Indonesian Journal of Midwifery (IJM) https://jurnal.unw.ac.id/index.php/ijm <div class="body"> <div class="description"> <div style="border: 2px #444F71 solid; padding: 3px; background-color: #f0ffff; text-align: left;"> <ol> <li class="show">Nama Jurnal: Indonesian Journal of Midwifery (IJM)</li> <li class="show">Singkatan: IJM</li> <li class="show">Frekuensi: March and September</li> <li class="show">ISSN: Print <a href="http://issn.pdii.lipi.go.id/issn.cgi?daftar&amp;1549449210&amp;1&amp;&amp;" target="_blank" rel="noopener">2656-1506</a> | Online <a href="http://issn.pdii.lipi.go.id/issn.cgi?daftar&amp;1517931515&amp;1&amp;&amp;" target="_blank" rel="noopener">2615-5095</a></li> <li class="show">Editor in Chief:Ida Sofiyanti</li> <li class="show">DOI: 10.35473/IJM</li> <li class="show">Akreditasi : Sinta 4</li> <li class="show">Penerbit: Universitas Ngudi Waluyo Prodi Kebidanan Program Sarjana dan Prodi Pendidikan Profesi Bidan</li> </ol> </div> <p>Indonesian Journal of Midwifery (IJM) is a journal of midwifery published by Department of Midwifery, LPPM Universitas Ngudi Waluyo annually in March and September. IJM welcomes any research-based as well as concept-based manuscripts dealing with its focus and scope</p> </div> </div> Universitas Ngudi waluyo en-US Indonesian Journal of Midwifery (IJM) 2656-1506 <p>Copyright notice:</p><ol><li>Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a <a href="http://creativecommons.org/licenses/by/3.0/" target="_new">Creative Commons Attribution License</a> that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.</li><li>Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.</li></ol>Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See <a href="http://opcit.eprints.org/oacitation-biblio.html" target="_new">The Effect of Open Access</a>) Skrining Risiko Kehamilan dengan Kartu Skoring Poedji Rochjati https://jurnal.unw.ac.id/index.php/ijm/article/view/3809 <p><em>The Poedji Rochjati scoring card is used to carry out early detection of risks in pregnant women. By knowing the category of light-risk pregnancy (KRR), high-risk pregnancy (KRT) or very high-risk pregnancy (KRST), it is able to prevent one of the causes of maternal death, such as delay in making a referral to a complete facility due to an emergency that is late in knowing during pregnancy. The purpose of this study is to determine the risk of pregnancy based on the Poedji Rochjati scoring card. The research methods used are quantitative with a descriptive analytical approach. The population in this study were 159 pregnant-women who came for a pregnancy check-up at the Puskesmas Abadi Jaya in the period August-December 2024, the sample used total sampling. The results showed that 79.2% of pregnant women were in a healthy reproductive age (20-35 years), more than 50% of pregnant women had multigravida pregnancy status with a pregnancy interval of more than 2 years and there were 91 (57,2%) pregnant women who were detected to have high-risk pregnancy (KRT) and very high-risk pregnancy (KRST).</em></p> <p><em> </em></p> <p><strong>Abstrak </strong></p> <p>Kartu skoring Poedji Rochjati digunakan untuk melakukan deteksi dini risiko pada ibu hamil. Dengan mengetahui kategori kehamilan berisiko ringan (KRR), kehamilan risiko tinggi (KRT) atau kehamilan risiko sangat tinggi (KRST) mampu mencegah salah satu penyebab kematian ibu seperti keterlambatan melakukan rujukan ke fasilitas lengkap akibat kegawatdaruratan yang terlambat diketahui selama masa kehamilan. Tujuan penelitian ini bertujuan untuk mengetahui risiko kehamilan menggunakan skoring Poedji Rochjati. Metode penelitian yang digunakan yaitu kuantitatif dengan pendekatan deskriptif analitik. Populasi sebanyak 159 orang ibu hamil yang melakukan pemeriksaan kehamilan di Puskesmas Abadijaya periode Agustus-Desember 2024, sampel yang digunakan adalah total sampling. Hasil penelitian menunjukan bahwa 79,2% ibu hamil berada dalam usia reproduksi sehat (20-35 tahun), lebih dari 50% ibu hamil memiliki status kehamilan multigravida dengan jarak kehamilan lebih dari 2 tahun dan terdapat 91 (57,2%) orang ibu hamil yang terdeteksi memiliki kehamilan risiko tinggi (KRT) dan kehamilan risiko sangat tinggi (KRST).