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Indonesian Self-Risk Assessment for Cervical Cancer (SiNara): Instrument Development and Validation Madiuw, Devita; Hermayanti, Yanti; Solehati, Tetti
Nurse Media Journal of Nursing Vol 11, No 2 (2021): (August 2021)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v11i2.34199

Abstract

Background: Women’s ignorance of cervical cancer risk factors has caused low participation in the screening of the disease. Women can independently assess cervical cancer risk factors in themselves through a risk assessment instrument. However, no instruments were found that assessed cervical cancer risk based on the characteristics of Indonesian women.Purpose: This study aimed to develop and validate an Indonesian self-risk instrument for cervical cancer.Methods: The instrument was developed based on scale development following the guidelines by DeVellis (2017). A cross-sectional study was implemented to validate the instrument. A total of 20 women were involved in the pre-testing, and as many as 200 women were included in the instrument testing. Based on the scale development guidelines, data collection was initiated with a literature review to determine the instrument construct and item pool. A total of 29 articles were used in the formulation of the item pool and resulted in 38 items for validity and reliability testing. Content validity ratio (CVR) and content validity index (CVI) were used to test the content validity of the instrument, which was reviewed by three experts. Exploratory factor analysis (EFA) with principal component analysis (PCA) method and Kuder-Richardson 20 (KR-20) were used to evaluate construct validity and internal consistency reliability, respectively.Results: A total of 26 items met the content validity and 21 items met the construct validity evaluation, with five items being removed because they had a loading factor value of <0.4. After the validity were evaluated, the instrument was reduced from 38 items to 21 items. The internal consistency reliability with Kuder-Richardson 20 (KR-20) was 0.807.Conclusion: The Indonesian self-risk assessment for cervical cancer (SiNara) instrument is of good validity and reliability. However, it needs to be tested in other settings using larger samples to measure its psychometric properties as well as its applicability and acceptability.
CANCER RISK ASSESSMENT INSTRUMENTS IN WOMEN: LITERATURE REVIEW Devita Madiuw; Yanti Hermayanti; Tetti Solehati
Journal of Maternity Care and Reproductive Health Vol 3, No 3 (2020): Journal of Maternity Care and Reproductive Health
Publisher : Ikatan Perawat Maternitas Indonesia Provinsi Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36780/jmcrh.v3i3.139

Abstract

Early detection of cancer or cancer screening is important. The right measurement tool is needed to conduct early detection of cancer. The instrument of assessment would help health workers in  the early detection of cancer in women. This literature review aimed to identify instruments for detecting the risk of cancer in women. The research method was a literature review, the articles were searched from four databases including CINAHL, Science Direct, Pubmed and Proquest. After the critical appraisal, there were 5 articles that fit the inclusion criteria, including the publication year from 2014 to 2019. The results found four instruments such as Breast cancer risk assessment (BCRA); Six Point Scale and Referral Screening Tool (RST); Perceived risk scale; Online self-test questionnaires. Not much research has been done using instruments to assess the risk of cancer in women. Limited instruments were found in this study even though the incidence of cervical cancer is also high. More research is needed to develop instruments for assessing cancer risk in women, especially cervical cancer. Key words: Early detection, risk assessment instrument, women’s cancer.
MANAGEMENT DISASTER IN MATERNITY AREAS Ai Rahmawati; Bhekti Imansari; Devita Madiuw; Ida Nurhidayah; Pipih Napisah; Yanti Hermayanti
Journal of Maternity Care and Reproductive Health Vol 2, No 2 (2019): Journal of Maternity Care and Reproductive Health
Publisher : Ikatan Perawat Maternitas Indonesia Provinsi Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (784.772 KB) | DOI: 10.36780/jmcrh.v2i2.72

