Comparison of Vitamin D<sub>3</sub> Serum and Method of Deliveries among Pregnant Women Who did and did not Performe Regular Outdoor Aerobic Activities

The maternal mortality rate in Indonesia is still very high. One of the main factors is postpartum hemorrhage and an increase in the cesarean section rate (CSR). The American College of Obstetrics and Gynecology has recommended aerobic exercise. We assumed that outdoor aerobic exercise could be useful for the advancement of labor and the reduction of CSR. This study aimed to assess whether regular exercise can have a good impact on reducing labor and CSR, which is likely to be affected by an increase in vitamin D3 levels. It was an experimental study involving 40 patients at Al Islam Awibitung Hospital and Ibrahim Adjie Healthcare Center in Bandung in February–April 2018, who met the inclusion criteria and divided into two groups, who performed regular outdoor aerobic activity and those who did not. Patient characteristics, work progress, and vitamin D3 levels recorded. The data collected was then tested and compared between pre-and post-treatment, a paired t test was done. There was a relationship between the increase in-vitamin D3 and the ease of childbirth in the treatment group (p<0.05). The comparison of vitamin D3 levels among the two groups was −18.8% vs −26.8% respectively (p<0.05). Method of delivery were spontaneous delivery 80% vs 25%, vacuum extraction 15% vs 55%, and cesarean section 5% vs 20%, respectively (p<0.05). In conclusion that regular outdoor aerobic exercise in a pregnant woman could increase vitamin D3 levels, ease labor, and reduce CSR. PERBANDINGAN KADAR VITAMIN D3 SERUM DAN METODE PERSALINAN ANTARA IBU HAMIL YANG MENJALANKAN DAN TIDAK MENJALANKAN AKTIVITAS AEROBIK DI RUANG TERBUKA SECARA RUTINSaat ini angka kematian maternal di Indonesia masih sangat tinggi. Salah satu faktor penyebab utama adalah perdarahan pasca salin dan meningkatnya insidensi seksio sesarea. Aktivitas aerobik telah direkomendasikan oleh American College of Obstetrics and Gynecology (ACOG). Kami mempunyai hipotesis bahwa aktivitas aerobik rutin di udara terbuka dapat memengaruhi kadar vitamin D3 serum ibu yang dapat meningkatkan kelancaran persalinan dan menurunkan risiko seksio sesarea. Penelitian ini bertujuan membuktikan hipotesis di atas. Metode penelitian adalah studi eksperimental terhadap 40 ibu hamil di RS Al Islam Awibitung dan Puskesmas Ibrahim Adjie Bandung pada bulan Februari–April 2018 yang memenuhi kriteria inklusi, serta dibagi dalam 2 grup, yaitu grup perlakuan yang melaksanakan aktivitas aerobik di udara terbuka secara rutin dan grup kontrol yang tidak melaksanakan aktivitas aerobik. Dilakukan pencatatan karakteristik pasien, kemajuan persalinan, metode persalinan, dan kadar vitamin D3 sebelum dan setelah perlakuan, serta dilakukan analisis statistik dengan paired t test. Terdapat hubungan bermakna antara perubahan kadar vitamin D3 dan metode persalinan (p<0,05). Perbandingan perubahan kadar vitamin D3 antara kedua kelompok adalah −18,8% vs −26,8% (p<0.05). Metode persalinan adalah persalinan spontan 80% vs 25%, ekstraksi vakum 15% vs 55%, dan seksio sesarea 5% vs 20% (p<0,05). Simpulan, aktivitas aerobik rutin di udara terbuka pada ibu hamil berdampak terhadap kadar vitamin D3 serum ibu dan dapat memperlancar proses persalinan serta menurunkan risiko seksio sesarea.

