scholarly journals The Effect of Perineal Massage on Perineal Tear Case on Primigravida Pregnant Mothers In Their Third Trimester In Public Health Center Care of Morokay 2018

2020 ◽  
Vol 9 (2) ◽  
pp. 588-592
Author(s):  
Triana Indrayani ◽  
Nurabia Tuasikal

This research aimed to find out the effect of perineal massage on the perineal tear in primigravida pregnant women trimester III in Morokay Public Health Center in 2018. The research used a Quasi-experimental design. The sampling technique used purposive random sampling. The sample was obtained by 32 respondents divided into 2 groups, 16 respondents were given perineal massage and 16 respondents were not given perineal massage.The data were analyzed using Mann Whitney Test. The results showed that there were differences of perineal tear in experimental group and the control group with a p-value (0.005). There was a difference in the incidence of perineal tear between groups carried out perineal massage and those with no perineal massage. Perineal massage can reduce the risk of perineal tear. It is important to be informed and applied that massage is one of the non-pharmacological interventions to prevent perineal rupture

2018 ◽  
Vol 14 (2) ◽  
pp. 264-271
Author(s):  
Andy Muharry ◽  
Isti Kumalasari

The prevalence of obesity in children has increased from year to year. Patterns and eating behaviors, lack of physical activity and heredity are considered factors causing overweight.The purpose of this study to analyze the social epidemiology of overweight incidence at Sukagumiwang Public Health Center. This research was conducted in 2017 with research subjects being parents of toddlers. The sampling technique is total sampling. This research uses concurrent embedded design. Interviews conducted on parents who have a fat toddler. The questionnaires were distributed to the case and control group of 36 people.The results of research states that socioeconomic status and social capital are not related to the incidence of obesity.Toddlers with obesity have diverse backgrounds.Negative social support and stigma received by toddlers with obesity resulted in psychological impact and less toddler interactions.Toddlers with obesity feel different from other toddlers. Diet by consuming sweetened condensed milk and packaged sweet drinks every day triggers overweight.


2021 ◽  
Vol 5 (1) ◽  
pp. 15
Author(s):  
Dwi Astuti

AbstrakLatar Belakang: Premenopause terjadi pada usia dewasa madya, masa dewasa madya dalam terminologi kronologis yaitu tahun-tahun antar usia 45 dan 65 tahun. Pada masa dewasa madya ini seksualitas mengalami penurunan. Masa dewasa madya ditandai dengan adanya perubahan-perubahan jasmani dan mental. Perubahan kejiwaan yang dialami seorang wanita menjelang prmenopause meliputi merasa tua, tidak menarik lagi, tertekan karena takut menjadi tua, mudah tersinggung, mudah kaget sehingga jantung berdebar, takut tidak bisa memenuhi kebutuhan seksual suami, rasa takut bahwa suami akan menyeleweng, keinginan seksual menurun dan sulit mencapai kepuasaan (orgasme), merasa sudah tidak berguna dan tidak menghasilkan sesuatu, merasa memberatkan keluarga dan orang lain. Tujuan: Mengetahui Hubungan Antara Selt acceptance Dengan Kecemasan Dalam Menghadapi Menopouse Pada Wanita Premenopouse Di Puskesmas gabus II Pati Metode: analitik korelasi dengan pendekatan Cross sectional, sampel seluruh pasien premenopouse di Puskesmas Gabus II Pati usia 40-45 tahun sebanyak 40 orang sebanyak 36 orang. teknik Purposive sampling. Data di analisa dengan uji statistik Chi square. Hasil: Ada hubungan selt acceptance dengan kecemasan dalam menghadapi menopouse pada wanita premenopouse di Puskesmas Gabus II Pati dengan nilai P Value 0,001< 0,05. Kata kunci      : Selt acceptance, Kecemasan, perimenopouseDaftar Pustaka : 39 Daftar Pustaka (2009-2016) ABSTRACTBackground: Premenopause occurs in middle adulthood, middle adulthood in chronological terminology, namely years between 45 and 65 years. During this middle adulthood sexuality has decreased. Middle adulthood is characterized by physical and mental changes. Psychiatric changes experienced by a woman before prmenopause include feeling old, not attractive anymore, depressed for fear of growing old, easily offended, easily shocked so that heart palpitations, fear of not being able to meet the sexual needs of the husband, fear that the husband will deviate, decreased sexual desire and difficult to achieve satisfaction (orgasm), feel it is useless and does not produce something, feel burdensome for family and others. Objective: To find out the relationship between self-acceptance and anxiety in dealing with menopause in premenopouse women in Public Health center Gabus II. Method: analytic correlation with cross sectional approach, a sample of all premenopouse patients in Public Health Center Gabus II, 40-45 years old, 36 people, 36 person. Purposive sampling technique. Data were analyzed by Chi square statistical test. Results: There is a relationship of self-acceptance with anxiety in facing menopause in premenopausal women in Public Health Center Gabus II Pati Health Center area with a P value of 0.001 <0.05