</p> Gracea Petricka Estu Lovita Pembayun Rini Antika Prischa Anastasya Putri Elsya Hilda Triana Nabilla Ramadhani Copyright (c) 2025 2025-03-29 2025-03-29 8 1 1 8 10.35473/ijm.v8i1.3809 Pengaruh Faktor Kehamilan terhadap Panjang Badan Bayi sebagai Indikator Awal Risiko Stunting di Kabupaten Kediri https://jurnal.unw.ac.id/index.php/ijm/article/view/3911 <p><em>Stunting is a chronic nutritional problem that is rooted in the womb. Factors such as maternal nutritional status, iron tablet consumption, ANC visits, and diet play a role in the baby's body length at birth, which is an early indicator of stunting risk. Analyze the factors that affect the baby's body length at birth as a predictor of stunting risk. This cross-sectional quantitative study was conducted in January – March 2024, involving 250 postpartum mothers on the first day at several TPMBs and hospitals with purposive sampling. Data were collected through questionnaires and checklists of KIA books and analyzed using multiple linear regression tests. The average body length of babies is 47.2 ± 2.1 cm, with 35% of babies at risk of stunting. Bivariate analysis showed that maternal nutritional status (p = 0.002), iron tablet consumption (p = 0.005), ANC (p &lt; 0.001), and diet (p = 0.001) had a significant relationship with infant body length. Multivariate analysis showed that ANC had the greatest influence (B = 0.25, p &lt; 0.001), followed by diet, maternal nutritional status, and iron tablet consumption (R² =0.52). Adequate ANC, good nutritional status, a balanced diet, and adherence to the consumption of iron tablets play a role in preventing babies born with a body length at risk of stunting. Optimization of ANC services and nutrition education for pregnant women is needed to prevent stunting from an early age</em></p> <p><em> </em></p> <p><strong>Abstrak </strong></p> <p>Stunting merupakan masalah gizi kronis yang berakar sejak dalam kandungan. Faktor seperti status gizi ibu, konsumsi tablet zat besi, kunjungan ANC, dan pola makan berperan dalam panjang badan bayi saat lahir, yang menjadi indikator awal risiko stunting. Menganalisis faktor-faktor yang mempengaruhi panjang badan bayi saat lahir sebagai prediktor risiko stunting. Penelitian kuantitatif cross-sectional ini dilakukan pada Januari – Maret 2024, melibatkan 250 ibu nifas hari pertama di beberapa TPMB dan rumah sakit dengan purposive sampling. Data dikumpulkan melalui kuesioner dan checklist buku KIA serta dianalisis menggunakan uji regresi linear berganda. Rata-rata panjang badan bayi 47,2 ± 2,1 cm, dengan 35% bayi berisiko stunting. Analisis bivariat menunjukkan bahwa status gizi ibu (p = 0,002), konsumsi tablet zat besi (p = 0,005), ANC (p &lt; 0,001), dan pola makan (p = 0,001) memiliki hubungan signifikan dengan panjang badan bayi. Analisis multivariat menunjukkan bahwa ANC memiliki pengaruh terbesar (B = 0,25, p &lt; 0,001), diikuti pola makan, status gizi ibu, dan konsumsi tablet zat besi (R² = 0,52). ANC yang cukup, status gizi baik, pola makan seimbang, dan kepatuhan konsumsi tablet zat besi berperan dalam mencegah bayi lahir dengan panjang badan berisiko stunting. Optimalisasi layanan ANC dan edukasi gizi ibu hamil diperlukan untuk pencegahan stunting sejak dini</p> Lia Agustin Dian Rahmawati Copyright (c) 2025 2025-03-29 2025-03-29 8 1 9 17 10.35473/ijm.v8i1.3911 Menopause, Sindroma Metabolik dan Terapi Hormon https://jurnal.unw.ac.id/index.php/ijm/article/view/3778 <p><em>Estrogens play a crucial role in protecting against insulin resistance (IR) by regulating metabolic processes that govern energy balance and mitigating inflammation. In postmenopausal women, the decline in estrogen levels significantly increases the risk of developing insulin resistance. This decline leads to impaired insulin action and secretion, paving the way for persistent hyperglycemia, hyperlipidemia, hypertension, and obesity—key components of metabolic syndrome (MetS). These factors not only elevate the risk of cardiometabolic disorders but also substantially increase the likelihood of developing Type 2 Diabetes Mellitus (T2DM) and cardiovascular disease (CVD). The protective benefits of