Jurnal Ilmiah Kesehatan Indonesia

PENAPISAN KESEHATAN MENTAL PERINATAL

Thu, 18 Jul 2024 00:00:00 +0000

Background:One in five women experience mental health problems during the pre-natal and postpartum periods. Maternal depression is 23% globally, 26-85% in Asia, and 50-70% in Indonesia. Perinatal mental disorders are one of the most common morbidities in pregnancy, and make an important contribution to maternal mortality, as well as adverse neonatal, infant and child outcomes. The government has tried to tackle mental health problems with mental health programmes, but the implementation still has strategic issues such as, regulations and policies have not been a top priority, limited access to services, not optimal reporting systems, coordination and cooperation across programmes and across sectors. This study aims to conduct perinatal mental health screening.

Research Methods: This research design is descriptive analytic with a cross sectional approach at Puskesmas Sewon I and Sewon II Bantul Yogyakarta in April 2023 with a sample of 62 third trimester pregnant women and 38 postpartum women, the instrument used the Self Reporting Questionnaire 29 and EPDS questionnaire. Data analysis using univariate analysis.

Result: The results of the SRQ 29 questionnaire measurements from 62 respondents of third trimester pregnant women showed as many as 16 people (25.8%) had symptoms of mental emotional disorders, all respondents did not use psychoactive substances, respondents who had symptoms of psychosis were 12 people (19.4%), and respondents who had symptoms of PTSD were 26 people (41.9%). The results of the EPDS questionnaire measurement showed that postpartum women who did not experience postpartum depression were 26 people (68.4%), postpartum women who might have mild postpartum depression were 7 people (18.4%), postpartum women who might have moderate postpartum depression were 3 people (7.9%), and postpartum women who might have severe postpartum depression were 2 people (5.3%). Screening the mental health status of mothers during pregnancy and postpartum is important as an early intervention and minimises the risk of other mental disorders. The results of this study are preliminary data to be followed up by health workers at Puskesmas Sewon I and Sewon II in order to provide early management.

PENGGUNAAN AIR KELAPA HIJAU PADA NEYERI HAID REMAJA PUTRI

Anik Kurniawati, Kh. Endah Widhi Astuti, Rafa Shafa Afiffah — Thu, 18 Jul 2024 00:00:00 +0000

Background: In Indonesia the incidence of menstrual pain in Indonesia is 64.25%. In some teenage girls, when experiencing menstrual pain can interfere with daily activities so that it can reduce their quality of life. One of the non-pharmacological treatments that can be done to reduce menstrual pain is by consuming green coconut water.

Objectives : To determine the effect of green coconut water consumption on the intensity of menstrual pain in teenage girls in Merbung Village, Klaten.

Methods: The type of research conducted was quantitative research with a one group pretest-posttest without control approach, teenage girls in Merbung Village, Klaten, totaling 35. Data processing was carried out by paired t-test statistical test. Results: The results of the analysis conducted obtained a value of ρ = 0.000 (ρ

<0.05), it shows the effect of green coconut water on the intensity of menstrual pain.

Conclusion: There is an effect before and after consumption of green coconut water so it can be concluded that there is an effect of green coconut water consumption on the intensity of menstrual pain in teenage girls in Merbung Village.

Literaratur Review PERAN KELUARGA UNTUK REMAJA TANGGUH

Thu, 18 Jul 2024 00:00:00 +0000

Latar Belakang : Data Kemenkes 2017 menunjukkan pelajar usia 12-18 tahun secara nasional. Terdapat 41,8 % laki-laki dan 4,1 % perempuan mengaku pernah merokok, 5,6 % perempuan dan 14,4 % laki-laki pernah mengkonsumsi alkohol dan 8,26 % pelajar laki-laki dan 4,17 % pelajar perempuan usia 12-18 tahun pernah melakukan hubungan seksual. Keluarga mempunyai pengaruh yang sangat besar bagi perkembangan terutama bagi kepribadian anak. Keluarga yang harmonis dapat menciptakan penyesuaian sosial yang baik. Anak yang memiliki kesehatan mental yang baik akan memiliki beberapa karakter positif, misalnya dapat beradaptasi dengan keadaan, menghadapi stress, menjaga hubungan baik dan bangkit dari keadaan sulit. Sebaliknya, kesehatan mental yang kurang baik pada masa anak-anak dapat menyebabkan gangguan perilaku yang lebih serius akibat ketidakseimbangan mental dan emosional, serta kehidupan sosial anak yang kurang baik (Saskara & Ulio, 2020).

