scholarly journals Psikoedukasi Dzikr Menurunkan Kadar Kortisol dan Meningkatkan Kadar IGG pada Ibu Primipara

2018 ◽  
Vol 5 (2) ◽  
pp. 82
Author(s):  
Sri Wahyuni ◽  
Anies Anies ◽  
Ariawan Soejoenoes ◽  
Suhartono Taat Putra

Background: Unstable emotions that are common during the perinatal period affect hormonal regulation and affect immunity. Research of psychoeducation dhikr be important was done to reduce perceived stress so that cortisol levels can be controlled hence IgG increases.Purposes: to prove additional psychoeducation of dhikr in routine midwifery care more influential on decreasing cortisol and increasing IgG among primiparous women.Methods: This study was an experimental study. A number of 24 participants as intervention group and a number of 23 participants as control group. Cortisol and IgG levels measured using ELIZA kits in the third trimester of pregnancy, the three days and tenth days after birth. Statistical test using General Linear Model and independent t test to compare Δ score.Results: The result showed mean difference between groups on the end of interventions, cortisol 18.95, CI 95% (-13.42 – 51.33) and p value is 0.245. The difference of the IgG between groups 482.72, CI 95% (55,51 - 909,93) and p value is 0.028.Conclusions: Additional psychoeducation of dhikr in routine midwifery care has more decrease Cortisol and increase IgG levels in primiparous women. Keywords: Cortisol, Psychoeducation Dzikr, IgG, Primiparous

Author(s):  
Nurlaela Kurnia Rahayu ◽  
Pepi Hapitria ◽  
Rani Widiyanti

As the pregnancy gets older, the attention and thoughts of pregnant women begin to focus on something that is considered as a climax, so that the anxiety experienced will intensify just before the childbirth. Excessive anxiety and sleep disorders during pregnancy can cause mental disorders in pregnant women and inhibit fetal growth. To determine the effect of prenatal gentle yoga and hypnotherapy on anxiety level and sleep quality in the third trimester pregnant women. This is a quasi-experimental study with a pre-post test with a control group. The sample was 32 respondents consisting of 16 respondents as an intervention group and 16 respondents as a control group taken by purposive sampling. The analysis used was the Paired T-test. There is a difference in the average of anxiety level in the third trimester pregnant women in the intervention and control groups with a p value 0,000; there is a difference in the average of sleep quality in the third trimester pregnant women in the intervention and control groups with a p value 0,000; and there is no difference in the average of anxiety level and sleep quality in the third trimester pregnant women in the intervention and control groups with a p value 0,64. Prenatal Gentle Yoga and Hypnotherapy have an effect in reducing the anxiety level and improving the sleep quality in the third trimester pregnant women.


BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Habibollah Mahmoodzadeh ◽  
Ehsanollah Rahimi-Movaghar ◽  
Ramesh Omranipour ◽  
Mohammad Shirkhoda ◽  
Amirmohsen Jalaeefar ◽  
...  

Abstract Introduction Disturbance in the lymphatic drainage during D2 dissection is associated with significant morbidity. We aimed to assess the effect of fibrin glue on the reduction of postoperative lymphatic leakage. Methods Prospective double-blinded randomized clinical trial with forty patients in each study arm was conducted. All patients diagnosed, staged, and became a candidate for D2 dissection based on NCCN 2019 guideline for gastric cancer. The intervention group received 1 cc of IFABOND® applied to the surgical bed. Results The difference between study groups regarding age, gender, tumor stage was insignificant. (All p-values > 0.05). The median daily drainage volume was 120 ml with the first and the third interquartile being 75 and 210 ml, respectively for the intervention group. The control group had median, the first, and the third interquartile of 350, 290, and 420 ml. The difference between daily drainage volumes was statistically significant (p-value < 0.001). The length of hospital stay was significantly different between the two groups. Notably, the intervention group was discharged sooner (median of 7 Vs 9 days, p-value: 0.001). Conclusion This study showed the possible role of fibrin glue in reducing postoperative lymphatic leakage after gastrectomy and D2 dissection. Registration trial number: IRCT20200710048071N1, 2020.08.16


