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PENGARUH PEMBERIAN HEALTH COACHING BERBASIS HEALTH PROMOTION MODEL (NOLA J.PENDER) TERHADAP TINGKAT KECEMASAN IBU HAMIL DI PUSKESMAS DINOYO Solikhah, Fitriana Kurniasari; Ernawati, Naya
Journal of Nursing Care and Biomoleculer Vol 4, No 2 (2019)
Publisher : STIKes Maharani Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (222.004 KB) | DOI: 10.32700/jnc.v4i2.141

Abstract

AbstractThe number of pregnant women who experience anxiety tends to increase, things affect the delivery outcome and the physical and mental health of the fetus. Health coaching is the practice of health education and health promotion with a view to improving individual health and to facilitate the achievement of health goals that effectively motivate structured behavior change, through supportive relationships between participants and coaches. The research objective was to analyze the effect of health coaching provision based on health promotion model on the anxiety level of pregnant women. The study design used quasi-experimental, with the number of samples of the treatment and control groups as many as 30 respondents. The study was conducted in the Dinoyo Health Center area of Malang City from October to November 2018, anxiety in the treatment group experienced a significant change with a p value <0.05 using the Wilcoxon test. The conclusion of this study is that the level of anxiety experienced by pregnant women (primigravida and multigravida) is still high. Giving health coaching has a significant effect on reducing anxiety rates in pregnant women.Keywords: pregnant women, health coaching, health promotion, anxiety.  AbstrakJumlah ibu hamil yang mengalami kecemasan cenderung meningkat, hal memengaruhi outcome persalinan serta kesehatan fisik dan mental janin. Health coaching adalah praktik pendidikan kesehatan dan promosi kesehatan dengan maksud untuk meningkatkan kesehatan individu dan untuk memfasilitasi pencapaian tujuan kesehatan yang secara efektif memotivasi perubahan perilaku secara terstruktur, melalui hubungan suportif antara partisipan dan coach. Tujuan penelitian untuk menganalisis pengaruh pemberian health coaching berbasis health promotion model terhadap tingkat kecemasan ibu hamil. Desain penelitian menggunakan quasi eksperimen, dengan jumlah sampel kelompok perlakuan dan control sebanyak 30 responden. Penelitian dilakukan di wilayah Puskesmas Dinoyo Kota Malang pada bulan Oktober sampai November 2018, kecemasan pada kelompok perlakuan mengalami perubahan yang signifikan dengan nilai p<0,05 menggunakan uji wilcoxon. Simpulan penelitian ini adalah tingkat kecemasan yang dialami oleh ibu hamil (primigravida dan multigravida) masih tinggi. Pemberian health coaching berpengaruh secara signifikan menurunkan angka kecemasan pada ibu hamil.
RELATIONSHIP KNOWLEDGE LEVEL OF NURSES ABOUT STANDARDS OF NURSING CARE WITH APPLICATION NURSING CARE DOCUMENTATION Agung Dwi Ardianto; Fitriana Kurniasari Solikhah
Indonesian Journal of Health Care Management Vol 1, No 2 (2021): Indonesian Journal of Health Care Management
Publisher : STIKes Kepanjen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36053/ijohcm.v1i2.18

Abstract

Nursing documentation must be carried out at each stage of nursing care, so that it can be a means of nurse communication at work. Nursing documentation is a manifestation of nurses' accountability if nursing care services are disputed in the legal sphere. The phenomena, there are still many nurses who have not implemented nursing care documentation properly and correctly. The study was a correlational design with a population of all nurses in the inpatient unit of Bantur Public Centre Health, with a purposive sampling technique and a large sample of 14 people. Data collection using questionnaire instruments. The results showed that the majority of respondents (50%) applied sufficient nursing care documentation, the majority of respondents (58%) had sufficient knowledge. From the results of the Spearman statistical test, it is known, rho count = 0.923 and p value = 0, there is a correlation between the level of nurse knowledge about the standard of nursing care and the application of nursing care documentation. implementing of nursing documentation properly and correctly, it is necessary to have good knowledge about Nursing Care Standards. The better the knowledge about the standard of nursing care, the better the nursing care documentation that is applied
Peningkatan Pengasuhan Bayi Berat Lahir Rendah (Bblr) oleh Tenaga Kesehatan dan Kader Erlina Suci Astuti; Fitriana Kurniasari Solikhah; Naya Ernawati
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 5, No 12 (2022): Volume 5 No 12 Desember 2022
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v5i12.7950

