Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery)
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Hubungan Tingkat Pengetahuan dengan Perilaku Penanganan Gawat Darurat Hipotermi pada Pendaki Gunung di Organisasi Primapala Ampel Kabupaten Boyolali
Get PDFLatar Belakang : Pendaki gunung dan hipotermi merupakan sebuah hubungan yang sangat terkait dalam pendakian. Cuaca buruk di puncak gunung Merbabu menyebabkan 7 pendaki harus dievakuasi karena mengalami hipotermi saat mendaki. Kondisi tubuh yang terlalu lama kedinginan, khususnya dalam cuaca berangin dan hujan dapat menyebabkan mekanisme pemanasan tubuh terganggu. Pentingnya pengetahuan pada pendaki dapat menjadikan pendaki tersebut terhindar dari hipotermi, tetapi tak jarang para pendaki menganggap remeh dan tidak peduli. Tujuan Penelitian: Mengetahui hubungan tingkat pengetahuan dengan perilaku penanganan gawat darurat hipotermi pada pendaki gunung di organisasi Primapala Ampel Boyolali. Metode: Jenis penelitian analitik dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah seluruh anggota Primapala Ampel Boyolali yang berjumlah 30 orang. Jumlah sampel dalam penelitian ini adalah 30 orang. Teknik pengambilan sampel menggunakan total sampling. Instrumen penelitian menggunakan kuesioner. Analisa data menggunakan Uji Kendal Tau. Hasil : Hasil analisa diperoleh tingkat pengetahuan tentang penanganan gawat darurat hipotermi dalam katgori baik sebanyak 27 responden (90%), kategori cukup sebanyak 3 responden (10%). Perilaku penanganan gawat darurat hipotermi dalam kategori baik sebanyak 28 responden (93,3%), kategori cukup 2 responden (6,7%). Nilai Signifikansi uji Kendal Tau yaitu 0,013 Diskusi: Perilaku penganganan gawat darutat Hipertermi mayoritas dalam kategori baik dan terdapat hubungan antara tingkat pengetahuan dengan perilaku penanganan gawat darurat hipotermi pada pendaki gunung di organisasi Primapala Ampel Boyolali. Background: Mountaineer and hypothermia have correlation in climbing. Bad weather at the top of Merbabu caused 7 mountaineers to be evacuated because of hypothermia. Body condition was too long periods of cold, especially in windy weather and rain can cause the body's warming mechanism to be disrupted. The importance of cognitive for mountaineers can make the mountaineers avoid hypothermia, but not infrequently the mountaineers underestimate and do not care. The purpose of research: Knowing the realtion of cognitive level and hypothermia emergency handling of mountaineers in Primapala ampel Boyolali organization. Method: The research used analytic reasearch with cross sectional approach. The research population is all members of Primapala ampel Boyolali organization which are consist of 30 people. The number of samples is 30 people. The sampling technique used total sampling. The research instrument used questionnaire. The data analysis used Fisher Test. Result: Cognitive level of hypothermia emergency handling is good category which are 27 respondents (90%), enough category which are 3 respondents (10%). Hypothermia emergency handling in good category is 28 respondents (93,3%) and enough category is 2 respondents (6,7%). Significance Value of Kendall’s Tau test that is 0.013 Discussion: Majority of emergency treatment behavior Hypertherm is in the good category. Discuss: There is a realtionship between the cognitive level and hypothermia emergency handling of mountaineers in Primapala ampel Boyolali organization
Health Problem Related Smoking Behaviour Among Adult in Indonesia
Get PDFSmoking behaviour is a problem that is often found in Indonesian society. The number of active smokers in Indonesia is increasing from year to year. Smoking can cause losses both in terms of socio-economic and health and even death. The aim this research is (1) to assess the prevalence of smoking cigarette among adult in Indonesia, and (2) to analizing relationship between health problem and smoking cigarette among adult in Indonesia. This is a cross-sectional study based on data extracted from the Indonesia Demographic and Health Survey, 2017. A household-based survey, implemented in a representative probability sample of more than 47963 households from urban and rural areas in Indonesia. This research was analytic correlational study with Cross sectional approach. The sample of reserach were 18023 adult aged between 15 and 44 years. Relationship