Counseling Improves Anemia Prevention Behavior of Pregnant Women

Introduction: Pregnancy closely associated with anemia, where the condition of mothers with Hb under 11gr% in 1st and 3rd trimester or Haemoglobin (Hb) levels below 10.5 g% in 2nd trimester. Knowledge, attitudes and practices of pregnant women on preventing anemia during pregnancy is one of the factors that influence incidence of anemia which affects the health of babies. Objective of this study was to explain the effect of counseling toward anemia prevention behaviour (knowledge, attitude, practice) of pregnant women. Method: A pre-experimental (one group pretest-posttest) simple random sampling design was used in this study. Population of this study was all pregnant women in Mrs. Wolita midwife practice Surabaya ( as many as 30 pregnant women a month). Sample of these 28 pregnant women were recruited over period of this study. Independent variable was counseling, while the dependent variable were knowledge, attitudes and practice. Data were collected by using questionnaires and analyzed with the Wilcoxon Signed Rank Test with significance level of α ≤0.05. Result: The result showed that counseling effected behaviour (knowledge, attitude and practice) of pregnant women on anemia prevention with significance level p=0.000 (knowledge); p=0.007 (attitude) and p=0.027 (practice). Analysis: It can be concluded that counseling or health education about prevention of pregnancy anemia is needed for pregnant women. Discussion: It is recomended that regular counseling must be provided by counselor to prevent anemia during pregnancy. Haemoglobin of pregnant women should also be checked regularly in the midwife practices, as a first step effort to decrease the incidence of anemia in pregnant women

Factor Analysis About Exclusive Breastfeeding Achievement Level Among Mothers Who Provide Breastmilk to Their Children

Introduction: The number of mother who breastfeed their babies exclusively in Indonesia is low. It caused by many factors such as high intensity of formula milk advertisement, lack of awareness about the importance of breastfeeding, working mother, social culture, family support and the role of health care provider. The purpose of this research was to analyze factors related with successfulness level of exclusive breastfeeding. Method: Design used in this research was analytic retrospective. The population were all mothers at Pacarkeling Public Health Center area. Sample obtained through purposive sampling. Total sample was 61 respondents. Independent variables were knowledge, information and promotion, family support, social cultural, role of health provider, work/occupation, education and breast physiology anatomy. The dependent variable was exclusive breastfeeding. Result: The result indicated that exclusive breastfeeding achievement level was related with information and promotion (r = 0.271), family support (r = 373), health care provider role (r = 231), mother occupation (r = 251), anatomy and physiology of breast (r = 293), while the knowledge (r = 108), social cultural (r = 180) and education (r = 093) not significantly related. Discussion: In conclusion, there was a positive correlation between information and promotion, family support, health care provider role, mother's occupation, anatomy and physiology of breast with successfulness level of exclusive breastfeeding. While the knowledge, social cultural and education did not indicate significant result. Therefore it is suggested to increase the quantity and quality of information and promotion about exclusive breastfeeding to the society, health care provider and pregnant and breastfeeding mother

Peran Keluarga Dan Kualitas Hidup Pasien Kanker Serviks

Introduction. Cervical cancer diagnosis has been a major burden both for patients and their family. For patients, cervical cancer obliterated some of their role as a wife and a mother. Most patients with advance cancer have low score of quality of life indicating they have problems. Family must take care of their beloved ones dealing with the diagnosis, treatment, and side effects of cervical cancer. Family as a caregiver might be ill prepared to undertake that role. The objective of this research was to identify the correlation of family health task on quality of life in patients with cervical cancer. Methods. This research employed cross-sectional design. Population in this research was all patients with cervical cancer in gynecology ward Dr Soetomo Hospital in Surabaya. Participant for this research were patients with cervical cancer and their family. Data were taken by structured interview using Fact Cx for Quality of life and family health task question form. Linear regression analysis was applied with level of significance ≤0.05. Results. Most family had moderate level of family health task while most patients also have moderate level of quality of life. Unfortunately there are no significance correlations of family health task on quality of life in patients with cervical cancer. Discussion. Quality of life in patient with cervical cancer was not affected directly by their family health task. Nonetheless patient gratefully thanks family for their support during their cancer treatments

Effect Of Counselling On Frequency And Severity Of Nausea And Vomiting In Pregnancy (Nvp)

Background: Nausea and vomiting are commonly during early pregnancy. Nausea and vomiting significantly decrease in quality of life. Objective:This study aimed to explain the effect of counseling on the frequency and level of nausea and vomiting in pregnant women. Method: This was a quasi-experimental study with a non randomized control group pretest posttest design. The control group was 37 people and the experimental group were 37 people. The control group only received a standard ANC, the experimental group received nausea and vomiting counseling in pregnancy. The independent variables was counselling based on Roy Adaptation Model, the dependent variable was frequency and level severity of nausea and vomiting. The research instrument used was a questionnaire and counseling. Data analysis used univariate and bivariate analysis (Wilcoxon Signed Rank Test and Mann Whitney). Results: The experimental group experienced decreased in frequency and level of nausea, while control group did not change. Statistical Mann Whitney test results obtained p value of nausea frequency of 0.018, and p value of frequency of vomit 0.000 and p value of levels of nausea and vomiting 0.034 which showed that there were differences in the experimental group compared to the control group. Conclusion: There is an effect of counseling Roy Adaptation Model to the frequency and level of nausea vomiting in pregnanc

