scholarly journals FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN PERDARAHAN POST PARTUM PADA IBU BERSALIN DI RSUD PRINGSEWU TAHUN 2016

2018 ◽  
Vol 3 (1) ◽  
pp. 63
Author(s):  
Heni Anggraini ◽  
Dewi Riansari

Abstrak: Perdarahan post partum adalahperdarahanlebihdari 500-600 ml selama 24 jam setelah anak lahir termasuk perdarahan karena retensio plasenta. Perdarahan post partum adalah perdarahan dalam kala IV  lebih dari 500-600 cc dalam 24 jam setelah anak dan plasenta lahir (Mochtar, 2008).Tujuan penelitian ini adalah untuk mengetahu ifaktor-faktor  yang berhubungan dengan perdarahan post partum pada ibu bersalin di RSUD Pringsewu Tahun 2016. Jenis penelitian ini adalah penelitian kuantitatif, Rancangan penelitian menggunakan Crosssectional. Dalam rancangan penelitian ini mempunyai 560 populasi ibu bersalin yang melakukan persalinan di RSUD PringsewuTahun 2016. Teknik pengambilan sampel pada penelitian ini menggunakan random sampling, dan diperoleh sampel sebanyak 222 responden. Cara ukur dalam penelitian ini menggunakan rekam medik. Analisa data yang digunakan adalah analisa univariat dan analisa bivariat dalam bentuk table distribusi frekuensi. Hasil uji Chi-Square didapatkan bahwa pada atonia uteri P-Value = 0,009 (0,009 < 0,05). OR = 7,296, pada retensio plasenta P-Value = 0,000 (0,000 < 0,05). OR = 13,788, dan pada laserasi jalan lahir P-Value = 0,000 (0,000 < 0,05). OR = 9,118. Maka dapat disimpulkan bahwa Ha diterima ada hubungan antara variabel independen dan variabel dependen. Disarankan bagi seluruh tenaga kesehatan untuk dapat meningkatkan pemberian pelayanan khususnya pada ibu bersalin agar dapat menurunkan Angka Kematian Ibu (AKB) akibat perdarahan khususnya di Provinsi Lampung Abstract: Post partum bleeding is bleeding more than 500-600 ml for 24 hours after child have born, including bleeding because retensio  placenta. Post partum pleading is bleeding in more than 500-600 cc in 24 hours after child and placenta was born (Mochtar, 2008). The aim of the research is to know the factors related to post partum bleeding mother maternity at RSUD Pringsewu in 2016. This research type is quantitative research, research design used crossectional. In this research design have 498 population of maternity that do deliveries at RSUD Pringsewu in 2016. Sampling technique counted 222 respondents. Measure method in this research used medical record. The data analysis that used is univariate analysis and bivariate analysis in the form of frequency distribution table. The result of chi-square test showed that in uterine atonia P-Value = 0,009 (0,009 < 0,05). OR = 7,296, padaretensioplasenta P-Value = 0,000 (0,000 < 0,05). OR = 13,788, danpadalaserasijalanlahir P-Value = 0,000 (0,000 < 0,05). OR = 9,118. So, it can be concluded that ha is accepted and the relationship between the independent variabel and the dependent variable. Recommended for all the health workers to can increase the provision of service, especially to mother maternity in order to can reduce the rate mortality to mother, especially in Provinsi Lampung.

2019 ◽  
Vol 11 (9) ◽  
pp. 86
Author(s):  
Andi Syarifah Irmadani ◽  
Werna Nontji ◽  
Syafruddin Syarif ◽  
Mardiana Ahmad ◽  
Suryani Asad ◽  
...  

