritional status and the incidence of anemia in adolescents in Islamic boarding schools. The conclusion is that the majority of respondents experienced anemia and did not receive blood supplement tablets, based on statistical tests it was found that there was a relationship between nutritional status and the incidence of anemia in adolescents in Islamic boarding schools.</p> <p>&nbsp;</p> Nikmatul Hasanah, Rosyidah Alfitri, Widia Shofa Ilmiah ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/2012 Sat, 15 Jun 2024 00:00:00 +0000 HUBUNGAN BEBAN KERJA DENGAN STRESS KERJA PERAWAT DI RUANGAN RAWAT INAP DI RSU GMIM SILOAM SONDER https://stikes-nhm.e-journal.id/JOB/article/view/2014 <table width="636"> <tbody> <tr> <td width="353"> <table width="636"> <tbody> <tr> <td width="353"> <p>Beban kerja yang berlebihan ini sangat mempengaruhi produktivitas tenaga kesehatan dan tentunya produktivitas perawat. Faktor yang mempengaruhi beban kerja perawat adalah kondisi pasien yang selalu berubah, dan rata-rata jumlah jam menyusui yang diperlukan untuk memberikan pelayanan langsung kepada pasien melebihi kemampuan seseorang. Kondisi ini dapat memicu stres kerja. Stres kerja merupakan salah satu bentuk permasalahan pada perawat dan dapat menyebabkan penurunan semangat kerja, dan prestasi kerja, serta peningkatan risiko intervensi yang dapat membahayakan pasien atau perawat itu sendiri. Penelitian ini bertujuan untuk mengetahui hubungan antara beban kerja perawat dengan stres kerja perawat di Ruang Rawat Inap RSU GMIM Sonder. Desain penelitian ini merupakan metode kuantitatif dengan desain cross sectional yang terdiri dari 33 responden. Uji statistik menggunakan uji rho Spearmen. Hasil analisis menunjukkan p-value sebesar 0,000 (&lt;0,05), yang berarti terdapat hubungan antara beban kerja perawat dengan stres kerja perawat di Ruang Rawat Inap RS GMIM Sonder. Disarankan agar lembaga pelayanan menambah staf perawat mereka untuk mengatasi beban kerja dan stres kerja perawat.</p> </td> </tr> </tbody> </table> <p>ereka untuk mengatasi beban kerja dan stres kerja perawat.</p> </td> </tr> </tbody> </table> Vivi Meiti Berhimpong, Margareta Bangkut, Syendi Lasera Liuw ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/2014 Sat, 15 Jun 2024 00:00:00 +0000 HUBUNGAN STATUS GIZI DENGAN KADAR HEMOGLOBIN PADA REMAJA PUTRI DI SMK KARTIKA IV-1 MALANG https://stikes-nhm.e-journal.id/JOB/article/view/2013 <p>Indonesia is a country that faces many nutritional problems which have a serious impact on the quality of human resources (HR). One of the problems of malnutrition that is still quite high in Indonesia is anemia in women of childbearing age (WUS). The prevalence of anemia according to the World Health Organization (WHO) collected from 1993 to 2005 is estimated at around 1.6 billion people, 1/4 of the world's population suffers from anemia. Meanwhile, the anemia rate in the WUS group was 57%. In East Java Province the anemia rate is 9.6%. This figure is still lower than the national incidence rate of 28%. The type of research used in this research is Correlation Analysis, which is a research method that involves collecting data to determine whether there is a relationship and the level of relationship between two or more variables using a cross sectional approach where the researcher will carry out observations or measurements of variables at the same time. The population of 11th grade teenage girls at SMK Kartika IV-1 Malang is 60 people. The sample technique uses simple random sampling. The number of samples in this research was 38 respondents. The research results showed that the majority of respondents had a nutritional status in the good category, almost half of the respondents had a nutritional status in the sufficient category, and a small number of respondents had a nutritional status in the poor category. Most of the respondents had hemoglobin levels in the normal category, almost half of the respondents had hemoglobin levels in the high category, and a small number of respondents had hemoglobin levels in the low category. There is a relationship between nutritional status and hemoglobin levels in young women at Vocational School Kartika IV-1 Malang, with the results of the chi square test showing Pvalue = (0.000) &lt; (0.05).</p> Mardiana Ina Zangga, Rifzul Maulina, Sulistiyah Sulistiyah ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/2013 Mon, 17 Jun 2024 00:00:00 +0000 HUBUNGAN RIWAYAT KEKURANGAN ENERGI KRONIK SAAT HAMIL DENGAN KEJADIAN STUNTING PADA BALITA DI WILAYAH PUSKESMAS PENANGGAL KABUPATEN LUMAJANG https://stikes-nhm.e-journal.id/JOB/article/view/2016 <p>If pregnant women experience malnutrition, the fetus in the womb will be hindered in its growth and development. Hindered fetal growth and development will put the baby at risk of being born with low birth weight. Low birth weight is one of the risk factors for stunting in toddlers. This study aims to determine the relationship between the history of chronic energy deficiency in pregnant women and the incidence of stunting in toddlers in the Penanggal Community Health Center area, Lumajang Regency. This research is a quantitative study based on a retrospective cohort study approach using an analytic correlation research design with a total sample of 48 respondents selected through Simple Random Sampling technique.&nbsp; The results showed that the majority of respondents in the Penanggal Community Health Center area, Lumajang Regency, did not have a history of chronic energy deficiency, totaling 33 respondents (68.8%), and the majority of respondents had children in the normal category (not stunted), totaling 32 respondents (66.7%). From the analysis using the Contingency test, a p-value of 0.000 was obtained, indicating that α &lt;0.05 and it can be concluded that there is a relationship between the history of chronic energy deficiency in pregnant women and the incidence of stunting in toddlers in the Penanggal Community Health Center area, Lumajang Regency. It is important to pay attention to adequate and balanced nutritional intake during adolescence to pregnancy, and to pay special attention to the nutritional needs of pregnant women to prevent chronic energy deficiency and its negative impact on fetal health and the risk of stunting in the offspring.</p> Revita Widya Pratiwi, Widia Shofa Ilmiah, Ina Indriati ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/2016 Mon, 17 Jun 2024 00:00:00 +0000 HUBUNGAN POLA BERMAIN GADGET DENGAN KEMAMPUAN KOGNITIF DAN BERPIKIR KREATIF PADA ANAK USIA PRASEKOLAH (5-6 TAHUN) DI TK MUSLIMAT NU 10 AL-HIDAYAH MALANG https://stikes-nhm.e-journal.id/JOB/article/view/2017 <p>The positive impact of playing gadgets is related to the process of cognitive development, development of symbolic representation, development of attention, opportunity and understanding of essence, faster clear classification, decision making, analysis, cause and effect relationships, memory development, encouraging creativity, encouraging curiosity, developing imagination. problem solving processes, and increasing motivation. The type of research used in this research is analytical observational using a cross sectional approach where researchers will carry out observations or measurements of variables at the same time. The population in this study were all students aged 5-6 years in classes Kindergarten A and Kindergarten B at TK-Muslimat Al-Hidayah Kepanjen, totaling 46 people. The sample technique uses purposive sampling. The number of samples in this study was 32 people who were divided into two groups of equal size. The research results showed that most respondents had good gadget playing patterns. Most respondents have cognitive abilities in the good category. Most respondents have creative thinking in the good category. There is a relationship between gadget playing patterns and cognitive abilities in preschool children (5-6 years) at Muslimat Al-Hidayah Malang Kindergarten with a P value of 0.000 &lt; 0.05. There is a relationship between gadget playing patterns and creative thinking in preschool children (5-6 years) at the Muslimat Al-Hidayah Malang Kindergarten with a P value of 0.000 &lt; 0.05.</p> Intan Nurmahidayati, Nila Widya Keswara, Tut Rayani Aksohini Wijayanti ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/2017 Mon, 17 Jun 2024 00:00:00 +0000 PENGARUH BABYSPA TERHADAP PERKEMBANGAN MOTORIK KASAR DAN HALUS PADA BAYI USIA 6-12 BULAN DI SUNRISE BABY SPA KOTA MALANG https://stikes-nhm.e-journal.id/JOB/article/view/2021 <p>This study aims to investigate the effect of baby spa therapy on gross and fine motor development in babies aged 6–12 months at Sunrise Baby Spa, Malang City. We used a quasi-research method with a one-group pretest-posttest design, involving 20 babies who underwent baby spa therapy. We collected data using gross and fine motor development questionnaires, and processed the results using univariate, bivariate, and Wilcoxon statistical tests. The results showed a significant increase in gross motor development after baby spa therapy, with 80% of respondents achieving development in accordance with the expected stages after therapy. The Wilcoxon statistical test shows a P value of 0.000, confirming that there is a significant difference between the pretest and posttest conditions. Likewise, with fine motor development, the results showed a significant improvement after baby spa therapy, with 50% of respondents achieving development in accordance with the expected stages after therapy. The Wilcoxon statistical test shows a P value of 0.000, confirming that there is a significant difference between the pretest and posttest conditions in fine motor development. The conclusion of this study is that baby spa therapy positively influences gross and fine motor development in babies aged 6–12 months, showing potential as an effective method for improving motor skills in babies.</p> Muti’ah Jihan Zhafirah, Nila Widya Keswara, Tut Rayani Aksohini Wijayanti ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/2021 Mon, 17 Jun 2024 00:00:00 +0000 HUBUNGAN TINGKAT PENGETAHUAN IBU TENTANG KB IUD DENGAN KEJADIAN UNMET NEED AKSEPTOR IUD di PMB USROTUL KARIMAH YOSOWILANGUN https://stikes-nhm.e-journal.id/JOB/article/view/2023 <p>To meet the goals of the Sustainable Development Goals (SDGs), many countries have implemented programs to reduce unmet needs, provide pregnancy services and ensure that childbirth is assisted by trained health personnel. Unmet need is one of the indicators that has a history of more than four decades at the international level in expanding policies and programmes for PUS to regulate their fertility. The purpose of this research is to find out the relationship of the level of knowledge of Mother about Kb IUD with the occurrence of Unmet Need Acceptor IUD in Pmb Usrotul Karimah Yosowilangun. This research is a quantitative type with cross sectional design that will be carried out in April 2024. The population of this study is PUS user KB IUD/non IUD who visited the PMB Usrotul Karimah Yosowilangun Lumajang with a sample of 36 respondents. The data used is univariate and bivariate with the first search for chisquare and analyzed using contingency coefficient test with the help of software SPSS v.29. Based on the univarian analysis obtained most of the mother has a good level of knowledge (66.7%), sufficient knowledge is (27.8%), and (5.6%) less accuracy. This study showed that there was a relationship between the level of knowledge of the mother about the IUD with the unmet need IUD Acceptor events. That means that the mother who has a good knowledge level about IUD is more influential compared to the mother whose knowledge level is less about KB IUD against the unmeasurable need of IUD acceptors in PMB Usrotul Karimah Yosowilangun.