Faletehan Health Journal
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Hubungan Perawatan Payudara dengan Produksi ASI pada Ibu Nifas
Get PDFBreast care is urgent during pregnancy until breastfeeding. Many important things need to do to breastfeed; one of them is to provide a breast care performed when pregnancy reaches 28 weeks or after the completion of labor because it relates to breast milk production. This study aimed to determine the relationship of breast care with breast milk production among postpartum mothers. The type of the research was analytical survey with cross-sectional approach, covering independent variables and dependent variables which were collected and measured at the same time. The populations of this study were 30 people and the samples were 30 people. The data were analyzed by using chi-square test. The data analysis obtained the calculation result of ρ value 0.002 (<0.05). The researchers concluded that there was a relationship between breast care and breast milk production among postpartum mothers. The research results could be a guideline for health educators to do a breast care promotion to mothers with low milk supply.Merawat payudara sangatlah berarti untuk dilakukan dalam masa kehamilan sampai melahirkan. Banyak hal penting yang perlu dilakukan dalam memberikan ASI salah satunya yaitu memberikan perawatan kepada payudara, dilakukan pada usia kehamilan sudah mencapai 28 minggu maupun setelah selesai masa persalinan karena akan mempengaruhi kualitas ASI. Riset ini bertujuan untuk melihat hubungan perawatan payudara dengan produksi ASI pada ibu nifas. Jenis penelitian yaitu survei analitik dengan pendekatan cross-sectional, mencakup data variabel bebas dan variabel terikat yang diteliti dan di ukur dalam waktu yang bersamaan. Populasi dalam riset ini sebanyak 30 orang dan sampel sebanyak 30 orang. Data dianalisis dengan menggunakan uji chi-square. Analisis data memperoleh hasil perhitungan ρ value sebesar 0,002 (<0,05). Peneliti menyimpulkan ada hubungan antara perawatan payudara dengan produksi ASI pada ibu nifas. Hasil penelitian ini dapat menjadi landasan bagi penyuluh kesehatan untuk membuat penyuluhan mengenai perawatan payudara bagi ibu yang ASI nya tidak lancar
Peran Pemerintah dalam Perlindungan Tenaga Kesehatan Terpapar Covid–19
Get PDFThe number of confirmed cases of Covid-19 in Indonesia was extremely high. The distribution rate as of June 27, 2021, was confirmed 2,093,962, died 56,729 and recovered 1,842,457. The government’s role in the protection of health workers was highly needed. Several policies from the government were contained in the regulatory provisions, such as bonuses payment and death compensation for health workers and Covid-19 vaccine program for medical personnel. The government\u27s efforts to prevent the spread and transmission of Corona virus included the policy of staying home, wearing masks, and washing hands. The purpose of this study was to analyze the stages that have been carried out by the Indonesian government when dealing with Covid-19 and to protect health workers. The study used systemic literature review. From the 7 articles obtained, Indonesia had implemented policies to control and prevent the transmission of Covid-19. The policies required supports, participations and people awareness. Good and organized regulations and health system were needed. Patterned coordination among stakeholders, especially the central government and regional governments, and SOPs for the prevention and control of Covid-19 were required to completely inhibit the spread of Covid-19 infection.Angka kejadian Covid-19 di Indonesia terkonfirmasi sangat tinggi. Angka sebaran per tanggal 27 Juni 2021 terkonfirmasi 2.093.962, meninggal 56.729 dan sembuh 1.842.457. Peran pemerintah dalam perlindungan tenaga kesehatan sangat dibutuhkan. Beberapa kebijakan dari pemerintah termaktub di dalam ketetapan peraturan diantaranya adanya pemberian bonus dan kompensasi kematian bagi tenaga kesehatan serta program vaksin Covid-19 bagi tenaga medis. Upaya pemerintah dalam mencegah penyebaran dan penularan virus Corona diantaranya kebijakan