Yuni Kusmiyati
Jurusan Kebidanan Politeknik Kesehatan Kementerian Kesehatan Yogyakarta

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Kehamilan Ibu di Usia Muda dengan Perkembangan Emosi Anak Usia 3-5 Tahun di Wilayah Kerja Puskesmas Sewon II Kabupaten Bantul Mukharromah, Hastin Laili; Kusmiyati, Yuni; Margono, Margono
Jurnal Kesehatan Ibu dan Anak Vol 11 No 2 (2017): November
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/kia.v11i2.36

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The prevalence of emotional and behavioral disorders in preschool children was very high at 34.10%. One of the factors of child'semotional development problem was mother's age when pregnant. . The aim of this study was to determine the relationship ofmaternal pregnancy at a young age with emotional development of children aged 3-5 years. This study used historical cohort design.The subjects were all pregnant mothers in the working area of Puskesmas Sewon II Bantul Yogyakarta in 2012-2014. The sample ofthis study amounted to 74 respondents. The independent variable was an emotional development assessed using the Strength andDifficulties Questionnaire (SDQ) questionnaire. The dependent variable was the age of the mother. External variables that were alsostudied were parenting, number of children, gender of children, education, and parent's income. Data analysis used chi square andlogistic regression. Research shows there was a relationship between pregnancy at a young age with emotional development ofchildren aged 3-5 years. Children aged 3-5 years who were born from mothers who are pregnant at a young age and have 80%chance of experiencing emotional development disorders than adult mothers. For that teenager, family, and health workers to beable to prevent pregnancy young age with health promotion to avoid the occurrence of emotional disturbance of children aged 3-5years.
Extrovert Personality Type and Prolonged Second Stage of Labor Kusmiyati, Yuni; Nurfitria, Chandra Tyas; Suherni, Suherni; Wahyuningsih, Heni Puji
Jurnal Kesehatan Masyarakat Nasional Volume 11, Issue 4, May 2017
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (314.983 KB) | DOI: 10.21109/kesmas.v11i4.1206

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Personality can affect individual’s response that implicate in duration of labor. Previous studies showed relationship between personality and duration of labor. People with extrovert personality type (type A) tend to be more susceptible to stress than introvert personality type (type B). This study aimed to determine correlation between extrovert personality type and prolonged second stage of labor by considering external variables such as maternal education, economy, age and parity. A case control study was conducted on 156 parturient women who fulfilled the inclusion criteria of study, such as in Yogyakarta in 2015. Case samples were 52 women with prolonged second stage of labor and control were 104 women with normal second stage of labor. Purposive sampling method was used. Personality type assessment used type A/B questionnaire of Jenkins Activity Survey. Data analysis used logistic regression. Results showed that 80.8% prolonged second stage of labor occurred in type A mothers and 19.2% in type B mothers. Extrovert personality type had a significant correlation with prolonged second stage of labor (p value = 0.00). Type A mothers have a risk 8.2 times (95% CI: 3.7-18.4) of prolonged second stage of labor than type B mothers after be controlled with economic status, parity, maternal education and age.AbstrakKepribadian dapat memengaruhi respons individu yang dapat berdampak pada proses persalinan lama. Penelitian sebelumnya menunjukkan adanya hubungan kepribadian dengan waktu persalinan. Tipe kepribadian ekstrover (tipe A) cenderung lebih rentan terhadap stres dibandingkan orang dengan tipe kepribadian introvert (tipe B). Penelitian ini bertujuan untuk mengetahui hubungan tipe kepribadian ekstrover dan variabel luar (pendidikan, ekonomi, usia ibu dan paritas) dengan persalinan kala II lama. Studi kasus kontrol dilakukan pada 156 ibu bersalin yang memenuhi kriteria inklusi pada tahun 2015 di Yogyakarta. Sampel kasus adalah 52 ibu dengan persalinan kala II lama dan kontrol adalah 104 ibu dengan persalinan kala II normal. Penelitian ini menggunakan metode purposive sampling. Tipe kepribadian dinilai menggunakan kuesioner tipe A/B Jenkins Activity Survey. Analisis data menggunakan regresi logistik. Hasil penelitian menunjukkan 80,8% kala II persalinan lama terjadi pada ibu dengan kepribadian tipe Adan 19,2% pada ibu dengan kepribadian tipe B. Tipe kepribadian ekstrover memiliki hubungan signifikan terhadap kala II persalinan lama (nilai p = 0,00). Ibu dengan kepribadian tipe A berisiko 8.2 kali (95% CI: 3,7-18,4) mengalami persalinan kala II lama dibandingkan ibu dengan kepribadian tipe B setelah dikontrol variabel status ekonomi, paritas, pendidikan dan usia ibu.
The Influence of Exclusive Breastfeeding to Emotional Development of Children Aged 48-60 Months Kusmiyati, Yuni; Sumarah, Sumarah; Dwiawati, Nurul; Widyasih, Hesty; Widyastuti, Yani; Haji Abdul Mumin, Khadizah
Jurnal Kesehatan Masyarakat Nasional Volume 12, Issue 4, May 2018
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (142.31 KB) | DOI: 10.21109/kesmas.v12i4.1724