</p> Ana Dewi Retnosari, Widia Shofa Ilmiah, Tut Rayani Aksohini Wijayanti ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/2023 Mon, 17 Jun 2024 00:00:00 +0000 HUBUNGAN USIA GESTASI DAN PEMBERIAN ASI EKSKLUSIF DENGAN RISIKO KEJADIAN STUNTING PADA BALITA https://stikes-nhm.e-journal.id/JOB/article/view/2024 <p><strong>Latar belakang:</strong> Stunting adalah kondisi gagal tumbuh pada anak berusia di bawah lima tahun (balita) akibat kekurangan gizi kronis dan infeksi berulang pada periode 1.000 Hari Pertama Kehidupan (HPK). Penyebab stunting yaitu: faktor keluarga dan rumah tangga; makanan tambahan/komplementer yang tidak adekuat; menyusui, dan infeksi. Usia gestasi ibu dan pemberian ASI eksklusif termasuk faktor risiko dari maternal. <strong>Tujuan penelitian </strong>untuk menganalisis hubungan usia gestasi dan pemberian ASI eksklusif dengan risiko kejadian stunting pada balita. <strong>Metode:</strong> Jenis penelitian kuantitatif analitik observasional. Sampel sebagian balita yang berkunjung di posyandu bulan April-Juni 2023 di Bintaran dan Surokarsan Yogyakarta. Teknik sampling, <em>purposive random sampling</em>, berjumlah 55 balita. Instrumen berupa angket wawancara dan lembar observasi. Analisa data bivariat menggunakan uji <em>chi square</em>. <strong>Hasil Penelitian:</strong> Balita dengan umur gestasi matur dan tidak stunting sejumlah 46 balita (83,6%) lebih banyak dibandingkan balita dengan umur gestasi premature dan tidak stunting sejumlah 3 balita (5,5%), hasil uji <em>Chi square</em> dengan P <em>value </em>= 0,533. Balita yang tidak diberikan ASI eksklusif dan tidak stunting sejumlah 36 balita (65,5%) lebih banyak dibandingkan balita yang diberikan ASI eksklusif dan tidak stunting sejumlah 13 balita (23,6%), hasil uji <em>Chi square</em> dengan P <em>value </em>= 0,005. <strong>Simpulan:</strong> tidak ada hubungan umur gestasi dengan kejadian stunting pada balita. Sedangkan ada hubungan antara pemberian ASI eksklusif dengan kejadian stunting pada balita.</p> Lusa Rochmawati, Ina Kuswanti ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/2024 Mon, 17 Jun 2024 00:00:00 +0000 PENGARUH MEDIA ROULETTE TERHADAP MINAT IBU DALAM PEMERIKSAAN IVA (INSPEKSI VISUAL ASAM ASETAT) DI POSYANDU KELURAHAN PAKISTAJI KOTA PROBOLINGGO https://stikes-nhm.e-journal.id/JOB/article/view/2025 <p>Cervical cancer is also called cervical cancer. Based on data from WHO, cancer is the leading cause of death in the world, also lurking in Indonesia. Cervical cancer can be detected early by conducting an IVA (Visual Inspection of Acetic Acid) examination. However, the mother who did the IVA examination in Pakistaji Village was not there at all. The purpose of the study was to determine the effect of roulette media on mother’s interest in IVA (Visual Inspection of Acetic Acid) examination at Integrated Service Post, Probolinggo City The type of research used was an experimental type with a pre-post test design type. The population in this study is all mothers registered at the Pakistaji Integrated Service Post, Probolinggo City in September 2023, amounting to 69 people. The sampling technique with simple random sampling with a sample of 16 respondents. The research instrument used questionnaire sheets. Data analysis using the Wilcoxon Sign Rank Test in the control group that Z was calculated at - 3.578 with a sig value of 0.05 and obtained a p-value of 0.000. So it can be concluded that the p-value is smaller than the sig value (0.000 0.005) which means that Ha is accepted, namely there is an influence of roulette media on maternal interest in IVA (Acetic Acid Visual Inspection) examination at the Integrated Service Post, Probolinggo City. Roulette media can be used as a reference in health counseling about IVA and is expected to motivate, add information, and increase respondents' awareness to conduct IVA (Visual Inspection of Acetic Acid) examination as an effort to detect early cervical cancer. Conducting an IVA (Visual Inspection of Acetic Acid) examination so that the sooner the problem is found, the faster the case will be handled.</p> Selvi Prabandari Purnama Dewi, Rani Safitri, Widia Shofa Ilmiah ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/2025 Tue, 18 Jun 2024 00:00:00 +0000 PERBEDAAN SIKLUS MENSTRUASI BERDASARKAN INDEKS MASSA TUBUH PADA SISWI SMA NU 1 MODEL KABUPATEN LAMONGAN https://stikes-nhm.e-journal.id/JOB/article/view/2026 <p>According to WHO data, 75% of women experience menstrual disorders, approximately 60-70% of women with underweight and overweight can show symptoms of menstrual cycle disorders. Based on data from Basic Health Research (Riskesdas) in 2018, the percentage of women in East Java who experience irregular menstrual cycles is 13.3% with the total number of women who experience irregular menstrual cycles in Indonesia at 13.7%. Female students with an abnormal body mass index can cause disruption to the menstrual cycle. The aim of this research was to determine differences in menstrual cycles based on Body Mass Index in female students at SMA NU 1 Model Lamongan. This research design uses a cross sectional study design. The population and sample in this research were 50 respondents from SMA NU 1 Model Lamongan using total sampling technique. Data were collected by measuring height and weight and questionnaires. Most respondents had a normal menstrual cycle (62%) had a normal body mass index (58%). Meanwhile, the research results showed that the majority of thin (12%) and fat (30%) respondents with an abnormal BMI category experienced irregular menstrual cycles (lengthening &amp; shortening). Analysis univariate and bivariate data analysis using Spearman's Rank. Based on the results of statistical tests, it is known that there are differences in menstrual cycles based on body mass index with a value of p = 0.00. Female students with an abnormal menstrual cycle have an abnormal body mass index (thin &amp; fat) while female students with a normal menstrual cycle tend to have a normal body mass index as well. It is hoped that female students who have an abnormal body mass index must pay attention to their eating patterns. healthy and good nutritional intake.</p> Khoirun Nisa’, Raden Maria Veronika Widiatrilupi, Rosyidah Alfitri ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/2026 Tue, 18 Jun 2024 00:00:00 +0000 PENGARUH PEMBERIAN MAKANAN TAMBAHAN BERBAHAN PANGAN LOKAL TERHADAP STATUS GIZI PADA BALITA GIZI KURANG (12-56 BULAN) DI KELURAHAN KEDUNG ASEM KOTA PROBOLINGGO https://stikes-nhm.e-journal.id/JOB/article/view/2029 <p>Indonesia including 17th countries which have nutritional problems, less intake of toddlers is one of reason malnutrition. The government efforts to manage of nutritional problems in toddlers is by providing supplementary food and this activity have done by Wonoasih Public Health since 2010th, but at 2023th change with Supplementary Foof from Local Food Ingredients in snack form. This study aims to understand the impact of supplementary food made from local ingredients on the nutritional status of undernourished toddlers (ages 12-56 months) in Kedung Asem, Probolinggo City. The research design was <em>pra eksperimental design</em> with <em>pre post test design</em> which is done in 90th days from Desember 1th,&nbsp; 2023 until February 29, 2024. The study focuses on all malnourished toddlers in Kedung Asem Sub-district, involving 16 respondents. A simple random sampling method was used. Data collection included recording the toddlers' weight and height over one month using monitoring sheets. The data were analyzed using the Wilcoxon Signed Ranks Test to determine the differences between paired samples. The study examined the nutritional status of toddlers (12-56 months) before and after receiving supplementary food (PMT). Initially, all 16 respondents (100%) were malnourished. Over 90 days, there was an improvement: 11 respondents (68%) remained malnourished, while 5 respondents (32%) attained good nutritional status. The Wilcoxon Signed Ranks Test showed an Asymp. Sig (2-tailed) value of 0.001, indicating a significant difference in nutritional status pre- and post-intervention (p-value &lt; 0.05). Thus, H1 was accepted, and H0 was rejected. The study concluded that local food-based supplementary feeding positively impacted the nutritional status of undernourished toddlers in Kedung Asem Sub-district, Probolinggo City, suggesting that such interventions should be continued by Public Health authorities as a measure to combat undernutrition. toddlers.</p> Dian Ika Devianti, Reny Retnaningsih, Widia Shofa Ilmiah ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/2029 Tue, 18 Jun 2024 00:00:00 +0000 Efektivitas Penyerapan Zat Besi dari Buah Naga dan Pepaya terhadap Kadar Hemoglobin Ibu Hamil di Puskesmas Sukarejo, Tanjung Jabung Barat https://stikes-nhm.e-journal.id/JOB/article/view/2034 <p>Anemia is the most common nutritional problem and its risk increases in pregnancy and is associated with inadequate iron intake. The prevalence of anemic pregnant women is still quite high, especially in developing countries. Aimed to analyze the effectiveness of Fe absorption from dragon fruit and papaya on the increase in Hb levels of pregnant women who take Fe tablets. This study was a quasy experimental with a two group pre-post test design conducted on 48 pregnant women registered at the Sukarejo Health Center, Tanjung Jabung Barat. Participants were divided into the Dragon fruit intervention group of 24 mothers, and the other 24 were included in the Papaya fruit group. The analysis showed a significant difference in Hb levels in the pre and post test Dragon fruit group with a value of p=0.000, as well as in the Papaya fruit group with a value of p=0.042. Giving dragon fruit is more effective than giving papaya fruit to increase the Hb level of pregnant women who consume Fe tablets.</p> Atika Fadhilah Danaz Nst, Netti Herawati, Suci Amanda ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/2034 Tue, 18 Jun 2024 00:00:00 +0000 EFEKTIVITAS KONSUMSI AIR KELAPA MUDA HIJAU TERHADAP NYERI DISMENOREA PADA SISWI DI SMKN 10 MUARO JAMBI https://stikes-nhm.e-journal.id/JOB/article/view/2035 <p>Reproductive health issues that often occur among teenagers, especially adolescent girls, include menstrual disorders. Dysmenorrhea is a common menstrual disorder among teenagers. Dysmenorrhea causes discomfort in adolescents, necessitating management to alleviate it. This research is a quasi-experimental study with a two-group pretest-posttest design to determine the effectiveness of consuming young green coconut water on dysmenorrhea pain among female students at SMKN 10 Muaro Jambi in 2023. This study was conducted from January to July 2023. The study population consisted of all tenth and eleventh-grade female students in the 2022/2023 academic year, totaling 105 individuals. The sample size was 30 respondents, selected using the quota sampling technique. Data collection was conducted using the Numeric Rating Scale to assess dysmenorrhea pain levels in adolescents. Data were analyzed univariately and bivariately using the Wilcoxon and Mann Whitney tests. The results showed that young green coconut water (p-value 0.002) significantly affected dysmenorrhea pain in students, as the p-value was &lt; 0.05. Young green coconut water effectively reduces dysmenorrhea pain in students. Therefore, schools are encouraged to promote the use of young green coconut water to address menstrual issues, including dysmenorrhea pain, making it a recommended method to alleviate and reduce dysmenorrhea pain.</p> Ry Eny Mian Marisi Br. Simanjuntak, Ayu Lestari, Nurmisih Nurmisih, Ajeng Galuh Wuryandari ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/2035 Tue, 18 Jun 2024 00:00:00 +0000 KONSUMSI AIR REBUSAN JAHE DAPAT MENGURANGI NYERI DISMENOREA PADA SISWI DI SMKN 10 MUARO JAMBI https://stikes-nhm.e-journal.id/JOB/article/view/2036 <p>Reproductive health in women is currently a health issue that still needs attention, as reproductive health is not just about being free from diseases and disabilities related to the reproductive system, functions, and processes, but also being physically, mentally, and socially healthy as a whole. This study is a quasi-experimental research with a two-group pretest-posttest design to determine the effectiveness of consuming ginger decoction on dysmenorrhea pain in female students at SMKN 10 Muaro Jambi. The study was conducted from January to July 2023. The research population consisted of all 10th and 11th-grade students in the 2022/2023 academic year, totaling 105 individuals. The sample included 30 respondents selected using quota sampling techniques. Data collection was carried out using the Numeric Rating Scale to assess dysmenorrhea pain levels in adolescents. Data were analyzed univariately and bivariately using the Wilcoxon and Mann-Whitney tests. The results of this study indicate that ginger decoction (p-value 0.001) significantly affects dysmenorrhea pain in female students, as the p-value is less than 0.05. Ginger decoction is effective in reducing dysmenorrhea pain in female students. Therefore, it is expected that the school will promote health regarding the use of ginger decoction to address menstrual issues, including dysmenorrhea pain, which can be recommended to reduce and alleviate dysmenorrhea pain.