stay at home, memakai masker, dan mencuci tangan. Penelitian ini bertujuan untuk menganalisis tahapan-tahapan yang sudah kerjakan oleh pemerintah Indonesia ketika menangani Covid-19 serta dalam melindungi tenaga kesehatan. Penelitian ini menggunakan systemic literature review. Dari 7 artikel yang didapat, Indonesia sudah menerapkan kebijakan pengendalian dan pencegahan penularan Covid-19. Kebijakan dari pemerintah membutuhkan dukungan, peran serta dan kesadaran masyarakat. Peraturan dan sistem kesehatan yang baik dan terorganisir dibutuhkan. Koordinasi yang terpola antar stake holder, khususnya pemerintah pusat dan pemerintah daerah, serta SOP pencegahan dan pengendalian Covid-19 diperlukan untuk menghambat penyebaran infeksi Covid-19 secara tuntas
Faktor Risiko Kanker Serviks: Literature Review
Get PDFCervical cancer is caused by infection with the Human Papilloma Virus (HPV) which grows in the cervix resulting in malignant tumors. Cervical cancer is the fourth most common cancer in women in the world. The purpose of this study was to determine the risk factors for cervical cancer. With the incidence of cervical cancer in the community, this study used a literature study. The search used PubMed and Google Scholar databases from 2017 to 2020 publication years and found 12 relevant articles based on the inclusion criteria. The results of the review showed that cervical cancer can be caused by risk factors of early sexual activity, use of tobacco cigarettes, use of hormonal contraception, and having > 1 sexual partner. There was a relationship between risk factors of cervical cancer between engaging in sexual activity at an early age (<20 years), using tobacco cigarettes, using hormonal contraception ≥5 years, and having >1 sexual partner. It was important for medical personnel and health care facilities to use an approach of providing education to people about cervical cancer risk factors to make them knowing the impacts, dangers and preventions of cervical cancer.Kanker serviks disebabkan oleh infeksi Human Papilloma Virus (HPV) yang tumbuh di dalam leher rahim dan mengakibatkan terjadinya tumor ganas. Kanker serviks menempati urutan keempat terbanyak kanker pada wanita di dunia. Tujuan penelitian ini adalah untuk mengetahui faktor risiko kanker serviks. Dengan kejadian kanker serviks di kalangan masyarakat, penelitian ini menggunakan studi Literatur. Penelusuran menggunakan database PubMed dan Google Scholar tahun publikasi 2017 sampai dengan 2020 dan mendapatkan 12 artikel yang relevan berdasarkan kriteria inklusi. Hasil review menunjukkan bahwa kanker serviks bisa disebabkan oleh faktor risiko melakukan aktivitas seksual usia dini, penggunaan tembakau rokok, penggunaan kontrasepsi hormonal, dan memiliki >1 pasangan seksual. Terdapat kaitan faktor risiko terjadinya kanker serviks antara melakukan aktivitas seksual usia dini (< 20 tahun), penggunaan tembakau rokok, menggunakan kontrasepsi hormonal ≥5 tahun, dan memiliki >1 pasangan seksual. Tenaga medis dan fasilitas pelayanan kesehatan penting melakukan pendekatan pemberian edukasi kepada masyarakat tentang faktor risiko kanker serviks agar masyarakat mengetahui dampak, bahaya dan pencegahan kanker serviks
Pengaruh Pemberian Edukasi Berbasis Digital Cardicraf terhadap Tingkat Kepatuhan Monitoring Self-Care Management Pasien Gagal Jantung
Get PDFRecently, the prevalence of morbidity and mortality of heart failure cases was increasing, leading to complex medications and treatments, as well as the incidence of rehospitalization. In addition, the complications that occur had an impact on the patient\u27s quality of life decreases. One of the efforts to prevent the worsening conditions was through self-care management which can be improved through digital-based education. The purpose of this study was to determine the effects of education through digital media applications Cardicraf on self-care management compliance of heart failure (HF) patients. The research design used quasy experiment with one group pre and post-test without control group. The study samples were 25 respondents based on inclusion criteria with purposive