scholarly journals Tingkat Stres Ibu Menyusui dan Pemberian Asi pada Bulan Pertama

2020 ◽  
Vol 16 (1) ◽  
pp. 15-28
Author(s):  
Zuly Daima Ulfa ◽  
Yuli Setyaningsih

ENGLISHStress on maternal can inhibit breastmilk production so that it disrupts lactation. Stress occurs in the first month after birth delivery as the adaptation of new roles. This condition causes mother give up on breastfeeding early and it affects the sustainibility of exclusive breastfeeding as ideal nutrition for infant. The aim of the study was to analyze the relationship between stress levels of breastfeeding mothers and behavior of giving the breast milk in the first month. This study used a cross sectional approach which was carried out in the working area of Community Health Center of Tayu I. The sampling technique was  purposive sampling. The results showed that breastfeeding mothers who suffered from stress in the first month were as many as 42.5%, consisting of 25% mild stress, 15% moderate stress and 2.5% severe stress. Breastfeeding in the first month was as many as 75%, carried out by mothers not sufferring stress and those suffering mild and moderate stress. The results of chi square analysis obtained ρ 0.041 which means that there was a correlation between stress levels of breastfeeding mothers in the first month. The Odds Ratio (OR) was as many as 9,33 (95% Cl= 1,38,63,20) which means that mothers who suffered from moderate-high level of stress had as many as 9,33 times of possibility not to breastfeeding in the first month. Breastfeeding mothers who did not suffer from stress and suffer mild level of stress were more likely to keep breastfeeding in the first month. INDONESIAStres pada ibu dapat menghambat pengeluaran ASI. Stres sering dialami pada bulan pertama setelah persalinan sebagai adaptasi menjalankan peran baru. Keadaan tersebut dapat membuat ibu berhenti menyusui lebih awal yang berpengaruh pada keberlangsungan pemberian ASI Eksklusif sementara ASI adalah nutrisi terbaik bagi bayi. Tujuan penelitian untuk menganalisis hubungan tingkat stres ibu menyusui dengan pemberian ASI pada bulan pertama. Penelitian ini menggunakan pendekatan cross sectional, dilakukan di wilayah kerja Puskesmas Tayu I. Teknik pengambilan sampel dilakukan secara  sampling purposive. Hasil penelitian menunjukkan ibu menyusui pada bulan pertama yang mengalami stres sebanyak 42,5%; terdiri stres ringan 25%; stres sedang 15%; dan stres berat 2,5%. Pemberian ASI pada bulan pertama sebesar 75%, dilakukan oleh ibu yang tidak mengalami stres maupun ibu yang mengalami stres ringan dan sedang. Berdasarkan analisis chi square didapatkan ρ 0,041; yang berarti ada hubungan tingkat stres ibu menyusui dengan pemberian ASI pada bulan pertama. Odds Ratio (OR) sebesar 9,33 (95% CI=1,38, 63,20) yang berarti ibu dengan tingkat stres sedang-berat mempunyai kemungkinan 9,33 lebih besar untuk tidak memberikan ASI pada bulan pertama. Ibu menyusui yang tidak mengalami stres atau mengalami stres dalam fase ringan mempunyai kemungkinan lebih besar untuk tetap melakukan pemberian ASI pada bulan pertama.

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Fajarini Putri Hidayat ◽  
Ma'mun Sutisna ◽  
Roni Rowawi ◽  
Hidayat Wijayanegara ◽  
Herry Garna ◽  
...  