Introduction: Midwifery documentation is a process of recording, reporting, and storing the information or meaningful data which based on the accurate and complete written communication. The documentation is an evidence of the implementation of midwifery care which is useful for midwives, patients, and other health workers. Materials and Methods: The study employed comparative method with quasi-experiment design. By employing purposive sampling technique, 84 acceptors of family planning were chosen. Moreover, they were divided into two groups; 42 acceptors who used conventional documentation and 42 acceptors who used Smart Contraception documentation. The data were analyzed by using Univariate analysis to find out the mean and Bivariate analysis by using Chi-square test. Results: From 29 out of 42 (69%) samples, it was found that the accessibility of documentation by using Smart Contraception was easier than using conventional method, meanwhile 13 out of 42 (31%) samples found it difficult. In conventional method, 23 out of 42 (54,8%) samples found it easier in documenting by using conventional method than using Smart Contraception application, meanwhile 19 out of 42 samples found it difficult. The statistical result showed that p value 0.006 (&lt;0.05) which means that there was difference between the use of Smart Contraception application and conventional method in doing documentation. Conclusion: Based on the results of the study, it can be concluded that Smart Contraception was better on documentation accessibility than conventional documentation.


2020 ◽  
Vol 6 (1) ◽  
pp. 16-24
Author(s):  
ARNOF YERNI

ABSTRACT Indoplant as one of the methods of contraception under the skin, is officially used in several countries including Indonesia and is quickly accepted by the public and is one of the programmed methods of contraception. However, there are still many acceptors who do not carry out re-control after installation. This study aims to determine the factors that influence the Indoplant acceptors in carrying out re-control at TanjungBerigin Health Center in Langkat Regency in 2018. This study uses a descriptive design with cross-sectional approach. The population in this study were all indoplant acceptors after 13 months installation at Tanjung Beringin Health Center, as many as 68 people and the sampling technique was total sampling .The result of univariate analysis was the highest age of respondents>  = 0.05) found the effect of age on the re-contro (p-value = 1000) and the influence of education (p-value = 0.023) and the influence of parity (p-value = 0.034) and the influence of knowledge (p-value = 0.015).a35 years 37 people (54.4%) higher education 42 people (61.8%) high parity 41 people (60.3%), high knowledge 39 people (57.4%) and those who re-controlling 53 people (77.9%). While the results of the bivariate analysis using the chi square test (95% CI and Based on the results of the study it is expected that health workers, especially midwives, can provide counseling or complete information about indoplant, especially the implementation of re-control. Keywords: Indoplant acceptors, re-control


Author(s):  
Desi Hariani

ABSTRAK Ketuban pecah dini adalah pecahnya selaput ketuban pada setiap saat sebelum permulaan persalinan tanpa memandang apakah pecahnya selaput ketuban terjadi pada kehamilan 24 minggu atau 44 minggu. Kadar hemoglobin adalah ukuran pigmen respiratorik dalam butiran-butiran darah merah. Kelainan letak janin merupakan malpresentasi janin atau kelainan letak janin yang dapat membuat ketuban bagian terendah langsung menerima tekanan intra uteri yang dominan. Tujuan penelitian ini adalah mengetahui hubungan kadar hemoglobin ibu dan letak janin dengan kejadian ketuban pecah dini di klinik alisa talang keramat kenten Palembang Tahun 2018. Desain penelitian ini menggunakan metode survey analitik dengan pendekatan crossectional. Sampel berjumlah 63 orang. Pengambilan menggunakan teknik total sampling. Pengumpulan data menggunakan lembar checklist.Hasil analisis univariat didapatkan jumlah ibu yang mengalami ketuban pecah dini (22,3%), HB tidak normal (41,3%) dan letak sungsang (6,3%).  Dari hasil analisis bivariat dengan uji statistik Chi – Square ada hubungan bermakna antara kadar hemoglobin ibu p value  = 0,001 < α 0,05 nilai OR = 0,049 dan letak janin p value = 0,001 < α 0,05 nilai OR = 0,032 dengan kejadian ketuban pecah dini secara statistik terbukti. Melalui penelitian ini, diharapkan dapat memberikan pelayanan kesehatan yang lebih baik lagi pada ibu hamil dan bersalin sehingga tidak terjadi komplikasi.   Kata Kunci : Ketuban Pecah Dini, Kadar Hemoglobin, Letak Janin ABSTRACT Premature rupture of membranes isthe  rupture of the membranes at any time before the onset of labor, regardless of whether the rupture of the membranes occurs at 24 weeks or 44 weeks' gestation. Hemoglobin levels are the size of respiratory pigments in red blood granules. Fetal abnormalities are malpresentations of fetuses or fetal abnormalities that can make the lowest part of the membrane directly accept the dominant intrauterine pressure. The aim of this study is to know the correlation between maternal hemoglobin level and fetal location toward the incidence of premature rupture of membranes at klinik alisa talang keramat kenten The study design using analytical survey method with crossectional approach. The sample numbered 63 people. Taking by using total sampling technique. Data collection using checklist sheet. The result of univariate analysis showed that the number of mothers who had membranes rupturedearly was (22.3%), HB was not normal  (41.3%) and breech position was (6.3%). From bivariate analysis with Chi-Square statistical test there was a significant correlation between maternal hemoglobin level p value = 0.001 <α 0.05 value OR = 0.049 and fetal location p value = 0.001 <α 0.05 value OR = 0.032 with incidence of premature rupture of membranes was statistically proven. Through this research, it is expected to provide better health services in pregnant and maternity women so thereis no complications occur. Key word  : Premature rupture of membranes, Hemoglobin levels, Fetal Location


