Nuring Pangastuti, Nuring
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PENGETAHUAN REMAJA LAKI-LAKI DAN KEBUTUHAN PENDIDIKAN KESEHATAN TENTANG INFEKSI MENULAR SEKSUAL (IMS) Rahmawati, Nadia; Hapsari, Elsi Dwi; Lismidiati, Wiwin; Pangastuti, Nuring
Berita Kedokteran Masyarakat (BKM) Vol 34, No 9 (2018)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.35477

Abstract

Adolescent boys' knowledge and health education needs about sexually transmitted infections (STIs) Purpose: To determine the knowledge of adolescent boys and the need for health education about STIs in Yogyakarta Special Region.Methods: This research is a descriptive study with cross sectional design, with a total sample of 418 male students of class XII high school. This research was conducted in the Yogyakarta Special Region High School in September-November 2017. This study used univariate, bivariate and multivariate analysis. Results: The results showed that the average age of respondents 17 years as much as 61.5%, the most sources of information were lessons at school by 67.2%, 90.7% of students living with parents and the results of knowledge of adolescent boys in DIY bad by 52.4% and good by 47.6%. External variables related to knowledge are sources of information with p = 0.001 (p <0.05), the material that young boys want to know about health education about STIs is prevention done by 81.8% and 54.8% choosing media video as the desired method.Conclusions: The role of the world of education has a very big influence in providing information about STI to boys, the collaboration between the government and related parties will increase the knowledge of boys. One effort that can be done is by educating schools, especially on preventing STIs and using audiovisual media, besides that the role of the community and family, especially parents, will greatly influence the knowledge of adolescent boys.
THE RESILIENCE AND STRESS ON BACTERIAL VAGINOSIS AMONG REPRODUCTIVE AGE WOMEN IN THE COASTAL AREA OF AMPENAN, KOTA MATARAM Pratiwi, Ika Nur; Hapsari, Elsi Dwi; Pangastuti, Nuring
Jurnal Ners Vol 9, No 2 (2014): Oktober 2014
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (580.408 KB) | DOI: 10.20473/jn.V9I22014.187-193

Abstract

Introduction: Bacterial Vaginosis (BV) is a common vaginal condition produced by overgrowth of anaerobic bacteria. Stress can alter women?s reproductive health in many ways; one of them is increasing the risk for bacterial vaginosis. In facing stressful life conditions, resilience plays an important role to maintain optimal function and prevent traumatic experience.Methods: This research was an analytical observational study with cross sectional design. Questionnaires were given to 104 women in reproductive age between November 2013 and January 2014. Resilience and stress were assessed using The Connor-Davidson Resilience Scale (CD-RISC) and Self Reporting Questionnaire respectively, and bacterial vaginosis status was diagnosed using Amsel?s criteria. Statistical analysis was performed using chi square test and multiple logistic regressions.Results: Bivariate analysis showed significant relations between resilience (p=0,005), stress (p=0,002), frequency of sexual intercourse within 1 week (p= 0,015) and the bacterial vaginosis incidence. Multivariate analysis showed stress was the most influential factor OR=3,9 (95% CI=1,478?10,562).Discussion: Resilience and stress were significantly with increased risk of having bacterial vaginosis.
Perubahan Nilai BA pada Pelvic Organ Prolaps Quantification (POPQ) terhadap Kualitas Berkemih Pre dan Pasca Opreasi Kolporafi Anterior paa Pasien Sistokel Ramadona, Izwin; Siswishanto, Rukmono; Pangastuti, Nuring
JURNAL KESEHATAN REPRODUKSI Vol 4, No 2 (2017)
Publisher : IPAKESPRO

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (283.641 KB) | DOI: 10.22146/jkr.35427

