scholarly journals Pengaruh Demonstrasi Terhadap Keterampilan Perawatan Payudara Pada Ibu Hamil Trimester Ketiga Di Wilayah Kerja Puskesmas Jeulingke Kecamatan Syiah Kuala Banda Aceh

Author(s):  
Ulfa Farrah Lisa ◽  
Mutia Putri

Abstrak Demontrasi perawatan payudara akan  membuat keterampilan ibu hamil semakin meningkat dan demonstrasi akan berpengaruhterhadap keterampilan perawatan payudara pada ibu hamil. Perawatan payudara bertujuan untuk melancarkan sirkulasi darah dan mencegah tersumbatnya aliran susu sehingga mempelancar pengeluaran ASI. Target pemberian ASI ekslusif adalah sebesar 80% sedangkan pencapaian di Kota Banda Aceh masih rendah yaitu  55,17%. Dari survei data awal yang dilakukan di Puskesmas Jeulingke Kecamatan Syiah Kuala Banda Aceh didapatkan bahwa jumlah ibu hamil sebanyak 31 orang dari lima desa dan mayoritas tidak bisa melakukan perawatan payudara. Artikel ini bertujuan untuk mengetahui pengaruh demonstrasi terhadap keterampilan perawatan payudara pada ibu hamil trimester ketiga diwilayah kerja Puskesmas Jeulingke Kecamatan Syiah Kuala Banda Aceh. Penelitian ini bersifat eksperimen semu (quasi experiment) dengan pre-test post-test desain. Dilakukan di wilayah kerja Puskesmas Jeulingke Kecamatan Syiah Kuala Banda Aceh, pada tanggal 25 Juni sampai dengan 2 Juli 2018. Jumlah sampel dalam penelitian inisebanyak 31 orang dengan teknik total sampling. Pengumpulan data menggunakan lembaran observasi dan uji statistic menggunakan uji wilcoxon dengan taraf signifikasi α=0,05 (C1=95%). Hasil analisis menunjukkan dari 31 responden sebelum diberikan demonstrasi(pre-test) keterampilan responden mayoritas perlu perbaikan sebanyak 28 orang (90,3%) dan responden yang mampu sebanyak 3 orang (9,7%), sedangkan setelah diberikan demonstrasi (post-test) keterampilan responden mayoritas mampu sebanyak 16 orang (51,6%), mahir sebanyak 9 orang (29,1%) dan perlu perbaikan sebanyak 6 orang (19,3 %). Setelah dilakukan uji statistik, didapat nilai p-value 0,000. Kata Kunci      : Demonstrasi, Perawatan Payudara, Keterampilan Abstract Demonstration of breast care will make the skills of pregnant women is increasing and the demonstration will affect the skill of breast care in pregnant women. Breast care aims to improve blood circulation and prevent blockage of milk flow so that it smoothes out breast milk. The target of  the exclusive breastfeeding is 80% while the achievement in Banda Aceh is still low (55.17%).From the initial survey data conducted at the Community Health Center of Jeulingke, Syiah Kuala Banda Aceh, and the number of pregnant women is 31 people from five villages and the majority cannot breast care. This article aims to  know the effect of demonstration on breast care skill in third trimester pregnant woman in work area at Community Health Center (Puskesmas) of Jeulingke, Syiah Kuala Banda Aceh. This research has aQuasi Experiment with pre-test post-test design. This research was Conducted in the work area at Puskesmas Jeulingke, District Syiah Kuala Banda Aceh, from 25 June to 2 July 2018. The samples in this research there were 31 people with total sampling technique. And the Data collection is used observation sheet and statistic by wilcoxon testwith a significance level α=0,05 (C1=95%). The results of the analysis show from 31 respondents before being given a demonstration (pre-test) the majority of respondents' skills were categorized as needing improvement as many as 28 people (90.3%) and respondents who were in the category of capable were 3 people (9.7%), while after being given a demonstration ( post-test) the skills of the majority of respondents are in the category of capable as many as 16 people (51.6%), proficient categories as many as 9 people (29.1%) and categories need improvement as much as 6 people (19.3%). After a statistical test, the p-value is 0,000.  Keywords: Demonstration, Breast Care, Skills.