between health problem and smoking cigarette among adult in Indonesia was assessed by bivariate methods. Based on the results of the study found that most smokers have ages, residing in rural areas, secondary level education background, have a very poor wealth index level. The research findings found there is a relationship between age (p=0,001), type of residence (p=0,005), type of education (p=0,000), type of wealth index (p=0,000), and health problem related smoking behavior. The findings indicate that there is a relationship between complaints of short / rapid breath (p=0,001), and dont have relationship with nasal disorders and the presence or absence of cough with smoking behavior.Â
The Effect of Classical Music Therapy on Sleep Disorders of Children Hospitalized at Sakinah Islamic Hospital Mojokerto Regency
Get PDFThe general response that occurs when hospitalized children included regression, anxiety separation, apathy, fear, and sleep disorders. One method for improving sleep was music therapy. This research aimed to prove the effect of classical music therapy on sleep disorders at children who have experienced hospitalization at Sakinah Islamic Hospital, Mojokerto Regency. This research design was pre-experimental with one group pretest-post test design approach. The population at this research were all children who experienced hospitalization at Sakinah Islamic Hospital at Mojokerto Regency on February 26th-March 21th 2019 as many as 43 children. The sampling technique of this research was purposive sampling. The sample size that met the research criteria were 30 children. The research instrument used SOP music therapy and questionnaires. The results of this research suggested that before being given music therapy almost all respondents had lacked sleep needs as many as 23 respondents (76.7%), and after being given music therapy almost entirely had equal sleep needs as many as 26 respondents (86.7%). Wilcoxon Signed Rank Test suggested that pvalue = 0,000 or <α (0,05), which meant that there was an effect of music therapy on sleep disorders at children who have been hospitalized at Sakinah Islamic Hospital Mojokerto Regency. Music therapy would provide a relaxing effect where when children like music would stimulate endorphins to provide a sense of calm and easier to sleep
Pengaruh Pendidikan Kesehatan Metode Guidance and Counseling terhadap peningkatan Efikasi Diri (Self Efficacy) pada Pasien TBC di wilayah kerja Puskesmas Boro
Get PDFTB Paru merupakan salah satu penyakit menular yang masih menjadi permasalahan di dunia hingga saat ini.Angka dropout dan kambuh terjadi setiap tahun dan salah satu faktor internal yang mempengaruhi yaitu efikasi diri (self efficacy) yang rendah dan untuk meningkatkannya perlu metode pendidikan kesehatan yang tepat yaitu guidance and counseling.Tujuan penelitian ini untuk mengetahuipengaruh pendidikan kesehatan Metode Guidance and Counselingterhadap peningkatan efikasi diri (self efficacy) pada pasien TBC di wilayah kerja Puskesmas Boro.Penelitian menggunakan desain penelitian quasy experiment.Populasi adalah Pasien TBC di wilayah Puskesmas Boro dan sesuai kriteria inklusi sebanyak 19 responden dengan teknik purposive sampling, pengumpulan data menggunakan kuesionerdan analisis data menggunakan uji statistik wilcoxon signed rank test. Nilai rata – rata efikasi diri sebelum intervensi 24, setelah intervensi sebesar 32,63. Peningkatan rata – rata sebelum dan sesudah intervensi sebesar 8,63. Hasil uji statistik wilcoxon signed rank test dengan α ≤ 0,05 menunjukkan bahwa nilai Ï-value sebesar 0,000. Hal ini berarti ada ada pengaruh pendidikan kesehatan metode guidance and counseling terhadap peningkatan efikasi diri pada pasien TBC. Berdasarkan hasil penelitianini maka petugas kesehatandapat mengaplikasikan metode guidance and counselinguntuk meningkatkan pengetahuan dan keterampilan serta memaksimalkan peran petugas kesehatan pada pemberian pendidikan kesehatan dalam rangka pelayanan paripurna dan menunjang kesembuhan pasien TBC dengan meningkatkan efikasi diri (self efficacy) pasien. Pulmonary TB is one of the infectious diseases that still exist until now. The number of dropouts and relapses cases occurs every year. One of the internal factors that affected the case is low self-efficacy (self efficacy). Guidance and counseling method could increase the self efficacy. The