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Impaired emotional development is a problem faced by children and this can negatively impact on function, development and readiness of their school. Exclusive breastfeeding is able to meet brain development needs that affect child development. This study aimed to determine correlation between exclusive breastfeeding and emotional development of children aged 48-60 months. This study used historical cohort.The subjects of this study were 7-12-month old infants living in area of Borobudur Primary Health Care Primary Health Care, Central Java Province, Indonesia in 2011-2012. Independent variable of exclusive breastfeeding was when infants received only breast milk without any supplementary food or drink including water since birth until the age of 6 months. Data were obtained from medical records of children. The emotional development was assessed directly by using questionnaires on emotional and mentalproblems. Data analysis used cox regression. This study found that provision of exclusive breast milk was evidently correlated with child’s emotional development. Infants who did not receive exclusive breastfeeding had 2.96 higher risk of having abnormal emotional development than infants who received exclusive breastfeeding. Exclusive breastfeeding greatly influences emotional development of the child.
UTILIZATION OF MULTIMEDIA TO IMPROVE PIT FISSURE SEALANT PRACTICAL SKILL AMONG STUDENTS IN DENTAL NURSING, YOGYAKARTA, INDONESIA Haryani, Wiworo; Christiyawati, Maria Dewi; Kusmiyati, Yuni; Waryana, Waryana
Belitung Nursing Journal Vol 2, No 5 (2016): September-October 2016
Publisher : Belitung Nursing Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (169.318 KB) | DOI: 10.33546/bnj.31

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Background: With an increasing demand of high quality of health services, challenges are addressed to all health providers to improve their skills in providing services to clients. Given that preventive dentistry clinical practice has not been satisfying, providing media as students’ guidelines is necessary.Objective: The study aims to explain the influence of multimedia use in order to improve Pit Fissure Sealant (PFS) practical skills of dental nursing students.Methods: It was a quasi-experimental study with pretest and post-test control group design. Population of the study was selected from dental nursing students in Yogyakarta. A hundred sample was drawn purposively from the population and distributed equally to two groups. The first group was exposed by PFS practice video whilst the second group as control was exposed only by the guidebook.Results: Initially, students in the control group have better PFS practical score compared to their counterpart in the treatment group. Nevertheless, after the exposure of different media, students in the treatment group demonstrated a better post-test score on their PFS practical skills. The statistical analysis certifies that there was a significant difference in the mean score of PFS practical skills of the students before and after the treatment.Conclusion: Video as a new media is able to improve the students’ motivation in learning than any traditional media such as books. It should be noted however, both printed media (guidebooks) and video only provides one way communication. Therefore, designing an interactive media using video where the user can be the sender not only the receiver, can be considered for further research.  
Duration of Hormonal Contraception and Risk of Cervical Cancer Kusmiyati, Yuni; Prasistyami, Annisaputri; Wahyuningsih, Heni Puji; Widyasih, Hesty; Adnani, Qorinah Estiningtyas Sakilah
Jurnal Kesehatan Masyarakat Nasional Vol 14, No 1 (2019): Volume 14, Issue 1, August 2019
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (422.4 KB) | DOI: 10.21109/kesmas.v14i1.2713

