Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery)
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Pengaruh Postnatal Massage terhadap Proses Involusi dan Laktasi Masa Nifas di Malang
Get PDFMasa Nifas merupakan masa kritis bagi ibu pasca melahirkan. Ketidaksiapan secara fisik, psikis, mental dan spiritual dalam menghadapi masa ini akan membuat masa nifas berjalan tidak normal. Parameter kesuksesan masa nifas adalah proses involusi dan laktasi. Permasalahn involusi dilihat dari banyaknya perdarahan postpartum yang disebabkan oleh atonia uteri di Kabupaten Malang sebanyak 34%, sedangkan permasalahan laktasi dikaitkan dengan pemberian ASI Eksklusif di Kota Malang masih rendah sekitar 60%. Salah satu upaya yang bisa dilakukan adalah tindakan postnatal massage. Tindakan tersebut dapat merelaksasikan ketegangan dan mengatasi keletihan pasca melahirkan yang dapat memicu subinvolusi dan kegagalan laktasi. Penelitian ini bertujuan untuk mengetahui pengaruh postnatal massage terhadap proses involusi dan laktasi pada masa nifas. Penelitian dilaksanakan di beberapa Bidan Praktik Mandiri (PMB) di kota dan kabupaten Malang menggunakan desain quasi experimental. Populasi adalah ibu postpartum 2 jam sampai dengan 6 hari. Sampel diambil menggunakan purposive sampling sebanyak masing-masing 21 ibu postpartum kelompok perlakuan dan kelompok kontrol. Data penelitian menggunakan data primer dan dianalisis secara deskriptif dan analitik. Analisis data menggunakan uji Mann-Whitney menunjukkan hasil p-value 0,093 untuk involusi dan 0,369 untuk laktasi. Kesimpulannya adalah tidak ada pengaruh signifikan antara postnatal massage dengan involusi dan laktasi pada masa nifas. Postnatal massage lebih berkaitan dengan efek jangka pendek dalam memberikan efek relasasi dan mengurangi keletihan pasca melahirkan. Dukungan dan motivasi dalam bentuk dukungan psikologis dan peran dalam merawat bayi sangat diperlukan oleh ibu postpartum dalam  menjaga proses involusi dan laktasi tetap lancar. Puerperium is a critical period for mother after giving birth. Physical, psychological, mental and spiritual unpreparedness in dealing with this period will make the puerperium run abnormally. The parameters of the success of the puerperium are ivolution and lactation. The problem of involution can be seen from the amount of postpartum hemorrhage caused by uterine atony in Malang as much as 34%, while the lactation problem associated with exclusive breastfeeding in malang is still around 60% low. One effort that can be done is postnatal massage. These action can relax tension and overcome postpartum fatique wich can trigger subinvolution and lactation failure. This study aims to know the effect of postnatal massage on involution and lactation during the puerperium. The study was conducted in several independent midwifery practice in the city and district of Malang using a quasi experimental design.  The population is postpartum mothers 2 hours to 6 days. Samples were taken using purposive sampling as amany as 21 postpartum mothers in the treatment group dan control group. Data analysis using the Mann-Whitney test showed p-values 0,093 for involution and 0,369 for lactation. The conclution is that there no significant effect between postnatal massage with involution and lactation in the puerperium. Postnatal massage has more to do with short-term effects  in providing a relationship effect and reducing postpartum fatique. Support and motivation in the form of psychological supports and the role in caring for infants is needed by postpartum mothers in maintaining the process of involution and lactation remain smooth
Peer Support for Dietary Compliance Patients with Diabetes Mellitus
