Hubungan antara Kecemasan dengan Aktivitas dan Fungsi Seksual pada Wanita Usia Lanjut di Kabupaten Purworejo

Background: the decline of physical functions in older women specially the organs regarding to their sexuality functions causes the changes on sexual responses at all phases (desire, plateau, orgasms and resolution phases). Despite physiological factors, psychological factors such as anxiety can result in disorders in their sexual activity and function. Until recently, studies on sexual activity and function in old women are still rare so that a good study on the issue is needed.Objective: this study was undertaken to know the association between anxiety and sexual activity and function among older women.Method: it was an observational study with cross-sectional design. The subjects selected by cluster random sampling were 6,698 women over 50 years of age obtained from the data of longitudinal surveillance from CHN-RL, Faculty of Medicine, GMU in Purworejo District. The study instrument used was SAGE developed by WHO and the data analysis used was Stata program version 8. The hypothesis test was done by using multinominal logistic regression test.Results: from the respondents observed, the women that still did sexual activity were 38.52% with the sexual dysfunction prevalence of 45.20% and the anxiety prevalence of 34.92%. Anxiety increased the risk of sexual dysfunction 1.5 times (OR=1.5 95%CI 1.4 – 1.9). Anxiety also increased the dissatisfaction in older women's sexual life 1.1 times (OR=1.5 95%CI 1 – 1.3). Anxiety old women experienced declining of sexual frequency with OR of 1.2 for the activity frequency ‘occasionally' and 0.7 for the activity frequency ‘often'.Conclusion: anxiety in older women increased the risk of sexual dysfunction, dissatisfaction in sexual life and decreased the frequency of sexual activity. Other factor such as age, educational level, marital status, parity, heart disease and diabetes mellitus were other risk factors in old women's sexual dysfunction

Health Promotion Model "Extracurricular" Approach of Reproductive Health among Early Adolescents

The behavior to maintenance of reproductive organs, and self-adjustment on changes during puberty become its own problems on early adolescence (10-14 years old). True knowledge can improve reproductive health and prevent of free sex behavior end up with unsafe abortion even death in adolescence. School has a major role in shaping positive attitudes in children towards reproductive health at puberty. It is important to find and develop a program of reproductive health school-based in the form of "extracurricular" health reproductive in early adolescence (10-14 years old) not existed in Indonesia up to now. To find and design a model school-based health promotion programs in the form of "extracurricular" reproductive health that can be applied to the early adolescence in school. Qualitative research with a phenomenology approach, to explore models of reproductive health promotion programs in the early adolescence. The mining data was qualitative of focus group discussion (FGD) and in-depth interview. Participants in this research were 36 people of purposive sampling technique into account maximum variation sampling, and data analyze used the thematic analysis. The study results found a reproductive health promotion model school-base with extracurricular approach of reproductive health. The program is carried out outside school hours learning activities on reproductive health, with a study of the self-development, social, physical, sexual violence and the prevention of sexually transmitted infections. Program applied by using approach method and innovative media balance to age of adolescent’s development and involve health workers, teachers and parents

PENGARUH MEDIA POP UP TERHADAP KEMAMPUAN MENULIS TEKS TANGGAPAN DESKRITIF PADA SISWA KELAS VII MTs SWASTA AL-IHSAN WAMPU TAHUN PEMBELAJARAN 2019/2020

Penelitian ini bertujuan untuk mengetahui ada atau tidaknya pengaruh media pop up terhadap kemampuan manulis teks tanggapan deskritif siswa di MTs Swasta Al-Ihsan Wampu. Populasi penelitian ini adalah 101 orang siswa kelas VII dari kelas VII1, VII2, VII3 dan VII4 . Sampel penelitian 60 orang siswa, dari kelas  VII2 diambil 30 orang siswa, sedangkan dari kelas VII3 diambil 30 orang siswa ditentukan dengan sampel random sampling. Metode penelitian yang digunakan adalah eksperimen dengan media pop up. Instrumen penilaian menulis teks tanggapan deskritif di kelas kontrol (variabel X), dan instrumen penilaian menulis teks tanggapan desritif di kelas eksperimen (variabel Y). Dari hasil pengujian normalitas untuk data kelas kontrol diperoleh nilai thitung = 0,1517, ttabel untuk n = 30 dengan taraf signifikan 0,05 adalah 0,161 dan kelas eksperimen diperoleh thitung = 0,1375, ttabel untuk n = 30 dengan taraf signifikan 0,05 adalah 0,161. thitung ttabel yang menyatakan H0 ditolak dan H1 diterima. Ini menunjukkan bahwa Terdapat pengaruh yang signifikan antara kelas eksperimen dan kelas kontrol penggunaan media pop up terhadap kemampuan menulis teks tanggapan deskrituf oleh siswa kelas VII MTs Swasta Al-Ihsan Wampu Tahun Pembelajaran 2019/2020

