scholarly journals Effectiveness of Early Exercise Against Uterine Involution in Spontaneous Postpartum Patients

2019 ◽  
Vol 15 (1) ◽  
pp. 15-21
Author(s):  
Dian Nurafifah ◽  
Dadang Kusbiantoro

It is estimated that 50% of puerperal mortality occur within the first 24 hours. At thistime the involution process occured. Involutionary disorders cause complications whichis the leading cause of maternal mortality. Most of postpartum women do not obtainexercise guidance after giving birth. They are only advised to do simple mobilizationwithout planned guidance. The purpose of this study was to determine the effectivenessof early exercise against uterine involution (fundus and lochea). The research methodused Quasi Experimental (pre-post test non equivalent control group design). It wasconducted from May to August 2017. The samples were 40 respondents spontaneousprimiparous postpartum mother. The study was started by 1) divided the samples intocontrol group and treatment group, 2) measured the fundus and lochea, 3) providedearly exercise on treatment group, 4) re-measured fundus and lochea in both groups, 5)analyzed the effectiveness of early exercise to fundus and lochea expenditure decrease.The data analysis used Mann Whitney with α = 0.05. The results showed p value is 0.000(fundus) and p value are 0.001 (lochea). It means that early exercise is effective againstuterine involution (fundus and lochea). The results can provide positive contribution inpreventing maternal mortality caused by puerperal complications.

Author(s):  
Eny Pemilu Kusparlina ◽  
Sundari Sundari

Background: It is estimated that 50% of puerperal mortality occur within the first 24 hours. At this time the involution process occured. Involutionary disorders cause complications which is the leading cause of maternal mortality. Most of postpartum women do not obtain exercise guidance after giving birth. They are only advised to do simple mobilization without planned guidance. The purpose of this study was to determine the effectiveness of early exercise against uterine involution (fundus and lochea). Methods: The research used quasi experimental (pre-post test non equivalent control group design). It was conducted from January to June 2019. The samples were 40 respondents spontaneous primiparous postpartum mother. The study was started by 1) divided the samples into control group and treatment group, 2) measured the fundus and lochea, 3) provided early exercise on treatment group, 4) re-measured fundus and lochea in both groups, 5) analyzed the effectiveness of early exercise to fundus and lochea expenditure decrease. The data analysis used Mann Whitney with α = 0.05. Results: The results showed p-value of 0.000 (fundus) and 0.001 (lochea). Conclusion: Early exercise is effective in accelerating decrease in fundus and lochea expenditure as it helps blood circulation to the uterine, which causes the uterus to contract well. Good contractions help narrowing of open blood vessels so that bleeding does not occur, decreases in uterine fundus and lochea expendment take place more rapidly. Keywords: early exercise; uterine involution; spontaneous postpartum


2020 ◽  
Vol 5 (2) ◽  
pp. 65
Author(s):  
Inge Anggi Anggarini

Salah satu indikator untuk menentukan derajat kesehatan suatu bangsa ditandai dengan tinggi rendahnya angka kematian ibu. Hal ini merupakan suatu fenomena yang mempunyai pengaruh besar terhadap keberhasilan pembangunan kesehatan. Masa Nifas merupakan hal penting untuk diperhatikan guna menurunkan angka kematian ibu. Setelah persalinan tubuh seorang ibu memasuki masa pemulihan, salah satunya adalah involusi uteri yang dimulai segera setelah persalinan dan proses ini harus tuntas setelah 6 minggu.. Ada beberapa upaya yang dapat dilakukan untuk mempercepat proses involus uteri antara lain senam nifas dan pijat oksitosin. Tujuan Penelitian: menganalisis pengaruh kombinasi dari senam nifas dan pijat oksitosin terhadap involusi uteri pada ibu postpartum. Metode Penelitian: Penelitian ini merupakan penelitian quasi eksperimen dengan post test-only control group design. Pengambilan sampel dilakukan secara consecutive sampling.Hasil: Hasil penelitian menunjukkan terdapat perbedaan rerata yang bermakna pada penurunan tinggi fundus uteri antara kelompok perlakuan dan kelompok kontrol (p<0,05). Simpulan:Hasil penelitian ini diharapkan memberikan kontribusi positif terhadap ilmu kebidanan sebagai salah satu upaya nonfarmakologik untuk mempercepat proses involusi uteri sehingga dapat mengurangi perdarahan pada ibu postpartum yang sering terjadi pada masa postpartum karena proses involusi yang tidak berjalan normal (sub involusi uteri) dan dapat mendukung upaya pemerintah dalam mengurangi angka mortalitas dan morbiditas ibu.An indicator to determine the degree of health, high and low maternal mortality rates characterize a nation. It is a phenomenon that has great importance to the increasing success of health development. The puerperium is a crucial thing to consider to reduce maternal mortality. After delivery, the mother's body begins the recovery period, one of which is uterine involution which starts immediately after delivery, and this process completed after six weeks. Read more about the process of returning the uterus to the state before pregnancy after giving birth. This process is critical because puerperal bleeding can occur sooner or later. Several efforts can make to improve the process of uterine involves, including puerperal exercises and oxytocin massage. The aims:  to analyze the effect the combination of puerperal exercises and oxytocin massage on uterine involution in postpartum mothers The Method: This research is a quasi-experimental study with post-test only control group design. Sampling has taken as consecutive sampling. The Results: The results showed that there were significant mean differences in the decrease in the height of the fundus between the treatment group and the control group (p <0.05). The conclusion: The results of this study expected to make a positive contribution to midwifery as one of the non-pharmacological efforts to accelerate the process of uterine involution to reduce bleeding in postpartum mothers that often occurs during the postpartum because of involution processes that are not running normally (sub involution uteri) and can support government efforts in reducing maternal mortality and morbidity.


