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WOMEN’S INFLUENCING FACTORS IN CHOOSING THE IUD CONTRACEPTION METHOD Irisanna Tambunan; Udin Sabarudin; Hadyana Sukandar
Journal of Maternity Care and Reproductive Health Vol 3, No 2 (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 | Full PDF (736.238 KB) | DOI: 10.36780/jmcrh.v3i2.125

Abstract

The use of long-term contraception especially the Intra-Uterine Device (IUD) in Indonesia is still relatively low, one of which is West Java. Factors that influence the use of IUDs are sociodemographic, sociopsychological, and knowledge about family planning, but information about these factors is still limited in West Java. The purpose of this study was to determine the effect of sociodemographic factors, sociopsychology, and the level of knowledge about the IUD in women at Lembang District, West Bandung Regency, which is part of West Java Province. This quantitative research applied a case-control approach. Samples were selected by the Multistage random sampling technique, it divided into cases and control groups totaling 108 respondents. Data collection used a questionnaire. Bivariate statistical analysis was the Chi-square test, multivariable analysis was the Multiple Logistic Regression analysis. The results showed a significant influence of these factors on the choice of the IUD method including Sociodemographic factors: education (value p = 0.013), employment (value p = 0.014); Sociopsychological factors: perception of the ideal number of children (value p = 0.037), husband and wife communication (value p <0.001); knowledge factors about the benefits of the IUD, side effects of the IUD (value p <0.001) and side effects of the IUD (value p = 0.033). Multivariable analysis results showed that the working status was the most influential factor in choosing the IUDs in Lembang District (OR = 2.99 (95% CI): 2.49 (1.14-7.89). It is expected that health workers reactivated the program to increase knowledge in the community so it would change the perspective of women in choosing the IUD contraception method.Keywords: Factors, IUDs, knowledge, sociodemography, sociopsychology.
Komunikasi, Informasi dan Edukasi Pencegahan Covid-19 di Panti Asuhan Kecamatan Panyileukan Bandung Winasih Rachmawati; Ani Anggriani; Emma Emawati; Garnadi Jafar; Irisanna Tambunan
ABDI: Jurnal Pengabdian dan Pemberdayaan Masyarakat Vol 4 No 1 (2022): Abdi: Jurnal Pengabdian dan Pemberdayaan Masyarakat
Publisher : Labor Jurusan Sosiologi, Fakultas Ilmu Sosial, Universitas Negeri Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24036/abdi.v4i1.166

Abstract

The Covid-19 pandemic in Indonesia is increasing until the end of 2020, this is due to a lack of public understanding to overcome the spread transmission of the Covid-19 virus, including as wearing masks, keeping a safe distance, and maintaining good hand hygiene. Awareness of this behavior is very low in orphanages so that it may accelerate the transmission of the Covid-19 virus. Therefore, it is necessary to provide Communication, Information and Education (CIE) related to preventing the transmission of the Covid-19 virus to residents of orphanages in the area around Panyileukan District, Bandung City, West Java. This activity was carried out in two orphanages located in the area for two months. The activity began with the creation of information media, knowledge surveys, cadre training, Covid prevention education, making hand sanitizers and disinfectants, and final evaluation. The result showed that there is a relationship between knowledge and actions after being given CIE methods in orphanages to avoid the transmission Covid-19.
EDUKASI PENGELOLAAN HIPERTENSI MELALUI SENAM HIPERTENSI DAN PEMANFAATAN TANAMAN HERBAL Irisanna Tambunan; Yanni Dhiani Mardhiani; Susan Irawan Rifa&#039;i; Jumiatun Jumiatun; Kosasih Kosasih
JCES (Journal of Character Education Society) Vol 5, No 2 (2022): April
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jces.v5i2.6623