2021 ◽  
Vol 2 (1) ◽  
pp. 85-91
Author(s):  
Khairiatu Saadah ◽  
Efendi Sianturi

The results of Basic Health Research (Riskesdas) issued by the Health Research and Development Agency (Baritbankes) of the Indonesian Ministry of Health in 2018 stated that the prevalence of anemia in pregnant women in Indonesia was 48.9%. In North Sumatra, blood tests were carried out on pregnant women from 9,377 pregnant women in three cities, namely Medan, Pematang Siantar and Kisaran. 33% of them had anemia. One of the causes of anemia in pregnancy is iron deficiency. The type of research used was pre-experiment with One Group Pretest-Posttest Design. In this study, using purposive sampling technique, namely 34 pregnant women. Adherence is the level of patients carrying out the treatment and behavior suggested by their doctor or by others. Meanwhile, the compliance with taking blood-supplemented tablets is a behavior where pregnant women support the iron supplementation program carried out by the government to prevent anemia in pregnant women. Based on the results of the research discussion entitled "Effectiveness of Extension through Audio Visual Media Using Animation Videos on Compliance with the Consumption of Iron (Fe) Tablets in Pregnant Women in the Work Area of ​​the Tanjung Morawa community Health Center in 2020, it can be concluded that the compliance of respondents before being given counseling was the majority as obedient as 22 respondents ( 35.3%) and the compliance of respondents after being given counseling was the majority obedient as many as 29 respondents (85.3%), and the effectiveness of counseling through audio-visual media using animation videos on compliance with consuming iron tablets (Fe) in pregnant women in the work area of ​​ Tanjung Morawa community health center in 2020 after being given counseling with the results of the T test paired sample T-test, it was obtained that sig 2 tailed was 0.000 (p value) <0.05. And it is hoped that the next researchers will develop this research using other media


2020 ◽  
Vol 2 (2) ◽  
pp. 225-230
Author(s):  
Nova Yusenta ◽  
Komalasari Komalasari ◽  
Mareza Yolanda Umar ◽  
Yenny Marthalena

Angka Kematian Ibu dan Angka Kematian Neonatal Bayi di Indonesia masih tinggi dimana Kabupaten Pesisir Barat khususnya Kecamatan Bangkunat yang merupakan salah satu penyumbang tertinggi. Tujuan dari penelitian ini adalah diketahuinya Pengaruh Konseling Tentang Program Perencanaan Persalinan dan Pencegahan Komplikasi (P4K) terhadap Motivasi Ibu Hamil Untuk Bersalin Di Fasilitas Kesehatan di Wilayah Kerja UPTD. Puskesmas Bengkunat Belimbing Tahun 2020. Populasi dalam penelitian ini adalah semua ibu hamil trimester III yang terdapat di Pekon Penyandingan, Pekon Pemerihan, Pekon Sumberejo dan Pekon Kota Jawa pada Bulan Maret tahun 2020 yang berjumlah 50 ibu hamil. Sedangkan Sample diambil dari populasi dengan teknik Total Sampling. Analisis bivariat dalam penelitian ini menggunakan Uji Non Parametic Yaitu Uji Wilcaxon Machted Pair Test. Hasil uji  Wilcaxon Machted Pair Test menunjukkan diperoleh p-value 0,001 (less than 0,01) yang artinya Ada pengaruh konseling tentang P4K dengan peningkatan motivasi ibu hamil untuk bersalin di fasilitas kesehatan di wilayah kerja UPTD. Puskesmas Bengkunat Belimbing tahun 2020.Abstract: Maternal Mortality and Neonatal Infant Mortality rates in Indonesia are still high in West Pesisir Regency, especially in Bengkunat sub-district, which is one of the highest contributors. The research objective was to know the influence of counseling about P4K by improving the motivation of pregnant women to childbirth in health facilities at the working areas of the UPTD community health center of Bengkunat Belimbing in 2020. The population in this research were all third trimester of pregnant women in the Pekon Penyandingan, Pekon Pemerihan, Pekon Sumberejo dan Pekon Kota Jawa on March 2020, which amounted to 50 pregnant women. While the sample is taken from the population with the Total Sampling technique. The bivariate analysis in this research uses the Non-Parametic Test Namely the Wilcoxon Matched Pair Test. The Wilcoxon Matched Pair Test results show that a p-value of 0.001 (less than 0.01), which means that there is an influence of counseling about P4K by increasing the motivation of pregnant women to childbirth in health facility at the working areas of UPTD community health center of Bengkunat Belimbing in 2020.