sampling techniques. The research instrument were Morisky 8-item Medication Adherence Questionnaire and Self-Care of Heart Failure Index (SCHFI). The analysis data used paired sample t-test. The results showed the average self-care management compliance before intervention with Cardicraf was 59.92 and after was 85.75. The results of the statistical test obtained p value 0.000 which was concluded that there was the effects of education with Cardicraf on self-care management compliance of HF patients. This application needed improvements to be used on platforms playstore; thus, it can be used broaderly and easily by society and help health workers to do assessments and monitoring to heart failure patients.Prevalensi morbiditas dan mortalitas kasus gagal jantung saat ini semakin meningkat, menyebabkan pengobatan dan perawatan kompleks serta kejadian rehospitalisasi. Selain itu, komplikasi yang terjadi berdampak pada penurunan kualitas hidup pasien. Salah satu upaya mencegah perburukan kondisi adalah melalui self-care management yang dapat ditingkatkan melalui edukasi berbasis digital. Tujuan penelitian ini untuk mengetahui pengaruh pemberian edukasi melalui media aplikasi digital Cardicraf terhadap kepatuhan self-care management penderita gagal jantung. Desain penelitian menggunakan quasy experiment dengan one group pre dan post-test without control group. Sampel penelitian sebanyak 25 responden berdasarkan kriteria inklusi dengan teknik purposive sampling. Instrumen penelitian menggunakan Morisky 8-item Medication Adherence Questionnaire dan Self-Care of Heart Failure Index (SCHFI). Analisis data penelitian ini menggunakan paired sample t-test. Hasil penelitian menunjukkan rata-rata kepatuhan self-care management sebelum intervensi aplikasi digital Cardicraf adalah 59,92 dan sesudahnya adalah 85,75. Hasil uji statistik mendapatkan p value 0,000 sehingga disimpulkan terdapat pengaruh pemberian edukasi dengan Cardicraf terhadap kepatuhan self-care management pasien gagal jantung. Aplikasi ini memerlukan penyempurnaan untuk dapat didaftarkan pada platform playstore agar dapat digunakan secara lebih luas dan mudah oleh masyarakat dan membantu tenaga kesehatan dalam pengkajian dan monitoring pada pasien gagal jantung
Terapi Non-Farmakologi untuk Mengatasi Nyeri Dismenore pada Remaja
Get PDFOne of the complaints during menstruation is dysmenorrhea. Non-pharmacological therapy becomes the main alternative to overcome dysmenorrhea. However, few studies discuss it. The purpose of this study was to analyze various non-pharmacological therapies (aromatherapy, warm compresses, deep breathing relaxation, music therapy, and physical exercise) to treat dysmenorrhea pain in adolescents. This study used a pre experimental pretest-posttest design. Of the 114 total population, the sample was taken by using a quota sampling technique and amounted to 65. The research data analysis used Wilcoxon signed-rank test. The results showed that the 5 non-pharmacological therapies could treat dysmenorrhea pain in adolescents with P value 0.001 for aromatherapy, P value 0.001 for warm compresses, P value 0.004 for deep breath relaxation, P value 0.001 for music therapy, and P value 0.001 for physical exercise. Adolescents can do their favorite things as a non-pharmacological therapy to divert pain due to dysmenorrhea; thus, their daily activities are not disturbed and can be more productive.Salah satu keluhan selama menstrusasi adalah dismenore. Terapi non-farmakologi menjadi alternatif utama penyelesaian dismenore. Tetapi masih sedikit penelitian membahasnya. Penelitian ini bertujuan untuk menganalisis berbagai terapi non-farmakologi (aromaterapi, kompres hangat, relaksasi pernafasan dalam, terapi musik, dan latihan fisik) untuk mengatasi nyeri dismenore pada remaja. Penelitian ini menggunakan rancangan pre experiment pretest-posttest design. Dari 114 jumlah populasi, sampel diambil dengan teknik kuota sampling dan berjumlah 65 orang remaja. Analisis data penelitian menggunakan Wilcoxon signed-rank test. Hasil penelitian menunjukkan bahwa kelima terapi non-farmakologi dapat mengatasi nyeri dismenore pada remaja dengan nilai P 0,001 untuk aromaterapi, nilai P 0,001 untuk kompres hangat, nilai P 0,004 untuk relaksasi pernapasan dalam, nilai P 0,001 untuk terapi musik, dan nilai P 0,001 untuk latihan fisik. Terapi musik dan latihan fisik memberikan dampak penurunan yang lebih besar terhadap nyeri dismenore. Remaja dapat melakukan hal-hal yang disenangi sebagai terapi non-farmakologi untuk mengalihkan rasa nyeri akibat dismenore sehingga aktivitas sehari-hari tidak terganggu dan bisa lebih produktif
