scholarly journals Pendidikan Kesehatan dengan Pendekatan Model Information Motivation Behavior Skill (IMB) terhadap Peningkatan Pengetahuan dan Pola Konsumsi Sayur dan Buah pada Ibu Hamil

2019 ◽  
Vol 10 (3) ◽  
pp. 320
Author(s):  
Farhati Farhati ◽  
Riska Resmana ◽  
Dian Nurhadianti

<p>Low consumption of vegetables and fruit causes an increased risk of chronic diseases such as cancer, heart disease, and diabetes. The results showed that the majority of pregnant women (52.9%) rarely consume vegetables and fruit in sufficient quantities as recommended. Therefore, it is necessary to provide education about the importance of vegetables and fruits consumption, one of which is through the Information Motivation Behavioral Skill (IMB) approach. This study aims to determine the effect of health education with the Information Motivation Behavior Skill (IMB) approach to increasing knowledge and consumption patterns of vegetables and fruits in pregnant women. This research is a quasi-experimental study with pre-post test design with control groups conducted in pregnant women in the city of Bandung with 60 samples using the observation sheet and questionnaire instruments. Data analysis used the chi-square test. The result of this study indicates that there are significant differences in knowledge and patterns of consumption of vegetables and fruit in pregnant women between the control and treatment groups with a p-value&lt;0.05. Information Motivation Behavior Skill (IMB) Health Education Model approach has a role in increasing the knowledge and consumption patterns of vegetables and fruits in pregnant women.</p>

2021 ◽  
Vol 8 (2) ◽  
pp. 205-219
Author(s):  
Mardeyanti Mardeyanti ◽  
Siti Masitoh

During pregnancy, there are system changes that require adaptation, both physiological and psychological. With these changes, pregnant women must know and understand what they are experiencing, so they need health education during pregnancy and how to prepare for safe delivery. Mother class is a means of learning together about pregnant women's health, increasing knowledge, change attitudes and mothers' behavior. The purpose of this study was to determine the differences in health education with snowballing and brainstorming methods in pregnant women in the class to increase knowledge and attitudes about preparation for pregnancy and childbirth. This study's design was Quasi-experimental with a pretest-posttest design of two snowballing groups and a brainstorming group. The number of samples for each group of 30 pregnant women. Analysis with Chi-Square and T-Test. The study results showed significant differences in knowledge and attitudes on the snowballing method (p-value of 0.000) and the brainstorming method with a p-value of knowledge of 0.011 and attitude of 0.000. Health education using snowballing has a more substantial effect, especially on the attitudes of pregnant women.


2021 ◽  
Vol 6 (1) ◽  
pp. 10
Author(s):  
Nurmiaty Nurmiaty ◽  
Wahida Wahida ◽  
Elyasari Elyasari ◽  
Andi Malahayati

Penelitian ini bertujuan untuk mengetahui efektifitas penyuluhan terhadap pengetahuan, sikap dan keputusan ibu melakukan IVA. Desain penelitian adalah Quasi Experimental.  Analisis data dengan uji Wilcoxon dan chi square. Hasil penelitian skor pengetahuan sebelum di beri penyuluhan (T0) sebesar (65,66±12,55) dan setelah diberikan intervensi (T1) berupa penyuluhan, skor pengetahuan meningkat menjadi (81,13±5,62). Hasil ini menunjukkan bahwa pemberian penyuluhan signifikan terhadap pengetahuan, dimana (p<0,05). Skor sikap sebelum di beri penyuluhan  sebesar (58,75±16,60) dan setelah diberi penyuluhan (77,75±10,70)  hasil ini menunjukkan bahwa pemberian penyuluhan signifikan terhadap sikap ibu di mana (p<0,05). Skor keputusan ibu sebelum penyuluhan adalah (61,52±11,87) dan setelah penyuluhan (78,58±10,05). Hasil uji statistik menunjukkan skor perilaku signifikan pada post test di mana (p<0,05), hasil ini menunjukkan bahwa pemberian penyuluhan dapat mempengaruhi tindakan ibu untuk melakukan deteksi dini kanker serviks dengan IVA Test. Pemberian penyuluhan dapat meningkatkan pengetahuan, serta mempengaruhi sikap dan tindakan ibu untuk melakukan deteksi dini kanker serviks menggunakan IVA Test.The purpose of the study was to determine the effectiveness of counselling on the knowledge, attitudes and decisions of mothers conducting an early detection of cervical cancer. The research design was quasi-experimental. Statistical analysis using the Wilcoxon and chi-square test. Based on the results of data analysis with Wilcoxon test obtained knowledge scores before counselling (T0) of (65.66 ± 12.55) and after counselling (T1) knowledge scores increased to (81.13 ± 5.62) p-values <0,05. The attitude score before counselling was (58.75 ± 16.60) and after counselling (77.75 ± 10.70) with a p-value <0.05. The results of the static analysis showed that the provision of counseling significantly increased the knowledge score, attitude score and the mother's decision to make early detection of cervical cancer with an IVA Test.  


