scholarly journals The Correlation of the Level of Anxiety of Nulliparous Women to the Length of First Stage of Spontaneous Labor at Private Maternity Clinics in the Working Area of Delitua Puskesmas, Deli Serdang District in 2013

Author(s):  
Namora Lumongga Lubis ◽  
Megawati Sinambela

Abnormal length of first stage of labor in nulliparous women (first pregnancy) can be related by severe anxiety during labor. Based on the preliminary survey in several private maternity clinics at the working area of Delitua Puskesmas, Deli Serdang District, it was found that there was a prolonged first stage of labor (27.65%) in nulliparous women. The purpose of this study was to analyze the influence of anxiety level to the lenght of first stage of labor. The type of this study was an analytic survey with explanatory research type. The samples comprised 40 childbearing women in private maternity clinics of Kasih Ibu,Kurnia,Tanjung,Wanda,and Mayana which were located in the working area of Delitua Puskesmas , Deli Serdang District,using accidental sampling technique. The data were gathered by using questionnaires and analyzed in univariet analysis by using frequency distribution form, and bivariate analysis using Chi Square test. The result of this study showed that the level of anxiety (p = 0.001) significantly related the lenght of first stage of labor in which mothers who had severe anxiety. It is recomended that health providers should provide standardized services to childbearing women, especially to nulliparous women, so that their level of anxiety can be decreased facing the first stage of labor process. It is also recommended that the husbands should support their wives by positive behaviors so they will not think about bad things on their babies and on themselves.

Author(s):  
Namora Lumongga Lubis ◽  
Megawati Sinambela

Abnormal length of the first stage of labor in nulliparous women (first pregnancy) can be related to severe anxiety during labor. Based on the preliminary survey in several private maternity clinics at the working area of Delta Puskesmas, Deli Serdang District, it was found that there was a prolonged first stage of labor (27.65%) in nulliparous women. The purpose of this study was to analyze the influence of anxiety level to the length of the first stage of labor. The type of this study was an analytic survey with explanatory research type. The samples comprised 40 childbearing women in private maternity clinics of Kasih Ibu, Kurnia, Tanjung, Wanda, and Mayana which were located in the working area of Delitua Puskesmas, Deli Serdang District, using accidental sampling technique. The data were gathered by using questionnaires and analyzed in the univariate analysis by using frequency distribution form, and bivariate analysis using Chi-Square test. The result of this study showed that the level of anxiety (p = 0.001) significantly related the length of the first stage of labor in which mothers who had severe anxiety. It is recommended that health providers should provide standardized services to childbearing women, especially to nulliparous women, so that their level of anxiety can be decreased facing the first stage of the labor process. It is also recommended that the husbands should support their wifes by positive behaviors so they will not think about negative things on their babies and on themselves.


2015 ◽  
Vol 10 (2) ◽  
pp. 344
Author(s):  
Sutarman 01

This study aimed to examine the extent to which the relationship variables (gender, age, level of education and class) to the discipline of civil servants in the General Section of the Regional Secretariat Bengkayang, to analyze the factors that have a positive and significant relationship with the discipline in General District Secretariat Office Bengkayang. The sample in this study population using all Civil Servants in the General Section Regional Secretariat Bengkayang of 60 people (saturated sampling technique). The analytical method used was a bivariate analysis with chi square test (χ2) and the hypothesis testing. Based on the analysis results of the chi square test showed that four factors have a positive and significant relationship with the discipline of civil servants, namely Gender, the value of χ2 count = 6173> Asymp. sig. (1-sided) = 0.013. Age to calculate χ2 = 23.741> Asymp.Sig. (1-sided) = 0.000. Education level with χ2 count = 11 507> Asymp.Sig. (1-sided) = 0.009. and a group with a value of χ2 count = 10 446> Asymp. sig. (1-sided) = 0.005.