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Vaginal birth after cesarean (VBAC): fear it or dare it? An evaluation of potential risk factors

Journal of Perinatal Medicine ◽

10.1515/jpm-2020-0222 ◽

2021 ◽

Vol 0 (0) ◽

Author(s):

Anastasia Lazarou ◽

Magdalena Oestergaard ◽

Johanna Netzl ◽

Jan-Peter Siedentopf ◽

Wolfgang Henrich

Keyword(s):

Body Mass Index ◽

Birth Weight ◽

Cesarean Section ◽

Pregnant Women ◽

Body Mass ◽

Vaginal Birth ◽

Vacuum Extraction ◽

Vaginal Birth After Cesarean ◽

Vaginal Deliveries ◽

Spontaneous Delivery

Abstract Objectives The consultation of women aspiring a vaginal birth after caesarean may be improved by integrating the individual evaluation of factors that predict their chance of success. Retrospective analysis of correlating factors for all trials of labor after caesarean that were conducted at the Department of Obstetrics of Charité-Universitätsmedizin Berlin, Campus Virchow Clinic from 2014 to October 2017. Methods Of 2,151 pregnant women with previous caesarean, 408 (19%) attempted a vaginal birth after cesarean. A total of 348 women could be included in the evaluation of factors, 60 pregnant women were excluded because they had obstetric factors (for example preterm birth, intrauterine fetal death) that required a different management. Results Spontaneous delivery occurred in 180 (51.7%) women and 64 (18.4%) had a vacuum extraction. 104 (29.9%) of the women had a repeated caesarean delivery. The three groups showed significant differences in body mass index, the number of prior vaginal deliveries and the child’s birth weight at cesarean section. The indication for the previous cesarean section also represents a significant influencing factor. Other factors such as maternal age, gestational age, sex, birth weight and the head circumference of the child at trial of labor after caesarean showed no significant influence. Conclusions The clear majority (70.1%) of trials of labor after caesarean resulted in vaginal delivery. High body mass index, no previous spontaneous delivery, and fetal distress as a cesarean indication correlated negatively with a successful vaginal birth after cesarean. These factors should be used for the consultation of pregnant women.

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Comparative analysis of neonatal sequelae after classic M. Stark and modified cesarean section

Reports of Vinnytsia National Medical University ◽

10.31393/reports-vnmedical-2019-23(3)-13 ◽

2019 ◽

Vol 23 (3) ◽

pp. 414-419

Author(s):

I.Z. Gladchuk ◽

A.G. Volyanskaya ◽

Y.V. Herman ◽

D.O. Grigurko

Keyword(s):

Comparative Analysis ◽

Caesarean Section ◽

Cesarean Section ◽

Program Analysis ◽

Confidence Level ◽

Neonatal Period ◽

T Test ◽

Obstetrics And Gynecology ◽

Clinical Group ◽

Early Neonatal Period

Over the last twenty years, a sharp perinatal birth rate has registered high perinatal morbidity and mortality in the country. Despite the fact that the number of cesarean sections is constantly increasing, the perinatal mortality rate in the country remains positive and in 2017 was 7.9%%. The purpose of the study was a comparative analysis of the features of the course of the early neonatal period and the frequency of neonatal complications in classical cesarean section according to M. Stark and according to a modified method for improving perinatal outcomes. The selection of patients for the comparative study was performed by type of surgery (classic M. Stark technique or modified technique), which was conducted at the clinical basis of the Department of Obstetrics and Gynecology №1 ONMedU for the period from 2015 to 2018 according to a randomized principle in the obstetric department of the Kherson Regional Clinical Hospital (clinical base of the Department of Obstetrics and Gynecology No. 1 ONMedU). The formation of clinical groups was carried out according to retrospective data from 205 birth histories, the delivery of which was carried out by caesarean section. Statistical processing of the results was carried out using application R of the Microsoft Exel 2003 program. Analysis of quantitative indicators was analyzed using the arithmetic mean value (M) and the error in determining the average value (± m). Qualitative indicators were measured in absolute and relative (percentage) values. The significance of differences in the parametric characteristics in the appropriate groups was evaluated using Student's t test (t - test) and analysis of variance (ANOVA). In the calculations, the differences were considered statistically significant at p <0.05 (95% confidence level (CI) and at p <0.01 (99% confidence level). By using modified access to the abdominal cavity, which involved grasping the peritoneum with the index finger and stretching all layers of the anterior wall in a blunt fashion by two surgeons at the same time, it was almost twice possible to reduce the time to fetal extraction in the main study group (p˂0.001). The condition of newborns on the Apgar scale at 1 and 5 minutes of life in the first clinical group of the study was better (p=0.005). Due to the modified features of fetal extraction, it was possible to reduce the incidence of HID CNS in newborns (p=0.022), to 6 times reduce the need for treatment at the III level (p=0.004). The indicator of early neonatal mortality in the newborns of the first clinical group was zero, whereas in the comparison group 2 cases were recorded. However, the difference is not significant (p=0.223). Thus, the modified Caesarean section improves the overall condition of the newborns according to the Apgar scale at 1 and 5 minutes of life, is accompanied by a decrease in the frequency of some complications in the early neonatal period, creates a certain additional reserve for the improvement of perinatal complications and requires further comprehensive studies.