Author(s):  
Suryono ◽  
Bambang Wiseno ◽  
Fannidya Hamdani Zeho

The ongoing COVID-19 pandemic has had a very significant impact on every area of ​​the organization, especially the health sector, especially hospitals. One of the impacts experienced is the work pressure felt by hospital employees. This study aims to analyze the work pressure experienced by hospital employees during the covid-19 pandemic which was obtained from the type of work and stressor factors that influenced it. This type of research was quantitative with a cross sectional approach. The sample of this study was 120 employees at Hospital "X" in Indonesia. The sampling technique is probability sampling with random sampling method. Univariate analysis test was used to see the distribution of frequency and percentage of each variable and bivariate analysis with chi-square test to determine the relationship between variables (p value <0.05). It was found that the type of employee's work was significantly related to the employee's work pressure. Then an analysis of the level of work pressure is carried out with the influencing work pressure stressor. Based on the Spearman Correlation Test, a correlation value of 0.589 with a sig value of 0.000 means that the sig value is smaller than 0.05 (0.000 <0.05) indicating that there is a significant effect between stressor and work pressure at Hospital "X". The cause of high work pressure from this type of work is the demands of the organization in relation to the high role of tasks, especially medical personnel, which increases during the pandemic. Then the stressor factors that influence are role overload, role conflict and role ambiguity caused by the demands of the duties and roles of employees, poor communication, and lack of direct guidance from the leadership on the tasks and regulations given.


2021 ◽  
Vol 2 (1) ◽  
pp. 71
Author(s):  
Nurun Nimah ◽  
Anik Puji Rahayu ◽  
Aries Abiyoga

ABSTRACTBackground: Dysmenorrhea is a painful sensation, cramping in the lower abdomen which is often accompanied by other symptoms, such as sweating, headache, nausea, diarrhea, and tremors, all of which occur before or during menstruation. Teenage girls who experience dysmenorrhea can interfere with social or physical activities because when they are in pain, sufferers tend to be silent and even don't want to interact with other people, they tend to be more emotional. Emotional embodiment part of what a woman feels, a reaction to a certain event or situation. Emotional status and dysmenorrhea in women is a conscious experience that influences bodily activities and is psychologically able to influence a woman's emotions. Objective: To identify emotional status and to analyze the relationship between emotional status and the degree of dysmenorrhea in young girls. Methods: Quantitative research, descriptive analytic research design with cross sectional research design with proportionate stratified random sampling technique, the sample of this study was 54 students of class X SMKN 12 Loa Buah Samarinda who experienced dysmenorrheaResults: Variable emotional status obtained positive emotional classification 33 (61, 1%) and negative emotions 21 (38.9%) respondents. Variable The degree of dysmenorrhea was classified as mild 35 (64.8%), moderate 12 (22.2%), severe 5 (9.3%) and unbearable 2 (3.7%). The test used Pearson Chi-square results obtained P value = 0.402, the significant level (α) is 0.05, then p> from α. This result means that Ho is accepted, there is no relationship between emotional status and the degree of dysmenorrhea in young girls at SMKN 12 loa buah samarinda. Conclusion: There is no relationship between emotional status and the degree of dysmenorrhea in adolescents at SMKN 12 Loa Buah Samarinda


