Wiwik Agustina, Wiwik
Program Studi Profesi Ners, STIKes Maharani Malang

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Three Dominant Factor that Affect the Failure of Toilet Training in Children Aged 4-6 Years Agustina, Wiwik; Sapta, Rendi Feri
Journal of Ners and Midwifery Vol 2, No 2 (2015): Journal of Ners and Midwifery
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (418.936 KB) | DOI: 10.26699/jnk.v2i2.ART.p188-192

Abstract

Toilet training in children is an attempt to train children to be able to control in conduct urinating or defecating. There are many factors that might could affect toilet training  in children aged 4-6 years. This study aims to determine the main factors that affect the failure of toilet training in children aged 4-6 years. This research is a descriptive explorative study, with the population are all parents / trustee who have children aged 4-6 years and which stayed or recorded at RW(citizens association) 05 Pujiharjo Village Tirtoyudo Subdistrict Malang Regency a number of 55 respondents, data collection using interviews method. Result of the research showed that the biggest factor that affect the failure of toilet training was the mistake in teaching toilet training by 94,5%, inappropriate parenting  by 91%, unprepared emotional chidren by 61,8%. The result might happen because the way or uncorrect method of toilet training, resulting in children less understand the importance of urinating and defecating in the bathroom, how to do it and do not follow the stages consistenly, so that the child fails in doing toilet training. The research suggestion for health care at Pujiharto Village to provide counseling to parents about toilet training.
USIA SEBAGAI FAKTOR RISIKO YANG PALING BANYAK DITEMUKAN PADA OBESITAS DI PUSKESMAS CIPTOMULYO KECAMATAN SUKUN KOTA MALANG Agustina, Wiwik; Lampah, Ekawarsih
Jurnal Kesehatan Mesencephalon Vol 3, No 2 (2017): Jurnal Kesehatan Mesencephalon - Oktober 2017
Publisher : Jurnal Kesehatan Mesencephalon

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (184.26 KB)

Abstract

Abstract : Central obesity is a public health problem that can occur in the world. Central obesity is one of the causes of degenerative diseases such as type 2 diabetes mellitus, dyslipidemia, cardiovascular disease, hypertension, cancer, sleep apnea, and metabolic syndrome. Metabolic syndrome is a condition in which a person develops hypertension, central obesity, dyslipidemia, and insulin resistance at the same time. Degenerative diseases are influenced by many factors: age, physical activity, emotional mental state, nutrition and hormonal contraceptive use. This study aims to determine the determinant factors of central obesity. The study design used was descriptive explorative. The sample of research is 40 respondents. The selected sample corresponds to the inclusion criteria.Prevalence of central obesity in Sukun Kota Malang counted 40 respondents, with result almost all respondents 90% have age which is at risk of central obesity, physical activity almost half of respondents 53% have aktvitas physical and 47% have activity light, emotional mental condition most of respondent 65% have normal emotional mental condition, nutrition most respondents 63% have normal nutrition, and hormonal contraceptive use most of respondents 67% of hormonal contraceptive users. It was concluded that the most common risk factor in obese people in Puskesmas  Ciptomulyo  Kecamatan  Sukun  Kota  Malang, was the age factor, so it can be suggested to the public to further increase physical activity, and switch to using non-hormonal contraception.Key Word : central obesity, risk factor Abstrak : Obesitas  sentral  merupakan  masalah  kesehatan  masyarakat  yang  dapat   terjadi  di  dunia.  Obesitas  sentral  merupakan  salah  satu  penyebab  terjadinya  penyakit – penyakit  degeneratif seperti  diabetes  mellitus  tipe  2,  dyslipidemia,  penyakit  kardiovaskular,  hipertensi,  kanker,  sleep  apnea,  dan  sindrom  metabolic. Sindrom  metabolik  adalah  kondisi  dimana  seseorang  mengalami hipertensi,  obesitas  sentral,  dyslipidemia,  dan  resistensi  insulin  pada  waktu  yang  bersamaan. Penyakit degenerative dipengaruhi oleh banyak faktor yaitu usia, aktivitas  fisik, kondisi  mental  emosional, nutrisi dan  penggunaan  kontrasepsi  hormonal. Penelitian ini bertujuan untuk mengetahui  faktor determinan terjadinya obesitas sentral. Desain  studi   yang  digunakan  adalah deskriptif eksploratif. Sampel  penelitian  sebanyak 40  responden. Sampel yang dipilih sesuai dengan kriteria inklusi. Prevalensi obesitas  sentral  di Sukun Kota Malang sebanyak 40 responden, dengan hasil hampir seluruh responden  90% memiliki  usia  yang  berisiko mengalami obesitas sentral, aktivitas  fisik    hampir setengah responden  53%  memiliki aktvitas fisik sedang  dan 47%  memiliki  aktivitas  ringan, kondisi  mental  emosional  sebagian  besar responden 65%  memiliki  kondisi  mental  emosional  normal, nutrisi  sebagian  besar responden  63%  memiliki nutrisi normal, dan penggunaan  kontrasepsi  hormonal  sebagian besar responden  67%  pengguna  kontrasepsi  hormonal meningkat. Disimpulkan  bahwa faktor risiko yang paling banyak ditemukan pada orang yang mengalami obesitas di  Puskesmas  Ciptomulyo  Kecamatan  Sukun  Kota  Malang adalah faktor usia dengan demikian dapat disarankan kepada masyarakat agar lebih aktivitas fisik, dan beralih menggunakan kontrasepsi yang tidak mengandung hormon.Kata Kunci : obesitas sentral, faktor risiko
Tiga Faktor Dominan Penyebab Kegagalan Toilet Training pada Anak Usia 4-6 Tahun Agustina, Wiwik; Sapta, Rendi Feri
Journal of Ners and Midwifery Vol 2, No 2 (2015)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (418.936 KB) | DOI: 10.26699/jnk.v2i2.ART.p188-192

