JOMIS (Journal of Midwifery Science)

HUBUNGAN PERSEPSI REMAJA TENTANG PERNIKAHAN DINI DENGAN NIAT UNTUK MENIKAH DINI PADA REMAJA MASYARAKAT MADURA

Yessy Nur Endah Sary — Wed, 29 Jan 2025 00:00:00 +0000

Adolescents, as the next generation approaches this stage of life, need to have a clear understanding of what it means to be marriage ready. Views and the possibility of changes in outlook on marriage and preparation impact the perception of early marriage. The researchers in this study set out to answer the question, "How do adolescents in Madurese feel about early marriage?" by looking at their attitudes and intentions towards the practice. A cross-sectional study is what this is. Simple random sampling is the method used for the sampling process. The number of participants in the study was 79. A survey on the attitudes and intentions of teenagers about early marriage and marriage at a young age served as the study tool. All respondents were required to sign an informed consent document before they could get the questionnaire. Chi square was the method of choice for analyzing the data.

HUBUNGAN PENGETAHUAN TENTANG PENDEWASAAN USIA PERKAWINAN DENGAN SIKAP REMAJA TERHADAP PERNIKAHAN DINI DI SMAN 1 KAMAL

Cindy Fatika Salsabila, Andriyanti Andriyanti, Nining Febriyana, Lilik Djuari — Wed, 29 Jan 2025 00:00:00 +0000

Background: Early marriage remains a significant challenge in developing countries, including Indonesia, which ranks fourth globally in child marriage cases. According to UNICEF (2023), there are 25.53 million child marriage cases in Indonesia. In 2022, the rate of early marriage in Bangkalan, Madura, continued to show an increasing trend, with an annual rise of 1.71%. The Marriage Age Maturity Program (PUP) aims to increase the minimum age of marriage to 21 years for women and 25 years for men. Objective: This study aims to examine the relationship between knowledge of marriage maturity and adolescent attitudes toward early marriage. Methods: This research uses a quantitative method with a cross-sectional design. The population consisted of 10th- and 11th-grade students at SMAN 1 Kamal, with a sample size of 183 respondents selected through cluster random sampling. The independent variable is knowledge of marriage maturity, while the dependent variable is adolescents' attitudes toward early marriage. A questionnaire was used as the instrument, and data analysis was performed using the Spearman rank test. Results: The study shows that most respondents (72.7%) have good knowledge about marriage maturity. Respondents with good knowledge tend to have a positive attitude or do not support early marriage (90%). The Spearman rank test revealed a p-value of <0.001 (<0.005), indicating a significant relationship between knowledge of marriage age maturity and adolescents' attitudes toward early marriage, with a low correlation level (r = 0.312). Recommendations: It is recommended that schools, particularly counseling services, conduct educational sessions on the importance of marriage age maturity to enhance adolescents' knowledge and prevent early marriage.

FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN PERILAKU SEKS PRANIKAH PADA REMAJA DI MAN XI BEKASI

Rohani Siregar, Agustin S, Hartini Hartini — Wed, 29 Jan 2025 00:00:00 +0000

Adolescence is a period of identity exploration and the urge to explore something new, often accompanied by deep curiosity. Free association during adolescence can have significant negative impacts, both in terms of health and psychology, especially among adolescents themselves. Premarital sexual activity refers to any form of sexual drive that is influenced by the urge to have intimate relationships that occur before marriage, either according to religious rules or legal provisions. The purpose of this study was to identify factors that influence premarital sexual behavior in grade XI students at MAN 1 Bekasi. The method used in this study uses a quantitative analytical method with a cross-sectional approach. The study sample consisted of 190 respondents who were randomly selected using the Slovin formula. Data analysis was carried out using a univariate and bivariate analysis approach using the chi-square statistical test. The results of the bivariate analysis indicated a significant relationship between knowledge (p-value = 0.000), attitude (p-value = 0.001), information sources (p-value = 0.008), parental role (p-value = 0.000), and peer influence (p-value = 0.008) with premarital sexual behavior in grade XI students at MAN 1 Bekasi in 2024. In conclusion, there needs to be an effort from the school to conduct socialization and education involving health workers about the dangers of premarital sexual behavior among students. And can support and help students to behave positively in accordance with existing norms.

