Indonesian Health Issue
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Faktor-Faktor yang Memengaruhi Kadar Gula Darah pada Mahasiswi Program Studi Kebidanan Langsa Poltekkes Kemenkes Aceh
Full text linkBackground: The prevalence of hyperglycemia in adolescents is increasing. Lack of awareness for blood sugar screening causes cases of hyperglycemia to be undiagnosed. Objective: This study aims to analyze the factors influencing blood glucose levels among students of the Midwifery Study Program at Langsa Polytechnic of Health, Ministry of Health, Aceh, in 2025. Method: This study employed a cross-sectional design with a proportional sample of 51 students. The variables studied included sugar consumption patterns, physical activity, family history of diabetes, and Body Mass Index (BMI). Data were collected through questionnaires, random blood glucose level measurements, and BMI calculations. Results: The results showed that family history of diabetes (p = 0.029) and BMI (p = 0.032) had a significant relationship with blood glucose levels. In contrast, sugar consumption patterns (p = 0.347) and physical activity (p = 0.492) did not show significant associations. Conclusion: These findings indicate that genetic factors and nutritional status have a more significant impact on blood glucose levels than dietary habits and physical activity. Therefore, students with a family history of diabetes and high BMI should be more aware of their diet and lifestyle to prevent blood glucose imbalance
Efektifitas Buku Audio dalam Meningkatkan Pengetahuan Kesehatan Reproduksi bagi Perempuan Penyandang Disabilitas Netra
Full text linkReproductive health is one of the indicators of a person's well-being. To achieve optimal reproductive health, of course, it begins with recognizing the reproductive organs. Background: There is still a lack of education for people with visual impairments regarding the anatomy of female genitalia and the menstrual cycle. Objective: to determine the effect of education using audio books regarding the introduction of reproductive organs and the menstrual cycle on the knowledge and attitudes of women with visual impairments. Method: The study was conducted in May-August 2024 in Bogor City, West Java Province. This study used a quasi-experimental design, with 31 respondents who could participate. Data collection was carried out by providing a pretest before providing education, and ending with a posttest. The analysis technique used the t-dependent test for the knowledge aspect and the Wilcoxon test for the attitude aspect. Results: there was a significant difference in the average knowledge between before and after education (p <0.05). In the attitude dimension, there was no significant difference between before and after education (p>0.05). Conclusion: Providing education about the anatomy of female genitalia and the menstrual cycle using audio books can improve the knowledge of women with visual impairments. Suggestions for further research is considering using more time to shape the attitudes of women with visual impairments in introducing the anatomy of female genitalia and the menstrual cycle so that they can be more aware of the importance of understanding this as an initial step in maintaining their reproductive health
Hubungan Dukungan Suami Dengan Perilaku Pola Konsumsi Nutrisi Pada Ibu Hamil
Full text linkBackground: Pregnant women are a group at risk when faced with nutrition, therefore husband's support is needed. Objective: To analyze the relationship between husband's support and nutritional consumption behavior in preventing chronic energy deficiency (CED) in pregnant women in the Silo II Community Health Center work area. Method: Correlational design using a cross-sectional approach. The study population was 83 pregnant women, calculated using the Slovin formula with 69 respondents. The sampling technique used was cluster random sampling. Data were collected through questionnaires. Data analysis was carried out using the Spearman Rho method with α ≤ 0.05. Results: The results of the study showed that most pregnant women received optimal support from their husbands, with a percentage of 75.4% and the majority of pregnant women's nutritional consumption behavior was compliant, with a percentage of 82.6%. The results of the analysis showed a significant and strong relationship. Conclusion: A strong relationship exists between husband's support and nutritional consumption behavior in preventing chronic energy deficiency (CED) in pregnant women in the Silo II Community Health Center work area. Husbands can increase information support, attention, and involvement in fulfilling nutritional needs during pregnancy by providing information obtained from social media, magazines, books, and pamphlets
Satisfaction of Outpatient Services at Sarkies Asyiyah Hospital Kudus Regarding the Frequency of BPJS PRB
