Jurnal Kesehatan Komunitas
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Identifikasi Suspek Tuberkulosis Menggunakan Pharmamed Chatbot Berdasarkan Layanan Kesehatan
Get PDFIntroduction: TB disease is the first of the 10 leading causes of death in the world, and Indonesia is the 3rd highest country after India and China. The Minister of Health said there were 824,000 people suspected of having TB and asked all health officials to prioritize surveillance efforts to find people with TB detected by name by address. The TB cure rate in West Sumatra Province in 2020 is 76.9% and has not reached the national target of 85% and the city of Padang is only 23%. Objective: The purpose of this study is to find suspected cases of TB using the Pharmamed Chatbot, by name and by address so that they are easy to find to overcome TB. Methods: This type of research is quantitative descriptive of suspected TB cases using a 20-question chatbot to obtain social data by name and by address and suspected cases of TB. Results: The results of 838 respondents obtained 91 people suspected of TB, the composition of respondents BPJS 78.5% and 22.5%, not BPJS. BPJS respondents of productive age 15-24 years 26.91% and age range 45-64 years 34.4%. Chatbots are relatively successful and innovative as digital health in obtaining patients with suspected TB and the initial steps for TB control. It is necessary to develop a more complete chatbot and further research on TB disease prevention in IndonesiaPendahuluan : Penyakit TB merupakan urutan pertama dari 10 penyebab utama kematian di dunia, dan Indonesia adalah negara ke-3 tertinggi setelah India dan China. Menteri Kesehatan mengatakan TB diduga ada 824.000 orang dan meminta seluruh jajaran kesehatan memprioritaskan upaya surveilans pencarian para penderita TB terdeteksi by name by adress. Angka kesembuhan TB di Provinsi Sumatra Barat tahun 2020 adalah 76,9% dan belum mencapai target nasional 85% dan kota Padang baru 23 %. Tujuan: Tujuan penelitian ini menemukan kasus terduga TB menggunakan Chatbot Pharmamed, by name dan by adress sehingga mudah disisir mengatasi TB. Metode: Jenis penelitian ini deskriptif kuantitatif kasus dugaan TB dengan menggunakan chattbot 20 pertanyaan memperoleh data sosial by name dan by adress dan kasus dugaan TB. Hasil: Hasil dari 838 responden diperoleh 91 orang terduga TB, komposisi responden BPJS 78,5 % dan tidak BPJS 22,5 %. Responden BPJS usia produktif 15-24 tahun 26,91 % dan rentang usia 45-64 tahun 34,4 %. Chatbot relatif berhasil dan inovatif sebagai digital kesehatan memperoleh pasien dugaan TB dan langkah awal penanggulangan TB. Perlu pengembangan chatbot yang lebih lengkap dan penelitian lanjut penanggulangan penyakit TB di Indonesia
Hubungan Pengetahuan, Sikap dan Perilaku Orang Tua terhadap Pemberian Vaksin Merdeka Anak
Get PDFCurrently, the government's target is to give COVID-19 vaccinations to children aged 6-11 years starting on December 14, 2021, with a target number of vaccinations reaching 26.5 million children. Giving COVID-19 vaccination to children 2 times with an interval of at least 28 days using the Bio Farma COVID-19 vaccine and/or Coronavac. Vaccination in children has been given previously, namely in children aged 12-17 years. Objective: To analyze the relationship of knowledge, attitudes, and behavior of parents to the provision of independent vaccines for children. Methods: Analytical description research with a cross-sectional study approach. The sampling technique used purposive sampling technique with a total sample of 171 people. Results: There is no relationship between parental knowledge (p-value = 0.282) and parents' attitude (p-value = 0.459) toward the administration of the child's independent vaccine. There is a relationship between the behavior of parents (p-value = 0.000) on the provision of independent vaccines for children. Conclusion: Parents' knowledge and attitudes have no effect on interest in vaccinating children because parents believe that the COVID-19 vaccine is very important to prevent children from being exposed to serious risks due to COVID-19. Information about the COVID-19 vaccine is also very important for parents to reduce worries about side effects and