Get PDFDiabetes mellitus is one of chronic disease whose incidence increases. The success of diabetes mellitus treatment is strongly influenced by patient compliance to carry out treatment. The purpose of this study was to determine the effect of peer support on dietary compliance of diabetes mellitus sufferers at Randu Agung RW X. This study used pre-experiment one-group pre-post test design on sample of 28 diabetes mellitus sufferers in Randu Agung RW X, used purposive sampling technique. The instrument used Satuan Acara Kegiatan (SAK), attendance list, and compliance questionnaire of diabetes mellitus with 3J program. The analysis of the data used the Mc Nemar test. The statistical test results obtained P <0.05 (0.000), it meant H1 was accepted; there was an effect between peer support and dietary compliance in diabetes mellitus sufferers. Peer support is a new technique to control the blood sugar levels of people with diabetes by involving peers who have similar diseases to share experiences, provide support, and motivation so that enthusiasm in running their dietary increases. If someone sees other people successfully controlling their blood sugar levels through good dietary compliance, it will foster that person's enthusiasm to be able to comply with the diabetes mellitus dietary program. The implication of the study results is that providing education with peer support can help other people in similar situations to increase dietary compliance in diabetes mellitus sufferers
Quality of Care and Loyalty of External Users in Peruvian Ophthalmological Centers
Get PDFThe objective of the study is to determine the relationship between quality of care and the loyalty of external users in a private ophthalmic center in Lima, Peru. The method used was a descriptive, cross-correlational, quantitative approach with non-experimental design. The population consisted of 210 external users who received therapies for at least 1 month in an ophthalmologic center located in Lima, Peru; the sample (statistically calculated) consisted of 137 users randomly selected, who responded to a series of reagents through a survey. A questionnaire was used to measure quality of care through SERVPERF model, while loyalty was measured through reagents developed by the authors, based on the scientific theory of Alcaide. Spearman's Rho determined that there is a moderate positive relationship between the quality of care and loyalty (sig. < 0.05; r = 0.594). Likewise, it is determined that there is a positive correlation between the dimensions of tangibility, empathy, responsiveness, security and reliability with the loyalty variable, since the sig. were < 0.05 and the values of r = 0.497, 0.381, 0.342, 0.109 and 0.452, respectively were obtained. Not enough statistical evidence was obtained to find a relationship between the loyalty variable and the security dimension, since a sig. value > 0.05 was obtained. The results found are related to those found by previous authors in other contexts. Finally, we recommend other researchers to carry out similar research internationally, in order to increase the literature on the variables of loyalty and quality of service and generate discusion
The Anxiety of Pregnant Women in Post Abortion by Reading Ayatus Syifa and Lavender Aromatherapy
Get PDFPregnancy and abortion can be a stressor that can increase anxiety. The Qur'an is just as a doubt antidote and diseases that are in the chest and it is commonly known as the heart. The Lavender one of essential oil which popular and it is widely used in the field of clinical health which especially addressing psychosomatic in gynecology. The purpose of this research was to determine the potential decrease of anxiety on pregnant women in post-abortion by reading verses syifa and lavender aromatherapy. The research used experimental design of Pre and Post Test-Group with a sample of all pregnant women who had abortion. The total sample was 24 people. The research was conducted in Aisyiyah Hospital and Muhammadiyah Hospital of Ponorogo in Juny - August 2018. The data analysis used T and Wilcoxon test. The result of data analysis were 0,003 <0,05 and there was comparison between potential decrease of anxiety in pregnant women post abortion by reading verses syifa and giving aromatherapy of lavender.  The comparison showed that the potency of decreasing of anxiety in pregnant woman post abortion by reading ayatus syifa and giving aromatherapy of lavender, 38% decreased anxiety level in pregnant woman post abortion because of lavender therapy and 62% was due to other factor. Then 89%decreased in anxiety level in pregnant woman post abortion because of reading ayatus syifa and 11% due to other factor. Research products can be used as media in the treatment of non pharmacological psikomatic in order to support quality of public health
Barriers of PMTCT (Prevention Mother to Child Transmission) Program: Systematic Review