2019 ◽  
Vol 4 (2) ◽  
pp. 108
Author(s):  
A. Haris ◽  
Abdul Haris

Safety has become a global issue in various sectors, including the health services sector. The hospital is one of the health service organizations that is guided to continuously improve quality by building safer and safer health services so as to get customer loyalty. Hospital staff is a major component of quality management in one of the indicators in evaluating hospital accreditation. This research uses a quasi-experimental research design pre and posttest with control group. Quasi experiment research is a study that tests an intervention in a group of research subjects and then measures the results of the intervention. Samples in this study are all nurses who are in the room of the General Hospital, Surgery and ICU Bima Hospital, which are 50 people. The results showed the results of different tests using paired t-test p value = 0.000 which can be concluded that there are differences between the intervention group and the control group, seen from the value of the difference in the intervention group is greater than the difference in the control group can be interpreted as education using more booklets affect the increase in nurse knowledge. The conclusion in this study was that there were significant differences in nurses' knowledge after being given education using pre and post intervention booklets between the intervention and control groups (p = 0.000).


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Chenchen Liu ◽  
Puying Wei ◽  
Jun Li

Abstract Objectives To observe and compare the difference in retinal thickness using optical coherence tomography (OCT) between patients with high myopia (HM) during the third trimester of pregnancy and age-matched HM non-pregnant women. Methods A case-control study. A total of 39 eyes from 39 HM women in the third trimester (study group) and 50 eyes of 50 age-matched non-pregnant women with HM (control group) were included. All subjects underwent SD-OCT examination. The built-in software was used to measure the retinal thickness in macular region. The data from two groups were compared using independent-samples t test. Results Among the 89 subjects in this study, the mean gestational age of the study group was 35.09 ± 2.44 weeks, and the average age was 32.24 ± 3.75 years. The average age of the control group was 34.04 ± 7.19 years old. Compared with the control group, the average thickness of parafoveal area, and the average thickness of parafoveal superior, inferior, temporal quadrants of the superficial retina and the average thickness of the foveal and parafoveal of the superficial retina were significantly decreased in the study group (P < 0.05). Compared with the control group, the average thickness of all quadrants of the retina in the parafoveal area except the nasal quadrant were significantly decreased in the study group (P < 0.05). Conclusions In this observational study, the retinal thickness of patients with high myopia during the third trimester of pregnancy was thinner than that of non-pregnant women with age-matched high myopia.


2018 ◽  
Vol 6 (2) ◽  
pp. 16
Author(s):  
Mezzi Wulandari Arenza ◽  
Ni Wayan Tianing ◽  
I Putu Adiartha Griadhi

ABSTRACTSleep disturbance in the third trimester pregnant women is caused by discomfort, an increasingly largeabdominal condition, back pain, frequent urination, fetal movement, heartburn, cramps in the legs, tiredness, difficultygetting started, and physiological changes. Sleep disorders result in decreased quality of sleep. Pregnant women whohave poor sleep quality are at risk of longer labor, cesarean delivery, premature birth, and even infant mortality. The aimof this research is to know the difference of pregnant exercise combination and back massage in improving the sleepquality of third trimester pregnant women. This research use experiment method with quasi experiment approach andresearch design is pre and post test with control design. Sample are 18 people, divided into 2 groups, 9 people intreatment groups given pregnancy exercise and back massage and 9 people in control group is given only pregnantexercise. Intervention is given 8 times. Pittsburgh Sleep Quality Index (PSQI) questionnaire used for measured of sleepquality. The result of different test of unpaired group, in the treatment group got difference of average 4,556 and controlgroup got difference mean 2,333 with p=0,004 (p<0,05). These results showed that there was a significant differencebetween the treatment group and the control group in improving the sleep quality of the third trimester pregnant women.In conclusion, there are differences in the addition of back massage combination in pregnancy exercise intervention inimproving sleep quality of third trimester pregnant women.Keyword : Pregnancy Exercise, Back Massage, Sleep Quality, Third Trimester.