Stunted children will have normal cognitive ability if nutrition is improved. The rapid brain growth in the first 1,000 days of life means that children should not be malnourished. Stunting is generally caused by a lack of macronutrients (carbohydrates, protein, and fat) and micronutrients (calcium and zinc). The mobile application called stunting child nutrition (GiAS) has features that can detect stunting, monitor toddler growth, recommend daily menus for toddlers, nutritional adequacy rate (RDA) in 2019, and others. The purpose of this study was to make it easier to distinguish macronutrients, zinc, and calcium from stunting and non-stunting children aged 12–24 months using the GiAS android application. It is conducted at the Citeureup Community Health Center, Cimahi city, for June–July 2020. The sampling technique was a simple random sampling of 88 respondents. This type of research is an observational analytic with a statistical test is a cross-sectional design. The results of the study using the Mann-Whitney test showed differences in carbohydrates (84.99±26.31 vs 151.16±68.43, p=0.001), protein (30.81±11.03 vs 60.55±38.43, p=0.001), fat (32.80±15.39 vs 64.84±47.81, p=0.001), and calcium (0.55±0.40 vs 1.43±1.16, p=0.001) and there is similarity of zinc (0.005±0.004 vs 0.010±0.016, p=0.084) after 7 days of using the GiAS application between stunting and non-stunting children. The probability value <0.05 means that the application can compare macronutrients, zinc, and calcium between stunted and non-stunted children on the 7th day. Chi-square analysis showed an increase in children's weight and height under five at two weeks and one month (p=0.001). In conclusion, the comparison of macronutrients, zinc, calcium in stunting and non-stunting children aged 12–24 months can be differentiated using the GiAS application. APLIKASI GIZI ANAK STUNTING (GIAS) BERBASIS ANDROID UNTUK MENILAI ZAT GIZI MAKRO, ZINC, DAN KALSIUM PADA ANAK STUNTING DAN NON-STUNTINGAnak stunting akan memiliki kognitif yang normal jika dilakukan perbaikan gizi yang optimal. Pertumbuhan otak yang pesat di 1.000 hari pertama kehidupan menjadikan anak tidak boleh kekurangan nutrisi. Stunting umumnya kekurangan zat gizi makro (karbohidrat, protein, dan lemak) serta zat gizi mikro (kalsium dan zinc). Aplikasi mobile bernama gizi anak stunting (GiAS) memiliki fitur yang dapat mendeteksi stunting, memantau pertumbuhan balita, merekomendasikan menu harian untuk balita, angka kecukupan gizi (AKG) tahun 2019, dan lainnya. Tujuan penelitian ini adalah kemudahan membedakan zat gizi makro, zinc, dan kalsium anak stunting dengan non-stunting usia 12–24 bulan menggunakan aplikasi android GiAS di Puskesmas Citeureup Kota Cimahi periode Juni–Juli 2020. Teknik pengambilan sampel adalah simpel random sampling sebanyak 88 responden. Jenis penelitian ini adalah analitik observasional dengan uji statistik adalah desain cross-sectional (α=0,05). Hasil penelitian  menggunakan Uji Mann-Whitney terdapat perbedaan karbohidrat (84,99±26,31 vs 151,16±68,43; p=0,001), protein (30,81±11,03 vs 60,55±38,43; p=0,001), lemak (32,80±15,39 vs 64,84±47,81; p=0,001), dan kalsium (0,55±0,40 vs 1,43±1,16; p=0,001) serta ada persamaan zinc (0,005±0,004 vs 0,010±0,016; p=0,084) sesudah 7 hari penggunaan aplikasi GiAS antara anak stunting dan non-stunting. Nilai probabilitas <0,05 berarti aplikasi dapat membandingkan zat gizi makro, zinc, dan kalsium antara anak stunting dan non-stunting pada hari ke-7. Analisis chi-square terlihat peningkatan berat badan dan tinggi badan balita pada 2 minggu dan 1 bulan (p=0,001). Simpulan, komparasi zat gizi makro, zinc, kalsium anak stunting dan non-stunting usia 12–24 bulan dapat dibedakan menggunakan aplikasi GiAS.


2020 ◽  
Vol 8 (1) ◽  
pp. 10
Author(s):  
Sriwulan Karimang ◽  
T.D. E. Abeng ◽  
Wico N. Silolonga