2021 ◽  
pp. 209-214
Author(s):  
Andika Siswoaribowo ◽  
Dina Zakiyyatul Fuadah ◽  
Yola Regita Sari

Kanker serviks merupakan salah satu penyakit reproduksi wanita dengan angka kematian yang tinggi. Salah satu  upaya untuk  menekan terjadinya kanker serviks yaitu dengan program inspeksi visual asam asetat (IVA) tes. Penggunaan media layanan website berbasis edukasi “Sayang Wanita” pada era ini akan memudahkan penyebaran informasi dan pengetahuan seseorang. Website ini bisa diakses melalui smartphone untuk memudahkan pengguna sehingga menimbulkan kesadaran dan akhirnya akan merubah perilaku WUS. Penelitian ini bertujuan untuk mengetahui pengaruh penggunaan layanan website berbasis edukasi “Sayang Wanita” dalam meningkatkan perilaku WUS untuk melakukan pemeriksaan IVA. Desain penelitian ini quasi exsperimental design dengan rancangan posttest control group design. Penelitian ini melibatkan 44 responden yang terbagi dalam kelompok perlakuan (n=22) dan kelompok kontrol (n=22). Perilaku WUS dalam melakukan pemeriksaan IVA diukur sesudah diberikan intervesi selama 4 minggu. Hasil penelitian menunjukkan perilaku WUS pada kelompok perlakuan sebesar 86,9% datang untuk melakukan pemeriksaan IVA, sedangkan pada kelompok kontrol sebagian besar 95,5% tidak datang untuk melakukan pemeriksaan IVA. Terdapat perbedaan antara kelompok perlakuan dan kelompok kontrol dengan Uji Independent T-Test nilai  p value  0,001 artinya terdapat pengaruh penggunaan layanan website berbasis edukasi “Sayang Wanita” terhadap perilaku WUS untuk melakukan pemeriksaan IVA. Media informasi melalui website “Sayang Wanita” ini dapat meningkatkan perilaku kesehatan. Cervical cancer is one of the reproductive diseases with a large number of deaths. One of the effort to decrease the cervical cancer problem is by IVA test. The media of website service use of “Sayang Wanita” education based is to facilitate the information spread and someone’s knowledge. The website can be accessed from a smartphone to facilitate the users which raise their awareness and eventually change the woman of childbearing age’s behavior. This research is aimed to discover the influence of website service use of “Sayang Wanita” education based to enhance the woman of childbearing age’s behaviour for conducting IVA test. This research method was quasi-experimental design with post-test control group design. This research implicated 44 respondents which divided into treatment groups (n=22) and control groups (n=22). The woman of childbearing age’s behavior in conducting IVA test was measured after given intervention 4 weeks. The research results showed the women of childbearing age’s behavior at 86% treatment group came to have IVA test, while the control group most of the 95,5% did not come to have IVA test. There was a significantly difference between treatment group and control group analysed by Independent T-Test (p value 0,001). It means there is an influence of website use service of “Sayang Wanita” education based toward woman of childbearing age’s behavior to conduct IVA test. Media information IVA “Sayang Wanita” website is able to change the human’s behavior in improving the health behavior and providing an alternative media for public education.