Tujuan Penelitian: Untuk mengetahui bagaimana peran keluarga untuk remaja Tangguh.

Metode Penelitian: Menggunakan Desain penelitian ini adalah Literature Review atau tinjauan Pustaka. Metode pencarian artikel dalam database jurnal penelitian dan pencarian melalui internet. Pencarian database yang digunakan adalah Google Scholar.

Hasil : Dari 5 artikel yang di telaah dapat di simpulkan, peran keluarga dalam pendidikan anak itu antara lain adalah pendidikan jasmani dan kesehatan, pendidikan akal, pendidikan psikologikal dan emosi, pendidikan agama dan spiritual, pendidikan akhlak dan juga pendidikan sosial anak. Pola asuh yang baik untuk pembentukan kepribadian anak adalah pola asuh orangtua yang memprioritaskan kepentingan anak, akan tetapi tetap dengan pengawasan dan pengendalian orangtua.

Keyword : Keluarga, Remaja, Tangguh.

PERILAKU PEMERIKSAAN PAYUDARA SECARA KLINIS (SADANIS) PADA WANITA USIA SUBUR (WUS)

Rohmi Handayani, Anik Kurniawati — Thu, 18 Jul 2024 00:00:00 +0000

Latar Belakang: Upaya deteksi dini kanker payudara yang murah, sederhana selain yaitu dengan pemeriksaan payudara sendiri (Sadari) dan pemeriksaan payudara secara klinis yang dilakukan oleh tenaga kesehatan (Sadanis). Selain melakukan pemeriksaan payudara sendiri diharapkan Wanita usia subur juga memeriksakan payudara secara klinis pada petugas Kesehatan. Berdasarkan survey awal pada beberapa Wanita subur, diantaranya mengaku tidak pernah melakukan pemeriksaan payudara secara klinis yang dilakukan oleh tenaga kesehatan (Sadanis). Hasil wawancara lebih lanjut dengan bidan desa mengatakan bahwa masih kurangnya kesadaran dari masyarakat akan pemeriksaan Sadanis yang diadakan oleh Puskesmas.

Metode: Jenis penelitian ini adalah survey dengan menggunakan desain penelitian kuantitatif dengan pendekatan cross sectional. Subyek dalam penelitian ini adalah Wanita usia subur yang ada di Desa Danguran, Klaten Selatan sejumlah 93 WUS.

Hasil: Perilaku responden dalam melakukan Sadanis dari 93 responden mayoritas mempunyai perilaku yang kurang baik yaitu 64 responden (68,8%). Perilaku responden berdasarkan dari tingkat pengetahuannya terhadap Sadanis didapatkan hasil bahwa responden yang perilakunya kurang baik paling banyak mempunyai pengetahuan yang kurang baik yaitu 29 responden (31,2%). Perilaku responden berdasarkan sikap responden terhadap Sadanis didapatkan hasil bahwa responden dengan perilaku kurang baik mayoritas mempunyai sikap yang negative yaitu 61 responden (65,6%). Perilaku responden berdasarkan dukungan keluarga mayoritas responden dengan perilaku kurang baik mayoritas mempunyai keluarga yang kurang mendukung terhadap pelaksanaan Sadanis yaitu 39 responden (41,9%). Perilaku berdasarkan keterpaparan informasi tentang pemeriksaan payudara secara klinis mayoritas responden yang mempunyai perilaku kurang baik belum terpapar informasi tentang pemeriksaan payudara secara klinis yaitu 42 responden (68,8%).

