Proceeding of Stikes Banyuwangi International Health Conference

THE IMPLEMENTATION OF INTERPROFESSIONAL COLLABORATION IN CHILDBIRTH HEPATITIS B IN INDONESIA

Yohana Samosir — 2024-12-11

Transmission of hepatitis B from mother to fetus can cause a risk of more than 90% of developing chronic hepatitis B in the baby. The practice of interprofessional collaboration can prevent and reduce the risk of transmission and improve patient safety. Objective: explore more deeply and find out the practice of interprofessional collaboration in mothers giving birth with Hepatitis B at RSU Imelda Pekerja Indonesia. Method: This qualitative research used an embedded single case study design with 10 informants consisting of 1 obstetrician, 1 medical laboratory technology expert (ATLM), 1 pharmacist, and 6 midwives. In-depth interviews were conducted to gather information, and the data was analyzed using NVivo 12 Plus software. This study used triangulation of data from doctors, midwives, ATLM, pharmacists, and women giving birth with hepatitis; it was analyzed using thematic analysis, matrix analysis, and pattern matching analysis. Results: This study identified a collaborative flow from the Obstetrics Emergency Room, pharmacy, delivery room, postpartum room, to administering Hepatitis B immunoglobin serum to babies in the neonatary room. The work culture showed compliance with PPI and timely administration of serum to babies to prevent transmission. Institutional and environmental support includes unlimited provision of PPE and availability of medical equipment. The values and ethics of collaboration have upheld patient privacy rights and mutual respect between professionals. The barriers include a lack of training for midwives and the absence of specific SOPs for Hepatitis B deliveries. The hope is to increase midwives' understanding of education and training.

EFFECTIVENESS OF DISASTER NURSING INTERVENTION ON NURSES' PREPAREDNESS IN DEALING WITH DISASTERS: LITERATURE REVIEW

Muhamad Hasan Basri Hasan — 2024-10-26

Preparedness is a series of activities to anticipate disasters through appropriate and effective steps to ensure a quick and effective response when a disaster occurs. Nurses who are good at implementing and standardizing disaster preparedness are needed. This literature review aims to determine the effectiveness of disaster nursing interventions on nurses' preparedness in dealing with disasters. The data for this study were taken from four relevant databases, PubMed, Science Direct, EBSCO, and Google Scholar, using the PIOS (Participant, Intervention, Outcomes, and Study Design) method. Keywords "nurse" or "disaster management," "disaster education" or "disaster simulation," "disaster training" or "disaster preparedness," and "disaster readiness." The data collected came from journals published between 2019 and 2024, both in English and Indonesian (open access and full text), and were original articles. Of the total n = 2,774 articles found, only n = 12 met the inclusion criteria. The results of this literature review explain that various interventions aimed at improving nurses' disaster preparedness such as educational programs, online training, simulation exercises, and contingency plan-based human resource management each offer unique advantages and face distinct challenges.

THE EFFECT OF LEAFLET MEDIA EDUCATION ON KNOWLEDGE OF MOTHERS OF TODDLERS WITH ISPA AT SUKARAJA HEALTH CENTRE SUKABUMI DISTRICT YEAR 2024

Reni anggraeni — 2024-10-26

Introduction: World Health Organization (WHO) in 2023 the incidence of ARI is about 11.6%. This figure indicates that 1 in 9 people in the world suffer from ARI in a year. ARI prevalence in Indonesia (2023) was 877,531 cases. The prevalence of ARI in West Java (2023) is approximately 156,997 cases. The prevalence of ARI in Sukabumi District (January-March, 2024) was 56,088 cases. In Sukaraja Health Centre (January-March, 2024) there were 896 ARI cases. One of the efforts that can be made to improve mothers' knowledge about ARI is by providing health education. One of the media or educational aids is leaflets.

Objectives: To determine the picture of leaflet media education on the knowledge of mothers of toddlers about ARI at Puskesmas Sukaraja, Sukabumi District

Methods: Quantitative research design with Pre Experimental method without involving control group. The study was conducted at Puskesmas Sukaraja, Sukabumi Regency in 2024. In July 2024. The sample in this study amounted to 18 mothers of toddlers with ARI who were taken with Non Probability Sampling technique, namely Purposive Sampling technique. Univariate analysis was presented in the form of frequency distribution tables and bivariate analysis using SPSS.

Results: After the Wilcoxon signed rank bivariate test, the p value=0.00 (p>0.05 Ho is rejected), then Ha is accepted, namely there is an effect of leaflet media education on the knowledge of mothers of toddlers with ARI at the Sukaraja Health Centre, Sukabumi Regency.

Conclusions: There is an effect of leaflet media education on the knowledge of mothers of toddlers with ARI at Puskesmas Sukaraja, Sukabumi District.