</p> Ry Eny Mian Marisi Br. Simanjuntak, Ayu Lestari, Nurmisih Nurmisih, Ajeng Galuh Wuryandari ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/2036 Tue, 18 Jun 2024 00:00:00 +0000 Hubungan Pengetahuan Wanita Usia Subur Dengan Kejadian Ca Servik Di Dusun Cikujang Kabupaten Sumedang https://stikes-nhm.e-journal.id/JOB/article/view/2040 <p>Kanker serviks atau kanker leher rahim merupakan kanker yang terjadi pada serviks uterus. <br>Penelitian ini bertujuan untuk mengetahui hubungan pengetahuan wanita usia subur dengan kejadian Ca <br>Serviks di Dusun Cikujang kabupaten Sumedang. Desain penelitian menggunakan desain analitik dan <br>cross sectional.Pengumpulan data dalam penelitian ini menggunakan kuesioner. Pengambilan sampel <br>menggunakan teknik random sampling dengan menggunakan sampel pada wanita usia subur sejumlah <br>66 responden. Pengolahan data dalam penelitian menggunakan analisis univariat dan analisis bivariat <br>dengan metode uji Statistik Pearson Chi-Square. Hasil penelitian diperoleh bahwa responden sebagian besar <br>memiliki pengetahuan kurang tentang Ca Serviks sebesar 48 orang (72,7%) dan diperoleh nilai p value <br>sebesar 0,004 &lt; 0,05. Disimpulkan bahwa ada hubungan antara tingkat pengetahuan ibu dengan kejadian Ca Serviks pada wanita usia subur.</p> Ela Rohaeni, Iis Iis, Yusri Andini ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/2040 Mon, 17 Jun 2024 00:00:00 +0000 Hubungan Pengetahuan Personal Hygiene terhadap Kejadian Flour Albus di MTSs Siulak Mukai Kecamatan Siulak Kabupaten Kerinci Provinsi Jambi https://stikes-nhm.e-journal.id/JOB/article/view/2039 <p>Pemeliharaan kesehatan reproduksi sebagian besar bergantung pada pengetahuan dan perawatan yang tepat. Infeksi bakteri yang menyebabkan keputihan disebabkan oleh ketidaktahuan akan perawatannya. Terkadang timbul rasa gatal, bau tidak sedap, dan warna kehijauan pada keputihan. Hormon, pH vagina, dan kebersihan yang tidak memadai menjadi faktor lain yang mempengaruhi timbulnya gejala keputihan. Personal hygiene merupakan salah satu cara perawatan diri untuk menjaga kesehatan. Metode penelitian menggunakan<em> Cross-Sectional</em>. Populasi penelitian ini adalah seluruh siswi MTSs Siulak Mukai sebanyak 21 siswi dengan seluruh populasi dijadikan sampel penelitian. Penelitian dilaksanakan pada bulan Januari 2024. Pengambilan sampel penelitian mengunakan <em>Non-probability</em> <em>sampling </em>dengan teknik sampling <em>total sampling</em>. Analisa univariat dan bivariat mengunakan<em> Chi-Square</em>. Pengumpulan data dengan mengunakan kuesioner, Hasil uji Chi-Square diperoleh nilai p value 0,005 (p &lt;0,05) yang dimana berarti ada hubungan pengetahuan <em>personal hygiene</em> terhadap kejadian flour albus di MTSs Siulak Mukai Kecamatan Siulak Kabupaten Kerinci Provinsi Jambi. Kesimpulan penelitian, ada hubungan pengetahuan <em>personal hygiene</em> terhadap kejadian flour albus di MTSs Siulak Mukai Kecamatan Siulak Kabupaten Kerinci Provinsi Jambi</p> emil efraini, Raden Maria Veronika Widiatrilupi, Anik Sri Purwanti ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/2039 Thu, 20 Jun 2024 00:00:00 +0000 PEMBERIAN SEDUHAN JAHE TERHADAP FREKUENSI MUAL MUNTAH PADA IBU HAMIL TRIMESTER 1 DENGAN EMESIS GRAVIDARUM DI PMB KECAMATAN SENDURO KABUPATEN LUMAJANG https://stikes-nhm.e-journal.id/JOB/article/view/2043 <p>Nausea, vomiting that occurs during pregnancy is caused by increased levels of the hormones estrogen and progesterone produced by Human Chorionic Gonadotropin in the serum from the placenta. This study aims to determine the effect of giving ginger infusion on the frequency of nausea and vomiting in 1st trimester pregnant women with emesis gravidarum in PMB Senduro District, Lumajang Regency in 2024. This research used a quasi-experimental design with a pre-posttest control group design. The population of all pregnant women in the first trimester with emesis gravidarum in the PMB Senduro District, Lumajang Regency in the period January-April 2024 was 40 pregnant women. The sampling technique using a purposive sampling, analyzed using Mann-Whitney test. The frequency of nausea and vomiting tn the intervention group, before giving the ginger brew was an average of 9.4 times per day and after giving the ginger infusion the frequency of nausea and vomiting was an average of 5.6 times. In the control group who were not given ginger infusion, the frequency of nausea and vomiting was 9.2 times per day beforehand and 8.5 times afterward. The results of Mann Whitney test showed a p-value of 0.001 &lt; α (0.05), which means that there was an effect of giving ginger infusion on the frequency of nausea and vomiting in first trimester pregnant women with emesis gravidarum in PMB Senduro District, Lumajang Regency</p> Sulima Sulima, Sulistiyah Sulistiyah, Reny Retnaningsih ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/2043 Thu, 20 Jun 2024 00:00:00 +0000 PENGARUH BREASTCARE DAN AROMATERAPI LAVENDER TERHADAP PRODUKSI ASI IBU MENYUSUI DI TPMB WILAYAH KECAMATAN SENDURO KABUPATEN LUMAJANG https://stikes-nhm.e-journal.id/JOB/article/view/2042 <p>Breast care is one of the important factors that can influence breast milk production for breastfeeding mothers. Using Lavender Aromatherapy essential oil can help mothers relax and feel comfortable so that it is hoped that breast milk production can increase. This research aims to find out whether the breastcare method and lavender aromatherapy have an effect on the smooth production of breast milk by breastfeeding mothers. This research used a quasi-experimental design with a posttest only only control group design was conducted at the TPMB in the Senduro District area from January 1 to April 25 2024. Breastfeeding mothers in the TPMB in the Senduro District area during that time period were used as the population. Purposive sampling obtained 32 breastfeeding mothers divided into 2 groups. The control group provided breastcare with 16 respondents, 9 of whom had smooth breastfeeding and 7 with non-fluent breastfeeding. The experimental group consisted of 16 respondents who provided breastcare and lavender aromatherapy where all respondents had good breast milk. Mann Whitney test analysis obtained a p-value of 0.003 &lt; 0.05. So that providing breastcare and lavender aromatherapy has an effect on breast milk production for breastfeeding mothers in TPMB Senduro District, Lumajang Regency</p> Intan Yunita Ashadi Putri ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/2042 Thu, 20 Jun 2024 00:00:00 +0000 PENGARUH PEMBERIAN AROMATERAPI LAVENDER TERHADAP TINGKAT KECEMASAN PADA MASA PREMENOPAUSE DIDUSUN KAMPUNG BARU RT 04 DAN RT 05 DESA PURWOREJO KECAMATAN SENDURO KABUPATEN LUMAJANG https://stikes-nhm.e-journal.id/JOB/article/view/2048 <p>Premenopause is a transition period from the fertile period to the period of absence of fertilization. Most women will experience premenopausal symptoms at the age of 40 years, the peak is reached at the age of 50 years, when menopause occurs. Complaints experienced by premenopausal women will be very serious if not handled properly because they can cause changes that cause anxiety. Lavender aromatherapy can be an alternative for treating anxiety. This research aims to determine the effect of giving lavender aromatherapy on anxiety during the premenopausal period. The population in this study were premenopausal mothers aged 40-50 years in Hamlet Kampung Baru RT. 4 and RT. 5 Purworejo Village, Senduro District, Lumajang Regency with a sample of 25 premenopausal mothers using purposive sampling technique. Data collection uses a questionnaire sheet. Anxiety data was measured using HRS-A. Analysis of this research data used univariate and bivariate analysis. Bivariate data analysis using the Wilcoxon test. he research results showed that before being given lavender aromatherapy, 72% of respondents experienced moderate anxiety and after being given lavender aromatherapy, 60% of respondents did not experience anxiety. The results of the Wilcoxon test showed that there was an effect of giving lavender aromatherapy on anxiety levels during the premenopausal period in Kampung Baru RT. 04 and RT. 05 Purworejo Village, Senduro District, Lumajang Regency</p> Iin Fauziyah, Rani Safitri, Anik Purwati ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/2048 Thu, 20 Jun 2024 00:00:00 +0000 HUBUNGAN SIKAP IBU HAMIL TM III DENGAN PERILAKU DIET SELAMA HAMIL DI PMB YULIANA KOTA LAMONGAN https://stikes-nhm.e-journal.id/JOB/article/view/2049 <p>As a result of non-fulfillment of energy and protein intake in pregnant women can lead to chronic energy deficiency (SEZ), where the size of the upper arm circumference (LILA) is less than 23.5 cm, pregnant women with SEZ are also at risk of giving birth to babies with low birth weight (LBW). This study aims to determine the relationship between the attitude of pregnant women TM III with dietary behavior during pregnancy in TPMB Yuliana Lamongan city. Analytical descriptive research with cross sectional approach. The study was conducted at PMB Yuliana Lamongan City in November 2023 with a population of 53 people. Sampling technique with Accidental Sampling technique and obtained a sample of 32 people. Chi square test results obtained r value of 0.023 &lt; 0.05, which means H0 is rejected, so there is a significant relationship between the attitude of pregnant women TM IIII with dietary behavior during pregnancy in PMB Yuliana Lamongan. Based on the results of research from 32 respondents TM III pregnant women in PMB Yuliana Lamongan, statistical test results obtained by using The Chi-Square Test with SPSS determine the relationship between the attitude of TM III pregnant women with dietary behavior during pregnancy is significantly associated with the value of p-value= 0.023&lt;0.05. So that the decision hypothesis reject H0 and accept Ha is that there is a significant relationship between the attitude of pregnant women TM III with dietary behavior during pregnancy in PMB Yuliana Lamongan.