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STUDI FENOMENOLOGI STRES KOPING IBU PRIMIGRAVIDA TRIMESTER I DALAM PROSES ADAPTASI FISIK DAN PSIKOLOGIS DI PUSKESMAS PUHJARAK KABUPATEN KEDIRI TAHUN 2017 Eko Yuswanto; Ratna Hidayati; Dhina Widayati
JURNAL ILKES : Jurnal Ilmu Kesehatan Vol 8 No 2 (2017)
Publisher : STIKES Karya Husada Kediri

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Kehamilan melibatkan berbagai perubahan, diantaranya fisik dan psikologis yang dipengaruhi oleh perubahan hormon. Untuk mencegah terjadinya masalah kesehatan yang diakibatkan perubahan tersebut dibutuhkan mekanisme koping yang tepat. Penelitian ini bertujuan untuk mengetahui stres koping pada ibu primigravida trimester I dalam proses adaptasi fisik dan psikologis di Puskesmas Wilayah Puhjarak Kabupaten Kediri Tahun 2017. Metode yang digunakan adalah kualitatif dengan pendekatan fenomenologi deskriptif. Data dikumpulkan dengan metode in-depth interview kemudian dianalisa menggunakan tehnik analisa data Colaizzi yang dilakukan terhadap 5 informan. Hasil penelitian ditemukannya 4 tema, yaitu 1) dampak perubahan fisik dalam kehamilan; 2) dampak perubahan psikis dalam kehamilan; 3) koping perubahan fisik kehamilan; 4) koping perubahan psikis kehamilan. Perubahan fisik pada ibu hamil variatif namun pada umumnya tetap sama hanya saja waktu terjadinya tidak selalu sama. Terkait perubahan psikis terjadi tanpa sebab yang jelas yang tergantung pada stressor yang diterimanya. Untuk mengatasinya, ibu hendaknya menggali informasi lebih dalam terkait kehamilan sehingga perubahan yang terjadi tidak menjadi stressor serta mampu melakukan mekanisme koping yang tepat. Selain itu diharapkan juga menumbuhkan rasa percaya kepada pasangannya dalam rangka menjaga keharmonisan hubungan rumah tangga yang berdampak pula terhadap kondisi kejiwaan ibu hamil. Direkomendasikan bagi institusi kesehatan dapat melakukan kolaborasi dengan puskesmas maupun pihak lain yang terkait untuk mengadakan program edukasi pada ibu hamil tentang perubahan fisiologi tubuh yang terjadi selama masa kehamilan sehingga ibu hamil tidak mengalami kesalahan informasi yang justru dapat menimbulkan perilaku koping maladaptif

Perbedaan Penyulit pada Masa Perinatal Ibu dengan Riwayat Diabetes Mellitus Gestasional dan Obesitas di RSUD Kabupaten Kediri Ratna Hidayati; Devin Setyorini; Nian Afrian Nuari
JURNAL ILKES : Jurnal Ilmu Kesehatan Vol 9 No 2 (2018): Jurnal Ilkes (Jurnal Ilmu Kesehatan)
Publisher : STIKES Karya Husada Kediri

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Complications in the perinatal period are abnormal. Factors of complications can be seen from the time of pregnancy, labor and post-partum. The aim of this research is to know the difference of complication at the time of perinatal mother with history of Diabetes Mellitus Gestional and Obesity. Design of this research was comparative with a restrospective approach. This research was conducted in March-April 2018 in the medical record room of Kediri Regency Hospital. Case samples were taken by purposive sampling technique of 50 respondents of pregnant women with a history of Diabetes Mellitus Gestational and with obesity history. Independent variables with a history of Gestational Diabetes Mellitus and Obesity and dependent variables were perinatal complications and maternal. Using Chi Square statistical test data is analyzed by calculating odds ratio. The result showed that the odds ratio was shown by estimate value of 0.365 and p value = 0,015 (<0,05). H1 received OR<1 this means pregnant women with Gestational Diabetes Mellitus have a risk factor 0,3 times the risk of experiencing complications than pregnant women with a history of Obesity. Therefore the role of nurses need to provide socialization to lower blood sugar levels and perform routine ANC so that thus reducing the risk of complications.

Perbedaan Kemandirian Lansia di Rumah dan di PSLUPare Kabupaten Febrin Eko; Ratna Hidayati; Widyasih Sunaringtyas
JURNAL ILKES : Jurnal Ilmu Kesehatan Vol 9 No 1 (2018)
Publisher : STIKES Karya Husada Kediri

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Elderly is a part of the process of human growth, part of the life process that can not be avoided and will beexperienced by every individual, the elderly will experience physical changes that affect his independence inconducting activity of daily living, mental status, economic and social interaction. This study aims to determinethe differences of independence of the elderly living in the village Tulungrejo pare district and who live in PSLUPare Kediri District. Researchers use quantitative research type with comparative design. The sample consists of140 respondents consisting of 70 respondents who live in Tulungrejo village and 70 respondents who live inPSLU Pare Kediri Regency with Cluster Sampling and Purposive Sampling technique. Statistical analysis usingMann-Whitney test with α = 0.05. The results showed that the elderly living at home is good independence of26.25% while those living in the PSLU are moderate independence of 25%. After the test using Mann-WhitneyTest in get ρ value = 0,000 with α = 0.05 which means there is a difference of independence of elderly who live athome and live in PSLU Pare Kediri Regency. The existence of differences in the independence of the elderly dueto adjustment factors to changes that occur in him. Suggestion from this research is family or party PSLU givemore support and spirit to elderly so elderly can improve quality of life.

