Tonasih Tonasih
STIKES MUHAMMADIYAH CIREBON

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Efektifitas Pemberian Tablet Tambah Darah Pada Remaja Terhadap Peningkatan Hemoglobin (Hb) Di STIKes Muhammadiyah Cirebon Tonasih Tonasih; Siti Difta Rahmatika; Ade Irawan
Jurnal SMART Kebidanan Vol 6, No 2 (2019): Desember 2019
Publisher : Universitas Karya Husada Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34310/sjkb.v6i2.292

Abstract

Salah satu upaya untuk memutus mata rantai terjadinya stunting, Wali Kota Cirebon menetapkan pencanangan “Hari Minum Tablet Tambah darah (TTD)” terhadap para siswa SMP/MTs dan SMA/SMK/MA setiap hari rabu di Sekolah. Kebijakan tersebut bertujuan untuk mempersiapkan generasi yang sehat, produktif dan berkualitas. Penelitian ini bertujuan mengetahui pengaruh pemberian TTD pada remaja putri terhadap peningkatan Haemoglobin (Hb) di STIKes Muhammadiyah Cirebon Tahun 2019. Metode Penelitian ini adalah quasi eksperimen, populasi mahasiswi di STIKes Muhammadiyah Cirebon dengan Total Sampling sebanyak 22 orang. Analisa data menggunakan analisis univariat dan analisis bivariat dengan paired T test. Kadar hemoglobin pada responden sebelum diberikan tablet Fe didapatkan rata-rata kadar Hb sebesar 12.7 g/dl, sedangkan sesudah mengkonsumsi tablet Fe rata-rata kadar Hb sebesar 12.9 g/dl dengan P value 0,022 . Ada pengaruh pemberian tablet tambah darah pada remaja terhadap peningkatan Hb di STIKes Muhammadiyah Cirebon tahun 2019. Kata kunci:  anemia; tablet tambah darah; remaja putri
Analisa Determinan yang Berhubungan dengan Preeklampsia Berat pada Ibu Hamil Tonasih Tonasih; Diyanah Kumalasary
Jurnal SMART Kebidanan Vol 7, No 1 (2020): Juni 2020
Publisher : Universitas Karya Husada Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34310/sjkb.v7i1.298

Abstract

ABSTRAKPreeklamsia Berat (PEB) dan eklamsia di Indonesia merupakan penyebab dari 30%-40% kematian maternal di Indonesia. Berdasarkan jumlah persalinan di RSD Gunung Jati Kota Cirebon  pada bulan Januari sampai dengan Juni 2018 dari 700 persalinan sebanyak 85 ibu melahirkan dengan PEB (12%) dan merupakan peringkat ketiga setelah KPD dan BBLR. Oleh karena itu diperlukan perhatian, serta penanganan yang serius terhadap ibu bersalin dengan penyakit komplikasi ini. Timbulnya eklampsia pada umumnya dapat dicegah atau frekuensinya dikurangi dengan menekan faktor-faktor yang mempengaruhi nya . Tujuan penelitian ini untuk mengetahui analisa determinan yang berhubungan dengan kejadian preeklamsia berat di Ruang Bersalin RSD Gunung Jati Cirebon tahun 2018. Jenis penelitian adalah  analitik dengan pendekatan  cross  sectional. Populasi penelitian  adalah semua ibu yang dirawat di Ruang Bersalin RSD Gunung Jati Cirebon tahun 2018 sebanyak 1271 orang. Hasil penelitian berdasarkan uji statistik chi square diperoleh umur responden nilai ρ sebesar 0,000, paritas dengan nilai ρ sebesar 0,000, kehamilan kembar nilai ρ sebesar 0,231, dan riwayat PEB dengan nilai  ρ  sebesar 0,000 yang berarti bahwa umur, paritas, dan riwayat PEB mempunyai hubungan dengan kejadian PEB sedangkan kehamilan kembar tidak mempunyai hubungan dengan kejadian PEB. Kesimpulan faktor yang berhubungan dengan PEB yaitu umur, paritas dan riwayat PEB.Kata Kunci: preeklamsia berat; kehamilan kembar; paritas; riwayat; umur DETERMINANT ANALYSIS RELATED TO SEVERE PREECLAMPSIA IN PREGNANT MOTHER ABSTRACT Severe preeclampsia in Indonesia are the cause of 30% -40% of maternal deaths in Indonesia. Based on the number of deliveries in Gunung Jati District Hospital of Cirebon in January to June 2018 out of 700 deliveries 85 mothers received severe preeclampsia (12%) and it was ranked after Premature Rupture Of Membran and Low baby Weight. The emergence of eclampsia in general can be prevented or its frequency is supported by factors that influence it. The purpose of this study was to figure out the determinant analysis relating to the incidence of severe preeclampsia in the maternity room of Gunung Jati Hospital of Cirebon in 2018. This type of analytic study was cross sectional. The study population was all mothers in the maternity ward of RSD Gunung Jati Cirebon in 2018 as many as 1271 people. The results of the study based on the chi square statistical test obtained respondents aged ρ value of 0,000, parity with p value of 0,000, twin pregnancy of ρ value of 0,231, and severe preeclampsia history with p value of 0,000 which means age, parity, and experience of severe preeclampsia relates to severe preeclampsia while twin pregnancy has no relationship with the incidence of severe preeclampsia.  Keyword: severe preeclampsia; twin pregnancy; parity; age 
Kepuasan Pasien Terhadap Pelayanan Kesehatan di Klinik Pratama Tonasih Tonasih; Ucha Indra Gunawan
Jurnal SMART Kebidanan Vol 8, No 1 (2021): JUNI 2021
Publisher : Universitas Karya Husada Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34310/sjkb.v8i1.427