Kesimpulan: Sebagian besar Wanita Usia Subur mempunyai perilaku kurang baik terhadap pemeriksaan payudara secara klinis (Sadanis).

Kata Kunci : Perilaku, pengetahuan, sikap, dukungan keluarga, keterpaparan informasi, pemeriksaan payudara klinis

LAVENDER AROMATHERAPY DECREASES DYSMINORHEA AND ANXIETY SCORES DURING MENSTRUATION

Rizki Wanda Nugraha, Henik Istikhomah, Sri Wahyuni — Thu, 18 Jul 2024 00:00:00 +0000

Latar Belakang: Dismenore adalah keluhan kram perut yang menyakitkan dan umumnya muncul saat menstruasi. Disminorea dialami oleh remaja putri usia menarce (12-14 tahun). Kecemasan adalah gangguan perasaan yang ditandai dengan perasaan ketakutan, kekhawatiran,dan berkelanjutan. Penyebabnya adalah ginekologis ketidakseimbangan hormon progesteron dalam darah. Hormone prostaglandin 10 kali lebih banyak dari wanita yang tidak dismenore. Prostaglandin menyebabkan meningkatnya kontraksi uterus, mengaktivasi usus besar. Disminorea menyebabkan ketidaknyamanan dalam aktivitas fisik sehari-hari.

Tujuan: Penelitian ini bertujuan untuk mengetahui pengaruh aromaterapi lavender terhadap penurunan disminorea dan kecemasan dalam menstruasi pada siswi MIN 7 Sragen.

Metode: Jenis penelitian kuantitatif dengan rancangan quasy eksperimen dengan pendekatan one group pretest – posttest without control. Sampel penelitian ini 30 siswi kelas 5 dan 6 MIN 7 Sragen dengan teknik total sampling. Teknik Analisa data yang digunakan adalah uji paired-t test.

Hasil: Analisa data menggunakan paired-t test didapatkan nilai t=14,013 nilai p=0,000 untuk disminorea dan nilai t=7,139 nilai p=0,000. Maka disimpulkan terdapat pengaruh aromaterapi lavender terhadap penurunan disminorea dan kecemasan dalam menstruasi pada siswi MIN 7 Sragen.

Kesimpulan: Aromaterapi lavender menurunkan disminorea dan kecemasan dalam menstruasi pada siswi MIN 7 Sragen sehingga dapat diterapkan sebagai salah satu terapi nonfarmakologi untuk disminorea dan kecemasan.

Kata Kunci : Aromaterapi lavender; Disminorea; Kecemasan

FATHER INVOLVEMENT TERHADAP PARTISIPASI PASANGAN USIA SUBUR DALAM PROGRAM KELUARGA BERENCANA

putriamaliah — Wed, 24 Jul 2024 00:00:00 +0000

Background: The father's role is often considered only as a breadwinner to fulfill the child's material needs, so that his involvement in family planning program participation is often considered trivial. This often happens, especially in countries with a highly patriarchal cultural environment.

Research Methods: In this research, quantitative correlational research is used, where this research is intended to determine whether there is an influence between two variables or several variables. The population in this study was couples of childbearing age in the working area of the Pangkajene Health Center, Sidrap Regency in 2024, totaling 7676 people. The sample in this study was 40 respondents

Result: The influence of the level of father involvement in couples of childbearing age on the family planning program in the Pangkajene Health Center Working Area showed that there was high involvement of fathers with PUS who used long-term family planning as many as 7 people (23.3%), and the number of PUS who used short-term family planning was 16 people (53.3). , as well as PUS who do not use family planning as many as 7 people (23.3%). Meanwhile, the low involvement of fathers in PUS who use long-term family planning is 0 (0.0%), and PUS who use short-term family planning are 5 people (50.0%), and PUS who do not use family planning are 5 people (50.0%).

From the results of the Chi-Square statistical test, a P-Value of 0.127 was obtained, which means that Ho is Rejected, so there is no influence of father involvement on the participation of couples of childbearing age in the family planning program in the Pangkajene Community Health Center Working Area.