estrogen against insulin resistance are critical, especially as these benefits diminish with menopause. However, they can be restored through hormone replacement therapy, presenting an effective strategy for mitigating these health risks. This review underscores the vital protective role of estrogen regarding insulin resistance as part of metabolic syndrome and emphasizes the importance of hormone therapy in developing proactive preventive strategies. To build on this understanding, a comprehensive search was conducted across PubMed, using MeSH terms like “Metabolic Syndrome,” “Estrogen,” “Menopause,” “Insulin Resistance,” “Type 2 Diabetes Mellitus,” “Cardiovascular,” “Dyslipidemia,” and “Hormone Therapy.” Out of 200 articles, 168 were identified as relevant to the topic, focusing on studies published between 2015 and 2025, ultimately narrowing down to 102 significant articles. This extensive research lays the groundwork for enhancing preventive measures in women’s health.</em></p> <p><em> </em></p> <p><strong>Abstrak </strong></p> <p>Estrogen dapat melindungi dari perkembangan resistensi insulin (IR) dengan memodulasi proses metabolisme yang terlibat dalam keseimbangan energi dan menurunkan regulasi dan/atau menekan peradangan. Kadar estrogen yang berkurang pada wanita pascamenopause meningkatkan resiko IR. Gangguan kerja insulin dan/atau sekresi insulin berkontribusi terhadap perkembangan dan keberlanjutan hiperglikemia, hiperlipidemia, hipertensi, dan obesitas, yang merupakan ciri khas sindroma metabolik (MetS), dengan konsekuensi utama berkembangnya gangguan kardiometabolik, berupa peningkatan resiko yang signifikan terhadap perkembangan diabetes mellitus tipe 2 (DMT2) dan/atau penyakit kardiovaskuler (PKV). Perlindungan terhadap IR ini didorong oleh hormon estrogen, yang cenderung menghilang dengan timbulnya menopause tetapi dapat dibangun kembali dengan terapi penggantian hormon. Tinjauan ini mengevaluasi pengetahuan terkini tentang peran protektif estrogen terkait dengan IR yang merupakan komponen dari suatu kondisi yang dikenal sebagai MetS dan kaitannya dengan terapi hormon untuk mendorong pengembangan strategi pencegahan yang lebih efektif. Sebanyak 200 artikel PubMed dipilih menggunakan istilah MeSH seperti: “Sindrom Metabolik”, “Estrogen”, “Menopause”, “Resistensi Insulin”, “Diabetes Melitus tipe 2”, “Kardiovaskuler”. “Dislipidemia” dan “Terapi Hormon”. Seleksi relevansi dengan topik 168 artikel, seleksi tahun terbit (2015 – 2025) terpilih 102 artikel</p> Jatmiko susilo Indah Kurniawati Dedi Haswan Al Hajar Fuadatus Zurroh Neli Diah Pratiwi Copyright (c) 2025 2025-03-29 2025-03-29 8 1 18 36 10.35473/ijm.v8i1.3778 Akupressure Titik Li4 Meningkatkan Kualitas Kontraksi pada Ibu dengan Ketuban Pecah Dini https://jurnal.unw.ac.id/index.php/ijm/article/view/3868 <p><em>Premature rupture of membranes (PROM) is a complication that occurs when the amniotic sac ruptures before labor signs appear. The management of PROM includes labor induction or cesarean section if induction fails. One non-pharmacological method of labor induction is acupressure. Acupressure at the Li4 point stimulates the pituitary gland and hypothalamus to produce oxytocin, which in turn stimulates uterine contractions. With acupressure stimulation at the Li4 point as a complementary therapy alternative before medical induction, it is expected to serve as a natural labor induction and reduce dependence on pharmacological induction. The aim of this study is to determine the effectiveness of acupressure at the Li4 point on the quality of contractions in women with PROM. This research is a quantitative study with a quasi-experimental design, specifically a one-group pretest and posttest design. The sampling technique used is purpossive sampling, with a sample of 20 term pregnant women experiencing PROM at RSUD dr. Gondo Suwarno Ungaran. The research instruments include SOP for Li4 point acupressure, SOP for contraction quality assessment, and a contraction observation sheet. The analysis used was the Wilcoxon test. The research results showed that there was an effect of acupressure at the Li4 point on contraction frequency with a p-value of 0.000 (p &lt; 0.05), and