2019 ◽  
Author(s):  
Amira . ◽  
Muhlisa . ◽  
Tri Johan

Completeness of nursing documentation is one of the quality indicators of nursing care. Based on the nursing practice law no. 38 article 37, nurses in carrying out Nursing Practices are obliged to document Nursing Care in accordance with the standards. Documentation in Inpatient PKM consisting of Siko, Jambula, and Sulamadaha PKM itself, based on the observations of researchers found several obstacles, namely, the lack of nurses given the large number of PKM programs that must be run, varying levels of education so documentation has a different understanding, this also supported by the lack of education and training related to temporary nursing care documentation relating to the Nursing Process and Documentation experiencing some recent changes. The purpose of this study was to determine the effect of applying the nursing documentation format for the model Problem-Oriented Record (POR) on the performance of nurses in the Inpatient Health Center in Ternate City. The design of this study is quasi-experimental, namely, pre and post-test without control group. The population is nurses with 41 people in PKM Inpatient who are in Ternate City. Samples were taken by total sampling technique and analyzed using statistical tests t-test, Anova, and correlation. The results of the study found a significant difference between the performance of nurses before and after the application of the documentation format for nursing care in the POR model (p-value: 0,0005 α: 0.05) while the characteristics of respondents included age, sex, marital status, length of work and education had no effect on performance.


2021 ◽  
Vol 6 (1) ◽  
Author(s):  
Maharani Puti Pratiwi

Background : Diarrhea is the frequency of defecating more than 3 times a day within 24 hours with a liquid consistency. Diarrhea disease is still one of the important public health problems because it is the main contributor to the three morbidity and mortality rates for children after pneumonia in various countries, especially in developing countries, one of the developing countries is Indonesia. Goals : The purpose of this study was to know the effect of education on the level of mother’s knowledge in preventing of diarrhea in children at Wonoasih Public Health Center, Probolinggo City. Research methods : The design of this study uses Quasy-Experimental with a pretest-posttest with Control Group approach. Data were collected using a questionnaire with a total sample of 30 intervention groups and 30 control groups using a total sampling technique. Results : The results of the analysis that have been carried out using the wilcoxon test showed differences in the level of knowledge before and after in the intervention and control groups showed a significant value 0,001 (p<0,05) Ha accepted means that there is an effect of education about diarrhea using leaflet media on the level of mother’s knowledge in preventing of diarrhea in children at Wonoasih Public Health Center, Probolinggo City. Conclusion : There is the influence of the before and after is done to knowledge education mother. Keywords : Diarrhea, Education, Knowledge


2021 ◽  
Vol 3 (3) ◽  
pp. 305-316
Author(s):  
Reny Marischa Putri ◽  
Bambang Setiaji ◽  
Ferizal Masra ◽  
Endang Budiati

