scholarly journals Pengaruh Pijat Punggung terhadap Adaptasi Nyeri Persalinan Fase Aktif Lama Kala II dan Perdarahan Persalinan pada Primigravida

2013 ◽  
Vol 8 (5) ◽  
pp. 204
Author(s):  
Wiwin Renny Rahmawati ◽  
Siti Arifah ◽  
Anita Widiastuti

Rasa nyeri persalinan yang tinggi dapat menimbulkan kecemasan pada ibu, terutama pada ibu primigravida. Nyeri yang tidak bisa diadaptasi oleh ibu yang akan melahirkan dapat meningkatkan perasaan cemas pada ibu, rasa cemas tersebut dapat menyebabkan terjadinya persalinan yang lama, sehingga kekuatan ibu akan habis saat persalinan yang berakibat terhadap kejadian perdarahan serta kala II lama. Tujuan penelitian ini untuk mengetahui pengaruh pijat terhadap pengurangan rasa nyeri persalinan fase aktif, lama kala II, dan perdarahan persalinan pada primigravida di Puskesmas Magelang Selatan. Penelitian ini merupakan penelitian desain kuasi eksperimental bentuk perbandingan kelompok statistik, yaitu memberikan perlakuan atau intervensi, kemudian dilakukan pengukuran atau observasi. Hasil pengukuran pada kelompok perlakuan dibandingkan dengan kontrol. Skala rasio digunakan. Subjek penelitian sebanyak 40 orang. Analisis data dengan uji Mann Whitney didapatkan hasil ada pengaruh pijat punggung terhadap adaptasi rasa nyeri persalinan fase aktif, lama persalinan kala II dan perdarahan persalinan pada primigravida dengan nilai p= 0,001.Severe labour pain can cause anxiety especially in primigravida. Many mothers who experience labour have not got action yet to minimize labour pain, If labour pain cannot be decreased, it will cause mother anxiety, that anxiety result in long labour, so energy will decrease that can cause labour bleeding. Therefore it is needed to take action to minimize labour pain. One of that action was back massage that could stimulate endorphine, so the pain will decrease. The objectives of this study was to know the influence of massage towards the decrease of labour pain in active fase, lenght of stage II, and labour bleeding in primigravida at Publich Health Center Magelang Selatan. Quasi-experimental design was applied with static group comparation. The design gave intervention, then measurement and observation was conducted. The intervention group result was compared to control. Ratio scale was used. Subject of this research was 40 person. After analizing data by man Whitney test, here are the influence of back massage toward the decrease of pain labour in active fase, lenght of labour kala II and labour bleeding in primigravida with p value= 0.001.