Get PDFHIV infection during pregnancy is a serious problem that requires special attention because the number of case increasing every year. According to UNAIDS data, more than 36.9 million people were living with HIV on 2017. An increase of 1.8 million new cases and 940,000 deaths occurs in the same year. In Indonesia especially, there were about 630,000 HIV cases on 2017 and nearly 49,000 new cases reported. This number consists of cases of vertical transmission from mother to child during pregnancy. The government has implemented PMTCT (Prevention Mother to Child Transmission) program as a solution to reduce the number of HIV cases. Nevertheless this program has not been running well due to several barriers regarding to its implementation. This study aimed to provide an understanding of various barriers to PMTCT program implementation. A systematic review approach by PRISMA design was used to study literatures from databases. Stigma or discrimination from community and health care, experienced by HIV patients, was major barrier that impede PMTCT program. In addition, lack of support from partner or family, depression, economic factors, stigma from health workers, and health workers’ income-workload discrepancy were also significantly affected the implementation. Contrary, the active role of health workers to provide counseling and education about HIV/AIDS among community as well as to client’s families was a success key of PMTCT program
Pengembangan Media Edukasi Permainan TAHeS (Tangga Anak Hebat dan Sehat) untuk Meningkatkan Pengetahuan dan Sikap Sehat Reproduksi Anak Usia Pra Remaja di SD Negeri Kepanjenkidul 2 Kota Blitar
Get PDFPromosi kesehatan pada sasaran remaja melalui tatanan institusi sekolah sangat efektif untuk pengembangan perilaku hidup sehat. Remaja usia sekolah berada dalam komunitas yang terorganisir yang melaksanakan proses terintegrasi dari pengembangan kemampuan intelektual, sosial dan personal. Penelitian ini dilakukan 2 tahap, tahap pertama metode research dan pengembangan media. Pada tahap kedua pre-eksperimen: The One Group Pretest-Posttest Design. Kenaikan rata-rata jawaban benar dari 25,07 menjadi 29,02 sehingga terdapat selisih jawaban 3,95. Berdasarkan uji statistic paired sample t-test didapatkan hasil p=0,000 (p< 0,005). Dengan demikian terdapat perbedaan sikap sehat reproduksi sebelum dan sesudah diberikan intervensi berupa pendidikan kesehatan dengan menggunakan media edukasi simulasi TAHes. Pembelajaran dengan metode diskusi yang tidak didominasi oleh guru, siswa dapat mengingat 50%, bila belajar disertai dengan melakukan sesuatu kegiatan, dapat mengingat 75%. Praktik belajar dengan cara mengajar, mampu mengingat 90%, oleh karena itu permainan TAHeS diharapkan mampu mengingat 90% karena melibatkan aspek kognitif, afektif dan psikomotor. Health promotion on adolescent targets through the order of school institutions is very effective for the development of healthy living behaviours. School teenagers are in an organized community that carries out an integrated process of developing intellectual, social and personal abilities. This research was conducted in 2 stages, the first stage was research method and media development. In the second stage was pre-experiment: The One Group Pretest-Posttest Design. The average increased in correct answers from 25.07 to 29.02 so that there was a difference of 3.95 answers. Based on a paired sample t-test statistical test results obtained p = 0,000 (p <0.005). Thus there were behavioural differences regarding reproductive health behaviour before and after the intervention in the form of health education using TAHes education media. The development of snake ladder game media TAHeS (Great and Healthy Child Stairs), was worthy of being a health promotion media to improve reproductive knowledge and healthy attitude of teenagers. Learning with discussion methods that were not dominated by the teacher, students could remember 50%, if learning was accompanied by doing an activity, could remember 75%. The practice of learning by teaching was able to remember 90%. Therefore the game TAHeS is expected to be able to remember 90% because it involves cognitive, affective and psychomotor aspects
The Correlation of the Perception of Early Detection Cervical Cancer with Attitude to do Visual Inspection with Acetic Acid
