scholarly journals Teknik Relaksasi untuk Menurunkan Kecemasan Pada Ibu Hamil di Wilayah Puskesmas Pakualaman

PSYCHE 165 ◽  
2021 ◽  
pp. 303-309
Author(s):  
Shinta Adella ◽  
Alfi Purnamasari

The purpose of group therapy conducted in this research was to determine the effect of relaxation technique to reduce anxiety in pregnant women within the working area of Pakualaman Community Health Center. The research subjects consisted of seven pregnant women who experienced anxiety disorder in the moderate category. The methods for data collection were observation, interview, and focus group discussion, as well as a pre-test using a pregnancy anxiety scale with the results of Cronbach a = 0.896 at 28 items and reliability of 0.896. Data analysis techniques were carried out qualitatively based on the results of the therapy process and quantitatively by conducting a post-test. The research results revealed a decrease in anxiety, both qualitatively and quantitatively. The qualitative results showed that the research subjects were able to feel more positive, calmer, and more comfortable during their pregnancy and being optimistic when they were about to face the delivery process, which affected the perceived behavior such as reduced dizziness and comfortable sleep. Meanwhile, the quantitative results showed a decrease in score and the level of anxiety experienced by the research subjects between before and after participating in the group therapy process with the value of z = -2.366 with a significance of p = 0.018 (p <0.05). Thus, it can be concluded that group therapy with relaxation technique could reduce anxiety in pregnant women within the working area of Pakualaman Community Health Center.

2021 ◽  
Vol 3 (1) ◽  
pp. 101-107
Author(s):  
Nasriyah Nasriyah ◽  
Islami Islami ◽  
Nor Asiyah

Covid-19 is a virus that spreads very quickly in the world community, including Indonesia. Incidence of Covid-19 is very high and the transmission is very fast so that it has become a pandemic in the world. Corona virus is characterized by several symptoms, such as fever, cough and shortness of breath. In severe conditions, this viral infection can cause acute respiratory failure, severe pneumonia (lung infection), pulmonary edema, failure of body organs, and even death. The incidence of Covid-19 infection in pregnancy is increasing, therefore pregnant women are extra careful in maintaining their pregnancy. This study aims to determine the prevalence of third trimester in pregnant women who confirmed by Covid-19 at the Mayong II Jepara Community Health Center. The research method used a descriptive study with a population of all pregnant women who were examined at the Mayong II Jepara Community Health Center in 2020. The research subjects were 80 respondent third trimester pregnant women during September-December 2020 by Polymerase Chain Reaction. The results showed that 80 respondents who carried out the PCR Swab, there were 7 respondents  an average age of 20-28 years who were confirmed as Covid-19. Based on the results of this study, it is necessary for pregnant women to continued to carry out health protocols. Pregnant women who are confirmed Covid-19 are expected to carry out self isolation and if severe symptoms arise, they should contact medical physician. As a medical physician, they were to monitor pregnant women who have confirmed Covid-19 and giving treatment quickly  in the event of complications related to pregnancy.


2018 ◽  
Vol 3 (3) ◽  
pp. 568
Author(s):  
Ainal Mardiah ◽  
Arni Amir ◽  
Andi Friadi ◽  
Ellyza Nasrul