Author(s):  
Desi Hariani

ABSTRAK Ketuban pecah dini adalah pecahnya selaput ketuban pada setiap saat sebelum permulaan persalinan tanpa memandang apakah pecahnya selaput ketuban terjadi pada kehamilan 24 minggu atau 44 minggu. Kadar hemoglobin adalah ukuran pigmen respiratorik dalam butiran-butiran darah merah. Kelainan letak janin merupakan malpresentasi janin atau kelainan letak janin yang dapat membuat ketuban bagian terendah langsung menerima tekanan intra uteri yang dominan. Tujuan penelitian ini adalah mengetahui hubungan kadar hemoglobin ibu dan letak janin dengan kejadian ketuban pecah dini di klinik alisa talang keramat kenten Palembang Tahun 2018. Desain penelitian ini menggunakan metode survey analitik dengan pendekatan crossectional. Sampel berjumlah 63 orang. Pengambilan menggunakan teknik total sampling. Pengumpulan data menggunakan lembar checklist.Hasil analisis univariat didapatkan jumlah ibu yang mengalami ketuban pecah dini (22,3%), HB tidak normal (41,3%) dan letak sungsang (6,3%).  Dari hasil analisis bivariat dengan uji statistik Chi – Square ada hubungan bermakna antara kadar hemoglobin ibu p value  = 0,001 < α 0,05 nilai OR = 0,049 dan letak janin p value = 0,001 < α 0,05 nilai OR = 0,032 dengan kejadian ketuban pecah dini secara statistik terbukti. Melalui penelitian ini, diharapkan dapat memberikan pelayanan kesehatan yang lebih baik lagi pada ibu hamil dan bersalin sehingga tidak terjadi komplikasi.   Kata Kunci : Ketuban Pecah Dini, Kadar Hemoglobin, Letak Janin ABSTRACT Premature rupture of membranes isthe  rupture of the membranes at any time before the onset of labor, regardless of whether the rupture of the membranes occurs at 24 weeks or 44 weeks' gestation. Hemoglobin levels are the size of respiratory pigments in red blood granules. Fetal abnormalities are malpresentations of fetuses or fetal abnormalities that can make the lowest part of the membrane directly accept the dominant intrauterine pressure. The aim of this study is to know the correlation between maternal hemoglobin level and fetal location toward the incidence of premature rupture of membranes at klinik alisa talang keramat kenten The study design using analytical survey method with crossectional approach. The sample numbered 63 people. Taking by using total sampling technique. Data collection using checklist sheet. The result of univariate analysis showed that the number of mothers who had membranes rupturedearly was (22.3%), HB was not normal  (41.3%) and breech position was (6.3%). From bivariate analysis with Chi-Square statistical test there was a significant correlation between maternal hemoglobin level p value = 0.001 <α 0.05 value OR = 0.049 and fetal location p value = 0.001 <α 0.05 value OR = 0.032 with incidence of premature rupture of membranes was statistically proven. Through this research, it is expected to provide better health services in pregnant and maternity women so thereis no complications occur. Key word  : Premature rupture of membranes, Hemoglobin levels, Fetal Location


Author(s):  
Suryono ◽  
Bambang Wiseno ◽  
Fannidya Hamdani Zeho

The ongoing COVID-19 pandemic has had a very significant impact on every area of ​​the organization, especially the health sector, especially hospitals. One of the impacts experienced is the work pressure felt by hospital employees. This study aims to analyze the work pressure experienced by hospital employees during the covid-19 pandemic which was obtained from the type of work and stressor factors that influenced it. This type of research was quantitative with a cross sectional approach. The sample of this study was 120 employees at Hospital "X" in Indonesia. The sampling technique is probability sampling with random sampling method. Univariate analysis test was used to see the distribution of frequency and percentage of each variable and bivariate analysis with chi-square test to determine the relationship between variables (p value <0.05). It was found that the type of employee's work was significantly related to the employee's work pressure. Then an analysis of the level of work pressure is carried out with the influencing work pressure stressor. Based on the Spearman Correlation Test, a correlation value of 0.589 with a sig value of 0.000 means that the sig value is smaller than 0.05 (0.000 <0.05) indicating that there is a significant effect between stressor and work pressure at Hospital "X". The cause of high work pressure from this type of work is the demands of the organization in relation to the high role of tasks, especially medical personnel, which increases during the pandemic. Then the stressor factors that influence are role overload, role conflict and role ambiguity caused by the demands of the duties and roles of employees, poor communication, and lack of direct guidance from the leadership on the tasks and regulations given.