vaccine safety. Therefore, the government, doctors, and nurses must always disseminate the COVID-19 vaccine to children.Saat ini, target pemerintah memberikan vaksinasi COVID-19 pada anak usia 6-11 tahun yang dimulai sejak 14 Desember 2021 dengan jumlah sasaran vaksinasi mencapai 26,5 juta anak. Pemberian vaksinasi COVID-19 pada anak sebanyak 2 kali dengan interval minimal 28 hari menggunakan vaksin Covid -19 Bio Farma dan/atau Coronavac. Pemberian vaksin pada anak telah diberikan sebelumnya yaitu pada anak usia 12-17 tahun. Tujuan: Untuk menganalisis hubungan pengetahuan, sikap dan perilaku orang tua terhadap pemberian vaksin merdeka anak. Metode: Penelitian deskripsi analitik dengan pendekatan cross sectional study. Teknik pengambilan sampel mennggunakan teknik purposive sampling dengan jumlah sampel sebanyak 171 orang. Hasil: Tidak ada hubungan pengetahuan orang tua (p value = 0,282) dan sikap orang tua (p value = 0,459) terhadap pemberian vaksin merdeka anak. Ada hubungan perilaku orang tua (p value = 0,000) terhadap pemberian vaksin merdeka anak. Simpulan: Pengetahuan dan sikap orang tua tidak memberikan pengaruh terhadap minat memvaksinasi anak sebab orang tua meyakini bahwa vaksin COVID-19 sangat penting untuk mencegah anak terkena risiko yang berat akibat COVID-19. Informasi tentang vaksin COVID-19 juga sangat penting bagi orang tua untuk mengurangi kekhawatiran terhadap efek samping dan keamanan vaksin. Diharapkan, pemerintah dalam hal ini sekolah, dokter dan perawat agar selalu mensosialisasikan vaksin COVID-19 pada anak
Implementasi Kebijakan Pelayanan Obstetri dan Neonatal Emergency Dasar (PONED) di Puskesmas Kabupaten Solok
Get PDFThe mortality rate of mother infants in West Sumatra is very high, with a mother mortality rate of 12, an infant mortality rate of 15, and a neonatal mortality rate of 71 in 2020. This indicates that emergency obstetrics and neonatal care practices are not yet optimal. (PONED) is located at a PONED-compatible health center. The purpose of this study is to analyze the implementation of PONED program services at health centers. The survey method used the descriptive qualitative method conducted from March to October 2021, with deep interviews, document reviews, observation-based data collection, and seven information providers. KIA, District Program, PONED Health Center, 4 people, analysis using data content technology Analysis by triangulation. The implementation of PONED-enabled public health center guidelines is not optimal and still being implemented by the health sector, starting with preparations for the selection of PONED health centers, resources, or PONED. Provides availability for teams, infrastructure, equipment, medicines, and consumables. Engagement, stakeholder communication, and community socialization processes were not optimal. A unified referral system that plays an important role in implementing PONED, including budget awareness, coordination, stakeholder involvement, and comprehensive neonatal emergency obstetric services at professional associations, NGOs, communities, and hospitals. This requires good cooperation and support from local governments. In summary, the implementation of the PONED Health Center program is not optimal, and maternal, infant, and newborn deaths are still recorded. Therefore, there is an urgent need to assist local governments and stakeholders by providing resources in accordance with PONED implementation requirements at health centersKematian Ibu, Bayi dan anak di Provinsi Sumatera Barat cukup tinggi, Kabupaten Solok Tahun 2020 Kematian Ibu sebesar 12, bayi 15 kematian, neonatal 71 kematian, karena belum optimalnya penerapan program Pelayanan Obstetri Neonatal dan Emergency Dasar (PONED) di Puskesmas mampu PONED ,tujuan penelitian untuk menganalisis implementasi pelayanan program PONED di Puskesmas. Metode Penelitian menggunakan deskriptif kualitatif, dilaksanakan bulan Maret-Oktober 2021, Pengumpulan data dengan wawancara mendalam, Telaah Dokumen, Observasi, dengan 7 informan yaitu Ka Bidang, PJ KIA, Subbag Program di Kabupaten ,4 orang di Puskesmas PONED, analisis data menggunakan teknik content analisis dengan triagulasi. Pelaksanaan kebijakan program Puskesmas mampu PONED belum