KARAKTERISTIK PASIEN KANKER PADA PEREMPUAN DI POLI ONKOLOGI RSUD HAJI PROVINSI JAWA TIMUR

Wed, 29 Jan 2025 00:00:00 +0000

Cancer is one of the leading causes of morbidity and mortality in women worldwide, including in Indonesia. Several types of cancer such as breast cancer, cervical cancer, ovarian cancer, and endometrial cancer have a high prevalence in women. These cancers often have specific risk factors, incidence patterns, and management challenges based on female gender. The purpose of this study was to determine the characteristics of cancer patients in women, especially gynecological oncology and clinical oncology cancer. This type of research is quantitative descriptive, data collection techniques through questionnaires and interviews using primary data. The population in this study were gynecological oncology and clinical oncology cancer patients who visited the Haji Hospital, Surabaya, East Java Province from July to August 2024. The number of samples in this study was 94 patients. The sampling technique in this study was the total population. The results of this study showed that the most cancers in women at the Haji Hospital, East Java Province were breast cancer, which was 52 people, cervical cancer was 15 people. The stage of the disease, almost 40% of patients were at stage 3 and the majority were aged 50-60 years. Age is one of the most significant risk factors for breast and cervical cancer. The incidence increases with age, with a peak in the 50-60 age group. At a young age, genetic and hormonal factors also play an important role. Understanding the relationship between age and breast cancer can help in the development of better screening, prevention and treatment strategies to reduce the burden of cancer in women..

KETEPATAN PEMBERIAN MP-ASI: PENGARUH DUKUNGAN KELUARGA DAN KONTEKS BUDAYA

Dewi Sartika Siagian, Herliana Riska, Fania Nurul Khoirunnisa, Nasri Devi — Wed, 29 Jan 2025 00:00:00 +0000

ABSTRACT

Community habits can influence mothers' actions in providing MP-ASI before the baby is given MP-ASI. Apart from that, according to the mother, a crying baby shows that the baby is still hungry, so additional food must be given. This is one of the failures in providing exclusive breastfeeding to babies before they are more than 6 months old. Giving MP-ASI too early has short-term and long-term impacts. According to WHO, babies who receive complementary foods before the age of 6 months are 17 times more likely to experience diarrhea and 3 times more likely to develop upper respiratory tract infections (ARI) than babies who are exclusively breastfed and receive MP-ASI on time. The method used in this research is quantitative with a cross sectional design. The data used in this study is primary data obtained directly by distributing questionnaires to respondents. This research was conducted in the working area of â€‹â€‹the Payung Sekaki Community Health Center, Pekanbaru City, Riau. The sample in this study was mothers who had babies aged 6-24 months with a total sample of 163 people. The aim of the research is to determine the influence of family support and cultural traditions on the accuracy of giving MP-ASI. The research results show that there is a relationship between family support and family traditions on the accuracy of providing MP-ASI with a P value <0.005. This shows that the provision of complementary foods is influenced by family support and cultural traditions.

PENGARUH VIDEO ANIMASI TERHADAP PENGETAHUAN TENTANG MASA SUBUR PADA REMAJA PUTERI DI SMAN 8 PEKANBARU

Roza Asnel, Ita Yulinda, Mailiza Cahyani, Busyra Hanim — Wed, 29 Jan 2025 00:00:00 +0000