Abstract: 3-month KB injection is a hormonal contraceptive method that contains etherogens.  This contraception works by preventing egg release so that there will be no fertilization of the egg by sperm.  One injection is given every three months and the injection is very effective if routinely given in a timely manner. Method: This study used a cross sectional study design with a population of all mothers who used 3-month injection contraception in the Tagulandang Health Center, Sitaro District. Sampling was done by non-probability sampling with pruposive sampling technique.  The number of samples is 38 respondents. Data is presented in the form of Frequency Tables. Data analysis used is univariate and bivariate analysis using the chi-square analysis method.  The results of the study: based on the characteristics showed that most respondents chose the use of 3-month injection contraception, respondents aged 20-35 years received support from husbands with good incomes.  From the chi-square test results obtained ρ value for age ρ = 0.02 less than α = 0.05, ρ value for husband support ρ = 0.04 less than α = 0.05, ρ value for income ρ = 0  .01 is smaller than α = 0.05. In conclusion, the results of this study indicate that there is a significant relationship between age, husband support, income and injecting contraceptive use in 3-month injection contraception in the Tagulandang Community Health Center, Sitaro Regency. Keywords: Age, Husband Support, Income.Abstrak: Suntik KB 3 bulan adalah metode kontrasepsi hormonal yang mengandung eterogen. Kontrasepsi ini bekerja dengan mencegah pengeluaran sel telur sehinggah tidak akan terjadi  pembuahan sel telur oleh sperma. Satu suntikan di berikan setiap tiga bulan dan suntikan tersebut sangat efektif apabila rutin di berikan secara tepat waktu. Metode: Penelitian ini menggunakan desain penelitian cros sectional dengan populasi seluruh ibu yang menggunakan kontrasepsi suntik 3 bulan diwilayah Puskesmas Tagulandang Kabupaten Sitaro. Pengambilan sampel dilakukan secara non probability sampling dengan teknik pruposive sampling. Jumlah sampel sebanyak 38 responden. Data disajikan dalam bentuk Frequency Table, Analisis data yang digunakan adalah analisis univariat dan bivariat dengan menggunakan metode analisis chi-square. Hasil penelitian: Berdasarkan karakteristik menunjukkan sebagian besar responden memilih penggunaan kontrasepsi suntik 3 bulan, responden memiliki usia 20-35 tahun mendapat dukungan dari suami dengan pendapatan yang baik. Dari hasil uji chi-square didapatkan hasil nilai ρ untuk usia ρ = 0,02 lebih kecil dari α = 0,05, nilai ρ untuk dukungan suami ρ = 0.04 lebih kecil dari α = 0,05, nilai ρ untuk pendapatan ρ = 0,01 lebih kecil dari α = 0,05. Kesimpulan, hasil penelitian ini menunjukan ada hubungan yang bermakna antara Usia, Dukungan suami, Pendapatan dengan Penggunaan  Kontrasepsi Suntik 3 bulan di Wilayah Puskesmas Tagulandang Kabupaten Sitaro.Kata Kunci: Usia, Dukungan Suami, Pendapatan.


2020 ◽  
Vol 5 (2) ◽  
pp. 240-249
Author(s):  
Satrio Wibowo Rahmatullah ◽  
◽  
Ika Maulida Nurrahma ◽  
Adnan Syahrizal

Compliance to achieve treatment success can be improved by providing drug information services (PIO) and counseling to improve understanding of treatment instructions. The general objective of this study was to determine the effect of drug information service and counseling on the level of medication adherence in patients with diabetes mellitus (DM) with hypertension in the Banjarbaru Regional Hospital. This study uses a quasi experimental method with a cross sectional approach and takes patient data prospectively. The results of this study indicate that the group given PIO and counseling showed a high level of adherence as many as 20 respondents (100%). Whereas in the group that was not given PIO and the counseling level of adherence was low, there were 4 respondents (20%). Based on the mann-whitney analysis p-value = 0,000 (<α = 0.05) so that there are differences in the group with PIO and counseling with groups without PIO and counseling, while the chi square analysis p-value = 0.004 (<α = 0 , 05) so that PIO and counseling have a significant effect on the level of adherence to taking medication in patients with DM with hypertension at the Banjarbaru Regional Hospital.