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Terapi Dzikir Jahar Mengurangi Kecemasan Pada Ibu Pre Operasi Sectio Caecarea

WIRARAJA MEDIKA ◽

10.24929/fik.v11i1.1477 ◽

2021 ◽

Vol 11 (1) ◽

pp. 36-40

Author(s):

Arisda Candra Satriyawati ◽

Syaifurrahman Hidayat ◽

Yulia Wardita ◽

Nor Arifah

Keyword(s):

Cesarean Section ◽

Intervention Group ◽

T Test ◽

Wilcoxon Test ◽

Maternal Anxiety ◽

Sectio Caesarea ◽

Control Group ◽

Test Results ◽

Anxiety Levels ◽

Paired T Test

Dhikr Jahar Therapy Reduces Anxiety in Pre-Operative Sectio Caesarea Mothers. Mothers often experience anxiety before cesarean section surgery. Non-pharmacological therapy with dhikr Jahar can be a complementary therapy option to reduce anxiety. This study aimed to explain the effect of dhikr therapy on reducing maternal anxiety levels before SC surgery. The research method uses Quasy Experiment with Pre-Post Test With Control Group Design. The respondents' determination was carried out by total sampling, namely pre-cesarean section surgery pregnant women in March-June 2019 at Garam Islamic Hospital, Kalianget (n=24). Statistical test using Paired T-Test, Wilcoxon Test, and Independent T-Test. The results of the Paired T-Test showed that there were differences in the level of anxiety of patients before SC before and before being given dhikr therapy in the intervention group (p = 0.000); there was an average decrease of 9.917. The Wilcoxon test results showed no difference (change) in the level of anxiety of patients before and before being given therapeutic communication in the control group the value (p = 0.636); the decrease that occurred was 0.83. In the Independent T-Test results, there was no difference in the level of anxiety before SC before and before being given treatment in the intervention group and the control group (p = 0.211). There is an effect of providing dhikr Jahar therapy to reduce maternal anxiety levels before SC surgery.

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PENGARUH LATIHAN FISIK AEROBIK TERHADAP KOLESTEROL HIGH DENSITY LIPOPROTEIN (HDL) PRIA DENGAN BERAT BADAN LEBIH (OVERWEIGHT)

Jurnal e-Biomedik ◽

10.35790/ebm.1.1.2013.4360 ◽

2013 ◽

Vol 1 (1) ◽

Author(s):

Gloria Hengkengbala ◽

H. Polii ◽

H. I. S. Wungouw

Keyword(s):