2019 ◽  
Vol 1 (1) ◽  
pp. 1-6
Author(s):  
Hesti Kurniasih ◽  
Fitria Zuhriyatun ◽  
Siti Nur Faizah

The Effectiveness Of Combination Of Ginger And Pyroxoxine Extract To Reduce Pregnant Women Moment Nausea vomiting is one of the most common complaints experienced by pregnant women in the first 3 months, the condition can be a serious condition that is hyperemesis gravidarum which results in disrupting the welfare of the mother and fetus, the essential content of ginger to overcome nausea and vomiting. This study aims to assess the effectiveness of a combination of ginger extract and pyridoxine in reducing complaints of nausea and vomiting in pregnant women under 3 months. A quasi- experimental,          prospective     randomized     controlled            study   method            involving pregnant women with a gestational age of ≤11 weeks in the working area of Puskesmas 1 2 Baturraden. The treatment group received a combination of 200 mg of ginger extract given 3 times daily + pyridoxine 15 mg once daily for 7 days while the control group received pyridoxine 1 x 25 mg per day for 7 days. Complaints of nausea and vomiting were measured using the Rhodes Index. After 7 days of data processing, the significance value of the chi-square test p- value was 0,000 and the chi-square value of 41,060 3,841. Because the significance value of 0.000 (0.05) or the calculated chi square value of 41.060 3.841 means that there is a relationship between the treatment of ginger extract and pyridoxine turns out to be significantly more significant in reducing complaints of nausea and vomiting of pregnant women compared to pyridoxine alone.


Author(s):  
Wahyu Ida Muliana Wahyu Ida Muliana

ABSTRACT Hyperemesis Gravidarum marked excessive nausea and vomiting in pregnant women at a young age. WHO estimates that 536,000 women died from direct complications of pregnancy and childbirth. One complication of pregnancy is Hyperemesis Gravidarum. Hyperemesis Gravidarum in the world has been estimated to occur in 1-2% of pregnant. According to data from the Medical Record of Dr. Mohammad Hoesin Palembang Hospital, the incidence of Hyperemesis Gravidarum in 2011 there were 72 people of 661 pregnant women. The purpose of this reseach was to determine the relationship between maternal age and parity with Hyperemesis Gravidarum in Dr. Mohammad Hoesin Palembang Hospital 2011. The Design of this reseach used Cross Sectional by analytic approach survey. The population of this reseach are all of mother who gestational ≤ 16 weeks (four months) in the Installation of Obstetrics and Gynecology, Dr. Mohammad Hoesin Palembang Hospital in January to December of 2011 with the sample of 661 people which taken by systematic random sampling and the reseach was conducted from 17 April to 24 April 2012.  Each variable that was observed in tests using Chi-Square test with a (0.05).  The results of this study showed that 5.9% of mothers with hyperemesis gravidarum, 21.8% of mothers with high risk age, and 30.0% primigravida. Chi-Square test showed no significant relationship between age (p value = 0.000) and parity (p value = 0.000) with the incidence of hyperemesis gravidarum. Expected to the Hospital to be implemented properly instructed how to provide counseling to pregnant women about pregnancy and childbirth, as well as provide confidence that the nausea and vomiting is a symptom of physiology in pregnancy.   ABSTRAK Hiperemesis Gravidarum ditandai mual dan muntah yang berlebihan terjadi pada ibu hamil di usia muda. WHO memperkirakan 536.000 perempuan meninggal dunia akibat langsung dari komplikasi kehamilan dan persalinan. Salah satu komplikasi kehamilan adalah Hiperemesis Gravidarum. Insiden Hiperemesis Gravidarum di dunia telah diperkirakan terjadi pada 1-2% wanita hamil. Menurut data dari Medical Record Rumah Sakit Umum Pusat Dr. Mohammad Hoesin Palembang, angka kejadian Hiperemesis Gravidarum pada tahun 2011 terdapat 72 orang dari 661 ibu hamil. Tujuan penelitian ini adalah untuk mengetahui hubungan antara umur dan paritas ibu dengan kejadian Hiperemesis Gravidarum pada ibu di Rumah Sakit Umum Pusat Dr. Mohammad Hoesin Palembang tahun 2011. Desain Penelitian ini menggunakan survei analitik dengan pendekatan Cross Sectional. Populasi penelitian ini adalah dengan umur kehamilan ≤ 16 minggu (4 bulan) yang pernah dirawat inap di Instalasi Kebidanan dan Penyakit Kandungan Rumah Sakit Umum Pusat Dr. Mohammad Hoesin Palembang pada bulan Januari-Desember tahun 2011 dengan jumlah sample 661 orang yang diambil secara systematic Random Sampling (secara acak sistematis) dan penelitian ini dilakukan dari tanggal 17 April sampai dengan 24 April 2012. Masing-masing variabel yang diteliti di uji dengan menggunakan uji Chi-Square dengan a (0,05). Hasil penelitian ini menunjukkan bahwa 5,9% ibu mengalami hiperemesis gravidarum, 21,8% ibu dengan umur resiko tinggi, dan 30,0% ibu primigravida. Uji Chi-Square menunjukkan ada hubungan yang bermakna antara umur (p value = 0,000) dan paritas (p value = 0,000) dengan kejadian hiperemesis gravidarum. Diharapkan dapat menjadi masukan bagi pihak Rumah Sakit agar dilaksanakan penyuluhan dengan cara memberikan konseling terhadap ibu hamil tentang kehamilan dan persalinan, serta memberikan keyakinan bahwa mual muntah merupakan gejala fisiologi pada kehamilan.


