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HUBUNGAN PRIMIGRAVIDA DENGAN KEJADIAN PREEKLAMPSIA PADA IBU HAMIL DI PUSKESMAS JAGIR SURABAYA Dias Kurnia Armadani; Ani Media Harumi
Midwifery Journal: Jurnal Kebidanan UM. Mataram Vol 4, No 2 (2019): Juli
Publisher : Universitas Muhammadiyah Mataram

Preeklampsia merupakan masalah kesehatan yang merupakan salah satu kontributor utama morbiditas dan mortalitas pada ibu dan janin. Sampai saat ini preeklampsia belum diketahui dengan jelas penyebabnya, namun salah satu faktor risiko preeklampsia adalah primigravida. Penelitian ini bertujuan untuk mengetahui hubungan primigravida dengan kejadian preeklampsia di Puskesmas Jagir Surabaya. Jenis penelitian ini adalah survei analitik dengan rancangan cross sectional. Populasi yang digunakan adalah seluruh ibu hamil dengan usia kehamilan diatas 20 minggu pada periode bulan Januari-Desember 2017 di Puskesmas Jagir Surabaya yaitu sebanyak 278 ibu hamil, dengan sampel penelitian sebanyak 164 ibu hamil dengan teknik non probability tipe purposive sampling. Instrumen yang dipakai dalam penelitian ini adalah rekam medik. Variabel dependen adalah preeklampsia dan varibel independen adalah primigravida. Analisis dengan uji statistik chi square. Hasil penelitian ini menunjukkan bahwa ibu hamil yang mengalami preeklampsia lebih banyak terjadi pada ibu hamil primigravida yaitu 22 (26,2%). Berdasarkan hasil analisis menggunakan uji statistik chi square didapatkan ρ-value = 0,027 (ρ-value < 0,05) yang artinya H1 diterima.Penelitian ini dapat disimpulkan bahwa ada hubungan antara primigravida dengan kejadian preeklampsia pada ibu hamil. Saran untuk tenaga kesehatan kususnya bidan, melakukan penyuluhan tentang preeklampsia pada ibu hamil dan pemeriksaan ANC secara rutin sangat diperlukan untuk mendeteksi dini adanya preeklampsia.

Context of Usage Injectable Contraception in 1 and 3 Months at the First Year with the Weght Gain of Acceptor Ani Media Harumi; Dwi Wahyu Wulan S.; Devi Fadhilah Septiana Putri
Aloha International Journal of Health Advancement (AIJHA) Vol 2, No 2 (2019): FEBRUARY
Publisher : Alliance oh Health Activists (AloHA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/aijha20203

Injectable contraception consist of hormone progesteron which grouped by 2 kinds of 1 month and 3 months injectable. Oftenly, the problem of injectable contraception is weight gain rate. Based on preliminary study in RB Delta Mutiara at the last 2 years ago, 520 injectable contraception acceptor are obtained by 1 and 3 months at the first year. The aim of this study is to know the context of using injectable contraception in 1 and 3 months at the first year with the weight gain of acceptor. This study used cross sectional design. The subjects were 123 1 month injectable contraception acceptors and 123 3 month injectable contraception acceptors. Independent variable was injectable contraception in 1 and 3 months. Dependent variable was of weight gain at the first year. The data were taken from the medical record, then analyzed using Chi square test. According to Chi square test, p-value was 0.02 (

Determinants of Dysmenorrhea Pain Levels of in Adolescents Dwi Wahyu Wulan Sulistyowati; Ani Media Harumi
Aloha International Journal of Health Advancement (AIJHA) Vol 3, No 1 (2020): January
Publisher : Alliance oh Health Activists (AloHA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/aijha30101