2019 ◽  
Vol 7 (1) ◽  
pp. 11
Author(s):  
Arum Meiranny ◽  
Muliatul Jannah

<p><em>Anxiety in pregnant women when facing labor is different. Midwives have to be able to increase the comfort to reduce anxiety. One of the ways is with OSOC assistance, this is an assistance during pregnancy, childbirth, postpartum, newborns until family planning in order to increase maternal and infant health. The aims of this study are to determine the differences in comfort and anxiety of third trimester pregnant women who were given OSOC assistance and conventional</em> <em>pregnancy care at Kendal District Health Center (Puskesmas Kendal) .This research is a quasi experimental study with non equivalent control group design. Samples in this study were 124 third trimester pregnant women at Kendal District Health Center (Puskesmas Kendal). The research subjects were divided into intervention and control groups. In the intervention group, pregnant women were give intervention by OSOC assistance, and the control groups were given conventional pregnancy care. This research was held on July-September 2018. The analysis design used Chi Square. The results showed that there were significant differences (p &lt;0.05), and the influence of OSOC assistance on comforting pregnant women was 2.357, and there were significant differences between anxiety in the third trimester pregnant women with OSOC assistance and conventional pregnancy care, and the influence of OSOC assistance on anxiety pregnant women was 7,703. The conclusion of this study is that there are significant differences between the comfort and anxiety of the third trimester pregnant women with OSOC assistance and conventional pregnancy care.</em></p>


2019 ◽  
Author(s):  
Leila Amiri Farahani ◽  
Soroor Parvizy Sr ◽  
Eesa Mohammadi ◽  
Mohsen Asadi-Lari Sr ◽  
Ziba Taghizadeh

BACKGROUND Background and Aims: Childbirth preparation courses are the most important educational components during pregnancy. There have been changes in the health-related educational approaches and an increase in the tendency of pregnant women to acquire information from online resources so far. OBJECTIVE the current study aimed to compare the effect of childbirth preparation education using two methods of in-person and social networks on the experience of pregnancy, fear of childbirth, the birth preference, and type of delivery among pregnant women. METHODS In total, 165 primiparous women referring to the prenatal clinic affiliated to Milad Hospital in Tehran, Iran, will be done in this study. The sampling has been fulfilled through convenience sampling method and the participants will be divided into three groups of control and intervention 1 and 2 weekly. The intervention begins in 20th weeks of gestation and lasts until 37th gestational weeks. The intervention group 1 is subjected to educational content based on Mayer's Principles of multimedia learning using PDF files, images, videocasts, and podcasts. On the other hand, the subjects in the intervention group 2 will receive the same content using the in-person method through textbooks, movies, and medical moulages. The pretest will be performed at 18-20 weeks of gestation using a demographic characteristics form, Pregnancy Experience Scale (PES), and version A of Wijma Delivery Expectancy/Experience Questionnaire (WDEQ-A). In addition, at 36-38 weeks of gestation, the posttest will be carried out using PES, WDEQ-A, and birth preference. The type of delivery will be recorded a few days postpartum. RESULTS it is a protocol study. no result CONCLUSIONS This semi-experimental clinical trial with a control group tests the effect of virtual childbirth preparation courses on primiparous women. The expected outcomes included the improvement of pregnancy experience measured by the shortened form of PES, a decrease in the fear of childbirth measured by WDEQ-A, and the difference between the birth preference and type of delivery. CLINICALTRIAL IRCT20180427039436N2


2021 ◽  
Vol 4 (1) ◽  
pp. 70-76
Author(s):  
Diah Evawanna Anuhgera ◽  
Nikmah Jalilah Ritonga ◽  
Riris Sitorus ◽  
Juni Mariati Simarmata

A comfortable childbirth is the dream of mothers. Faster delivery progress can lead to quality midwifery care. Birth ball is a tool that can be used by mothers to position the pelvis properly, especially applied the pelvic rocking technique. This review study aimed to evaluate the evidence regarding the effect of using birth ball with pelvic rocking in duration of labor in kala I active phase. This study followed a quasi experimental research design with posttest control group design.The sample consisted of 12 treatment people dan 12 controls with the purposive sampling.Partograph was measured duration of labor in kala I active phase. The difference in duration of labor for the treatment and control group were tested with Mann Whitney. There was a difference in the effect of  using a birth ball with pelvic rocking technique in length of labor in kala I active phase in the treatment and control groups with p-value 0.001. The use of birth ball with pelvic rocking technique is evidence to speed the duration of labor in kala I active phase. Birth ball with pelvic rocking are recommended to be use an alternative to speed the duration of labor in kala I active phase in midwifery services