Abstract

Background: Anterior colporrhaphy is used to correct anatomical abnormalities of POP, especially cystocele. In the cystocele, POPQ is focused on Ba point. However, no reference value has been established during evaluation on the changes of Ba’s pre and post operation. A measurement is required to describe the value of Ba in POPQ to the quality of patients’s micturition who have undergone anterior colporrhaphy on cystocele indication.Objective: To determine whether a change of Ba value more than 4 cm post anterior colporrhapy can improve voiding quality.Method: This study used a pretest-posttest design by measuring the value of Ba and voiding quality (UDI6 score) in cystocele patients before and after anterior colporrhapy. Ba value changes compared with changes in postoperative voiding quality.Result and Discussion: There were 20 subjects recruited from January until July 2016 who met the inclusion criteria. There were significant differences between the voiding quality and changes of Ba value before and after surgery for 2nd and 6th week (p<0.001). From the bivariate analysis there were no differences in changes of voiding quality for Ba> 4 cm compared ≤4 cm (p = 0.34; RR 1.43; 95% CI 0.61-3.37). Age, BMI and parity had no significant affects the voiding quality before and after surgery (p= 0.12, p= 0.62, p=0.27). From a logistic regression analysis of variables change in value of Ba and external variables of age, BMI and parity were not statistically significant influence the voiding quality.Conclusion: Changes in the value of Ba more than 4 cm from baseline in patients who undergo anterior colporrhapy does not improve the voiding quality.Keywords: Ba value, voiding quality, anterior colporrhapy.
VALIDATION TEST OF INDONESIAN PELVIC FLOOR DISTRESS INVENTORY-20 (INDONESIAN PFDI-20) Pangastuti, Nuring; Iman, Santoso Budi; Denny, Agustiningsih; Emilia, Ova
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 52, No 2 (2020)
Publisher : Journal of the Medical Sciences (Berkala Ilmu Kedokteran)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19106/JMedSci005202202004

Abstract

The pelvic floor distress inventory-20 (PFDI-20) questionnaire is one of the questionnaires used to help find out complaints of pelvic floor dysfunction. The questionnaire is also frequently used in studies related to pelvic floor dysfunction. The validation test results of the questionnaire have not been obtained from Indonesian population.This study aimed to obtain an Indonesian PFDI-20 questionnaire that is in accordance with the original questionnaire and valid as well as reliable use for the Indonesian population.The validation test series were conducted through several stages: forward translation, back-translation, expert panel, pre-testing, and cognitive interviewing, final version and documentation. Data of 77 female respondents of reproductive age in the Yogyakarta Special Region were collected from January to March 2018.The statistical test result of questionnaire validity from the corrected item-total correlation of each question item has value more than 0.30 (0.385-0.781) indicating that the Indonesian PFDI-20 questionnaire was valid. Test reliability of the questionnaire using Cronbach?s alpha with a high significant result of 0.911 (0.902-0.913)> r table was obtained. In conclusion, the Indonesian PFDI-20 questionnaire is valid and reliable, thereforeit can be used in Indonesian population.
Karakteristik Pasien Prolaps Uteri di RSUP Dr. Sardjito Yogyakarta Tahun 2013 Hamamah, Jefi; Pangastuti, Nuring
JURNAL KESEHATAN REPRODUKSI Vol 4, No 1 (2017)
Publisher : IPAKESPRO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.35430

Abstract

Background: Uterine prolaps suffer by nearly half population of women. Many factors related to the causes of prolaps. The pattern varies in different country and ages.Objective: To evaluate the characteristic of uterine prolaps patient in Sardjito Hospital in the period January – December 2013.Method: This is an analytic descriptive study that reviewed medical record of Sardjito Hospital within January - December 2013. Data was reported, tabulated dan presented in the form of risk factors, chief complains, grade of uterine prolaps and treatment, finally analysed.Result and Discussion: There were 30 cases of uterine prolaps from Obstetrics and Gynecology Sardjito Hospital within January-December 2013. Most of the patient age were 45-64 year (48.4%), parity more than 2 (73.3%), menopause (73%), vaginal delivery more than 2 (73%). Symptoms that mostly revealed was lump on the delivery passage (73.3%). Patient were mostly suffered from grade 4 uterine prolaps (43%). There were two types of treatment i.e. conservative and operative. Conservative treatment used Kegel exercises and pessarium. Operative treatment used total vaginal hysterectomy, colpocleisis, anterior and posterior colporaphy.Conclusion: The risk factors for uterine prolaps were older age, menopause, multiparity, vaginal delivery. The treatment mostly used total vaginal hysterectomy.Keywords: uterine prolaps, risk factors, vaginal hysterectomy
Robekan Perineum pada Persalinan Vaginal di Bidan Praktik Swasta (BPS) Daerah Istimewa Yogyakarta Indonesia Tahun 2014-2016 Pangastuti, Nuring
JURNAL KESEHATAN REPRODUKSI Vol 3, No 3 (2016)
Publisher : IPAKESPRO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.36184