<p><em>Iron deficiency anemia is anemia caused by iron deficiency in the blood. Maternal iron deficiency affects the low iron reserves in neonates </em><em>and it also influences on </em><em>Brain Derived Neurotropic Factor (BDNF) </em><em> which affects cognitive function.</em><em> </em><em>The purpose of this study was to determine the difference mean of BDNF in neonates from normal pregnant women and pregnant women with iron deficiency. </em><em>The design of this research was Cross Sectional</em><em> </em><em>design. This research was conducted in Community Health Center of Lubuk  Buaya, Ambacang Community Health Center, Community Health Center of Ikur Koto Health Center and Biomedical Laboratory of Andalas University on February 2017 to April 2018. There were 42 pregnant women was selected as sample e of this research. The samples were chosen by Consecutive Sampling. Then, the sample is divided into two groups: normal pregnant women and pregnant women with iron deficiency anemia. BDNF are examined by the ELISA. Next, the data were analyzed by using T test. The levels of BDNF neonates in normal pregnant group was 3.65(ng/ml) and the anemia pregnant group was 1.74(ng/ml) (p &lt;0.05). There was significant difference of BDNF levels in neonates from normal pregnant women and pregnant women with iron deficiency anemia. </em><em>The conclusion of this study is there is a difference of average BDNF in neonates from normal pregnant women and pregnant women with iron deficiency.</em></p><p> </p><p>Anemia defisiensi besi adalah anemia yang disebabkan karena kekurangan zat besi dalam darah. Defisiensi besi  maternal berdampak pada rendahnya cadangan besi pada neonatus dan berdampak terhadap ekspresi Brain Derived Neurotropic Factor (BDNF) yang berpengaruh pada fungsi kognitif. Tujuan penelitian ini adalah untuk mengetahui perbedaan rerata kadar BDNF pada neonatus dari ibu hamil normal dan ibu hamil defisiensi besi. Desain penelitian ini adalah Cross Sectional. Penelitian dilakukan di Puskesmas Lubuk Buaya, Puskesmas Ambacang, Puskesmas Ikur Koto dan Laboratorium Biomedik Universitas Andalas pada bulan Februari 2017 – Juli 2018. Sampel Penelitian adalah ibu hamil sebanyak 42 orang yang dipilih secara Consecutive Sampling, sampel dibagi menjadi dua kelompok yaitu ibu hamil normal dan ibu hamil anemia defisiensi besi. BDNF diperiksa dengan metode ELISA. Data dianalisa menggunakan uji T test. Kadar BDNF neonatus pada ibu kelompok normal adalah 3,65(ng/ml) dan kelompok ibu anemia adalah 1,74(ng/ml) (p&lt;0,05). Terdapat perbedaan bermakna kadar BDNF pada neonatus dari ibu hamil normal dan ibu anemia defisiensi besi. <em></em></p>


2018 ◽  
Vol 1 (1) ◽  
pp. 330-335
Author(s):  
Rika Mayasari Alamsyah

Kehamilan merupakan suatu proses fisiologis yang menimbulkan perubahan pada tubuh wanita baik fisik maupun psikis. Selama kehamilan terjadi perubahan pada rongga mulut terkait dengan perubahan hormonal, perubahan pola makan, perubahan perilaku dan berbagai keluhan seperti ngidam, mual dan muntah. Ibu hamil menjadi sangat rentan terhadap penyakit gingival danpenyakit periodontal akibat dari kebiasaan mengabaikan kebersihan gigi dan mulut. Tingginya tingkat terjadinya penyakit mulut juga dapat berdampak pada kualitas hidup yang berhubungan dengan kesehatan rongga mulut pada ibu hamil. Tujuan penelitian ini untuk mengetahui persentase perdarahan gingiva dan kualitas hidup ibu hamil di beberapa Puskesmas di Medan. Jenis penelitian ini adalah penelitian survei deskriptif. Populasi penelitian ini adalah ibu hamil yang datang ke Puskesmas, dengan sampel sebanyak 100 orang. Pengambilan data perdarahan gingiva dan kualitas hidup menggunakan instrument Oral Health Impact Profile (OHIP-14) dilakukan dengan wawancara dan dicatat dalam kuesioner. Hasil penelitian menunjukkan 74% sampel mengalami perdarahan gingiva. Pada pengukuran kualitas hidup diperoleh 12% pada dimensi keterbatasan fungsi mengalami kesulitan pengecapan, 16% pada dimensi rasa sakit fisik mengalami tidak nyaman mengunyah makanan, 2% pada dimensi ketidaknyamanan psikis mengalami rasa cemas, 16% pada dimensi ketidakmampuan fisik mengalami terhenti saat makan, 20% pada dimensi ketidakmampuan psikis mengalami rasa malu, 6% pada dimensi ketidakmampuan social mengalami mudah tersinggung dan hanya 1% pada dimensi hambatan mengalami tidak mampu beraktivitas. Dapat disimpulkan kondisi rongga mulut dapat mempengaruhi kualitas hidup ibu hamil selama masa kehamilan, terutama pada dimensi ketidakmampuan psikis, rasa sakit fisik dan ketidakmampuan fisik. Pregnancy is a biological process which causes the changes in a woman’s body physically and psychologically. During pregnancy, oral cavity change due to hormonal change, diet change, behavior change, and other demands such as craving, feeling sick, and vomiting. Pregnant women become more susceptible to gingival and periodontal diseases caused by a habit to ignore dental and oral hygiene. The high probability of oral diseases may happen and affect the life quality related to pregnant women oral cavity. This research aimed to find gingival hemorrhage percentage and the life quality of pregnant women at Community Health Center in Medan. This was a survey descriptive research. The population was 100 pregnant women who came to Community Health Center. The gingival hemorrhage data collection was conducted using Oral Health Impact Profile (OHIP-14) instrument through interviews and questionnaires. The result indicated that 74% of samples experienced gingival hemorrhage. The life quality measurement resulted with 12% had trouble in tasting, 16% felt discomfort due the pain when chewing, 2% experienced anxiety, 16% had sudden stops while eating, 20% felt ashamed, 6% were easily offended, and only 1% experienced the inability to do any activity.