2018 ◽  
Vol 6 (1) ◽  
pp. 55
Author(s):  
Feriyal Salim Bawazir

Anemia terjadi di seluruh dunia, terutama di negara berkembang dan pada kelompok sosio-ekonomi rendah, yaitu pada 45 % wanita. Anemia merupakan salah satu penyebab tidak langsung kematian ibu. Berbagai upaya dilakukan, namun belum menunjukkan hasil maksimal. Perlu upaya lain berupa pemberian jus alpukat untuk mengatasi anemia kehamilan. Penelitian ini bertujuan mengetahui pengaruh pemberian jus alpukat terhadap kadar hemoglobin dan jumlah eritrosit ibu hamil. Jenis penelitian Quasi experimental design, dilaksanakan bulan November s.d. Desember 2017 di Puskesmas Sindang. Jumlah responden 33 ibu hamil trimester II, kadar Hb < 11 g/dL ditentukan dengan purposive sampling. Responden mengisi kuesioner, kemudian dilakukan pemeriksaan kadar Hb dan jumlah eritrosit 3 kali yaitu pre, hari ke-7, dan 14 setelah intervensi. Analisis data dilakukan secara deskriptif, analisis bivariat menggunakan independent dan paired sample t-test serta analisis mulitivariat menggunakan repeated measures ANOVA. Mengonsumsi jus alpukat selama 14 hari efektif meningkatkan kadar Hb dan jumlah eritrosit. Hasil uji beda tidak terdapat perbedaan kadar Hb dan jumlah eritrosit antara kelompok kontrol dengan intervensi. Hb rata-rata kelompok kontrol 10,375 g/dL sedangkan intervensi 10,653 g/dL (nilai p=0,986). Jumlah eritrosit rata-rata pada kelompok kontrol yaitu 3,455 juta/mm3 sedangkan intervensi 3,614 juta/mm3 (nilai p=0,763). Uji multivariat terlihat perbedaan antara kelompok kontrol dengan intervensi. Pada kelompok kontrol kadar Hb rata-rata (p=0,441) sedangkan intervensi (p=0,023). Untuk jumlah eritrosit rata-rata pada kelompok kontrol (p=1,000) sedangkan intervensi (p=0,043). Simpulan peneltian adalah terdapat pengaruh positif pemberian jus alpukat selama 14 hari terhadap peningkatan kadar Hb dan jumlah eritrosit rata-rata, namun tidak ada perbedaan antara kelompok intervensi dan kelompok kontrol. Abstrak Anemia occurs worlwide, especially in developing countries and in low socioeconomic groups. i.e. in 45% of women. Anemia is one of the causes of bleeding. Various attempts have been made, but have not shown the maximum results. Need other efforts in the nutrition form of avocado juice to overcome the anemia of pregnancy. This research aims to determine the effect of avocado juice on hemoglobin and erythrocyte levels of pregnant women. The type of this research is Quasi Experimental design which implemented in November to December 2017 with 33 respondents of trimester II pregnant women who have HB<11g/dL and determined by purposes sampling. Repondents filled out questionnaires to determine their characteristics and performed laboratorium checkup 3 times, pre, on day 7 and 14 after intervention. The data analysis was done descriptively, hypothesis testing using independent sample t-test, to know the effectiveness of avocado juice using paired sample t-test and to know the difference of mean of Hb and erythrocytes using ANOVA repeated measures test. Consuming avocado juice for 14 days was effective in increasing the average of Hb and erythrocyte levels. LSD post hoc test results showed significant differences in Hb and erythrocytes mean (Hb p-value = 0.023 and erythrocytes p-value = 0.043) in the intervention group between pre and day 14 post intervention. While in the control group p-value p= 0.441 for Hb and erythrocytes p=1.000. The conclusion of this research that there was a positive effect of consuming avocado juice for 14 days in increasing the average of Hb and erythrocyte levels, but the hypothesis test result showed that there was no significant difference between the intervention group and the control group.


Crisis ◽  
2016 ◽  
Vol 37 (6) ◽  
pp. 415-426 ◽  
Author(s):  
Yik-Wa Law ◽  
Paul S. F. Yip ◽  
Carmen C. S. Lai ◽  
Chi Leung Kwok ◽  
Paul W. C. Wong ◽  
...  

Abstract. Background: Studies have shown that postdischarge care for self-harm patients is effective in reducing repeated suicidal behaviors. Little is known about whether volunteer support can help reduce self-harm repetition and improve psychosocial well-being. Aim: This study investigated the efficacy of volunteer support in preventing repetition of self-harm. Method: This study used a quasi-experimental design by assigning self-harm patients admitted to the emergency departments to an intervention group with volunteer support and treatment as usual (TAU) for 9 months and to a control group of TAU. Outcome measures include repetition of self-harm, suicidal ideation, hopelessness, and level of depressive and anxiety symptoms. Results: A total of 74 cases were recruited (38 participants; 36 controls). There were no significant differences in age, gender, and clinical condition between the two groups at the baseline. The intervention group showed significant improvements in hopelessness and depressive symptoms. However, the number of cases of suicide ideation and of repetition of self-harm episodes was similar for both groups at the postintervention period. Conclusion: Postdischarge care provided by volunteers showed significant improvement in hopelessness and depression. Volunteers have been commonly involved in suicide prevention services. Further research using rigorous methods is recommended for improving service quality in the long term.