Menstrual pain sometimes makes women unable to move normally so that quality deteriorates in their daily lives. Complaints that appear vary in intensity and are different for each person. Some women only feel mild pain, but others feel very severe pain, stomach like squeezing, vomiting, discomfort in the stomach, pain in the breast, even fever and headaches. The design of this study was cross-sectional. The population used in this study were all middle school and vocational high school students who experienced dysmenorrhea every time menstruation in the last 2 months period as many as 190 students and a sample of 130 female students. Sampling used was a simple random technique, namely the determination of samples taken randomly. The dependent variable was dysmenorrhea pain levels, while the independent variable were anxiety, activity, age, and nutritional status. The instrument used was a questionnaire and checklist. The analysis technique used was the multiple linear regression test. From the results of the study, there was a strong influence of anxiety, age, and nutritional status on the dysmenorrhea pain levels. Whereas there was no influence of activity on dysmenorrhea pain levels. Keywords: dysmenorrhea; pain; anxiety; nutrtional; activity; age

Analisis Faktor Persepsi Manfaat dan Persepsi Hambatan Terhadap Perilaku Ibu Balita dalam Pencegahan Stunting Berdasarkan Teori Health Belief Model Novita Eka Kusuma Wardani; Ani Media Harumi
Malahayati Nursing Journal Vol 4, No 3 (2022): Volume 4 Nomor 3 2022
Publisher : Universitas Malahayati Lampung

ABSTRACT Stunting is a new issue that harms nutritional problems in Indonesia, affecting the child's body because it is a child's number and function. To explain the Perceived factors and Perceived Barrier related to the behavior of toddlers' mother in stunting prevention based on the theory of the Health Belief Model. This study used an observational analytic study with a cross-sectional approach. The number of samples in the study was 120 respondents using the purposive sampling technique. This research was conducted at Mojo Health Center and Mulyorejo Health Center Surabaya. The variables perceived benefits and perceived barriers have a p-value of the Wald test (Sig) < 0.05, meaning that each variable has a significant partial effect on stunting prevention behavior in the model. Perceived benefits have a partial effect on stunting prevention behavior. Perceived barriers have a partial effect on stunting prevention behavior. Health workers can continue to assist the community and improve maternal and child health services in an effort to reduce stunting prevalence. The community, especially mothers with children aged 2-5 years, should design healthy and varied menus in an effort to prevent stunting in children. Keywords: Benefit, Barrier, Stunting Prevention Behavior. ABSTRAK Stunting merupakan isu baru yang berdampak buruk terhadap permasalahan gizi di Indonesia karena mempengaruhi fisik dan fungsional dari tubuh anak serta meningkatnya angka kesakitan anak. Menjelaskan pengaruh persepsi manfaat dan persepsi terhadap perilaku ibu Balita dalam pencegahan stunting berdasarkan teori Health Belief Model. Penelitian ini menggunakan penelitian analitik observasional dengan pendekatan cross sectional. Jumlah sampel dalam penelitian sejumlah 120 responden dengan Teknik simple random sampling.Penelitian ini dilakukan di Puskesmas Mojo dan Puskesmas Mulyorejo Surabaya. Variabel Persepsi Manfaat dan Persespsi Hambatan memiliki nilai p value uji wald (Sig) < 0,05, artinya masing-masing variabel mempunyai pengaruh parsial yang signifikan terhadap perilaku pencegahan stunting di dalam model. Persepsi Manfaat dan persepsi hambatan memiliki pengaruh parsial pada perilaku pencegahan stunting. Kata kunci: Manfaat, Hambatan, Perilaku Pencegahan Stunting.

Analysis Of Age, Nutrition Status With Premenstrual Syndrome, And Health Education On The Knowledge Of Adolescents At Tri Guna Bhakti Junior High School, Surabaya Siti Alfiah; Ani Media Harumi
Malahayati Nursing Journal Vol 4, No 6 (2022): Volume 4 Nomor 6 2022
Publisher : Universitas Malahayati Lampung