Author(s):  
Mallikarjuna Rao I. ◽  
Usha Kiran Prayaga ◽  
Dharma Rao Uppada ◽  
Ramachandra Rao E. ◽  
B. L. Kudagi

Background: The SSRIs being used as 1st line therapy in treatment of depression have delayed therapeutic effect which makes the patient vulnerable to an increased risk of suicide and decreased adherence to the treatment and will prematurely discontinue the therapy. The present study was conducted to evaluate if low dose mirtazapine-escitalopram combination therapy has any add on benefit over monotherapy with escitalopram.Methods: In a single-centered, comparative study involving patients with depression attending the out-patient after screening and exclusion, 60 eligible patients were randomly assigned to receive tablet mirtazapine 7.5 mg plus tablet escitalopram 10 mg intervention or tablet escitalopram 10 mg plus placebo intervention in a double-blind 6-week treatment phase. The primary outcome measure was the change in the 17-item Hamilton Depression Rating Scale (HDRS) and Montgomery-Asberg Depression Rating Scale (MADRS) score from baseline. Participants were evaluated at baseline, 1st, 2nd,4th and 6th week. Results were analyzed using Chi-Square test for adverse effects and independent t-test analysis for efficacy parameter.Results: In the analysis of results at 6th week the numbers of patients achieved remission in mirtazapine group are more with a p-value of 0.018 which is significant and the numbers of responders in mirtazapine group are also more which is statistically significant on chi-square test. There is no significant difference was observed between the two groups with reference to occurrence of adverse effect.Conclusions: Adding low dose mirtazapine has an added benefit in terms of efficacy and getting remission early with more number of responders in the treatment of major depression.


2020 ◽  
Vol 11 (1) ◽  
pp. 65-75
Author(s):  
Usep Rusependhi ◽  
Diah Mulyawati Utari

Babies born at LBW (Low Body Event) are at risk of disrupting the growth and development of the baby, as well as the occurrence of hypertension, heart disease and diabetes in old age. One of the factors causing LBW is the condition of CED (Chronic Energy Deficiency) experienced by mothers during pregnancy. The highest prevalence of LBW in Kuningan Regency in 2018 is in the working area of the Manggari Community Health Center, which is 11.8% with the prevalence of pregnant women CED 10.1%. The purpose of this study was to determine the relationship of maternal CED status during pregnancy with LBW events. The study design uses case control from cohort registers of pregnant women. The total sample of the study were 114 infants, consisting of 38 cases and 76 controls who met the inclusion and exclusion criteria. The results of the statistical analysis of the Chi-Square test, obtained p value = 0.002 and OR = 4.317 (95% CI: 1.776-10.495) which means that there is a significant relationship between the status of CED during pregnancy with LBW events, where pregnant women CED risk 4.317 times higher for LBW delivery compared to pregnant women who are not CED. The conclusion of this study is that there is a relationship between the status of CED of mothers during pregnancy with the incidence of LBW.