Lack of knowledge about the fertile period in adolescent is related to premarital sex behavior, resulting in Unwanted Pregnancy. Rate of Unwanted Pregnancy in adolescents is quite high, which is 12.5%. It can cause the risk of complications in pregnancy and childbirth. Knowledge can be influenced by the educational media used, where interesting media including animated videos can provide good information interest, compared to print media. The purpose of this study was to determine the effect of the use of animated videos on knowledge about the fertile period in adolescent. This type of research is quantitative with a Quasy Experiment design using a one group pre-test and post-test design. The study population was all 12th grade female students, with a sample size of 74 female students, using a simple random sampling technique. Data analysis was carried out univariately and bivariately using the Wilcoxon test. The results of the study showed that the majority of pre-test knowledge had less knowledge, 47 respondents (63.5%), and the majority of post-test knowledge was good, 70 respondents (94.6%, Lack of knowledge about the fertile period in adolescent girls is related to premarital sex behavior, resulting in Unwanted Pregnancy (KTD). The KTD rate in adolescents is quite high, which is 19.6%. KTD can cause the risk of complications in pregnancy and childbirth. Knowledge can be influenced by the educational media used, where interesting media including animated videos can provide good information interest, compared to print media. The purpose of this study was to determine the effect of the use of animated videos on knowledge about the fertile period in adolescent girls. This type of research is quantitative with a Quasy Experiment design using a one group pre-test and post-test design. The study population was all 12th grade female students, with a sample size of 74 female students, using a simple random sampling technique. Data analysis was carried out univariately and bivariately using the Wilcoxon test. The results of the study obtained the results of the pre-test knowledge of the majority of respondents who had less knowledge 47 respondents (63.5%), and the post-test majority had good knowledge 70 respondents (94.6%), with a P Value = 0.000 <0.05 which means H₀ is rejected, so it can be concluded that there is an effect of the use of animated video media on knowledge about fertile periods in adolescents. Recommendations for schools to provide ongoing education using animated videos to improve adolescent knowledge about reproductive health.

PERBEDAAN TEKNIK RELAKSASI DAN TERAPI MUSIK KLASIK TERHADAP PENURUNAN SKALA NYERI PADA PASIEN SECTIO CAESAREA

Linda Suryani, Husna Farianti Amran — Wed, 29 Jan 2025 00:00:00 +0000

The number of births via Caesarean section continues to rise worldwide. Caesarean births have a five-fold higher risk of complications compared to normal births. One of the problems that arise after a Caesarean section is severe pain in the surgical wound. Post-Caesarean pain management can be done pharmacologically and non-pharmacologically. Non-pharmacological methods include deep breathing relaxation and classical music. These two techniques are able to significantly reduce pain intensity. This study aims to compare between relaxation techniques and classical music therapy in an effort to reduce pain levels in patients undergoing Caesarean section at Permata Hati Duri Hospital. This study uses a quasi-experimental method with a pre-test and post-test research design. The sample size in the study was 74 respondents, divided into 37 respondents using deep breathing relaxation techniques and 37 respondents using classical music techniques. Sample selection was done using purposive sampling. The research instrument used the Wong-Baker face rating scale with a scale of 0-10. Data analysis used the Wilcoxon test, while to compare between the two techniques, the Mann-Whitney test was used. The results showed that there was a difference in pain scale between before and after the intervention, both using deep breathing relaxation techniques and using classical music with a P-value of 0.000. To see the difference in the decrease in pain scale using deep breathing relaxation techniques or using classical music, the results showed that there was no difference in the decrease in pain scale after therapy using deep breathing relaxation techniques and classical music in post-Caesarean section patients. It is hoped that deep breathing relaxation techniques and classical music can be an effective approach to alleviate pain in mothers after Caesarean section

HUBUNGAN TINGKAT PENGETAHUAN TERHADAP PERSONAL HYGIENE SAAT MENSTRUASI PADA REMAJA PUTRI DI SMA MUHAMMADIYAH PEKANBARU

Siti Qomariah, Sofia Afrita Sari, Sara Herlina, Wiwi Sartika, Andalia Roza — Wed, 29 Jan 2025 00:00:00 +0000

