scholarly journals MANFAAT LATIHAN RELAKSASI HYPNOBIRTHING PADA PROSES PERSALINAN KALA I

2017 ◽  
Vol 1 (3) ◽  
pp. 200
Author(s):  
Yayuk Nuryanti ◽  
Wenny Artanty Nisman ◽  
Risanto Siswosudarmo

ABSTRAKPendahuluan: Hypnobirthing merupakan salah satu teknik autohipnosis yang merupakan bagiandari tindakan mandiri perawat untuk menyiapkan proses persalinan dalam mengurangi kecemasandan nyeri persalinan. Tujuan penelitian: untuk mengetahui perbedaan nyeri persalinan dan lamapersalinan kala I antara kelompok ibu hamil yang dilatih relaksasi hypnobirthing dengan yang tidakdilatih. Metode: desain penelitian secara quasi eksperimen, sampel diambil secara consecutivesejumlah 82 orang di 4 BPM Kabupaten Klaten. Data dianalisis dengan uji chi square dan regresilogistik. Hasil penelitian didapatkan perbedaan persentase antara kelompok perlakuan dengankelompok kontrol, untuk rasa tidak nyeri perbedaan 23% dengan RR 2,94 (95% CI 1,17–7,41) p= 0,013. Pada kala I tidak lama perbedaan 19% dengan RR 1,26 (95% CI 1,01–1,57) p = 0,035.Hasil ini menunjukkan kemungkinan tidak nyeri hampir 3 kali dan kemungkinan kala I tidak lamahampir 1,5 kali pada kelompok perlakuan. Analisis regresi logistik menunjukkan bahwa relaksasihypnobirthing dan multiparitas memberi efek yang signifi kan untuk mengurangi nyeri persalinan danmempersingkat lama kala I. Kesimpulan: Latihan relaksasi hypnobirthing memberi manfaat untukmengurangi nyeri persalinan dan memperpendek lama kala I pada proses persalinan normal. Saran:Hypnobirthing perlu diberikan kepada ibu hamil sebagai bagian dari perawatan kehamilanuntuk menyiapkan psikologis ibu dalam menghadapi persalinan. Untuk pengembangan penelitianselanjutnya, perlu ditambahkan faktor-faktor yang memengaruhi nyeri persalinan.Kata Kunci: hypnobirthing, persalinan, nyeri persalinan, persalinan kala I.BENEFITS OF HYPNOBIRTHING EXERCISE IN THE FIRST STAGE OF LABORABSTRACTIntroduction: Hypnobirthing is a technique of autohypnosis which is a part of self-nursing care toprepare a more comfortable labor process. Objective: To identify difference in labor pain, durationof the fi rst stage of labor between pregnant mothers trained with hypnobirthing and those whowere not trained. Methods: This study employed a quasi experimental design involving 4 privatemidwives in Klaten Regency. Samples were 82 mothers taken consecutively. Data were statisticallyanalyzed using Chi square-test and logistic regression. Results: There were differences betweenthe treatment group and the control group. The difference in feeling no pain was 23% with RR of2.94 (95% CI 1.17-7.41) p=0.013; the difference in the short duration of the fi rst stage of labor was19% with RR of 1.26 (95% CI 1.01-1.57) p=0.035. The results indicated that the probability of feelingno pain was almost three times and the probability of short duration of the fi rst stage of labor wasone and a half times in the treatment group. The logistic regression showed that hypnobirthing andmultiparity had a signifi cant effect on reducing pain during labor process and shorthening durationof the fi rst stage of labor. Conclusion: Hypnobirthing exercise was bene fi cial in reducing pain andshorthening duration of the fi rst stage of labor process. Suggestion: Hypnobirthing should be givento pregnant women as part of prenatal care for psychological condition of mothers in facing the labor.Further research needs to be include factors that affect pain labor.Keywords: hypnobirthing, labor process, pain labor, fi rst stage of labor