2020 ◽  
Vol 3 (2) ◽  
pp. 436-445
Author(s):  
Mochamad Heri ◽  
Putu Karisma Dewi ◽  
Gede Budi Widiarta ◽  
Made Martini

This study aims to determine the effect of psychoeducation therapy on increasing self-efficacy in families with pulmonary TB disease at Kertha Usada General Hospital. Method: The research design used quasi-experimental with pre-post test with control group design. Results: The results showed the mean (mean) pre-test in the treatment group was 20.56 and in the control group was 21.04. The mean post-test mean in the treatment group was 31.51 and in the control group, the results were 30.57. Parametric test results using the Paired Sample T-test obtained p-value = (0,000) <α (0.05). Conclusion, there is an effect of psychoeducation therapy on increasing self-efficacy in families with Pulmonary of TB in Kertha Usada General Hospital.   Keywords: Self-Efficacy, Family Psychoeducation Therapy, Tuberculosis


Author(s):  
Ismi Puji Astuti

Background: The first labor anxiety is an unpleasant psychological condition due to physiological changes that cause psychological instability. The condition of excessive anxiety, worry, fear without cause, and stress, causes the muscles of the body to tense up, especially the muscles in the birth path to become stiff and hard, making it difficult to expand. This study analyzed the effect of pregnancy exercise on third trimester primigravida anxiety in dealing with childbirth. Methods: Quasi experimental design with nonrandomized pretest-postest control group. The sampling technique used was purposive sampling with 34 research subjects. 17 people for the treatment group were given pregnancy exercise 8 times, and 17 people for the control group were given health education about preparation for childbirth. Results: The results of data analysis using the Wilcoxon signed rank test showed that the average reduction in the treatment group was 8.00 and the control group was 3.00. The effect of pregnancy exercise on third trimester primigravida anxiety in the treatment group with a p-value (0.000) <(0.05), while the control group with a p-value (0.180)> (0.05). Conclusion: There is an effect of pregnancy exercise on third trimester primigravida anxiety in dealing with childbirth in the Wuryantoro Health Center work area. 


2019 ◽  
Vol 1 (1) ◽  
pp. 71-80
Author(s):  
Ivan Khidlir ◽  
Husnul Khotimah ◽  
Bagus Supriyadi

Orang dengan hipertensi wajib patuh dalam pengobatan hipertensi agar terhindar dari komplikasi yaitu kerusakan pada ginjal, jantung, dan otak. Tujuan penelitian ini melalui konseling berbasis humanistik adalah untuk mengetahui peningkatkan kepatuhan pengobatan hipertensi melalui konseling berbasis humanistik. Metode penelitian ini jenis kuantitatif yaitu Quasi Experimental Design bentuk Nonequivalent Control Group Design dengan 50 sample responden, 25 kelompok kontrol dan 25 kelompok perlakuan. Waktu penelitian ini dilakukan pada bulan April sampai dengan Mei tahun 2019 di posyandu lansia nuri I Desa Sumber Kemuning Kecamatan Tamanan Kabupaten Bondowoso. Penelitian eksperimen dengan uji wilcoxon signed rank testpre-test. Didapatkan pada kelompok kontrol p-value = 0,257 > 0,05 dan pada kelompok perlakuan p-value = 0,001 < 0,05.  Uji mann-whitney nilai p-value = 0,018. Kesimpulan: pemberian konseling menggunakan metode berbasis humanistik yang dapat meningkatkan kepatuhan pengobatan hipertensi sehingga tidak terjadi komplikasi akibat hipertensi.   Kata kunci : hipertensi, humanistik, kepatuhan, konseling   EFFECTIVENESS OF GIVING COUNSELING BASED ON HUMANISTIC AND COUNSELING WITHOUT APPROACH TOWARD OBEDIENCE OF MEDICAL HYPERTENSION   ABSTRACT People with hypertension are required to comply with they hypertension treatment, in order to be saved from complication. There are kidney, hearth disease, and brain. The purpose of this study is effort to know effectiveness of giving counseling based on humanistic and counseling without approach toward obedience of medical hypertension. This research method is quantities type, namely quasi experimental design. There is non equivalent control group design with 50 sample respondence, 25 of group control and 25 of group treatment. This research do in april till may 2019 in elderly posyandu nuri I Sumber Kemuning village Tamanan sub district in Bondowoso regency. Research experimental with test of Wilcoxon signed rank test pre-test, available in group control p-value = 0.257 > 0.05 and in group experiment p-value = 0.001 < 0.05 test of mann-whitney nilai p-value = 0.018. The result is there is a differences of effectiveness that significant toward giving counseling based on humanistic with giving counseling without approach. Hopefully to the medical officially to use counseling method based on humanistic. So that can increase the obedience of medical hypertension. So the obedience of medical hypertension can increase and nothing complication caused by hypertension. Keywords: counceling, humanistic, hypertension, obedience