Hubungan antara Kecemasan dengan Aktivitas dan Fungsi Seksual pada Wanita Usia Lanjut di Kabupaten Purworejo

Background: the decline of physical functions in older women specially the organs regarding to their sexuality functions causes the changes on sexual responses at all phases (desire, plateau, orgasms and resolution phases). Despite physiological factors, psychological factors such as anxiety can result in disorders in their sexual activity and function. Until recently, studies on sexual activity and function in old women are still rare so that a good study on the issue is needed.Objective: this study was undertaken to know the association between anxiety and sexual activity and function among older women.Method:  it was an observational study with cross-sectional design. The subjects selected by cluster random sampling were 6,698 women over 50 years of age obtained from the data of  longitudinal surveillance from CHN-RL, Faculty of Medicine, GMU in Purworejo District. The study instrument used was SAGE developed by WHO and the data analysis used was Stata program version 8. The hypothesis test was done by using multinominal logistic regression test.Results: from the respondents observed, the women that still did sexual activity were 38.52% with the sexual dysfunction prevalence of 45.20% and the anxiety prevalence of 34.92%. Anxiety increased the risk of sexual dysfunction 1.5 times (OR=1.5 95%CI 1.4 – 1.9). Anxiety also increased the dissatisfaction in older women’s sexual life 1.1 times (OR=1.5 95%CI 1 – 1.3). Anxiety old women experienced declining of sexual frequency with OR of 1.2 for the activity frequency ‘occasionally’ and 0.7 for the activity frequency ‘often’.Conclusion: anxiety in older women increased the risk of sexual dysfunction, dissatisfaction in sexual life and decreased the frequency of sexual activity. Other factor such as age, educational level, marital status, parity, heart disease and diabetes mellitus were other risk factors in old women’s sexual dysfunction.Keywords: anxiety, activity and sexual function, older woma

Relationship Between Knowledge Level With Motivation To Visit Mothers To Posyandu Pertiwi Sungai Ambawang District

Background: Posyandu is an integrated service to provide convenience and benefits for the community to maintain and improve the health status of mothers and children through improving the ability of cadres, management, and functions of posyandu. The results of previous studies reported a lack of motivation and activity of mothers in posyandu activities, which had an impact on the health condition of toddlers. Purpose: This study was to determine the relationship between the level of knowledge with the motivation to visit the mother under five to the Posyandu Pertiwi, Central Java Village, Sungai Ambawang District.Research Method: Quantitative research with cross-sectional study design. The population in this study were mothers who had children under five at Posyandu Pertiwi, Central Java Village, with a total of 357 people, with a sample size of 78 respondents, using a consecutive sampling technique.Results: Data analysis using the chi-square test, the results show that there is a relationship between the level of knowledge of mothers under five with motivation to visit during the pandemic period at the Posyandu with = 0.000 (ρ <0.05).Keywords:

Vitamin D Status in Madura Pregnant Women with Hypertension: A Case Control Study