Introduction Adolescence is a transition period marked by changes that vary from physical, emotional and psychological. Puberty can be seen from the emergence of secondary sexual characteristics where adolescents experience physical, emotional and social changes. In men it is marked by wet dreams, while in women it is marked by the start of menstruation. reproductive health problems in adolescent girls such as menstrual disorders, lack of knowledge and incorrect personal hygiene during menstruation, which can cause reproductive health problems such as; vaginal discharge, urinary tract infections (UTI), pelvic inflammatory disease (PID), the possibility of cervical cancer and even infertility. The highest incidence of reproductive tract infections (RTI) in the world is in adolescents (35% - 42%) and young adults (27% - 33%). The prevalence of poor personal hygiene behavior during menstruation is 83%. Objective: To determine the relationship between the level of knowledge and personal hygiene behavior among young women during menstruation at SMP Negri 6 Pekanbaru. This research method is a type of quantitative research with a correlation analytical research design. This research uses a cross-sectional method. The population of the study were all teenage girls from SMA Muhammadiyah Pekanbaru. . The sample collection technique in this research used a probability sampling technique with a simple random sampling method. Probability sampling technique is random sampling. The results show that there is no relationship between the level of personal hygiene knowledge and personal hygiene behavior at SMA Muhammadiyah Pekanbaru, with significant results or Ï-value 0.552 where (p>0.05) so it can be concluded that there is no significant relationship between the level of personal hygiene knowledge and the personal hygiene behavior of teenagers during menstruation.

PENGARUH PEMBERIAN JUS JAMBU BIJI MERAH DAN JUS JERUK TERHADAP PENINGKATAN KADAR HEMOGLOBIN IBU HAMIL

Dian Zuiatna, Nurrahmaton Nurrahmaton, Nabilla Arraudhah — Wed, 29 Jan 2025 00:00:00 +0000

Anemia in pregnant women is a decrease in hemoglobin levels below 11 gr/dl, first and third trimesters or levels < 10.5 gr/dl in the second trimester. Anemia in pregnant women is closely related to maternal and infant morbidity and mortality, including the risk of miscarriage, prematurity, low birth weight babies. In pregnant women, anemia increases the frequency of complications in pregnancy and childbirth. The risk of maternal death, low birth weight, prematurity and perinatal death rates increases. The aim of this study was to determine the frequency of giving red guava juice and orange juice to increase hemoglobin levels in pregnant women with anemia at PMB Juliani Bandar Khalipah. This research was conducted in June – October 2023. The research design used a Quasy Experiment with one group pretest and posttest. The population in this study was 10 pregnant women with anemia, the sampling technique used purposive sampling, with sampling using inclusion and exclusion criteria, a sample of 6 people was obtained. Data analysis was carried out using the Shapiro-Wilk normality test and then the Wilcoxon test. The results of the study showed that there was an effect of giving red guava juice and orange juice on increasing hemoglobin levels in anemic pregnant women, with a sig (2-tailed) value of 0.034 <0.05. The conclusion in this study was that there was an effect of giving red guava juice and orange juice on increasing hemoglobin levels in pregnant women with anemia. It is hoped that pregnant women can consume red guava juice and orange juice to prevent anemia during pregnancy.

PENGARUH PEMBERIAN OLAHAN JANTUNG PISANG TERHADAP KELANCARAN AIR SUSU IBU (ASI) PADA IBU POST PARTUM

Syahroni Damanik, Pratiwi Nasution, May Frinsiska Siahaan — Wed, 29 Jan 2025 00:00:00 +0000

Introduction; Breast milk is the best food for babies, but according to the World Health Organization (WHO) in 2023, global coverage of exclusive breast milk is recorded at 44%, this is because the mother's breast milk does not come out, so it is necessary to give food that is high in lactogogum, such as processed banana blossoms. Banana blossoms have high levels of nutrients that can meet nutritional needs and influence breast milk adequacy, so that the breastfeeding period goes smoothly. Objective: determine the effect of providing processed banana flower to the smooth production of breast milk in postpartum mothers at Lasmi Kartika Clinic, Tanah Tinggi Village. Method; The is quasi-experimental research that was conducted at clinic in July 2024. The population was 15 post partum mothers. The sample used purposive sampling as many as 10 people. Data analysis using univariate and bivariate with paired t test. Result; The findings showed that the majority of respondents aged 20-35 years were 7 individuals (70%), 8 people (80%), and 10 people (100%), respectively. The average smoothness of breast milk before providing processed banana flower 31.5 ml, while the average smoothness of breast milk after giving processed banana floweri 71.5 mL. The paired t test resulted in a sig value of 0.001 < 0.05.. Conclusion; The study concluded that giving processed banana heart had an influence on the smoothness of breast milkin postpartum mothers at Lasmi Kartika Clinic, Tanah Tinggi Village and mothers are expected to consume processed banana blossoms.