Hypertension is dubbed the silent killer because this disease has no specific symptoms, hypertension can attack anyone, and at any time, and can cause degenerative diseases, to death. According to several studies, people with hypertension are 12 times more likely to have a stroke and 6 times more likely to have a heart attack. Hypertension is usually not realized by the public because the symptoms are not clear and resemble health complaints in general. Patients only find out that they have hypertension after checking their blood pressure, or after the onset of other diseases. Type of research is quantitative, analytical survey research design with Cross Sectional approach. The research population of all residents aged over 45 years who live in Bandar Lampung City based on data from the population and civil registration office of Bandar Lampung city in 2020 as many as 424,183 people, with the Proportional Random Sampling technique as many as 216 people. In this study, researchers used interview techniques using questionnaires. Data analysis used Chi Square statistical test and Logistics Regression. The research was carried out on March 2021. Research result there was a correlation between caffeinee (p-value = 0.022, and OR = 1.951), smoking habits (p-value = 0.017, and OR = 2.006) obesity (p-value = 0.000, and OR = 3.580), physical activity (exercise) (p-value = 0.012, and OR = 2.078) with the incidence of hypertension in Bandar Lampung City in 2021. Obesity variable is the dominant factor that is most related to the incidence of hypertension in Bandar Lampung City in 2021 (p-value = 0.000, and OR = 32,891). This can be done by holding regular counseling at the Posyandu for the elderly and holding regular exercise programs at the Public Health Center, namely doing morning exercises with the community every Friday. Furthermore, leaflets can be distributed about hypertension when exercising at the Public Health Center, as well as posting posters about the importance of maintaining a healthy diet, maintaining an ideal body weight and exercising regularly in places that are easily accessible by the community, such as at the market, at the village hall. or at the community meeting hall. 


2019 ◽  
Vol 4 (1) ◽  
pp. 66
Author(s):  
Yulia Arifin ◽  
Masrul Masrul ◽  
Hirowati Ali

Nutrition plays an important role in the human life cycle. Nutrition surveillance in the form of Nutritional Status Monitoring in 2016 showed that 38.9% of children under five in Indonesia experienced nutritional problems. One of the efforts to improve the health and nutrition status of the baby is by improving the knowledge and attitude of the mother in giving complimentary food. This study aim is to know the effect of nutrition counseling on feeding practice of mothers having infant aged 6-12 month in pakan rabaa public health center area solok selatan district in 2018.The design of the study was quasi-experimental with the design of the control group pretest-posttest. The sample of this study was 46 experiment group and 46 control group. Sampling was done by Purposive Sampling technique. Data analysis using the chi-square testThe results of the study were the absence of nutritional counseling on knowledge of mothers with p-value 0.361, there was an effect of nutritional counseling on changes in maternal attitudes with p-value of 0,000 and there was also the effect of nutritional counseling on complementary feeding practice with p-value 0.004.The presence of the influence of nutritional counseling on attitudes and practices of complementary feeding. Health workers are expected to be able to spend time giving counseling about complementary feeding practice regularly so that the goal of counseling at the public health center can be achieved.


2018 ◽  
Vol 8 (01) ◽  
pp. 696-702
Author(s):  
Ny. Hikma

Background: Visual Inspection with Acetic Acid (IVA) is a simple way to detect cervical cancer as early as possible. IVA is the examination of the cervix (cervical) by looking directly (with the naked eye) cervix after cervical neck with a solution of acetic acid 3-5%.Objective: To know the factors associated with the IVA examination in the Mother Age Fertile Age at Wara Palopo Public Health Center of 2017.Method: This research use analytic survey with cross sectional study approach. The population in this study were all mothers of fertile age couples in Wara Puskesmas of East Luwu Regency as many as 6,276 people. The sample in this research is part of population with sampling technique yiatu purposive sampling counted 98 people. Data collection through primary data (questionnaire) and secondary data. The data were processed using Statistical Product and Servise Solutions (SPSS) version 20.0 and analyzed univariat and bivariate with chi square statistical test and presented in the form of frequency distribution table.Results: There is a knowledge relationship with IVA examination (p Value = 0.002 <0.05 and there is an implementation relationship with IVA examination (p Value = 0,000 <0.05).Conclusion: There is a relationship of knowledge with IVA examination at Puskesmas Wara Kota Palopo Year 2017. There is an implementation relationship with IVA examination at Wara Palopo Public Health Center of 2017 Keywords : IVA Examination, Knowledge, Implementation