an effect on contraction duration with a p-value of 0.000 (p &lt; 0.05). Therefore, it can be concluded that acupressure at the Li4 point affects contraction quality, as seen from the increased frequency and duration of contractions in women with PROM at RSUD dr. Gondo Suwarno Ungaran</em></p> <p><em> </em></p> <p><strong>Abstrak </strong></p> <p>Ketuban pecah dini (KPD) merupakan salah satu komplikasi yang terjadi ketika selaput ketuban pecah sebelum tanda persalinan muncul.Tata laksana KPD meliputi induksi persalinan atau dilakukan sectio caesaria jika induksi gagal. Penggunaan metode induksi persalinan non-farmakologi salah satunya seperti akupresur. Akupresur pada titik Li4 dapat merangsang kelenjar hipofisis dan pituitary untuk memproduksi oksitosin yang pada gilirannya merangsang kontraksi rahim. Dengan stimulasi akupresur titik Li4 sebagai alternatif terapi komplementer sebelum induksi medis diharapkan dapat menjadi induksi alami persalinan dan mengurangi ketergantungan pada induksi farmakologi.Tujuan dari penelitian ini adalah untuk mengetahui efektivitas penerapan akupresur pada titik Li4 terhadap kualitas kontraksi pada ibu dengan ketuban pecah dini. Jenis penelitian ini adalah penelitian kuantitatif dengan rancangan penelitian quasi eksperiment one group pretest dan posttest design, teknik pengambilan sampel purpossive sampling dengan sampel 20 ibu hamil aterm yang mengalami ketuban pecah dini di RSUD dr Gondo Suwarno Ungaran, Alat penelitian menggunakan SOP akupresur titik Li4, SOP penilaian kualitas kontraksi dan Lembar observasi kontraksi. Analisis yang digunakan yaitu uji willcoxon. Hasil penelitian menunjukkan terdapat pengaruh akupresur titik LI4 terhadap frekuensi kontraksi dengan nilai p-value sebesar 0,000 (p &lt; 0,05) serta terdapat pengaruh terhadap durasi kontraksi dengan nilai p-value sebesar 0,000 (p &lt; 0,05). Sehingga dapat disimpulkan terdapat pengaruh akupresur titik Li4 terhadap kualitas kontraksi yang dapat dilihat dengan peningkatan frekuensi dan durasi kontraksi pada ibu dengan ketuban pecah dini di RSUD dr Gondo Suwarno Ungaran.</p> Evy Yuliastuti Yulia Nur Khayati Vistra Veftisia Copyright (c) 2025 2025-03-29 2025-03-29 8 1 37 43 10.35473/ijm.v8i1.3868 Kejadian Hiperbilirubin pada Bayi di Ruang Vinolia RS Pertamina Balikpapan https://jurnal.unw.ac.id/index.php/ijm/article/view/3440 <p><em>Hyperbilirubinemia is the excessive accumulation of bilirubin in the blood and is characterised by jaundice. Hyperbilirubinemia in neonates can be obvious if the bilirubin level in the blood is more than or equal to 5 mg/dl. The results of a preliminary study at Pertamina Balikpapan Hospital, it was found that the number of newborns for the January– August 2023 period was 358. Meanwhile, the number of newborns with hyperbilirubin was 76 (21.2%). This research aims to find out the description of the incidence of hyperbilirubin in babies in the Vinolia Room at Pertamina Hospital Balikpapan. This type of research uses quantitative research with a descriptive research design. The research population was all newborn babies with hyperbilirubinemia in the Vinolia Room at Pertamina Hospital Balikpapan, and the sampling technique used was a total sampling of 76 people. Data collection uses data collection format sheet. Data analysisis a univariate analysis using a percentage frequency distribution test. The description of the incidence of hyperbilirubi in babies based on characteristics mostly occurs in male gender as manyas 40 people (52.6%) andgestational age &lt; 37 weeks as many as 53 people (69.7%). The description of ABO incompatibility in babies was mostly found in the yes category, namely 51 people (67.1%). The description of low birth weight in babies was mostly found in the yes category, namely 50 people (65.8%). Most of the descriptions of prematurity in babies were in the yes category, namely 53 people (69.7%). The description of the type of delivery for babies was mostly found in the artificial category, namely 59 people (77.6%). Based on research results, the majority of cases of hyperbilirubin in babies at Pertamina Balikpapan Hospital are pathological hyperbilirubin.