purpose of this study was to determine the effectiveness of health education with Guidance and Counseling methods to the improvement of self efficacy of TB patients in working area of Boro Public Health Center. The study used quasy experiment design. The population was TB patients in working area of Boro Pulic Health Center. The sample was 19 respondents with purposive sampling technique. The data collected by questionnaires and the data analysis used Wilcoxon signed rank test statistics. The average value of self-efficacy before intervention was 24, after the intervention was 32.63. The increase in the average before and after the intervention was 8.63. The result showed that Ï-value 0,000 meant that there was an effect of health education with guidance and counseling methods to the improving self-efficacy in TB patients. Based on the results of this study, health workers could apply guidance and counseling methods to the improvement of knowledge and skills and maximize the role of health workers in the provision of health education in the context of plenary service and support the recovery of TB patients by increasing patient self-efficacy
Hubungan Spiritual Coping dengan Self Monitoring pada Pasien Diabetes Melitus Tipe 2 di Poli Klinik Penyakit dalam RSUD Waluyo Jati Kraksaan Probolinggo
Get PDFSpiritual merupakan salah satu faktor penting Untuk meningkatkan pemantauan diri bagi pasien Diabetes Melitus Tipe 2. Tingkat spiritualitas yang tinggi dapat mempengaruhi kognisi manusia untuk berpikir positif. Pasien dengan diabetes dua kali lebih beresiko mengalami status kecemasan, depresi dan masalah psikologis yang serius. Tujuan: penelitian ini untuk mengetahui adanya hubungan Spiritual Coping dengan Self Monitoring pada Klien DM tipe 2. Desain dalam penelitian adalah cross sectional, yaitu penelitian yang bertujuan mendeskripsikan atau menguraikan suatu keadaan dan selanjutnya menjelaskan suatu keadaan tersebut melalui pengumpulan data pengukuran variabel korelasi yang terjadi pada objek penelitian secara simultan atau dalam waktu yang bersamaan, dengan jumlah sampel 110 responden, Variabel bebas dalam penelitian ini Spiritual Coping dan Variabel terikat dalam penelitian ini adalah Self Monitoring. dengan, Tekhnik pengambilan sampel dilakukan secara Probability Sampling, yaitu dengan cara simple random sampling yang mana jenis probabilitas yang paling sederhana. Untuk mencapai sampling ini, setiap elemen diseleksi secara acak. Hasil penelitian didapatkan hubungan yang signifikan (P=0,002<0,05 ) antara hubungan Spiritual Coping dengan Self Monitoring. Kesimpulannya: tedapat hubungan Spiritual Coping Dengan Self Monitoring Pada Klien Diabetes Mellitus tipe 2 di Poli Klinik Penyakit Dalam RSUD Waluyo Jati Kraksaan Probolinggo. Spiritual is one of the important factors to increase self-monitoring for Type 2 Diabetes Mellitus patients. High spiritual level can influence human cognition to think positively. Patients with diabetes are twice as likely to experience anxiety, depression, and serious psychological problems. Objective: this study is to determine the relationship between Spiritual Coping and Self Monitoring on DM type 2 clients. The design in this study is cross sectional, namely research that aims to describe or describe a situation and then explain a situation through collecting data that measures the correlation variable that occurs on the research object simultaneously or simultaneously, with a sample of 110 respondents. The independent variable in this study is Spiritual Coping and the dependent variable in this study is Self Monitoring. with, the sampling technique is done by Probability Sampling, namely by means of simple random sampling which is the simplest type of probability. To achieve this sampling, each element is chosen randomly. The results showed a significant relationship (P = 0.002 <0.05) between the relationship of Spiritual Coping with Self Monitoring. In conclusion: there is a relationship between Spiritual Coping and Self Monitoring on Type 2 Diabetes Mellitus Clients in the Internal Medicine Clinic at Waluyo Jati Kraksaan Probolinggo Hospital
The Improvement of Eye Hand Foot Score of Disability through Empowerment Education, Home-Based Self Care, Peer Support