optimal, masih dilaksanakan sendiri oleh Dinas Kesehatan mulai dari persiapan pemilihan Puskesmas PONED, persiapan sumber daya yaitu tim PONED, sarana prasarana, pemenuhan ketersediaan peralatan, obat, bahan habis pakai. Komitmen, komunikasi antar stakeholder serta proses sosialisasi kepada masyarakat belum optimal. Penyelenggaraan PONED membutuhkan kerjasama yang baik,dukungan Pemerintah daerah melalui kepedulian anggaran, koordinasi, komitmen antar stake holder, organisasi profesi, LSM, masyarakat dan Pelayanan Obstetri Neonatal Emergency Komprehensif di Rumah Sakit sebagai suatu kesatuan sistem rujukan yang mempunyai peran penting. Kesimpulan penyelenggaraan program Puskesmas PONED belum berjalan optimal,masih ditemukan kematian Ibu, bayi dan neonatal. sehingga, dukungan Pemerintah Daerah, Stake holder sangat diperlukan dengan melengkapi sumber daya sesuai kebutuhan penyelenggaran PONED di Puskesmas
Pengaruh Kinerja Bidan dalam Melakukan Diteksi Dini Bayi Berat Lahir Rendah (BBLR)
Get PDFObstetrics services are an intensive part of health activities focused on maternal, newborn, and child health to realize meaningful family health. Maternal and child health is a national agenda that deserves top priority because it determines the quality of human resources for the next generation. This research method is analytical with a cross-sectional study design. The study sample consisted of 88 midwives. Data analysis was performed using regression analysis and the Results of bivariate. The results of the bivariate test found a relationship between knowledge (p=0.003), motivation (p=0.033), and leadership (p=0.000) with obstetric performance. Furthermore, although there is no relationship between attitudes (p=182) and obstetric performance, the variables of supervision, reward, and training show satisfactory results. The results of the multivariate analysis show that leadership is the most dominant factor in determining obstetric performance, with a p-value of 0.000 and OR. 180. Request the Aceh Besar Health Office to increase supervision not only from the supervising coordinating midwife but also from the abscess and the health office.Pelayanan kebidanan merupakan bagian intensif dari kegiatan kesehatan yang difokuskan pada kesehatan ibu, bayi baru lahir dan anak untuk mewujudkan kesehatan keluarga yang bermakna. Kesehatan ibu dan anak merupakan agenda nasional yang patut mendapat prioritas utama karena menentukan kualitas sumber daya manusia generasi penerus. Metode penelitian ini adalah analitik dengan desain studi cross sectional. Sampel penelitian terdiri dari 88 bidan. Analisis data dilakukan dengan menggunakan analisis regresi. Hasil uji bivariat ditemukan hubungan antara pengetahuan (p=0,003), motivasi (p=0,033), dan kepemimpinan (p=0,000) dengan kinerja kebidanan. Selanjutnya walaupun tidak ada hubungan antara sikap (p=182) dengan kinerja kebidanan, variabel supervisi, reward, dan pelatihan menunjukkan hasil yang memuaskan. Hasil analisis multivariat menunjukkan kepemimpinan menjadi faktor yang paling dominan dalam menentukan kinerja kebidanan, dengan p-value 0,000 dan OR. 180. Meminta Dinas Kesehatan Aceh Besar untuk meningkatkan pengawasan tidak hanya dari bidan koordinator yang mengawasi, tetapi juga dari abses dan dinas kesehatan
Overview of Pending and Dispute Events in the Health BPJS Claiming Process for Inpatients at Imelda Hospital, Medan, Indonesia in 2022
Get PDFHealth insurance is a guarantee in the form of health protection so that participants obtain health care benefits and protection in meeting basic health needs that are given to everyone who has paid contributions or whose contributions are paid by the government. The purpose of this study is to describe the implementation of the BPJS (Social Security Administering Agency) Health claim system for inpatients at Imelda Workers' Hospital in Indonesia. This type of research is qualitative with a case study approach. The method used is observation and direct interviews to the field. The subjects used in this study were all pending and disputed medical record claim files for inpatients and in March 2022 as many as 94 claim files. The informants used in this study were 3 BPJS Health claims officers. Based on