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The use of long hormonal contraceptives can disrupt the balance of estrogen in the body, resulting in abnormal cell changes. This study aimed to determine a correlation between the duration of hormonal contraception and risk of cervical cancer. This study used a case-control design. The population  were patients who had examined at a cancer installation and obstetrics-gynecology polyclinic Dr. Sardjito Hospital in 2018. Case samples were 95 women have cervical cancer diagnosis and control were 95 women with a negative pap smear. Sampling with random sampling. Dependent variable cervical cancer and independent variable the duration of hormonal contraception are obtained from medical records. Cervical cancer is assessed by doctor?s diagnosis. Data analysis used logistic regression. Results showed that 44.7% of samples used long-term hormonal contraception (over 5 years). Length of use of hormonal contraception had a significant correlation with the incidence of cervical cancer (p-value < 0.01). Hormonal contraceptive use more than 5 years have a risk 4.2 times (95% CI 1.01-5.69) of cervical cancer than using less than 5 years after being controlled with the first marriage age and parity
Kadar Hemoglobin dan Kecerdasan Intelektual Anak Kusmiyati, Yuni; Meilani, Niken; Ismail, Sriyulan
Jurnal Kesehatan Masyarakat Nasional Vol 8. No. 3 Oktober 2013
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (233.43 KB) | DOI: 10.21109/kesmas.v8i3.353

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Kualitas sumber daya manusia dipengaruhi oleh inteligensi anak. Skor kecerdasan intelektual yang tidak menetap pada usia tertentu dapat berubah karena faktor genetik, gizi, dan lingkungan. Tujuan penelitian ini adalah mengetahui hubungan kadar hemoglobin dengan kecerdasan intelektual anak. Penelitian observasional dengan desain potong lintang ini dilakukan pada populasi siswa kelas VI Sekolah Dasar Negeri Giwangan Yogyakarta, tahun 2013. Penarikan sampel dilakukan dengan metode simple random sampling terhadap 37 sampel siswa. Instrumen untuk mengukur kecerdasan intelektual dengan Cultural Fair Intelligence Quotient Test yang dirancang untuk meminimalkan pengaruh kultural dengan memperhatikan prosedur evaluasi, instruksi, konten isi, dan respons peserta. Tes dilakukan oleh Biro Psikologi Universitas Ahmad Dahlan Yogyakarta, kadar hemoglobin diukur menggunakan Portable Hemoglobin Digital Analyzer Easy Touch secara digital.Variabel luar indeks massa tubuh diukur langsung menggunakan parameter tinggi badan dan berat badan. Analisis menggunakan uji regresi linier. Hasil penelitian menunjukkan indeks massa tubuh tidak berhubungan dengan kecerdasan intelektual (nilai p = 0,052). Anemia berhubungan cukup dengan kecerdasan anak (r = 0,491) dan berpola positif, semakin tinggi kadar hemoglobin semakin tinggi kecerdasan intelektual anak. Nilai koefisien determinasi 0,241 menerangkan bahwa 24,1% variasi anemia cukup baik untuk menjelaskan variabel kecerdasan intelektual. Ada hubungan antara kadar hemoglobin dengan kecerdasan intelektual (nilai p = 0,002).Quality of human resources is influenced by the child?s intelligent. Intelligence Quotient (IQ) score will not settle at a certain age and can change due to genetic factors, nutrition, and the environment. The objective is known relationship of anemia with IQ to child. Method of observational study with cross sectional design. Population are students of class VI elementary school of Giwangan Yogyakarta in 2013. Sample was taken by simple random sampling, obtained 37 students. Measuring of instruments IQ with CFQT, hemoglobin was measured using a Portable Digital Analyzer Easy Touch is a digital gauge Hb, external variable body mass index was meas- ured directly using the parameters height and weight of children. Analysis using Linear Regression. This research showed BMI was not associated with IQ (p value = 0.052). Relationship with the child?s intelligence anemia showed enough relationship (r = 0.491) and a positive pattern, where the higher levels Haemoglobin as the higher IQ score of the child?s. The coefficient of 0.241 explained 24.1 % variation anemia that is good enough to explain the variable IQ. There is a relationship between hemoglobin levels with IQ (p value = 0.002).
THE EFFECT OF ASPHYXIA ON THE QUALITY OF LIFE OF CHILDREN AGED 2-4 Kusmiyati, Yuni
Proceedings of the International Conference on Applied Science and Health No 4 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (458.707 KB)

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RISK FACTORS FOR IRON DEFICIENCY ANEMIA IN INFANTS AGED 6 MONTHS IN TEGAL REJO PUBLIC HEALTH CENTER, YOGYAKARTA, INDONESIA Kusmiyati, Yuni; Tyastuti, Siti; Supriyati, Yulita Rizky; Sari, Nirmala
Proceedings of the International Conference on Applied Science and Health No 4 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (623.981 KB)