2021 ◽  
Vol 7 (1) ◽  
pp. 139-144
Author(s):  
Widiyanti Sarimunadi ◽  
Bunga Tiara Carolin ◽  
Rosmawaty Lubis

ABSTRACT: SEFT THERAPY (SPIRITUAL EMOTIONAL FREEDOM TECHNIQUE) FOR ANXIETY IN DEALING WITH LABORBackground: If the concern and anxiety of pregnant women is not handled seriously, it will have an impact and influence on physical and psychological aspects, both on the mother and the fetus. Pregnant women who experience anxiety in the face of labor are afraid of being operated on, afraid of spending a lot of money, fear of not being able to care for their babies properly, fear of their baby dying, fear of pain during delivery. One of the techniques for dealing with anxiety is SEFT therapy.Objective: to determine the effect of Spiritual Emotional Freedom Technique (SEFT) on anxiety in dealing with labor process.Methodology: this research is a quasi-experimental design with pre and post-test with control group design. The sample in this study was 25 trimester III pregnant women. The sampling technique was using purposive sampling technique. The research instrument used the DASS 42 questionnaire. The results of the data normality test were normally distributed so that the data were analyzed using the paired t-test.Results: The results showed that the average score of maternal anxiety before therapy was 13.48 (moderate) while after therapy was 7.88 (normal). The bivariate test results obtained p value 0,000.Conclusions: Spiritual Emotional Freedom Technique (SEFT) can overcome the anxiety of pregnant women in facing labor.Suggestions: It is hoped that this therapy can be applied in the practice of midwifery to care for pregnant women, especially pregnant women who experience trauma or have anxiety in their pregnancy. Keywords: anxiety, pregnant women, spiritual emotional freedom technique. ABSTRAK Latar Belakang: Kekhawatiran dan kecemasan pada ibu hamil apabila tidak ditangani dengan serius akan membawa dampak dan pengaruh terhadap fisik dan psikis, baik pada ibu maupun janin. Ibu hamil yang mengalami kecemasan dalam menghadapi persalinan disebabkan karena ibu takut dioperasi, takut akan mengeluarkan biaya yang banyak, takut tidak bisa merawat bayinya dengan baik, takut bayinya meninggal, takut kesakitan saat persalinan. Salah satu teknik untuk menghadapi kecemasan adalah denga terapi SEFT.Tujuan: Mengetahui pengaruh Terapi Spiritual Emotional Freedom Technique (SEFT) terhadap kecemasan dalam menghadapi persalinan.Metodologi penelitian: Penelitian ini merupakan quasi-experimental dengan rancangan pre and post test with control group design. Sampel dalam penelitian ini berjumlah 25 ibu hamil trimester III. Teknik pengambilan sampel menggunakan teknik purposive sampling. Instrumen penelitian menggunakan kuesioner DASS 42. Hasil uji normalitas data berdistribusi normal sehingga dianalisis data menggunakan uji paired t-test.Hasil Penelitian: Hasil penelitian menunjukan bahwa skor rata-rata kecemasan ibu sebelum terapi 13,48 (Sedang) sedangkan sesudah terapi menjadi 7,88 (normal). Hasil uji bivariate didapatkan p value 0,000.Kesimpulan: Terapi Spiritual Emotional Freedom Technique (SEFT) mampu mengatasi kecemasan ibu hamil dalam menghadapi persalinan.Saran: Diharapkan terapi ini dapat diaplikasikan dalam praktik kebidanan perawatan ibu hamil khususnya ibu hamil yang mengalami trauma atau mempunyai kecemasan dalam kehamilannya. Kata kunci: Kecemasan, ibu hamil, Terapi Spiritual Emotional Freedom Technique


2018 ◽  
Vol 3 (1) ◽  
pp. 50
Author(s):  
Yuliah Yuliah ◽  
Adriyani Adam ◽  
Muh. Hasyim