Abstract

Background: Vaginal delivery is the most preffered mode of delivery by all women, and the birth attendants. The vaginal delivery assistance was conducted by various health professionals such as midwives, physicians, and obstetricians. Various complaints of pelvic floor dysfunction and complaints related to the perineum as a result of vaginal perineal laceration during childbirth can affect the quality of life of a woman.Objective: To identify and conduct an analysis of maternal factors (maternal age, parity, gestational age), fetal factor (birth weight), and the labor factor (duration of 2nd stage of labor), with the occurrence of perineal rupture in vaginal delivery at the 5 Midwife’s Private Clinic (MPC), Yogyakarta, Indonesia.Method: Retrospective medical record searching, from January 2014 until December 2016.Result and Discussion: There were 1595 obtained samples of data that met the criteria for inclusion and exclusion. Number of perineal laceration reached 1201 (75.3%), with 1.9% of them are grade 3. Perineal rupture occurred in 80.55% of vaginal deliveries at young age, 69.14% in more than 35 years old women, and 85.05% primiparas. There was significant negative correlation (0.186) between parity and perineal rupture (p=0.000). The less the parity, the higher the incidence of perineal rupture (p=0.002). There was significant correlation between baby’s weight less than 2500 gram and perineal rupture but not for the baby’s weight more than 4000grams (p=0.304). The correlation was positive which meant that the heavier the baby’s weight the higher the incidence of perineal rupture. There was significant positive correlation (p=0,018) for the duration of 2nd stage of labor between 30-60 minutes and perineal rupture(0.061). The correlation was positive as well (0.092) for the duration of 2nd stage of labor more than 60 minutes and perineal rupture( p=0.002). The longer the duration of the 2nd stage of labor the higher the incidence of perineal rupture.Conclusion: There was significant relationship between parity, and duration of the 2nd stage of labor and perineal rupture in vaginal delivery.Keywords: perineal rupture, vaginal delivery, parity, duration of the 2nd stage of labor
Robekan Perineum pada Persalinan Vaginal di Bidan Praktik Swasta (BPS) Daerah Istimewa Yogyakarta Indonesia Tahun 2014-2016 Pangastuti, Nuring
JURNAL KESEHATAN REPRODUKSI Vol 3, No 3 (2016)
Publisher : IPAKESPRO

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (236.262 KB) | DOI: 10.22146/jkr.36184