Background: Vitamin D deficiency is inversely related to blood pressure and may contribute to the genesis and maintenance of hypertension. However, in many clinical studies the relationship between vitamin D status and blood pressure has not shown consistent results. This study aims to analyze differences in vitamin D status in Madurese ethnic pregnant women with hypertension and non-hypertension. Subjects and Method: This research is an analytical observational design with a case control study. The target population in this study were pregnant women who came from the Madurese ethnicity. The affordable population is pregnant women who come from the Madurese ethnicity in the Work Area of the Bangkalan District Health Office. The study was conducted in the period from May 2018 to February 2020. The sampling technique used was consecutive sampling. The sample size was 105 pregnant women with hypertension and 105 controls. The independent variables included consumption of food sources of vitamin D and exposure to ultraviolet B rays. The dependent variable was vitamin D levels. Data on consumption of foods that were sources of vitamin D was obtained using the Food Frequency Questionnaire (FFQ). Data on exposure to ultraviolet B (UV B) rays were obtained by questionnaire. Data on vitamin D levels were obtained from the collection of blood serum which was then analyzed by ELISA Kit. Independent Sample T and chi square test were used to analyze the differences in variables between the two groups. Results: The mean value of vitamin D levels in the case and control groups were 37.87 ng/mL and 37.89 ng/mL, respectively. Subjects with vitamin D insufficient status were more in the case group (19.00%) than the control group (16.20%). The results showed that there was no significant difference between the two groups in vitamin D levels (p= 0.984) and vitamin D status (p= 0.587). Insufficient exposure to UV B provides a 3.95 times greater risk of experiencing insufficient vitamin D. Conclusion: The conclusion of this study is that the role of vitamin D in the incidence of hypertension in pregnancy has not been determined

The relationship between domestic violence and women’s sexual function in the city of Puntianak

The increasing number of domestic violence every year causes many health problems mainly women’s reproductive health. This violence may influence the sexual life in their families, especially women’s sexual function. It is known that the sexuality is as a part of family’s life. The fulfilled family will guarantee their pleasurable sexual life. At this point, no research has been conducted to investigate whether there is a relationship between the domestic violence and the sexual function in Pontianak. The research was planned to investigate the relationship between domestic violence and women’s sexual function in Pontianak

The Influence Of Sociocultural Factors On Stunting Incidents (Qualitative Studies In Rural)

Introduction: The problem of stunting that occurs in childhood has an impact on morbidity, mortality, impaired physical growth, impaired mental and cognitive development, and affects motor development. The disturbances that occur tend to be irreversible. The direct causes of stunting include inadequate nutritional intake and infectious diseases. Indirectly stunting can be caused by factors such as family food security, parenting style, inadequate health and environmental health services, education, poverty, and socio-culture. The research aims to determine the influence of social, economic, and cultural factors on the incidence of stunting in Bange village. Method: Qualitative study with a phenomenological approach, with a total of 9 participants. Collecting data by conducting in-depth interviews, testing the validity and reliability of the research was carried out using the triangulation method, and analyzing data using thematic analysis. Result: This study found several factors causing stunting, namely the use of contraception is not optimal, the spacing of pregnancies is too close, pregnancy at a young age, implementation of a clean and healthy lifestyle that is less than optimal, lack of nutritional supplements in pregnant women and babies and lack of knowledge of mothers about food nutrition during pregnancy and after the child is born. Social factors and community habits are related to the incidence of stunting, namely family economic factors, family parenting patterns that are not optimal, young marriages, young pregnancies, and spacing of pregnancies that are too close, and parenting patterns in the family. There was no specific culture/culture that was suspected of being the direct cause of stunting in toddlers.Keywords: social factors, rural, stuntin

Study Phenomenology Of Wound Care In Diabetic Foot Ulcer (DFU) Patients With Theory Of Planned Behavior Approach

Background: Diabetic Foot Ulcer (DFU) is one of the most common complications in patients with type 2 Diabetes Mellitus, so it is necessary to carry out continuous wound care. The Theory of Planned Behavior (TPB) is a theory of behavior that can be implemented in wound care in the study of attitudes and beliefs, subjective norms, and perceived control. Objective: This study aims to determine the behavior of wound care in DFU patients based on the Theory Of Planned Behavior (TPB). Method: Qualitative study with a phenomenological approach with a total of 14 participants obtained through purposive sampling. Data was collected through in-depth interviews and analyzed using qualitative thematic analysis. Results: The results of the study found that wound care was carried out because they had a positive attitude and belief in wound healing if they were treated regularly according to the program, received emotional support, motivation for healing for the family, family support, and control, as well as convenience and quick treatment in health services. Conclusion: This finding recommends for health professionals that a positive attitude and belief in recovery in patients, support and motivation to recover, family control, and professional health services can change the behavior of patients to carry out DFU treatment regularly