the results of the study, the implementation of inpatient BPJS Health claims is in accordance with regulations and SOPs at Imelda Indonesian Workers Hospital in Medan, the obstacles in the claiming process are facilities and networks that often have problems. The claim officer will scan the inpatient file and insert it into the hard disk and send it to BPJS Kesehatan. The hospitalization files that were claimed and submitted in March 2022 were 420 files, of which 326 files were received (78%) and 94 files were rejected (pending claims) (22%). There were also 27 disputed claim files in March 2022 (29%), after the submission of pending claims was made by Imelda Indonesian Workers Hospital in Medan.Jaminan kesehatan adalah jaminan berupa perlindungan kesehatan agar peserta memperoleh manfaat pemeliharaan kesehatan dan perlindungan dalam memenuhi kebutuhan dasar kesehatan yang diberikan kepada setiap orang yang telah membayar iuran atau yang iurannya dibayar oleh pemerintah. Tujuan dari penelitian ini adalah untuk mendeskripsikan implementasi sistem klaim Kesehatan BPJS (Badan Penyelenggara Jaminan Sosial) Kesehatan pada pasien rawat inap di Rumah Sakit Pekerja Imelda di Indonesia. Jenis penelitian ini adalah kualitatif dengan pendekatan studi kasus. Metode yang digunakan adalah observasi dan wawancara langsung ke lapangan. Subyek yang digunakan dalam penelitian ini adalah seluruh berkas klaim rekam medis yang pending dan disengketakan untuk pasien rawat inap dan pada bulan Maret 2022 sebanyak 94 berkas klaim. Informan yang digunakan dalam penelitian ini adalah 3 petugas klaim BPJS Kesehatan. Berdasarkan hasil penelitian, pelaksanaan klaim BPJS Kesehatan rawat inap sudah sesuai dengan peraturan dan SOP di RS Imelda Tenaga Kerja Indonesia Medan, kendala dalam proses klaim adalah fasilitas dan jaringan yang sering bermasalah. Petugas klaim akan memindai file rawat inap dan memasukkannya ke dalam hard disk dan mengirimkannya ke BPJS Kesehatan. Berkas rawat inap yang diklaim dan diajukan pada Maret 2022 sebanyak 420 berkas, dimana 326 berkas diterima (78%) dan 94 berkas ditolak (klaim tertunda) (22%). Ada juga 27 berkas klaim yang disengketakan pada Maret 2022 (29%), setelah pengajuan klaim tertunda dilakukan oleh Rumah Sakit Tenaga Kerja Indonesia Imelda di Medan
Analisis Risiko Kesehatan Lingkungan Terhadap Paparan Debu Pada Pekerja Pasir di Kota Palembang
Get PDFEvery workplace contains various potential hazards that can affect the health of workers, one of them is dust exposure. One of the dust exposures occurs in the working environment of the sand mine. Palembang City is an area flowed by the Musi River which is a place for sand mining in Palembang. This sand mining activity can pose a risk of exposure to dust such as PM10 and TSP. The purpose of this study was to analyze the environmental health risks due to dust exposure on sand collectors in Palembang. The EHRA method was used to take air samples at 19 measurement points to determine PM10 and TSP levels in the work area. Data collection was carried out using a questionnaire with 74 respondents. The results showed that there were 2 points at risk due to PM10 exposure with the RQ value at Depot 1 of 5.4 and Depot 2 of 2.7. Meanwhile, TSP levels do not pose a health risk to sand collectors in Palembang with an RQ value ≤ 1. So risk management is needed by reducing the PM10 concentration to a safe limit of 1.81 mg / m³.Setiap tempat kerja mengandung berbagai potensi bahaya yang dapat mempengaruhi kesehatan pekerja salah satunya paparan debu. Paparan debu salah satunya terjadi di lingkungan kerja tambang pasir. Kota Palembang merupakan daerah yang dialiri oleh Sungai Mus yang menjadi tempat penambangan pasir di Palembang. Kegiatan penambangan pasir ini dapat menimbulkan resiko paparan debu seperti PM10 dan TSP. Penelitian ini bertujuan untuk menganalisis risiko kesehatan lingkungan akibat paparan debu pada pengumpul pasir di Palembang. Metode ARKL digunakan untuk mengambil sampel udara di 19 titik pengukuran untuk menentukan kadar PM10 dan TSP di area kerja. Pengumpulan data dilakukan dengan menggunakan kuesioner dengan 74 responden. Hasil penelitian menunjukkan terdapat 2 titik yang berisiko akibat paparan PM10 dengan nilai RQ di Depot 1 sebesar 5,4 dan Depot 2 sebesar 2,7. Sedangkan kadar TSP tidak menimbulkan risiko kesehatan bagi pengumpul pasir di Palembang dengan nilai RQ ≤ 1. Sehingga diperlukan manajemen risiko dengan menurunkan konsentrasi PM10 hingga batas aman 1,81 mg/m³