Abstract

Background: Anemia is a global public health problem affecting both developing and developed countries with major consequences on human health as well as social and economic development. Anemia resulting from iron deficiency that may adversely affects the infants? cognitive and motor development. The objective of this research was to find out the risk factors of iron deficiency anemia (IDA) in 6 months old infants.Methods: This was an observational research with case-control design. Population was all 6 months old infants having been examined for their hemoglobin levels in Tegalrejo public health center in Yogyakarta from 2017 to 2018. 164 samples were taken with random sampling contained of 82 infants with anemia diagnosis in case group and 82 infants with normal hemoglobin levels for control group. Dependent variable was iron deficiency anemia (IDA) assessed based on hemoglobin level less than 11 gr% and independent variables were IDA risk factors (birth weight, sex, maternal education, maternal occupation, and maternal age) obtained from medical records and direct interviews. Data were analyzed by using logistic regression. Results: the risk factor influencing IDA was exclusive breastfeeding (p<0.05). Infants who did not receive exclusive breastfeeding had 2.16 folds higher risk of having IDA than those who received exclusive breastfeeding. Other risk factors such as birth weight, sex, maternal education, maternal occupation, and maternal age did not correlate significantly to iron deficiency anemia (IDA). Conclusion: Exclusive breastfeeding was the significant risk factor toward iron deficiency anemia in 6 months old infants after controlling other risk factors. Therefore, these finding can be implemented by maternal and child health practitioners to make iron deficiency anemia prevention program by eliminating or minimizing its risk factor.
LAMA BEKERJA, KEIKUTSERTAAN PELATIHAN DAN TINGKAT PENDIDIKAN BIDAN TERHADAP PERILAKU PENCEGAHAN INFEKSI M.J, Sri Lestari; Kusmiyati, Yuni; Tyastuti, Siti
Jurnal Kesehatan Ibu dan Anak Vol 5 No 1 (2014): Juli
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/kia.v5i1.171

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Maternal mortality rate of Kalimantan Barat Province is on the 7 in Indonesia, about 353/100.000 birth, which is 2,8% caused by infection. The vigilance of patient service standard is consist of hand hygiene, self-protection equipment, patient care tools, environment control, patient tools and linen processing, worker?s health or health provider safety, and patient placement. Health providers have to apply the infection prevention within patient relationship. Education and training for health provider is one of the way for developing the human resources of health. For doing the professionalism strategy is need to be using competence standard, training and other quality improvement activities.This study was observational analytic designed as cross sectional. As the independent variable (are working period, training participation and education level) and dependent variable (is infection prevention behavior). Research subject are 55 midwives in RSUD dr. Soedarso, taken by Total Sampling. Data has been analyzed using univariate and bivariate analysis by Kendall?s Tau statistic test.Statistic test result showed that there is any correlation between working period and infection prevention behavior (p-value 0,02). There is any correlation between training participation and infection prevention behavior (p-value 0,02). There is any correlation between education level and infection prevention behavior (p-value 0,01).
TINGKAT PENGETAHUAN, SIKAP DENGAN PERILAKU PENCEGAHAN PENULARAN HIV/AIDS PADA PENDERITA HIV/AIDS DI RSUD DR MOEWARDI SURAKARTA Listyorini, Iyeti; Kusmiyati, Yuni; Margono, Margono
Jurnal Kesehatan Ibu dan Anak Vol 1 No 1 (2012): Juli
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

HIV/AIDS is a disease which causes by the Human immunodeficiency virus (HIV) with rapid deployment. WHO declared HIV/AIDS as a pandemic that could threaten the sustainability of mankind. The number of people with AIDS in Indonesia in 2011 as many as 24,482 patients with the number of patients mortality is 18%. Businesses that are not beneficial to avoid the spread of HIV/AIDS prevention. Less accurate information and knowledge about the transmission of HIV/AIDS is one of the high transmission of HIV/AIDS. Efforts to prevent HIV/AIDS is highly dependent on knowledge and attitudes, behavior and other factors involved. Objectives to Know the relationship between the level of knowledge and altitudes with the behavior of HIV/AIDS prevention in people with HIV/AIDS at the Dr. MoewardiSurakada Hospitalin 2011. The type of study is an analytical survey with a cross-sectional/ research design. Samplestakenlrom HIV/AIDS sufferer at the hospital of Dr. Moewardi Surakada with purposive sampling. The analysis using the R Commander Pearson Product Moment Correlation Test. Result: Most of the respondents have a good knowledge level that is equal to 85,9%. All respondents have a positive attitude and 50% have good behavior. P-Value of Pearson Product Moment Test between the level of knowledge and behavior is 0,0387, and between attitude and behavior is 0.005624.