2018 ◽  
Vol 6 (3) ◽  
Author(s):  
I Gede Agunk Teddy Pratama ◽  
Made Budiawan ◽  
I Nyoman Sudarmada

Penelitian ini bertujuan untuk mengetahui pengaruh pelatihan three corner drill terhadap kelincahan dan power otot tungkai. Jenis penelitian adalah quasi experimental dengan rancangan the non-randomized pretest-posttest control group design. Subjek penelitian yang digunakan siswa putra peserta ektrakurikuler sepak bola SMPN 2 Pekutatan. Data post-test kelincahan dan power otot tungkai pada kelompok perlakuan dan kelompok kontrol dianalisis dengan uji-t independent pada taraf signifikansi (α) 0,05 dengan bantuan program SPSS 16.0. Berdasarkan hasil uji-t independent didapatkan hasil : (1) untuk variabel kelincahan, hasil perbandingan kelompok perlakuan dan kontrol didapatkan nilai thitung = -2,948 , dengan nilai signifikansi 0,009, (2) untuk variabel power, hasil perbandingan kelompok perlakuan dan kontrol didapatkan nilai thitung = 3,176, dengan nilai signifikansi 0,005. Nilai signifikansi hitung lebih kecil dari nilai α (Sig < 0,05), dengan demikian hipotesis penelitian “pelatihan three corner drill berpengaruh terhadap peningkatan kelincahan dan power otot tungkai pada siswa putra peserta ektrakurikuler sepak bola SMPN 2 Pekutatan” diterima. Dari hasil analisis data dan pembahasan disimpulkan bahwa : (1) Pelatihan three corner drill berpengaruh terhadap peningkatan kelincahan pada siswa putra peserta ektrakurikuler sepak bola SMP Negeri 2 Pekutatan (2) Pelatihan three corner drill berpengaruh terhadap peningkatan power otot tungkai pada siswa putra peserta ektrakurikuler sepak bola SMP Negeri 2 Pekutatan. Kata Kunci : kelincahan, daya ledak, three corner drill The purpose of this research was to find out the effect of three corner drill training toward the increased agility and power muscle of legs. The type of research was a quasi-experimental and the design of research was the non-randomized pretest-posttest control group design. The subjects were man’s student football extracurricular participants of SMPN 2 Pekutatan. Agility and muscle power of legs posttest to the treatment group and the control group were analyzed by independent t-test at significance 0,05 with SPSS 16.0. Based on independent t-test results were showed : (1) to the agility variable, the comparison of the treatment and the control group values obtained t = -2,948, with a significance value of 0,009, (2) to muscle power of legs variable, the comparison of the treatment and the control group values obtained t = 3,176, with a significance value of 0,005. Calculated significance value smaller than the value of 0,05 (Sig < 0.05), thus the research hypothesis "three corner drill training affect the increased agility and muscle power of legs in football extracurricular participants of SMPN 2 Pekutatan " was received. From the analyzed and discussion were concluded that : (1) three corner drill training effect the increased agility in football extracurricular participants of SMPN 2 Pekutatan, (2) three corner drill training effect the increased muscle power of legs in football extracurricular participants of SMPN 2 Pekutatan. keyword : Agility, power, three corner drill


2020 ◽  
Vol 1 (3) ◽  
pp. 144-150
Author(s):  
Yuyuk Eva Fitriyanti ◽  
Gusman Arsyard ◽  
Sumiaty Sumiaty

Indicator of child growth is weight. At the age of 1-3 months is a period of rapid growth, so it is necessary to maintain a baby's weight according to age. Touch therapy or massage is one of technique that combines the physical benefits of human touch with emotional benefits such as bounding and increasing weight. The purpose of this study was to determine the effect of infant massage on weight gain in infants aged 1-3 months in the work area of the Sangurara Health Center in Palu. This type of research was a Quasi-experimental design with pretest and Posttest control group design. The sample in this study was 30 months old infants as many as 30 infants with sampling technique consecutive sampling. Data analysis used test Chi-square with a confidence level of 95% (α = 0.05). The results show that babies who were massaged had more weight gain, which was 24.07%, while babies who were not massaged had a weight gain of 18.28%. This is evidenced by the value of p value: 0.03 (p.value≤0.05). In conclusion, there was the effect of Baby Massage on Increased Body Weight. Suggestions for researchers for health workers to socialize and suggest baby massage to reduce the case of BGM weight (Under the Red Line) in infants.