EFFECTIVENESS OF THE SNAKES AND LADDERS METHOD ON ADOLESCENTS' KNOWLEDGE AND ATTITUDES TOWARDS REPRODUCTIVE HEALTH

Dyah Ayu Wulandari — 2024-10-26

Adolescent girls will undergo various physical and mental changes during puberty, which will increase the likelihood of unwanted pregnancies, abortions, and the risk of STIs such as HIV/AIDS, sexual violence, and vaginal discharge. A survey conducted by PIK-Teenager in 2020 stated that only 28% of teenagers received information. This means that out of 100 teenagers, only 28 have accessed information related to reproductive health on the topic of genital hygiene. Teenagers rank the highest in the world for genital infections, with an incidence rate of (35-42%), while adults have a rate of (27-33%). The incidence rates for reproductive tract infections among teenagers include candidiasis (25%-50%), bacterial vaginosis (20-40%), and trichomoniasis (5-15%). This research aims to determine the effectiveness of the snake and ladder method in improving adolescents' Knowledge and attitudes towards reproductive health. The research method used is the Pre Test-Post Test One Group Design, with a sample size of 56 respondents selected through purposive sampling. Data was collected using a questionnaire and analyzed bivariate. The results of this study indicate that before the intervention, the Knowledge of adolescents was as follows: 8 respondents (14.8%) with reasonable criteria, 19 respondents (35.2%) with sufficient criteria, and 27 respondents (50.0%) with poor criteria. In terms of Attitude, there were 5 respondents (4%) with very positive criteria, 47 respondents (87%) with positive criteria, and 2 respondents (4%) with negative criteria. However, after providing Knowledge using the snakes and ladders method on reproductive health, the results after the intervention showed that Knowledge improved to 21 respondents (38.9%) with reasonable criteria, 15 respondents (27.8%) with sufficient criteria, and 2 respondents (4%) with poor criteria. Regarding Attitude, there were 53 respondents (98%) with very positive criteria and 1 (2%) with positive criteria. The results of the paired T-Test analysis show a significant change in Knowledge at .000 > 0.05, while in Attitude, it is also at .000 > 0.05. This indicates that the snake ladder method effectively improves adolescent girls' Knowledge and attitudes.

EFFECTIVENESS OF PREGNANT WOMEN'S CLASSES ON IMPROVING PREGNANT WOMEN'S KNOWLEDGE ABOUT THE CHILDBIRTH PLANNING AND PREVENTION PROGRAMME COMPLICATIONS (P4K)

Siti Fatimah — 2024-10-26

Background: Pregnancy complications are one of the causes of maternal mortality. One of the programs that aims to prevent complications in pregnancy and reduce maternal mortality is the Childbirth Planning and Complication Prevention Program (P4K).

Objective: to determine the effectiveness of pregnant women's classes on increasing knowledge of pregnant women about the childbirth planning and prevention of complications (P4K) programme in Benteng Village, Bogor Regency in 2024. Methods: Experimental study research design Quasi-experimental research design with one group pretest-posttest design. Using the Paired T-Test test where the sample was 40 pregnant women in Benteng Village, Bogor Regency, this research was conducted in November-February 2024. Results: the results of the study state that the average knowledge before the implementation of the class of pregnant women obtained a mean of 40.30, the average knowledge after 68.58, and can be seen the results of the P-Value 0.0001 can be interpreted that the P-Value 0.0001 α & 0.005, it is concluded that there is an effectiveness of knowledge before and after the implementation of the class of pregnant women in Benteng Village, Bogor Regency. Conclusion: There is an effectiveness before and after the implementation of the implementation of pregnant women's classes on increasing knowledge about P4K in Benteng Village, Bogor Regency

KNOWLEDGE AND SKILLS OF CADRES IN EARLY DETECTION OF HIGH RISK PREGNANCIES WITH THE INNOVATION OF MADU UMI (SOCIETY FOR THE CARE OF HIGH RISK PREGNANT WOMEN : A MIXED METHOD

Indah Christiana — 2024-10-26

Early detection of pregnancy with risk factors is an activity carried out to find pregnant women who have risk factors and obstetric complications. Detection of risk factors in mothers by both health workers and the community is an important effort in preventing death and morbidity. The aim is to determine the knowledge and skills of cadres in conducting early detection of high-risk pregnancies with the Madu Umi innovation.The study applied mixed methods explanatory sequential design. This is a quantitative research using a pre-experimental one group pretest-posttest design. The population was 48 cadres using a total sampling technique, and the data analysis used Wilcoxon. The qualitative stage used descriptive sampling using purposive sampling with 5 cadres, 5 pregnant women, 1 regional midwife and 1 PKK leader as informants. The analysis of Miles and Humberman model using Nvivo 12 plus. Results: there was a significant difference in the skills and attitudes of cadres, but in the knowledge of cadres, there was no significant difference before and after being given the implementation of Madu Umi. The Conclusion of study is in practice, implementing Madu Umi can provide understanding, development of psychomotor skills, benefits for cadres, coordination mechanisms and the role of cadres. Barriers to implementation do not occur in pregnant women but occur in health cadres, namely barriers to communication and understanding.