2020 ◽  
Vol 9 (1) ◽  
pp. 15
Author(s):  
Eni Sumarliyah ◽  
Dede Nasrullah ◽  
Sukadiono . ◽  
Desta Pankyano

Diabetes mellitus (DM) is a metabolic disease characterized by an increase in blood sugar levels. Blood sugar levels in patients with DM are mostly challenging to control, and this will threaten the occurrence of complications. Alternative therapies used are active flavonoids in reducing blood glucose. The purpose of this study was to analyze the decrease in blood sugar levels by administering cherry leaves stew and black onions to mice (mus musculus). The design of this study was the Quasy Experimental design (pretest-posttest with control group design). The sample in this study was 32 mice, 16 in the intervention group, and 16 comparison groups. There are independent variables (Kersen Leaf Stew and Black Onion Extract) and the dependent variable (Blood Glucose Level). The data were collected using an observation sheet, then analyzed using the independent sample T-test and Kolmogorov Smirnov test. The results of this study showed that the pre and post administration of cherry leaf decoction was 36.5 mg/dl, and the difference between pre and post administration of black onion extract was 24.3 mg/dl. While the analysis showed p = value 0.98, it showed no difference in the effectiveness of the two extracts in reducing blood sugar levels in mice. Obtained comparative test results from the two extracts were equally effective in lowering blood sugar in mice. Thus further research needs to be done with more samples.  


2019 ◽  
Vol 7 (2) ◽  
pp. 145
Author(s):  
Wahyu Rochdiat Murdhiono ◽  
Santi Damayanti ◽  
Ni Luh Komang Sri Ayunia

Mahasiswa keperawatan memiliki risiko yang lebih tinggi untuk mengalami stres dibandingkan  mahasiswa kesehatan lainnya. Belum pernah ada peneltian yang menggabungkan terapi meditasi dengan terapi musik suara alam untuk menurunkan stres pada mahasiswa keperawatan di Yogyakarta. Tujuan penelitian ntuk mengetahui pengaruh meditasi dengan suara alam pada mahasiswa keperawatan. Penelitian ini merupakan penelitian quasi-experiment dengan pendekatan pre dan post-test nonequivalent control group. Sampel dipilih menggunakan teknik consecutive sampling dan dibagi menjadi dua kelompok, masing-masing berjumlah 30 orang. Instrumen penelitian menggunakan DASS-42. Median skor stres pada kelompok perlakuan sebesar 11,00 pada pre-test sedangkan post-test sebesar 7,00. Di kelompok kontrol, median skor stres pre-test sebesar 10,00 dan median skor stres post-test sebesar 9,50. Uji Wilcoxon untuk menganalisis perbedaan skor stres pre dan post-test menghasilkan nilai p 0,000 di kelompok perlakuan dan pada kelompok kontrol menunjukkan nilai p 0,137. Meditasi menggunakan musik suara alam dapat menurunkan stres dan dapat menjadi terapi komplementer alternatif yang dapat dilakukan perawat. Kata kunci: meditasi, musik suara alam, stres, mahasiswa keperawatan MEDITATION WITH SOUND OF NATURE CAN REDUCE STRESS IN NURSING STUDENTSABSTRACTNursing students have a higher risk to experience stress than other medical students. Previously, there has never been any research regarding meditation using the sound of nature to reduce stress in nursing students in Yogyakarta.Research objective to determine the influence of meditation with the sound of nature to reduce stress in nursing students. This is quasi-experiment research with a pre and post-test nonequivalent control group design. The samples were selected using consecutive sampling and divided into two groups, each was 30 respondents. The research instrument used was DASS 42. The pre-test median stress score in the intervention group was 11.00, and the post-test score was 7.00. In the control group, the pre-test median score was 10.00, and the post-test score of 9.50. Wilcoxon test used to analyze the difference of stress score in the intervention group (p-value = 0.000), and the difference in stress score in the control group (p-value = 0.137). Meditation using the sound of nature can reduce stress in nursing students and can be an alternative complementary therapy for nurses. Keywords: meditation, the sound of nature, stress, nursing students


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