</p> Lailatul Fitriyah, Anik Purwati, Reny Retnaningsih ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/2049 Thu, 20 Jun 2024 00:00:00 +0000 Hubungan Peran Dukungan Keluarga Dengan Kepatuhan Ibu Hamil Melakukan Pemeriksaan Kehamilan di PMB Setyaning Rahayu Dampit https://stikes-nhm.e-journal.id/JOB/article/view/2047 <p>Pregnancy is a vulnerable period for health. Efforts made by pregnant women to maintain the health of the fetus are ANC examinations. If ANC visits are not carried out properly, it will have an impact on the mother's health status, thereby increasing the maternal mortality rate. The factor that influences ANC adherence or visits is family support. Family support is very important to prevent unwanted conditions such as risky pregnancies, and this can be achieved by fulfilling complete antenatal care visits. The aim of this research is to determine the relationship between the role of family support and the compliance of pregnant women with pregnancy checks to increase K6 coverage at PMB Setyaning Rahayu. This type of study uses observational analytics with a cross sectional approach. The population of this research was all pregnant women who underwent examinations at PMB Setyaning Rahayu with a research sample of 31 pregnant women. Sampling used total sampling. Data analysis used the Chi-Square. The research results showed that 51.6% of pregnant women received good family support and as many as 61.3% were compliant in carrying out pregnancy checks. The results of the chi square test show that there is a relationship between the role of family support and the compliance of pregnant women with pregnancy checks to increase K6 coverage at PMB Setyaning Rahayu with a p-value of 0.015</p> Putri Damaiyanti, Nila Widya Keswara, Rifzul Maulina ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/2047 Thu, 20 Jun 2024 00:00:00 +0000 PENGARUH PESAN PENGINGAT LEWAT APLIKASI BIDANKU TERHADAP KUNJUNGAN ULANG AKSEPTOR KB SUNTIK 1 BULAN DI PMB RENY ROSALINA https://stikes-nhm.e-journal.id/JOB/article/view/2050 <p>Injectable contraceptives are the most popular, but acceptors have to make repeat visits once a month to get an injection so that their contraception is always maintained. However, some side effects can cause birth control acceptors to be reluctant to get repeat injections. The Bidanku application is one way to increase the obedience or compliance of family planning acceptors to make repeat visits. This study aims to determine the effect of reminder messages via the bidanku application on repeat visits by 1-month injection contraceptive acceptors. This research used a quasi-experiment with a two group posttest only design. The research population was all acceptors of 1-month contraceptive injections at PMB Reny Rosalina for the period January-February 2024 with a sample of 32 KB acceptors for 1-month injections consisting of 16 KB acceptors for 1-month injections in the treatment group and 16 acceptors of 1-month contraceptive injections in the control group. Sampling was taken using purposive sampling. Data collection uses observation sheets and family planning cards. Data analysis uses univariate and bivariate analysis. Bivariate analysis with the Mann-Whitney test. The results of the research showed that 28.1% of respondents had re-visits for 1-month injection contraceptive acceptors without using the Midwife app reminder, and 46.9% of respondents had 1-month re-visit for KB injection acceptors using the Midwife app reminder message, 46.9% of respondents were on time. The results of the Mann-Whitney test show that there is an effect of reminder messages via the bidanku application on repeat visits of 1-month contraceptive injection acceptors at PMB Reny Rosalina</p> Horidatul Halwani, Sulistiyah Sulistiyah, Rifzul Maulina ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/2050 Thu, 20 Jun 2024 00:00:00 +0000 HUBUNGAN BERAT BADAN LAHIR RENDAH DENGAN KEJADIAN ASFIKSIA NEONATORUM DI RUANG PERINATOLOGI RSUD BIAK NUMFOR PROVINSI PAPUA https://stikes-nhm.e-journal.id/JOB/article/view/2051 <p>Low birth weight are the babies with birth weight &lt; 2500 grams. Low birth weight babies have many problems in the body due to the body organs that have not developed perfectly, so that in these low birth weight babies can lead to asphyxia neonatorum. Asphyxia neonatorum is a state of respiratory failure that occurs spontaneously and regularly soon after birth. This study aims to determine the relationship between low birth weight and the incidence of asphyxia neonatorum in the perinatology room at Biak Numfor Hospital, Papua Province. This research uses observational analytics with a cross-sectional design. The population of this study were all babies born LBW in January-March 2024 at Biak Numfor District Hospital, treated in the Perinatology room with a sample of 59 babies with a sampling technique using purposive sampling. Data collection on low birth weight uses weight scales and APGAR scores to determine asphyxia neonatorum. Data were analyzed using the chi square test. The results showed that 67.8% of babies were LBW, 25.4% were LBW babies, and 6.8% were LBW babies. LBW babies with moderate asphyxia are the largest number at 37.3%. The chi square test results show that there is a relationship between low birth weight and the incidence of asphyxia neonatorum in the perinatology room at Biak Numfor Regional Hospital, Papua Province with a p-value of 0.029 &lt; 0.05</p> Rahelina Ijawati S. Dimara, Anik Purwati, Rani Safitri ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/2051 Thu, 20 Jun 2024 00:00:00 +0000 Pengaruh Teknik Relaksasi Nafas Dalam Terhadap Tekanan Darah Ibu Hamil dengan Hipertensi di Wilayah Kerja Puskesmas Sukarejo https://stikes-nhm.e-journal.id/JOB/article/view/2058 <p>Treatment of hypertension in pregnant women using non-pharmacological methods has begun to be widely used to reduce morbidity levels, including using deep breathing relaxation techniques. Breathing exercises can reduce stress hormones. This study aims to determine the effect of deep breathing relaxation techniques on the blood pressure of pregnant women with hypertension in the Sukarejo Community Health Center working area. This research is a quantitative research with the design used in this research being pre-experimental, in the form of a one group pretest and posttest design which was carried out in the Sukarejo Community Health Center Work Area in November 2022 – June 2023 involving 23 pregnant women with criteria such as being willing to be respondents , pregnant women with blood pressure &gt; 140/90 mmHg. In this study, a t-test was used with the help of a computerized program with a significance level of α=0.05 or 5%. The results of the study showed that the results of the analysis of systolic blood pressure data before and after the breath relaxation technique was carried out, it was found that the p value was 0.000, indicating that there was a significant influence between the breath relaxation technique on reducing the systolic blood pressure of pregnant women with hypertension. The results of the analysis of diastolic blood pressure data before and after the breath relaxation technique was carried out showed a p value of 0.000, indicating that there was a significant influence between the breath relaxation technique on reducing the diastolic blood pressure of pregnant women with hypertension.</p> Pauline Kusmaryati, Ika Murtiyarini, Anastia Astuti ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/2058 Thu, 20 Jun 2024 00:00:00 +0000 PENGGUNAAN ALAT KONTRASEPSI KB SUNTIK DMPA TERHADAP KEJADIAN AMENORRHEA DI PUSKESMAS TARUS https://stikes-nhm.e-journal.id/JOB/article/view/2059 <p>Salah satu permasalahan penting yang dihadapi Indonesia ledakan penduduk. Pemerintah Indonesia telah melaksanakan program keluarga berencana dengan membentuk BKKBN. Pada tahun 2019, EFA di Kabupaten Kupang Tengah sebanyak 4584 dan data cakupan KB terbanyak adalah peserta KB suntik DMPA yaitu 2.042 akseptor. Masalah utama dalam pemberian KB suntik adalah perdarahan yang tidak teratur. Hingga 25% pasien menghentikan pengobatan pada tahun pertama karena perdarahan tidak teratur. Tujuan penelitian untuk menganalisis pengaruh penggunaan KB Suntik DMPA terhadap kejadian amenorrhea di Puskesmas Tarus. Jenis penelitian bersifat analitik dengan desain cross sectional. Pengambilan sampel dengan memenuhi kriteria inklusi yakni akseptor KB DMPA dengan cara non random sampling sebanyak 360 akseptor. Analisis data menggunakan uji Chi Square dengan nilai p&lt;0.005. Hasil penelitian menunjukkan&nbsp; tidak terdapat pengaruh umur, pendidikan dan pekerjaan terhadap kejadian amenorrhea dengan <em>p value</em> &gt; 0.005. Namun hasil penggunaan KB suntik DMPA dalam jangka waktu lama menunjukkan adanya pengaruh dengan nilai <em>p-value</em> sebesar 0.001.</p> Diyan Maria Kristin, Hasri Yulianti ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/2059 Thu, 20 Jun 2024 00:00:00 +0000 PERBEDAAN MORFOLOGI SEL DARAH PADA PEMERIKSAAN HAPUSAN DARAH TEPI DENGAN PEWARNAAN GIEMSA MENGGUNAKAN LARUTAN PENGENCER BUFFER PHOSPHAT DAN LARUTAN PENGENCER AQUABIDEST https://stikes-nhm.e-journal.id/JOB/article/view/2060 <p>Pemeriksaan Hapusan darah tepi (HDT) merupakan pemeriksaan untuk melihat morfologi sel-sel darah secara mikroskopis. Salah satu metode pemeriksaan hapusan darah tepi yang sering digunakan adalah pewarnaan giemsa. Pengenceran larutan giemsa secara teoritis menggunakan larutan penyangga <em>buffer phosphat.</em> Pengenceran giemsa sering menggunakan larutan <em>buffer phosphat</em> karena buffer phosphat mudah didapatkan, namun harganya cukup mahal. Kandungan phosphat yang melebihi batas 2 mg/L juga dapat berpengaruh terhadap keseimbangan ekosistem perairan sehingga dapat mencemari lingkungan bila terus digunakan. Penelitian ini bertujuan untuk menganalisis perbedaan morfologi sel-sel darah pada pemeriksaan HDT dengan pewarnaan giemsa menggunakan larutan<em> buffer </em>dan aquabidest dalam upaya penentuan larutan alternatif yang bisa digunakan sebagai larutan pengencer giemsa yang lebih murah dan mudah didapatkan. Penelitian ini merupakan penelitian eksperimental dengan studi <em>cross sectional</em> yang membandingkan kualitas morfologi sel darah sediaan HDT dengan pewarna giemsa yang diencerkan dengan buffer phosphate dan aquabidest. Sampel diambil dari 1 orang koresponden penelitian, untuk kemudian dibuat sediaan HDT masing-masing sebanyak 17 buah (pengencer <em>buffer phosphat), </em>dan 22 buah (pengencer aquabidest), dan diamati dengan mikroskop perbesaran lensa objektif 100x. Kualitas sediaan HDT giemsa dengan pengencer buffer phosphat menunjukkan hasil “baik” sebanyak 13 buah (76,47%), dan hasil “kurang baik” sebanyak 4 buah (23,53%), sedangkan kualitas sediaan HDT giemsa dengan pengencer aquabidest menunjukkan hasil “baik” sebanyak 18 buah (81,82%), dan hasil “kurang baik” sebanyak 4 buah (18,18%). Berdasarkan uji <em>Mann-Whitney U,</em> didapatkan P-Value 0,222. Kualitas sediaan HDT pewarnaan giemsa dengan pengencer buffer phosphat tidak menunjukkan perbedaan yang signifikan dengan yang menggunakan pengencer aquabidest (p&gt;0,05).</p> Museyaroh Museyaroh, Musholli Himmatun Nabilah, Lully Hanni Endarini ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/2060 Thu, 20 Jun 2024 00:00:00 +0000 Analisis Kesesuaian Taksiran Berat Janin (TBJ) menggunakan Rumus Johnson- Toshack dengan Berat Badan Bayi Lahir di PMB Nani Suryanti Kota Palembang https://stikes-nhm.e-journal.id/JOB/article/view/2057 <p><em>Fetal weight estimation is one way to interpret the weight of the fetus while it is still in the uterus. Fetal weight has a very important meaning in providing midwifery care, especially delivery care. If you know the weight of the fetus to be born, the midwife can determine the time of referral, so that there is no delay in treatment. A very small or very large baby's weight is associated with increased complications during labor and the postpartum period. In addition, by knowing the estimated weight of the fetus, birth attendants can decide whether to plan a spontaneous vaginal birth or not. This study aims to look at the analysis of the suitability of estimated fetal weight (TBJ) using the Johnson-Toshack formula with the birth weight of babies at PMB Nani Suryanti, Palembang City in 2023. This research uses a quantitative descriptive design using secondary data carried out using a cross sectional approach. The research sample was taken by total sampling. The number of samples in this research was 22 samples. There is a significant relationship between the suitability of estimated fetal weight (TBJ) using the Johnson-Toshack formula and the baby's birth weight, namely P-Value = 0.008. The results of this study recommend that other researchers who intend to conduct research on the Appropriateness of Estimated Fetal Weight (TBJ) using the Johnson-Toshack Formula with Birth Weight of the Infant to involve more samples and variables studied with different designs and use instruments that already have value. standard validity and reliability.