Penurunan Kecemasan Ibu dengan Mengikuti Kelas Ibu Hamil Prenatal Yoga
Get PDFThe issue of maternal mortality is a serious problem faced by the Ministry of Health. Many maternal deaths occurred in the intra-natal and post-natal period. This could be due to unpreparedness of the mothers in facing the labor process so that information related to pregnancy, childbirth and postnatal period was not fully and up to date known by them. Information related to pregnancy, childbirth and postpartum can be obtained through antenatal visits, especially by the implementation of antenatal classes. The purpose of this study was to determine the anxiety differences of third trimester pregnant mothers in facing childbirth before and after participating prenatal yoga classes at Ciruas Public Health Center, Serang Regency in 2018. The method used in this study was pre-experimental research design one-group pre-test and post-test. The results showed most participants were the age group 20-35 years, namely 21 people (70%) and the most maternal parity is multigravidas, namely 20 people (67%). The level of maternal anxiety in facing childbirth were mostly moderate as many as 25 pregnant mothers (83.3%), and after participating prenatal yoga classes, most of the mothers had mild anxiety, namely 27 pregnant women (90%). To conclude, prenatal yoga classes are effective on reducing the incidence of maternal anxiety in facing childbirth.Permasalahan kematian ibu merupakan masalah serius yang dihadapi oleh Kementerian Kesehatan. Kematian ibu banyak terjadi pada periode intranatal dan post natal. Hal ini dapat disebabkan salah satunya karena ketidaksiapan ibu dalam menghadapi proses persalinan sehingga informasi terkait kehamilan, persalinan dan nifas belum diketahui oleh ibu secara lengkap dan up to date. Informasi terkait kehamilan, persalinan dan nifas bisa didapatkan melalui kunjungan antenatal khususnya dalam pelaksanaan kelas ibu hamil. Tujuan dari penelitian ini untuk mengetahui perbedaan kecemasan ibu hamil trimester III dalam menghadapi persalinan sebelum dan sesudah mengikuti kelas ibu hamil dengan prenatal yoga di puskesmas Ciruas Kabupaten Serang tahun 2018. Metode yang digunakan dalam penelitian ini adalah penelitian Pre Eksperimen design one-group pre test dan post test. Hasil penelitian menunjukkan sebagian besar kelompok usia 20-35 tahun yaitu 21 orang (70%), untuk paritas ibu terbanyak dari multigravida yaitu 20 orang (67%). Tingkat kecemasan ibu dalam menghadapi persalinan sebagian besar memiliki kecemasan sedang sebanyak 25 ibu hamil (83,3%), dan setelah mengikuti kelas ibu hamil dengan prenatal yoga tingkat kecemasan ibu sebagian besar memiliki kecemasan ringan yaitu 27 ibu hamil (90%). Penelitian ini menunjukkan bahwa kelas ibu hamil dengan prenatal yoga memiliki pengaruh terhadap penurunan angka kejadian kecemasan ibu hamil menghadap persalinan
Studi Kasus: Evaluasi Status Hemodinamik Pasien Dengan Ventilator Mekanik Pasca Mobilisasi Harian (Supinasi - Lateral) di Ruang ICU RSUD Ulin Banjarmasin