Get PDFIntroduction: Mycobacterium leprae infiltration results in inflammation of the nerves. This condition results in a progressive decline of nerve function of the eyes, hands and feet. The main burden of people with leprosy is a disability that will affect all aspects of their lives. The objective of this study was to explain the effect of empowerment education, home-based self care, and peer support for disability. Methods: True experimental randomized pre-post test control group design. The sampling technique used simple random sampling consisted 16 respondents. The independent variable was empowerment education, home-based self care, and peer support. The dependent variable was disability. The data were collected by in-vivo biological observation sheets. The data were analyzed by Mann-Whitney Test and Wilcoxon Signed test. Results: The result showed that there was an effect of intervention on disability with Wilcoxon Sign Rank Test 0.046. Discussion: Empowerment education interventions, home-based self care, peer support increase the knowledge of leprosy clients in self care. The key to disability prevention is 3M, which is checking, protecting, and caring for the eyes, hands and feet. These three interventions will increase patient confidence in self-care at home. The support of peers will also make it easier for clients to weigh the advantages and disadvantages when not complying with comprehensive treatment
The Effectiveness of In-Network Methods (Whatsapp Group) to the Attitudes of Covid 19 Prevention of D3 Midwifery Students STIKes Patria Husada Blitar
Get PDFCovid-19 is a new type of virus that easily spreads to humans and causes serious infections such as pneumonia. In Indonesia, the PSBB (Large-Scale Social Restriction) was implemented as an effort to suppress the spread of the corona virus. All activities outside the home are stopped or reduced until the pandemic has subsided. Some regions have implemented government policies to dismiss their students and begin the application of learning methods using an online or online system. Methods: The design of this study used a quasy experiment with a pre-post group design approach without control group design. A sample of 19 respondents was given material about the definition of covid-19, prevention of covid-19. The sampling technique used purposive sampling. The data collection method used a questionnaire in the form of google form given to respondents before treatment and after treatment. Data analysis was divided into 2, namely univariate and bivariate. Univariate in the form of frequency distribution to measure the characteristics of respondents, namely age, parent's occupation, and bivariate using the Wilcoxon Signed Rank Test statistical test aimed at distinguishing attitudes before and after treatment. Results: The Wilcoxon test proved that there was a difference between before and after treatment, namely α (0.05) ˃ 0.001. Discussion: Communication with social media via the internet (whatsapps) affected the attitudes of respondents in preventing covid-19 transmission and increase information and understanding for respondents
Faktor-Faktor Determinan yang melatar belakangi Kehamilan Remaja di Desa Pandansari Kecamatan Poncokusumo Kabupaten Malang
Get PDFKehamilan remaja adalah kehamilan yang terjadi pada remaja berusia kurang dari 20 tahunan. Kehamilan remaja memberikan banyak kerugian bagi kesehatan, mental dan psikologis, kesejahteraan ekonomi dan peluang karier, kemiskinan dan prospek kehidupan masa depan remaja. Tujuan penelitian mengidentifikasi faktor determinan yang melatarbelakangi terjadinya kehamilan remaja. Jenis penelitian adalah penelitian analitik kategorik jenis survei kuantitatif dengan desain case control. Populasi semua perempuan yang bertempat tinggal di wilayah dusun Wonosari, Sukosari, dan Krajan Pandansari dan pernah/sedang hamil pertama kali pada usia kurang dari 20 tahun. Teknik pengambilan sampel cluster random sampling besar sampel 73. Berdasarkan hasil model akhir analisis multivariat, diketahui bahwa variabel pendidikan, riwayat kehamilan remaja pada keluarga dan usia menikah merupakan variabel yang berhubungan dengan kejadian kehamilan remaja setelah dikontrol oleh variabel akses informasi, responden berpendidikan rendah memiliki peluang 20,8 kali lebih tinggi, responden yang memiliki riwayat kehamilan remaja pada keluarga memiliki peluang 14,9 kali lebih tinggi, responden yang menikah pada usia <20 tahun memiliki peluang 12,1 kali