2019 ◽  
Vol 9 (2) ◽  
pp. 63-72
Author(s):  
Nova Nurwinda Sari ◽  
Herlina Herlina

Diabetes mellitus dapat menyebabkan cukup banyak komplikasi seperti kelainan mata, kelainan ginjal, kelainan pembuluh darah dan kelainan pada kaki. Penderita diabetes mellitus yang mengalami komplikasi kronis perlu diberikan upaya preventif untuk mencegah komplikasi, salah satunya adalah kemampuan perawatan kaki. Penelitian ini dilakukan untuk menguji efektivitas supportive educative system dalam meningkatkan kemandirian perawatan kaki pada pasien dengan diabetes mellitus Tipe II di Puskesmas Permata Sukarame, Bandar Lampung. Penelitian ini menggunakan metode quasy eksperimen dengan desain pretest-posttest with control group dengan total masing-masing kelompok sebanyak 18 responden. Pengumpulan data dilakukan dengan menyebarkan kuesioner kepada responden yang memenuhi kriteria inklusi penelitian. Penelitian ini diuji menggunakan analisis univariat, bivariat dan uji T-test. Hasil penelitian menunjukkan bahwa terdapat perbedaan rata-rata dalam kemandirian perawatan kaki pada kelompok intervensi dan kelompok kontrol dengan p-value 0,000. Pendidikan dan praktik perawatan kaki harus diberikan sejak dini sebagai upaya pencegahan untuk komplikasi.   Kata kunci : Supportive educative system, kemandirian perawatan kaki   SUPPORTIVE EDUCATIVE SYSTEM IN IMPROVING INDEPENDENCE OF FOOT CARE IN PATIENTS WITH DIABETES MELLITUS TYPE II   ABSTRACT Diabetes mellitus can cause quite a lot of complications such as eye disorders, kidney disorders, vascular disorders and abnormalities in the legs. Patients with diabetes mellitus who have chronic complications need to be given a preventive effort to prevent complications, one of which is foot care ability. This research was conducted to examine the effectiveness of supportive educative systems in increasing the independence of foot care in patients with Type II diabetes mellitus in the Permata Sukarame Health Center Bandar Lampung Working Area. This study used a quasi-experimental method with pretest-posttest with control group design with a total of 18 respondents each. Data collection is done by distributing questionnaires to respondents who meet the research inclusion criteria. This study was tested using univariate, bivariate, T-Test analysis. The results showed that the mean differences in the independence of foot care in the intervention group and the control group in the Permata Sukarame Community Health Center work area with a p-value of 0,000. Education and practice of foot care should be given early as a preventative effort for complications.   Keywords: Supportive educative system, independence of foot care


2021 ◽  
pp. 105477382110183
Author(s):  
Pamela C. Spigelmyer ◽  
Austin Winberg ◽  
Michael Heyd

Women giving birth in in-patient maternity units are required to complete certain education. The aim of this study was to investigate the effects of prompting on post-partum women’s education engagement (time from assignment to completion) while testing the feasibility of staff nurses assisting in research. A quasi-experimental design was used with 141 women allocated by admission date to one of three groups (usual care and two intervention) between September 2014 and December 2015. Intervention group I women were quickest to engage in their education and had the shortest length of stay. Significance was found for academic attainment ( df = 1, F = 6.218, p = .014), partial eta squared = 0.053 and R2 = 0.124. Women who had attended college engaged more quickly in all groups than those who had not. This statistically significant finding indicates how nurses can identify patients needing more assistance. Nurses reported no adverse effects on care.


2017 ◽  
Vol 12 (2) ◽  
pp. 270-276 ◽  
Author(s):  
Tutik Ida Rosanti ◽  
S Juwono Mardihusodo ◽  
Wayan T Artama

Environmentally friendly mosquitoes trap using common daily materials used by community may give hopes in reducing mosquitoes density. This study aims to determine the effectiveness of environmentally friendly mosquitoes trap made from bottle contained sugar yeast solution for reducing the number of trapped mosquitoes. This study consist of two phases and quasi experimental design was used. Mann Whitney test was used to determine the differences the number of trapped mosquitoes indoor and outdoor. The result showed p value 0,000 which was lower than ? value (0,05), so there was significant difference between the number of indoor and outdoor trapped mosquitoes. The average Rank score of outdoor mosquitoes trap (42,75) was more than indoor mosquitoes trap (18,25). We concluded that the mosquitoes trapped which contained of sugar-yeast solution was effective for trapping the mosquitoes especially outdoor .