RANCANGAN TERAPI MUSIK SEBAGAI TERAPI NYERI LUKA PERINEUM PADA IBU NIFAS DI PMB MURTINAWITA KOTA PEKANBARU TAHUN 2023

Octa Dwienda Ristica, Rita Afni — Wed, 29 Jan 2025 00:00:00 +0000

Perineal rupture is defined as a tear that occurs when the baby is born, either spontaneously or with an instrument or action (1). In 2017 in Indonesia, 75% of mothers who gave birth vaginally experienced perineal tears/perineal rupture. It was found that of a total of 1951 mothers who gave birth spontaneously vaginally, 57% of mothers received perineal stitches, namely 28% due to episiotomy and 29% due to spontaneous tearing (2). Every mother who undergoes labor and experiences perineal rupture will feel pain, and one effort to reduce pain in perineal wounds is by providing classical music. Music can help someone become more relaxed, reduce stress, create a sense of security and prosperity, relieve sadness, make them happy, and help and relieve pain.

PMB Murtinawita is one of the midwife clinics that provides care during the postpartum period. From the results of observations, around 50% of deliveries were carried out by episiotomy and 30% rupture occurred due to spontaneous tearing. The aim of this research is to create a music therapy design for perineal wound pain in postpartum mothers at the Murtinawita Independent Midwife Practice in 2023. This research design uses research and development (R&D), which is a research method used to produce certain products and test the effectiveness of certain products. The population in this study was 28 postpartum mothers with perineal wounds at the Independent Midwife Murtinawita Pekanbaru Practice. Data analysis in this research is univariate analysis.Data statistics show that the interpretation of all components is 100% good/satisfactory. From the Attractiveness, Stimulation and Dependability components, the value is very good/extraordinary, this is because the music therapy used in this study is relaxation music, where relaxation music is music with various artistic styles that plays slowly. like natural sounds that create relaxation and optimism. So it can be concluded that the music therapy carried out brought positive results for postpartum mothers with perineal wound pain. It is hoped that this music therapy design can be given to postpartum mothers with perineal wound pain so that it can help reduce pain in perineal wounds.

UJI KELAYAKAN PHANTOM LENGAN UNTUK PEMASANGAN KB IMPLAN DI LABORATORIUM KEBIDANAN POLTEKKES KEMENKES SORONG

Dian Kartikasari, Rico G Latumahina — Wed, 29 Jan 2025 00:00:00 +0000

As part of their training to provide family planning services, midwife students should be able to insert and remove sub cutaneous contraceptive implant. One method of long-term birth control is the use of a contraceptive implant, which releases levonogestrel over time. Placing this 3–4 cm long and 0.2 cm wide silicone capsule beneath the skin on the inside of the upper arm is one method of preventing pregnancy. Students use a foam-coated- rubber upper arm model for hands-on practice inserting and removing contraceptive implants in the lab. Because this phantom is missing an upper arm, students have a harder time pinpointing the precise spot to put a contraceptive implant. This project aims to construct a comprehensive arm phantom that can assess the layers of skin and muscle for the purpose of placing contraceptive implants. This research is an research and development study. The research was carried out for 9 months from January to September 2024. To analyse the data, we first used a Likert scale to quantify the qualitative evaluations, then averaged the scores, and finally returned to the qualitative values. In order to determine if it was feasible, we compared the respondents' evaluation ratings to the ideal scores. With a mean score of 6.46 (range: 6.15-7.00), respondents highly agreed that the instrument is feasible to use, according to the data. The product's viability was determined to be 91.76%. Developing tool features needs to be carried out so that the tool can be used for various other functions as a teaching aid for other practicums related to midwifery clinical skills.