Physical Exercise ◽

High Density Lipoprotein ◽

Aerobic Exercise ◽

Density Lipoprotein ◽

Male Student ◽

T Test ◽

High Density ◽

Significant Difference ◽

The Mean ◽

Paired T Test

Abstract: Several studies have suggested that aerobic exercise can affect the metabolism of cholesterol in the blood, one of which cholesterol High Density Lipoprotein (HDL), otherwise known as “good cholesterol”, but it has not been mentioned in detail what kind of exercise and how much exercise intensity long and also how many levels of HDL can be improved with practice. Aerobic physical exercise using a stasionary bicycle made for one’s physicalfitness test. This study aimed to determine the effect of aerobic exercise on HDL overweight male student of the Unsrat Medical Faculty. This research is analytic experimental design field with one group pre-post test. The study subject were 28 students medical Unsrat 2009 (18-25 years) with IMT > 23 who fulfil the inclusion criteria. Subjects were given aerobic physical exercise in the fitness center Manado for 3 weeks with a frequency of three times a week, with duration of 30 minutes of exercise, then it is conducted normality test of data distribution, and data analysis followed by paired t test for normally distributed data obtained. The result showed an increase in the mean levels of HDL subjects 44.85±7.98 mg/dL to 46.89±8.96 mg/dL (p=0.104) but trough paired t test, Ido not get meaningful results after doing aerobic exercise (p>0.005). Aerobic Phycical Exercise on a regular basis using a stationary bike on the overweight men student can increase the mean HDL cholesterol levels but no significant difference from the mean value.Keywords: Aerobic Physical Exercise, HDL, Overweight. Abstrak: Beberapa penelitian telah menyebutkan bahwa latihan fisik aerobik dapat mempengaruhi metabolisme kolesterol dalam darah salah satunya kolesterol HDL (High Density Lipoprotein) atau dikenal sebagai “kolesterol baik”, namun belum disebutkan secara terperinci jenis latihan fisik seperti apa dan dengan intensitas latihan berapa lama dan juga berapa banyak kadar HDL yang dapat ditingkatkan dengan latihan. Latihan fisik aerobik dengan menggunakan sepeda statis yang dilakukan untuk tes kebugaran fisik seseorang. Penelitian ini bertujuan untuk mengetahui pengaruh latihan fisik aerobic terhadap kadar HDL mahasiswa pria Fakultas Kedokteran Unsrat dengan berat badan lebih. Jenis penelitian ini bersifat eksperimental lapangan dengan rancangan pre-post one group test. Subjek penelitian sebanyak 28 mahasiswa Kedokteran UNSRAT Angkatan 2009 (18-25 tahun) dengan IMT ≥ 23 yang memenuhi kriteria inklusi. Subyek diberikan latihan fisik aerobic di pusat Kebugaran Manado selama 3 minggu dengan frekuensi 3 kali seminggu, dengan lamanya latihan 30 menit, selanjutnya dilakukan uji normalitas distribusi data, kemudian dilanjutkan analisis data dengan uji t berpasangan karena data yang didapat berdistribusi normal. Hasil penelitian didapatkan terjadi peningkatan nilai rerata kadar HDL subyek 44,85 ± 7.98 mg/dL menjadi 46.89 ±8.96 mg/dL (p= 0.104) namun melalui uji t berpasangan mendapatkan hasil yang tidak bermakna sesudah melakukan latihan fisik aerobik (p >0.005). Simpulan: Latihan fisik aerobik menggunakan sepeda statis secara teratur pada mahasiswa pria dengan berat badan lebih dapat meningkatkan nilai rerata kadar HDL tetapi tidak terdapat perbedaan yang bermakna dari nilai rerata tersebut.Kata Kunci: latihan Fisik Aerobik, HDL, overweight.

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PERBANDINGAN EFEKTIVITAS TRAMADOL DENGAN KOMBINASI TRAMADOL + KETOLORAC PADA PENANGANAN NYERI PASCA SEKSIO SESAREA

e-CliniC ◽

10.35790/ecl.2.1.2014.3595 ◽

2014 ◽

Vol 2 (1) ◽

Author(s):

Ayu Y. S. Fajarini ◽

Lucky Kumaat ◽

Mordekhai Laihad

Keyword(s):