THE RELATIONSHIP BETWEEN KNOWLEDGE, ATTITUDE, AND PEER SUPPORT WITH ATTENDANCE AT ADOLESCENTS HEALTH SERVICE, INDONESIA

Ni Made Irayanti Friska Paramita Sena Putri Marken — 2024-10-27

Adolescents Health Service is a government initiative aimed at addressing adolescent health issues, which can lead to various challenges. Low attendance at the Adolescents Health Service results in suboptimal health empowerment among teenagers. This study analyzes the relationship between knowledge, attitudes, and peer support with the attendance of adolescents at the Adolescents Health Service in Carangsari Village, Bali, Indonesia. This correlational research was used a cross-sectional design and purposive sampling, with primary data collected via questionnaire from 47 respondents in April 2024. The Shapiro-Wilk test was used for normality testing. Univariate analysis showed median scores of 73 for knowledge, 31 for attitude, and 5 for peer support. Spearman's Rho bivariate analysis was revealed a weak positive correlation between knowledge and attendance (p = 0.071, r = 0.266). However, a strong positive correlation was found between attitude and attendance (p = <0.001, r = 0.730), as well as between peer support and attendance (p = <0.001, r = 0.675). In conclusion, higher levels of knowledge, positive attitudes, and peer support are associated with increased attendance at Adolescents Health Service in Carangsari Village, Petang District, Bali, Indonesia.

Keywords: Adolescents Health Service; Knowledge; Attitude; Peer Support; Attendance

EFFORTS AND CHALLENGES OF EXCLUSIVE BREASTFEEDING FOR SINGLE-PARENT WOMEN IN MEETING THE NUTRITIONAL NEEDS OF BABIES

Okta Zenita Siti Fatimah — 2024-10-26

This study aims to analyze the efforts and challenges faced by single-parent women in providing exclusive breastfeeding to meet their infants' nutritional needs. Using a qualitative approach, data were collected through in-depth interviews with four single-parent women (primary informants) who are currently breastfeeding exclusively in the Pesurungan Lor neighborhood, as well as with the company heads where they work (triangulation informants).

The research findings identify three main challenges: health factors, family support, and social challenges. Health-related issues, such as nipple pain or maternal health problems, affect breastfeeding comfort, while a lack of support and understanding from family members can hinder the continuation of this practice. Additionally, social challenges, including societal stigma toward single-parent status and the practice of exclusive breastfeeding, also influence the success of this program.

Various efforts have been made by the mothers, such as seeking emotional and practical support from the community and utilizing available facilities to aid the breastfeeding process. The results of this study provide important insights into the complexities faced by single-parent women in fulfilling their infants' nutritional needs through exclusive breastfeeding and underscore the importance of support and strategic programs to address these barriers

CORRELATION HANDWASHING KNOWLEDGE HEAD OF HOUSEHOLD AND DIARRHEA CASES IN SUKABUMI REGENCY

Aryl Alfath Muhamad Iqbal — 2024-10-27

Diarrheal diseases remain a global health concern, particularly in Indonesia. This study aims to examine the relationship between knowledge of proper handwashing with soap and the incidence of diarrhea among family heads in Cisarua Village. The research employed a correlational analytic method with a cross-sectional approach. A total of 78 respondents were selected using accidental sampling during the research period from May to August 2024. Data analysis was conducted using the Chi-Square test. The results indicated that respondents with lower knowledge of handwashing practices among family heads had a higher incidence of diarrhea (p < 0.05). The conclusion of this study is that there is a significant relationship between family heads’ knowledge of handwashing practices and diarrhea incidence. Improving health education on proper handwashing practices can reduce the incidence of diarrhea.