Author(s):  
Dewi Kartika Sari ◽  
◽  
Putri Wahyu Wigati ◽  

ABSTRACT Background: Anemia is a pathologic condition produced by a decrease in red blood cell mass or a decrease in the amount of hemoglobin. The initial survey carried out in the Tiron Puskesmas work area in the June-July 2019 period was still a high incidence of anemia in the Tiron Puskesmas Kediri Regency work area (60%). This study aimed to analyze factors affecting anemia in pregnant women with second and third trimester of pregnancy at tiron community health center, Kediri district, East Java. Subjects and Method: A cross sectional study was carried out at Tiron community health center, Kediri, East java, from June to July 2020. A sample of 49 2nd and 3rd trimesters of pregnant women was selected by purposive sampling. The dependent variable was anemia. The independent variables were age, iron tablet intake, ANC visit. The data were collected by questionnaire and analyzed by a multiple logistic regression. Results: Anemia in pregnant women decreased with older age (OR= 0.08; 95% CI = 0.01 to 1.20; p = 0.068). Anemia in pregnant women increased with irregular iron tablet intake (OR= 18.45; 95% CI = 2.77 to 123.10; p = 0.003) and irregular ANC visit (OR = 1.85; 95% CI = 1.05 to 38.18; p = 1.87). Conclusion: Anemia in pregnant women decreases with older age. Anemia in pregnant women increases with irregular iron tablet intake and irregular ANC visit. Keywords: anemia, hemoglobin levels, pregnant women Correspondence: Dewi Kartika Sari. Faculty of Health Sciences Universitas Kadiri. Jl. Selomangleng No 1, Kediri. Email: [email protected] DOI: https://doi.org/10.26911/the7thicph.03.50


2020 ◽  
Vol 4 (1) ◽  
pp. 279-284
Author(s):  
Puji Lestari ◽  
Byba Melda Suhita ◽  
Katmini Katmini

CCA interest in using an IUD as an IUD (Contraception Tool in the Womb) in the work area of ​​the Sugihwaras Community Health Center is still low. This is caused by several factors. The purpose of this research is to find out the most dominant factor influencing CCA interest in using an IUD as a contraceptive device in the work area of ​​the Puskesmas Sugihwaras Bojonegoro. The design of this study used an observational method with a cross sectional approach. With a population of all couples of childbearing age who use the IUD as a contraceptive in the work area of ​​the Sugihwaras Health Center, which is 175 people. By using purposive sampling technique obtained a sample size of 122 respondents. The independent variables in this study were acceptor confidence, service quality, environmental culture, and family support. While the dependent variable is CCA interest in using an IUD as a contraceptive. The results showed that the p value for the acceptor confidence variable was 0.017 <0.05 so that the acceptor confidence variable had an influence on the acceptor's interest. P value of service quality 0,000 <0.05 so that service quality variables have an influence on the acceptor's interest. P value of environmental culture 0.035 <0.05 so that environmental culture has an influence on the acceptor's interest. P value of family support 0.001 <0.05 so that family support has an influence on the acceptor's interest. Of all the independent variables that have the strongest signification value is service quality. So the hypothesis is accepted. That means that service quality is the factor that has the most influence on CCA interest in using an IUD as a contraceptive in the work area of ​​the Sugihwaras Community Health Center.