Get PDFCervical cancer is a malignant tumor that grows in the uterus / cervix which is the lowest part of the uterine core and is attached to the top of the vagina. The high incidence of cervical cancer in Indonesia is due to a lack of knowledge and perception of women to prevent the development of cervical cancer. The incomprehensive information about IVA test exposure is as the cause of the women didn't want to do the test. Lack of knowledge about the process of IVA test, feel fear and shame including feeling against to religion principles as the inhibitor factors to do test. Method :The research design uses correlational design with a cross-sectional approach. The study population is 30 respondents and the sample consisted of 27 respondents using purposive sampling technique. Data were analyzed using Spearman rank. Results: The research data showed that there was a relationship between the level of perception of mothers about cervical cancer and the attitude of mothers to carry out the IVA test (Visual Inspection with Acetic Acid) p value = 0,000, so the p value = 0,000 <0.05 while r = 0.678. The relationship of perception with attitude shows that more than half of the respondents 66% have a positive perception in early detection of cervical cancer and they are positive about IVA (Visual Inspection with Acetic Acid)
Pengaruh Terapi Komplementer “Meditasi†terhadap Penurunan Intensitas Nyeri Premenstrual Syndrom pada Remaja Putri Usia 16-18 Tahun di Kelompok Remaja Desa Jatinom Blitar
Get PDFMenstruasi adakalanya disertai dengan ketidaknyamanan yang disebut dengan sindrom pre menstruasi seperti gejala fisik, psikologi dan emosional yang terkait dengan perubahan hormonal. Sindrom pre menstruasi dapat dicegah dengan berbagai terapi, salah satunya terapi komplementer, salah satunya adalah meditasi. Design penelitian yang digunakan adalah pre eksperimen dengan pendekatan pre-post design, sampel penelitian berjumlah 20 reponden, Analisis data yang digunakan dalam penelitian ini termasuk analisis univariat menggunakan frekuensi distribusi dan analisis bivariat menggunakan pasangan uji-t sampel. Hasil penelitian menunjukan terdapat kenaikan mean antara sebelum dan sesudah sebesar 5 poin, dan Ïvalue=0.0001 < α 0.05 maka terdapat pengaruh terapi komplementer “meditasi†terhadap penurunan intensitas nyeri pre menstrual sindrom. Pada dasarnya pemberian terapi meditasi ini dapat memberikan kondisi yang rileks dimana pada kondisi rileks semua system tubuh akan bekerja dengan baik dan pada kondisi ini hipotalamus akan meyesuaikan dan terjadinya penurunan aktifitas sistem saraf simpatis dan menigkatkan aktifitas sistem parasimpatis. Terapi meditasi dilakukan bisa setiap hari di jam senggang dan tidak mempunyai efek samping. Menstruation is sometimes accompanied by discomfort called pre-menstrual syndrome such as physical, psychological and emotional symptoms associated with hormonal changes. Pre menstrual syndrome can be prevented by various therapies, one of which is complementary therapy, one of which is meditation. The research design used was pre-experimental with a pre-post design approach, the study sample numbered 20 respondents, data analysis used in this study included univariate analysis using frequency distribution and bivariate analysis using paired t-test samples. The results showed there was an increase in the mean between before and after by 5 points, and Ïvalue = 0.0001 <α 0.05 then there was the effect of complementary therapy "meditation" on the decrease in the intensity of pre menstrual pain syndrome. Basically, giving this meditation therapy can provide a relaxed condition where in a relaxed condition all body systems will work well and in this condition the hypothalamus will adjust and decrease the activity of the sympathetic nervous system and increase the activity of the parasympathetic system. Meditation therapy can be done every day at leisure and has no side effects
The Effectiveness of Giving Cold Compress in Pain Reduction Intensity of Perineal Wound of Postpartum Mother