Abstract

Background: Vaginal delivery is the most preffered mode of delivery by all women, and the birth attendants. The vaginal delivery assistance was conducted by various health professionals such as midwives, physicians, and obstetricians. Various complaints of pelvic floor dysfunction and complaints related to the perineum as a result of vaginal perineal laceration during childbirth can affect the quality of life of a woman.Objective: To identify and conduct an analysis of maternal factors (maternal age, parity, gestational age), fetal factor (birth weight), and the labor factor (duration of 2nd stage of labor), with the occurrence of perineal rupture in vaginal delivery at the 5 Midwife’s Private Clinic (MPC), Yogyakarta, Indonesia.Method: Retrospective medical record searching, from January 2014 until December 2016.Result and Discussion: There were 1595 obtained samples of data that met the criteria for inclusion and exclusion. Number of perineal laceration reached 1201 (75.3%), with 1.9% of them are grade 3. Perineal rupture occurred in 80.55% of vaginal deliveries at young age, 69.14% in more than 35 years old women, and 85.05% primiparas. There was significant negative correlation (0.186) between parity and perineal rupture (p=0.000). The less the parity, the higher the incidence of perineal rupture (p=0.002). There was significant correlation between baby’s weight less than 2500 gram and perineal rupture but not for the baby’s weight more than 4000grams (p=0.304). The correlation was positive which meant that the heavier the baby’s weight the higher the incidence of perineal rupture. There was significant positive correlation (p=0,018) for the duration of 2nd stage of labor between 30-60 minutes and perineal rupture(0.061). The correlation was positive as well (0.092) for the duration of 2nd stage of labor more than 60 minutes and perineal rupture( p=0.002). The longer the duration of the 2nd stage of labor the higher the incidence of perineal rupture.Conclusion: There was significant relationship between parity, and duration of the 2nd stage of labor and perineal rupture in vaginal delivery.Keywords: perineal rupture, vaginal delivery, parity, duration of the 2nd stage of labor
IIIB-IV Degree Perineal Rupture Repair Using Overlapping and End-to-End Techniques with Pudendal Block Anesthesia Pangastuti, Nuring; Junizaf, Junizaf; Pranoto, Ibnu; Santoso, Budi I; Priyatini, Tyas
Indonesian Journal of Obstetrics and Gynecology Volume. 3, No. 3, July 2015
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (261.26 KB) | DOI: 10.32771/inajog.v3i3.46

Abstract

Objective: To compare the incidence of persistent sonographic anal sphincter defect, fecal urgency, anal and fecal incontinence after IIIb- IV degree perineal rupture repair using overlapping and end-to-end technique. Method: An open clinical trial with randomization was carried out in July 2010-April 2012. The population consisted of the patients who underwent vaginal delivery in Dr. Sardjito Central General Hospital, Sleman District General Hospital, as well as Tegalrejo, Jetis and Mergangsan Community Health Centers who did no have complaints of fecal urgency, anal incontinence, and/or fecal incontinence, and suffered IIIb-IV degree perineal rupture repaired within less than 24 hours of rupture. The exclusion criteria included conditions in which patients could not undergo repair at the moment (shock, uncooperative patient). Fourty-eight research samples were divided into 2 groups, 24 samples for each of the treatment group (overlapping repair) and the control group (end-to-end repair). Local anesthesia was performed in a pudendal-block manner. Result: Success of the repair was assessed based on the presence of persistent sonographic anal sphincter defects in the 6-week evaluation after repair. Successful repair was higher in the overlapping group than that of the end-to-end group (94.74% vs 81.25%, p=0.31). Clinically and based on the Fecal Continence Scoring Scale (FCSS), evaluation at weeks II and VI indicated successful repair in both groups. Conclusion: There was no difference in the incidence of persistent sonographic anal sphincter defects, fecal urgency, anal incontinence, and fecal incontinence, after IIIb-IV degree perineal rupture repair using overlapping technique in comparison with end-to-end technique. Keywords: end-to-end technique, III-IV degree perineal rupture, obstetric perineal rupture, overlapping technique
Karakteristik Pasien Prolaps Uteri di RSUP Dr. Sardjito Yogyakarta Tahun 2013 Hamamah, Jefi; Pangastuti, Nuring
JURNAL KESEHATAN REPRODUKSI Vol 4, No 1 (2017)
Publisher : IPAKESPRO

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (233.15 KB) | DOI: 10.22146/jkr.35430