NURSING STUDENTS' PREPAREDNESS IN FIRST AID FOR SELF-HARM INCIDENTS

rudiyanto — 2024-12-11

Self-harm is a phenomenon of maladaptive actions in teenagers who are a group vulnerable to various changes. Almost 20% of teenagers experience this behavior. If it is not discovered and treated immediately, it will cause disability and death. Students have a great opportunity to become first responders in emergencies and must have the ability to provide first aid. The research aims to determine the readiness of Nursing students in Banyuwangi to provide first aid in cases of self-harm. This type of research is quantitative with descriptive research methods. Respondents totaled 326 people and sampling used the consecutive sampling method. The data collection tool uses a readiness questionnaire in the form of a Likert scale statement. The research results revealed that 31.7% of respondents were in the ready category, and 68.3% of respondents were in the not category. Most students were 21 years old (76.2%), and generally female (87.7%). As many as 84.3% had never performed first aid on patients who injured themselves, 55.6% had never attended first aid training and all respondents had received information related to first aid, especially from education and training (88.7%). It can be concluded that the majority of respondents stated that they were not ready to provide first aid if they experienced a victim injuring themselves (68.3%). The development of first aid education and training for students needs to be carried out to prepare student resources who can become first responders when a self-injury incident occurs.

Correlation Between Body Mass Index And Age of Puberty In Adoescent Girls In Indonesia

Ni Ketut Ayu Sujani — 2024-12-11

Changes in the age of puberty have now occurred in various parts of the world including in Indonesia. One of the factors causing this is the state of nutrition which can be assessed by body mass index (BMI) experiencing changes that result in early puberty. The purpose of this study was to determine the relationship between body mass index in adolescent girls. Respondents of this study were 76 adolescent girls with Simple Random Sampling technique. The research was conducted on April 22, 2024 to April 29, 2024. Univariate analysis to see the age of puberty obtained from questionnaires and body mass index measuring height and weight. The results at the age of puberty are dominated at the age of 10 years, with an age range of 8 years to 12 years. The results on Body Mass Index found that 35 adolescent girls (46.1%) were underweight, 31 adolescent girls (40.8%) were normal, 6 adolescent girls (7.9%) were overweight, 3 adolescent girls (3.9%) were obese, and 1 adolescent girl (1.3%) was found with type II obesity status. Bivariate analysis to see the relationship between Body Mass Index and the age of puberty showed a p value of 0.014 (<0.05). It has a relationship between other factors, so adolescent girls must maintain a balanced nutritional diet.

The Effect Of Giving Snake Fruit Seed And Soursop Leaf Drink On Reducing Uric Acid Levels In Menopaused Elderly With Hyperuricemia At Jajag Community Health Center

Dwi Merlisa Arsylia — 2024-12-11

Background:Hyperuricemia is a condition influenced by high levels of uric acid in the blood. The prevalence of hyperuricemia occurrence ranked second among diseases related to elderly health problems in Indonesia. This study aimed to discover the effect of giving snake fruit seed and soursop leaves drinks on reducing uric acid levels in menopausal elderly with hyperuricemia at Jajag community health center. Research method:This study is quantitative research with quasi-experimental design and using nonequivalent control group design. It used purposive sampling technique with population of 90 people and sample of 50 respondents which is then divided into a control group to receive mineral water and a treatment group to receive a drink made of snake fruit seeds and soursop leaves, totaling 100 ml with 4 grams of snake fruit seed powder and 3 grams of soursop leaf powder for 7 days. Research results:Mann Whitney test obtained α value of pre-test results was 0.001 (α <0.05), and of the post-test results was 0.000 (α <0.05). Both of which mean there was a significant difference between the uric acid levels of the pre-test and post-test. Wilcoxon test showed α value of control group was 0.000 (α <0.05) and of treatment group was 0.000 (α <0.05), which mean there was effect of drinking snake fruit seeds and soursop leaves on reducing uric acid levels. Conclusion:There is effect of giving drinks of snake fruit seeds and soursop leaves on uric acid levels.

THE EFFECTIVENESS OF GIVING EDAMAME AND PORANG FLOUR COOKIES ON CHANGES IN FAT PERCENTAGE AND BODY WEIGHT OF OVERWEIGHT FEMALE STUDENTS AT STIKES BANYUWANGI

Anisatul Mujahidah — 2024-12-11

Being overweight is abnormal or excessive body weight that can have a bad impact on health. The issue of overweight among children and adolescents has become a significant health problem in society, both in developed countries and particularly in urban areas. The prevalence rate for males is 11%, while for females is 12%. The impacts of being overweight are varied, including chronic diseases, type 2 diabetes, etc.This research is quasi-experimental with two groups, an intervention group and a control group, using a pretest-posttest control group design. The sampling technique is total sampling, with 18 samples. The Intervention and control groups were measured for weight and body fat percentage before and after the intervention. Statistical tests showed that the body fat percentage in the Intervention group (P=0.020) and the weight in the Intervention group (P=0.011) had a significant effect. There were differences in the intervention group after the administration of cookies edamame and porang has no effect for body fat percentage and weight of overweight female students at STIKES Banyuwangi. The conclusion is that cookies edamame and porang can reduce body fat percentage and weight in overweight female students at STIKES Banyuwangi. Further research with a larger sample size and longer duration is needed to determine the effective timing for reducing body fat percentage and weight.