2020 ◽  
Vol 7 (1) ◽  
pp. 71-87
Author(s):  
Tasbihul Anwar ◽  
Anwar Wardi Warongan ◽  
Fitrian Rayasari

Laparotomy is one of the major surgeries. Laparotomy is an operative technique that can be performed on digestive and urinary sistem disorders that will cause pain. This study aims to determine thes effects of kinesio taping on the level of pains in post laparotomy patients. The methods of this study use a pre-post and control group quasi experimental design research. Consisting of the intervention group and the control group, the number of sample was 24 samples with 12 respondent in the kinesio taping installation intervention group and 12 respondent in the control group giving standar drug, using a simple random sampling technique. Dependent t-test obtained an average difference of 2.08 in the control group while ansaveragesdifferencesof 3.84 insthe intervention group. Independent T test results obtained P value (0.001)<(0.05). The conclusion there was assignificant difference in the level of pain in the kinesio taping intervention group and the control group that did not have kinesio taping. Variable confounding has been performed statistically. The results shows that here is no relationships between age, attitude and belief in the pain of Laparotomy, while age is related to post-Laparotomy pain, kinesio taping can be used as an independent nursing intervention to reduce the intensity of pain in post-Laparotomy patients.


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 4 (5) ◽  
pp. 492-501
Author(s):  
Umi Solikhah ◽  
Hari Kusnanto ◽  
Fitri Haryanti ◽  
Yayi Suryo Prabandari

Background: One of the efforts in the health sector for programs to reduce infant and under-five mortality and morbidity rates is by the competence-based integrated management childhood illness (CB-IMCI) program. However, the program has been poorly implemented by health workers at the health center. Thus, the involvement of cadres is needed and their competency remains important to be improved.Objective: To quantitatively analyze cadre knowledge and competencies in the CB-IMCI program, and its relationship with the implementation of CB-IMCI, as well as to qualitatively explore and analyze the responses of cadres, health workers, and the community to the addition of cadre roles to the management of sick children.Methods: This was a mixed methods study with randomized controlled trials and qualitative method. For randomized controlled trials, 100 cadres were selected, which 50 randomly assigned in the intervention and control group. And for quantitative methods, informants included 10 cadres, 4 health workers, and 20 mothers. Paired t-test and independent t-test were employed for quantitative analysis, and triangulation was used for qualitative analysis.Results: The improvement of knowledge in the intervention group was better (I=14.42/C=4.44/p-value 0.00). The intervention group was more competent in the management of child illness (p-value 0.00). In addition, the cadres have additional competencies assisted by health workers to confidently detect cases earlier, and health center services reach a wider coverage in the community.Conclusion: The addition of cadres roles and competencies in the management of child illness in the community can be implemented in Banyumas Regency. It is suggested that the implementation of this program should be followed up in other health centers by the health department of Indonesia.


2020 ◽  
Vol 4 (1) ◽  
pp. 215-221
Author(s):  
Ni Luh Putu Martini ◽  
Irna Nursanti ◽  
Giri Widakdo

This study aimed to determine the effect of the risk checks web application on the knowledge of mothers to detect high risk early in pregnancy. The research design used in this study was a quasi-experimental design with one group design without control. The results showed that the mean difference before and after the intervention was 13.00, with a p-value of 0.000. In conclusion, the risk check web application can increase mothers' knowledge to detect high risk early in pregnancy.   Keywords: Web Application, High-Risk Pregnancy


2019 ◽  
Vol 7 (2) ◽  
pp. 85-95
Author(s):  
Sri Astutik Andayani ◽  
Husnul Khotimah ◽  
Sry Desy ◽  
Arif Eko Trilianto ◽  
Hefniy Razaq

Implemented posyandu elderly there are obstacles that often faced is low visit, one of cause factor is low of knowledge of elderly so that beneficiary of posyandu elderly still not maximal. The purpose of this research is to know the influence of health promotion about elderly posyandu by use audio visual media toward liveliness of elderly in following elderly posyandu. The design use in this research is Quasy Experimental with pretest-posttest with control design. This research was conducted at Maesan Bondowoso health center with 55 respondents with total sampling technique. This analysis used Wilcoxon and Mann-Whitney test. The results showed that health promotion was effective to increase the member of ekderly visit to the elderly health center with p value 0,000. Keywords  : Health Promotion, Elderly Health Centre, elderly active


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