Persepsi Remaja Putri terhadap Kecenderungan Perilaku Pernikahan Dini

Pernikahan dini masih banyak terjadi di Indonesia. Pernikahan dini yaitu pernikahan yang dilakukan pada usia kurang dari 20 tahun. Salah satu faktor yang mempengaruhi pernikahan dini adalah persepsi. Persepsi dipengaruhi sikap dalam menentukan pernikahan dini. Penelitian ini bertujuan untuk mempelajari hubungan persepsi remaja putri dengan Kecenderungan perilaku pernikahan dini di Desa Kesamben Kulon Kecamatan Wringinanom Gresik. Metode : penelitian ini merupakan penelitian analitik korelasional dengan pendekatan cross sectional. Jumlah sampel sebanyak 140 remaja putri di Desa Kesamben Kulon Kecamatan Wringinanom Gresik sesuai dengan kriteria inklusi. Sampling yang dilakukan dengan purposive sampling. Variabel bebas dalam penelitian ini adalah persepsi kerentanan, persespsi keseriusan, persepsi ancaman, persepsi manfaat dan persepsi kendala, sedangkan variabel tergantung adalah Kecenderungan perilaku pernikahan dini. Untuk mengetahui tingkat signifikan, data yang terkumpul akan diuji dengan statistik Spearman Rank pada tingkat kemaknaan α = 0,05. Hasil : hasil penelitian didapatkan bahwa sebagian besar memiliki persepsi kerentanan rendah (53,6), persepsi keseriusan tinggi (64,3%)), persepsi ancaman rendah (75,7%), persepsi manfaat tinggi (62,1%), persepsi kendala rendah (68,6%). Hampir seluruhnya mengalami Kecenderungan perilaku pernikahan dini rendah (96,4%). Setelah uji Spearman Rank diperoleh ada hubungan persepsi kerentanan, keseriusan, ancaman dan kendala dengan kecenderungan perilaku pernikahan dini. Sedangkan variabel persepsi manfaat tidak terdapat hubungan Kecenderungan perilaku pernikahan dini. Kesimpulan : Hubungan persepsi kerentanan dengan kecenderungan perilaku pernikahan dini memiliki keeratan yang paling tinggi sebesar r = 0,604

Pengalaman Ibu Merawat Balita Usia 6 - 24 Bulan Berstatus Gizi Buruk

Latar Belakang : Gizi buruk adalah penyumbang angka morbiditas dan mortalitas pada anak. Dinas Kesehatan Kota Surabaya menyatakan kasus gizi buruk secara 100% telah teratasi. Fakta menunjukkan di kecamatan Sukomanunggal mengalami peningkatan angka gizi buruk. Pemerintah telah melakukan upaya perbaikan melalui program - programnya, tetapi kualitas perawatan dan pola asuh ibu belum diketahui. Sehingga dilakukanlah penelitian untuk mengeksplorasi pengalaman ibu dalam merawat anak Balita usia 6-24 bulan dengan status gizi buruk post diagnosis di kecamatan Sukomanunggal kota Surabaya. Metode : Penelitian ini merupakan penelitian kualitatif. Jumlah partisipan sebanyak 15 partisipan dan dipilih menggunakan metode purposive sampling. Variabel dalam penelitian ini adalah pengalaman ibu. Teknik pengumpulan data yang digunakan adalah wawancara mendalam dilengkapi dengan catatan lapangan. Hasil : Hasil penelitian didapatkan (53%) ibu mengubah pola pemberian makan (jumlah, menu, frekuensi) dan dari (53%) (83,3%) memberikan makanan secara aktif dan responsif. Ibu memiliki persepsi bahwa masalah gizi pada Balita disebabkan faktor keturunan (60%) dan faktor nafsu makan (40%). Ibu memberikan makanan tambahan (selingan) berupa snack sehat (80%) dan makanan ringan (20%). Ibu tidak memberikan vitamin kepada Balitanya (53%). Ibu memiliki pola PHBS yang baik, yaitu (87%) Balita tidak memiliki kebiasaan memasukkan barang yang dipegangnya ke mulut dan (53%) ibu mengajari serta membiasakan Balita mencuci tangan. Ibu memiliki tingkat kepatuhan yang baik terhadap program puskesmas, (73%) ibu rutin membawa Balitanya ke posyandu, (67%) ibu patuh memberikan PMT-P, (87%) ibu mengimunisasikan Balita secara lengkap, dan (54%) ibu memberikan obat cacing rutin kepada Balitanya. Tetapi hanya (26%) ibu yang melakukan konsultasi ke tenaga kesehatan. Kesimpulan : Perawatan yang dilakukan oleh ibu terhadap Balitanya yang mengalami gizi buruk, yaitu melakukan Perubahan pola pemberian makan dengan strategi praktik pemberian makan yang aktif dan responsif, memberikan makanan tambahan (selingan) berupa snack sehat yang berbahan lokal serta mengurangi konsumsi makanan ringan yang berlebihan, menerapkan Perilaku Hidup Bersih dan Sehat (PHBS), patuh terhadap program puskesmas dan melakukan konsultasi lebih lanjut ke tenaga kesehatan