Author(s):  
Suryanti . ◽  
Acholder Tahi Perdoman

A condom is a sheath made of latex which is caused by an erect penis or vagina that acts as a protector to prevent semen or fluid from ejaculating when the penis is in the vagina. Men's participation in joining the Family Planning program is quite low. This has also reduced men's participation in using condom contraception. The purpose of this study was to determine the Relationship between Knowledge and Perceptions of Men with Condom Use in the work area of the Rimbo Data Center. This research is quantitative research with analytic descriptive design and cross-sectional approach conducted in January 2019. The sampling technique is purposive sampling with a sample size of 80 people. Data were analyzed univariately and bivariate by computer using the chi-square statistical test. The results obtained from 80 samples, based on this univariate analysis (46.2%) had a low level of knowledge, (53.8%) had a negative perception, and most (63.8%) respondents did not use contraceptives condom. Based on bivariate analysis states there is a significant relationship between male knowledge with the use of condoms with a value of p-value = 0,000 <0.05. The perception of men with the use of condoms states that there is a significant relationship between perception with the use of condoms with the results of p-value = 0,000 <0.05. It is expected that the results of this study can increase the knowledge and perception of the community through counseling, especially regarding condom contraception. Based on the results of this study it can be concluded that there is a relationship between Knowledge and Perceptions of Men with Condom Use in the work area of Rimbo Data Center.


2021 ◽  
Vol 4 (3) ◽  
pp. 200-206
Author(s):  
Supartiningsih Supartiningsih ◽  
RD.Siti Riski Ainun

ABSTRACT  The incidence of pulmonary tuberculosis is still very high and difficult to reduce due to the lack of compliance in taking anti-tuberculosis drugs. The lack of knowledge and family support are some of the factors that affect the level of patients’ compliancein taking anti-tuberculosis drugs. The purpose of this study is to have an overview of patients’ compliance and to see how the relationship between knowledge and family support can affect TB outpatients in taking anti- tuberculosis drugs at the Sindar Raya Community Health Center. This type of research is quantitative using a cross-sectional approach to 20 respondents who do outpatient treatment at the Sindar Raya Community Center. The sampling technique uses the total sampling technique. The data collecting is done by giving questionnaires to each respondent. The data analysis uses univariate analysis and Chi Square test on bivariate analysis. The results of the univariate research showed that there were 10 respondents (50.0%) with a good level of knowledge,8 respondents (40.0%) with moderate level knowledge, and2 respondents (10.0%) with the lack of knowledge. Good family support showed as many as 9 respondents (45.0%),5 respondents (25.0%) with moderate support, and6 respondents (30.0%) with lack of support. As many as 15 respondents (75.0%) showed a good level of compliance while 5 respondents (25.0%) showed the lack of compliance level. Based on bivariate analysis with the chi square test, there was a significant relationship between knowledge and compliance to taking anti-tuberculosis drugs (P value = 0.036), and there was also a significant relationship between family support and compliance to taking anti-tuberculosis drugs (P value = 0.017).    


2020 ◽  
Vol 11 (2) ◽  
pp. 255-265
Author(s):  
Khairul Azwar ◽  
Mailindawati Mailindawati