Author(s):  
Suryanti Suryanti ◽  
Andi Ipaljri

In the current era of globalization, humans always interact with technological developments. One result of the development of technology is the use of computers. The use of computers that are not under the ergonomic position causes effects on health, one of them is tension-type headaches. In the United States, 1-4% of patients coming to the Emergency Care Unit complain of headache, 90% of them are tension-type headaches. The proportion of migraine and other headache syndromes in the hospital. Harapan Bunda in 2011 and RS. Camatha Sahidya in Batam in Batam was 5% and 0.7% respectively. Whereas the incidence of tension headaches in 5 puskesmas in Batam in 2014 ranged from 0.5% - 1.3%. The proportion of tension headaches at the BIP Clinic in the January-April 2018 period is 1.5%. Tension-type headaches that occur continuously can cause barriers to daily activities. The purpose of this study is to determine the relationship of computer use with the incidence of tension-type headaches in workers. This research uses a descriptive-analytic method with a cross-sectional approach. The sampling technique is purposive sampling. Of 97 respondents who visited the clinical BIP that met the criteria, it was found that computer user respondents experienced tension-type headaches of 18 people (42.9%) and not tension-type headaches of 24 people (57.1%). Whereas the respondents who were not computer users experienced tension-type headaches of 10 people (18.2%), and non-tension-type headaches of 45 people (81.8%). Bivariate chi-square analysis showed that p = 0.008 (p <0.05). This means that Ha is accepted and H0 is rejected.


2020 ◽  
Vol 2 (2) ◽  
pp. 15-23
Author(s):  
Rusmini Marslan Arsyad ◽  
Engelina Nabuasa ◽  
Enjelita M. Ndoen

DHF is one of the widespread  infectious diseases in Indonesia, with an increased infected number of sufferers. DHF case is closely related to environmental sanitation, wich causes the availability of breeding places for the Aedes aegypti mosquito vectors. The study was to determine the relationship between environmental sanitation behavior and the case of DHF in the working area of the Tarus Community Health Center in 2020. The study design was descriptive-analytical with a cross-sectional study approach. The sample was_99 respondents taken by simple random sampling technique. Data was collected from interviews and analyzed using the Chi-square test. The results showed that the varuabels of  knowledge (p = 0.000), attitudes (p = 0.021), and actions to environmental sanitation (p = 0.000) were related to the DHF case. The Tarus Community Health Center should increase outreach activities and family empowerment efforts related to the prevention and control of DHF.


2020 ◽  
Vol 7 (1) ◽  
pp. 16
Author(s):  
Nita Pujianti ◽  
Lia Anggraini

ABSTRAKPneumonia merupakan penyebab banyak kematian balita di dunia. Selama tahun 2016 terdapat 568.146 (65,27%) jumlah kasus pneumonia pada balita yang ada di Indonesia. Berdasarkan data Dinas Kesehatan Provinsi Kalimantan Selatan tercatat kasus pneumonia tahun 2017 sebesar 66,52%, data tertinggi pada Puskesmas Beruntung Raya dengan angka 105 kasus (10,80%) di tahun 2017. Tujuan penelitian ini adalah untuk menganalisis faktor-faktor yang berhubungan dengan kepatuhan penggunaan antibiotika pada orang tua pasien anak yang terdiagnosa pneumonia di wilayah kerja Puskesmas Beruntung Raya serta menganalisa faktor yang paling dominan mempengaruhi. Penelitian ini menggunakan rancangan observasional analitik melalui pendekatan cross sectional. Populasi dalam penelitian ini adalah semua orang tua yang memeriksakan anaknya dalam satu tahun terakhir di Puskesmas Beruntung Raya. Sampel dalam penelitian ini berjumlah 77 responden ditentukan dengan teknik purposive sampling dan berlangsung selama 3 (tiga) bulan. Analisa data menggunakan uji chi square dan regresi logistik biner dan kuisioner sebagai Instrumen penelitian. Hasil penelitian menunjukkan bahwa terdapat hubungan antara kedisiplinan (p-value= 0,001), sugesti sembuh (p-value= 0,012), dan komunikasi (p-value= 0,025). Variabel kedisiplinan merupakan yang paling berpengaruh dominan terhadap kepatuhan penggunaan antibiotika, sehingga pasien yang disiplin lakan lebih patuh dalam meminum obat antibiotika daripada pasien yang tidak disiplin.Kata-kata kunci: Kepatuhan, pneumonia, kedisiplinan, sugesti sembuh, komunikasiABSTRACTPneumonia is the cause of many under-five deaths in the world. During 2016 there were 568,146 (65.27%) of the number of pneumonia cases in children under five in Indonesia. From the data of the South Kalimantan Provincial Health Office recorded pneumonia cases in 2017 amounted to 66.52%, the highest data in Beruntung Jaya Community Health Center with a number of 105 cases (10.80%) in 2017. The purpose of this study was to analyze the factors related by adhering to the use of antibiotics in the parents of pediatric patients with diagnosed with pneumonia in the work area of Beruntung Jaya Community Health Center and analysis the most dominant factor influencing. This study uses an observational analytic design through a cross sectional approach. The population in this study were all parents who had their children examined in the past year at Beruntung Raya Health Center. The sample in this study amounted to 77 respondents determined by purposive sampling technique and lasted for 3 (three) months. Data analysis using chi square test and binary logistic regression and questionnaires as research instruments. The results showed that there was a relationship between discipline (p-value= 0.001), recovery suggestions (p-value= 0.012), and communication (p-value= 0.025). Disciplinary variable is the most dominant influence on adherence to the use of antibiotics, so that disciplined patients are more obedient in taking antibiotic drugs than patients who are not disciplined.Key words: Compliance, pneumonia, discipline, healing suggestion, communication