ABSTRACT Women in their lives do not escape the existence of menstrual cycles that occur periodically and will feel disturbed if they experience a change. Disorders commonly experienced by women before menstruation is called premenstrual syndromeAnalyze the relationship between age at menarche, nutritional status with premenstrual syndrome and explain the effect of health education on adolescent knowledge This study uses quasi-experimental research with one group pretest and posttest-only design. The number of samples in the study was 50 respondents with a simple random sampling technique. This research was conducted at Tri Guna Bhakti Junior High School, Surabaya.Most respondents (62%) experienced menarche at the age of 12-14 years, most respondents also had normal nutritional status (50%). The incidence of Premenstrual Syndrome was experienced by most of the respondents (70%). The results of statistical tests showed that there was a relationship between nutritional status and the incidence of PMS, but there was no relationship between age and the incidence of PMS. Health education also influences students' knowledge about PMS There is no relationship between the age of menarche and the incidence of premenstrual syndrome, but on the contrary, there is a relationship between nutritional status and the incidence of premenstrual syndrome. The role of midwives in providing education and counseling about PMS to young women throughout the school is to increase knowledge about PMS and to improve diet, lifestyle, and physical activity (exercise) so that they can anticipate the occurrence of PMS and can compensate when experiencing PMS symptoms.. Keywords: Premenstrual Syndrome, Student, Nutritional Status, Age ABSTRAK Perempuan dalam kehidupannya tidak luput dari adanya siklus haid yang terjadi secara periodik, dan akan merasa terganggu bila mengalami suatu perubahan. Gangguan yang biasa dialami wanita sebelum menstruasi disebut sindrom pramenstruasi. Menganalisis hubungan usia menarche, status gizi dengan premenstrual syndrome serta mengetahui pengaruh pendidikan kesehatan terhadap pengetahuan remaja.Penelitian ini menggunakan penelitian quasi experiment dengan rancangan one grup prestest and postetst only. Jumlah sampel dalam penelitian sejumlah 50 responden dengan Teknik simple random sampling.Penelitian ini dilakukan di SMP Tri Guna Bhakti Kota Surabaya.Sebagian besar responden ( 62 %) mengalami menarche di usia 12-14 tahun, sebagian besar responden juga memiliki status gizi yang normal (50%). Kejadian Premenstrual Syndrome dialami oleh sebagian besar responden (70%). Hasil uji statistik menunjukkan bahwa terdapat hubungan antara status gizi dengan kejadian PMS, namun tidak terdapat hubungan antara usia dengan kejadian PMS. Pendidikan kesehatan juga memiliki pengaruh terhadap pengetahuan siswi tentang PMS.Tidak terdapat hubungan antara usia menarche dengan kejadian premenstrual syndrome, Namun sebaliknya, terdapat hubungan antara status gizi dengan kejadian premenstrual syndrome. Peran bidan dalam memberikan edukasi dan konseling tentang PMS kepada remaja putri di seluruh sekolah untuk meningkatkan pengetahuan tentang PMS dan dapat memperbaiki pola makan, gaya hidup dan aktivitas fisik (olahraga) agar dapat mengantisipasi terjadinya PMS dan dapat mengkompensasi saat mengalami gejala-gejala PMS. Kata Kunci: Premenstrual Syndrome, Siswi, Status Gizi, Usia

Pelatihan Kader tentang Penjaringan Kehamilan Resiko Tinggi dalam Upaya Peningkatan Kualitas Antenatal Care di Puskesmas Tanah Kali Kedinding, Kenjeran Surabaya Siti Mar'atus Sholikah; Novita Eka Kusuma Wardani; Ani Media Harumi
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 6, No 2 (2023): Volume 6 No 2 Februari 2023
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v6i2.8229

