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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.
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

Abstract

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
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

Show Abstract | Download Original | Original Source | Check in Google Scholar

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.
THE OVERVIEW OF PARENTING IN CHILDREN IN URBAN AREAS Naya Erna Wati
Indonesian Journal of Health Care Management Vol 3, No 2 (2023): Indonesian Journal Health Care Management
Publisher : STIKes Kepanjen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36053/ijohcm.v3i2.63

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Background:  The family is the first place where children are raised, and in special waysadopted by the family in raising their children is called parenting. Families have differences culture and its role in the formation of children's character.Parenting patterns can be influenced by many factors, including: culture, social, education, economy, age of parents, and work etc. Objective: This study aims to determine the description of parenting in urban communities and the tendency of violent behavior in children. Methods: The research design is correlational with a cross-sectional approach. The population were parents (mother) who had children. The sampling technique used total sampling with a sample size of 50 respondents. Results: The distribution of parenting styles for children in urban areas is mostly in the moderate category, and the frequency distribution of violent behavior tendencies in the majority of children is mostly  in the medium category. Conclusion: It is hoped that the government can collaborate with health services to provide services or counseling and that can provide socialization that emphasizes aspects of increasing parents' understanding of parenting to promote care, safety, closeness without violence and create an environment without conflict with children.
milwati PELATIHAN KADER BERBASISHEALTY BELIEF MODEL ((HBM) TENTANG PENCEGAHAN HIPERTENSI DAN PEMERIKSAAN TEKANAN DARAH PADA MASYARAKAT DI POSBINDU KOTA MALANG Susi Milwati; Wahyuningsri Wahyuningsri; Naya Ernawati
Jurnal IDAMAN (Induk Pemberdayaan Masyarakat Pedesaan) Vol 2 No 2 (2018): Jurnal IDAMAN (Induk Pemberdayaan Masyarakat Pedesaan)
Publisher : Politeknik Kesehatan Kemenkes malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/j.idaman.v(2)i(2)y(2018).page:70-79

Abstract

Upaya meningkatkan program Posbindu (Pos Pembinaan terpadu) dengan cara memberikan pelatihan pada Kader sehingga masyarakat dapat secara rutin hadir dan aktif mengikuti program terutama pengendalian factor risiko prevalensi Penyakit Tidak Menular. Pengabdian Masyarakat yang dilaksanakan di wilayah kerja Puskesmas Mojolangu Kota Malang adalah pelatihan Kader berbasis Healhty Belief Model dalam pencegahan hipertensi dengan pemeriksaan tekanan darah. Hasil pengabdian masyarakat pada responden 15 Orang Kader dan 15 orang masyarakat sebelum dan setelah pelatihan adalah: Kader :1) Kader ada peningkatan pengetahuan (40%), 2) peningkatan Persepsi kuat tentang kerentanan (20%); Peningkatan Persepsi kuat keparahan (27,6%) Persepsi Manfaat menurun (6,7 %), peningkatan perepsi kuat hambatan (13,3%), peningkatan persepsi ancaman 19,7 %; 3) ketrampilan mengukur tekanan darah meningkat (53,3%). Masyarakat : 1) Ada peningkatan pengetahuan ( 20%), 2) Persepsi : Peningkatan Persepsi kuat kerentanan ( 6,9 %); persepsi kuat keparahan menetap ( 40%); Peningkatan persepsi manfaat ( 7 %); persepsi hambatan menetap ( 46,7 %), Peningkatan persepsi ancaman ( 6,7 %) . Kesimpulan; ada peningkatan pengetahuan dan persepsi tetapi masih ada persepsi yang belum kuat. Rekomendasi: pelatihan Kader dalam upaya menurunkan angka kejadian Hipertensi dan pencegahannya menggunakan Metode Health Believe perlu dilanjutkan
PENGARUH PURSED LIP BREATHING TERHADAP SATURASI OKSIGEN PADA PASIEN POST GENERAL ANESTHESIA DI RUANG BEDAH RS LAVALETTE KOTA MALANG Dimas Bagus Kurniawan; susi milwati; naya ernawati
Jurnal Keperawatan Terapan Vol 8 No 1 (2022): Jurnal Keperawatan Terapan (E-Journal)
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jkt.v8i1.1138

Abstract

Postoperative patients with general anesthesia who experience complications In the respiratory system, respiratory depression is found to be associated with decreased oxygen saturation. The Pursed Lip Breathing exercise is a non-pharmacological action aimed at facilitating the process of removing air trapped by the airways in an effort to increase the value of oxygen saturation. The purpose of this study was to see the effect of Pursed Lip Breathing on oxygen saturation in post general anesthesia patients. This study used Quasy-experiment With Pretest Posttest Control Group Desaign. The sampling used in this study was a non-probability sampling type of purposive sampling with 30 respondents divided into 15 control groups and 15 treatment groups. The test used in this study was to examine the differences between pre and post, intervention groups and control groups using the Wiloxon test then to compare the results of the post-intervention group and Post group control groups using the independent Mann Whitney test. The results showed a p value of 0.039 (p value less than 0.05) in the pre and post control group and in the treatment group p-value 0.001 (p value less than 0.05) This shows that the pre and post oxygen saturation values in the two groups differed while the post-test difference in the control and treatment groups was 0.015 (p value less than 0.05), so there was a difference in oxygen saturation in patients given general anesthesia and not used pursued lip breathing. Thus the pursed lip breathing has an influence on oxygen saturation in patients with post general anethesia.The next recommendation is the relationship of the value of carbon dioxide (CO2) levels that can affect the value of oxygen saturation.
PENGARUH PEMBERIAN INFUS HANGAT TERHADAP STABILITAS SUHU TUBUH PADA PASIEN POST OPERASI GENERAL ANESTESI DI RECOVERY ROOM RSU KARSA HUSADA BATU Shabirina Awwaliyah; Moh. Zainol Rachman; Naya Ernawati
Jurnal Keperawatan Terapan Vol 6 No 01 (2020): Jurnal Keperawatan Terapan (e-journal)
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jkt.v6i01.973

Abstract

Hypothermia is a serious general complication of surgery and anesthesia which can carry out various complications. The action to overcome this problem is the administration of heating measures, one of which is by warm infusion. The aim of this study was to determine the effect of warm infusion on body temperature stability in postoperative general anesthesia patients. The research method used was a pre experimental one group without control with a pretest posttest study. Respondents of this study were postoperative patients with general anesthesia. The population of this study was post operative patients under general anesthesia. The sampling in this study was purposive sampling. The number of samples in this study was 17. Respondents received 30 degrees Celsius warming fluid infusion. The analysis in this study used a comparative test paired t test with the result of P value 0,000. The P value shows a significant effect between giving warm infusions and body temperature stability. Based on descriptive statistical analysis, 76,4 percent of respondents achieved normothermia in the 35th minute. In the 60th minute, all respondents were in a normothermic state. Suggestions for further research to conduct research with more sample sizes. Keywords: Warm Infusion, General Anesthesia, Body Temperature