2017 ◽  
Vol 39 (2) ◽  
pp. 103
Author(s):  
Muhammad Iqbal ◽  
Susetyowati Susetyowati ◽  
Martalena Br Purba

The improvement of patients’ food satisfaction and acceptance in the hospitals is primarily needed in the food service  system.  Room service is a new concept in the food service area. This study aims to compare the effects of two different types of food service systems; room service and conventional service system. The study with quasi-experimental design is conducted to the subject of 66 inpatients who were taken using a quota sampling method. Subjects were divided into different groups, the treatment groups (room service) and control groups (conventional). Leftover food between groups was compared for 9 large meals to determine acceptability. Food satisfaction is measured on the last day with using questionnaire. The study was conducted in April-June 2014. Chi-Square test and logistic regression were used for analysis of research data. There were significant differences food satisfaction (RR=4.6; p=0.0001) and food acceptance (RR=1.94; p=0.0488) between control and treatment group. The logistic regression test showed that room service group had higher food satisfaction and food acceptance level than control group after controlling confounding factors, which were 12,11 times (95% CI 3,593 – 37,219) and 2,38 times (95% CI 0,68-8,31), respectively. The room service increases food satisfaction and food acceptance of patients compared with conventional systems.


2009 ◽  
Vol 6 (1) ◽  
pp. 21
Author(s):  
Suwarni Suwarni ◽  
Ahmad Husein Asdie ◽  
Herni Astuti

Background : Hypertension is one of the most common worldwide diseases that can be an important public health challenge. The causes of hypertension are high consumption of salt and fat, obesity, stress, age, sex, family history, smoking, and consumption of alcoholic drinks. The prevalence of hypertension in the world, Asia, and Indonesia are 15-20%, 8-18%, and 1,8-28,6%, respectively. The solution to this problem is not only depend on drugs but also counseling through leaflet as the process of assisting clients in facing the problem of hypertension.Objectives : To know the effect of nutrition counseling on nutrition intake and blood pressure of hypertension outpatients at local hospital of the Province of Southeast Sulawesi. Methods : The study was quasi experimental with pre- and post-control design. Samples were divided into 2 groups; intervention group was given nutrition counseling and leaflet and the second (control) was only given leaflet. Samples were hypertension outpatients who fulfilled inclusions and exclusions criteria, and there were 25 samples per group. Data of nutrient intake were processed using Nutrisurvey. Chi-square test was used to identify the difference between the intervention group and the control group; whereas t-test was used to identify independent as well as dependent variables.Results : There were no significant differences in intake of fat, natrium, potassium, and magnesium between the intervention group and control group (p > 0.05); but there were differences between them at the end of study (p < 0.05). Blood pressures of both of them were also not different (p > 0.05); however, at the end of study there was difference between them (p < 0.05).Conclusion : Nutrition counseling could improve nutrition intake and blood pressure of hypertension outpatients at local hospital of the Province of Southeast Sulawesi.


2020 ◽  
Vol 8 (D) ◽  
pp. 209-212
Author(s):  
Hendry Rusdy ◽  
Marianne Marianne ◽  
Baginda Mangatur Gurning