Vegetables and fruits consumption in adolescents is very important and contains many nutrients such as vitamins, minerals and fiber in achieving a healthy lifestyle with balanced nutrition. Some vitamins and minerals contained in vegetables and fruits have antioxidant functions that can reduce the incidence of non-communicable diseases associated with nutrition, as a result of overweight or malnutrition. Vegetables and fruits are also rich in vitamins and minerals that play a role in the metabolic system in the body including energy metabolism. The aim of this study is to analysis the relationship vegetable and fruit consumption with the incidence of obesity in SMA Negeri 1 Mamuju 2016. Design of this study is analytic research with cros sectional approach. Samples are 280 students of SMU Negeri 1 Kabupaten Mamuju with sampling method by systematic random sampling. The results of the research for the consumption of vegetable category is quite as many as 114 people (40.7%) and less vegetable consumption of 166 people (59.3%). Chi-square test results obtained p > ​​0.05, there is no relationship between vegetable consumption with the incidence of obesity. For the consumption of enough fruits as many as 92 people (32.9%) and less fruit consumption of 188 people (67.1%). Chi-square test results obtained p value > 0.05 , there is no relationship between fruit consumption with the incidence of obesity. Suggestions in this study is the need for intensive information about the importance of healthy lifestyles and balanced nutrition for adolescents to achieve the ideal body weight.


2021 ◽  
Vol 8 (2) ◽  
pp. 94-97
Author(s):  
TLS Gowri ◽  
M Ramadevi ◽  
Aparna Vedapriya ◽  
V Janaki ◽  
Jana Siva Koti Srinivasa Rao ◽  
...  

Qualitative dissections require knowledge of dissection tool kit and dissection skills which acquired will allow dissector to take care for cadaveric donor while acquiring the experience and knowledge of a successful dissection. This promotes the researcher to equip the learner in initial phase with dissection skills and tools.The main objective of the study is to analyse the learner prior and after interventional sessions as to how effective the session would be helpful in improving the quality and participation of learners in dissection. A qualitative prospective cross-sectional study was done in 168 Learners of I MBBS by an interventional session on the topic through General lecture and demonstration. Learners were assessed prior and after the interventional session by same validated questionnaire. Perceptions of learners were also taken. The obtained data were compared and its significance was analysed by Chi-square test using Epi info 7.1 software.The pre and post-test scores showed a significant improvement of 64 percent on average with p value less than 0.001 indicating that the session was fruitful. 80% of learners also opined that the session stimulated interest in the subject and improved their dissection skills.An interventional session on “Awareness of dissection skills and tools” in the initial phase would increase the Learners performing quality dissections with ease. This would also help the learner to acquire better independent surgical skills and understanding in clinical phases of learning and therefore would recommend it in early phase of I MBBS Anatomy.


2019 ◽  
Vol 6 (01) ◽  
pp. 33-43
Author(s):  
Dudi Ahmad M ◽  
Sri Mulyanti ◽  
Neni Nuraeni

Human Immunodeficiency Virus (HIV) is a condition where a person does not have immunity. The disease can be transmitted from pregnant women to the child they are carrying, in an effort to detect early HIV, VCT needs to be done. Karanganyar Community Health Center data in 2017 VCT service coverage for pregnant women in 2017 was less than 26.7%. This study aims to determine the factors associated with the use of VCT in pregnant women. This type of research is quantitative by using descriptive correlation method and cross sectional approach. The population is 70 pregnant women who were obtained by purposive sampling technique. Data obtained by closed questionnaire and data analyzed using frequency distribution and chi square test. The results showed knowledge about VCT examination included less (52.9%), attitudes included negative (55.7%), secondary education (52.9%), most did not work (67.1%), more than half received less support from their husbands (57.1%), and most did not utilize VCT services (72.9%). Factors related to the use of VCT are knowledge (p value 0,000), attitude (p value 0,000), education (p value 0,000) and husband's support (p value 0,000), unrelated factors are work (p value 0.196). The conclusion from this study factors related to the use of VCT are knowledge, attitudes, education and husband's support. Therefore, it is better for health workers, especially nurses, to provide nursing services to pregnant women, especially the use of VCT services as an effort in early detection of HIV in pregnant women. Keywords: Factors, Utilization of VCT Services


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