Cesarean Section ◽

Cesarean Delivery ◽

T Test ◽

Exclusion Criteria ◽

Mild Pain ◽

Group I ◽

Post Operative Pain ◽

Group Ii ◽

Group 2 ◽

Paired T Test

Abstract: Cesarean delivery is often associated with post-operative pain; therefore pain control drugs are commonly needed. Population of more than 30 cases of cesarean section has been selected according to inclusion and exclusion criteria. The population was divided into 2 groups: group I for the administration of tramadol 2 mg/g IV and group 2 for the administration of tramadol 1 mg/kg IV combined with ketorolac 30 mg/kg IV. After the cesarean delivery, pain levels were measured by using the Bourbonais scale at 1 hour and 3 hours after the first administration, and then one hour after the second administration for both groups. Data were analyzed by using the Statistical Product and Service Solution Program (SPSS) and the paired-t-test. The results showed that between the two groups there was no difference in pain case numbers after one hour of the first administration. After 3 hours of the first administration, there was 1 case (6.67%) of mild pain in group I compared with 9 cases (60%) in the group II. Moreover, there were 5 cases of severe controlled pain in group I compared with 0 case in group II. A statistical analysis using the paired t-test showed a P of 0.00. Conclusion: As a pain killer drug,tramadol was more effective in severe controlled pain cases, but less efffective in mild pain cases than the combination of tramadol and ketolorac. Keywords: general anesthesia, Cesarean section, pain level, tramadol, ketorolac Abstrak: Persalinan secara bedah sesar sering kali dihubungkan dengan nyeri pasca operasi yang membutuhkan obat-obat penghilang nyeri. Populasi sebanyak 30 kasus bedah sesar yang dipilih sesuai kriteria inklusi dan eksklusi. Populasi dibagi menjadi 2 kelompok, yakni kelompok I untuk pemberian tramadol 2 mg/kgBB IV dan kelompok 2 untuk kombinasi tramadol 1 mg/kgBB IV dan ketorolac 30 mg/kgBB IV. Setelah menjalani bedah sesar, tingkat nyeri diukur dengan menggunakan skala Bourbonais 1 jam dan 3 jam setelah pemberian dosis 1, dan 1 jam setelah pemberian dosis ke-2 untuk kedua kelompok. Data dianalisis dengan menggunakan SPSS dan uji paired-t-test. Hasil penelitian memperlihatkan tidak terdapat perbedaan jumlah kasus nyeri pada 1 jam setelah pemberian obat dosis 1 antara kedua kelompok. Terdapat perbedaan jumlah kasus nyeri ringan pada 3 jam setelah pemberian obat dosis 1, yaitu 1 kasus (6,67%) pada kelompok I dibandingkan 9 kasus (60%) pada kelompok II. Untuk kasus nyeri berat terkontrol, terdapat 5 kasus (33,3%) pada kelompok I dibandingkan 0 kasus (0%) pada kelompok II. Analisis statistik menggunakan paired-t test memperlihatkan P = 0,00. Simpulan: Sebagai obat penghilang nyeri, tramadol lebih efektif pada kasus nyeri berat terkontrol, tetapi lebih kurang efektif pada nyeri ringan dibandingkan kombinasi tramadol dan ketorolac. Kata kunci: anestesi umum, seksio sesarea, tingkat nyeri, tramadol, ketorolac

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Penurunkan Tekanan Darah Pada Pasien Hipertensi Melalui Brisk Walking Exercise

Jurnal Keperawatan Indonesia ◽

10.7454/jki.v16i1.17 ◽

2013 ◽

Vol 16 (1) ◽

pp. 33-39

Author(s):

Sukarmin Sukarmin ◽

Elly Nurachmah ◽

Dewi Gayatri

Keyword(s):

Aerobic Exercise ◽

Randomized Control Trial ◽

T Test ◽

Brisk Walking ◽

Walking Exercise ◽

Randomized Control ◽

Paired T Test

Brisk walking exercise merupakan salah satu bentuk moderate aerobic exercise yang direkomendasikan oleh ahli jantung di Amerika dan Eropa sebagai salah satu perubahan gaya hidup pasien hipertensi. Penelitian ini bertujuan untuk mengetahui adanya pengaruh brisk walking exercise terhadap tekanan darah pasien hipertensi di Kudus. Penelitian dilakukan pada penderita hipertensi di unit rawat jalan dua rumah sakit di Kudus dengan metode penelitian eksperimen randomized control trial (RCT) dengan pendekatan pre dan post with control. Penelitian dilakukan pada 42 responden ( 21 responden kelompok kontrol dan 21 kelompok intervensi). Hasil uji paired t test perubahan tekanan darah sistolik dan diastolik kelompok kontrol menunjukan adanya nilai yang bermakna (p= 0,000 dan p= 0,026; α= 0,05). Untuk itu, perlu adanya penerapan brisk walking untuk penatalaksanaan hipertensi di rumah sakit maupun puskesmas (komunitas).

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PENGARUH PEMBERIAN LATIHAN SENAM AEROBIC HIGH IMPACT UNTUK MENINGKATKAN DAYA TAHAN KARDIORESPIRASI PADA SKIPPER ARUNG JERAM

Sport and Fitness Journal ◽

10.24843/spj.2019.v07.i01.p03 ◽

2019 ◽

Author(s):

I Putu Darmawijaya ◽

Made Gede Dwi Suputra ◽

Agung Wahyu Permadi

Keyword(s):