The research design is a quantitative research method with a correlational research design. The subjects of this study were 150 adolescents who are members of the gaming community in adolescents at SMPN 2, SMAN I and SMKN 2 Kota Lhokseumawe. The sampling technique used is the quota sampling technique. The characteristics of the sample used in this study include: joining the gaming community in Lhokseumawe City, playing online games and being limited by the sex of active boys (13-17 years). The stages of this research were carried out starting with the preliminary data collection of research on the online game community, then conducting interviews about the intensity of playing games and the emotional level of adolescents who. After that, browse the gamer school to ask about their learning achievement with the homeroom teacher and class teacher. Data analysis using chi-square test. The results showed that e-sport games had an impact on the emotional level of adolescents (p value 0.000) and e-sport games had an impact on the learning achievement index (p value 0.000). These results are preliminary information in an effort to deal with the negative impact of playing online games on the emotional level of adolescents and student achievement as well as trying to provide understanding to students regarding the negative impact of playing online games. Abstrak Penelitian ini bertujuan untuk mengetahui Dampak esport Games Terhadap Tingkat Emosional dan Prestasi Belajar Remaja di Kota Lhokseumawe Provinsi Aceh Tahun 2020. Desain penelitian bersifat metode penelitian kuantitatif dengan rancangan penelitian korelasional. Subjek penelitian ini berjumlah 150 remaja yang tergabung dalam anggota komunitas gaming pada remaja di SMPN 2, SMAN I and SMKN 2 Kota Lhokseumawe. Teknik Sampling yang digunakan adalah dengan teknik sampling kuota. Ciri-ciri sampel yang digunakan dalam penelitian ini antara lain : tergabung dalam komunitas gaming Kota Lhokseumawe, bermain game online dan dibatasi oleh jenis kelamin anak laki-laki (13-17 tahun) yang aktif. Tahapan Penelitian ini dilakukan diawali dengan pengambilan data awal penelitian terhadap komunitas game online, selanjutnya melakukan wawancara tentang intensitas bermain game dan tingkat emosional remaja yang dirasakan. Setelah itu menelusuri sekolah gamer tersebut untuk menanyakan prestasi belajarnya dengan wali kelas dan guru kelasnya. Analisa data dengan uji chi-square. Hasil penelitian menunjukkan e-sport games berdampak pada tingkat emosional remaja  (p value 0.000) dan e-sport games berdampak pada indeks prestasi belajar (p value 0.000). Hasil ini merupakan informasi awal dalam upaya penanganan dampak negatif  bermain game online terhadap tingkat emosional remaja dan prestasi belajar siswa serta berupaya memberikan pemahaman kepada siswa berkaitan dengan dampak negatif bermain game online.


2021 ◽  
Vol 1 (2) ◽  
pp. 170-181
Author(s):  
Nurhafiza Fiza(Fiza) ◽  
Aldiga Rienarti Abidin ◽  
Arief Wahyudi

ABSTRAK Keberhasilan suatu rumah sakit dipengaruhi oleh tenaga kesehatan atau sumber daya manusia yang disiplin, yang mencerminkan kesadaran dan kesediaan mentaati semua peraturan perusahaan dan norma-norma sosial yang berlaku. Faktor-faktor yang mempengaruhi disiplin  kerja diantaranya ketepatan waktu, pemanfaatan sarana, balas jasa, tanggung jawab dan ketaatan terhadap aturan. Tujuan penelitian untuk mengetahui faktor-faktor yang berhubungan dengan disiplin kerja karyawan non medis di Rumah Sakit Pekanbaru Medical Center. Jenis penelitian kuantitatif dengan desain analitik Cross Sectional study.Populasi dalam penelitian ini adalah seluruh tenaga non medis di Rumah Sakit Pekanbaru Medical Center (PMC) yang berjumlah 70 orang . Teknik sampling yang digunakan adalah teknik total sampling. Analisis Univariat dilakukan untuk mendeskripsikan karakter masing-masing variabel yang diteliti, sedangkan analisis Bivariat dilakukan untuk mengetahui hubungan kedua variabel independen dan dependen. teladan pemipin P value 0.016, balas jasa P value 0.000, keadilan P value 0.000, pengawasan melekat P value 0.011, sanksi hukuman P value 0.008 dengan disiplin kerja. Ada hubungan antara teladan pemipin, balas jasa, keadilan, sanksi hukuman. Di sarankan agar Rumah Sakit Pekanbaru Medical Center (PMC) dapat meningkatkan penerapan prinsip keadilan dalam lingkungan kerjanya untuk dapat meningkatkan disiplin kerja karyawan ABSTRACT The success of a hospital is influenced by health workers or human resources who are disciplined, which reflects the awareness and willingness to obey all company regulations and applicable social norms. Factors affecting work discipline include timeliness, utilization of facilities, remuneration, responsibility and adherence to rules. The purpose of this study was to determine the factors related to the work discipline of non-medical employees at Pekanbaru Medical Center Hospital. This type of quantitative research is analytic cross sectional study design. The population in this study is all non-medical staff at Pekanbaru Medical Center Hospital, amounting to 70 people. The sampling technique used was total sampling technique. Univariate analysis was carried out to describe the character of each variable under study, while Bivariate analysis was carried out to see the relationship between the two independent and dependent variables. leadership models P value 0.016, reward P value 0.000, fairness P value 0.000, supervision attached P value 0,11, sanctions P value 0.008. There is a relationship between leadership models, reward, fairness, supervision attached, sanctions. it is recommended that Pekanbaru Medical Center Hospital to increase the implementation of fairness principle in the work environment in order to improve employee’s discipline Pekanbaru Medical Center Hospital  