2020 ◽  
Vol 3 (2) ◽  
pp. 553-563
Author(s):  
Gede Ivan Kresnayana

The Accreditation Process is still a frightening specter at every Puskesmas. Accreditation is a benchmark for extrenal quality assurance at each puskesmas through Organizational Learning efforts. The study aims to analyze the Effect of Organizational Learning on Improving Accreditation of Kubutambah I Health Center and Sawan I Health Center in Buleleng Regency - Bali. The method used is a mix method, observational research type with cross-sectional approach. The population in this study involved 2 Community Health Centers namely Kubutambah 1 and Sawan 1 with 100 respondents with a purposive sampling technique. The research instrument used a questionnaire with closed questions that had a valid and reliable test of 0.6. Data analysis used in the study was a logistic regression statistical test with α 0.05. Analysis of Kubutambahn I Public Health Center and Sawan I Public Health Center in Buleleng Regency showed that out of 100 respondents or information from 2 health centers there were Organizational Learning in the good category of 62% and 38% not good. good category 98% and not good as much as 2%, the relationship between Organizational Learning and the performance of accreditation of puskesmas in Buleleng Regency with a p-value of 0.047, which means it is smaller than α 0.05 so there is an influence of Learning Organization on accreditation. There is the effect of Organizational Learning on the performance of accreditation at Kubutambahn I Puskesmas and Sawan 1 Puskesmas in Buleleng Regency


2020 ◽  
Vol 8 (1) ◽  
Author(s):  
Dwie Yunita Baska ◽  
Tita Husnitawati Madjid ◽  
Ponpon S. Idjradinata

The education about the reproductive health of pregnancy is needed to increase knowledge and reduce anxiety in adolescent primigravida, one of them is by conducting flashcard media. Flashcards are pictorial media in the form of cards that have words; it’s proven to be able to create fun learning, attracts attention, and stimulates critical thinking. The purpose of the study was to analyze the effect of education with flashcard media on knowledge and anxiety degree in adolescent primigravidas. The research method used in this study was a one-group pretest-posttest quasi-experimental design. The number of samples as many as 30 people (<20 years old) at Sawah Lebar Public Health Center and Padang Serai Public Health Center in Bengkulu city from May to July 2018, by using consecutive sampling. The data of this study obtained from pretest and posttest questionnaires of knowledge, and Zung Self-rating Anxiety Scale (ZSAS), Shapiro-Wilk, Wilcoxon, and chi-square test statistics. The results showed a significant increase in knowledge before and after the intervention of p value=0.001 (p<0.05), an increase in the average score of knowledge of series one card amounts to 35.0% and knowledge of series 2–3 card amounted to 30%. A significant decrease in anxiety degree of 9.2% after the treatment (p<0.05). In conclusion, flashcards can increase knowledge and reduce the anxiety of adolescents primigravida mothers so that health workers use this educational approach appropriately. PENGARUH EDUKASI KESEHATAN DENGAN MEDIA FLASHCARD TERHADAP PENINGKATAN PENGETAHUAN DAN PENURUNAN DERAJAT KECEMASAN PADA PRIMIGRAVIDA REMAJAThe education about the reproductive health of pregnancy is needed to increase knowledge and reduce anxiety in adolescent primigravida, one of them is by conducting flashcard media. Flashcards are pictorial media in the form of cards that have words; it’s proven to be able to create fun learning, attracts attention, and stimulates critical thinking. The purpose of the study was to analyze the effect of education with flashcard media on knowledge and anxiety degree in adolescent primigravidas. The research method used in this study was a one-group pretest-posttest quasi-experimental design. The number of samples as many as 30 people (<20 years old) at Sawah Lebar Public Health Center and Padang Serai Public Health Center in Bengkulu city from May to July 2018, by using consecutive sampling. The data of this study obtained from pretest and posttest questionnaires of knowledge, and Zung Self-rating Anxiety Scale (ZSAS), Shapiro-Wilk, Wilcoxon, and chi-square test statistics. The results showed a significant increase in knowledge before and after the intervention of p value=0.001 (p<0.05), an increase in the average score of knowledge of series one card amounts to 35.0% and knowledge of series 2–3 card amounted to 30%. A significant decrease in anxiety degree of 9,2% after the treatment (p<0.05). In conclusion, flashcards can increase knowledge and reduce the anxiety of adolescents primigravida mothers so that health workers use this educational approach appropriately.