Abstract

Indonesia is one of the countries in the world that is often affected by natural disasters. The disaster has broad-impact such as infrastructure damage, loss of material, and impacts on residents who live in the disaster area including pregnant women, postpartum women, and newborns. The impact that often occurs is stress in pregnant women and postpartum. Also, babies born also may have low birth weight and premature. The purpose of this literature study was to review disaster management in the maternity area in various countries. The electronic database included EBSCO hosts, PubMed and google scholar. Keyword for searching articles was "management disaster", " disaster preparedness " and "maternity area". A total of 859 articles were found and only 15 articles were chosen for analysis. Based on the literature analysis, it was found that there was a need to prepare for a disaster situation, especially women and infants in the maternal period (antepartum, intrapartum, postpartum and neonatal care) in Indonesia. Disaster management divide into three periods, first, before a disaster the government should provide a referral hospital to accommodate maternal patients and teams to deal with maternal problems. When the disaster occurred, identification of disaster victims using the triage OB TRAIN. After a disaster, maternal patients may experience stress and depression. Prenatal depression intervention includes interpersonal therapy, music therapy, and maternal relaxation. Preventing postpartum depression in postpartum mothers is done by breastfeeding their child. There is a need for a design disaster management for maternal patients in Indonesia that consist of three periods: pre-disaster, during disasters, post-disaster.Keywords: Management disaster, disaster preparedness, maternity areas
Strategi Penanganan Mual Muntah Ibu Hamil Melalui Kombinasi Intervensi Non Farmakologi: Tinjauan Literatur Devita Madiuw; Westy Tahapary; Lisse Pattipeiluhu; Fandro Armando Tasijawa
MOLUCCAS HEALTH JOURNAL Vol 3, No 3 (2021)
Publisher : Lembaga Penerbitan Fakultas Kesehatan Universitas Kristen Indonesia Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54639/mhj.v3i3.707

Abstract

Mual dan muntah selama hamil yang tidak dapat dikendalikan dapat menjadi hiperemesis gravidarum, yang berdampak negatif bagi ibu maupun janin. Intervensi farmakologi cukup efektif dalam mengurangi keluhan mual dan muntah ibu hamil, namun memiliki efek samping bagi kehamilan, sehingga terapi non farmakologi dapat dijadikan alternatif. Memiliki efek samping minimal, intervensi non farmakologi dapat dipertimbangkan untuk dikombinasikan antara beberapa terapi sehingga lebih meningkatkan efektifitasnya. Tinjauan literatur ini bertujuan mengidentifikasi kombinasi intervensi non farmakologi dalam penanganan mual dan muntah selama kehamilan. Pencarian artikel dilakukan melalui tiga database elektronik yaitu Pubmed, CINAHL Ebsco dan Google Scholar, dengan rentang tahun publikasi 2011-2021. Enam artikel diikutsertakan dalam review. Penelitian ini menunjukkan bahwa terdapat beberapa kombinasi terapi non farmakologi yang dapat digunakan dalam mengatasi keluhan mual dan muntah selama kehamilan, yaitu kombinasi jahe dan gula aren, kombinasi rebusan jahe merah dan daun mint, kombinasi air tebu dan air jahe, kombinasi daun mint dan jahe merah, jeruk nipis dan madu, kombinasi aromaterapi jahe dan lemon, pijat tangan dan jahe madu, serta kombinasi kneading dan pisang ambon. Analisis tentang terapi kombinasi mana yang lebih efektif disarankan untuk penelitian selanjutnya.
Health Technologies for Detecting High Risk Conditions in Pregnancy: A Systematic Review Devita Madiuw; Restuning Widiasih; Pipih Napisah
Journal of Nursing Care Vol 2, No 3 (2019): Journal of Nursing Care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (966.243 KB) | DOI: 10.24198/jnc.v2i3.22343