Abstract

ABSTRAK Pelayanan kesehatan merupakan salah satu faktor yang memengaruhi derajat kesehatan masyarakat. Berdasarkan data terjadi penurunan pasien sejak bulan Januari – Juni 2020. Studi pendahuluan tentang kepuasan pasien terhadap pelayanan kesehatan di Klinik Pratama Akbid Muhammadiyah Cirebon didapatkan bahwa dari  10 orang masih ada 2 orang (20%) yang belum merasa puas terhadap pelayanan kesehatan yang meliputi kepuasan terhadap pelayanan loket pendaftaran, pelayanan dokter umum, pelayanan perawat, pelayanan dokter gigi, pelayanan bidan, pelayanan fasilitas medis dan non medis, dan keadaan lingkungan fisik. Tujuan penelitian untuk mengetahui kepuasan pasien terhadap pelayanan kesehatan di Klinik Pratama Akbid Muhammadiyah Cirebon. Jenis penelitian ini adalah deskriptif tentang kepuasan pasien terhadap pelayanan meliputi loket pendaftaran, pelayanan dokter, dan pelayanan perawat dengan subvariabel berwujud, keandalan, empati, ketanggapan, dan jaminan. Populasi adalah pasien yang datang ke Klinik pada tanggal 30 November s.d 12 Desember 2020 dengan accidental sampling sebanyak 39 orang. Instrumen menggunakan kuesioner yang berisi 15 item. Hasil penelitian didapatkan tingkat kepuasan pasien terhadap pelayanan kesehatan dalam aspek berwujud 92,09%, keandalan 89,74%, empati 94.15%, ketanggapan 93.15%, dan jaminan 91.32%. Tingkat kepuasan secara keseluruhan 92.09 % dikategorikan puas. Tidak ada hubungan antara jenis kelamin, umur, pendidikan, pekerjaan, kepesertaan BPJS. Kata kunci: pelayanan kesehatan; tingkat kepuasan; klinik pratama  Patient's Satisfaction towards Health Services in the Pratama Clinic  ABSTRACT Health services are one of the factors that affect the health status of the community. Based on the data, there was a decrease in patients from January to June 2020. A preliminary study on patient satisfaction with health services at the Pratama Akbid Muhammadiyah Clinic of Cirebon found that out of 10 people there were still 2 people (20%) who were not satisfied with the health services at the Akbid Muhammadiyah Pratama Clinic of Cirebon which includes satisfaction with registration counter services, general practitioner services, nurse services, dentist services, midwife services, medical and non-medical facilities services, and the state of the physical environment. The purpose of this study was to determine the description of patient satisfaction with health services at the Akbid Muhammadiyah Pratama Clinic of Cirebon. This type of research was descriptive research. The research variable was patient satisfaction with services at the Primary Clinic Akbid Muhammadiyah of Cirebon which includes registration counters, doctor services, and nurse services with tangible subvariables, reliability, empathy, responsiveness, and assurance. The study population was patients who came to the clinic on 30 November to 12 December 2020. The sampling method was accidental sampling. The samples obtained were 39 people. Data collection started from the opening hours of registration until it was completed. The research instrument used a questionnaire containing 15 items. The results of the study were analyzed by comparing expectations and experiences that describe the level of patient satisfaction with health services in tangible aspects 92.09%, reliability 89.74%, empathy 94.15%, responsiveness 93.15%, and assurance 91.32%. The overall satisfaction level of 92.09% is categorized as satisfied. Bivariate analysis results: there is no relationship between gender, age, education, occupation, Health Social Security Agency membership. Keywords: health services; primary clinic; satisfaction level
Factors related to the behavior of seeking health services in community experiencing symptoms of covid-19 Tonasih Tonasih; Nunung Nurjanah
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 10, No 1 (2022)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2022.10(1).26-35