</em></p> Yessy Octa Fristika, Meta Rosdiana ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/2057 Thu, 20 Jun 2024 00:00:00 +0000 FAKTOR – FAKTOR YANG BERHUBUNGAN DENGAN TINDAKAN PENCEGAHAN PENYAKIT RABIES DI WILAYAH KERJA PUSKESMAS SEPAUK TAHUN 2022 https://stikes-nhm.e-journal.id/JOB/article/view/2067 <p>Penyakit Rabies merupakan penyakit dengan <em>Case Fatality Rate </em>(CFR) atau angka kematian mencapai 100%. Menurut data dari <em>World Health Organization </em>(WHO) tahun 2018, diperkirakan 55.000 kematian di dunia disebabkan oleh penyakit ini. Berdasarkan laporan tahunan yang dibuat oleh Dinas Kesehatan Provinsi Kalimantan Barat, pada tahun 2022 kasus gigitan hewan penular rabies yaitu sebanyak 286 kasus dengan 2 kematian salah satunya di Puskesmas Sepauk. Penelitian ini bertujuan untuk menganalisis faktor-faktor yang berhubungan dengan tindakan pencegahan penyakit rabies di Puskesmas Sepauk. Penelitian ini merupakan rancangan kuantitatif dengan pendekatan <em>case control. </em>Jumlah sampel sebanyak 120 responden dengan teknik <em>Accidental Sampling</em>. Uji statistik yang digunakan <em>uji-square</em> dengan tingkat kepercayaan 95%. Hasil penelitian menunjukan bahwa terdapat hubungan yang bermakna pengetahuan <em>p </em>value = 0,022, OR = 2,854, sikap <em>p</em> value = 0,012, OR = 2,954, dukungan tokoh masyarakat <em>p</em> value = 0,022, OR = 2,889, peranan tenaga kesehatan <em>p</em> value = 0,009, OR = 3,029, dan peranan tenaga Kesehatan hewan (p value = 0,011, OR = 3,064 dengan Tindakan pencegahan penyakit Rabies.Disarankan kepada pemerintah agar meningkatkan infomasi/ penyuluhan terkait rabies, melakukan pendataan HPR, serta selalu tersedianya kebutuhan serum anti rabies jika terdapat kasus.</p> Wagiran Wagiran, Uray B. Asnol, Akhmad Akhmad, Uray Bilchairi Jakti, Ria Damayanti ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/2067 Sat, 01 Jun 2024 00:00:00 +0000 Pengaruh Terapi Rebusan Air Daun Sirih Merah terhadap Pruritus vulvae pada Remaja Putri di Puskesmas Prigen Pasuruan https://stikes-nhm.e-journal.id/JOB/article/view/2063 <p><em>Pruritus vulvae</em> yang merupakan gangguan dari alat kelamin perempuan yang ditandai dengan sensasi gatal parah karena adanya jamur, virus, bakteri yang muncul ketika kurangnya merawat kesehatan organ wanita. Tujuan dari penelitian ini adalah untuk menganalisis pengaruh terapi daun sirih terhadap <em>Tabel</em>pada remaja putri. Desain penelitian ini adalah <em>pre-experiment </em>dengan rancangan penelitian <em>one group </em><em>pre-post test design. </em>Jumlah sampel sebanyak 49 responden dengan teknik <em>simple random sampling. </em>Data dianalisis menggunakan uji wilcoxon. Ada perbedaan sebelum dan sesudah diberikan terapi terapi rebusan daun sirih merah terhadap <em>pruritus vulvae</em> pada remaja putri. Ada pengaruh terapi rebusan daun sirih merah terhadap <em>pruritus vulvae</em> pada remaja putri di Puskesmas Prigen Kabupaten Pasuruan.</p> Asri Purbawanti Cucu Wijoyo, Lilis Suryani, Wahyu Anjas Sari ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/2063 Sun, 09 Jun 2024 00:00:00 +0000 PENGARUH EDUKASI MP-ASI TERHADAP PENINGKATAN PENGETAHUAN ORANGTUA BALITA DALAM PENCEGAHAN STUNTING DI KELURAHAN KALABAHI BARAT https://stikes-nhm.e-journal.id/JOB/article/view/2068 <p><em>Complementary&nbsp; foods&nbsp; (MP-ASI)&nbsp; are&nbsp; given&nbsp; when&nbsp; children&nbsp; are&nbsp; 6&nbsp; months&nbsp; old,&nbsp; but&nbsp; in&nbsp; fact&nbsp; MP-ASI&nbsp; has&nbsp; been&nbsp; given&nbsp; before&nbsp; children&nbsp; are&nbsp; 6&nbsp; months&nbsp; old.&nbsp; One&nbsp; of&nbsp; the&nbsp; impacts&nbsp; of&nbsp; giving&nbsp; MP-ASI&nbsp; before&nbsp; children&nbsp; aged&nbsp; 6&nbsp; months&nbsp; is&nbsp; that&nbsp; it&nbsp; can&nbsp; cause&nbsp; stunting.&nbsp; The&nbsp; impact&nbsp; if&nbsp; children&nbsp; are&nbsp; stunted&nbsp; is&nbsp; that&nbsp; they&nbsp; will&nbsp; experience&nbsp; delays&nbsp; in&nbsp; physical&nbsp; and&nbsp; cognitive&nbsp; development,&nbsp; delays&nbsp; in&nbsp; socio-emotional&nbsp; development&nbsp; of&nbsp; children&nbsp; which&nbsp; can&nbsp; increase&nbsp; the&nbsp; risk&nbsp; of&nbsp; degenerative&nbsp; diseases.&nbsp; Various&nbsp; efforts&nbsp; have&nbsp; been&nbsp; made&nbsp; by&nbsp; the&nbsp; central&nbsp; and&nbsp; regional&nbsp; governments&nbsp; to&nbsp; prevent&nbsp; stunting,&nbsp; one&nbsp; of&nbsp; the&nbsp; interventions&nbsp; that&nbsp; can&nbsp; be&nbsp; done&nbsp; is&nbsp; the&nbsp; provision &nbsp;of&nbsp; health&nbsp; education.&nbsp; This&nbsp; study&nbsp; aims&nbsp; to&nbsp; determine&nbsp; the&nbsp; effect&nbsp; of&nbsp; MP-ASI&nbsp; education&nbsp; on&nbsp; increasing&nbsp; the&nbsp; knowledge&nbsp; of&nbsp; parents&nbsp; of&nbsp; toddlers&nbsp; in&nbsp; stunting&nbsp; prevention&nbsp; in&nbsp; West&nbsp; Kalabahi&nbsp; Village.&nbsp; This&nbsp; study&nbsp; used&nbsp; a&nbsp; pre-experimental&nbsp; design.&nbsp; The&nbsp; population&nbsp; in&nbsp; this&nbsp; study&nbsp; was&nbsp; all&nbsp; mothers&nbsp; who&nbsp; had&nbsp; children&nbsp; under&nbsp; 5&nbsp; years&nbsp; old&nbsp; as&nbsp; many&nbsp; as&nbsp; 30&nbsp; people&nbsp; with&nbsp; total&nbsp; sampling&nbsp; techniques.&nbsp; Data&nbsp; analysis&nbsp; using&nbsp; Wilcoxon&nbsp; signed&nbsp; rank&nbsp; test,&nbsp; with&nbsp; significance&nbsp; level&nbsp; ≤&nbsp; 0.05.&nbsp; The&nbsp; results&nbsp; showed the&nbsp; value&nbsp; of&nbsp; asymp.&nbsp; sig.&nbsp; (2-tailed)&nbsp; is&nbsp; worth&nbsp; 0.000&nbsp; less&nbsp; than&nbsp; 0.05.&nbsp; This&nbsp; shows&nbsp; that&nbsp; there&nbsp; is&nbsp; an&nbsp; increase&nbsp; in&nbsp; knowledge&nbsp; of&nbsp; parents&nbsp; of&nbsp; toddlers&nbsp; in&nbsp; stunting&nbsp; prevention&nbsp; before&nbsp; and&nbsp; after&nbsp; MP-ASI&nbsp; education&nbsp; is&nbsp; given.&nbsp; so&nbsp; it&nbsp; can&nbsp; be&nbsp; said&nbsp; that&nbsp; there&nbsp; is&nbsp; an&nbsp; influence&nbsp; of&nbsp; MP-ASI&nbsp; education&nbsp; on&nbsp; the&nbsp; knowledge&nbsp; of&nbsp; parents&nbsp; of&nbsp; toddlers&nbsp; in&nbsp; stunting&nbsp; prevention.</em></p> Odi L. Namangdjabar, Matje Meriaty Huru, Hasri Yulianti, Agustina Abuk Seran, Maria Florentina Nining Kosad, Ni Luh Made Putri Anggraeningsih, Mariana Ngundju Awang ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/2068 Sun, 09 Jun 2024 00:00:00 +0000 PENGARUH PEMBERIAN GYM BALL TERHADAP PERCEPATAN KALA I PERSALINAN PADA IBU PRIMIGRAVIDA DI KLINIK BERSALIN KHAIRA MEDIKA BEKASI https://stikes-nhm.e-journal.id/JOB/article/view/2065 <p>This research identified that labor that is not on time, such as prolonged labor, can be triggered by several factors such as inadequate labor symptoms, birth canal abnormalities, multiple pregnancies, anemia, and prolongation of the first stage. One method of preventing prolonged labor is by using the gym. ball or exercise ball. This study aims to determine the effect of giving a gym ball on the acceleration of the first stage of labor in primigravida mothers at the Khaira Medika Bekasi Maternity Clinic. The research method used was quasi-experimental with a two group posttest only design approach. The research population consisted of all primigravida mothers who were experiencing the first stage of labor in the Maternity Room of the Khaira Medika Bekasi Clinic in November 2023, with a total sample of 20 people using total sampling techniques. Data were analyzed using the independent samples t-test. The research results showed that the average acceleration of the first stage of labor in primigravida mothers who used a gym ball was 7.40 minutes. Meanwhile, for primigravida mothers who did not use a gym ball, the average acceleration in the first stage of labor varied between fast and slow and was 8.30 minutes. The results of the independent samples t-test showed that there was a significant effect of giving a gym ball on the acceleration of the first stage of labor in primigravida mothers at the Khaira Medika Bekasi Maternity Clinic, with a p-value of 0.009 &lt; 0.05</p> Izza Mafidatul Laila, Widia Shofa Ilmiah, Tut Rayani Aksohini Wijayanti ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/2065 Sun, 09 Jun 2024 00:00:00 +0000 Hubungan Indeks Massa Tubuh dengan kejadian anemia pada remaja https://stikes-nhm.e-journal.id/JOB/article/view/2072 <p>Anemia merupakan salah satu hal yang sering terjadi pada remaja menurut WHO (2020)Terdapat 614 juta wanita dan 280 juta anak yang mengalami anemia di seluruh dunia Di Indonesia angka kejadian anemia pada remaja puteri masih cukup tinggi yaitu 32 %.</p> <p>Desaian penelitian menggunakan analitik dengan pendekatan Cross Sectional. Variabel independen indeks massa tubuh dan variabel dependent anemia. Populasi seluruh remaja putri kelas X di SMKN 1 Labang sebanyak 65 siswi teknik pengambilan sampel menggunakan <em>&nbsp;Simple Random Sampling </em>Jumlah sampel 56. penelitian ini dilakukan pada tanggal 10 Oktober 2023 di SMKN 1 Labang<em>. </em>Menggunakan uji statistik <em>Korelasi pearson test&nbsp; </em>Alat yang digunakan dalam penelitian ini yaitu timbangan berat badan, miicrotoise dan <em>Easy Touch HB</em></p> <p>Berdasarkan hasil penelitian hampir setenganya remaja di SMKN 1 Labang memiliki Indeks Massa Tubuh normal sebanyak 35 orang (62.5%). Hampir setengahnya remaja mengalami anemia sedang sebanyak 22 orang (39.9%) dan hasil uji statistic menggunakan <em>Korelasi Pearson </em>&nbsp;didapatkan hasil ρ value (0.381) &gt; α (0.05) H0 ditolak. Hal tersebut menunjukkan bahwa tidak ada hubungan antara Indeks Massa Tubuh dengan Anemia pada remaja putri.</p> <p>Upaya dalam mengurangi angka kejadian anemia pada remaja yaitu dengan membagikan Tablet Tambah Darah (TTD) yang diprioritaskan pada rematri dan WUS di tempat pendidikan dan tempat kerja</p> Zakkiyatus Zainiyah, Eny Susanti, Dita Puspita Sari ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/2072 Tue, 04 Jun 2024 00:00:00 +0000 Faktor-faktor Yang Mempengaruhi Ibu Dalam Memilih Pertolongan Persalinan Pada Dukun Beranak di Desa Punggur, Kecamatan Sungai Kakap, Kabupaten Kubu Raya, Kalimantan Barat Tahun 2023/2024 https://stikes-nhm.e-journal.id/JOB/article/view/2075 <p><strong>Latar Belakang</strong>: Pertolongan persalinan oleh bidan merupakan salah satu strategi dalam mengurangi masalah kesehatan ibu dan anak, namun masih banyak ibu hamil yang memilih pertolongan persalinan pada tenaga non kesehatan atau dukun beranak. Menurut data ASEAN AKI tertinggi berada di Myanmar sebesar 282.00/100.000 KH tahun 2020 dan AKI yang terendah terdapat di Singapura, pada tahun 2020 tidak ada kematian ibu di Singapura (ASEAN Secretariat, 2021). Di Indonesia jumlah AKI pada tahun 2020 menunjukkan 4.627 kasus kematian sebagian besar penyebab kematian ibu disebabkan oleh penyebab lain-lain sebesar 34,2%, perdarahan sebesar 28,7%, hipertensi dalam kehamilan sebesar 23,9%, dan infeksi sebesar 4,6% (Kemenkes RI, 2021). Berdasarkan hasil studi pendahuluan di Desa Punggur Kecamatan Sungai Kakap Kabupaten Kubu Raya terdapat ibu yang persalinannya masih ditolong oleh tenaga non kesehatan atau dukun beranak. <strong>Tujuan Penelitian</strong>: Untuk mengetahui faktor-faktor yang memengaruhi ibu dalam memilih penolong persalinan pada dukun beranak di Desa Punggur Kecamatan Sungai Kakap Kabupaten Kubu Raya. <strong>Metode Penelitian</strong>: Jenis metode penelitian yang digunakan adalah kuantitatif dengan pendekatan <em>cross sectional </em>dengan populasi berjumlah 231 orang, teknik pengambilan sampel adalah<em> Purposive Sampling</em>. <strong>Hasil Penelitian</strong>: Dari 231 orang ibu yang memilih penolong persalinan pada dukun beranak faktor: pengetahuan rendah sebanyak 85 oranng (36.8%), budaya yang mendukung sebanyak 105 oranng (45.5%), kepercayaan pada dukun sebanyak 100 oranng (43.3%), jarak rumahnya jauh dengan fasilitas kesehatan sebanyak 76 oranng (32.9%), ekonomi rendah sebanyak 57 oranng (24.7%), dukungan keluarga yang mendukung sebanyak 84 orang (36.4%), sikap yang baik dari dukun beranak sebanyak 82 oranng (35.5%), selain itu didapatkan faktor paling dominan yaitu kepercayaan dengan nilai (Exp B) = 19.723 yang artinya ibu memiliki kesempatan 19.723 kali persalinannya ditolong oleh dukun beranak. <strong>Kesimpulan</strong>: Berdasarkan penelitian yang telah dilakukan melalui metode kuesioner disimpulkan bahwa ada hubungan yang signifikan antara ekonomi yang rendah dan budaya yang mendukung bagi ibu hamil dalam memilih penolong persalinan pada tenaga non kesehatan atau dukun beranak di Desa Punggur Kecamatan Sungai Kakap Kabupaten Kubu Raya.</p> <p>&nbsp;</p> Thosimah Thosimah, Cau Kim Jiu, Wida Kuswida Bhakti ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/2075 Wed, 05 Jun 2024 00:00:00 +0000 PENGARUH PEMBERIAN JUS MENTIMUN TERHADAP TEKANAN DARAH PADA PENDERITA HIPERTENSI: SYSTEMATIC REVIEW https://stikes-nhm.e-journal.id/JOB/article/view/2079 <p>Hypertension is one of the most common cardiovascular diseases and is the number 1 killer, so it needs treatment and prevention. Treating patients with natural ingredients can reduce family expenses and reduce the impact or negative effects of chemical treatments. The final results were collected as many as 10 articles that met the inclusion criteria. Various research results in this study provide a similar picture, namely a decrease in systolic and diastolic blood pressure after administering cucumber juice.