Abstract

In this technological era, various health technology including media, instruments and tools are created in area maternal and babies’ health. However, comprehensive information about these technology products are limited. This literature review aimed to find health technology in area maternal and baby especially in detecting high risk conditions in pregnancy. Method, this is a systematic review, the articles were searched from two databases including PubMed and CINAHL using several keywords. The keywords were high risk, pregnant women and technology OR instrument OR tools. Inclusion criteria are primary research, English language, and publications in the last 5 years. After the critical appraisal, a total of 16 articles included in the analysis. Result: The literature related of technology divided into two criteria which are the questionnaire development and health tools or devices. None of technology came from Indonesia. The entire technology showed effectiveness in detecting risks, and interventions to improve prenatal care. The target user for health tools mostly health professionals. Conclusion: various health technologies in area maternal in baby health are identified, however the majority of them provided from health professionals. Technology development is needed specifically, in the form of simple and practical tools or devices to assess foetal health with target user is pregnant women with high risk pregnancy.
Effect of Cervical Cancer Education and Provider Recommendation for Screening: A Systematic Review Tetti Solehati; Bhekti Imansari; Devita Madiu; Cecep Eli Kosasih; Yanti Hermayanti; Henny Suzana Mediani
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 5, No 2: December 2020
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (241.886 KB) | DOI: 10.30604/jika.v5i2.363

Abstract

The incidence of cervical cancer in the world is still high as well as in Indonesia. This cancer affected women's physically, psychologically, socially, sexually functionally, and spiritually. The purpose of this review literature was to determine the effect of cervical cancer education and to identify the effects of provider recommendations for screening to eligible women, as a basis for developing new interventions for nurses. We used the PICO (Problem or Population, Interventions, Comparison and Outcome) framework to develop our search strategy. Searching for articles was done through four English databases namely CINAHL, Science Direct, Pubmed, and Proquest to identify articles published between 2009-2019. Of the 2,665 filtered research reports, 14 articles were found that met the requirements. The data synthesis and reporting was guided by the Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA). Results, there were eight randomized control trials, five quasi-experiment, and one mixed method involved in the analysis step. The interventions were cervical cancer screening methods (1 article), interventions to increase participation in cervical cancer screening (10 articles), postoperative cervical cancer nursing interventions (1 article), and interventions handling symptoms or problems due to cervical cancer (2 articles). Our findings supported the implementation of cervical cancer educational interventions to increase women's participation in cervical cancer screening programs. Nurses and midwifery have the opportunity to innovate interventions related to nursing, through research in order to improve the quality of nursing care for patients. Abstrak: Insiden kanker serviks di Indonesia maupun di dunia masih cukup tinggi. Wanita dengan kanker serviks dapat mengalami perubahan secara fisik, psikologis, social dan fungsi seksual, maupun spiritual. Tujuan literatur review ini untuk mengetahui pengelolaan kanker serviks, sebagai dasar pengembangan intervensi baru oleh perawat pada pasien kanker serviks. Pencarian artikel dilakukan melalui empat database yaitu CINAHL, Science Direct, Pubmed dan Proquest. Pencarian data elektronik dilakukan pada bulan September 2019. Didapatkan 15 artikel yang sesuai dengan tema dan kriteria inklusi. Hasil, satu artikel tentang metode skrining kanker serviks, sepuluh artikel tentang intervensi untuk meningkatkan partisipasi skrining kanker serviks, dua artikel tentang intervensi keperawatan post operasi kanker serviks, dan dua artikel tentang intervensi penanganan gejala atau masalah akibat kanker serviks. Masih sedikit intervensi yang dikembangkan oleh perawat, terkait pengelolaan kanker serviks. Perawat memiliki peluang untuk melakukan inovasi intervensi terkait keperawatan, melalui penelitian agar dapat meningkatkan kualitas asuhan keperawatan dan kepuasan pasien.
Determinan Kontrasepsi Modern di Provinsi Maluku (Analisis Survei Demografi dan Kesehatan Indonesia Tahun 2017) Devita Madiuw; Vanny Leutualy; Dian Thiofany Sopacua; Griennasty Clawdya Siahaya; Muhammad Ridwan Dasnel
Jurnal Kesehatan Vokasional Vol 7, No 3 (2022): Agustus
Publisher : Sekolah Vokasi Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkesvo.68349