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ABSTRAK Bayi Berat Lahir Rendah (BBLR) merupakan penyebab kedua kematian neonatus di Indonesia, yaitu sebanyak 20,7%, untuk itu perawatan BBLR di rumah sakit dan perawatan lanjutan di komunitas terutama pada 2 bulan berikutnya dan 2 tahun pertama sangat penting. Bayi dengan berat lahir rendah membutuhkan perawatan intensif baik saat di rumah sakit maupun masa peralihan dari rumah sakit kerumah karena secara fisiologis bayi BBLR/premature terus beradaptasi. Dukungan kader dan tenaga kesehatan terhadap pelayanan kesehatan bayi BBLR sangat diperlukan untuk meningkatkan pengasuhan bayi BBLR. Untuk meningkatkan perawatan BBLR di komunitas melalui kemitraan dengan pemegang program kesehatan ibu dan anak di wilayah Dinas Kesehatan Kabupaten Malang melalui tenaga Kesehatan di komunitas dan kader Kesehatan untuk mendampingi keluarga yang mempunyai BBLR Pelaksanaan kegiatan berupa persiapan, pelaksanaan, pendampingan, monitoring dan evaluasi. Tahap pelaksanaan pelatihan dan pendampingan yang meliputi kegiatan pelatihan (teori, praktek) dan pendampingan. Untuk memberikan pemahaman dan pengalaman langsung akan dilaksanakan pendampingan nakes dan kader kepada keluarga yang mempunyai BBLR. Kegiatan ini menemukan bahwa penerapan program pelatihan peningkatan pengasuhan bayi BBLR ini terbukti secara efektif meningkatkan pengetahuan kader dan tenga kesehatan dalam pengasuhan bayi BBLR. Berdasarkan hasil tersebut disarankan kepada pemegang kebijakan dapat memberikan penyegaran berupa pelatihan pada nakes dan kader tentang peningkatan pengasuhan BBLR sehingga dapat dilakukan monitoring dan pendampingan BBLR untuk meminimalkan risiko stunting. Kata Kunci: Perawatan Bayi, BBLR, Tenaga Kesehatan, Kader  ABSTRACT Low Birth Weight (LBW) is the second cause of neonatal death in Indonesia, which is as much as 20.7%, for this reason, LBW care in hospitals and follow-up care in the community, especially in the next 2 months and the first 2 years is very important. Babies with low birth weight require intensive care both in the hospital and during the transition from hospital to home because physiologically LBW/premature babies continue to adapt. The support of cadres and health workers for LBW infant health services is very much needed to improve LBW infant care. to improve LBW care in the community through partnerships with maternal and child health program holders in the Malang District Health Office through community health workers and health cadres to assist families who have LBW The solution offered is to increase the knowledge and skills of cadres and health workers in the care of LBW. This activity found that the implementation of the training program to improve the care of LBW babies was proven to be effective in increasing the knowledge of cadres and health workers in caring for LBW babies. Based on these results, it is recommended that the Malang District Health Office can provide refreshment in the form of training for health workers and cadres on improving LBW care so that LBW monitoring and assistance can be carried out to minimize the risk of stunting. Keywords: Baby Care, LBW, Health Workers, Cadre
Healing in Nurses After Assignment in Natural Disasters Fitriana Kurniasari Solikhah; Ronal Surya Aditya
Folia Medica Indonesiana Vol. 58 No. 4 (2022): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (428.84 KB) | DOI: 10.20473/fmi.v58i4.37410