Abstract

Background: Uterine prolaps suffer by nearly half population of women. Many factors related to the causes of prolaps. The pattern varies in different country and ages.Objective: To evaluate the characteristic of uterine prolaps patient in Sardjito Hospital in the period January – December 2013.Method: This is an analytic descriptive study that reviewed medical record of Sardjito Hospital within January - December 2013. Data was reported, tabulated dan presented in the form of risk factors, chief complains, grade of uterine prolaps and treatment, finally analysed.Result and Discussion: There were 30 cases of uterine prolaps from Obstetrics and Gynecology Sardjito Hospital within January-December 2013. Most of the patient age were 45-64 year (48.4%), parity more than 2 (73.3%), menopause (73%), vaginal delivery more than 2 (73%). Symptoms that mostly revealed was lump on the delivery passage (73.3%). Patient were mostly suffered from grade 4 uterine prolaps (43%). There were two types of treatment i.e. conservative and operative. Conservative treatment used Kegel exercises and pessarium. Operative treatment used total vaginal hysterectomy, colpocleisis, anterior and posterior colporaphy.Conclusion: The risk factors for uterine prolaps were older age, menopause, multiparity, vaginal delivery. The treatment mostly used total vaginal hysterectomy.Keywords: uterine prolaps, risk factors, vaginal hysterectomy
PENGARUH PENDIDIKAN KESEHATAN PENCAPAIAN IDENTITAS PERAN IBU PADA WANITA YANG MENIKAH DINI Samaria, Dora; Hapsari, Elsi Dwi; Pangastuti, Nuring
Jurnal Skolastik Keperawatan Vol 2, No 2 (2016): July - December
Publisher : Fakultas Ilmu Keperawatan Universitas Advent Indonesia

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

Abstract

ABSTRAK Latar Belakang: Wanita menikah dini berisiko tidak mencapai identitas peran ibu secara optimal. Pendidikan kesehatan dapat meningkatkan kepercayaan diri, kepuasan peran ibu, dan ikatan tali kasih ibu-bayi yang merupakan indikator pencapain identitas peran ibu. Pendidikan kesehatan belum pernah diberikan kepada wanita menikah dini di Bantul, Yogyakarta. Tujuan: Mengidentifikasi efektivitas Pendidikan Kesehatan Pencapaian Identitas Peran Ibu dalam meningkatkan kepercayaan diri dan kepuasan peran ibu serta ikatan tali kasih ibu-bayi pada wanita menikah dini. Metode: Penelitian ini merupakan quasi-eksperimen dengan pretest and posttest design. Kriteria inklusi meliputi wanita berusia 24 tahun dan kurang, menikah usia 18 tahun dan kurang, dan hanya memiliki bayi usia 0-12 bulan. Kelompok Pendidikan Kesehatan Pencapaian Identitas Peran Ibu (Penkes PIPI) (n=30) diberikan pendidikan kesehatan individu dengan booklet, demonstrasi dan latihan perawatan bayi, serta konseling telepon setelah intervensi. Kelompok ceramah (n=30) hanya diberikan edukasi individu. Hasil: Kelompok Penkes PIPI memiliki skor kepercayaan diri dan kepuasan peran ibu serta ikatan tali kasih ibu-bayi lebih tinggi daripada kelompok ceramah (p value &lt;0,05). Diskusi: Penelitian ini menunjukkan bahwa Penkes PIPI efektif meningkatkan pencapaian identitas peran ibu pada wanita menikah dini. Disarankan penggunaan desain penelitian acak untuk penelitian selanjutnya.   Kata kunci: kepuasan peran ibu, pendidikan kesehatan identitas peran ibu, dan pernikahan dini.   ABSTRACT Background: Early married women may not reach maternal role identity optimally. Health education improves maternal confidence, maternal role satisfaction and mother-baby attachment which are indicators of maternal role attainment. It had never been given to early married women in Bantul, Yogyakarta. Objective: To identify effectiveness of Maternal Role Attainment Health Education in improving self-confidence and maternal role satisfaction as well as mother-baby attachment in early married women. Methods: This study applied a quasi-experiment with pretest and posttest design. Inclusion criteria included women aged 24 years old and below, who got married at 18 years old and below, and having baby only aged 0-12 months. Penkes PIPI group (n=30) was given individual health education with booklet, demonstration and baby care training, and telephone counseling after intervention. Lecture group (n=30) was given only individual health education. Results: Intervention group scored higher on self-confidence and maternal role satisfaction, and mother-baby attachment than control group (p value&lt;0.05). Discussion: This study showed that Maternal Role Attainment Health Education effectives improving maternal role attainment in early married women. It is suggested involving a randomized control trial design for further research. Keywords: maternal role attainment health education, maternal role satisfaction, early married