</p> La Ode Alifariki ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/2079 Sat, 08 Jun 2024 03:15:06 +0000 ANALISIS SMARTPHONE ADDICTION DAN NOMOPHOBIA PADA REMAJA SMA NEGERI 8 KOTA KENDARI https://stikes-nhm.e-journal.id/JOB/article/view/2076 <p><em>Today technology and communication have developed. One proof of the development of communication technology is the creation of smartphones. The use of smartphones has two sides besides having a positive impact, smartphones also have a negative impact. Excessive smartphone use&nbsp; can lead to smartphone addiction and nomophobia which has an impact on psychological and mental health. The impact can be in the form of loneliness, anxiety, stress, depression, life statistics, and disruption of environmental relations. This study aims to analyze smartphone addiction and nomophobia in teenagers of SMA Negeri 8 Kota Kendari. This study is a quantitative research with a cross-sectional research design. This research was located at SMA Negeri 8 Kota Kendari with a sample of 255 respondents. The variables in the study were divided into independent variables is smartphone addiction. The dependent variable is nomophobia. Smartphone addiction, teenagers of SMA Negeri 8 Kota Kendari were at a&nbsp; moderate smartphone addiction&nbsp; degree, which was 160 respondents (62.7%). </em><em>The most </em><em>teenagers</em><em> of SMA Negeri 8 Kota Kendari were in the moderate degree of nomophobia, which was 135 respondents (52.9%). </em><em>There is a significant association between smartphone addiciton and nomophobia in teenagers. </em></p> Fauziah Ibrahim, Jafriati Jafriati, I Putu Sudayasa ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/2076 Sat, 08 Jun 2024 03:18:34 +0000 PENGARUH PEMBERIAN JUS PEPAYA TERHADAP TEKANAN DARAH PADA PENDERITA HIPERTENSI: SYSTEMATIC REVIEW https://stikes-nhm.e-journal.id/JOB/article/view/2080 <p>Hypertension is one of the most common cardiovascular diseases and is the number 1 killer, so it needs treatment and prevention. Treating patients with natural ingredients can reduce family expenses and reduce the impact or negative effects of chemical treatments. The final results were collected as many as 10 articles that met the inclusion criteria. Various research results in this study provide a similar picture, namely a decrease in systolic and diastolic blood pressure after administering papaya juice.</p> La Ode Alifariki ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/2080 Sat, 08 Jun 2024 03:21:52 +0000 PENERAPAN INTERPROFESIONAL COLABORATION DALAM MENINGKATKAN KESELAMATAN PASIEN DIRUMAH SAKIT https://stikes-nhm.e-journal.id/JOB/article/view/2085 <p><strong>Latar Belakang</strong>: Pemberian pelayanan kesehatan yang baik harus selalu diusahakan oleh setiap rumah sakit kepada pasien agar bisa tercapai tujuan rumah sakit yaitu meningkatkan kualitas dan mempertahankan standar pelayanan. Pelayanan yang terdapat di rumah sakit merupakan pelayanan yang menggabungkan banyak disiplin ilmu kesehatan sehingga berpotensi menimbulkan pelayanan yang tumpang tindih, konflik antar profesional bahkan kesalahan dalam penatalaksanaan pasien. Penerapan InterProfessional Collaboration (IPC) sangat penting untuk dilakukan karena IPC dinilai mampu mensinergikan dan mengefektifkan perawatan yang diberikan kepada pasien untuk mewujudkan <em>Patient Safety</em> di rumah sakit. Dalam meningkatkan angka keselamatan pasien di rumah sakit, pelayanan kesehatan yang diberikan di rumah sakit dilakukan oleh berbagai profesi tenaga kesehatan. Sehingga dibentuklah Kolaborasi Interprofesi atau <em>Interprofessional Collaboration</em> (IPC). <strong>Tujuan:</strong> Tujuan dari <em>review</em> ini yaitu untuk memaparkan penerapan i<em>nterprofesional collaboration</em> (IPC) di rumah sakit dengan tujuan untuk meningkatkan keselamatan pasien. <strong>Metode: </strong>Pada pengkajian ini digunakan metode kualitatif, yang dimana metode ini lebih cenderung menonjolkan bersifat subjektif dimana proses penelitian ini lebih memperlihatkan dan cenderung lebih <em>focus</em> pada landasan teori yang dikutip dari <em>leterature review</em> serta memberikan penjelasan. <strong>Hasil:</strong> Adapun hasil dari <em>literature review</em> yaitu penerapan <em>interprofesional collaboration </em>(IPC) sangat dibutuhkan dalam menunjang angka keselamatan pasien yang semakin meningkat. Dalam melakukan kalobarasi tersebut, dokter, perawat, gizi, apoteker dapat dilakukan dengan mendiskusikan kondisi pasien, dengan mencatat status pasien sehingga kebutuhan pasien seperti perawatan, resep obat dan dan tindakan medis lainnya sesuai dengan yang dibutuhkan pasien dengan memeriksa kembali dan memastikan kembali indentitas pasien. <strong>Kesimpulan:</strong> <em>Interprofesional collaboration</em> (IPC) dibutuhkan dalam menunjang kebutuhan perawatan dan penyembuhan untuk pasien yang ada di rumah sakit, selain itu <em>interprofesional collaboration</em> (IPC) juga berfungsi untuk meningkatkan keselamatan pasien yang lebih akurat, dengan bergabungnya seluruh profesi kesehatan yang dapat meningkatkan angka keselamatan pasien.</p> Thosimah Thosimah, Ananda Puspita Sari, Wida Novianti, Fransiska Oybur, Suriadi Suriadi ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/2085 Tue, 11 Jun 2024 00:00:00 +0000 Substitusi Tepung Kedelai dan Kacang Hijau Pada Kue Putu Ayu Sebagai Alternatif Selingan Tinggi Zat Gizi https://stikes-nhm.e-journal.id/JOB/article/view/2090 <p>Ibu hamil dan menyusui memerlulkan zat gizi yang lebih tinggi untuk mempertahankan kesehatannya karena angka kematian ibu (AKI) di Indonesia masih relatif tinggi. Umumnya AKI disebabkan oleh perdarahan dan hipertensi. Kacang kedelai dan kacang hijau merupakan sumber protein yang baik bagi tubuh. Kedua jenis kacang ini bisa diaplikasikan kedalam makanan cemilan untuk meningkatkan asupan protein ibu hamil dan menyusui. Kue putu ayu merupakan kue basah jajanan tradisional Indonesia yang memiliki citarasa khas. Penelitian ini bertujuan untuk mengetahui karakteristik kue putu ayu yang disubstitusi dengan tepung kacang kedelai dan tepung kacang hijau.</p> <p>Penelitian ini merupakan penelitian eksperimen menggunakan tepung kedelai dan tepung kacang hijau sebagai bahan substitusi tepung terigu dengan perbandingan tepung terigu: tepung kacang kedelai: tepung kacang hijau adalah F1 (50%:15%:35%); F2 (50%:25%:25%) dan F3 (50%:35%:15%). Analisis data menggunakan anova dengan uji lanjut Duncan.</p> <p>Hasil penelitian menunjukkan bahwa kue putu ayu yang paling disukai adalah F3 (50%:35%:15%) dengan nilai rata-rata 4,63 (skala5) dimana substitusi tepung kedelai dan kacang hijau berpengaruh terhadap warna dan rasa tetapi tidak berpengaruh terhadap aroma dan tekstur produk. Kandungan gizi kue putu ayu adalah energi 36,07kkal; protein 1,23g; lemak 1,18g; karbohidrat 5,94g; serat 0,21g; natrium 20,35mg; dan zat besi 0,35g per buah (18g) sehingga untuk memenuhi kebutuhan zat gizi selingan sebaiknya mengonsumsi 5 buah kue putu ayu. Untuk meningkatkan nilai gizi produk terutama protein penggunaan tepung kedelai dan tepung kacang hijau bisa lebih ditingkatkan karena tingkat kesukaan produk relatif tinggi. Selain itu, produk ini bisa diaplikasikan menu diet hipertensi di rumah sakit.</p> Nawasari Indah Putri Sejati, Nur Hasanah, Endang Sri Wahyuni, Dewi Sri Sumardillah ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/2090 Tue, 11 Jun 2024 00:00:00 +0000 ANALISIS FAKTOR KECEMASAN MAHASISWA DALAM MENGHADAPI UJIAN CBT DAN OSCE UKMPPD PADA MAHASISWA FAKULTAS KEDOKTERAN https://stikes-nhm.e-journal.id/JOB/article/view/2089 <p>Anxiety is a psychological reaction that arises due to problems, such as looking down on oneself, difficult to feel happy or moody, no self-confidence, easily tense and restless occurs due to lack of direction in learning, ineffective learning systems and inaccurate information, discussion groups that are less dynamic and there is no mutual help between participants become triggers in the onset of anxiety.<strong>&nbsp;</strong>This type of research is quantitative observational using a&nbsp;<em>cross sectional</em>&nbsp;approach.&nbsp;This study involved 157 students who took the UKMPPD CBT and OSCE exams at the Faculty of Medicine, Halu Oleo University in 2023. The results&nbsp;of the study&nbsp;showed that based on&nbsp;the results of statistical tests with chi-square, there was a relationship between physiological factors, psychological factors, social factors and tutoring for student anxiety in facing the CBT exam and Osce UKMPPD with a p &lt;α (0.05).&nbsp;Based on the logistic regression analysis test, the most dominant variables affecting student anxiety in facing the CBT and OSCE UKMPPD exams are psychological factors with the greatest value (OR) of&nbsp;3,721&nbsp;and significance value<em>&nbsp;(sig.)&nbsp;</em>is<em>&nbsp;</em>0.021<em>&nbsp;&lt; 0.25</em>.</p> Halimah Halimah, Adius Kusnan, La Ode Muhamad Sety ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/2089 Thu, 13 Jun 2024 13:45:16 +0000 HUBUNGAN PERNIKAHAN DINI DENGAN KEPATUHAN PERIKSA HAMIL DI PUSKESMAS TALAGA KABUPATEN HALMAHERA BARAT https://stikes-nhm.e-journal.id/JOB/article/view/2086 <p>Early marriage is a marriage that takes place under the age of 20. Mothers who are pregnant at a younger age, their reproduction has not reached the level of maturity that should be. The child marriage rate in North Maluku is still quite high. This number is above the national average which is at 10.82 percent. As for districts/cities, Halsel has the highest child marriage rate in North Maluku at 20.80%. Every pregnant woman should get good care for her pregnancy, by checking her pregnancy, but in reality there are still many pregnant women who do not understand more about pregnancy checks (ANC). The purpose of this study was to analyze the relationship between early marriage and pregnancy check-up compliance in Talaga Community Health Center, West Halmahera Regency. The research design used in this study is a correlation study. In this study using total sampling technique. The research tool used was a research format or observation sheet. The statistical test used in this research is the Chi-Square Test with SPSS. After being analyzed using the chi-square statistical test, the value of Exact Sig. (2-sided) = 0.067 shows insignificant results greater than 0.05 p&gt;0.05), it is concluded that there is no significant relationship between early marriage and pregnancy check-up compliance.</p> Irma Tari, Anik Purwati ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/2086 Thu, 13 Jun 2024 15:06:39 +0000 HUBUNGAN TINGKAT PENGETAHUAN IBU DENGAN PERAWATAN PERINEUM PADA IBU NIFAS HARI KE 2-7 DI RSUD JAILOLO KAB. HALMAHERA BARAT https://stikes-nhm.e-journal.id/JOB/article/view/2092 <p>Labor often results in tears of the birth canal, both in primigravida and in multigravida with indications of a stiff perineum. To control spontaneous perineal tears, an episiotomy is performed to reduce pain and ensure that the wound is regular. In Indonesia, perineal wounds are experienced by 75% of women giving birth vaginally. The problem that often occurs in post partum women is the lack of knowledge of mothers in taking care of perineal wounds. The birth canal opening is a good medium for the development of germs so that it becomes the cause of infection. The purpose of this study was to analyze the relationship between maternal knowledge level and perineal care in postpartum women on days 2-7 at Jailolo Hospital, West Halmahera Regency. This type of research is analytical survey research, research that is directed to explain a situation or situation with a cross sectional approach. While the sampling technique used total sampling which amounted to 32 people. The research tool used was a questionnaire. The statistical test used in this study is the Chi-Square Test with SPSS. After being analyzed using the chi-square statistical test, the P-value (asymp. Sig 2-tailed) was 0.000 &lt;0.05, which means that there is a relationship between the level of knowledge and perineal care. Then H0 is rejected and H1 is accepted, so it can be concluded that there is a relationship between the level of knowledge and perineal care.