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Highlight :  Disasters impact a large number of people, including nurses who are deployed in the disaster relief. Culturally sensitive psychological first aid sessions, post-assignment in crisis situations monitoring, and grit have implications in pushing the nurses to overcome their trauma and obstacles. Government policies are also important in helping nurses to heal after deployment in disaster relief.   Abstract : Disasters are defined as catastrophic occurrences that impact a large number of people quickly and with an abrupt onset. On average, one natural disaster is reported globally each day. However, the impact of a traumatic occurrence on an individual may be compared to a rock colliding with the surface of a water body. Systematic searches were conducted in Cochrane, Google Scholar, PubMed, Scopus, Embase, and Web of Science databases. The following keywords were used to perform a literature search: "nurse," "healing," and "natural catastrophes". As a result of reviewing 362 abstracts and titles, ten were determined to meet the study goals. The research methods in four of the ten literatures were qualitative, five quantitative, and one was a blend of both. Generally, culturally appropriate psychological first aid sessions, post-natural disaster assignment monitoring, and grit push people to overcome obstacles and accomplish achievements over time. Nurses who have been deployed to natural catastrophes must heal and need time to rest physically and mentally. This study aimed to find out the implications of culturally sensitive psychological first aid sessions, post-assignment in crisis situations monitoring, and grit in pushing individuals to overcome obstacles and achieve success over time; and how the government policies relate to trauma recovery.
DETERMINANTS OF EXCLUSIVE BREAST MILK IN RURAL COMMUNITIES Naya Erna Wati; Fitriana Kurniasari Solikhah; Eka Wulandari
Indonesian Journal of Health Care Management Vol 3, No 1 (2022): Indonesian Journal of Health Care Management (IJOHCM)
Publisher : STIKes Kepanjen

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Abstract

 Introduction:  Exclusive breastfeeding is the process of feeding infants in the form of breast milk alone without other additional foods until the baby is 6 months old. Objective: The purpose of this study was to identify the determinants of exclusive breastfeeding practices. Methods: The design of this research is a cross sectional study. Purposive Sampling 125 mothers with child aged < 24 months. Data were collected between June and August 2022. Statistical analysis using chi square test, multivariate logistic regression was used to identify the determinants of the success of exclusive breastfeeding. Results: Determinants of exclusive breastfeeding are enabling factors use of health services (p value = 0.000; Exp.B = 2, 207); reinforcing factors : husband's support (p value = 0.001, Exp (B) = 7,800); and  the role of health workers (p value = 0.002, Exp (B) = 11.833). Conclusion: There is a relationship between  enabling factors and reinforcing factors with exclusive breastfeeding in rural communities. It is necessary to immediately implement and enforce a joint policy between the government, health workers, empowering family support by increasing awareness and creating a supportive environment for the success of exclusive breastfeeding.
PEMANFAATAN KARTU SUPLEMENTASI FE SEBAGAI UPAYA DETEKSI DINI DAN PENCEGAHAN ANEMIA DI PUSKESMAS Fitriana Kurniasari Solikhah; Erlina Suci Astuti; Joko Wiyono
Jurnal Pengabdian Masyarakat Borneo Vol 6, No 3 (2022)
Publisher : Universitas Borneo Tarakan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35334/jpmb.v6i3.2520

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Anemia merupakan masalah gizi yang perlu mendapat perhatian dan menjadi salah satu masalah kesehatan, khususnya untuk ibu hamil. Anemia pada ibu hamil akan berdampak terhadap tidak optimalnya pertumbuhan dan perkembangan janin dalam kandungan serta berpotensi menimbulkan komplikasi kehamilan dan persalinan, bahkan kematian ibu dan anak. Penyebab ini dapat diminimalisir apabila kualitas antenatal care dilaksanakan dengan baik. Program suplementasi besi untuk ibu hamil yang dicangangkan oleh pemerintah bertujuan menurunkan prevalensi anemia, tetapi hasilnya tidak selalu sukses. Beberapa faktor yang mempengaruhi keberhasilan adalah peningkatan pengetahuan dan support sistem masyarakat sekitar, terutama kader. Tujuan dalam pengabdian masyarakat ini adalah meningkatkan pengetahuan tentang anemia pada masa kehamilan bagi ibu hamil dan akder. Metode yang digunakan adalah dilakukan adalah peningkatan pengetahuan tentang anemia pada masa kehamilan, pelatihan penggunaan kartu suplementasi tablet Fe. Hasil yang didapatkan adalah peningkatan pengetahuan ibu hamil dan kader 19,5 poin dan kader dapat mengimplementasikan penggunaan kartu suplementasi tablet Fe.
Determinants of Incident Risk of Acute Respiratory Infection in Infants in Populated City Fitriana Kurniasari Solikhah
Journal of Global Pharma Technology Volume 12 Issue 02 (2020) Feb. 2020
Publisher : Journal of Global Pharma Technology

