21 research outputs found

    Faktor-Faktor yang Mempengaruhi Kinerja Bidan dalam Pelaksanaan Stimulasi Deteksi dan Intervensi Dini Tumbuh Kembang Balita dan Anak Prasekolah (Studi pada Bidan yang Bekerja di Puskesmas Kabupaten Sidoarjo Tahun 2011)

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    Universitas Diponegoro Program Pascasarjana Program Magister Ilmu Kesehatan Masyarakat Konsentrasi Administrasi dan Kebijakan Kesehatan Minat Manajemen Kesehatan Ibu dan Anak 2012 ABSTRAK Hanik Machfudloh Faktor-Faktor yang Mempengaruhi Kinerja Bidan dalam Pelaksanaan Stimulasi Deteksi dan Intervensi Dini Tumbuh Kembang Balita dan Anak Prasekolah (Studi pada Bidan yang Bekerja di Puskesmas Kabupaten Sidoarjo Tahun 2011) xii + 92 halaman + 34 tabel + 3 gambar + 6 lampiran Rata - rata cakupan SDIDTK balita dan anak prasekolah pada Dinas Kesehatan Kabupaten Sidoarjo tahun 2008, 2009 berturut-turut adalah 61,52% 46,93% dan masih dibawah SPM tahun 2009 yaitu 80%. Penelitian ini bertujuan mengetahui faktor-faktor yang mempengaruhi kinerja bidan dalam pelaksanaan SDIDTK balita dan anak prasekolah di Puskesmas Kabupaten Sidoarjo. Jenis penelitian observasional analitik dengan pendekatan cross sectional. Populasi penelitian adalah seluruh bidan di Puskesmas Kabupaten Sidoarjo berjumlah 375 bidan. Subjek penelitian sejumlah 77 bidan dipilih secara proportional random sampling. Pengumpulan data dengan angket dan observasi. Variabel bebas adalah pengetahuan, sikap, motivasi, beban kerja, peralatan dan persepsi supervisi sedangkan variabel terikat adalah kinerja bidan dalam pelaksanaan SDIDTK balita dan anak prasekolah. Uji statistik menggunakan Chi-Square test dan Regresi Logistik Ganda. Hasil penelitian menunjukkan rerata umur Bidan 35 tahun dengan simpang baku 7,2 tahun. Seluruh subjek berpendidikan D III Kebidanan, dan 90,9% mempunyai status kepegawaian PNS. Rerata masa kerja 11,7 tahun dengan simpang baku 7,6. Bidan telah mendapatkan pelatihan SDIDTK dengan rerata 5,3 ± 3,2 tahun yang lalu. Sebagian besar bidan(59,7%) memiliki pengetahuan kurang, 62,3% sikap negatif, 57,1% motivasi kurang, 58,4% berpersepsi beban kerja berat, 57,1% peralatan kurang, 54,5% berpersepsi supervisi kurang, dan 54,5% kinerja kurang. Ada hubungan positif antara pengetahuan, sikap, motivasi, peralatan dan persepsi supervisi dengan kinerja bidan. Ada hubungan negatif antara beban kerja dengan kinerja bidan. Kelengkapan peralatan, pengetahuan dan sikap berhubungan secara bersama-sama dengan kinerja bidan. Faktor yang paling berkaitan dengan kinerja bidan dalam pelaksanaan SDIDTK balita dan anak prasekolah adalah kelengkapan peralatan. Disimpulkankan bahwa kinerja bidan dalam pelaksanaan SDIDTK masih kurang. Hal ini berkaitan dengan kelengkapan peralatan, pengetahuan dan sikap bidan terhadap pelaksanaan SDIDTK Kata kunci : SDIDTK, Kinerja, Puskesmas, Bidan Pustaka : 37 (tahun 1991 - 2010) Diponegoro University Postgraduate Program Master’s Program in Public Health Majoring in Health Policy Administration Sub Majoring in Maternal and Child Health Management 2012 ABSTRACT Hanik Machfudloh Factors Associated to the Work Performance of Midwives in the Implementation on Stimulation, Early Detection and Intervention to Growth and Development of Infants and Pre-School Children (a Study on Midwives Working at Sidoarjo District Primary Healthcare Centers in 2011) xii + 92 pages + 34 tables + 3 figures + 6 enclosures The average of SDIDTK coverage of under-five and pre-school children in the work area of Sidoarjo district health office in 2008 and 2009 respectively was 61.52% and 46.93%. It was still below 2009 SPM (80%). Objective of this study was to identify factors affecting the work performance of midwives in the implementation of SDIDTK of under-five and pre-school children in the primary healthcare centers of Sidoarjo district. This was an observational-analytical study with cross sectional approach. Study population was all 375 midwives in the primary healthcare centers (puskesmas) in Sidoarjo district. Study subjects were 77 midwives who were selected using proportional random sampling method. Data collection was done using questionnaire and by conducting observation. Independent variables were knowledge, attitude, motivation, workload, instruments, and perception on supervision. Dependent variable was work performance of midwives in the implementation of SDIDTK of under-five and pre-school children. Chi-square test and multiple logistic regressions were applied in the data analysis. Results of the study showed that the average age of midwives was 35 years old with standard deviation of 7.2 years old. All subjects’ education level was D3 in midwifery; 90.9% were government civil servants (PNS). The average working period was 11.7 years with standard deviation of 7.6 years. Midwives had received SDIDTK training with the average of 5.3 ± 3.2 years ago. The majority of midwives had insufficient knowledge (59.7%), negative attitude (62.3%), low motivation (57.1%), heavy workload perception (58.4%), inadequate instruments (57.1%), inadequate supervision (54.5%), and inadequate work performance (54.5%). There was a positive association between midwives work performance and knowledge, attitude, motivation, instrument, and perception on supervision. There was a negative association between workload and midwives work performance. Completeness of instruments, knowledge, and attitude were jointly associated with the work performance of midwives. The most related factor to the work performance of midwives in the implementation of SDIDTK of under-five and pre-school children was the completeness of instruments. In conclusion, the work performance of midwives in the implementation of SDIDTK was still inadequate. This was related to the completeness of instruments, knowledge, and midwives attitude toward the implementation of SDIDTK. Key words : SDIDTK, work performance, puskesmas, midwives Bibliography : 37 (1991-2010