Aerobic Exercise ◽

Sample Size ◽

Experimental Method ◽

High Impact ◽

T Test ◽

Muscle Work ◽

Long Time ◽

Cardiorespiratory Endurance ◽

Paired T Test

ABSTRACTPhysical fitness is a key requirement for a skipper in the river, with the ability of cardiac endurance (cardiorespiration) as a basis for the endurance of muscle work for a long time. One exercise that can improve cardiorespiratory endurance is high impact aerobic exercise. The experimental method was applied through high impact aerobic exercise exercise with One Group Pretest-posttest Design and performed at My Adventure Rafting with a sample size of 21 people for 3 times a week in 4 weeks of research. Based on paired t test, it is found that aerobic high impact gymnastics have an effect on the improvement of cardiorespiratory endurance. Where the probability value (p) is significant is 0,000 which means 0.000 <0.05 then there is a significant difference.Keywords: Skipper, Cardiorespiratory Endurance, Aerobic High Impact Gymnastic

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β-Endorphin Response to Endurance Exercise: Relationship to Exercise Dependence

Perceptual and Motor Skills ◽

10.2466/pms.1993.77.3.767 ◽

1993 ◽

Vol 77 (3) ◽

pp. 767-770 ◽

Cited By ~ 23

Author(s):

Edgar E Pierce ◽

Norris W. Eastman ◽

Hem L. Tripathi ◽

Kristen G. Olson ◽

William L. Dewey

Keyword(s):

Aerobic Exercise ◽

Endurance Exercise ◽

T Test ◽

Exercise Dependence ◽

Aerobic Activity ◽

Aerobic Dance ◽

Considerable Research ◽

The Relationship

Considerable research has shown significant increases in β-endorphin levels after aerobic activity. These increases and their accompanying euphoric effect have been suggested as a possible psychophysiological mechanism underlying the exercise-dependence syndrome. The relationship between plasma β-endorphin levels and a tendency towards exercise dependence, however, has not been established. To examine this relationship, 8 women trained in aerobic dance completed an exercise-dependence assessment prior to participation in a 45-min. session of continuous aerobic dance. Plasma β-endorphin concentration was measured both prior to and following the aerobics routine. A Student t test for paired observations indicated that mean plasma β-endorphin levels (± SE) were significantly higher after the aerobics routine (11.96 ± 1.3 pg β-EP.ml−1) than preexercise levels (8.62 ± 1.4). However, β-endorphin difference values (% change) were not significantly correlated with scores on the exercise-dependence survey. Those data suggest that scores on exercise dependence are not related to changes in plasma β-endorphin levels after aerobic exercise.

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Efektivitas Aroma Terapi Lemon untuk Menangani Emesis Gravidarum

Jurnal Keperawatan ◽

10.32583/keperawatan.v11i4.598 ◽

2019 ◽

Vol 11 (4) ◽

pp. 277-284

Author(s):

Vitrianingsih Vitrianingsih ◽

Sitti Khadijah

Keyword(s):