2020 ◽  
Vol 2 (2) ◽  
pp. 122
Author(s):  
Suwanti Suwanti ◽  
Devi Ratnasari

Berdasarkan data Dikes Lobar tahun 2017 dari 17 Puskesmas kasus Lansia terbanyak Di UPT BLUD Puskesmas Gunungsari. Masa menopause dapat menimbulkan gangguan kesehatan baik fisik maupun psikologi yang menimbulkan dampak jangka panjang apabila tidak ditangani dengan serius, sehingga mengakibatkan perempuan menopause mengalami kecemasan. Di Indonesia menunjukkan gejala kecemasan dan depresi pada usia 55-64 tahun sebesar 6,9%, pada usia 65-74 tahun sebanyak 9,7% dan pada usia diatas 75 tahun sebesar 13,4%. gejala yang paling banyak diseluruh jumlah wanita premenopause yaitu 401% merasa hot flashes, 38% mengalami susah tidur, 37% mengalami cepat lelah dalam bekerja 35% mengatakan menjadi lebih sering lupa, 33% mengatakan mudah tersinggung, 26% mengatakan nyeri sendi dan 21% mengatakan seringsakit kepala berlebihan. Tujuan penelitian ini untuk mengetahui hubungan pengetahuan ibu dengan kecemasan menghadapi masa menopause di Dusun Kebun Indah Wilayah Kerja UPT BLUD Puskesmas Gunungsari Tahun 2018. Penelitian ini mengggunakan rancangan penelitian Observasi analitik dengan pendekatan cross sectional. Populasi sebanyak 42 orang, tehnik pengambilan sampel menggunakan total sampling sehingga jumlah sampel sebanyak 42 orang. Penelitian ini menggunakan analisa data uji Chi Square. Hasil  penelitian menunjukkan mayoritas pengetahuan ibu baik dan cukup yang memiliki kecemasan sedang dan berat sebanyak 16 orang (59,3%), dan ibu dengan pengetahuan kurang yang memiliki kecemasan sedang dan berat sebanyak 13 orang (86,7).dan terdapat nilai p (0,089), p > 0,05. Kesimpulannya  tidak ada hubungan pengetahuan ibu dengan kecemasan menghadapi masa menopause.Based on data from Lobar Dikes in 2017 from the 17 highest number of Elderly Puskesmas in Gunungsari Public Health Center. The menopause can cause health problems both physical and psychological that cause long-term effects if not handled seriously, resulting in menopausal women experiencing anxiety, in Indonesia showing symptoms of anxiety and depression at the age of 55-64 years at 6.9%, at the age of 65 -74 years as much as 9.7% and at age above 75 years is 13.4%. the most symptoms in the total number of premenopausal women were 401% felt hot flashes, 38% experienced insomnia, 37% experienced fatigue at work 35% said they became more forgetful, 33% said they were irritable, 26% said joint pain and 21 % said frequent headaches were excessive. Purpose To determine the relationship between maternal knowledge and anxiety in the face of menopause in Kebun Indah Hamlet Working Area UPT BLUD Gunungsari Health Center in 2018. This study used a research design Analytical observation with approach crosssectional Population as many as 42 people, sampling technique uses total sampling so that the number of samples is 42. This study usestest data analysis Chi Square. Result: Majority knowledge of good and sufficient mothers who have moderate and severe anxiety as many as 16 people (59.3%), and mothers with less knowledge who have moderate and severe anxiety as many as 13 people (86.7). and there is a p value (0.089), p > 0.05. Conclusion: There is no Relationship between Mother's Knowledge with Anxiety Facing Menopause.


2020 ◽  
Vol 5 (1) ◽  
pp. 78
Author(s):  
Wiwin Haryati ◽  
Asnawi Abdullah ◽  
Bakhtiar Bakhtiar

Smoking behavior among teenagers has been increasing worldwide, triggering youth morbidity and mortality rates associated with smoking illnesses. Performance accomplishment, source of self-efficacy, has a significant influence on the high proportion of teenage smoking behavior. The purpose of this study was to assess the relationship between performance accomplishment and teenage smoking behaviors. The study was conducted on April 16 – 23, 2015 in Aceh Province, Indonesia.  Data were collected by disseminating a Likert scale questionnaire, consisting of general perceived self-efficacy, including performance accomplishment.  The population of this study were 4,856 students, with a total sample of 368 students from 13 senior high schools. The study employed an analytic observational research design with the stratified proportional random sampling technique. Bivariate analysis by Chi-square test was applied to examine the data, processed by using SPSS version 20.0. The results indicated that there were significant relationships between self-efficacy and teenage smoking behavior (p=0.0001) and between performance accomplishment and teenage smoking behavior (p=0.0001). This study concluded that performance accomplishment has been strongly associated with the smoking behavior among young adults.