2018 ◽  
Vol 4 (2) ◽  
pp. 67
Author(s):  
Maftuchah Maftuchah ◽  
Anita Indra Afriani ◽  
Agustin Maulida

Kecenderungan para ibu untuk tidak menyusui bayinya secara eksklusif semakin besar. Hal ini dapat dilihat dengan besarnya jumlah ibu menyusui yang memberikan makanan tambahan atau susu formula lebih awal sebagai pengganti ASI. Berbagai alasan dikemukakan oleh ibu-ibu sehingga dalam pemanfaatan ASI secara eksklusif kepada bayinya rendah, antara lain adalah pengaruh iklan/promosi pengganti ASI, ibu bekerja, lingkungan sosial budaya, pendidikan, pengetahuan yang rendah serta dukungan suami yang kurang. Salah satu puskesmas dengan cakupan ASI Eksklusif terendah tahun 2015 yaitu di Puskesmas Tlogosari Wetan Kota Semarang sebesar 55,30 % . Meskipun mengalami peningkatan di tahun 2016 namun pencapaian ASI Eksklusif di Puskesmas Tlogosari Wetan yaitu 16,4 % belum mencapai target renstra Kota Semarang yaitu 65 % . Tehnik sampling yang digunakan adalah total sampling. Uji analisis yang digunakan adalah analisis univariat dan analisis bivariat menggunakan Chi Square. Hasil penelitian menunjukkan bahwa  ada hubungan pengetahuan dan pekerjaan dengan penggunaan susu formula sebagai pengganti ASI eksklusif (p value 0.031 dan 0,015). Sedangkan pendidikan dan peran petugas kesehatan tidak ada hubungan dengan penggunaan susu formula sebagai pengganti ASI eksklusif di Kelurahan Penggaron Kidul-Semarang (p value 0.303 dan 0.846). Saran bagi masyarakat diharapkan tetap memberikan ASI eksklusif kepada anaknya meskipun ditinggal bekerja. Kata Kunci : Susu Formula; ASI Eksklusif  FACTORS AFFECTING THE USE OF FORMULA MILK AS AN ALTERNATIVE EXCLUSIVE BREASTFEEDING. ABSTRACT The tendency of mothers  who do not breastfeed exclusively the babies are growing. It can be seen by the large number of nursing mothers who provide formula milk as breast milk alternative. The various reasons are put forward by the mothers so that the use of exclusive breast milk is low. These reasons include, the influence of advertisement / breastfeed altenatives, working mother, socio-cultural environment, education, low knowledge, and lack of husband support. One of public health center with the lowest coverage exclusive breastfeeding by 55.30% in 2015 is Tlogosari Wetan Health Center at Semarang City. Although in 2016 it has been incerased by 16,4%, however, that number has not fulfilled the strategic plan target of Semarang City as much as 65%. The sampling technique was used Total Sampling. The analysis test was used univariate analysis and Bivariate analysis using Chi-Square. The result showed that there is a relationship between the knowledge and the occupation with the use of formula milk as an alternative for exclusive breastfeeding (p value 0.031 and 0.015). while education and the role of health practitioner have no relation with the use of formula milk as an alternative for exclusive breastfeeding (p value 0.303 and 0.846). The mothers are expected to continue giving exclusive breastfeeding to the babies even if left to work. Keywords: Formula Milk; Exclusive breastfeeding


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