No full textBackground: The BPJS Referral Program (PRB) is intended for patients with stable chronic diseases who require long-term care at FKTP. The frequency of PRB is influenced by patient satisfaction with the referral hospital's services. Objective: to analyze the effect of satisfaction with outpatient services at Sarkies Asyiyah Kudus Hospital on the frequency of BPJS PRB utilization. Method: A correlational analytical study with a quantitative approach was conducted on 30 outpatient respondents participating in BPJS at Sarkies Aisyiyah Kudus Hospital who were selected by Quota Sampling from 14 polyclinics. The research instrument was a patient satisfaction questionnaire based on five dimensions of SERVQUAL (Tangible, Reliability, Responsiveness, Assurance, Empathy). Data analysis used descriptive statistics, the Shapiro-Wilk normality test, Spearman correlation, and ordinal logistic regression. Results: All service quality dimensions are in the good–very good category. Spearman's test showed a significant positive relationship between patient satisfaction and the frequency of reverse referrals (p < 0.01) with the largest contribution being Tangible (ρ = 0.884). Ordinal logistic regression produced a Nagelkerke R-Square of 0.97, confirming that satisfaction explains 97% of the variation in reverse referrals. The Tangible dimension has a significant effect (p = 0.026), while the other dimensions are not significant. Conclusion: Outpatient satisfaction influences the frequency of BPJS PRB with the Tangible dimension as the dominant factor. Improvement of physical facilities and service comfort needs to be prioritized to support the effectiveness of the referral system
Faktor-Faktor Yang Mempengaruhi Terjadinya Baby Blues Pada Ibu Postpartum
Full text linkBackground: Baby blues is a condition of temporary emotional lability that usually occurs on the first day to two weeks after delivery, Mothers who experience baby blues will experience mood swings, feel sad, anxious, often cry, loss of appetite, and difficulty sleeping (insomnia), Baby blues can be categorized as a mild mental disorder syndrome. Objective: This study aims to determine the factors that influence the occurrence of Baby Blues in postpartum mothers at the Timika Health Center. Method: This study is an observational study with a cross-sectional study design, to study the factors that influence Baby Blues in Postpartum mothers. The sampling technique with a total sampling of 30 respondents. Results: the results of this study explain that there is a significant relationship between childbirth readiness with a p-value = 0.000, pregnancy status with a p-value = 0.004 and social support with a p-value = 0.000 with the occurrence of baby blues in postpartum mothers at the Timika Health Center. Conclusion: baby blues can be influenced by a lack of social support from those closest to you. Social support is an important coping strategy for mothers experiencing postpartum stress and functions as a preventive strategy to reduce stress
Hubungan Kadar Kreatinin Dengan Hemoglobin Pada Pasien Gagal Ginjal Kronik Sebagai Rujukan Terapi Erythropoietin (EPO)
Full text linkBackground: Chronic kidney disease (CKD) is a common condition and a global health problem with various causes that lead to a gradual decline in kidney function, resulting in increased creatinine levels. This condition reduces the production of the hormone erythropoietin (EPO), which stimulates the bone marrow to produce red blood cells, leading to decreased hemoglobin levels and resulting in anemia. Erythropoietin (EPO) therapy represents a primary therapeutic option for the management of anemia in patients with chronic kidney disease (CKD) PurposeTo determine the relationship between creatinine and hemoglobin levels in chronic kidney disease patients as a reference for erythropoietin (EPO) therapy. Methods: This study employed an analytical observational method with a cross-sectional approach by reviewing medical record data. The sample consisted of 56 patients obtained through total sampling. The data were analyzed using the Pearson correlation test. Results: The average creatinine level was 9.92 mg/dL, and the average hemoglobin (Hb) level was 7.96 g/dL. Pearson correlation analysis between creatinine and hemoglobin levels in patients receiving erythropoietin (EPO) therapy showed a statistically significant result with a p-value of 0.001 (<0.05) and a moderate negative correlation (r = -0.436). Conclusion: A significant negative correlation was found between creatinine and hemoglobin levels in patients undergoing EPO therapy, indicating that higher creatinine levels tend to be associated with lower hemoglobin concentrations
Hubungan Malaria Pada Ibu Hamil Terhadap Kejadian Berat Badan Lahir Rendah (BBLR)
Full text linkBackground: Malaria is an infectious disease caused by parasites of the plasmodium type which is transmitted through the bite of a female Anopheles mosquito. Malaria infection during pregnancy carries a high risk to the mother, fetus and newborn, resulting in abnormalities in the newborn, namely LBW. The purpose of this study was to determine the effect of malaria incidence on the birth rate of low birth weight (LBW) in the Timika Health Center work area in 2024. This research method uses a quantitative research approach with a cross-sectional design taking data from a medical record in the form of a history of malaria in mothers giving birth in 2024 at the Timika Health Center. The results of this study showed that the majority of respondents with the highest education were high school (59.1%), the age group was 26-30 years (34.1%), respondents with a history of LBW (75%) and the incidence of malaria in mothers (90.1). There is a significant relationship between a history of LBW and the incidence of malaria in mothers at the Timika Health Center in 2024 with a p value of 0.000. Conclusion The prevalence of malaria in pregnant women in the Timika Health Center work area in 2023 was 40 cases, the prevalence of LBW was 33 cases and there was a relationship between the incidence of malaria in mothers and a history of LBW in the Timika Health Center work area in 202