2020 ◽  
Vol 2 (1) ◽  
Author(s):  
Riyanto Agung Pamungkas ◽  
Siti Rohimah ◽  
Dini Nurbaeti Zen

Compliance with hypertension treatment is the main aspect in treating hypertension. One of the factors that can influence medication adherence is family support. The purpose of this study was to determine the relationship between family support and adherence to treatment in patients with hypertension in the work area of Ciamis Health Center.The design of this study uses correlational design. The population in this study were patients with hypertension in the work area of Ciamis Health Center, which were 13,273 people and the study sample used purposive sampling so that the samples obtained were 99 people. Data collection techniques used were questionnaires and observations. The results showed a relationship between family support and adherence to treatment in hypertensive patients in the Ciamis Community Health Center work area. Based on the results of the Kendal-Tau analysis with a 95% confidence level and a 5% error level, the correlation coefficient value of family support with treatment compliance is equal to r = 0.526 with a significance level of p value of 0.049 < α 0.05. That is, the higher the family support given to hypertension sufferers, the higher the compliance.Suggestions for further researchers are expected to conduct further research on the importance of family support to further improve adherence to treatment in patients with hypertension, because in this study most of the family support provided moderate support. Or examine other factors that can improve the compliance of hypertensive patients in treatment. Keywords: Family Support, Compliance with Hypertension TreatmentReferences: 31 (2002-2018)


2021 ◽  
Vol 7 (1) ◽  
pp. 48-52
Author(s):  
Anggrawati Wulandari

ABSTRACT Women who have had back pain before pregnancy are at higher risk of experiencing the same thing when pregnant. Therefore, it is very important to be able to differentiate pregnancy back pain from back pain that occurs due to other causes. The purpose of this study was to analyze the effect of Pelvic Rocking exercise on the reduction of back pain in trimester III pregnant women in the Bululawang Community Health Center, Malang Regency. This research design uses correlational analytic with one group pre test design approach. The population in this study were all pregnant women in PMB "E" working area of ??Puskesmas Bululawang 73 pregnant women with a sample size of 30 respondents who were taken using accidental sampling technique. The independent variable in this study was Pelvic Rocking exercise, while the dependent variable was back pain for pregnant women. Data analysis used the Wilcoxson test. Results of the Research Before giving treatment, the highest level of back pain was moderate pain as much as 18 pregnant women (60%), and after giving Pelvic Rocking exercise, the pain level was reduced by 26 pregnant women (86.7%). The Wilcoxson test results show that the p value or 0.002 <0.005, then Ho is rejected, thus the alternative hypothesis (H1) is accepted. So the conclusion is that there is a significant effect between Pelvic Rocking Exercise on the reduction of back pain in trimester III pregnant women at PMB "E" in the working area of ??the Bululawang Community Health Center. The conclusion of this study is that there is an effect of Pelvic Rocking Exercise on the reduction of back pain in trimester III pregnant women at PMB "E" in the working area of ??Bululawang Public Health Center.   Keywords : Pelvic Rocking exercise, Back pain, pregnant women


2019 ◽  
Vol 2 (1) ◽  
pp. 1-6
Author(s):  
Maria M U Girsang ◽  
Siti Marlina

Motivation is defined as strength, encouragement, needs, enthusiasm, pressure, or psychological mechanisms that encourage someone or a group of people to achieve certain achievements in accordance with what people want. Integrated service post is one form of health services organized by the community for the community with technical support from local health workers. The purpose of this study was to determine the relationship between the motivation of integrated service postcadres and efforts to increase children under five year visits in the area in the Pamatang Silimahuta Community Health Center work area. The sample was 73 respondents using random sampling techniques. The design of this study used analytic survey research, using the Cross Sectional approach and data collected from respondents using questionnaire sheets. The results showed a relationship between integrated service post cadre motivation and efforts to increase children under five year visits in the Pamatang Silimahuta Community Health Center work area with p value = 0.007 smaller than 0.05. It was suggested to the relevant parties to give awards to cadres so that it could motivate integrated service postcadres to be more active so that it can increase children under five year visit to the integrated service post.