2020 ◽  
Vol 8 (1) ◽  
pp. 33
Author(s):  
Nia Widia Aprilia Keni ◽  
Sefti Rompas ◽  
Lenny Gannika

Abstract: Mother's knowledge about breastfeeding techniques will bring a deep understanding of the good or bad impacts of giving breast milk. The method in this study uses a cross sectional research design with the population of all post-partum mothers in the work area of the Wori Health Center in Manado. Sampling is done by non-probability sampling with pruposive sampling technique. The number of samples is 51 respondents. Data is presented in the form of Frequency Tables. Data analysis used is univariate and bivariate analysis using the chi-square analysis method. The results of the study, the majority of respondents have good knowledge and attitude. Respondents who use the wrong breastfeeding technique for respondents who have poor attitudes and knowledge. From the chi-square obtained results from the level of knowledge with breastfeeding techniques with a value of p = 0.00 smaller than α = 0.05. Whereas the attitude for breastfeeding technique has a value of p = 0.01 smaller than α = 0.05. In conclusion, the results of this study indicate that there is a significant relationship between the level of knowledge and attitudes with breastfeeding techniques in postpartum mothers.Keywords: Knowledge Level, Attitude, and Breastfeeding Techniques Abstrak: Pengetahuan ibu tentang teknik menyusui akan membawa pemehaman yang mendalam pada dampak baik ataupun buruknya pemberian ASI. Metode ini menggunakan desain penelitian cros sectional dengan populasi seluruh ibu pasca melahirkan di wilaya kerja Puskesmas Wori Manado. Pengambilan sampel dilakukan secara non probability sampling dengan teknik pruposive sampling. Jumlah sampel sebanyak 51 responden. Data disajikan dalam bentuk Frequency Table, Analisis data yang digunakan adalah analisis univariat dan bivariat dengan menggunakan metode analisis chi-square. Hasil penelitian, Mayoritas responden memiliki pengetahuan dan sikap yang baik. Responden yang melakukan teknik menyusui yang salah pada responden yang memiliki sikap dan pengetahuan yang kurang baik. Dari hasil uji chi-square didapatkan hasil dari tingkat pengetahuan dengan teknik menyusui dengan nilai p = 0,00 lebih kecil dari α = 0,05. Sedangan untuk sikap dengan teknik menyusui memiliki nilai p= 0,01 ebih kecil dari α = 0,05. Kesimpulan, hasil penelitian ini menunjukan ada hubungan yang bermakna antara Tingkat Pengetahuan dan Sikap dengan Teknik Menyusui Pada Ibu Pasca Melahirkan.Kata Kunci: Tingkat Pengetahuan, Sikap, Dan Teknik Menyusui


Author(s):  
Ibitunde Ibidun Olatohun ◽  
Farinde Akinloye Jimoh ◽  
Adereti Francis Oke