    Midwifery Care for Postpartum Mothers with Discomfort Pain of Episiotomy Stitches at PMB Ernyadi Sidoarjo: Asuhan Kebidanan Pada Ibu Nifas dengan Ketidaknyamanan Nyeri Luka Jahitan Episiotomi di PMB Ernyadi Sidoarjo

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    The pain due to the episiotomy is not the same, the intensity of the pain is different. This pain is due to the active peripheral nociceptors, which are receptors in particular, which are responsible for delivering to noxious stimuli. This midwifery care is aimed at dealing with complints to Mrs.P history of episiotomy at BPM Ernyadi Sidoarjo with the method of collecting initial data to evaluation the results obtained by Mrs.P a history of episiotomy. Did not find any difficulties at the time the care was given this study was carried out at 2 hours of the puerperium the mother gave birth on January 12, 2020 at 19.15 spontaneously an episiotomy was carried out on the indication of a stiff perineum according to the theory the conclusion from the case study with the initial data collection method to the eva;uation of the problem Mrs.P all the findings and all the actions that have been implemented, Mrs there was no difference between the theory and no signs of infection in the episiotomy suture scars

    Overview of Mother's Knowledge About Exclusive Breastfeeding In Infants Aged 6-12 Months In Medalem Village, Tulangan Sidoarjo District: Gambaran Pengetahuan Ibu Tentang Pemberian Asi Eksklusif Pada Bayi Usia 6-12 Bulan Di Desa Medalem, Kecamatan Tulangan Sidoarjo