BACKGROUND: Pugun Tanoh (Curanga fel-terrae (Lour.) Merr) is one of the medicinal plants. C. fel-terrae often used by the Karo tribe of Tiga Lingga Village, Kabupaten Dairi, Provinsi Sumatera Utara to treat diarrhea, asthma, cough, scabies, inflammation, bruising, and abdominal pain. Hence, it is necessary to examine the anti-inflammatory effects of Pugun Tanoh leaf extract. AIM: The present study aimed to determine the effectiveness of Pugun Tanoh leaves ethanol extract as an anti-inflammatory in patients after tooth extraction at Dental and Mouth Hospital of Dentistry Faculty, Universitas Sumatera Utara. METHODS: There were two research groups, namely the treatment group, which was given the extract plus amoxicillin 500 mg and mefenamic acid 500 mg as well as the control group who were only given amoxicillin 500 mg and mefenamic acid 500 mg without the extract. However, the instructions given to the patient are only required to take 500 mg of amoxicillin as an antibiotic, but for the 500 mg mefenamic acid drug, it is only instructed to drink it if there is pain that is felt by the patient. After the extracted teeth, the treatment group was given C. fel-terrae leaves ethanol extract 1.1 mg/kg on the tooth extraction socket using a 3 ml syringe then measurements were made on day 1 and day 2 after the extract was given using a visual analog scale (VAS) and through direct observation. Statistical analysis using the t-test independent and Chi-square test (significant p < 0.05). RESULTS: The treatment group did not have signs of inflammation both on the 1st and 2nd days after tooth extraction, while the control group had signs of inflammation both on the 1st day and the 2nd day after tooth extraction. In the treatment group, there were no patients who took the mefenamic acid drug while in the control group, it was found that all patients took mefenamic acid because they felt post-extraction pain. Statistical result are obtained with p = 0.00 (p < 0.05). CONCLUSION: C. fel-terrae leaves ethanol extract is effective to be used as an anti-inflammatory in patients after tooth extraction combined with amoxicillin 500 mg and mefenamic acid 500 mg.


2017 ◽  
Vol 3 (1) ◽  
pp. 14 ◽  
Author(s):  
Elizabeth Yasmine ◽  
Arif Mansjoer ◽  
Dyah Purnamasari ◽  
Hamzah Shatri

Pendahuluan. Hiperglikemia saat perawatan merupakan faktor risiko yang dapat ditatalaksana dengan optimal untuk menurunkan mortalitas. Penelitian hubungan variabilitas glukosa terhadap mortalitas telah diteliti, namun menggunakan indikator yang bervariasi. Penelitian ini dilakukan untuk mengkaji hubungan variabilitas glukosa yaitu rerata perubahan glukosa absolut (mean absolute glucose change, MAG) dan simpang baku glukosa terhadap mortalitas pasien kritis.Metode. Studi kohort retrospektif dilakukan pada 280 pasien yang dirawat di intensive care unit (ICU) dan high care unit (HCU) Rumah Sakit dr. Cipto Mangunkusumo (RSCM) Jakarta periode Januari 2012-Agustus 2013. Variabel MAG dan simpang baku glukosa dibagi menjadi 4 kuartil. Analisis hubungan antara MAG dan simpang baku glukosa dengan mortalitas dilakukan dengan uji chi Square. Untuk mengeluarkan faktor perancu (skor MSOFA, indeks komorbiditas Charlson,hipoglikemia, dan hiperglikemia) dilakukan uji regresi logistik.Hasil. Nilai median MAG dan simpang baku gukosa masing-masing adalah 3,3 mg/dL/jam dan 38,3 mg/dL. Proporsi mortalitas yang lebih tinggi didapatkan pada kuartil atas MAG dan simpang baku glukosa dibandingkan kuartil bawah. Berdasarkan uji chi square, didapatkan hasil OR MAG kuartil atas terhadap mortalitas OR 4,26 (IK 95% 1,98-9,15) dan OR simpang baku glukosa kuartil atas terhadap mortalitas OR 2,78 (IK 95% 1,35-5,71). Setelah dilakukan uji regresi logistik didapatkan fully adjusted OR 3,34 (IK 95% 1,08-10,31) untuk MAG dan 0,90 (IK 95% 0,28-2,88) untuk simpang baku glukosa.Simpulan. Proporsi mortalitas MAG kuartil atas (>8,1 mg/dL/jam) lebih tinggi daripada kuartil bawah (<1,3 mg/dL/jam). Proporsi mortalitas simpang baku glukosa kuartil atas (>59 mg/dL) lebih tinggi daripada kuartil bawah (<22,7 mg/dL). Namun demikian, hasil tersebut tidak bermakna secara statistik.Kata kunci: mortalitas, rerata perubahan glukosa absolut, simpang baku glukosa, variabilitas glukosa Association of Glucose Variability in the First 72 Hours of ICU Care with ICU Mortality in Critically-III PatientsIntroduction. Hyperglycemia during hospitalization is a risk factor that can be managed in order to reduce mortality. Inspite of hyperglycemia, glucose variability also brings negative outcome to cells. Studies about glucose variability effect to mortality had been studied using many variables of glucose variability. Methods. Retrospective cohort study is done to 280 critical ill patient in ICU and HCU in Cipto Mangunkusumo Hospital who admitted to critical care between January 2012-August 2013. MAG change and glucose standard deviation are divided into 4 quartiles. Relationship between MAG change and glucose standard deviation are analyzed using Chi Square test. To control the confounders (MSOFA score, Charlson comorbidities index, hypoglycemia, and hyperglycemia), logistic regression is done.Results. Median of MAG change is 3.3 mg/dL/hour and median of glucose standard deviation is 37.63 mg/dL. Mortality proportion is higher in upper quartile of MAG change and glucose standard deviation compared to lower quartile. OR of upper quartile MAG change to ICU mortality is OR 4.26 (95% CI 1.98-9.15) and OR of upper quartile glucose standard deviation to ICU mortality is OR 2.78 (95% CI 1.35-5.71). These results are adjusted to MSOFA score, hypoglycemia, and hyperglycemia. In logistic regression test, fully adjusted OR are 3.34 (95% CI 1.08-10.31) and 0.90 (95% CI 0.28-2.88) for MAG change and glucose standard deviation, respectively. Conclusions. Mortality proportion of upper quartile of MAG change (>8.1 mg/dL/hour) is higher than lower quartile (<1.3 mg/dL). Mortality proportion of upper quartile glucose standard deviation (>59 mg/dL) is higher than lower quartile(<22.7 mg/dL), but the difference is not statistically significant. Keywords: glucose standard deviation, glucose variability, mean absolute glucose change, mortality