PENGARUH PEMIJATAN BAYI TERHADAP DURASI MENYUSU DI TEMPAT PRAKTIK MANDIRI BIDAN ROSMAWATY, S. ST., M. Kes., M. Keb KABUPATEN SIDENRENG RAPPANG

ismawati — Wed, 24 Jul 2024 00:00:00 +0000

ABSTRACT

Background: Massaging your baby can help prolong and increase the duration of breastfeeding. Among the many potential benefits of baby massage include strengthening the bond between mother and child, relieving muscle tension, improving immunity, and encouraging normal blood flow. Through relaxation, massage can increase the baby's desire to breastfeed because it can help him feel more relaxed.

Research Methods: The type of research used is quantitative experiment, with a pre-experimental design. This research uses a one group pretest – posttest design. There is no comparison (control) group in this design. The population in this study were babies who came. The population in this study were all babies who came for massage at the Rosmawaty Midwife Independent Practice Place, Sidenreng Rappang Regency, totaling 30 babies. Using a sampling technique, namely total sampling, where the number of samples taken is the same as the population and the sample in this study was 30 babies.

Result: The results of the research show that from statistical analysis of the duration of breastfeeding, it was found that there was an increase in the duration which was previously abnormal or less than 10 minutes, increasing to the range of 10-30 minutes or can be said to be normal. This can also be seen from statistical analysis which shows that there are 30 babies whose duration has increased (positive ranks) with an average increase of 15.50. Wilcoxom test analysis shows that there is a difference in value and increase before and after massaging the baby on the duration of the baby's breastfeeding with a p-value of 0.000, which means <0.05, indicating that there is an influence of baby massage on the duration of breastfeeding at the Independent Practice Place for Midwives Rosmawaty, S. ST., M. Kes., M. Keb Sidenreng Rappang Regency.

REPRODUCTIVE HEALTH EDUCATION FOR BUDDHIST BRIDE AND GROOM TO BE COUPLES DURING THE COVID-19 PANDEMIC

Wed, 28 Aug 2024 00:00:00 +0000

Background: Adolescence is a part of development before reaching adulthood. Buddhism is a religion that includes various traditions, beliefs, and spiritual practices that exist in Indonesia. According to Population and Civil Registration (Dukcapil) data from the Ministry of Home Affairs, there are 2.04 million Buddhists in Indonesia as of June 2021. In accordance with the Director General's Decree No. 373 of 2017 concerning Technical Guidelines for Marriage Guidance for Prospective Bride and Groom, it has not been maximally implemented by the religious Affairs office or other institutions that have met the requirements set by the Ministry of Religion.

Objective: This study aims to analyze the situation of wedding preparations by Buddhist bride and groom during the COVID-19 pandemic.

Method: This study used a qualitative method of Rapid Assessment Procedure (RAP) by conducting in-depth interviews with 4 informants using an in-depth interview guideline that is in accordance with the research objectives made by the research team. This research was conducted online using media zoom/google meet/WhatsApp Video for about 60 minutes with informed consent was given to each informant and was conducted in November - December 2021.

Results and Discussion: According to Buddhist leaders, there is religious guidance provided by the bride and groom to be but there are no special requirements for health workers/health facilities to access special education related to reproductive health and immunization. So far, only recommendations for reproductive health checks have been made, but this does not apply to all regions. This is in accordance with the Buddhist marriage requirements regulated by Marriage Law no. 1 of 1974 and ceremonially arranged by the respective Buddhist Councils that carry out the marriage ceremony.

Conclusion: Bride and groom's access to health workers and health facilities for education and immunization is not yet available, both in terms of policy and implementation in the regions. While reproductive health is an important thing to be prepared by every bride and groom to be before starting to actively engage in sexual activity in marriage.