2020 ◽  
Vol 20 (1) ◽  
pp. 329
Author(s):  
Dwi Yunita Rahmadhani

The safety of hospital patients is the hospital system to make patient care safer. Safe from the possibility of the risk of Patient Safety Incidents (IKP). One that can override the Model COPA patient safety is requesting more competent, safe practices, verified by examination performance. This study used a descriptive correlation design with cross sectional approach. The goal is to obtain COPA analysis model approach and the determinant factors of nurses with patient safety. The population is all nurses in inpatient hospital Abdul Manap city of Jambi. The number of samples in this study were 50 nurses using total sampling technique. In the bivariate analysis, obtained variables skills assessment and intervention, communication, critical thinking, human caring and relations of social, management, leadership, teaching and integration of science, gender, type of education, length of work, married status, employment status, accreditation campus, GPA, there is a significant association with patient safety with p-value <0.005. Meanwhile, to test each dependent variable and independent variables used chi square test. Multivariate analysis using logistic regression. For that to hospitals in hiring the necessary consideration in terms of the skill factor, for workforce training nurses for patient safety and hospital complements the SPO and equipment less.


2018 ◽  
Vol 19 (1) ◽  
pp. 91 ◽  
Author(s):  
Purwaningsih Purwaningsih ◽  
Noviyanti Noviyanti ◽  
Rizki Pratama Putra

Paramphistomiasis is a parasiter disease caused by an Paramphistomum sp worms infection. The disease can cause a considerable decline in livestock productivity, therefore it is catagorized as one of economic affected diseases. The aims of this research were to determine the prevalence and distribution of paramphistomiasis in Bali cattle in Prafi District of Manokwari Regency, West Papua Province; and to identify some of the risk factors that associated with the paramphistomiasis prevalence. The research was done between February and March 2016. The feces samples were taken from 369 cattles perrectal were chosen by using proportional random sampling technique at village level. A total of 127 farmer respondents were interviewed. The feces samples were examined with sedimentation test to identify the existence eggs of Paramphistomum sp. based on their morphology. The data were analyzed in univariate to obtain the prevalence by dividing the number of positive sample with the number of samples inspected multiplied by 100%. Then, bivariate analysis was performed by using chi square (c2), and odds ratio (OR). The distribution of paramphistomiasis in Bali cattle that rearing in Prafi District has prevalence value in each village: Udapi Hilir, Desay, Aimasi, and Prafi Mulya was 14.74%; 12.04%; 9.18% and 1.48% respectively. While the prevalence of paramphistomiasis in bali cattle in the Prafi District was 10.03%. Factors of rearing manajemen, such as: combined shed with calve (OR=4.525) and sources of animal feed that taken from the grounds of the house and rice land (OR=4.955) showed a significant influence (P<0.05) on the risk of paramphistomiasis infection.