Abstract

Background: Coronavirus is a group of viruses that can cause disease in animals or humans. Positive confirmed cases of Covid-19 in Cirebon Regency, West Java, during 1-28 August 2020 reached 193 people while the number of deaths due to Covid-19 in Cirebon City, West Java, again increased by 17 people died. The causes of Covid-19 death include patients receiving late treatment due to the less than optimal level of occupancy in the treatment area and monitoring of COVID-19 patients who are self-isolating. In addition, it is also caused by isoman patients with severe symptoms, patient overload, scarcity of drugs and oxygen, the health system is not ready, the health sub-system of community empowerment has failed. there are still many people who still consider being exposed to the corona virus as a disgrace, so they don't want to go to health facilities. People who are sick in many areas, are still seen as tainted, condemned, unkind people. does not want to be tested, does not want to report, because he has a social burden.Purpose: This study aims to determine the factors related to the behavior of seeking health services in the community if experiencing symptoms of Covid-19 in Cirebon.Methods: This study used a cross sectional design. This research was conducted at Arsy Medika Clinic, Cirebon Regency and Akbid Muhammadiyah Clinic, Cirebon City on 18-25 September 2021 and obtained a sample of 87 respondents.Results: The results showed that most of the respondents were 20-29 years old, the gender of the respondents was female, the respondent's education was high school, the respondent's occupation was not working, married, received information from television, there was a relationship between age and education with health service seeking behavior, and there was no relationship between age and education. there is a relationship between gender, occupation, marital status, information media, and knowledge with health service seeking behavior.Conclusion: This study shows that there is a relationship between age and education with health service seeking behavior, and there is no relationship between gender, occupation, marital status, information media, and knowledge with health service seeking behavior.
Supplementary Blood Tablets (Ttd) In Adolescent Women (Rematry) To Increase Hemoglobin (Hb) Levels Vianty Mutya Sari; Tonasih Tonasih; Siti Difta Rahmatika
JKM (Jurnal Kebidanan Malahayati) Vol 8, No 2 (2022): Vol 8.No.2.April 2022
Publisher : Program Studi Kebidanan Fakultas Kedokteran Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v8i2.6512