The study identified the problems of access to inputs by the small-scale farmers; and analyzed the structure and operations of the Growth Enhancement Support Scheme (GESS) on input supply to small-scale farmers in Southwestern Nigeria with the view to investigate the effectiveness of GESS in South western Nigeria. A multistage sampling technique was employed in selecting 420 GESS farmers. The interview schedule was used to collect data which were subjected to descriptive and inferential analysis to test the hypothesis. Results showed that the mean age of the small-scale farmers was 49.57±10.49 years and a high level, 75.70 per cent were males. A higher percentage (55.80%) showed a high level of identified problems of access to inputs. Analysis of the structure and operations of GESS on input supply showed that GESS was structured and operated by the government among the various stakeholders using the top-down approach. Out of the nineteen GESS effectiveness indicators, none was effective at solving the problems of inputs delivery to the respondents. Chi-square analysis showed a significant association between the effectiveness of GESS and respondents' sex (χ2=46.159; p≤ 0.01). Correlation analysis showed a negative and significant relationship between the effectiveness of GESS and identified problems of access to inputs (r=-0.214, p≤0.001). It was concluded that GESS recorded a low level of effectiveness of GESS in the study area as a result of the high level of identified problems of access to agricultural inputs through GESS. The study therefore recommends that there should be better orientation for future likely programmes and a reorientation of the farmers about the GESS in which there will be more extensive sensitization and enlightenment, especially at the grassroots level, also that quantity of input supply be increased and that more inclusive participatory approach instead of top-down approach should be adopted for planning, execution and evaluation of the GESS programme.


2018 ◽  
Vol 6 (2) ◽  
Author(s):  
Warsini Warsini ◽  
Kevin Anung Joseptian

Background: It is undoubted if basic immunization has benefited immensely to child for over the years. Nevertheless there aresome parents who remains reluctant to immunize their children. This condition could be proved by the achievement of UCI (Universal Child Immunization) in 2015 in Klaten which involved 401 villages. There was only 90% of the total population who participated in this program. The Purpose: To analized the relationship between education level, work satus and mother's knowledge about basic immunization with the successness of giving basic immunization to babies. The Subjects: The study was observational analytic with cross sectional design. The population were all mothers who had infants aged 9-12 months in January-February 2018 in Wonosari District taken using total sampling technique. The data was then collected by using questionnaires. The results: Most of the infants were 11 months old (50%), most of mother were 25-35 years old (66.8%), most of the mother's education level was Senior High School (46.7%), most of the mother's knowledge about immunization was high (96.7%), the majority of mothers did not work (53.3%), most infants were fully immunized (96.7%). Chi Square analysis found that the correlation between education level and the successness of immunization in infant p=0.245, work relation with success of immunization giving to infant p=0.341, and relation of mother knowledge about basic immunization with successness immunization giving to infant p=0.000. The conclusion: There was no correlation between the level of education with the successness of immunization in infants (p=0.245), there was no relationship between work status with successness immunization in infants (p=0.341), and there was a statistically significant relationship between maternal knowledge of basic immunization with successness immunization in infants (p=0.000). Keywords: basic immunization, education, employment, knowledge


2020 ◽  
Vol 3 (2) ◽  
pp. 51
Author(s):  
Ikawati Setyaningrum ◽  
Firman Hidayat ◽  
Ratna Widhiastuti

Preceptorship is one method of guidance with one to one relationship in the scope of nursing which is considered good enough to add skills in care, both soft skills, hard skills and attitude of the nursing profession. Many factors affect the implementation of preceptorsip in hospitals. This study aims to determine the relationship between clinical instructional motivation and the implementation of preseptorship at Dr. Soeselo Slawi. This research is a quantitative study and the type of descriptive correlation research design with cross sectional approach. The sampling technique used was a total sampling of 39 people. The research instrument uses a motivation questionnaire containing 26 statements, whereas for Preceptorship uses a questionnaire containing 10 statements. Chi square analysis results showed that the p value was 0.007 (<0.005), which means there was a significant relationship between CI motivation and the implementation of Preseptorship. The hospital is expected to be able to choose nurses who will become CIs according to certain competency and knowledge standards, as well as specializing CI assignments so that they do not overlap with patient service tasks.  Keywords: Motivation. Clinical instructure, preceptorship


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