Abstract

Toilet training in children is an attempt to train children to be able to control in conduct urinating or defecating. There are many factors that might could affect toilet training  in children aged 4-6 years. This study aims to determine the main factors that affect the failure of toilet training in children aged 4-6 years. This research is a descriptive explorative study, with the population are all parents / trustee who have children aged 4-6 years and which stayed or recorded at RW(citizens association) 05 Pujiharjo Village Tirtoyudo Subdistrict Malang Regency a number of 55 respondents, data collection using interviews method. Result of the research showed that the biggest factor that affect the failure of toilet training was the mistake in teaching toilet training by 94,5%, inappropriate parenting  by 91%, unprepared emotional chidren by 61,8%. The result might happen because the way or uncorrect method of toilet training, resulting in children less understand the importance of urinating and defecating in the bathroom, how to do it and do not follow the stages consistenly, so that the child fails in doing toilet training. The research suggestion for health care at Pujiharto Village to provide counseling to parents about toilet training.
Penurunan Hemoglobin pada Penyakit Ginjal Kronik Setelah Hemodialisis di RSU “KH” Batu Agustina, Wiwik; Wardani, Erlina Kusuma
Journal of Ners and Midwifery Vol 6, No 2 (2019)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (207.097 KB) | DOI: 10.26699/jnk.v6i2.ART.p141-146