</em></p> <p><em> </em></p> <p><strong>Abstrak </strong></p> <p>Hiperbilirubinemia adalah akumulasi bilirubin dalam darah yang berlebihan, ditandai dengan adanya jaundice atau ikterus. Hiperbilirubinemia pada neonatus dapat terlihat nyata jika kadar bilirubin dalam darah lebih dari atau sama dengan 5 mg/dl. Hasil studi pendahuluan di RS Pertamina Balikpapan didapatkan jumlah bayi baru lahir periode Januari-Agustus 2023 sebanyak 358 bayi. Sedangkan jumlah bayi baru lahir dengan hiperbilirubin sebanyak 76 bayi (21,2%). Penelitiаn ini bertujuаn untuk mengetаhui gambaran kejadian hiperbilirubin pada bayi di Ruang Vinolia RS Pertamina Balikpapan. Jenis penelitiаn menggunаkаn penelitiаn kuаntitаtif dengаn desаin penelitiаn deskriptif. Populаsi penelitiаn аdаlаh seluruh bayi dengan hiperbilirubinemia di Ruang Vinolia RS Pertamina Balikpapan dаn teknik pengаmbilаn sаmpel menggunаkаn total sаmpling sebаnyаk 76 orаng. Pengumpulаn dаtа menggunаkаn lembar format pengumpulan data. Аnаlisis dаtа аdаlаh аnаlisis univаriаt menggunаkаn uji distribusi frekuensi. Gambaran kejadian hiperbilirubin pada bayi berdasarkan karakteristik banyak terjadi pada jenis kelamin kelamin laki-laki sebanyak 40 orang (52,6%) dan usia kehamilan &lt; 37 minggu sebanyak 53 orang (69,7%). Gambaran inkompatibilitas ABO pada bayi didapatkan sebagian besar dengan kategori ya sebesar 51 orang (67,1%). Gambaran berat badan lahir rendah pada bayi didapatkan sebagian besar dengan kategori ya sebesar 50 orang (65,8%). Gambaran prematuritas pada bayi didapatkan sebagian besar dengan kategori ya sebesar 53 orang (69,7%). Gambaran jenis persalinan pada bayi didapatkan sebagian besar dengan kategori buatan yaitu 59 orang (77,6%). Berdasarkan hasil penelitian mayoritas kejadian hiperbilirubin di RS Pertamina Balikpapan yaitu hiperbilirubin patologis.</p> Ika Agustina Novitasari Ida Sofiyanti Copyright (c) 2025 2025-03-29 2025-03-29 8 1 44 54 10.35473/ijm.v8i1.3440 Hubungan Personal Hygiene dengan Kejadian Keputihan pada Remaja Putri https://jurnal.unw.ac.id/index.php/ijm/article/view/3925 <p><em>Vaginal discharge is a reproductive health problem that is often experienced by adolescent girls and its incidence increases every year. Vaginal discharge is the discharge of fluid other than blood from the vagina which can be pathological or physiological which is influenced by hormones and infections such as fungi, parasites and pathology. If the pathology is not treated, vaginal discharge can affect infertility in fertile women (WUS). In 2021, there were 70% of cases of vaginal discharge. Lack of understanding and poor personal hygiene practices can be triggers for vaginal discharge. This study aims to determine the incidence of vaginal discharge based on personal hygiene behavior in adolescent girls. The research method in this study uses descriptive analytic with a cross-sectional approach. The location of the study was carried out at 12 integrated service post in Suradita Village, Tangerang Regency. The population in this study was 168 adolescent female respondents who experienced vaginal discharge, while the sample in this study after being selected based on inclusion and exclusion criteria was 130 adolescent female respondents. The instrument used in the study was a self-awareness survey questionnaire (SMD). The results showed that 19.2% experienced pathological vaginal discharge and 16.2% of female adolescents had poor personal hygiene. Bivariate analysis showed a significant relationship between personal hygiene behavior and the incidence of vaginal discharge in female adolescents with a p-value of 0.001 (p &lt;0.05). Education on good personal hygiene is needed to increase adolescents' knowledge on how to prevent and overcome vaginal discharge so that pathological vaginal discharge in adolescents can be suppressed.