Keywords: Buddhist pre-wedding preparation, reproductive health education, COVID-19 pandemic. bride and groom to be, Buddhist perspective

Latar Belakang: Masa remaja merupakan bagian dari perkembangan sebelum mencapai masa dewasa. Buddhisme adalah agama yang mencakup berbagai tradisi, kepercayaan, dan praktik spiritual yang ada di Indonesia. Menurut data Kependudukan dan Pencatatan Sipil (Dukcapil) Kementerian Dalam Negeri, terdapat 2,04 juta umat Buddha di Indonesia per Juni 2021. Sesuai dengan Keputusan Direktur Jenderal Nomor 373 Tahun 2017 tentang Pedoman Teknis Bimbingan Perkawinan bagi Calon Pengantin, belum maksimal diimplementasikan oleh KUA atau lembaga lain yang telah memenuhi persyaratan yang ditetapkan oleh Kementerian Agama.

Tujuan: Penelitian ini bertujuan untuk menganalisis situasi persiapan pernikahan oleh calon pengantin agama Buddha pada masa pandemi COVID-19.

Metode: Penelitian ini menggunakan metode kualitatif jenis Rapid Assessment Procedure (RAP) dengan melakukan wawancara mendalam (in depth interview) pada 4 orang informan dengan menggunakan instrumen daftar pertanyaan pedoman wawancara mendalam untuk menggali pengetahuan dan pemberian edukasi kesehatan reproduksi dalam persiapan pernikahan yang sesuai dengan tujuan penelitian yang dibuat oleh tim peneliti. Penelitian ini dilakukan secara online menggunakan media zoom/google meet/WhatsApp Video selama sekitar 60 menit untuk setiap informan dengan pemberian informed consent dan dilakukan pada bulan November - Desember 2021.

Hasil dan Pembahasan: Menurut pemuka agama budha, terdapat bimbingan agama yang dilakukan oleh calon pengantin namun tidak ada persyaratan khusus untuk ke tenaga kesehatan / fasilitas kesehatan untuk mengakses edukasi khusus terkait kesehatan reproduksi maupun imunisasi. Selama ini yang ada hanya anjuran untuk melakukan pemeriksaan kesehatan reproduksi, namun tidak berlaku di semua daerah. Hal ini sesuai dengan persyaratan perkawinan Agama Buddha yang diatur oleh Undang-undang Perkawinan No. 1 Tahun 1974 dan secara seremonial diatur oleh masing-masing Majelis Agama Buddha yang melaksanakan upacara perkawinan.

Kesimpulan: Akses calon pengantin ke tenaga kesehatan maupun fasilitas kesehatan untuk mendapatkan edukasi maupun imunisasi belum tersedia baik dari segi kebijakan maupun implementasi di daerah. Sedangkan kesehatan reproduksi merupakan hal yang penting untuk disiapkan oleh setiap pasangan calon pengantin sebelum mulai aktif melakukan aktivitas seksual dalam pernikahan.

Kata kunci: persiapan pra-nikah agama buddha, pendidikan kesehatan reproduksi, pandemi COVID-19, calon pengantin, perspektif Budha

PENGARUH PEMBERIAN COKELAT TERHADAP PENURUNAN NYERI DISMENORE PRIMER PADA SISWI SMPN 2 PANGKALAN LESUNG TAHUN 2024

Jemmy Nirma Virdiana, viodiantha — Thu, 18 Jul 2024 00:00:00 +0000

Primary dysmenorrhea is menstrual pain without reproductive organ abnormalities (without genetic abnormalities) which has many causal factors. Symptoms that appear include mild to severe attacks, if left unchecked they can hamper daily activities.

The aim of this study was to determine the effectiveness of giving chocolate to reduce primary dysmenorrhea pain in female students at Junior Hight School 2 Pangkalan Lesung in 2024.

This type of research is quasi-experimental with the design used being a pretest post test one group design. Data were collected using interview sheets and Visual Analogue Scale (VAS) observation sheets. Data analysis was carried out univariately using descriptive statistics and bivariate analysis using wilcoxon test with a confidence level of 95% (α=0.05).

The research results showed that there was a significant difference between the results before and after giving chocolate with a sig value (2-tailed) 0.000 (p < 0.05), so it can be concluded that giving chocolate is effective in reducing primary dysmenorrhea pain in female students at Junior Hight School 2 Pangkalan Lesung in 2024.