Abstract

Latar Belakang: Tren penggunaan kontrasepsi modern di Maluku menurun dalam beberapa tahun terakhir. Penggunaan kontrasepsi modern lebih rendah di perkotaan dibandingkan pedesaan.Tujuan: Mengetahui faktor penentu penggunaan kontrasepsi modern di Maluku berdasarkan hasil SDKI 2017.Metode: Desain penelitian ini adalah cross sectional dengan sumber data yaitu hasil SDKI 2017. Sebanyak 1139 data wanita usia subur menikah umur 15‒49 tahun disertakan dalam analisis. Uji bivariat menggunakan uji chi-square. Selanjutnya, dilakukan analisis mutivariat bagi variabel dengan nilai p<0,25.Hasil: Penggunaan kontrasepsi di antara wanita usia subur menikah adalah 39,9%. Umur (OR: 1,996; 95% CI: 1,471‒2,707), tingkat pendidikan (OR: 1,309; 95% CI: 1,015‒1,687) dan jumlah anak hidup (OR: 0,478; 95% CI: 0,360‒0,635) berhubungan secara signifikan dengan penggunaan kontrasepsi modern. Empat variabel lainnya tidak memiliki hubungan, yaitu daerah tempat tinggal, indeks kekayaan, sumber pelayanan KB dan kunjungan petugas.Kesimpulan: Diperlukan berbagai intervensi sebagai upaya peningkatan pengetahuan serta kesadaran wanita usia subur tentang pentingnya penggunaan metode kontrasepsi modern sebagai metode yang lebih efektif dalam mencegah kehamilan.
Faktor Risiko yang Berhubungan dengan Kejadian Serangan Berulang Pasien Penyakit Jantung Koroner; Literature Review Vanny Leutualy; Moomina Siauta; Devita Madiuw; Fando Armando Tasijawa; Mevi Lilipory; Syulce Luselya Tubalawony; Selpina Embuai
JUSTE (Journal of Science and Technology) Vol. 3 No. 1 (2022): JUSTE
Publisher : LLDIKTI WIlayah XII Ambon

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1080.993 KB) | DOI: 10.51135/justevol3issue1page68-79

Abstract

Pasien Penyakit Jantung Koroner (PJK) memiliki risiko tinggi mengalami kejadian serangan berulang. Penyebab terjadinya serangan berulang adalah karena faktor–faktor risiko yang tidak dimodifikasi dengan baik. Literatur review ini bertujuan untuk mengidentifikasi faktor risiko apa saja yang berhubungan dengan kejadian serangan berulang pasien PJK. Pencarian artikel dilakukan melalui data base Google Scholar dan JAHA. Hasil review terhadap 11 artikel penelitian ditemukan bahwa serangan berulang pada pasien PJK disebabkan oleh perilaku merokok, hipertensi, aktivitas fisik, diet dan kepatuhan minum obat, dengan kejadian serangan berulang pasien PJK. Literatur review ini menunjukkan bukti faktor risiko yang berhubungan dengan kejadian serangan berulang pasien PJK diantaranya adalah; merokok, hipertensi, aktivitas fisik, diet dan kepatuhan minum obat. Factor risiko tersebut jika dimodifikasi dengan baik akan memberikan dampak yang sangat positif bagi proses pencegahan kekambuhan pasien sehingga implikasinya dapat dirasakan dengan meningkatnya kualitas hidup yang lebih baik bagi pasien PJK.
Hubungan Data Demografi Orangtua dengan Status Gizi Anak Usia Sekolah Joan Herly Herwawan; Valensya Yeslin Tomasoa; Hery Jotlely; Vanny Leutualy; Devita Madiuw
Jurnal Keperawatan Vol 15 No 1 (2023): Jurnal Keperawatan: Maret 2023
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (249.482 KB) | DOI: 10.32583/keperawatan.v15i1.736