</em></p> <p><em> </em></p> <p><strong>Abstrak </strong></p> <p>Keputihan merupakan masalah kesehatan reproduksi yang sering dialami oleh remaja putri dan kejadiannya meningkat setiap tahunnya. Keputihan adalah keluarnya cairan selain darah dari liang vagina dapat bersifat patologis maupun fisiologis yang dipengaruhi oleh hormonal dan infeksi seperti jamur, parasit serta patologis. Apabila tidak ditanggulangi keputihan patologis dapat mempengaruhi infertilitas pada wanita subur (WUS). Tahun 2021, terdapat 70% kasus keputihan. Kurangnya pemahaman dan praktik personal hygiene yang buruk dapat menjadi faktor pemicu kejadian keputihan. Penelitian ini bertujuan untuk mengetahui kejadian keputihan berdasarkan perilaku personal hygiene pada remaja putri. Metode penelitian dalam penelitian ini menggunakan deskriptif analitik dengan pendekatan cross-sectional. Lokasi penelitian dilaksanakan pada 12 Posyandu yang terdapat di Desa Suradita Kabupaten Tangerang. Populasi dalam penelitian ini adalah 168 responden remaja putri yang mengalami keputihan, sedangkan sampel dalam penelitian ini setelah di lakukan pemilihan berdasarkan kriteria inklusi dan ekslusi sebanyak 130 responden remaja puteri. Intrument yang digunakan dalam penelitian adalah kuesioner survey mawas diri (SMD). Hasil penelitian menunjukkan 19,2 % mengalami keputihan patologis dan 16,2% personal hygiene remaja putri buruk. Analisis bivariat menunjukkan adanya hubungan yang signifikan antara perilaku personal hygiene dengan kejadian keputihan pada remaja putri dengan nilai p-value 0,001 (p &lt; 0,05). Diperlukan edukasi mengenai personal hygiene yang baik untuk menambah pengetahuan remaja cara mencegah dan mengatasi keputihan sehingga keputihan patologis pada remaja dapat ditekan.</p> Dorsinta Siallagan Marlinda Hanny Desmiati Reni Nofita Nuntarsih Chirunnisa Minarni Alamsyah Mardi Yana Copyright (c) 2025 2025-03-29 2025-03-29 8 1 55 62 10.35473/ijm.v8i1.3925 Identifikasi Pola Konsumsi Remaja Putri NonAnemia di Kota Padang https://jurnal.unw.ac.id/index.php/ijm/article/view/3980 <p><em>Adolescent girls are at risk of anemia. This study aims to identify the eating patterns of non-anemic adolescent girls. This analytical survey study employed a cross-sectional approach. Samples were selected using a purposive sampling technique and included adolescent girls who met the inclusion criteria. Hemoglobin levels were measured using a digital hemoglobin meter, and eating patterns were assessed using the Food Frequency Questionnaire (FFQ). The results indicate that the majority of 57 teenage girls (67.9%) consumed a higher energy intake. The mean protein intake for adolescent girls was 74.99 grams, while the mean protein requirement is 65 grams. Approximately 72.6% of respondents consumed above the required protein intake, while 27.4% met the requirements adequately. Most adolescents met their energy and macronutrient needs, including protein and carbohydrates, and consumed sufficient vitamin C. Based on the study results, respondents generally had adequate macronutrient intake. However, intake of some micronutrients did not meet the required levels. The study showed that adolescents with normal hemoglobin levels had sufficient protein and vitamin C intake.</em></p> <p><em> </em></p> <p><strong>Abstrak </strong></p> <p>Remaja putri berisiko mengalami anemia. Penelitian ini bertujuan untuk mengidentifikasi pola makan remaja putri yang tidak anemia. Penelitian survei analitis ini menggunakan pendekatan cross-sectional. Sampel dipilih menggunakan teknik purposive sampling dan mencakup remaja putri yang memenuhi kriteria inklusi. Kadar hemoglobin diukur menggunakan meteran hemoglobin digital, dan pola makan dinilai menggunakan Food Frequency Questionnaire (FFQ). Hasil penelitian menunjukkan bahwa mayoritas dari 57 remaja putri (67,9%) mengonsumsi asupan energi yang lebih tinggi. Asupan protein rata-rata untuk remaja putri adalah 74,99 gram, sedangkan kebutuhan protein rata-rata adalah 65 gram. Sekitar 72,6% responden mengonsumsi lebih dari asupan protein yang dibutuhkan, sementara 27,4% memenuhi kebutuhan secara memadai. Sebagian besar remaja memenuhi kebutuhan energi dan makronutrien mereka, termasuk protein dan karbohidrat, dan mengonsumsi vitamin C yang cukup.Berdasarkan hasil penelitian, responden secara umum memiliki asupan makronutrien yang cukup. Namun, asupan beberapa mikronutrien tidak memenuhi kadar yang dibutuhkan. Penelitian menunjukkan bahwa remaja dengan kadar hemoglobin normal memiliki asupan protein dan vitamin C yang cukup.