Abstract

Abstrak: Hipertensi sering disebut sebagai The Silent Killer. Upaya yang dapat dilakukan untuk mencegah terjadi komplikasi pada penderita hipertensi yaitu melalui terapi farmakologi dan nonfarmakologi. Salah satu terapi nonfarmakologi yaitu senam hipertensi. Tujuan Pengabdian kepada masyarakat ini adalah memberi pengetahuan guna mencegah komplikasi hipertensi melalui senam hipertensi dan terapi komplementer: obat herbal. Kegiatan ini menggunakan metode penyuluhan dan praktik. Untuk mengukur keberhasilan metode penyuluhan dilakukan melalui pretest dan post test, sedangkan untuk menilai efektifitas senam dilakukan pengukuran tekanan darah sebelum dan sesudah senam hipertensi. Hasil dari kegiatan ini menunjukan peningkatan pengetahuan pada pretest (rata-rata=2,8) dan pada post test (rata-rata=4,2), analisa wilcoxon menunjukan p-value 0,002 (<0,05) artinya terdapat perbedaan tingkat pengetahuan yang signifikan. Hasil pengukuran tekanan darah menunjukkan penurunan tekanan darah systole maupun diastole. Systole sebelum senam hipertensi dengan nilai rata-rata 143,3mmHg dan setelah senam hipertensi nilai rata-rata 134mmHg. Diastole sebelum senam nilai rata-rata 92,7mmHg dan setelah senam rata-rata=87,3mmHg. Analisa wilcoxon untuk systole menunjukan p-value 0,001 (<0,05) dan pada diastole menunjukan p-value 0,011 <0,05). artinya terdapat perbedaan yang signifikan baik tekanan darah systole maupun tekanan darah diastole sebelum dan setelah melakukan senam hipertensi.Abstract: Hypertension is often referred as The Silent Killer. Efforts can be made to prevent complications in patients with hypertension through pharmacological and non-pharmacological therapy. One of the non-pharmacological therapy is hypertension exercise. The purpose of this community service is to provide knowledge to prevent complications of hypertension through hypertension exercise and complementary therapy: herbal medicine. This activity employs counseling and practical methods. To measure the success of the counseling method, it was carried out through a pretest and post-test, while to assess the effectiveness of the exercise, blood pressure measurements were carried out before and after hypertension exercise. The results of this activity showed an increase in knowledge in the pretest (mean = 2.8) and in the post test (mean = 4.2), Wilcoxon analysis showed a p-value of 0.002 (<0.05). It mean there were significant differences of knowledge level. The results of blood pressure measurements showed a decrease in systolic and diastolic blood pressure. Systole before hypertension exercise with an average value of 143.3 mmHg and after hypertension exercise an average value of 134 mmHg. The average diastole before exercise was 92.7 mmHg and after exercise the average was 87.3mmHg. Wilcoxon analysis for systole shows a p-value of 0.001 (<0.05) and for diastole shows a p-value of 0.011 < 0.05). it means there is a significant difference in both systolic blood pressure and diastolic blood pressure before and after doing hypertension exercise.
TRAINING OF COVID-19 VOLUNTEER Irisanna Tambunan; Angga Satria Pratama; Tri Nur Jayanti; Anri Anri; Sri Ayu Arianti
JCES (Journal of Character Education Society) Vol 4, No 1 (2021): Januari
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jces.v4i1.3741

Abstract

Abstrak: Rukun Warga (RW) 14 Bumi Harapan merupakan salah satu bagian wilayah di Kecamatan Cibiru Hilir yang berdekatan dengan pasar induk Gede Bage sebagai zona rawan penyebaran COVID-19, berisiko penularan dari blok lain yang telah terdapat kasus terkonfirmasi COVID-19. Tim Relawan Covid-19 tingkat RW belum pernah dibentuk sehingga  pemahaman dan keterampilan masyarakat menghadapi temuan kasus COVID-19 kurang adekuat. Keterbatasan pengetahuan dan keterampilan terkait COVID-19 menyebabkan kepanikan masyarakat, sehingga pelatihan relawan COVID-19 sebagai langkah untuk meningkatkan pengetahuan dan keterampilan dalam menyikapi temuan kasus COVID-19 sehingga masyarakat siap siaga. Kegiatan ini melibatkan perangkat RW, RT, tokoh masyarakat, kader secara sukarela bersiapsiaga dalam menghadapi COVID-19. Pelatihan dilakukan selama 3 jam dengan metode ceramah, demonstrasi, diskusi; pembentukan dan pelatihan relawan tanggap COVID-19; evaluasi dan monitoring pelaksanaan protokol kesehatan pencegahan COVID-19 dan peran tim relawan di masyarakat. Media powerpoint, video, modul pelatihan digunakan untuk memudahkan sasaran menerima informasi. Evaluasi dilakukan saat pelatihan dan 1 bulan setelah pelatihan untuk mengetahui keberhasilan dan memantau keberlangsungan program setelah pelatihan selesai diberikan. Hasil kegiatan ini yaitu terlaksananya pelatihan yang dihadiri oleh 17 peserta. Seluruh peserta dapat mengikuti acara sampai selesai dengan kondusif dan dapat menerima materi dengan baik berdasarkan hasil pengisian kuesioner saat post test sebagian besar berpengetahuan baik.Abstract: Rukun Warga (RW) 14 Bumi Harapan is a part of the area in Cibiru Hilir District which is close to the Gede Bage main market as a zone prone to the spread of COVID-19., RW 14 is in the BB Bumi Harapan block that is at risk of experiencing COVID-19 transmission from other blocks where there have been confirmed cases of COVID-19. The Bandung District Health Office previously sent a task force team to handle COVID-19 at the start of the COVID-19 pandemic. However, the departure of the task force team did not leave the understanding and skills of the local community in dealing with the findings of the COVID-19 case while the COVID-19 pandemic is still continuing to this day. The limited knowledge and skills of the community related to COVID-19 caused panic in the local community. Therefore, training for COVID-19 volunteers at the RW is deemed necessary as a step to increase knowledge and skills in responding to the findings of the COVID-19 case so that the public is prepared to be alert when a COVID-19 case is found. This activity involves RW units, community leaders, cadres, and local communities who voluntarily prepare to face COVID-19. The training was held for 3 hours using lectures, demonstrations, and discussion / question and answer methods; formation and training of COVID-19 response volunteers; evaluating and monitoring the implementation of the COVID-19 prevention health protocol and the role of volunteer teams in the community. Powerpoint media, videos, and training modules are used to make it easier for targets to receive the information provided. Evaluation is carried out immediately after training and 1 month after training to determine the success of the training and to monitor the continuity of the program after the training has been completed. The result of this activity was the implementation of the training which was attended by 16 participants well. All participants can participate in the event until it ends in a conducive way. All participants were also able to receive the material well based on the results of filling out the questionnaire during the post-test which the average score was 80. This activity also received a positive response based on the participants' responses during the activity. Keywords: Health education, skills improvement, orphanages.
Dampak Implementasi Model Early Warning Score Terhadap Mutu Pelayanan Rawat Inap Sri Wulan Megawati; Septy Dian Sondari; Irisanna Tambunan
Jurnal Medika Cendikia Vol 8 No 1 (2021): Jurnal Medika Cendikia
Publisher : STIKes Karsa Husada Garut