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    ASI eksklusif adalah ASI yang diberikan saat setelah melahirkan dan tidak diperbolehkan memberikan makanan atau minuman yang lain selain ASI sampai usia 6 bulan. Dari data awal di Desa Kraton Kecamatan Krian, bulan Februari 2020 didapatkan ada (20%) ibu yang memberikan ASI secara eksklusif. Tujuan penelitian diketahuinya gambaran pengetahuan ibu tentang pemberian ASI ekslusif pada bayi usia 6-12 bulan di Desa Medalem Tulangan.Pengambilan data menggunakan kuesioner dengan cara mengunjungi rumah ibu  yang memiliki bayi usia 6-12 bulan, dari populasi sebanyak 10 ibu. Hasil penelitian menunjukkan hampir setengahnya (40%) pengetahuan ibu tentang pemberian ASI eksklusif adalah cukup, Simpulan penelitian ibu yang memiliki bayi usia 6-12 bulan mempunyai cukup pengetahuan tentang pemberian ASI eksklusif hampir setengahnya adalah cukup. Saran untuk penelitian ini bidan lebih optimal dalam memberikan KIE tentang pemberian ASI eksklusif yang benar

    Reading Pilch in the strict sense. About the influence of self-referentiality on the formation of the public persona of Jerzy Pilch

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    Reading Pilch in the strict sense. About the influence of self-referentiality on the formation of the public persona of Jerzy Pilch The essential focus of this article is the issue of the “trap of self-referentiality” that Jerzy Pilch and his audience fell into. The aim of the article is to trace Pilch’s autobiographical and self-referentiality comments and examine how they affected the reception of his image, as well as the interpretation of his persona. The analysis of various commentaries allows the author to carefully trace the intricacies of the public persona created by Jerzy Pilch, a persona that became for him both a popularizing trademark and a burden for a sensitive man. Hanik shows that Pilch destined himself to such a fate, over the years meticulously creating the image, that he maintained in interviews, numerous speeches and numerous autobiographical novels. This earned him both a crowd of loyal fans and a group of harsh critics. The author sketches Pilch’s image emerging from these statements in order to retrace where it was disturbed, and to analyze the statements, reviews and comments on his persona that reinforced this image or undermined its authenticity. Finally, the article shows that the creation of one of the first such distinctive media personas in the Polish literary market, was at the same time the creation of one of Pilch’s characters, one of the most difficult to interpret

    Midwifery Care for Pregnant Women With Back Pain Discomfort in Trimester III Pregnancy at the Karunia Birth Clinic, Sidoarjo.: Asuhan Kebidanan Pada Ibu hamil Dengan Ketidaknyamanan Nyeri Punggung Kehamilan Trimester III Di Klinik Bersalin Karunia Sidoarjo.

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    Pregnancy is a process that begins with the unification of spermatozoa with ovum called fertilization and then continued with implantation. Normal pregnancies generally last for 9 months, and are divided into the first 3 trimesters 1-12 weeks, the second trimester 13-27 weeks, the third trimester 28-40 weeks. Various complaints felt by pregnant women, one of which is back pain that causes pregnant women discomfort. This aerikel was written taken from the place of Maternity Clinic Karunia Sidoarjo on January 05, 2020. The way of data collection is by means of anamnesa, examination of analysis, data then documenting by comparing between the data that has been obtained with existing theories. Mrs. .m 40 weeks gestational age, with complaints of physiological back pain with good maternal and fetal conditions

    The Effectiveness of Lavender (Lavendula Augustfolia) and Neroli (Citrus Aurantium) Aromatherapy Inhalation to Decrease Pain Labor: Efektivitas Inhalasi Aromaterapi Lavender (Lavendula Augustfolia) dan Neroli (Citrus Aurantium) terhadap Penurunan Nyeri Pasca Proses Persalinan