</p> Rati Purnama Sari Copyright (c) 2025 2025-03-29 2025-03-29 8 1 63 71 10.35473/ijm.v8i1.3980 Hubungan Persepsi Mutu Pelayanan dengan Minat Kunjungan Ulang Pasien di Klinik Wahyu Medika https://jurnal.unw.ac.id/index.php/ijm/article/view/3901 <p><em>The quality of health services is a health service that can satisfy every user of health services in accordance with the level of community satisfaction. Good service can increase patient interest in making repeat visits. Based on the results of a preliminary study conducted at the Wahyu Medika Clinic, data on the number of patient visits in the period January-August 2024 was obtained as many as 8,254 people. The target number of patient visits was formulated in early 2024, namely 1200/month with an average of 40 patients per day, this shows that patient visits did not meet the target. The patient satisfaction survey score conducted by the Wahyu Medika Clinic was obtained 60% stated that they were satisfied and 40% stated that they were less satisfied. This study aims to determine the relationship between perceptions of service quality and patient interest in repeat visits at the Wahyu Medika Clinic. This type of research uses a quantitative method through a correlational analytical design with a cross-sectional approach. The population in this study were all patients at the Wahyu Medika Clinic in the period of December 2024 as many as 1,030 people and the sampling technique used accidental sampling as many as 97 people. Data collection using questionnaire sheets. Data analysis is univariate analysis using percentages and bivariate analysis using the chi square test (χ2). The description of the perception of the quality of patient service at the Wahyu Medika Clinic with a good category of 49 people (50.5%) and a less than good category of 48 people (49.5%). Description of patient's re-visit interest at Wahyu Medika Clinic with interested category, namely 61 people (62.9%) and not interested category, namely 36 people (37.1%). The results of the chi square statistical test (χ2) obtained ρ value (0.000) &lt;α (0.05) indicating that Ha is accepted, meaning there is a relationship between the perception of service quality and patient's re-visit interest at Wahyu Medika Clinic. From this study, it can be concluded that the majority of respondents have good perceptions and are interested in making repeat visits, it is expected that the clinic will conduct a comprehensive evaluation of the aspects of appearance, friendliness, and empathy of medical personnel, and align service practices with professionalism standards.</em></p> <p><em> </em></p> <p><strong>Abstrak </strong></p> <p>Mutu pelayanan kesehatan adalah pelayanan kesehatan yang dapat memuaskan setiap pemakai jasa pelayanan kesehatan yang sesuai dengan tingkat kepuasan masyarakat. Pelayanan yang baik dapat meningkatkan minat pasien untuk melakukan kunjungan ulang. Berdasarkan hasil studi pendahuluan yang dilakukan di Klinik Wahyu Medika didapatkan data jumlah kunjungan pasien pada periode Januari-Agustus 2024 sebanyak 8.254 orang. Target angka kunjungan pasien dirumuskan di awal tahun 2024 yaitu 1200/bulan dengan rata-rata perharinya 40 pasien, hal ini menunjukkan kunjungan pasien tidak memenuhi target. Skor survey kepuasan pasien yang dilakukan Klinik Wahyu Medika diperoleh 60% menyatakan puas dan 40% menyatakan kurang puas. Penelitiаn ini bertujuаn untuk mengetаhui hubungan persepsi mutu pelayanan dengan minat kunjungan ulang pasien di Klinik Wahyu Medika. Jenis penelitiаn menggunаkаn metode kuantitatif melalui desain analitik korelasional dengan pendekatan cross-sectional. Populasi pada penelitian ini adalah seluruh pasien di Klinik Wahyu Medika periode bulan Desember 2024 sebanyak 1.030 orang dаn teknik pengаmbilаn sаmpel menggunаkаn accidental sampling sebаnyаk 97 orаng. Pengumpulаn dаtа menggunаkаn lembar kuesioner. Аnаlisis dаtа аdаlаh аnаlisis univаriаt menggunakan persentase dаn аnаlisis bivаriаt menggunаkаn uji chi squаre (χ2). Gambaran persepsi mutu pelayanan pasien di Klinik Wahyu Medika dengan kategori baik yaitu 49 orang (50,5%) dan kategori kurang yaitu 48 orang (49,5%). Gambaran minat kunjungan ulang pasien di Klinik Wahyu Medika dengan kategori berminat yaitu 61 orang (62,9%) dan kategori tidak berminat yaitu 36 orang (37,1%). Hasil uji statistik chi square (χ2) diperoleh ρ value (0,000) &lt; α (0,05) menunjukkan bahwa Ha diterima artinya terdаpаt hubungan antara persepsi mutu pelayanan dengan minat kunjungan ulang pasien di Klinik Wahyu Medika. Dari penelitian ini dapat ditarik kesimpulan bahwa mayoritas responden memiliki persepsi baik baik dan berminat melakukan kunjungan ulang, diharapkan agar klinik melakukan evaluasi menyeluruh terhadap aspek penampilan, keramahan, dan empati tenaga medis, serta menyelaraskan praktik pelayanan dengan standar profesionalisme.