2021 ◽  
Vol 3 (2) ◽  
pp. 261-272
Author(s):  
Indra Wijaya

ABSTRACT: THE CORRELATION OF KNOWLEDGE AND FAMILY SUPPORT WITH SPUTUM EXAMINATION IN PATIENTS WITH SUSPECTED TB IN THE WORK AREA OF BRABASAN HEALTH CENTER IN MESUJI  Introduction: Achievement of positive smear pulmonary TB findings in Lampung Province, which is 38%, has not reached the MSS target. Brabasan health center as many as 28 cases. As for the case of death at the Brabasan Community Health Center during 2017, there were 5 patients with pulmonary TB who died. the purpose knowing the relationship of knowledge and family support with sputum examination in patients with suspected TB in the work area of Brabasan Health Center in Mesuji Regency in 2020Method: This type of research is quantitative, analytical survey research design with cross sectional approach. The population was all patients with suspected TB as many as 332 respondents, a sample of 182 respondents was taken by proportional random sampling. Univariate (frequency distribution) and bivariate data analysis used the chi square test.Results:. It is known that of 182 respondents, most did not conduct an examination, namely 110 (60.4%) respondents, 112 knowledge (61.5%) respondents were poor, and negative family support was 94 (51.6%) respondent. There is a knowledge relation (P-Value 0,000; OR 17,625). and family support (P-Value 0, 020; OR 2,142) with sputum examination in suspected TB patients in the Brabasan Community Health Center in Mesuji Regency in 2020Conclusion: There is a relationship between knowledge and family support with sputum examination in suspected TB patients in the Brabasan Community Health Center in Mesuji Regency in 2020. Health promotion in the form of posters, banners, leaflets, baligo about the concept of compliance and other health concepts Keywords: Knowledge, family support, sputum examination       INTISARI: HUBUNGAN PENGETAHUAN DAN DUKUNGAN KELUARGA DENGAN PEMERIKSAAN DAHAK PADA PENDERITA SUSPEK TBC DI WILAYAH KERJA PUSKESMAS BRABASAN KABUPATEN MESUJI TAHUN 2020 Pendahuluan: Capaian angka penemuan penderita TB Paru BTA positif di Provinsi Lampung yaitu 38% masih belum mencapai target SPM, Berdasarkan laporan tahunan Dinas Kesehatan Kabupaten Mesuji  tahun 2017 angka penemuan pasien TB paru BTA (+) di Puskesmas Simpang pematang sebanyak 55 kasus, terendah di Puskesmas Brabasan  sebanyak 28 kasus. Sedangkan untuk kasus kematian di Puskesmas brabasan  selama tahun 2017 terdapat 5 orang pasien TB Paru yang meninggal. Tujuan penelitian diketahui hubungan pengetahuan dan dukungan keluarga dengan pemeriksaan dahak pada penderita suspek TBC di wilayah kerja Puskesmas Brabasan Kabupaten Mesuji tahun 2020.Metode: Jenis penelitian kuantitatif, rancangan penelitian survey analitik pendekatan cross sectional. Populasi adalah seluruh pasien suspek TB  sebanyak 332 responden, sampel sebanyak 182 responden diambil secara proportional random sampling.  Analisa data secara univariat (distribusi frekuensi) dan bivariat menggunakan uji  chi square.Hasil:.Diketahui bahwa dari 182 responden, sebagian besar tidak melakukan pemeriksaan yaitu sebanyak 110 (60,4%) responden, pengetahuan kurang baik sebanyak 112 (61,5%) responden, dan  dukungan keluarga negatif sebanyak 94 (51,6%) responden. Ada hubungan pengetahuan (P-Value 0,000; OR 17,625). dan dukungan keluarga (P-Value 0, 020; OR 2,142) dengan pemeriksaan dahak pada penderita suspek TBC di wilayah kerja Puskesmas Brabasan Kabupaten Mesuji tahun 2020Kesimpulan : Ada hubungan pengetahuan dan dukungan keluarga dengan pemeriksaan dahak pada penderita suspek TBC di wilayah kerja Puskesmas Brabasan Kabupaten Mesuji tahun 2020. Promosi kesehatan baik dalam bentuk poster, banner, leaflet, baligo tentang konsep kepatuhan maupun konsep kesehatan lainnya Kata kunci : Pengetahuan, dukungan keluarga, pemeriksaan dahak


2018 ◽  
Vol 9 (2) ◽  
pp. 27-36
Author(s):  
Bani Sauli ◽  
Fitrianty Sutadi Lanyumba ◽  
Marselina Sattu ◽  
Dwi Wahyu Balebu ◽  
Muhammad Syahrir ◽  
...  