</p> Febiola Almadjin, Anik Purwati ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/2092 Thu, 13 Jun 2024 15:14:26 +0000 HUBUNGAN INIASI MENYUSUI DINI (IMD) DENGAN PEMBERIAN ASI EKSKLUSIF PADA BAYI 0-10 BULAN DI WILAYAH PUSKESMAS JAILOLO KABUPATEN HALMAHERA BARAT https://stikes-nhm.e-journal.id/JOB/article/view/2095 <p>Optimal breastfeeding is important. Early breastfeeding initiation (IMD) is one of the factors that determine the success of exclusive breastfeeding for 6 months. The benefits of IMD include reducing the risk of maternal mortality, increasing the chances of successful exclusive breastfeeding for 6 months, preventing neonatal deaths, and increasing closeness and affection between mother and child (Ekaristi et al., 2017). The purpose of this study was to determine the relationship between early breastfeeding initiation (IMD) and exclusive breastfeeding in West Halmahera district. Early breastfeeding (IMD) must be done for the success of exclusive breastfeeding and for the health of mothers and babies. This study aimed to determine the relationship between the implementation of early breastfeeding initiation and exclusive breastfeeding with exclusive breastfeeding in children aged 0-10 months at the Jailolo Health Center, West Halmahera Regency. This type of research used analytic research with a case control study design. Sampling was done by purposive sampling with a total sample of 40 mothers. This study was conducted in the Jailolo Health Center area, West Halmahera Regency. This data analysis used chi square. The results showed that IMD has a significant relationship with exclusive breastfeeding. The statistical test results obtained p value = 0.055. This shows that there is a relationship between the IMD variable (Early Breastfeeding Initiation) and Exclusive Breastfeeding (p&lt;0.05) so that the H1 Hypothesis is accepted that there is a relationship between Early Breastfeeding Initiation and exclusive breastfeeding in babies 0-10 months in the Jailolo Health Center area, West Halmahera Regency. <strong>Conclusion:</strong> There is a relationship between early breastfeeding initiation (IMD) and exclusive breastfeeding in infants 0-10 months with a p value of 0.055.</p> Erna Erna, Anik Purwanti ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/2095 Sat, 15 Jun 2024 05:29:38 +0000 PENGARUH KB SUNTIK 3 BULAN DMPA (DEPO-MEDROXYPROGESTERONE ACETATE) TERHADAP KENAIKAN BERAT BADAN DI WILAYAH PUSKESMAS JAILOLO KABUPATEN HALMAHERA BARAT https://stikes-nhm.e-journal.id/JOB/article/view/2096 <p>Family planning is one way to reduce maternal mortality, especially mothers with 4T conditions, namely too young to give birth, too frequent births, too close a distance to give birth and too old to give birth (Astriana, 2021). Injectable contraceptives are hormonal contraceptives, which contain the hormone progesterone and a combination of the hormone esterogen progesterone. The type of hormonal injectable contraception is DMPA injectable contraception (Roza, 2018). Injectable contraceptives are hormonal contraceptives, which contain the hormone progesterone and a combination of the hormone esterogen progesterone. The type of hormonal injectable contraception is DMPA injectable contraception (Roza, 2018). National family planning program participants in 2015 reached 32 million acceptors consisting of 28 million active acceptors and 4 million new acceptors. The use of injectable family planning amounted to 47.96%, birth control pills amounted to 22.81% contraceptive implants amounted to 11.20%. The percentage of active family planning for couples of childbearing age in Indonesia in 2016 was 74.8%. The three provinces with the highest percentage were North Maluku 87.03%, Bangka Belitung 83.92% and North Sulawesi 83.84% (Kurniasari et al., 2020). The use of injectable contraceptives is still one of the choices for some mothers because it is affordable, relatively cheap, effective, simple, and safe. However, it cannot be denied that there will be other consequences of using contraceptives, especially the 3-month injections that many mothers use. The complaint that is often discussed is weight gain. DMPA hormonal injectable contraceptives are the only hormonal contraceptives consistently associated with weight gain (Astriana, 2021). This research method uses then analyzed with the Chi Square Test. The results of the analysis showed a relationship between the use of DMPA injectable contraceptives and weight gain. The purpose of this study was to determine the effect of three-month DMPA (<em>Depo-Medroxyprogesterone Acetate</em>) injections on weight gain in the jailolo health center area, West Halmahera Regency. This research uses qualitative research methods, namely observation (observation) and interviews. Qualitative research methods are research methods used to research on natural object conditions. then analyzed with the Chi Square Test. The results of the analysis showed a relationship between the use of DMPA injectable contraceptives and weight gain. Three-month injectable contraceptives DMPA (Depo-Medroxyprogesterone Acetate) can have an impact on weight gain. So it can be concluded that H1 is accepted H0 is rejected with a p-value = 0.000 there is an effect of three-month injectable contraceptives with weight gain. <strong>Conclusion:</strong> In this study, the results showed that there was an effect of three-month DMPA injections on weight gain.</p> Ermawati Ermawati, Anik Purwanti ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/2096 Sat, 15 Jun 2024 05:34:28 +0000 HUBUNGAN PENGETAHUAN DAN PERILAKU PENCEGAHAN PENULARAN DENGAN KEJADIAN TUBERKULOSIS DI KELURAHAN LEGOK KOTA JAMBI https://stikes-nhm.e-journal.id/JOB/article/view/2093 <p>Pulmonary tuberculosis is the main cause of death in many developing countries. The high incidence of pulmonary TB can be due to low levels of knowledge, poor health behavior and a home environment such as ventilation, lighting, humidity, housing density that does not meet the requirements. "The aim of this research is to determine the relationship between knowledge and behavior to prevent transmission and the incidence of tuberculosis in Legok Village, Jambi City." This research is a descriptive analytical study with a case control design, consisting of 10 case samples and 10 control cases. The research data collected is in the form of nominal data which is then converted into categorical data so that using the chi square test with a significance limit of 5% or the P-value is said to be significant &lt; 0.05. The results of the study showed that 2 (20.0%) respondents experienced Tuberculosis who had sufficient knowledge, while in the control group there were 3 (30.0%) respondents who experienced Tuberculosis. The statistical test results show an Odds Ratio value of 9.33. Respondents had good Tuberculosis prevention behavior, while in the control group there were 3 (30.0%) respondents who had poor Tuberculosis prevention behavior. The statistical test results show an Odds Ratio value of 16, which means that someone who does not have preventive behavior will be 16 times more likely to suffer from pulmonary TB than someone who has TB preventive behavior. The conclusion of the research is that in order to prevent the incidence of tuberculosis, it is necessary to have good knowledge of family members about TB and always take precautions such as safe coughing, healthy changes and so on.</p> Emilia Chandra, Suparmi Suparmi, Rina Fauziah, Nurhidayah Nurhidayah ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/2093 Sat, 15 Jun 2024 05:49:46 +0000 Kekerasan Berbasis Pasangan Sebagai Pemicu Depresi Postpartum https://stikes-nhm.e-journal.id/JOB/article/view/2099 <p>Depresi Postpartum merupakan masalah kesehatan mental yang umum terjadi pada masa postpartum. Faktor yang memicu depresi postpartum sangat beragam dan salah satu yang diyakini menjadi pemicunya adalah pajanan <em>intimate partner violence </em>(IPV). IPV merupakan tindakan/ ancaman yang mengakibatkan kesakitan pada korban yang dilakukan oleh pasangan. Metode yang digunakan dalam penelitian ini adalah penelusuran literatur. Berbagai hasil observasi menunjukkan bahwa pajanan IPV menyebabkan gangguan hormonal terutama peningkatan hormon kortisol bagi korban sehingga dapat memicu kondisi stres kronis. Kondisi stres yang dialami korban ditatalaksana dengan pemeriksaan secara komprehensif melalui skrining psikopatologi, pemeriksaan fisik dan pemeriksaan penunjang terkait gejala atau perlakuan tindakan yang menyebabkan injuri. Stres kronis akibat injuri fisik maupun injuri mental bisa diterapi menggunakan terapi farmakologi maupun non-farmakologi berupa pemberian <em>antidepresan </em>atau terapi kognitif bagi pasangan/pelaku kekerasan dan korban.</p> Imroatus Sholihah, Zainun Wahida Fithriani, Heppy Martin Susetyowati ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/2099 Fri, 21 Jun 2024 01:25:48 +0000 Hubungan Status Gizi dan Tingkat Stres Remaja dengan Kejadian Disminore STIKES Sukma Wijaya Sampang https://stikes-nhm.e-journal.id/JOB/article/view/2105 <p><em>Menstruation can be an uncomfortable experience, some women have complaints during menstruation. Complaints that arise during menstruation is pain which is known as dysmenorrhea. Based on data from the World Health Organization (WHO) in 2018, it shows that 90% of women experience dysmenorrhea, with 10-15% suffering from severe dysmenorrhea. Indonesia is a country with a high incidence of dysmenorrhea about 55%, especially in women of productive age. One of the determining factors causing dysmenorrhea is nutritional status. Abnormal nutritional status can be a risk of dysmenorrhea. Another factor that can cause dysmenorrhea is stress levels. Dysmenorrhea can be caused by psychological aspects. The research uses a cross sectional approach. The research respondents were 102 Level II students. The sample size was 51 people calculated using the Slovin formula. From the test of the relationship between nutritional status and the incidence of dysmenorrhea, it shows a significance value of 0.000 &lt; α, there is a relationship between nutritional status and the incidence of dysmenorrhea. The results of the test of the relationship between stress levels and the incidence of dysmenorrhea show a significance value of 0.000 &lt; α, there is a relationship between stress levels and the incidence of dysmenorrhea.</em></p> Zainun Wahida Fithriani, Fildza Fadhila ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/2105 Fri, 21 Jun 2024 01:29:17 +0000 PERAWAT PRAKTIK TINGKAT LANJUT SECARA GLOBAL: LITERATURE REVIEW https://stikes-nhm.e-journal.id/JOB/article/view/2108 <p>Advanced nurse practitioners contribute to improving the quality of patient care and have great potential to optimize public health globally. The purpose from this literature review aims to determine the role of advanced practice nurses globally in responding to health challenges and improving service outcomes.The method uses a systematic review system with a search strategy using electronic databases such as Science Direct, PubMed and Google Scholar using the keywords "advanced practice nursing" and "advanced practice nurse" within the last 5 years (2020-2024) which were searched in Indonesian and English based on inclusion criteria and exclusion.The results of the review show that the health problems or challenges of advanced practice nurses globally, namely the difference between patient satisfaction with novice nurses and advanced nurses, are very significant.The Conclusion The results of this literature review are feasible and applicable to be used as a reference in developing advanced nursing practice services globally.