ABSTRAK Masalah kematian ibu adalah masalah yang kompleks, berkaitan dengan medis dan non medis, karena itu dilakukan upaya intervensi dengan pelaksanaan Antenatal Care (ANC) terpadu yang diharapkan akan mempunyai dampak nyata dalam waktu relatif pendek untuk penurunan Angka Kematian Ibu (AKI). Indikator keteraturan pemeriksaan kehamilan menggambarkan kualitas pelayanan Program Kesehatan Ibu dan Anak (KIA). Pada tahun 2020 AKI 3/100.000 Kelahiran Hidup (KH) dan Angka Kematian Bayi (AKB) 6,28/1000 KH. Cakupan Kunjungan Kehamilan (K4) di Puskesmas Tanah Kali Kedinding belum mencapai target 100% yaitu tercapai 94%. Komplikasi kehamilan targetnya 15-20%, tercapai 39,15% dan komplikasi persalinan 44,17%. Sedangkan penjaringan kehamilan resiko tinggi oleh masyarakat tercapai 8,91% dari target 10% dan kader yang belum mengikuti pelatihan 30 orang (12,34%).Tujuan umum untuk meningkatkan pengetahuan dan keterampilan Kader melalui pelatihan Kader tentang penjaringan kehamilan resiko tinggi dalam upaya peningkatan kualitas ANC. Pelatihan dilaksanakan selama tiga hari di Balai RW 4 Tanah Kali Kedinding, diikuti 30 Kader dengan metode ceramah tanya jawab,demonstrasi dan praktik penjaringan kehamilan resiko tinggi dengan Kartu Skor Poedji Rochjati (KSPR). Hasil kegiatan adalah peningkatan kualitas Kader yaitu peningkatan pengetahuan dengan nilai rata-rata post tes 93,33%, keterampilan dengan nilai rata-rata 82,50%, terbentuknya Komitmen Bersama Kader dalam mendukung mensukseskan kegiatan penjaringan kehamilan resiko tinggi dalam upaya peningkatan kualitas ANC. Luarannya peningkatan kualitas Kader, HKI, Modul dan jurnal. Saran: sosialisasi penjaringan kehamilan resiko tinggi pada Kader yang belum mengikuti pelatihan serta menerapkannya pada lingkungan sekitar terhadap ibu hamil. Kata kunci: Kader, Penjaringan Kehamilan Resiko Tinggi, pelatihan. ABSTRACT The problem of maternal mortality is a complex problem, related to medical and non-medical, therefore intervention efforts are made with the implementation of integrated Antenatal Care (ANC) which is expected to have a real impact in a relatively short time to reduce the Maternal Mortality Rate (MMR). The indicators of regularity for antenatal care describe the quality of services for the Maternal and Child Health Program (MCH). In 2020 the MMR is 3/100,000 KH and the Infant Mortality Rate (IMR) is 6.28/1000 Life Birth (LB). The coverage of Pregnancy Visits (K4) at the Tanah Kali Kewall Health Center has not yet reached the 100% target, which is 94%. The target for pregnancy complications is 15-20%, 39.15% is achieved and delivery complications are 44.17%. While screening for high-risk pregnancies by the community was 8.91% of the 10% target and 30 people (12.34%). The general objective is to increase the knowledge and skills of Cadres through Cadre training on screening for high-risk pregnancies in an effort to improve the quality of ANC. The training was held for three days at Citizen’s Council 4 Tanah Kali Kewall, followed by 30 Cadres with a question and answer lecture method, demonstration and practice of screening high-risk pregnancies with the Poedji Rochjati Score Card (KSPR). The results of the activity are an increase in the quality of cadres, namely an increase in knowledge with an average post-test score of 93.33%, skills with an average score of 82.50%, the formation of a Joint Cadre Commitment to support the success of high-risk pregnancy screening activities in an effort to improve the quality of ANC. The output is improving the quality of Cadres, Intellectual Property Rights, Modules and journals. Suggestion: socialization of high-risk pregnancy screening for cadres who have not attended training and apply it to the surrounding environment for pregnant women. Keywords : Cadres, High Risk Pregnancy Screening, training.

Analysis of The 1000 Hpk Program (First Day of Life) Towards Effort to Reduce Stunting at the Bangkalan District Health Center Ani Media Harumi; Novita Eka Kusuma Wardani; Siti Mar'atus Sholikah
Malahayati Nursing Journal Vol 5, No 4 (2023): Volume 5 Nomor 4 2023
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v5i4.8242