YOGA HAMIL UNTUK MENGURANGI KELUHAN NYERI PUNGGUNG SELAMA MASA KEHAMILAN TRIMESTER III BERDASARKAN EVIDENCE BASED

Siti Sopiatun, Aisyah Hanan Solehah — Wed, 29 Jan 2025 00:00:00 +0000

Back pain in pregnant women is an uncomfortable response that is often felt by pregnant women. Usually back pain will start to appear when the pregnancy reaches 7 months. In fact, back pain is a normal thing to happen, but if back pain is not treated then it can interfere with daily activities or activities so that activities become hampered due to difficulties. One way that can be done to reduce back pain is pregnancy yoga. This application aims to determine the success in reducing back pain complaints. The application of pregnancy yoga was carried out with a pre-test and post-test using the Numeric Rating Scale (NRS) measuring instrument. The pain scale was measured before and after applying pregnancy yoga. Based on the results of the application of pregnancy yoga, it was found that at the beginning of application the mother's pain scale was 6 (moderate pain) and after application it reduced to 4 (moderate pain). So it can be concluded that pregnancy yoga has an effect on reducing back pain if done well and correctly.

PENGARUH PELATIHAN EMPATI MELALUI KARTU EMOSI TERHADAP HASIL PEMBELAJARAN PERKEMBANGAN SOSIAL EMOSIONAL ANAK PRASEKOLAH

Annisa Wigati Rozifa, Awwalul Wiladatil Qodliyah — Wed, 29 Jan 2025 00:00:00 +0000

Improving children's social-emotional abilities requires using play methods. One of the visual media in the playing process is picture cards. Picture cards are a game tool that is used to help children understand learning so that learning activities are expected to be interesting and fun. This research aims to determine the effect of empathy training through emotion cards on learning outcomes for the social and emotional development of preschool children. This research design uses a Quasi-Experimental design with a pretest-posttest with a control design. In this study, there is one experimental group and one control group that will be measured before and after the experimental treatment is given. This research was conducted in the 'Aisyiyah Jombang Branch Work Area, namely at 'Aisyiyah Bustanul Athfal 1 Jombang and 'Aisyiyah Bustanul Athfal 3 Jombang Kindergartens. The research will be conducted from September 2023 to January 2024. The population in this study is all preschool children aged 5-6 years at Kindergarten 'Aisyiyah Bustanul Athfal 1 Jombang and 'Aisyiyah Bustanul Athfal 3 with a total of 53 people. The sampling technique in this research was purposive random sampling so that a sample of 50 people was obtained, and then divided into 2 (intervention group and control group). The instrument used was a questionnaire. Based on the results of statistical analysis, there is an influence of empathy training through emotion cards on the learning outcomes of preschool children's social-emotional development.

PEMBUATAN MODEL LENGAN INFUS ALTERNATIF SEBAGAI ALAT PERAGA PRAKTIKUM PEMASANGAN INFUS

Catur Anita Sari, Linda Y Salawane — Sat, 01 Feb 2025 00:00:00 +0000

Basic Midwifery Skills Practicum is a basic skill that must be mastered by health workers, especially midwives and nurses, such as installing IV drips. Infusion phantoms have been widely circulated in Indonesia with the same feature, namely only for administering infusions, so that when they go directly to patients. For this reason, researchers want to develop a device for infusion installation that is accompanied by the feature of blood vessels bursting and swelling when injecting too deeply. Apart from that, researchers also added a training feature to intra-cutaneous injection. Research Objective: to develop a simple infusion examination tool equipped with features for intra-cutaneous injection practice. Method: This research is a development study that produces a product using the One Shot Case Study method. The study was conducted at the Midwifery Laboratory of Poltekkes Kemenkes Sorong for 7 months, from April 1 to October 1, 2024. Results: Of the 35 respondents (Lecturer and Cilinical Instructor) who took part in the field trial, the total questionnaire score obtained was 6,758 with an ideal maximum total score of 7,350. The eligibility percentage obtained was 92%. Conclusion: A simple infusion installation trainer is very suitable for use as a tool for administering infusions in a laboratory equipped with an intra-cutaneous injection feature. It is recommended for all PLPs in Indonesia to carry out new innovations in laboratories in order to improve student skills by identifying problems that are often encountered in their respective institutions to improve the quality of their laboratories.