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33482/medika.v8i1.155

Abstract

The quality of hospital services is determined by the mortality and morbidity rates, including services in inpatient rooms. One of the efforts to improve the quality related to patient safety in hospitals is the implementation of the Early Warning Score (EWS). Early warning score (EWS) is a parameter used to assess the deterioration of the patient's physiological condition by using seven parameters for assessing the patient's physiological response so that it can predict the outcome of the patient being treated. The purpose of this study was to analyze the impact of the application of EWS on the quality of inpatient services consisting of mortality (Net Death Rate), length of stay (Length of Stay), referral to HCU/ICU and activation of code blue. The research was carried out with the help of 4 enumerators. The population in this study were patients who were treated in an adult inpatient room with inclusion and exclusion criteria. The samples obtained were 278 patients with purposive consecutive sampling technique for 1 month. Data were analyzed by frequency distribution and correlation test using Chi-square. The results obtained indicate that there is no correlation between the EWS value and length of stay, while for mortality there is a correlation with the p-value <0.001. Referrals to the ICU/HCU and activation of code blue could not be analyzed due to the homogeneity of the data so that a larger number of samples and case variations were required. EWS can be used as a predictor of inpatient service quality by looking at patient outcomes.
RELAKSASI NAPAS DALAM DAN RELAKSASI OTOT PROGRESIF DALAM MENURUNKAN MUAL PASKA KEMOTERAPI Sri Mulyati Rahayu; Irisanna Tambunan; Vina Vitniawati
Jurnal Keperawatan 'Aisyiyah Vol. 9 No. 1 (2022): Jurnal Keperawatan 'Aisyiyah
Publisher : Universitas 'Aisyiyah Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (323.199 KB) | DOI: 10.33867/jka.v9i1.294

Abstract

Prevalensi penyakit kanker di Indonesia naik dari 1,4 menjadi 1,8 per mil. Hasil penelitian kualitas hidup pasien kanker yang menjalani kemoterapi memiliki nilai buruk yang disebabkan oleh mual. Manajemen non-farmakologis untuk mengurangi mual antara lain hipnosis, relaksasi, distraksi, dan akupresur. Relaksasi napas dalam yang dikombinasikan dengan relaksasi otot progresif dapat saling menguatkan untuk memberikan efek menurunkan mual setelah kemoterapi dan meningkatkan rasa nyaman. Tujuan penelitian untuk menganalisis kombinasi relaksasi napas dalam dan relaksasi otot progresif dalam menurunkan mual pasca kemoterapi pada pasien kanker. Metode penelitian menggunakan quasi-experimental. Subjek penelitian terdiri dari 48 pasien. Analisis bivariat dengan uji Wilcoxon Signet Rank Test. Hasil penelitian lebih dari setegahnya (52,1%) pasien mengeluh sering mual sebelum pemberian relaksasi napas dalam dan relaksasi otot progresif dan lebih dari setegahnya (70,8%) jarang mual setelah pemberian relaksasi napas dalam dan relaksasi otot progresif pada pasien kanker yang menjalani kemoterapi. Pemberian kombinasi relaksasi napas dalam dan relaksasi otot progresif akan merangsang syaraf parasimpatis untuk menurunkan refleks vagal abdominal, yang menimbulkan mual berkurang. Hasil uji statistik didapatkan nilai p-value 0,000 < dari nilai alpha (0.05), maka dapat disimpulkan ada pengaruh kombinasi relaksasi napas dalam dan relaksasi otot progresif dalam menurunkan intensitas mual pasca kemoterapi.
ABCDE PANGKAL PENTING CEGAH STUNTING DESA MELATIWANGI Irisanna Tambunan; Yani Mulyani; I Gusti Agung Ayu Hari Triandini; Inggrid Dirgahayu; Mela Mustika Sari; Melysa Melysa
SELAPARANG: Jurnal Pengabdian Masyarakat Berkemajuan Vol 7, No 4 (2023): Desember
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jpmb.v7i4.19700