Get PDFChanges of patient’s position are routinely used in intensive care unit. The purpose of positioning is not only to increase oxygen transportation but also for prophylaxis and comfort priority, to prevent from ulcer, and to reduce deep vein thrombosis incidence, pulmonary embolism, atelectasis and pneumonia. The aim of the study was to describe hemodynamic status of patients with mechanical ventilator, who changed position from supine to lateral position at the ICU of Ulin Banjarmasin General Hospital. This study used pre-experimental design with one-shot case study. This study had 5 respondents. The result showed changes in the patients’ hemodynamic status (blood pressure, mean arterial pressure, respiration rate, and pulse rate) from supine to lateral position. Furthermore, there were significant changes in 3 of 5 respondents in mean arterial pressure and 2 of 5 respondents in respiration rate. Positioning patients with mechanical ventilators from supine to lateral position can lead to an increase or a decrease of hemodynamic status. The nurses were expected to be able to do a close monitoring while positioning patients with mechanical ventilator.Perubahan posisi pasien rutin digunakan selama di unit perawatan intensif. Tujuan perubahan posisi tidak hanya untuk meningkatkan transportasi oksigen, namun juga untuk profilaksis, mengutamakan kenyamanan, mencegah pembentukan ulkus, mengurangi kejadian deep vein thrombosis, emboli paru, atelektasis dan pneumonia. Tujuan penelitian menggambarkan perubahan status haemodinamik pada pasien dengan ventilator mekanik yang dilakukan perubahan posisi dari supinasi menjadi posisi lateral di ruang ICU RSUD Ulin Banjarmasin. Rancangan penelitian pra eksperimental dengan one shot case study. Responden berjumlah 5 orang. Hasil penelitian terdapat perubahan status hemodinamik (tekanan darah, tekanan arteri rata-rata, frekuensi napas, dan frekuensi nadi) pada posisi supinasi menjadi posisi lateral pada pasien dengan menggunakan ventilator. Terlebih lagi, terdapat perubahan signifikan 3 dari 5 responden pada tekanan arteri rata-rata dan 2 dari 5 responden pada frekuensi napas. Perubahan posisi lateral pada pasien dengan ventilator mekanik dapat mengakibatkan peningkatan maupun penurunan status hemodinamik. Perawat diharapkan mampu melakukan monitoring yang ketat saat dilakukan perubahan posisi pasien dengan ventialtor mekanik
Yoga Improves Quality of Life among Breast Cancer Patients
Get PDFYoga was a therapy that combined breathing, relaxation and meditation techniques and stretching exercises. The benefits of yoga in general could increase strength, flexibility, train balance, reduce pain, train breathing, smooth organ function, inner calm and improve quality of life. Several differences in the results of studies can influence the decisions of patients and health providers in planning appropriate interventions for breast cancer patients. This literature review aimed to explain the effectiveness of yoga on the quality of life of patients with breast cancer. The research data were identified from five journal databases including PubMed, JSTOR, Willey Online Library, Sage Journal and Taylor Francis Online by using the PIOS (Participant, Intervention, Outcomes and Study Design) method and MeSH term on the advanced search engine. Articles that became research data were articles published in 2007 to 2020 in the English version, open access and full text in the form of original articles or research articles. Of the 1,645 articles found, a screening process was carried out using PRISMA flowchart to eliminate articles that did not meet the criteria. In this literature review study, 9 articles were found that prove that the use of yoga interventions could improve the quality of life of patients. This study reinforced the findings of previous research which showed that yoga could be used effectively in the process of treating patients with breast cancer
Kualitas Hidup Penderita Hipertensi Di Puskesmas Sedayu II Bantul, Yogyakarta
Get PDFHypertension is one of diseases considered as the main cause of death and disability. The incidence of hypertension is increasing rapidly each year. Hypertension impacts on socio-economic problems and quality of life. Quality of life is one\u27s perception of his life including cultural aspect, the value system of the place where he is, his expectations, standards, and life goals. The aim of this study was to describe hypertensive patients’ quality of life at Sedayu II Bantul Public Health Center, Yogyakarta. This study was descriptive with a mixed-method design. The quantitative samples were 60 people and the qualitative samples were 3 people. The instruments were WHOQOL-BREFF quality of life questionnaire and an