2019 ◽  
Vol 11 (1) ◽  
pp. 45
Author(s):  
Siti Harwanti ◽  
Budi Aji ◽  
Nur Ulfah

ABSTRACT Low back pain ( LBP ) is a musculoskeletal disorder that occurs in the lower back which can be caused by various diseases and  activity of the body being less good. One effort to overcome the LBP is back exercise. The research purpose is to find out the effect of back exercise therapy which concern to lowering painful complaint of batik artisants in Kauman village Sokaraja subsdistrict. This research is using Quasi Experiment technique phenomenological non equivalen control group design (pre -post test). Sample taking is using purposive sampling technique. Data analysis use Friedman experiment for treatment group and Repeated Annova experiment for control group. Experiment analysis is different between treatment group and control group with using Mann Whitney experiment. The result of Friedman experiment in treatment group shows that p-value=0,000(p<0,05), it means the therapy those given is effective to lowering painful complaint. The result of Repeated Annova experiment in control group shows that p-value=0,234(p>0,05), it means the painful complaint seems not different in control group. The result of Mann Whitney experiment shows that p-value=0,000(p<0,05) it means there are differences between painful complaint in treatment group and control group after doing back exercise. There is the effect by giving back exercise therapy which concern to lowering the complaint of low back pain for batik artisants in Kauman village Sokaraja subdistrict.   Key words: Handmade Batik, Low back pain, back exercise


2021 ◽  
Vol 8 (1) ◽  
pp. 15-23
Author(s):  
Rinni Gusnimar ◽  
Nora Veri ◽  
Cut Mutiah

Infeksi nifas menjadi salah satu penyebab kematian ibu di negara berkembang termasuk Indonesia. Beberapa penyebab pemicu terjadinya infeksi nifas seperti pelayanan kebidanan, daya tahan tubuh, perawatan nifas, gizi, anemia dan kebersihan genetalia. Pada masa nifas penting untuk merawat luka perineum karena kuman bisa masuk melalui luka bekas jahitan pada perineum agar tidak menyebabkan infeksi. Salah satu alternatif terapi nonfarmakologis yang dapat digunakan untuk penyembuhan luka perineum masa nifas adalah daun binahong. Tujuan penelitian ini menguji pengaruh daun binahong dalam mempercepat penyembuhan luka perineum pada masa nifas. Penelitian ini menggunakan rancangan quasi experimental dengan pendekatan posttest only control group design. Posttest only control group design merupakan pengumpulan data dilakukan sesudah perlakuan. Total sampel yang digunakan dalam penelitian ini adalah 32 orang ibu nifas sesuai dengan kriteria inklusi. Data diobservasi berupa derajat kesembuhan luka perineum dengan menggunakan instrumen lembar observasi penyembuhan luka perineum pada skala REEDA (Redness, Edema, Ecchymosis, Discharge dan Approximation). Hasil penelitian menunjukan terdapat pengaruh pemberian rebusan Daun binahong terhadap penyembuhan luka perineum pada ibu nifas. Rerata hasil uji Uji statistik Mann Whitney, pada kelompok perlakuan adalah 11,83 lebih rendah dibandingkan pada kelompok kontrol, yaitu 21,8 (p-value = 0,001). Penelitian ini menunjukan bahwa ada pengaruh pemberian rebusan daun binahong mampu mempercepat penyembuhan luka perineum dibandingkan iodine povidone 10%. Daun binahong dapat menjadi alternatif terapi komplementer pada ibu nifas yang mengalami luka robekan perineum.   One of the main causes of maternal death in developing countries is puerperal infection. Midwifery care, body immunity, postnatal care, nutrition, anemia and genetalia hygiene are factors that trigger puerperal infections. The perineal rupture if not treated properly will cause an infection in the suture wound in the perineum. Wound care is important because germs can enter through the suture marks on the perineum and cause infection. Non-pharmacological therapies that can be used to accelerate wound healing are Anredera cordifolia. The research design was quasi experimental with posttest approach Only Control Group Design, namely data collection was done after treatment. The total sample was 32 postpartum mothers according to inclusion criteria. The data observed in this study were the degree of healing of perineal wounds using the REEDA scale perineal wound healing observation sheet instrument (Redness, Edema, Ecchymosis, Discharge and Approximation). Based on the results of the Mann Whitney test, the mean rank of the results in the treatment group was 11.83 lower than the control group, namely 21.8 (p-value = 0.001). Effect of giving Anredera cordifolia leaves on the healing of perineal wounds in postpartum mothers significantly. Care with giving Anredera cordifolia leaves can accelerate the healing of perineal wounds compared to 10% iodine povidone. Anredera cordifolia leaves can be used as a complementary therapy for postpartum mothers who experience perineal torn wounds.


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