Abstract

Latar Belakang: Masalah gizi merupakan keadaan yang berpengaruh buruk terhadap kesehatan remaja. Masalah gizi pada remaja antara lain anemia dan kurang energi kronik (KEK). Berdasarkan data Riskesdas 2018, prevalensi anemia pada remaja sebesar 32 %, artinya 3-4 dari 10 remaja menderita anemia (Kemenkes RI, 2018)1. Rematri adalah calon ibu, yang suatu saat akan hamil dan melahirkan, remaja dengan anemia berisiko mengalami anemia saat hamil. Hal ini berdampak negatif terhadap pertumbuhan dan perkembangan janin serta komplikasi kehamilan dan persalinan, bahkan menyebabkan kematian ibu dan anak. Disamping itu Kondisi gizi remaja sebelum kehamilan merupakan salah satu faktor yang mempengaruhi terjadinya stunting. Tujuan : untuk mengetahui pengaruh pemberian TTD pada rematri terhadap peningkatan kadar Hb.Metode : Desain penelitian yang akan digunakan adalah quasi eksperimental, dengan metode nonequivalent control grup design. Responden dalam penelitian ini berjumlah 50 responden yang kemudian dibagi dua kelompok, 25 orang kelompok kontrol dan 25 orang kelompok perlakuan dimana ada intervensi pada kelompok perlakuan yaitu dengan konsumsi TTD seminggu sekali selama 3 bulan. Data kadar Hb yang diperoleh dianalisis dan dilakukan uji perbandingan menggunakan analisis Uji Wilcoxon.Hasil : hasil yang diperoleh P value sebesar 0,000 < alpha (0,05), artinya terdapat pengaruh yang signifikan antara pemberian TTD pada rematri terhadap peningkatan kadar Hb.Kesimpulan: Terdapat pengaruh yang signifikan antara pemberian TTD pada rematri terhadap peningkatan kadar Hb untuk mencegah stunting sehingga menghasilkan generasi penerus bangsa yang berkualitas di wilayah puskesmas Kedawung Kabupaten Cirebon.Saran : Program pemberian TTD pada remaja bisa lebih ditingkatkan dalam distribusi, monitoring dan evaluasi serta Pendidikan kesehatan tentang pencegahan anemia pada remaja putri dari pihak sekolah, puskesmas wilayah kerja. Kata kunci: Kadar Hb, Rematri, TTD, ABSTRACT Background : Nutritional problems are conditions that adversely affect adolescent health. Nutritional problems in adolescents include anemia and chronic lack of energy. Based on the 2018 Riskesdas data, the prevalence of anemia in adolescents is 32%, it means that 3-4 out of 10 adolescents suffer from anemia. (Kemenkes RI, 2018)1. Adolescent girls (rematri) are prospective mothers who will become pregnant and give birth, adolescents with anemia are at risk of developing anemia during pregnancy. This has a negative impact on the growth and development of the fetus as well as complications of pregnancy and childbirth, and even causes the death of mother and child. Besides that, the nutritional condition of adolescents before pregnancy is one of the factors that influence the occurrence of stunting.Purpose  : The purpose of this study was to determine the effect of giving TTD to Rematri on increasing Hb levels.Method : The design that will be used in thisi research  is quasi-experimental, with a nonequivalent control group design method. Respondents total in this study were about 50 respondents who were divided into two groups, 25 people in the control group and 25 in the treatment group where there was intervention in the treatment group, namely by consuming TTD  once a week for 3 months. The Hb level data obtained were analyzed and a comparative test was performed using the Wilcoxon's test analysis.Result : The results obtained are P value of 0.000 < alpha (0.05), it means that there is a significant effect between giving TTD to Rematri on increasing Hb levels.Conclusion : There is a significant effect between giving TTD to Rematri on increasing Hb levels to prevent stunting so as to produce a quality future generation in the Kedawung Public Health Center, Cirebon District.Suggestion : The program for giving TTD to Rematri can be further improved in distribution, monitoring and evaluation, also health education about preventing anemia in rematri from schools and health centers. Keywords: Hb Level, Rematri, TTD 
A The Effect of SEFT and Acupressure St 18 on Breast Milk Production in Postpartum Mothers at Puskesmas Pangenan Cirebon Regency: - TRI HERMIYATI; Tonasih Tonasih; Vianty Mutya Sari; Erni Ratna Suminar
Jurnal Medisci Vol 1 No 3 (2023): No 1 Vol 3 17 Desember 2023
Publisher : Ann Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62885/medisci.v1i3.31