interview guide. The results showed that the quality of life of 80% hypertensive patients was generally good and 20% low. The physical domain was good (75%), physical activities were disturbed when hypertension recurred. The psychological domain was good (88.3%), they had no change in appearance and were still confident. The social domain was good (81.7%), they had good relations with family and community. The conclusion is the quality of life of hypertensive patients at Sedayu II Bantul Public Health Center is classified good.Hipertensi merupakan salah satu penyakit yang dianggap sebagai penyebab utama kematian dan kecacatan. Angka kejadian hipertensi meningkat pesat setiap tahunnya. Akibat yang ditimbulkan dari hipertensi selain masalah sosial ekonomi juga mempengaruhi kualitas hidup penderita. Kualitas hidup merupakan persepsi seseorang mengenai kehidupannya, meliputi aspek budaya, sistem nilai tempat dimana ia berada, harapan, standar dan tujuan hidup penderita. Tujuan dari penelitian ini adalah untuk mengetahui Gambaran Kualitas Hidup Penderita Hipertensi di Puskesmas Sedayu II Bantul, Yogyakarta. Penelitian ini merupakan penelitian Deskriptif dengan rancangan Mixed Methodology. Sampel kuantitatif berjumlah 60 orang dan sampel kualitatif berjumlah 3 orang. Instrumen penelitian ini adalah kuesioner kualitas hidup WHOQOL-BREFF dan panduan wawancara. Hasil penelitian ini menyatakan bahwa kualitas hidup 80% penderita hipertensi secara umum baik dan 20% buruk. Domain fisik baik (75%), aktivitas fisik terganggu ketika hipertensi kambuh. Domain Psikologis baik (88,3%), tidak terdapat perubahan penampilan dan masih percaya diri. Domain sosial baik (81,7%), hubungan dengan keluarga dan masyarakat baik. Kesimpulan dari penelitian ini gambaran kualitas hidup penderita hipertensi di Puskesmas Sedayu II Bantul tergolong baik
Perilaku Hidup Bersih dan Sehat melalui Upaya Pemberdayaan Masyarakat
Get PDFThe data of Clean and Healthy Living Behavior (CHLB) in Riau Province in the last three years was always the lowest. The purpose of this study was to examine the influence of family-based community empowerment through integrated healthcare center (Ina. posyandu), the caders, the organizing or group on the CLHB at Muara Fajar Landfills, Rumbai, Pekanbaru. The research design was cross sectional. The samples were 26 housewives at RT 01/RW 03 of Muara Fajar Landfills, Rumbai, Pekanbaru. The research instrument was a questionaire. The data was analyzed by Pearson correlation and linier regression test. The results showed that family-based community empowerment through caders significantly influenced the clean and healthy living behavior (p value 0.0020) and had the biggest influence 0.2 times (r = 0.455; R2= 0.207). The scores was compared to the family-based community empowerment through integrated health care center and the organizing which influence scores respectively were 0.123 times (r = 0.348; R2= 0.121) and 0.024 times (r = 0.141; R2= 0.020). There were still community on health standard I (3.9%) and and health standard II (7.7%).Data tiga tahun terakhir di Provinsi Riau menunjukkan bahwa pencapaian Perilaku Hidup Bersih Sehat (PHBS) selalu menjadi yang terendah. Tujuan penelitian ini adalah untuk mengetahui pengaruh pemberdayaan masyarakat berbasis keluarga melalui posyandu, kader, pengorganisasian/kelompok terhadap PHBS di TPA Muara Fajar Rumbai Pekanbaru. Desain penelitian adalah cross sectional. Sampel penelitian ini adalah 26 ibu rumah tangga di RT 01/RW 03 TPA Muara Fajar Rumbai Pekanbaru. Instrumen yang digunakan adalah kuesioner. Analisis data menggunakan uji korelasi Pearson dan uji regresi linear. Hasil penelitian menunjukkan bahwa pemberdayaan masyarakat berbasis keluarga melalui kader berpengaruh signifikan (p=0,0020) terhadap PHBS dan berpengaruh paling besar 0,2 kali (r=0,455; R2=0,207). Temuan tersebut dibandingkan dengan pemberdayaan masyarakat berbasis keluarga melalui posyandu dan pengorganisasian dengan besar pengaruh 0,123 kali (r=0,348; R2= 0,121) dan 0,024 kali (r= 0,141; R2= 0,020). Masih ada masyarakat yang berada pada standar Sehat I (3,9%) dan Sehat II (7,7%)