2020 ◽  
Vol 7 (1) ◽  
pp. 35
Author(s):  
Lestari Puji Astuti ◽  
Sri Harmiati ◽  
Tri Ismu Pujianto

ABSTRAKRuptur perineum merupakan robekan pada perineum yang terjadi pada saat bayi lahir secara spontan maupun menggunakan alat atau tindakan. Ruptur perineum pada primipara terjadi karena kondisi perineum kaku, jalan lahir belum pernah dilewati oleh bayi. Upaya pencegahan ruptur perineum bisa dilakukan dengan cara pijat perineum dan supercrowning. Tujuan Penelitian untuk mengetahui perbedaan efektifitas pijat perineum dan supercrowning terhadap derajat ruptur perineum . Jenis penelitian adalah quasi experiment, desain penelitian menggunakan post-test only control group. Populasi Penelitian ini adalah ibu bersalin primipara di UPT Puskesmas Kragan II sebanyak 59 ibu bersalin. Sampel Penelitian ini adalah ibu bersalin primipara sebanyak 36 ibu bersalin dengan accidental sampling. Analisa data menggunakan Mann Whitney untuk melihat adanya perbedaan efektifitas pijat perineum dan supercrowning terhadap derajat ruptur perineum  pada ibu bersalin primipara. Hasil penelitian nilai mean rank pada kelompok yang diberikan perlakuan pijat perineum 12,33 dan pada kelompok yang diberikan perlakuan supercrowning 24,67 dan nilai p-value=0,000 (<0,05). Ada perbedaan efektifitas pijat perineum dan supercrowning terhadap derajat ruptur perineum  pada ibu bersalin primipara. Pijat perineum lebih efektif mencegah derajat ruptur perineum  pada ibu bersalin primipara.Kata kunci: pijat perineum; supercrowning; ruptur perineum. EFFECTIVENESS  DISTICNTION OF PERINEUM MASSAGE AND SUPERCROWNING TOWARDS DEGREE OF PERINEUM RUPTURES IN PRIMIPARA MOTHERS ABSTRACTPerineal rupture is a tear in the perineum that occurs when a baby is born spontaneously or uses tools or actions. Perineal ruptur in primipara occurs because of a rigid perineum, the birth canal has never been passed by the baby causing ruptur of the perineum. The efforts to prevent perineal rupture can be done by massaging the perineum and supercrowning. The purpose of this study was to determine the differences in the effectiveness of perineal massage and supercrowning on the level of perineal rupture. The type of research used is quasi experiment. The design of this study used a post-test only control group. The population of this research was 59 primiparous mothers in Kragan II Health Center. The sample of this research was 36 primiparous mothers. Sampling technique in this study used accidental sampling. Data analysis used Mann Whitney to see differences in the effectivness of perineum massage and supercrowning on the level of perineal ruptur in primiparaous mothers. Mean rank in the interventionof perineal massage is 12,33, while in supercrowning group  is 24.67 and p-value = 0,000 (<0.05). There is a difference in the effectiveness of perineum massage and supercrowning on the level of perineal rupture in primiparous mothers. From the results of this study the perineum massage is more effective in preventing the level of perineal rupture in primiparous maternal  Keywords: perineum massage; supercrowning; perineum rupture


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