2017 ◽  
Vol 16 (1) ◽  
pp. 17 ◽  
Author(s):  
Aria Gusti

Judul : Faktor-Faktor Yang Berhubungan Dengan Gejala Neurotoksik Akibat Paparan Pestisida Pada Petani Sayuran Di Kenagarian Alahan Panjang Kabupaten SolokLatar belakang: Sekitar 60% petani penyempro sayur di Kanagarian Alahan Panjang mempunyai riwayat gejala neurotoksik.. Penelitian ini bertujuan untuk mengkaji faktor-faktor yang berhubungan dengan gejala gangguan syaraf pada petani penyemprot yang menggunakan pestisida di Kanagarian Alahan Panjang Kabupaten Solok.Metode: Penelitian ini merupakan penelitian observasional dengan rancangan cross-sectional. Subyek penelitian sebanyak 75 responden. Penarikan sampel dilakukan secara random. Variabel yang dikaji dalam penelitian ini meliputi jenis pestisida, komposisi pestisida, pemakaian alat pelindung diri, dan gejala neurotoksik. Instrument penelitian menggunakan kuesioner Q18 versi Jerman. Analisis data menggunakan uji Chi-square pada taraf signifikasi 5%.Hasil: Hasil penelitian menunjukkan sebanyak 62,7% petani penyemprot sayuran pernah mengalami gejala neurotoksik. Hasil analisis statistik menunjukkan ada hubungan signifikan antara jumlah dan komposisi pestisida yang digunakan dengan gangguan neurotoksik pada petani sayuran (p-value <0,05). Sedang kebiasaan pemakaian alat pelindung diri tidak berpengaruh terhadap kejadian gangguan neorotoksin.  Simpulan: Jumlah dan komposisis pestisida berhubungan dengan gangguan neurotoksik pada petani sayuran di Kanagarian Alahan Kabupaten Solok. Petani sayur disarankan untuk memperhatian komposis pestidian dan tidak menggunakan secara berlebihan dalam menyemprot sayuran. AbstractTitle: Factors related with neurotoxic symptoms on pesticides exposed vegetable farmer in Kanagarian Alahan Panjang, Solok DistrictBackground: Around 60% of vegetable farmer sprayer in Kenagarian Alahan Panjang have experienced of the neurotoxic symptoms. The purpose of this study was to determine factors associated with neurotoxic symptoms on vegetable farmer sprayer with pesticide in Kenagarian Alahan Panjang Solok District in 2016. Method: Type of this research was quantitative using cross-sectional design. The sample were 75 respondents. Sampling using simple random sampling technique. Processing data using univariate and bivariate analysis with chi-square test. Results: The result of this research showed (62,7%) vegetable farmer sprayer have experienced of the neurotoxic symptoms. Bivariate analysis showed there were significant relationship (p<0,05) between pesticide composition and amount of pesticide with neurotoxic symptoms. There was no significant relationship between use of personal protective equipment with neurotoxic symptoms. Conclusion: The number and compostion of pesticides were factors which had associated significantly with neurotoxic symptoms. It was suggested to vegetable farmers to change organofosfat pesticide which was not dangerous to health like faction of pyrethroids. Vegetable farmers were suggested to use appliance protector of X’self completely when activity of mixing and application of pesticide.


2020 ◽  
Vol 8 (1) ◽  
pp. 33
Author(s):  
Nia Widia Aprilia Keni ◽  
Sefti Rompas ◽  
Lenny Gannika

Abstract: Mother's knowledge about breastfeeding techniques will bring a deep understanding of the good or bad impacts of giving breast milk. The method in this study uses a cross sectional research design with the population of all post-partum mothers in the work area of the Wori Health Center in Manado. Sampling is done by non-probability sampling with pruposive sampling technique. The number of samples is 51 respondents. Data is presented in the form of Frequency Tables. Data analysis used is univariate and bivariate analysis using the chi-square analysis method. The results of the study, the majority of respondents have good knowledge and attitude. Respondents who use the wrong breastfeeding technique for respondents who have poor attitudes and knowledge. From the chi-square obtained results from the level of knowledge with breastfeeding techniques with a value of p = 0.00 smaller than α = 0.05. Whereas the attitude for breastfeeding technique has a value of p = 0.01 smaller than α = 0.05. In conclusion, the results of this study indicate that there is a significant relationship between the level of knowledge and attitudes with breastfeeding techniques in postpartum mothers.Keywords: Knowledge Level, Attitude, and Breastfeeding Techniques Abstrak: Pengetahuan ibu tentang teknik menyusui akan membawa pemehaman yang mendalam pada dampak baik ataupun buruknya pemberian ASI. Metode ini menggunakan desain penelitian cros sectional dengan populasi seluruh ibu pasca melahirkan di wilaya kerja Puskesmas Wori Manado. Pengambilan sampel dilakukan secara non probability sampling dengan teknik pruposive sampling. Jumlah sampel sebanyak 51 responden. Data disajikan dalam bentuk Frequency Table, Analisis data yang digunakan adalah analisis univariat dan bivariat dengan menggunakan metode analisis chi-square. Hasil penelitian, Mayoritas responden memiliki pengetahuan dan sikap yang baik. Responden yang melakukan teknik menyusui yang salah pada responden yang memiliki sikap dan pengetahuan yang kurang baik. Dari hasil uji chi-square didapatkan hasil dari tingkat pengetahuan dengan teknik menyusui dengan nilai p = 0,00 lebih kecil dari α = 0,05. Sedangan untuk sikap dengan teknik menyusui memiliki nilai p= 0,01 ebih kecil dari α = 0,05. Kesimpulan, hasil penelitian ini menunjukan ada hubungan yang bermakna antara Tingkat Pengetahuan dan Sikap dengan Teknik Menyusui Pada Ibu Pasca Melahirkan.Kata Kunci: Tingkat Pengetahuan, Sikap, Dan Teknik Menyusui


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