2017 ◽  
Vol 24 (3) ◽  
pp. 37-44
Author(s):  
Santoso Ujang Effendi ◽  
Buyung Keraman ◽  
Andrek Sarnandes

The impact of the incidence of anemia in pregnant women who have less knowledge during pregnancy are abortion, preterm labor, fetal and uterine disorders, low birth weight (LBW), and high maternal mortality. This study aimed to study the relationship between the level of knowledge with the incidence of anemia in pregnant women at Tanjung Kemuning Community Health Center Kaur District. This type of research was Descriptive Correlation and the design used was Cross Sectional. The data in this study used the primary data obtained by distributing questionnaires. The population in this study was all pregnant women who checked pregnancy and did not check their pregnancy at Tanjung Kemuning Community Health Center of Kaur Regency from January to June 2016 as many as 66 pregnant women. Sampling technique are Total Sampling and obtained sampel counted 35 respondents. Data analysis was done by univariate and bivariate analysis with Chi-Square test and to know closeness using Contingency Coefficient (χ2) statistic test. The result of the research showed that there were 14 respondents (40.0%) of good knowledge, and 19 respondents (54,3%) did not experience anemia. There was a significant relationship between knowledge with the incidence of anemia in pregnant women in working area of Tanjung Kemuning Community  Health  Center Kaur District with a close category. Suggestion for Tanjung Kemuning  Community  Health Center Kaur District                   to increase the intake of iron nutrition in pregnant women by doing  health promotion about  anemia  and giving  iron  tablets  to pregnant  woman. Keywords : anemia, knowledge, pregnant women


2020 ◽  
Vol 2 (2) ◽  
pp. 225-230
Author(s):  
Nova Yusenta ◽  
Komalasari Komalasari ◽  
Mareza Yolanda Umar ◽  
Yenny Marthalena

Angka Kematian Ibu dan Angka Kematian Neonatal Bayi di Indonesia masih tinggi dimana Kabupaten Pesisir Barat khususnya Kecamatan Bangkunat yang merupakan salah satu penyumbang tertinggi. Tujuan dari penelitian ini adalah diketahuinya Pengaruh Konseling Tentang Program Perencanaan Persalinan dan Pencegahan Komplikasi (P4K) terhadap Motivasi Ibu Hamil Untuk Bersalin Di Fasilitas Kesehatan di Wilayah Kerja UPTD. Puskesmas Bengkunat Belimbing Tahun 2020. Populasi dalam penelitian ini adalah semua ibu hamil trimester III yang terdapat di Pekon Penyandingan, Pekon Pemerihan, Pekon Sumberejo dan Pekon Kota Jawa pada Bulan Maret tahun 2020 yang berjumlah 50 ibu hamil. Sedangkan Sample diambil dari populasi dengan teknik Total Sampling. Analisis bivariat dalam penelitian ini menggunakan Uji Non Parametic Yaitu Uji Wilcaxon Machted Pair Test. Hasil uji  Wilcaxon Machted Pair Test menunjukkan diperoleh p-value 0,001 (less than 0,01) yang artinya Ada pengaruh konseling tentang P4K dengan peningkatan motivasi ibu hamil untuk bersalin di fasilitas kesehatan di wilayah kerja UPTD. Puskesmas Bengkunat Belimbing tahun 2020.Abstract: Maternal Mortality and Neonatal Infant Mortality rates in Indonesia are still high in West Pesisir Regency, especially in Bengkunat sub-district, which is one of the highest contributors. The research objective was to know the influence of counseling about P4K by improving the motivation of pregnant women to childbirth in health facilities at the working areas of the UPTD community health center of Bengkunat Belimbing in 2020. The population in this research were all third trimester of pregnant women in the Pekon Penyandingan, Pekon Pemerihan, Pekon Sumberejo dan Pekon Kota Jawa on March 2020, which amounted to 50 pregnant women. While the sample is taken from the population with the Total Sampling technique. The bivariate analysis in this research uses the Non-Parametic Test Namely the Wilcoxon Matched Pair Test. The Wilcoxon Matched Pair Test results show that a p-value of 0.001 (less than 0.01), which means that there is an influence of counseling about P4K by increasing the motivation of pregnant women to childbirth in health facility at the working areas of UPTD community health center of Bengkunat Belimbing in 2020.