</p> Dewinta Adelia, Erlis Eka Fitriana, Wida Novianti, Yeanneke L. Tinungki, Suriadi Suriadi ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/2108 Fri, 21 Jun 2024 07:47:16 +0000 FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN IKTERUS NEONATORUM PATOLOGIS PADA BAYI 0-28 HARI DI RUMAH SAKIT MEURAXA KOTA BANDA ACEH https://stikes-nhm.e-journal.id/JOB/article/view/2109 <p>Ikterus menjadi salah satu penyumbang angka kesakitan bayi di negara maju maupun berkembang, hal ini karena dapat mengakibatkan tubuh bayi menjadi lemas tidak mau menghisap, tonus otot meninggi, leher kaku, spasme otot, kejang, gangguan indra, retardasi mental, kecacatan bahkan kematian. Mengetahui Faktor yang Berhubungan dengan Kejadian <em>Ikterus Neonatorum </em>Patologis Pada Bayi 0-28 Hari Di Rumah Sakit Meuraxa Kota Banda Aceh. Metode <em>deskriptif </em>dengan pendekatan <em>Retrospektif</em>, untuk mengetahui hubungan berat badan lahir dengan kejadian ikterus neonatorum<em>. </em>Sampel dalam penelitian ini adalah seluruh bayi yang lahir di rumah sakit meuraxa dan&nbsp; yang tercatat didalam buku register tahun 2020-2022 sebanyak 226 orang. Hasil penelitian univariat menunjukkan bahwa dari 226 responden dengan usia kehamilan aterm sebanyak 185 responden (81,9%), yang melahirkan bayi dengan kategori tidak normal&nbsp; sebanyak 47 responde (20,8%), dan yang melahirkan bayi dengan kategori tidak normal &nbsp;sebanyak 47 responde (20,8%). Untuk kejadian ikterus dari 226 responden yang mengalami ikterus sebanyak 48 responde (21,2%). Hasil uji bivariat menggunakan <em>Chi-Square</em> untuk usia kehamilan P<em> value</em> =0,000.&nbsp; Ada hubungan usia kehamilan dengan kejadian ikterus neonatorum, ada hubungan frekuensi pemberian ASI dalam 24 jam dengan kejadian ikterus neonatorum, Ada hubungan usia kehamilan, berat badan bayi baru lahir, dan frekuensi pemberian ASI dalam 24 jam dengan kejadian <em>Ikterus Neonatorum </em>di rumah sakit Meuraxa Kota Banda Aceh. Diharapkan dapat memberikan informasi dan edukasi kepada ibu dan keluarga mengenai ikterus.</p> Roza Aryani, Eristono Eristono ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/2109 Fri, 21 Jun 2024 09:49:57 +0000 Keterampilan Kader Posyandu Dalam Pemantauan Pertumbuhan Balita Di Wilayah Kerja Puskesmas Bumi Emas Keluruhan Banjarejo Kecamatan Batanghari Kabupaten Lampung Timur Provinsi Lampung https://stikes-nhm.e-journal.id/JOB/article/view/2116 <p>Posyandu memiliki fungsi vital dalam pemantauan pertumbuhan anak dan kader Posyandu memiliki peran yang besar dalam berlangsungnya kegiatan di Posyandu. Berdasarkan hasil survei status gizi Indonesia (SSGI) 2022, prevalensi stunting di Indonesia tahun 2022 masih di angka 21,6%, meskipun menunjukkan penurunan dari 24,4% di tahun 2021. Menurut profil kesehatan Provinsi Lampung tahun 2022, cakupan pemantauan tumbuh kembang balita di Kabupaten Lampung Timur yaitu sebesar 64,4% dan belum mencapai target yang ditetapkan yaitu sebesar 70%. Tujuan penelitian ini adalah untuk mengetahui pengetahuan dan keterampilan kader Posyandu.</p> <p>Jenis penelitian ini adalah deskriptif analitik. Jumlah subjek penelitian sebanyak 40 kader Posyandu yang merupakan kader di Posyandu Kelurahan Banjarejo Lampung Timur. Pengukuran pengetahuan dan keterampilan kader Posyandu dilakukan dengan cara observasi dengan alat formulir dan kuesioner..</p> <p>Hasil penelitian diketahui bahwa pengetahuan kader Posyandu dengan kategori baik hanya 10% dan kategori cukup sebesar 60,0%. Kader yang terampil dalam&nbsp; melakukan penimbangan dengan baby scale 70% dan timbangan digital &nbsp;sebanyak 32,5%. Kader yang terampil mengukur panjang bayi dengan <em>lengthboard</em> sebanyak 37,5% dan dengan stadiometer 22,5%. Kader yang terampil dalam mengisi KMS (melakukan plotting) sebanyak 22,5%. Kader yang terampil dalam menghitung umur bayi/balita hanya 10%. Berdasarkan hasil penelitian maka saran yang diberikan adalah bagi pihak puskesmas mengadakan penyegaran/pelatihan kader dengan pelatih yang berkompeten, menerapkan sistem <em>rolling</em> supaya kader lebih melatih keterampilan dan kader yang terampil diharapkan dapat memberikan tutorial kepada sesama kader.</p> Mindo Lupiana, Stella Shavira Dini, Usdeka Muliani, Roza Mulyani ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/2116 Mon, 24 Jun 2024 00:00:00 +0000 DUKUNGAN KELUARGA DAN PERSEPSI IBU DALAM PENCEGAHAN STUNTING PADA BADUTA https://stikes-nhm.e-journal.id/JOB/article/view/1904 <p><em>Stunting</em> ialah masalah kurang gizi kronis yang mengakibatkan gangguan pertumbuhan pada anak, yakni tinggi badan anak lebih rendah atau pendek dari standar usianya. Hasil studi pendahuluan didapatkan hasil (20%) responden perilaku pencegahan stunting kategori sangat kurang, (40%) responden kategori kurang, (40%) responden kategori cukup.Tujuan penelitian untuk menganalisis hubungan dukungan keluarga dan persepsi dengan perilaku pencegahan stunting di Desa Jeddih, Kecamatan Socah, Kabupaten Bangkalan.&nbsp; Penelitian ini adalah penelitian analitik dengan desain penelitian <em>Cross Sectional. </em>Penelitian dilakukan di Desa Jeddih, Kecamatan Socah, Kabupaten Bangkalan. Variabel independen adalah dukungan keluarga dan persepsi ibu, variabel dependen adalah perilaku pencegahan <em>stunting</em>. Pengambilan subjek menggunakan metode <em>Purposive</em><em> Random Sampling</em>. Instrumen penelitan menggunakan kuesioner dukungan keluarga, persepsi, dan perilaku.Populaai sebanyak 119 responden. Analisa data menggunakan test <em>&nbsp;Spearman Rank</em>.&nbsp; &nbsp;Hasil analisa data dengan uji <em>Spearman Rank p value </em>= 0,00 &lt; α : 0,05 dengan nilai r = 2,90 sehingga H0 ditolak, artinya menunjukkan ada hubungan dukungan keluarga dengan perilaku pencegahan <em>stunting</em>, dan p value = 0,00 &lt; α : 0,05 dengan nilai r = 2,90 sehingga H0 ditolak sehingga ada hubungan persepsi ibu dengan perilaku pencegahan stunting.&nbsp; Tenaga Kesehatan diharapkan untuk lebih perduli lagi dalam mengatasi masalah stunting dan juga lebih intens dalam memberikan edukasi kepada masyarakat mengenai stunting.&nbsp;</p> Ulva Noviana, M. Hasinuddin, Heni Ekawati, Mustofa Haris ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/1904 Thu, 27 Jun 2024 07:34:14 +0000 Gambaran Pemeriksaan Jamur Candida Albicans dan Malazzia Furfur sebagai Mikrobioma pada Bayi Penyebab Ruam Popok (Diaper Rush) https://stikes-nhm.e-journal.id/JOB/article/view/2127 <p>Diaper dermatitis adalah iritasi pada barier kulit yang terjadi pada daerah yang tertutup popok, biasanya pada bagian bokong ditandai dengan kemerahan disertai gatal yang disebabkan oleh gesekan, feses, urin, pH, serta mikroorganisme seperti&nbsp; jamur Candida albicans. Secara luas dermatitis popok mengacu pada kelainan kulit yang terjadi di area popok. Penelitian ini dilakukan secara makrokopis dan mikroskopis menggunakan metode swab pada popok bekas bayi sebanyak 20 sampel dengan teknik sampel random dengan hasil positif 25% Candida albicans dan 5% Malassazia furfur. Hasil posiyif Malassezia furfur sangat mudah menginfeksi kulit karea kurangnya kesadaran akan kebersihan diri juga lingkungan disekitar. Gangguan dan ketidakseimbangan pada komposisi normal mikrobiom, atau disbiosis, dapat menyebabkan pergeseran mikrobiota komensal pada kulit menjadi komunitas mikrobiota yang berbahaya pada penyakit kulit noninfeksi seperti dermatitis atopik, psoriasis, dan akne.</p> Norma Farizah Fahmi, Dwi Aprilia Anggraini ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/2127 Thu, 27 Jun 2024 08:25:55 +0000 EFEKTIVITAS PENGGUNAAN VIDEO DALAM MENINGKATKAN KEBERSIHAN GIGI DAN MULUT SERTA PERILAKU ANAK TUNA RUNGU SLB PROF. DR. SRI SOEDEWI MASCHJUN SOFWAN, SH JAMBI https://stikes-nhm.e-journal.id/JOB/article/view/2128 <p>The prevalence of dental caries and periodontal disease is high in society and has a broad impact, namely disruption to quality of life, including functional limitations, physical disability, psychological discomfort and disability. The aim of the research was to determine the effectiveness of using oral health care videos on oral hygiene and student behavior. This type of research is quasi-experimental research with a Pre Test and Post Test Control Group Design research design model. The research population was SLB students of Prof. Dr. Sri Soedewi Maschjun Sofwan, SH as the treatment group and students of SLB Negeri 1 Jambi City as the control group. In the treatment group, they were given counseling and a video on how to brush their teeth and maintaining dental health which could be watched repeatedly at home, while in the control group they were given counseling and a video showing which they could only watch once. The measuring instrument used is PHPM. Students' knowledge, attitudes and behavior are seen using a questionnaire. Data analysis to see pre and post differences after intervention in dental and oral hygiene status, knowledge, attitudes and behavior of students, with the Wilcoxon Signed Ranks Test. &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; The results of the study showed that there were significant differences in the dental and oral hygiene status of children, as well as attitudes before and after treatment in students (p&lt;0.05). For knowledge and action, there were no significant differences (p&gt;0.05) between before and after treatment, Recommendations from In this research, parents are encouraged to be more active in motivating their children to maintain oral health by using videos on how to brush their teeth properly and correctly.</p> Rina Kurnianti, Retno Dwi Sari ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/2128 Thu, 27 Jun 2024 08:59:30 +0000 Teknik Relaksasi Aromaterapi Lavender terhadap Tingkat Nyeri Post Sectio Caesarea https://stikes-nhm.e-journal.id/JOB/article/view/2126 <p><strong><em>Background:</em></strong><em> Sectio caesarea (SC) is a surgical procedure performed to remove the fetus by opening the abdominal wall and uterine wall. This surgical procedure will leave a condition, namely an incision wound such as a post-cesarean section suture wound. The presence of wounds in post-cesarean section patients will cause discomfort in the form of complaints of pain. Handling labor pain can be done through various methods, namely pharmacological therapy&nbsp;such&nbsp;as the use of analgesics and various non-pharmacological therapies. Non-pharmacological therapy can&nbsp;be used&nbsp;as support in pain management, such as deep breathing relaxation techniques, hypnobirthing, acupressure, water birth, stimulation and massage, ice and heat therapy, and aromatherapy. The mechanism for administering relaxation techniques with aromatherapy is much faster because administration through the nose/smell has direct contact with parts of the brain, especially the limbic system in the brain (hypothalamus)&nbsp;which&nbsp;is capable of producing endorphin hormones and has pain relieving properties and serotonin which has a numbing effect.&nbsp;anxiety&nbsp;and tension caused by aromatherapy. <strong>Purpose:</strong> Apply lavender aromatherapy relaxation techniques to the level of pain in patients with Post Sectio Caesarea. <strong>Benefits:</strong> It&nbsp;is hoped&nbsp;that after giving lavender aromatherapy to post-cesarean section patients, the&nbsp;level of pain&nbsp;will decrease.&nbsp;<strong>Method: </strong>This case study illustrates how&nbsp;the application of&nbsp;lavender aromatherapy relaxation techniques affects the&nbsp;level of pain&nbsp;in post-cesarean section patients.&nbsp;This descriptive case study&nbsp;was carried out&nbsp;using an observational approach on a sample of Sectio caesarea patients. <strong>Results:</strong> These results prove&nbsp;that the administration of aromatherapy is effective in reducing the level of&nbsp;pain from severe pain to moderate pain&nbsp;which&nbsp;is characterized&nbsp;by subjective complaints of reduced pain&nbsp;and&nbsp;the patient's pain scale assessment shows a decrease before the implementation of nursing was&nbsp;7&nbsp;and after&nbsp;it was carried out&nbsp;to 4. <strong>Conclusion:</strong> The pain level decreased from weight became moderate in post-cesarean section mothers after being given lavender aromatherapy for&nbsp;3&nbsp;days. <strong>Suggestion:</strong> This research can increase knowledge in dealing with pain levels in post-cesarean section mothers by providing lavender aromatherapy.</em></p> Nurfantri Nurfantri, Muhaimin Saranani, Chicilia Iluh Virayanti ##submission.copyrightStatement## https://stikes-nhm.e-journal.id/JOB/article/view/2126 Fri, 28 Jun 2024 00:00:00 +0000