Abstract

Gizi merupakan makanan pokok yang diperlukan bagi pertumbuhan dan kesehatan anak. Anak usia sekolah merupakan aset bangsa, sehingga penerapan gizi yang baik pada anak usia sekolah adalah upaya investasi bagi bangsa, sebab dengan memiliki status gizi yang baik akan menunjang prestasi anak. Penelitian ini bertujuan untuk mengetahui hubungan pendidikan, pekerjaan dan penghasilan orang tua dengan status gizi anak. Metode penelitian ini adalah korelasional kuantitatif, yang dilakukan pada 177 anak usia sekolah di SD Muhammadiyah 1 Jakarta. Pengambilan sampel menggunakan teknik total sampling. Penelitian ini menggunakan lembar observasi yang didalamnya terdapat umur, jenis kelamin, pendidikan terakhir, pekerjaan dan pendapatan orangtua serta status gizi anak dilihat dari IMTnya. Hasil uji chi-square untuk setiap variable menunjukkan p value < 0.05, untuk variabel pendidikan p value 0,000, variabel pekerjaan p value 0,002 dan variable penghasilan p value 0,003. Dari hasil tersebut dapat disimpulkan bahwa ada hubungan pendidikan, pekerjaan dan penghasilan orang tua memiliki dengan status gizi anak.
EDUKASI TENTANG MITIGASI DAN KESIAPSIAGAAN BENCANA GEMPA BUMI DAN TSUNAMI Vanny Leutualy; Dene Fries Sumah; Fandro Armando Tasijawa; Devita Madiuw; Syulce Luselya Tubalawony; Dian Thiofany Sopacua; Valensya Yeslin Tomasoa; Joan Herly Herwawan; Feby Manuhutu; Alex Alvin Thenu
JMM (Jurnal Masyarakat Mandiri) Vol 7, No 2 (2023): April
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jmm.v7i2.12909

Abstract

Abstrak: Peristiwa kebencanaan yang terjadi di kepulauan Maluku menimbulkan kerawanan terhadap timbulnya banyak korban jiwa yang berdampak pada penderitaan manusia. Desa Allang merupakan salah satu wilayah di Pulau Ambon Maluku yang memiliki kerentanan tinggi terjadi bencana gempa bumi dan tsunami. Namun, hasil analisis situasi melalui observasi dan wawancara didapatkan bahwa masyarakat belum secara aktif mendengar tentang mitigasi bencana, penanggulangan bencana dan kesiapsiagaan bencana, bagaimana cara menyelamatkan diri dan keluarga jika terjadi bencana gempa bumi dan tsunami. Tujuan kegiatan ini untuk memberikan edukasi yang dapat meningkatkan pengetahuan masyarakat tentang mitigasi dan kesiapsiagaan menghadapi bencana gempa bumi dan tsunami. Kegiatan dilakukan kepada potensi pemuda-pemudi sebanyak 61 orang di Desa Allang. Bentuk kegiatan yang dilakukan berupa penyuluhan dengan hasilnya; sebelum kegiatan dilakukan dilakukan pre-test dan didapatkan pengetahuan mitra pada kategori kurang baik sebanyak 38 orang (62%), cukup baik 15 orang (25%), baik 6 orang (10%), sangat baik 2 orang (3%). Sedangkan hasil penilaian post-test setelah diberikan edukasi ditemukan adanya peningkatan pengetahuan masyarakat tentang mitigasi dan kesiapsiagaan menghadapi bencana gempa bumi dan tsunami pada kategori baik 23% dan sangat baik 77%.Abstract: The disaster events in the Maluku Islands created a vulnerability to the emergence of many fatalities, which resulted in human suffering. Allang Village is one of the areas on Ambon Island, Maluku, which has a high vulnerability to earthquakes and tsunamis. However, the situation analysis results through observation and interviews found that the community had not actively heard about disaster mitigation, disaster management and preparedness, and how to save themselves and their families in the event of an earthquake and tsunami. This activity aims to provide education that can increase public knowledge about mitigation and preparedness for earthquake and tsunami disasters. The movement was carried out for 61 potential youths in Allang Village. The form of activities carried out was in the form of counseling with the results; Before the activity was carried out, a pre-test was carried out, and the partner's knowledge was obtained in the unfavorable category of 38 people (62%), 15 people (25%) good enough, 6 people (10%) good, 2 people (3%) very good. While the results of the post-test assessment after being given education found an increase in community knowledge about mitigation and preparedness for earthquakes and tsunamis in the good category 23% and very good 77%.