Get PDFPerineal wound pain is very likely to cause problems for the postpartum mothers. In the process of childbirth often occurs perineal wound, for some cases, it will heal permanently, but if the wound is wide enough can be sutured to the perineum. Perineal repair not only giving some benefits, but also can cause pain. One way to deal is by applying non-pharmacological pain management, the way is by giving cold compresses in the form of ice bags, it will result smaller risk. The purpose of this study was to provide cold compress therapy in scars to reduce pain. Methods: Posttest only control group design. The population in this study was 30 postpartum mothers in Kanigoro Health Centers by using purposive sampling. The sample was 16 respondents. The independent variable was cold compress, while the dependent variable was pain in the perineal wound. The instrument used Standart Operating Prosedure. Results: Fisher Exact Probability Test shows p = 0.003 (a = 0.05). It could be concluded that giving cold compress could reduce the problem in perineal wound for postpartum mothers in the Kanigoro Health Center area. Along with this study, respondents are expected to actively ask questions, learn about problems during and after giving birth, especially not only learn about the technique of giving cold compresses to the perineum, but also about the provided comments
Perbedaan Pemberian MP-ASI Menu Tunggal dan 4 (Empat) Kwadran terhadap Status Pertumbuhan Anak
Get PDFUpaya menciptakan sumber daya manusia yang baik dan berkualitas dimulai sejak kehamilan sampai setelah kelahiran. Periode emas pada anak dapat diwujudkan apabila masa ini anak memperoleh asupan gizi yang sesuai dan optimal. Namun sayangnya masih banyak masalah gizi dialami oleh golongan anak bawah lima tahun (balita) dan anak bawah dua tahun (baduta) ini, sehingga golongan ini disebut juga dengan golongan rawan gizi. Rekomendasi IDAI tentang praktik pemberian makan berbasis bukti pada bayi dan balita di Indonesia menyebutkan bahwa MP-ASI yang terbaik adalah menu lengkap/seimbang dengan tetap memberikan ASI, namun dalam praktiknya di Kelurahan Wonokromo Surabaya masih didapatkan orang tua yang memberikan anaknya MP-ASI menu tunggal berupa pure buah dan bubur tepung beras. Penelitian ini untuk mengetahui perbedaan MP-ASI menu tunggal dan 4 (empat) kwadran terhadap status pertumbuhan anak. Desain penelitian ini analitik cross sectional. Populasi adalah seluruh bayi yang berusia 6-12 bulan di Kelurahan Wonokromo sebesar 94 bayi. Sampel diambil menggunakan simple random sampling. Jumlah sampel 74 bayi. Pengumpulan data secara langsung menggunakan lembar kuisioner dan secara tidak langsung menggunakan kartu menuju sehat (KMS) Hasil uji statistik menunjukkan nilai p= 0,003 maka p < 0,05 berarti ada perbedaan antara MP-ASI menu tunggal dan menu 4 (empat) kwadran terhadap status pertumbuhan anak. Berdasarkan hal tersebut diharapkan anak mendapatkan menu lengkap atau 4 (empat) kwadran sejak pertama kali mendapatkan MP-ASI yakni saat berusia 6 bulan. Efforts to create good and quality human resources begin from pregnancy until after birth. The golden period in children can be realized if this time the child gets an appropriate and optimal nutritional intake. But unfortunately there are still many nutritional problems experienced by the group of children under five years old (toddlers) and children under two years (baduta), so this group is also called the vulnerable nutrition group. The practice of giving MP-ASI in a diverse society, MP-ASI with a single menu, and a combined menu containing 4 (four) quadrants. In the MP-ASI single menu mother gives MP-ASI with content of one or 2 types of food. While the 4 (four) quadrant menu contains carbohydrates, minerals and vitamins, protein and fat. This research is to find out the differences of MP-ASI single menu and 4 (four) quadrants on the growth status of children. The design of this research was comparative analytic cross sectional The population was all infants aged 6-12 months in the Wonokromo village of 94 babies. Samples were taken using simple random sampling. The number of samples was 74 babies. Direct data collection using questionnaire sheets and indirectly using cards to health (KMS). Statistical test results show the value of p = 0,003 then p <0.05, its meaning that there is a difference between the MP-ASI single menu menu and 4 (four) quadrants to the child's growth status. Based on this, children are expected to get a complete menu or 4 (four) quadrants since first getting MP-ASI ie at the age of 6 months