Abstract

Puskesmas Pangenan masuk dalam 10 Puskesmas penyumbang terbanyak kasus stunting di Kabupaten Cirebon. Stunting dapat dicegah dengan pemberian ASI eksklusif. Faktor-faktor yang mempengaruhi Produksi ASI diantaranya adalah ketenangan jiwa dan pikiran dan perawatan payudara. Untuk mengatasi faktor tersebut maka dilakukan SEFT dan Akupresur ST 18. Tujuan Penelitian ini adalah untuk mengetahui pengaruh SEFT dan Akupresur ST 18 terhadap produksi ASI pada ibu nifas 6-72 jam. Metode Penelitian ini menggunakan metode quasi eksperiment dengan pretest-posttest with control group design. Populasi penelitian adalah ibu nifas 6-72 jam di UPTD Puskesmas Pangenan Kabupaten Cirebon tahun 2023 sebanyak 28 ibu nifas, dengan 14 ibu nifas 6-72 jam kelompok intervensi dan 14 ibu nifas 6-72 jam kelompok kontrol. Pengambilan sampel menggunakan teknik purposive sampling. Instrumen yang digunakan dalam penelitian ini adalah lembar observasi pengeluaran ASI, SOP Pemerahan ASI dan SOP SEFT dan Akupresur ST 18. Analisis data meliputi analisis univariat menggunakan distribusi frekuensi tendensi sentral dan analisis bivariat menggunakan uji paired t-tes dan uji t independen. Rata-rata jumlah produksi ASI setelah perlakuan SEFT dan Akupresur ST 18 adalah 25,86. Rata-rata jumlah produksi ASI pada ibu nifas setelah tanpa perlakuan SEFT dan Akupresur ST 18 adalah 23,93. SEFT dan Akupresure ST 18 berpengaruh terhadap peningkatan produksi ASI pada Ibu Nifas di UPTD Puskesmas Pangenan. Kesimpulan dari penelitian ini adalah Ada pengaruh SEFT dan Akupresur ST 18 terhadap produksi ASI pada ibu nifas, maka diharapkan petugas kesehatan dapat menerapkan SEFT dan Akupresur ST 18 untuk meningkatkan produksi ASI.
The Effect of Katuk Leaf Soup (Sauropus Androgynus) on the Amount of Breast Milk of Postpartum Mothers at PMB Ade Mila Marliana, Babakan Jawa, Majalengka in 2023 Dhiya Annisa Zain; Vianty Mutya Sari; Tonasih Tonasih
Jurnal Medisci Vol 1 No 4 (2024): Vol 1 No. 4 17 Februari 2024
Publisher : Ann Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62885/medisci.v1i4.195

Abstract

Breast milk is the best liquid for newborns until the age of 6 months, because the components of breast milk are easily digested and absorbed by the baby's body. There are many ways to increase breast milk, one of them is by consuming traditional medicinal plants, namely katuk leaf. The purpose of this research is to determine the effect of katuk leaf soup on the amount of breast milk for postpartum mothers at PMB Ade Mila Marliana, SST. This research used pre-experimental design with one-group pre-post test design. The population in this research was all postpartum mothers who gave birth at PMB Ade Mila Marliana, S.ST for the period April-May 2023 as many as 20 people. Sampling in this research using total sampling technique. Data analysis includes univariate analysis using frequency distribution and bivariate analysis using the Wilcoxon test. The results of the analysis using Wilcoxon obtained a p value of 0.000 (<0.05). The conclusion of this research is that there is an effect of katuk leaf (Sauropus Androgynus) on the amount of breast milk for postpartum mothers at PMB Ade Mila Marliana, SST Kelurahan Babakan Jawa, Kabupaten Majalengka. This research is expected to be an input for further researchers to develop research related to the effect of katuk leaf on the amount of breast milk for postpartum mothers.
The Relationship of Maternal Knowledge about Breastfeeding with Exclusive Breastfeeding in Infants Aged 7-12 Months in the Working Area of Puskesmas Balida Dawuan District Majalengka in 2023 Endah Sri Purwanti; Vianty Mutya Sari; Tonasih Tonasih
Jurnal Medisci Vol 1 No 4 (2024): Vol 1 No. 4 17 Februari 2024
Publisher : Ann Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62885/medisci.v1i4.198

Abstract

Early and exclusive breastfeeding is very important for the survival of a baby, and to protect them from various diseases that they are susceptible to and which can be fatal. The government policy regarding exclusive breastfeeding is regulated in Law Number 36 of 2009 Article 128 paragraphs 2 and 3 which states that during breastfeeding, the family, local government and the community must fully support the mother by providing special time and facilities. The purpose of this study was to determine the relationship between mother's knowledge about breastfeeding and exclusive breastfeeding in the Working Area of ​​the UPTD Balida Health Center, Dawuan District, Majalengka Regency in 2023. This research method is a quantitative study with a descriptive correlation design with a cross sectional approach and probability sampling techniques. sampling with simple random sampling. Respondents in this study amounted to 66 respondents. the results of this study were that the majority of respondents gave exclusive breastfeeding 34 respondents (51.5%), most of the respondents had sufficient knowledge as many as 41 respondents (62.1%) and there was a relationship between mother's knowledge about exclusive breastfeeding with the results of the chi statistical test square with a p value of 0.000 (<0.005). The conclusion in this study is that there is a significant relationship between mother's knowledge about breastfeeding and exclusive breastfeeding.