Pregnant Women ◽

Sampling Technique ◽

T Test ◽

The Body ◽

Nausea And Vomiting ◽

P Value ◽

Purposive Sampling ◽

Body Tissues ◽

Quasi Experimental ◽

Paired T Test

Studi memperkirakan emesis gravidarum terjadi pada 50-90% kehamilan. Mual muntah pada kehamilan memberikan dampak yang signifikan bagi tubuh dimana ibu menjadi lemah, pucat dan cairan tubuh berkurang sehingga darah menjadi kental (hemokonsentrasi). Keadaan ini dapat memperlambat peredaran darah dan berakibat pada kurangnya suplay oksigen serta makanan ke jaringan sehingga dapat membahayakan kesehatan ibu dan janin. Salah satu terapi yang aman dan dapat dilakukan untuk mengurangi keluahan mual muntah pada ibu hamil adalah pemberian aromaterapi lemon. Penelitian bertujuan untuk mengetahui efektifitas aroma terapi lemon untuk menangani emesis gravidarum. Penelitian ini menggunakan rancangan Quasi experiment dengan one group pre-post test design. Populasi penelitian adalah ibu hamil yang mengalami emesis gravidarum di Kecamatan Berbah, Sleman. Jumlah sampel 20 ibu hamil trimester pertama yang diambil dengan teknik purposive sampling. Pengukuran mual muntah dilakukan debelum dan setelah pemberian aromaterapi lemon menggunakan Indeks Rhodes. Analisa data menggunakan uji Paired t-test. Hasil penelitian didapatkan rata-rata skor mual muntah sebelum pemberian aromaterapi lemon berdasarkan Indeks Rhodes pada Ibu Hamil dengan emesis gravidarum yaitu 22,1 dan terjadi penurunan skor setelah pemberian aromaterapi lemon menjadi 19,8. Ada pengaruh pemberian aromaterapi lemon dengan pengurangan mual muntah pada ibu hamil (p-value = 0.017). Berdasarkan hasil penelitian dapat disimpulkan pemberian aromaterapi lemon efektif untuk mengurangi emesis gravidarum pada ibu hamil trimester pertama. Kata kunci: aromaterapi lemon, emesis gravidarum THE EFFECTIVENESS OF LEMON AROMATHERAPY FOR HANDLING EMESIS GRAVIDARUM ABSTRACT Studies estimate that nausea and vomiting (emesis gravidarum) occur in 50 – 90% of pregnancies. Nausea and vomiting of pregnancy have a significant impact on the body in which it makes a mother becomes weak, pale, and decreasing body fluid so that the blood becomes thick (hemoconcentration). This situation can slow down blood circulation and inflict the lack of oxygen and food supplies to the body tissues so that it can endanger the health of the mother and fetus. One of the therapies that is safe and can be conducted to reduce nausea and vomiting of pregnancy is by giving the lemon aromatherapy treatment. The research aims to determine the effectiveness of the aroma of lemon therapy to deal with emesis gravidarum. This study applied quasi-experimental research with one group pretest-posttest design. The population of this study was pregnant women who experienced emesis gravidarum. Furthermore, samples were 20 mothers from Berbah, Sleman taken by using a purposive sampling technique. Nausea and vomiting were assessed between before and after giving lemon aromatherapy using the Rhodes Index. The data were analyzed using the paired t-test. The mean score of nausea and vomiting before giving lemon aromatherapy on mother with emesis gravidarum based on the Rhodes Index was 22.1. However, it decreased after given lemon aromatherapy treatment to 19.8. Therefore, there was an effect on giving lemon aromatherapy treatment toward the decrease of nausea and vomiting for pregnant women (p-value = 0.017). Lemon aromatherapy is effective to reduce emesis gravidarum. Keywords: lemon aromatherapy, emesis gravidarum

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PENGARUH PRACTICE BASED SIMULATION MODEL TERHADAP CRITICAL THINKING DI NURSING SKILL LABORATORY

Jurnal Penelitian Keperawatan ◽

10.32660/jurnal.v4i1.329 ◽

2018 ◽

Vol 4 (1) ◽

Author(s):

Retno Issroviatiningrum ◽

Shanti Wardaningsih ◽

Novita Kurnia Sari

Keyword(s):

Critical Thinking ◽

Simulation Model ◽

Random Sampling ◽

Simple Random Sampling ◽

T Test ◽

Control Group ◽

Control Group Design ◽

Group Design ◽

Skill Laboratory ◽

Paired T Test

ABSTRAK Upaya untuk meningkatkan mutu pendidikan keperawatan khususnya untuk mendukung peserta didik menjadi perawat profesional memerlukan proses pembelajaran dengan menggunakan fasilitas keterampilan klinis. Practice based simulation model didasarkan pada teori belajar konstruktif yang menegaskan bahwa pengetahuan tidak pasif ditransfer dari pendidik kepada peserta didik, tetapi dibangun oleh peserta didik melalui pengolahan pengalaman dan interaksi dengan lingkungan mereka. Dengan metode simulasi di laboratorium dapat mendorong mahasiswa untuk menggunakan critical thinking dalam mengambil keputusan dalam mengatasi masalah tanpa merugikan pasien yang sebenarnya. Penelitian ini bertujuan untuk menganalisis pengaruh practice based simulation model terhadap critical thinking pada mahasiswa semester VI di FIK Unissula Semarang. Penelitian ini menggunakan metode Quasy – Experiment dengan pendekatan pretest-posttest with control group design. Pengambilan sampel dengan teknik simple random sampling dengan jumlah 21 responden baik kelompok intervensi maupun kelompok kontrol. Analisis data menggunakan uji Paired T-Test dan Independent Samples T-Test. Hasil penelitian selisih peningkatan critical thinking pada kelompok intervensi sebanyak 11.95 poin dan pada kelompok kontrol 2.05. Practice based simulation model berpengaruh terhadap critical thinking dengan nilai p=0.00<0.05. Disimpulkan bahwa practice based simulation model mempengaruhi critical thinking pada mahasiswa semester VI FIK Unissula Semarang. Kata kunci: Practice based simulation model, critical thinking

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