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Abstract

Introduction: Acute Respiratory Infection (ARI) was a major cause of morbidity and mortality in infants. ARI was always ranked first of the 10 most diseases in Indonesia. To be able to overcome the spread of ARI, it was necessary to know the risk factors for ARI. The purpose of this study was to analyze the relationship of predisposing factors (education, family income, knowledge, and attitudes), supporting factors (use of health care facilities, ventilation, presence of smokers in the house), driving factors (the role of health workers) with the risk of ARI events recurrent pneumonia in infants. Methods: This type of research was descriptive analysis with a cross-sectional approach. Data collection was done by questionnaire. The population was parents of children under five in the working area. This study used purposive sampling, with a sample of 100 respondents. Data analysis was done by univariate, bivariate with chi-square test and odds ratio. Results: The results showed that the incidence of recurrent Non Pneumonia ARI in toddlers had a significant relationship with knowledge (p-value = 0.017; OR = 0.27, attitude (p-value = 0.003; OR = 0.27), use of health care facilities ( p-value = 0.371; OR = 0.58), ventilation (p-value = 0.028; OR = 0.29), smokers in the house (p-value = 0,000; OR = 7.56), the role of health workers (p-value = 0,000; OR = 0.17). Conclusion: Recommendations need further research to develop a model of prevention of recurrent Non-Pneumonia ARI in infants according to the risk factors of the incident found so that it can.Keywords: Acute Respiratory Infection, Infants, Risk factor.
Perbedaan Dua Dosis Ekstrak Lidah Buaya terhadap Glukosa Darah Tikus Diabetes Mellitus Taufan Arif; Fitriana Kurniasari Solikhah
Jurnal Keperawatan Vol 21 No 1 (2023): Jurnal Keperawatan Maret 2023
Publisher : STIKES Insan Cendekia Medika Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35874/jkp.v21i1.1130

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Penyakit Diabetes Melitus membutuhkan perawatan kompleks dan waktu yang lama. Penyakit DM yang tidak diberikan manajemen pengelolaan dengan baik akan meningkatkan resiko munculnya komplikasi yang dapat mengancam pasien. Berdasarkan data dari WHO diperkirakan jumlah pasien DM pada Tahun 2000 meningkat dari 8,4 juta menjadi 21,3 juta pada Tahun 2023. Lidah buaya dianggap obat antidiabetes karena memiliki beberapa zat kimia yang mempunyai sifat hipoglikemik seperti kromium, dan alprogen. Tujuan penelitian adalah mengetahui perbedaan efektifitas dua dosis ekstrak lidah buaya terhadap glukosa darah tikus diabetes mellitus yang diiunduksi streptozotocin. Desain penelitian true experimental randomized pre-post test control group design. Teknik sampling memakai simple random sampling yang terdiri 18 ekor tikus galur wistar, dan dibagi kedalam 3 kelompok yaitu kelompok kontrol yang diberikan intervensi berupa placebo, kelompok perlakuan 1 yang diberikan ekstrak lidah buaya dengan dosis 1x350 mg/dl, kelompok 2 yang diberikan ekstrak lidah buaya dosis dosis 2x350 mg/dl. Variabel independen adalah ekstrak lidah buaya. Variabel dependen adalah kadar glukosa darah. Intervensi pemberian ekstrak lidah buaya diberikan selama 10 hari. Data dianalisis dengan Paired t Test dan ANOVA. Hasil penelitian menunjukkan terdapat pengaruh ekstrak lidah buaya dosis 1x350 mg/kgBB melalui uji paired t test sebesar 0,001. Hasil penelitian menunjukkan terdapat pengaruh ekstrak lidah buaya dosis 2x350 mg/kgBB melalui uji paired t test sebesar 0,002. Hasil ANOVA menunjukkan ekstrak lidah buaya dosis 2x350 mg/kgBB memiliki efektifitas paling tinggi dengan p value 0.034. Hal ini membuktikan bahwa pemberian ekstrak lidah buaya sebesar 350 mg/kgBB sebanyak 2x sehari memberikan penurunan kadar glukosa yang signifikan.
Pelatihan Perawatan Diri Pada Penderita Kusta dan Keluarga Fitriana Kurniasari Solikhah; Maria Dyah Ciptaningtyas
Jurnal Abdimas Jatibara Vol 1, No 2 (2023): Jatibara Vol.1 No.2 Februari 2023
Publisher : STIKES Yayasan RS.Dr.Soetomo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29241/jaj.v2i1.1030