ABSTRACT Stunting is a thrive failure condition of under five children due to chronic malnutrition problem, especially in 1000 Days of Life (HPK). The condition of failure to thrive in children under five is caused by a lack of nutritional intake in a long time and the occurrence of repeated infections. In Indonesia, stunting is a serious problem and also the main nutritional problem that Indonesia is facing (Situation of Short Toddlers (Stunting) in Indonesia, 2018). If this problem is chronic, it will affect cognitive function, namely a low level of intelligence, and have an impact on the quality of human resources. Bangkalan Regency data in 2021 based on weighing month data in August 2021 the number of stunting was 2,287 people (4.9% prevalence) while SSGI data (Indonesian Nutritional Status Survey) stunting prevalence was 38.9% while East Java was 23.5%. Analyze the 1000 HPK Program (First Day of Life) Towards An Effort to Reduce Stunting at The Bangkalan District Health Center. This research method uses qualitative research with a phenomenological approach because This study aims to analyze 1000 HPK Program (First Day of Life) Towards an Effort to Reduce Stunting. Data collection was conducted using in-depth interviews with 10 informants divided into 5 coordinator midwives and 5 nutrition practitioners are worked at Bangkalan District Health Center and do FGD analysis for 5 Heads of Public Health Center and 2 Section Heads of Bangkalan District Public Health Office (Dinas Kesehatan Kabupaten Bangkalan). The researcher found that there are Policies or regulations regarding The 1000 HPK Program and The Office of Population Control and Family Planning (Dinas Pengendalian Penduduk dan Keluarga Berencana-DPPKB) as the policyholder. The source of funds from operational Public Health Center funds was allocated to undernourished, malnourished toddlers, and pregnant women with Chronic Energy Deficiency. The obstacle that occurred was from the health personnel ratio had not been able optimally to provide the effort to reduce stunting at The Bangkalan District Health Center. The resulting Survey by FGD analysis was there is The 1000 HPK Program to Reduce Stunting at The Bangkalan District Health Center and The Office of Population Control and Family Planning (Dinas Pengendalian Penduduk dan Keluarga Berencana-DPPKB) as the policyholder. Keywords: The 1000 HPK Program (First Day Of Life), Stunting Reduction ABSTRAK Stunting adalah kondisi gagal tumbuh pada anak balita akibat kekurangan gizi kronis terutama pada 1.000 Hari Pertama Kehidupan (HPK). Kondisi gagal tumbuh pada anak balita disebabkan oleh kurangnya asupan gizi dalam waktu lama serta terjadinya infeksi berulang, dan kedua faktor penyebab ini dipengaruhi oleh pola asuh yang tidak memadai terutama dalam 1.000 HPK.Di Indonesia, stunting merupakan masalah serius dan juga merupakan masalah gizi utama yang sedang dihadapi (Situasi Balita Pendek (Stunting) di Indonesia, 2018). Bila masalah ini bersifat kronis, maka akan memengaruhi fungsi kognitif yakni tingkat kecerdasan yang rendah dan berdampak pada kualitas sumberdaya manusia. Data Kabupaten bangkalan pada tahun 2021 berdasarkan data bulan timbang bulan agustus 2021 jumlah stunting sebanyak 2.287 orang (prevalensi 4,9%) sedangkan data SSGI (Survei Status Gizi Indonesia) prevalensi stunting sebesar 38,9% sedangkan Jawa Timur 23,5%. Menganalisis Program 1000 HPK (Hari Pertama Kehidupan) Terhadap Upaya Penurunan Stunting di Puskesmas Wilayah Kabupaten Bangkalan. Penelitian ini menggunakan penelitian kualitatif dengan pendekatan fenomenologi karena penelitian ini bertujuan untuk menangalisa kebijakan program 1000 HPK dalam upaya penurunan stunting. Peneliti mengumpulkan data dengan melakukan wawancara langsung secara mendalam kepada 10 orang informan yang terdiri dari lima bidan koordinator dan lima pelaksanan gizi di lima puskesmas di wilayah Kabupaten Bangkalan serta melakukan analisis FGD dengan lima kepala puskesmas dan dua orang kasi dinas Kesehatan Kabupaten Bangkalan. Bahwa ada Kebijakan atau Peraturan tentang program 1000 HPK dan Dinas Pengendalian Penduduk dan KB sebagai pemegang kebijakan. Sumber dana berasal dari Dana operasional Puskesmas dan dialokasikan kepada Balita gizi kurang, gizi buruk dan Ibu hamil dengan KEK. Hambatan yang terjadi adalah rasio tenaga dan masyarakat tidak sesuai sehingga belum bisa memberikan pelayanan secara optimal dalam upaya penurunan stunting di puskesmas wilayah Kabupaten Bangkalan. Berdasarkan hasil wawancara dan analisis FGD diperoleh hasil bahwa ada program 1000 HPK, dalam upaya penurunan stunting di puskesmas wilayah Kabupaten Bangkalan. Dinas Pengendalian Penduduk dan KB sebagai pemegang kebijakan. Kata Kunci: 1000 HPK ( Hari Pertama Kehidupan), Penurunan Stunting