lebih tinggi, responden dengan pemahaman yang kurang baik terkait penggunaan kondom memiliki peluang 5,9 kali lebih tinggi untuk terjadi kehamilan remaja. Oleh karena itu perlu dibangun karakter buiding, sosial karakter suport untuk para ibu remaja dan keluarga sehingga terbangun interaksi yang baik dalam keluarga yang dilandasi dengan pendidikan dan pemahaman yang baik tentang Pendidikan seksualitas. Teen pregnancy is a pregnancy that occurs in adolescents aged less than 20 years old. Teen pregnancy provides many disadvantages for health, mental, psychological, economic well-being, career opportunities, poverty, and the future life. The aim of the study was to identify the determinants underlying teen pregnancy incidence. This study was a quantitative study with categorical analytic method. The study design used a case control with two comparison groups. The groups were control group and case group. The population in this study was all women who lived in the Wonosari, Sukosari, and Krajan Pandansari district and had or were pregnant for the first time at the age of less than 20 years old. Seventy three respondents were recruited using cluster sampling technique. The case group consists of women who were or had pregnant for the first time at the age of less than 20 years old and their children are currently aged ≤ 1 years old. The control group consists of women who were pregnant for the first time at the age of > 20 years old. The data was collected using a questionnaire. The findings showed that education, history of teen pregnancy in family and the age of marriage were related to the incidence of teen pregnancy after being controlled by information access. Low-educated respondents had 20.8 times higher chance of experiencing teen pregnancy; respondents with a history of teen pregnancy in the family had 4.9 times higher chance of experiencing teen pregnancy; respondents who were married at the age of < 20 years old had 12.1 times higher chance of experiencing teen pregnancy; respondents with poor understanding of condom use had 5.9 times higher chance of teenage pregnancy. In conclusion, the findings suggest to build good interactions in the family based on education and a good understanding of sex education
Kejadian Postpartum Blues pada Ibu Postpartum di RS PKU Muhammadiyah Yogyakarta
Get PDFPostpartum blues dikategorikan sebagai sindroma gangguan mental ringan yang sering dialami oleh wanita pasca persalinan sehingga sering tidak dipedulikan, tidak terdiagnosa dan tidak tertangani, apabila postpartum blues ini tidak sembuh selama 2 minggu maka akan berubah menjadi postpartum depression dan postpartum psycosis. Penelitian ini bertujuan untuk mengetahui gambaran kejadian postpartum blues pada ibu postpartum. Desain penelitian yang digunakan deskriptif kuantitatif dengan pendekatan waktu cross sectional. Tempat penelitian di RS PKU Muhammadiyah Yogyakarta. Jumlah sampel 30 responden dengan teknik pengambilan sampel quota sampling. Analisa data menggunakan analisis univariate. Hasil penelitian ini menunjukkan bahwa sebagian responden mengalami postpartum blues (53,3%) dengan resiko sedang mengalami depresi postpartum (43,3%) dan resiko berat untuk mengalami depresi postpartum (10%). Pada penelitian ini didapatkan 53,3% dari seluruh ibu postpartum di RS PKU Muhammadiyah Yogyakarta mengalami postpartum blues. Rekomendasi dari penelitian ini adalah adanya skrining postpartum blues oleh tenaga kesehatan sebelum ibu nifas di perbolehkan pulang dan ada kunjungan nifas bagi ibu ibu yang terdeteksi postpartum blues saat di rumah sakit. Postpartum blues is categorized as a mild mental disorder syndrome that is often experienced by postpartum women so that it is often ignored, undiagnosed and untreated, if the postpartum blues is not healed for 2 weeks it will turn into postpartum depression and postpartum psycosis. This study aims to determine the description of the incidence of postpartum blues in postpartum mothers. The research design used is quantitative descriptive with cross sectional time approach. Research site at PKU Muhammadiyah Hospital Yogyakarta. The number of samples was 30 respondents with a quota sampling technique. Data analysis uses univariate analysis. The results of this study indicate that some respondents experienced postpartum blues (53.3%) with a moderate risk of experiencing postpartum depression (43.3%) and a severe risk for experiencing postpartum depression (10%). Conclusions and Recommendations from the results of the above study it can be concluded that 53.3% of all postpartum mothers in PKU Muhammadiyah Yogyakarta Hospital experienced postpartum blues. The recommendation of this study is that health workers related to postpartum mothers should pay more attention to psychological adaptation of postpartum mothers and to be able to overcome the problems of postpartum blue