Pendampingan Program Perencanaan Persalinan Dan Pencegahan Komplikasi (P4K) Terhadap Pengetahuan Dan Sikap Ibu Hamil
Full text linkThe Birth Planning and Complications Prevention Program (P4K) pays special attention to birth planning and how to avoid complications associated with pregnancy, childbirth, and the puerperium. to detect the risk of complications early so that they can be treated immediately. However, pregnant women who actually take advantage of the P4K program is still low. The research method used in this research is Pre-Experimental Designs. The research design is a one-group pretest and posttest design. The population in this study were all pregnant women in the Working Area of the Mangkubumi Health Center, Tasikmalaya City In December 2022, there were 684 pregnant women. The sampling technique uses quota sampling with a total sample taken of 30 respondents. The majority of pregnant women had sufficient knowledge, namely 17 pregnant women (57.00%), and 19 people (63.00%) had a positive attitude. The results of statistical tests using the Wilcoxon test showed that there was an effect of knowledge and attitudes on the implementation of the Delivery Planning and Prevention of Complications Program (P4K) assistance with a p-value of 0.000. This shows that assistance from the Planning and Prevention of Complications Program (P4K) has an effect on increasing the knowledge and attitudes of pregnant women
Asuhan Kebidanan Berkesinambungan Pada Ny.S Dengan Penerapan Teknik Rebozo Pada Persalinan (Evidence Based Case Report)
Full text linkBackground: Pregnancy and childbirth are normal processes in women, pain caused during labor can cause anxiety that can inhibit contractions and disrupt the labor process, so it requires continuous care to prepare for labor since pregnancy with one of the efforts that can be done to reduce pain during labor, namely the rebozo technique which can be used to help reduce labor pain. Objective: To provide continuous care to Mrs. S by applying the rebozo technique. Method: This study uses the Evidence Based Case Report (EBCR) method. The article search was conducted on August 15, 2024 using the Pubmed, Google Scholar and Sciene Direct databases. The keywords used are words that represent the population, namely "rebozo technique" and "labor pain". The article search was limited by the inclusion criteria published in the last 5 years and full text articles so that 34 journals were obtained from 499 journals. Results: After reading all 34 journals, 3 articles were used. Then from the results of the article search, the rebozo technique was applied to reduce labor pain by measuring the pain scale using the Numeric rating scale (NRS). Before the intervention, the patient's pain scale was on a scale of 8 or severe pain. Then after the intervention, it was on mild pain. Conclusion: This continuous care is very important as an effort to prepare mothers from pregnancy to contraceptive services and this rebozo technique is recommended as one of the efforts to reduce labor pain that is prepared since pregnancy.
Hubungan Usia Menarche Dengan Kejadian Dismenorea Pada Remaja
Full text linkBackground: The prevalence of dysmenorrhea in adolescents is reported to be very high in various countries, causing disruption to adolescent activities. Objective: This study aims to determine the prevalence of dysmenorrhea in adolescents and examine the relationship between age at menarche and current age of adolescents with the incidence of dysmenorrhea as an effort to support effective reproductive health strategies among adolescent girls. Methods: This study used a quantitative descriptive study with a survey approach to describe the age at menarche and the incidence of dysmenorrhea in adolescents. This study was conducted in high schools in the Purwokerto area, from January to March 2025. The population was all 21,245 adolescent girls in the Purwokerto area. Data collection used primary data, namely respondents completing a questionnaire regarding current age, age at menarche, and the incidence of dysmenorrhea. Results: The majority of respondents were aged 14-16 years (54.4%), experienced early menarche (93.5%), and 72.3% experienced dysmenorrhea. There was no relationship between age at menarche and the incidence of dysmenorrhea. Conclusion: Most respondents aged 14-16 years, with a high school education level, experienced early menarche and dysmenorrhea, and there was no significant relationship between age of menarche and the incidence of dysmenorrhea