2004 ◽  
Vol 57 (1-2) ◽  
pp. 18-21
Author(s):  
Dejan Cvjetkovic ◽  
Jovana Jovanovic ◽  
Ivana Hrnjakovic-Cvjetkovic ◽  
Mirjana Djordjevic-Aleksic ◽  
Aleksandra Radojcic ◽  
...  

Introduction Lack of exact clinical studies on effects of corticosteroids in therapy and prevention of herpes zoster-related pain, elicited many controversies in the past. The aim of our study was to estimate effects of prednisone on frequency, intensity and duration of postherpetic neuralgia. Material and methods 68 immunocompetent herpes zoster patients, 8-90 years of age (37 females and 31 males, mean age 55,7 years) were enrolled for study; 30 patients were treated with acyclovir (5x800 mg daily for a 7-day period) and prednisone (initial daily dose 60 mg, tapering over 14 days), and the control group of 38 patients with acyclovir only. Patients were clinically followed up for 3 months after complete resolution of skin lesions. Chi-square test was used in statistical data analysis. Results The difference regarding incidence of postherpetic neuralgia in acyclovir/prednisone group and acyclovir group (although slightly less in the former one) was not significant. Duration of postherpetic neuralgia over 3 months was similar in both groups. Mild postherpetic pain was more common in the acyclovir/prednisone group (44.4%) than in the acyclovir group (28.6%); however, statistical validation requires more patients to be studied. Discussion Results of our study didn?t confirm efficiency of prednisone regarding occurrence and characteristics of postherpetic neuralgia. Failure of prednisone therapy may be partly contributed to advanced age of patients and delayed onset of therapy. Conclusion Use of corticosteroids in zoster patients gives neither reliable protection from appearance of postherpetic neuralgia, nor shortens its duration. Further investigations are necessary to estimate their effects on postherpetic pain.


2021 ◽  
Vol 71 (Suppl-3) ◽  
pp. S432-36
Author(s):  
Sohail Aslam ◽  
Syed Muhammad Asad Shabbir Bukhari ◽  
Adnan Asghar ◽  
Naeem Riaz ◽  
Iftekhar Yousaf ◽  
...  