Faktor Penyebab Tingginya Kasus Positif COVID-19 Pada Perawat Ruangan Pinere di Rumah Sakit Daerah Madani Kota Pekanbaru
Get PDFBackground: Pekanbaru Madani Hospital is one of the patient referral hospitals that serve the treatment of patients who are confirmed positive for COVID-19. The increasing number of confirmed cases of COVID-19 patients who have been served by the hospital will have a major impact on the work guidelines and workload of health workers. The number of patients who have been served due to COVID-19 cases was 352 people in 2020 while health workers working at the Madani Regional Hospital confirmed COVID-19 until September 2021. Objective: To find out the factors causing the high number of positive COVID-19 cases in Pinere Room nurses. at the Madani Regional Hospital, Pekanbaru City Method: quantitative with an analytical survey research type design cross-sectional with collection technique with purposive sampling. The study was conducted in August – September 2021 at the Madani Hospital, the research sample was a total sampling technique of 91 nurses. Collecting data through Google form with univariate analysis, bivariate using chi-square, and multivariate analysis using multiple logistic regression. Research Results: The proportion of nurses who were confirmed positive for COVID-19 was 15 people (16.5%) with bivariate analysis there was a relationship between the use of PPE, application of health protocols, work stress, and work shifts with positive confirmed cases of COVID-19 in nurses. While the results of the multivariate analysis showed that there was a causal relationship between the use of PPE (p-value = 0.009;) and work stress (p-value 0.028) variables that did not have a causal relationship between health protocols (p-value = 0.85) and work shifts (p-value = 0.121). Conclusion: The dominant variable influencing positive confirmed cases of COVID-19 at Madani Hospital is the use of Personal Protective Equipment. Suggestion: Improve the supervisory function of nurses who use PPE when working each shift.Latar Belakang: Rumah Sakit Madani Pekanbaru merupakan salah satu rumah sakit rujukan pasien yang melayani perawatan pasien terkonfirmasi positif COVID-19. Meningkatnya kasus pasien terkonfirmasi COVID-19 yang telah dilayani oleh pihak rumah sakit, akan berdampak besar dengan tuntunan kerja dan beban kerja tenaga kesehatan. Jumlah pasien yang telah dilayani karena kasus COVID-19 sebanyak 352 orang pada tahun 2020 sedangkan tenaga kesehatan bekerja di Rumah Sakit Daerah Madani terkonfirmasi COVID-19 sampai September 2021 sebanyak 15 orang Tujuan: mengetahui faktor penyebab tingginya kasus positif Covid-19 pada perawat Ruangan Pinere di Rumah Sakit Daerah Madani Kota Pekanbaru Metode: kuantitatif dengan jenis penelitian survey analitik desain cross sectional dengan teknik pengumpulan data cara purposive sampling. Penelitian dilakukan bulan Agustus –September 2021 di Rumah Sakit Madani, sampel penelitian dengan teknik total sampling sebanyak 91 perawat. Pengumpulan data melalui google form dengan analisis univariat, bivariat menggunakan uji chi-square, dan analisis multivariat dengan uji regresi logistik ganda. Hasil Penelitian: Proporsi perawat yang terkonfirmasi positif COVID-19 sebanyak 15 orang (16,5%) dengan analisis bivariat terdapat hubungan antara penggunaan APD, penerapan protocol kesehatan, stress kerja dan shift kerja dengan kasus terkonfirmasi positif COVID-19 pada perawat. Sedangkan hasil analisis multivariat terdapat variabel berhubungan sebab akibat penggunaan APD (p value=0,009;) dan stres kerja (p value 0,028) variabel yang tidak mempunyai hubungan sebab akibat protocol kesehatan (p value =0,85) dan shift kerja (p value = 0,121). Kesimpulan: variabel dominan mempengaruhi kasus terkonfirmasi positif COVID-19 di Rumah Sakit Madani yakni penggunaan Alat Pelindung Diri Saran: meningkatkan fungsi pengawasan terhadap perawat yang menggunakan APD saat bekerja di setiap shift.