Pelatihan Kader Tentang Stimulasi Tumbuh Kembang dan Pembuatan Media Permainan Edukatif Sederhana Di Wilayah Puskesmas Bulak Banteng Surabaya Novita Eka Kusuma Wardani; Ani Media Harumi; Ahdatul Islamiyah
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 7, No 2 (2024): Volume 7 No 2 2024
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v7i2.12640

ABSTRAK Masa tumbuh kembang merupakan periode yang penting pada balita. Media Permainan Edukatif merupakan alat permainan yang dapat memberikan fungsi permainan secara optimal dan perkembangan anak, dimana melalui alat permainan ini anak akan selalu dapat mengembangkan kemampuan fisiknya, bahasa, kemampuan kognitifnya, dan adaptasi sosialnya. Tujuan kegiatan pengabdian masyarakat ini adalah untuk Memberikan pengetahuan dan meningkatkan ketrampilan kader dalam stimulasi tumbuh kembang Balita dan Pembuatan Media Permainan Edukatif Sederhana Metode dalam kegiatan pengabdian masyarakat ini dengan pemberian materi oleh narasumber, pemberian pelatihan stimulasi tumbuh kembang dan pembuatan media permainan edukatif sederhana kepada 40 kader di Puskesmas wilayah Bulak Banteng Surabaya. Terdapat peningkatan pengetahuan tentang stimulasi tumbuh kembang dan pembuatan alat permainan edukatif sederhana peserta pelatihan, semua peserta pelatihan sebanyak 40 orang (100%) telah membuat alat permainan edukatif sederhana dan semua peserta pelatihan sebanyak 40 orang (100%) berkreasi dengan bahan kerdus bekas dalam membuat alat permainan edukatif sederhana pada kegiatan stimulasi tumbuh kembang Balita di wilayah Puskesmas Bulak Banteng Surabaya. Pelatihan pada kader dapat meningkatkan stimulasi tumbuh kembang dan peningkatan pembuatan media permainan edukatif sederhana pada Balita di Puskesmas Bulak Banteng Surabaya. Kata Kunci: Pelatihan, Stimulasi Tumbuh Kembang, Media Permainan Edukatif ABSTRACT The growth and development period is an important period for toddlers. Educational Game Tools (APE) are game tools that can provide optimal game functions and child development, where through these game tools children will always be able to develop their physical abilities, language, cognitive abilities and social adaptation. The aim of this community service activity is to provide knowledge and improve the skills of cadres in stimulating the growth and development of toddlers and making simple educational game media. The method in this community service activity is by providing material by resource persons, providing growth and development stimulation training and making educational game media simply to 40 cadres at the Bulak Banteng Surabaya regional health center. There was an increase in knowledge about stimulating growth and development and making simple educational game tools for training participants, all 40 training participants (100%) had made simple educational game tools and all 40 training participants (100%) were creative with used cardboard materials in making simple educational game tools for activities to stimulate the growth and development of toddlers in the Bulak Banteng Community Health Center area, Surabaya. Training for cadres can increases stimulation of growth and development and increase creativity of simple educational media to todler in Bulak Banteng health centre. Keywords: Training, Stimulation of Growth and Development, Simple Media Educational

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