Objective: To comparison was made between standard (control group) nasopharyngeal sample collection technique for RTPCR and modified technique and the outcome was compared in terms of the proportion of positive results of Rt-PCR tests. Study Design: Double blinded randomized clinical trial. Place and Duration of Study: Pakistan Naval Ship Shifa Hospital Karachi Pakistan, from June and July 2020. Methodology: This study was a newly developed modified technique for nasopharyngeal sampling for RT-PCR tests of COVID-19 suspects. Target population included all patients who developed COVID-19 related symptoms and/or also had history of recent travel or closed contact with Covid-19 patients. Total 1500 nasopharyngeal PCR tests were done by a team of trained technicians. Systemetic probability sampling technique was utilized. Subjects were divided into two groups by using even and odd serial numbers. Proportion of positive test results were compared between two groups by using chi square test. Results: Results were collected for 3000 nasopharyngeal swab sample for RT-PCR testing. Mean age was 31.68 ± 11.89 years. In study group with modified technique, 470 tests were found positive for a total of 1500 samples while only 297 out of 1500 samples were detected positive in control group with standard technique. Chi square test applied to assess the difference between this proportion and it proved that the difference was highly statistically significant (p-value <0.00). Conclusion: we interpret that modified samples collection technique is relatively safe for sample collector of Covid-19 PCR which has got potential benefits to get more genuine results of these......


2020 ◽  
Author(s):  
Donglie Zhu ◽  
Hang Fu ◽  
Zelong Yang ◽  
Mingzuo Jiang ◽  
Yanjie Ren ◽  
...  

Abstract Aims: The present study aimed to explore the correlation between cholecystectomy and cholangiocarcinoma, and to provide preliminary clinical basis for precise cholecystectomy in China.Methods: We conducted a retrospective analysis of 9744 patients with cholangiocarcinoma, colon cancer, pancreatic cancer, femoral fracture, and hepatic hemangioma diagnosed in Xijing hospital from August 2008 to August 2018. They were divided into three groups: case group (1749 cases of cholangiocarcinoma), positive control group (3137 cases of colon cancer and 1950 cases of pancreatic cancer), negative control group (1794 cases of femoral fracture and 1114 cases of hepatic hemangioma). We collected the general information (gender, age), past medical history, cholecystectomy history from the patients, and these data were analyzed by chi-square test and logistic regression analysis. Results: The cholecystectomy rate of the case group was significantly higher than that of the positive control group and the negative control group by chi-square test (p<0.025). The cholecystectomy rate and the history of cholecystolithiasis were analyzed by logistic multivariate regression analysis. The OR values of cholecystectomy rate were 1.553 (95%CI: 1.311-1.840) and 3.181 (95%CI: 2.561-3.951), respectively, and the difference was statistically significant (p<0.000). The OR values of the history of cholecystolithiasis were 2.460 (95%CI: 2.093-2.890) and 5.426 (95%CI: 4.325-6.809), respectively, and the difference was statistically significant (p<0.000). In case group, the difference between cholecystectomy and cholecystolithiasis was statistically significant (p<0.000) by chi-square test. Conclusions: In conclusion, cholecystectomy is one of the risk factors of cholangiocarcinoma and the patients who undergo cholecystectomy have a higher risk of cholangiocarcinoma than the control groups. Cholecystectomy should be conducted with caution and the precise surgical treatment of gallbladder diseases is advocated.


2020 ◽  
Author(s):  
HAIFENG GAO ◽  
jie Wang ◽  
Songtao Ding ◽  
Yan Li ◽  
Yi Zhang ◽  
...  