Evaluasi Program Pelayanan Kesehatan Lanjut Usia di Wilayah Kerja Puskesmas Pusako Kabupaten Siak
Get PDFOne of the successful efforts to improve the social welfare of the elderly is to improve the standard of living and Life Expectancy (UHH). In Siak Regency, the coverage of the elderly who have just received health services at community health centers in 2020 is around 3.7% (100% target). It aims to identify problems, prioritize problems, determine alternative solutions to problems, and create an Intervention Plan (Plan of Action) in accordance with alternative problem-solving related to the Evaluation of Elderly Programs at the Pusako Community Health Center. This research used qualitative methods, using document tracing data sources, direct observations, and field observations in the elderly unit. The informants are the Head of the Center for Public Health, the Head of Administration, the Elderly Program Holder, and employees in the elderly unit. It was found that there was no evaluation of the elderly program. So that the recording and reporting carried out are not in accordance with the achievements. The recommendation is that it is expected that the Head of the Center for Public Health needs to audit the documents and evaluate the recording and reporting of the elderly program in a comprehensive manner.Salah satu upaya keberhasilan meningkatkan kesejahteraan sosial Lanjut usia adalah peningkatan taraf hidup dan Umur Harapan Hidup (UHH). Di Kabupaten Siak, cakupan usia lanjut yang baru mendapat pelayanan kesehatan di puskesmas tahun 2020 adalah sekitar 3,7% (target 100%). Bertujuan untuk mengidentifikasi permasalahan, memprioritas masalah, menentukan alternatif pemecahan masalah, dan membuat Rencana Intervensi (Plan of Action) sesuai dengan Alternatif pemecahan masalah terkait Evaluasi Program Lanjut Usia di Puskesmas Pusako. Penelitian ini menggunakan Metode kualitatif, dengan sumber data telusur dokumen, pengamatan langsung dan observasi lapangan di unit lanjut usia. Informannya adalah Kepala Puskesmas, Kepala Tata Usaha, Pemegang Program Lansia dan pegawai di unit lansia. Didapatkan bahwa belum adanya evaluasi program lansia. Sehingga pencatatan dan pelaporan yang dilaksanakan tidak sesuai dengan capaian. Rekomendasinya adalah diharapkan Kepala Puskesmas perlu audit dokumen dan evaluasi pencatatan dan pelaporan program lansia secara komprehensif
Efektivitas Intervensi Mindfulness Bonding Ibu dan Janin Menggunakan Smartphone Terhadap Kecemasan Ibu Hamil Menjelang Persalinan
Get PDFAnxiety before childbirth is the main psychological problem experienced by pregnant women. Mindfulness bonding between mother and fetus is a technique that can increase the emotional bond between mother and fetus so as to reduce anxiety. The implementation of this mindfulness bonding intervention for mother and fetus can be done using a smartphone so that it can be accessed without the time and place limits. This study aims to analyze the effectiveness of the mindfulness bonding intervention of mother and fetus using a smartphone on the anxiety of pregnant women before delivery. The study used a quasi-experimental design with a pre and post-test design with a control group. The sample of this research was 34 pregnant women before delivery, divided into two groups, namely 17 respondents of pregnant women in the experimental group and 17 pregnant women in the control group by using a purposive sampling technique. Data was collected using the PRAQ-R2 questionnaire and the MIESRA application with data analysis using a t-test. There was a significant change before and after being given the mindfulness bonding intervention of mother and fetus using a smartphone on the anxiety of pregnant women before delivery (p-value = 0.001). The mindfulness bonding intervention of mother and fetus using a smartphone with the MIESRA application is effective in reducing the anxiety level of pregnant women before delivery.Kecemasan menjelang persalinan merupakan masalah psikologis yang utama dialami oleh ibu hamil. Mindfulness bonding ibu dan janin merupakan teknik yang dapat meningkatkan ikatan emosional antara ibu dan janin sehingga mampu menurunkan kecemasan. Pelaksanaan intervensi mindfulness bonding ibu dan janin ini dapat di lakukan menggunakan smartphone sehingga dapat diakses tanpa batas waktu dan tempat. Penelitian ini bertujuan untuk menganalisis efektivitas intervensi mindfulness bonding ibu dan janin menggunakan smartphone terhadap kecemasan ibu hamil menjelang persalinan. Penelitian menggunakan desain quasy experimental dengan rancangan pre dan posttest with control group. Sampel penelitian berjumlah 34 responden ibu hamil menjelang persalinan yang dibagi ke dalam dua kelompok yaitu 17 responden ibu hamil kelompok eksperimen dan 17 ibu hamil kelompok kontrol dengan pengambilan sampel menggunakan teknik purpossive sampling. Pengumpulan data dilakukan menggunakan kuesioner PRAQ-R2 dan aplikasi MIESRA dengan analisis data menggunakan uji t. Ada perubahan signifikan sebelum dan sesudah diberikan intervensi mindfulness bonding ibu dan janin menggunakan smartphone terhadap kecemasan ibu hamil menjelang persalinan (p value = 0,001). Intervensi mindfulness bonding ibu dan janin menggunakan smartphone dengan aplikasi MIESRA efektif dalam menurunkan tingkat kecemasan ibu hamil menjelang persalinan