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Dalam mendeteksi penyakit kusta perlu dipertimbangkan stigma yang terkait dengan diagnosis dan kesulitan dalam mendeteksi kusta asimptomatik, insiden dan prevalensi penyakit kusta itu sendiri. Tujuan pengabdian ini membentuk kampung ramah kusta, dimana mereka tidak akan melakukan stigma pada penderita kusta, dengan cara memandirikan perawatan penderita kusta dengan memaksimalkan support sistem yang ada di sekitar penderita. Metode yang dilakukan dalam pengabdian masyarakat ini adalah pelatihan yang melalui 3 tahap, yaitu persiapan, pelaksanaan dan evaluasi. Hasil pengabdian adalah penderita, keluarga dan kader beserta perawat penanngung jawab dan perawat desa mendapatkan pengetahuan terkait dengan perawatan diri kusta, serta berkomitmen untuk meningkatkan derajat kesehatan penderita kusta. Program pengabdian pada masyarakat ini bertujuan untuk memberikan pelatihan perawatan diri kepada penderita kusta dan keluarga.
Peran Faktor Persalinan terhadap Stunting pada Balita : Studi di Desa Tasikmadu, Indonesia Della Kurnia Fauziah; Nurul Pujiastuti; Fitriana Kurniasari Solikhah; Tri Nataliswati
Ners Jurnal Keperawatan Vol 19, No 2 (2023)
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.19.2.99-108.2023

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Stunting remains a persistent nutritional challenge in Indonesia, posing a substantial threat to child growth and survival, typically manifesting in the second year of life. Its primary antecedent is inadequate prenatal protein intake, resulting in shortened birth length and increased susceptibility to stunting. This study aimed to elucidate the relationship between birth length and stunting among toddlers within Tasikmadu Village, employing a retrospective cohort design with a total sample size of 128 individuals selected through Total Sampling. The analysis of the collected data yielded a noteworthy result, with a calculated p-value exceeding 0.570. This outcome signifies the absence of a statistically significant correlation between birth length and the incidence of stunting among the study participants in Tasikmadu Village. Instead, the investigation highlights the prominence of postnatal factors as significant determinants of stunting prevalence. These factors include the untimely introduction of complementary foods alongside breastfeeding (MP-ASI), irregular MP-ASI feeding schedules, a predominantly carbohydrate-based MP-ASI menu, erratic breastfeeding timings, and premature discontinuation of exclusive breastfeeding. In summary, this study discerns a conspicuous dissociation between birth length and stunting occurrence in Tasikmadu Village. The implication is that the roots of stunting lie predominantly in postnatal practices, emphasizing the critical role of addressing issues such as inappropriate MP-ASI practices and breastfeeding patterns to effectively combat the prevalence of stunting among toddlers. These findings contribute to a more nuanced understanding of the multifaceted nature of stunting in this context, guiding future interventions and public health initiatives aimed at its mitigation.