Abstract

Penyakit Ginjal Kronik (PGK) adalah kondisi irreversible dimana fungsi ginjal menurun dari waktu ke waktu. Kondisi fungsi ginjal memburuk, kemampuan untuk memproduksi erythropoietin yang memadai terganggu, sehingga terjadi anemia. Tujuan penelitian ini untuk mengetahui perbedaan kadar Hb pre dengan post Hemodialisis pada pasien penyakit ginjal kronik di RSU “KH” Batu. Jenis penelitian yang digunakan adalah deskriptif kuantitatif yang menggunakan desain cross sectional dengan menggunakan teknik Quota Sampling. Sampel yang dipilih adalah 20 responden yang memenuhi kriteria inklusi. Data diambil dengan cara melakukan pengecekkan kadar Hb secara langsung pada responden. Uji statistik menggunakan uji t-test berpasangan didapatkan nilai rerata kadar Hb pre Hemodialisis adalah 7,38 dan rerata kadar Hb post Hemodialisis adalah 7,10. Hasil uji t-test berpasangan didapatkan nilai p=0,039 (p<0,05). Hasil penelitian ini menunjukkan bahwa terdapat perbedaan yang bermakna antara kadar Hb pre dengan post Hemodialisis pada pasien penyakit ginjal kronik, dimana kadar Hb post Hemodialisis lebih rendah daripada kadar Hb pre Hemodialisis. Hal tersebut dikarenakan sejumlah kecil darah biasanya tertinggal di dalam dialiser. Hal ini dapat menjadi sumber kekurangan zat besi dari waktu ke waktu, sehingga menimbulkan anemia. Oleh karena itu, perlu dilakukan penelitian tentang penanganan anemia pada pasien Penyakit Ginjal Kronik yang menjalani terapi Hemodialisis.
Inorganic Fertilizer Application and Organonitrofos Sugarcane (Saccharum officinarum L.) in Dry Land Gedong Meneng Zulkarnain, Eldineri; Evizal, Rusdi; Lumbanraja, Jamalam; Rini, Maria Viva; Satgada, Catur Putra; Agustina, Wiwik; Amalia, Hanum Riajeng; Awang, Tegar Rafshodi
Jurnal Penelitian Pertanian Terapan Vol 17, No 1 (2017)
Publisher : Politeknik Negeri Lampung.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (153.18 KB) | DOI: 10.25181/jppt.v17i1.43

Abstract

Organonitrofos is one type of organic fertilizer capable of providing macro nutrients that more than other organic fertilizers, particularly nitrogen and phosphorous from the compost of a mixture of fresh manure and rock phosphate using Microbial N2-fixer and P-solubilizer. Research purpose was to study the effect of organonitrophos combined with inorganic fertilizer on the growth, production, yield of sugarcane, and determining the most effective combination of agronomically and economically in up landsugarcane. Research consisted of 5 treatments with 3 replications arranged in a randomized complete block design. The treatment were A (300 kg ha-1 Urea, 150 kg ha-1 TSP, 300 kg ha-1 KCl), B (300 kg ha-1 Urea, 150 kg ha-1 TSP, 300 kg ha-1 KCl, 5,000 kg ha-1 Organonitrophos), C (150 kg ha-1 Urea, 75 kg ha-1 TSP, 150 kg ha-1 KCl, 10,000 kg ha-1 Organonitrophos), D (10,000 kg ha-1 Organonitrophos), and E (without fertilization). The results showed that the dose of fertilizer recommendation (300 kg ha-1 urea, 150 kg ha-1 TSP, 300 kg ha-1 KCl) supplemented with 5 ton ha-1 Organonitrofos compared to the doses of fertilizer recommendation (300 kg ha-1 Urea, 150 TSP kg ha-1, 300 kg ha-1 KCl) was not significantly different on growth, yield, productivity of sugarcane and sugar. While the addition of 10 ton ha-1 Organonitrofos at half dose of recommendation (150 kg ha-1 urea, 75 kg ha-1 TSP, and 150 kg ha-1 KCl) produced 106.11 tons ha-1of sugarcane and 7, 95 ton ha-1sugar being lower than the dose of fertilizer recommendation that produced 133.02 tons ha-1sugarcane and 10.72 ton ha-1 sugar resulting macro nutrients derived from half dose of fertilizer recommendation are not able to increase the productivity of sugarcane and sugar.Dose of fertilizer recommendation plus 5 ton ha-1 Organonitrofos was an effective dose of fertilizer agronomically while fertilizer dosage recommendation was the most efficient dose of fertilizer economically.Keywords :dry land, fertilizer, inorganic, Organonitrophos, sugar cane
PENGARUH PUPUK ORGANONITROFOS, PUPUK NPK DAN KOMBINASINYATERHADAP POPULASI, PRODUKSI, DAN HARA TERANGKUT C, N, P TANAMAN TEBU (Saccharum Officinarum L.) RATOON2 DI TANAH ULTISOL GEDUNG MENENG Hamzah, Akbar; Lumbanraja, Jamalam; Supriatin, Supriatin; Sarno, Sarno; Amalia, Riajeng Hanum; Satgada, Catur Putra; Zulkarnain, Eldineri; Awang, Tegar Rafshodi; Agustina, Wiwik
Jurnal Agrotek Tropika Vol 10, No 1 (2022): JURNAL AGROTEK TROPIKA VOL 10, JANUARI 2022
Publisher : Departement of Agrotechnology, Agriculture Faculty, Universitas Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23960/jat.v10i1.5626