Abstract

ABSTRAKDesa Melatiwangi merupakan desa yang terdapat di wilayah Kecamatan Cilengkrang, Kabupaten Bandung. Terdapat beberapa permasalahan diantaranya yaitu kurangnya gizi pada balita, anak-anak, ibu hamil. Hasil riset Kesehatan dasar terakhir prevalensi stunting di Kabupaten Bandung khususnya di Desa Melatiwangi sudah masuk zona kuning yang artinya masyarakat beresiko terkena stunting. Salah satu upanya yaitu ABCDE Pangkal Penting Cegah Stunting Desa Melatiwangi (Centing Delangi) adalah langkah penting dari Kementerian Kesehatan dalam pencegahan stunting. Pangkal Penting merupakan singkatan dari panganan lokal pencegah stunting. Inovasi ini hadir karena ingin memaksimalkan panganan lokal di sekitar masyarakat hal ini dilakukan untuk pencegahan stunting. Secara umum terdapat 6 zat gizi yang dibutuhkan oleh tubuh salah satunya yaitu protein merupakan zat yang membantu untuk membangun sel tubuh sehingga sangat penting bagi balita yang berada dalam tahap pertumbuhan dan perkembangan. Pentingnya asupan nutrisi yang adekuat karena semakin rendahnya konsumsi zat gizi pada balita, maka semakin berisiko mengalami stunting. Tujuan pengabdian masyarakat kali ini yaitu meningkatkan derajat kesehatan masyarakat, meningkatkan pengetahuan, kesadaran dan kepedulian masyarakat mengenai stunting dan meningkatkan kreativitas masyarakat dalam upaya pencegahan stunting melalui pengolahan bahan pangan bergizi berbasis sumber daya pangan lokal. Tahapan kegiatan meliputi: survei lokasi, perizinan, persiapan, penyuluhan, evaluasi. Metode pelaksanaan dengan sosialiasi dan demonstrasi pengolahan panganan lokal. Dari hasil pemberian kuesioner kepada masyarakat Desa Melatiwangi (22 responden) menunjukkan bahwa ada peningkatan pengetahuan masyarakat Desa Melatiwangi tentang stunting setelah penyuluhan yaitu sebesar 27,27% dengan nilai akhir rata-rata 75.45 (kategori baik). Kata kunci: gizi; melatiwangi; panganan local; stunting. ABSTRACTMelatiwangi Village is one of the villages in the Cilengkrang District, Bandung Regency. There are several problems including lack of nutrition in toddlers, children, pregnant women. The results of the latest basic health research on the prevalence of stunting in Bandung Regency, especially in Melatiwangi Village, have entered the yellow zone, which means the community is at risk of stunting. One of the efforts, namely ABCDE, The Main Principles to Prevent Stunting in Melatiwangi Village (Centing Delangi) is an important step from the Ministry of Health in preventing stunting. Pangkal Penting is an abbreviation for local food to prevent stunting. This innovation is present because we want to maximize local food in the community, this is done to prevent stunting. In general, there are 6 nutrients needed by the body, one of which is protein, which is a substance that helps to build body cells, so it is very important for toddlers who are in the growth and development stage. The importance of adequate nutritional intake is because the lower the consumption of nutrients in toddlers, the greater the risk of experiencing stunting. The aim of this community service is to improve the level of public health, increase public knowledge, awareness and concern regarding stunting and increase community creativity in efforts to prevent stunting through processing nutritious food based on local food resources. Activity stages include: location survey, licensing, preparation, counseling, evaluation. The implementation method is socialization and demonstration of local food processing. The results of giving questionnaires to the people of Melatiwangi Village (22 respondents) showed that there was an increase in the knowledge of the people of Melatiwangi Village about stunting after counseling, 27.27% with an average final score of 75.45 (good category). Keywords: nutrition; melatiwangi; local food; stunting.