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    Maternal labor will experience almost all body pain, such as painful ribs, stitches, abdominal pain due to uterine contractions, and discomfort in the back due to epidural needles, and this discomfort will last several days and can be overcome by prescription for painkillers. In this study aimed at carrying out non-famacological pain relief therapy, namely by using aromatherapy which is believed to reduce pain, this study tried to compare the effectiveness of lavender and neroli aromatherapy inhalation to decrease post-labor pain. The research method used quasi-experimental that is given aromatherapy lavender (Lavendula Augustfolia) and neroli (Citrus Aurantium) inhalation treatments. The number of respondents was 60 with 1-2 days of normal and postpartum criteria, each group consisted of 30 respondents. Group 1 was held at the Pearl Delta Clinic RB and group 2 in the Karunia RB Clinic. Data were analyzed by univariable by using mean and standard deviation, bivariable with statistical test independent sample T test. The results of this study showed a mean reduction in pain scores on lavender aromatherapy inhalation of 2.36 ± 0.15, whereas in the aromatherapy neroli inhalation group the mean reduction in pain score was 3.03 ± 0.067 with a P value <0.002 indicating a significant relationship. The conclusion of this study is the inhalation of lavender aromatherapy (LavendulaAugustfolia) and neroli (Citrus Aurantium) can reduce the intensity of postpartum pain, but in the aromatherapy neroli inhalation group has a greater pain reduction score than the lavender group.&nbsp

    Edukasi Gizi pada Masyarakat dalam Meningkatkan Pengetahuan tentang Gizi

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    Dinegara berkembang, adanya transisi gizi membuat prevalensi gizi meningkat sehingga dapat mengalami beban ganda untuk masalah gizi dimana gizi yang kurang maupun gizi yang lebih dapat menganggu proses pertumbuhan dan perkembangan terutama pada anak serta dapat meningkatkan risiko penyakit pada anak maupun orang dewasa. Survey pendahuluan di Desa Sidokepung kecamatan Buduran Kabupaten Sidoarjo, masih terdapat balita gizi kurang sehingga tim pengabdi mengadakan edukasi mengenai gizi yang melibatkan para peternak budidaya ikan lele dan masyarakat umumnya. Metode yang dilaksanakan dalam kegiatan pengabdian masyarakat ini dengan ceramah, kunjungan, dan demo langsung. Kegiatan ceramah dan kunjungan dilakukan untuk pemahaman materi kesehatan dan gizi sedangkan demo langsung dilakukan untuk aplikasi materi yang langsung dapat ditiru dan dirasakan oleh peserta. Hasil dari kegiatan pengabdian masyarakat adalah pemahaman dari peserta edukasi tentang kesehatan dan gizi dan edukasi dalam aplikasi penentuan gizi dan kesehatan sehingga masyarakat cukup tertarik pada masalah yang disajikan. Selain itu, peserta memahami dengan baik tentang materi yang diberikan narasumber bahkan mereka sadar bahwa menjaga kesehatan dan mengetahui serta memperhatikan tentang gizi yang baik merupakan keharusan dan kewajiban setiap keluarga apalagi didukung dengan sebagian besar masyarakat merupakan peternak budidaya ikan lele dimana ikan lele merupakan ikan yang tinggi protein

    An attempt at demythologization. On Jak zostałem pisarzem by Andrzej Stasiuk

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    The aim of this article is to show that the strategy of demythologizing one’s own experiences applied by Stasiuk in his autobiography entitled Jak zostałem pisarzem constitutes a ‘play on taboos’. To this end, the author analyses the narrative strategies manifested within the writer’s autobiographical statements, especially those that trivialize and demythologize events that were constituting a kind of ‘generational experience’ for Stasiuk’s generation. Such a strategy of portraying oneself proves to be a kind of ‘play on taboos’, which in this case can be defined as a certain imperative of portraying ‘the experience of basic military service’ and ‘the experience of underground activity’ in People's Republic of Poland
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