Tujuan penelitian ini yaitu mengetahui gambaran pelaksanaan P4K di wilayah kerja Puskesmas Bualemo Kabupaten Banggai Tahun 2014. Jenis penelitian ini adalah penelitian deskriptif, pada 13 bidan, 47 ibu hamil, dan 25 responden tokoh masyarakat yang dipilih secara Purposive Sampling. Waktu penelitian pada bulan Juni Tahun 2014. Pengambilan data dilakukan dengan wawancara secara langsung terhadap responden berdasarkan daftar pertanyaan yang telah disediakan. Hasil penelitian menunjukkan bahwa pelaksanaan P4K pada bidan dengan kriteria baik 4 responden (30,8%), dan kriteria kurang baik 9 responden (69,2%). Pelaksanaan P4K pada ibu hamil dengan kriteria baik sebanyak 6 responden (12,8%), dan kriteria kurang baik 41 responden (87,2%). Pelaksanaan P4K pada tokoh masyarakat dengan kriteria baik 5 responden (20%), dan kriteria kurang baik 20 responden (80%). Secara keseluruan dari 3 variabel yang di teliti pelaksanaan program perencanaan persalinan dan pencegahan komplikasi di wilayah kerja Puskesmas Bualemo tidak terlaksana dengan baik. Saran dari penelitian ini diharapkan kerja sama semua sektor terkait dalam mendukung terlaksananya program perencanaan persalinan dan pencegahan komplikasi (P4K) di Kabupaten Banggai secara umum dan di wilayah kerja Puskesmas Bualemo Khususnya. The purpose of this study was to find out the description of the implementation of P4K in the Bualemo Community Health Center in Banggai District in 2014. This type of research is a descriptive study, on 13 midwives, 47 pregnant women, and 25 respondents community leaders who were selected by Purposive Sampling. The time of the study was in June 2014. Data was collected by direct interview with respondents based on a list of questions provided. The results showed that the implementation of P4K on midwives with good criteria 4 respondents (30.8%), and 9 respondents (69.2%) unfavorable criteria. The implementation of P4K in pregnant women with good criteria was 6 respondents (12.8%), and unfavorable criteria were 41 respondents (87.2%). The implementation of P4K on community leaders with good criteria is 5 respondents (20%), and criteria are less good for 20 respondents (80%). Overall, the 3 variables examined in the implementation of the birth planning and complications prevention program in the work area of ​​the Bualemo Community Health Center were not implemented properly. Suggestions from this research are expected to cooperate with all related sectors in supporting the implementation of the birth planning and complications prevention (P4K) program in Banggai Regency in general and in the work area of ​​the Bualemo Community Health Center in particular.


2018 ◽  
Vol 5 (2) ◽  
pp. 40-45
Author(s):  
Sutrisno ◽  
Endah Sari Purbanisngsih ◽  
Citra Setyo Dwi Andhini

Background:Neonates are newborn babies, aged 0-28 days.Low birth weight (LBW) is one of the main factors in increasing mortality, neonatal morbidity and disability. Purpose: This study aims to determine the relationship between maternal factors and the weight of babies bornin the work area of ​​the Karangampel Community Health Center, Indramayu Regency. Method:This research method uses descriptive analytic, using a quantitative approach and cross sectional design.The population is all mothers who have given birth in the work area of ​​the Karangampel Community Health Center, Indramayu Regency,the data was obtained from the book records of patients at the Poned UPTD Karangampel Public Health Center, Indramayu Regencyas many as 175 respondents and sampling using Randon Sampling technique obtained 64 respondents.The instrument used in the form of observation sheets, as well as data analysis using the chi square test. Result:The results of the study using chi square statistical test showed that the relationship between maternal factors (maternal age) and birth weight obtained results of p-value = 0.011, the relationship of maternal factors (maternal parity) with birth weight obtained results of p-value = 0.802, while the relationship factor maternal (pregnancy distance) with birth weight obtained results of p-value = 0.019. Of the three categories of maternal factors, maternal factors (maternal age and gestational distance) were <α = 0.05, and maternal factors (parity)> α = 0.05. Conclusion:We hope this research can be used as reading material and study materials for students and teachers about the study between maternal factors and birth weight.


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