</p> Heryn Mandala Putri Luvi Dian Afriyani Copyright (c) 2025 2025-03-29 2025-03-29 8 1 72 81 10.35473/ijm.v8i1.3901 Pendidikan Kesehatan SADARI (PERI) Meningkatkan Pengetahuan Remaja Putri: Studi Kuantitatif https://jurnal.unw.ac.id/index.php/ijm/article/view/3989 <p><em>Breast cancer is one of the leading causes of death among women worldwide. Early detection through breast self-examination (BSE) is an effective preventive measure. However, knowledge about BSE among adolescent girls remains low. Health education through video media is considered an efficient method to improve adolescents' understanding of breast health. To examine the effectiveness of BSE health education (PERI) using video media in increasing knowledge among female students. This study employed a quantitative method with a quasi-experimental design using one group pre-test and post-test design. The sample consisted of 60 female students from grades 7 to 9 selected through total sampling. Data were collected using a validated and reliable BSE knowledge questionnaire. Data analysis was conducted using the Paired T-test with a 5% significance level. Most respondents were 14 years old (38.3%), and 93% had never received any information about BSE. The Paired T-test showed a significant difference between pre-test and post-test scores (p = 0.000), with the average knowledge score increasing from 11.60 to 17.77 after the video-based intervention, indicating a mean difference of 6.17. Health education on BSE through video media effectively improves adolescent girls' knowledge of early breast cancer detection. Visual and auditory educational approaches such as videos can serve as strategic alternatives in adolescent reproductive health promotion, especially in increasing awareness and practice of BSE from an early age.</em></p> <p><em> </em></p> <p><strong>Abstrak </strong></p> <p>Kanker payudara merupakan salah satu penyebab utama kematian pada perempuan di dunia. Deteksi dini melalui pemeriksaan payudara sendiri (SADARI) menjadi langkah preventif yang efektif. Namun, pengetahuan remaja putri tentang SADARI masih tergolong rendah. Edukasi melalui media video dipandang sebagai metode yang efisien untuk meningkatkan pemahaman remaja mengenai kesehatan payudara. Menguji efektivitas pendidikan kesehatan SADARI (PERI) terhadap peningkatan pengetahuan remaja putri. Penelitian ini merupakan studi kuantitatif dengan desain quasi experimental menggunakan one group pre-test and post-test design. Sampel berjumlah 60 siswi kelas 7 hingga 9 yang dipilih melalui teknik total sampling. Pengumpulan data dilakukan dengan kuesioner pengetahuan SADARI yang telah diuji validitas dan reliabilitasnya. Analisis data menggunakan uji Paired T-test dengan tingkat signifikansi 5%. Mayoritas responden berusia 14 tahun (38,3%) dan 93% belum pernah memperoleh informasi tentang SADARI. Hasil uji Paired T-test menunjukkan adanya perbedaan yang signifikan antara nilai pre-test dan post-test (p = 0,000), dengan rata-rata skor pengetahuan meningkat dari 11,60 menjadi 17,77 setelah intervensi video edukatif, dengan selisih mean 6,17. Intervensi pendidikan kesehatan SADARI melalui media video terbukti efektif dalam meningkatkan pengetahuan remaja putri tentang deteksi dini kanker payudara. Edukasi visual dan auditori seperti video dapat dijadikan alternatif strategis dalam promosi kesehatan reproduksi remaja, khususnya dalam meningkatkan kesadaran dan praktik SADARI sejak usia dini.</p> Vella Okta Rinarta Eko Mardiyaningsih Copyright (c) 2025 2025-03-29 2025-03-29 8 1 82 88 10.35473/ijm.v8i1.3989