Peran Keluarga dalam Program Indonesia Sehat dengan Pendekatan Keluarga (PIS-PK) melalui Pelaksanaan Program Keluarga Berencana (KB)
Get PDFProgram Indonesia Sehat yang diluncurkan Kementerian Kesehatan tahun 2016, disebabkan oleh masih belum tercapainya misi “Indonesia Sehatâ€sesuai target yang telahditetapkan. Berbagai masalah kesehatan yang belumtercapai salah satunya adalah Pencapaian Program Keluarga Berencana.Tujuan penelitan ini adalah mengetahui bagaimana peran keluarga dalam Program Indonesia sehat dengan pendekatan keluarga (PIS-PK) dalam Program Keluarga Berencana. Desain penelitian yang digunakan dalam penelitian ini adalah Diskriptif dengan pendekatan Cross Sectional. Populasi dalam penelitian ini adalah seluruh keluarga di wilayah Puskesmas Sumurgung Kecamatan Palang Kabupaten Tuban, yaitu sebanyak 9570 keluarga, dengan tehnik pengambilan sampel secara Cluster diperoleh sampel sebanyak 384 keluarga.Pengumpulan data dilakukan dengan menggunakan kuesioner, yang diambil dari materi lembar balik dari Program Indonesia Sehat dengan Pendekatan Keluarga (PIS-PK) dari Kementerian Kesehatan. Data yang terkumpul dianalisa dengan prosentase dan disajikan dalam bentuk tabel. Hasil penelitian menunjukkan Peran keluarga dalam mengikuti Program Keluarga Berencana, mengacu dari pelaksanaan 5 tugas keluarga yaitu Mayoritas keluarga (99,22%) Mengenal tentang Keluarga Berencana, Lebih dari separoh keluarga (68, 23 %) mampu mengambil Keputusan untuk melakukan Keluarga Berencana, Lebih dari separoh keluarga (51,82%) mengikuti program Keluarga Berencana, Lebih dari separoh keluarga (56,25%) mampu memodifikasi Lingkungan bagi keluarga yang mengikuti Kb, dan Mayoritas keluarga (99,22%) mampu memanfaatkan fasilitas kesehatan terdekat untuk ikut program keluarga Berencana. Untuk tetap meningkatkan peran keluarga yang belum optimal kerjasama petugas kesehatan/pelayanan kesehatan terdekat, kader kesehatan dan keluarga sangat dibutuhkan, agar program ini tetap bisa berjalan secara berkesinambungan, dan mencapai hasil yang diharapkan. The Healthy Indonesia Program launched by the Ministry of Health in 2016 was the consequence of the "Healthy Indonesia" mission which was not achieved the targets set. One of achievement which was not achieved the target set was the Birth Control Program. The purpose of this study was to find out the way how to improve the role of families in the healthy Indonesia Program with the family approach (PIS-PK) in the Birth Control Program. The study used descriptive with Cross Sectional approach. The population in this study was the whole family in the area of the Puskesmas in Sumurgung District in Palang District in Tuban, as many as 9570 families. The sample was 384 families taken by cluster sampling technique. The data was collected by questionnaire, taken from the flipchart material from the Healthy Indonesia Program with the Family Approach (PIS-PK) from the Ministry of Health. The collected data was analyzed with a percentage and presented in tabular form. The results of the study showed that family behavior follows the Birth Control Program, referring to the implementation of 5 family tasks. The majority of families (99.22%) were familiar with birth control program, more than half of families (68, 23%) are able to make decisions to do birth control program, more than half of families (51.82%) follow the family birth control program, more than half of families (56.25%) were able to modify the environment for families following the Kb, and the majority of families (99.22%) were able to utilize the nearest health facility to participate in the birth control program. In order to increase the role of the family that was not optimal the cooperation of health workers / closest health services, health cadres and families are needed, so that this program can continue to run continuously, and achieve the expected results