Abstract

Peningkatan produksi tebu banyak terkendala seperti rendahnya bahan organik dan hara makro N, P, K, Ca, dan Mg di tanah ultisol.  Karena di tanah ultisol kandungan kadar Al3+ yang cukup tinggi, dan kejenuhan basa yang rendah.  Penambahan pupuk organonitrofos dan anorganik merupakan salah satu cara untuk mengatasi hal ini.  Penelitian ini bertujuan untuk mengetahui pengaruh kombinasi pupuk organonitrofos dan pupuk NPK terhadap produksi, populasi, dan hara terangkut dan hara terangkut tanaman tebu ratoon 2, dan korelasi antara N-total tanah dan P-tersedia tanah dengan N dan P yang diserap oleh tanaman tebu ratoon 2.  Penelitian ini terdiri  5 perlakuan dan 3 ulangan, disusun dalam Rancangan Acak kelompok (RAK).  Perlakuan terdiri dari: A. 100% NPK (300 kg ha-1 urea, 150 kg ha-1 TSP, 300 kg ha-1 KCl), B. 100% organonitofos (10.000 kg ha-1 organonitrofos), C. 100% NPK + 50% organonitrofos (300 kg ha-1 urea, 150 kg ha-1 TSP, 300 kg ha-1 KCl, 5000 kg ha-1 organonitrofos), D.50% NPK + 100% organonitrofos (150 kg ha-1 urea,  75 kg ha-1 TSP, 150 kg ha-1 KCl, 10.000 kg ha-1 organonitrofos), dan  E. tanpa pemupukan.  Hasil penelitian menunjukkan bahwa Pemberian pupuk anorganik NPK, pupuk organonitrofos dan kombinasi berpengaruh nyata terhadap produksi dan hara terangkut C, N, P tanaman tebu ratoon 2, namun tidak berpengaruh nyata terhadap populasi tanaman tebu ratoon 2. Pemberian 100% NPK, 50% NPK + 100% organonitrofos 100% NPK +50% organonitrofos dan memberikan produksi dan hara terangkut C, N, P tanaman tebu yang tidak berbeda nyata, namun nyata lebih tinggi dibandingkan dengan perlakuan 100% organonitrofos dan tanpa pemupukan. Korelasi positif  N-total tanah dan P-tersedia dengan N dan P yang diserap oleh tanaman tebu ratoon 2, sehingga kandungan N-total tanah dan P-tersedia tanah menentukan jumlah N dan P yang dapat diserap oleh tanaman tebu ratoon 2.
The Relationship Between Anxiety and Sleep Quality in Chemotherapy Patients Ahsan, Zainol; Agustina, Wiwik; Maria, Lilla
Devotion: Journal of Community Service Vol. 3 No. 5 (2022): Devotion : Journal of Community Service
Publisher : Green Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36418/dev.v3i5.133

Abstract

Cancer is the number one cause of death in the world at the end of this century. The impact of the treatment of breast cancer patients on the psychological aspects of experiencing anxiety, and disturbed sleep patterns. The lower the anxiety experienced, the better the quality of sleep, and vice versa. The aim of the study was to analyze the relationship between anxiety levels and patient sleep quality. This research method is cross section with sampling using Accidental Sampling technique. Respondents were 40 breast cancer patients who underwent chemotherapy. The results showed that 82.5% of patients experienced severe anxiety 82.5% and 82.5% had poor sleep quality. The Spearman Rank test results show a correlation value (r) of 0.342 (34.2%) and a p-value of 0.031. P value < (0.05). There is a relationship between anxiety and sleep quality in patients undergoing chemotherapy. It is hoped that it can provide information for health care institutions, which can then be developed for the provision of nursing care in meeting the need for quality sleep for chemotherapy patients.