Moringa Leaf Extract (Moringan Oleifera) and Honey Improve The Levels of Haemoglobin in Norvegicus Rattus that Suffer Anemia Ratna Hidayati; Efa Nur Aini; Devita Anugrah Anggraini
JURNAL ILKES : Jurnal Ilmu Kesehatan Vol 12 No 2 (2021): Jurnal Ilkes (Jurnal Ilmu Kesehatan)
Publisher : STIKES Karya Husada Kediri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35966/ilkes.v12i2.221

Abstract Background : Anemia decreases concentration in learning, decreases physical ability, work productivity, and thinking ability in adolescents. The purpose of this study was to prove the difference in effectiveness of the administration of Moringa oleifera leaf and honey to hemoglobin levels in anemia. Methods: This study used the true experimental design with the post test only control group design method, in 21 rats selected through random sampling technique divided into 3, namely 7 moringa leaf extract groups, 7 honey groups, and 7 control groups. The variable measured in this study was the difference in hemoglobin levels after intervention. This study uses the independent statistical test T-test. Results: The results of the study in all 100% treatment groups experienced a significant increase in hemoglobin levels with an average post test score for Moringa leaf extract 18.17 g / dl higher than honey supply with an average score of 17.57 g / dl. Based on the Independent T-test analysis, p-value = 0.016 was obtained so that there were differences in the effectiveness of Moringa leaf extract and honey on hemoglobin levels. While Moringa leaf extract is more effective than honey in the treatment of iron deficiency anemia. Conclusion: This is because Moringa leaves contain iron compounds, vitamin C, and folic acid which can increase hemoglobin levels. Meanwhile, honey contains Fe minerals and is rich in vitamins which can increase the number of erythrocytes/Hb levels

Hubungan Pengetahuan dengan Sikap Ibu Preeklampsia tentang Kebutuhan Antenatal Care di Kecamatan Badas Kabupaten Kediri Oktalia Citra Rahayu; Ratna Hidayati; Didit Damayanti
JURNAL ILKES : Jurnal Ilmu Kesehatan Vol 9 No 2 (2018): Jurnal Ilkes (Jurnal Ilmu Kesehatan)
Publisher : STIKES Karya Husada Kediri

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The highest cause of maternal mortality is eclampsia with 31% rating, researchers found almost 75% of mothers did not know the signs of preeclampsia even some mothers only check their pregnancy if there is a grievance only. Aims of this study was to analyze the relationship of knowledge and attitude of pre eclampsia mother about antenatal care needs in Badas sub-district, Kediri regency. This research use correlation design and cross sectional approach, a total of 26 respondent were found with total sampling technique. Which knowledge of mother with pre eclampsia as independent variable, and the attitude as its dependent. The data were analyzed with Spearman Rank, the result showed that most (65,4%) knowledge of preeklampsia mother about antenatal care needs was good, half (50%) attitude of preeclampsia mother about antenatal care requirement was positive and negative. Researcher found Pvalue = 0,003, <α = 0,05 and r = 0,567. Thus, there is a correlation between knowledge with attitude of mother of preeclampsia about antenatal care requirement with medium correlation level. The existence of relationship between knowledge and attitude on pre eclampsia mother with a good knowledge level in antenatal care needs can influence mother comprehension in deciding and choosing the attitude that will be taken. Researcher expected every mother can share their experience and information to another mother and society especially to pregnant womans, researcher hope by sharing description and information about pre eclampsia with everyone will be helpful and we can overcome several of pregnancy problem based on the experience from several people.

Stress Management (Repetitive Prayer: Al-Fatihah) on Stress Levels in Pregnant Women Rose Nanju; Ratna Hidayati; Laviana Nita Ludyanti; Peny Tyas
JURNAL ILKES : Jurnal Ilmu Kesehatan Vol 13 No 2 (2022): Jurnal Ilkes (Jurnal Ilmu Kesehatan)
Publisher : STIKES Karya Husada Kediri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35966/ilkes.v13i2.283

Stress in third-trimester pregnant women is often experienced due to physical and psychological changes. A spiritual intervention that can be applied is the Repetitive Prayer: Al-Fatihah therapy for stress levels in pregnant women. The purpose of this study was to determine the effect of stress management (Repetitive Prayer Al-Fatihah) on stress levels in pregnant women at Pare health center, Kediri Regency. Pre Experimental research design (One Group Pre-Post Test Design). The sample size was 14 respondents using accidental sampling. Data were analyzed using the Wilcoxon Test. The results obtained before the intervention showed that most respondents (64.3%) had moderate stress levels. Meanwhile, after the intervention showed that most of the respondents (64.3%) experienced a decrease in stress levels in the mild stress category. The results of the Wilcoxon Test show the effect of stress management (repetitive prayer: Al-Fatihah) on the stress level of pregnant women at pare health center Kediri Regency with p-value = 0.002 <α = 0.05. This intervention contains asy-syafiyah (healer), asy-syukr (gratitude), and ar-ruqyah (incantation) which sound waves transmitted to the cerebral through the primary visual cortex transmitted to the left angular gyrus, Wernicke's area, Broca's area, and motor cortex thereby increasing production of endorphins which reduce stress in third-trimester pregnant women. It is recommended that third trimester pregnant women perform this non-pharmacological therapy to reduce stress regularly experienced during worship and leisure time.

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