Abstract Objective To explore the effect of nipple repair in the treatment of lactating nipple injury.Methods Patients with nipple lesions admitted to the Maternal and Child Health Hospital of Haidian District from December 2015 to January 2020 were retrospective control study. The patients received nipple repair was the study group, the patients did not treated with medicine or surgery was the control group. Patients in both groups continued to be exclusively breastfeed with good sucking, The method of chi-square test was adopted by using SPSS24.0 statistical software to compare the difference of healing effect of nipple injury, pain relief rate, and recurrence rate of nipple injury.Results A total of 167 patients were enrolled, including in the 81 study group and 86 in the control group. The cure rates of the nipple injury in the study group and in the control group were 54.3% (44/81) and 26.7% (23/86) (χ2 = 13.451, P = 0.001). The complete pain relief rate was 48.1% (39/81) and 23.3% (20/86) (χ2 = 14.170, P = 0.001). The recurrence rate was 36.4% (16/44) and 34.8% (8/23) (χ2 = 0.016, P = 0.898).Conclusion For patients with no improvement in nipple damage after correction of etiology, nipple repair can improve the healing environment of nipple breakage, relieve nipple pain.


2020 ◽  
Vol 3 (4) ◽  
Author(s):  
Ni Gusti Kompiang Sriasih ◽  
◽  
Gusti Ayu Marhaeni ◽  
Ni Nyoman Suindri ◽  
Made Widhi Gunapria Darmapatni ◽  
...  

Excessive anxiety during childbirth can cause changes in bodily functions. The impact is that the labor process takes longer, causing complications to both mother and baby. One of the non-pharmacological ways that can be done so that the labor process is gone naturally is by providing complementary massage therapy and frangipani aromatherapy. This research aims to determine the effect of back massage using frangipani aromatherapy oil in the first stage of labor on the duration of childbirth. The type of this research is Quasi-Experimental Design, posttest control group design. The sample is 80 people consisting of the control group of 40 people and the treatment group of 40 people. The sampling technique used is Consecutive Nonprobability Sampling. The data were recorded in the observation sheet. Also. The data analysis was done through univariate and bivariate "unpaired t-test". The results showed that the average duration of childbirth in the control group was 31.25 minutes, while the treatment group was 23.75 minutes. There is an effect of massage using frangipani aromatherapy oil in the first stage of labor on the duration of childbirth at a significance level of 0.01 (p <0.05). In conclusion, there is the effect of massage using frangipani aromatherapy oil in the first stage of labor on the duration of childbirth. It is hoped that midwives will use complementary frangipani aromatherapy massage in providing midwifery care during the first stage of normal labor.


NSC Nursing ◽  
2021 ◽  
pp. 34-49
Author(s):  
Herinawati Herinawati ◽  
Atikah Fadhilah Danaz Nasution ◽  
Lia Artika Sari ◽  
Iksaruddin Iksaruddin

Background: The inappropriate temperature of vaccine storage may cause vaccine damage leading to degrading or even dispelling the vaccine’s quality. This research aims to reveal the difference of vaccine’s quality stored in the cooler box compared to the household refrigerator with vaccine only and the difference of vaccine’s quality stored in the cooler box compared to the household refrigerator with vaccine stored along with food and beverage Methods: The research design uses an experimental study with a post-test-only control group design. The research was conducted at two independent practice midwives in Antapani Sub-district and the Faculty of Mechanical and Aerospace Engineering Bandung Institute of Technology from November to December 2015. The research object used eight types of vaccine (Hepatitis B, BCG, DPT-HB-Hib, Polio, Measles, DT, Td, and TT) with 72 vaccine vials divided into 3 vaccine storage units. The data analysis uses the chi-square test. Results: The results of the research show that there are statistically significant differences between the vaccine’s quality stored using a cooler box compared to a household refrigerator with vaccine only and the vaccine’s quality stored using a cooler box compared to a household refrigerator with vaccine stored along with food and beverage with the value of p<0,05. Conclusion: It is concluded that there are differences of the vaccine’s quality stored using cooler box compared to a household refrigerator with vaccine only and also different vaccine’s quality stored using cooler box compared to a household refrigerator with vaccine stored along with food and beverage Keywords: Cooler box, household refrigerator, vaccine quality


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