Author(s):  
Ulfa Farrah Lisa ◽  
Mutia Putri

Abstrak Demontrasi perawatan payudara akan  membuat keterampilan ibu hamil semakin meningkat dan demonstrasi akan berpengaruhterhadap keterampilan perawatan payudara pada ibu hamil. Perawatan payudara bertujuan untuk melancarkan sirkulasi darah dan mencegah tersumbatnya aliran susu sehingga mempelancar pengeluaran ASI. Target pemberian ASI ekslusif adalah sebesar 80% sedangkan pencapaian di Kota Banda Aceh masih rendah yaitu  55,17%. Dari survei data awal yang dilakukan di Puskesmas Jeulingke Kecamatan Syiah Kuala Banda Aceh didapatkan bahwa jumlah ibu hamil sebanyak 31 orang dari lima desa dan mayoritas tidak bisa melakukan perawatan payudara. Artikel ini bertujuan untuk mengetahui pengaruh demonstrasi terhadap keterampilan perawatan payudara pada ibu hamil trimester ketiga diwilayah kerja Puskesmas Jeulingke Kecamatan Syiah Kuala Banda Aceh. Penelitian ini bersifat eksperimen semu (quasi experiment) dengan pre-test post-test desain. Dilakukan di wilayah kerja Puskesmas Jeulingke Kecamatan Syiah Kuala Banda Aceh, pada tanggal 25 Juni sampai dengan 2 Juli 2018. Jumlah sampel dalam penelitian inisebanyak 31 orang dengan teknik total sampling. Pengumpulan data menggunakan lembaran observasi dan uji statistic menggunakan uji wilcoxon dengan taraf signifikasi α=0,05 (C1=95%). Hasil analisis menunjukkan dari 31 responden sebelum diberikan demonstrasi(pre-test) keterampilan responden mayoritas perlu perbaikan sebanyak 28 orang (90,3%) dan responden yang mampu sebanyak 3 orang (9,7%), sedangkan setelah diberikan demonstrasi (post-test) keterampilan responden mayoritas mampu sebanyak 16 orang (51,6%), mahir sebanyak 9 orang (29,1%) dan perlu perbaikan sebanyak 6 orang (19,3 %). Setelah dilakukan uji statistik, didapat nilai p-value 0,000. Kata Kunci      : Demonstrasi, Perawatan Payudara, Keterampilan Abstract Demonstration of breast care will make the skills of pregnant women is increasing and the demonstration will affect the skill of breast care in pregnant women. Breast care aims to improve blood circulation and prevent blockage of milk flow so that it smoothes out breast milk. The target of  the exclusive breastfeeding is 80% while the achievement in Banda Aceh is still low (55.17%).From the initial survey data conducted at the Community Health Center of Jeulingke, Syiah Kuala Banda Aceh, and the number of pregnant women is 31 people from five villages and the majority cannot breast care. This article aims to  know the effect of demonstration on breast care skill in third trimester pregnant woman in work area at Community Health Center (Puskesmas) of Jeulingke, Syiah Kuala Banda Aceh. This research has aQuasi Experiment with pre-test post-test design. This research was Conducted in the work area at Puskesmas Jeulingke, District Syiah Kuala Banda Aceh, from 25 June to 2 July 2018. The samples in this research there were 31 people with total sampling technique. And the Data collection is used observation sheet and statistic by wilcoxon testwith a significance level α=0,05 (C1=95%). The results of the analysis show from 31 respondents before being given a demonstration (pre-test) the majority of respondents' skills were categorized as needing improvement as many as 28 people (90.3%) and respondents who were in the category of capable were 3 people (9.7%), while after being given a demonstration ( post-test) the skills of the majority of respondents are in the category of capable as many as 16 people (51.6%), proficient categories as many as 9 people (29.1%) and categories need improvement as much as 6 people (19.3%). After a statistical test, the p-value is 0,000.  Keywords: Demonstration, Breast Care, Skills.


Author(s):  
Dewi Kartika Sari ◽  
◽  
Putri Wahyu Wigati ◽  

ABSTRACT Background: Anemia is a pathologic condition produced by a decrease in red blood cell mass or a decrease in the amount of hemoglobin. The initial survey carried out in the Tiron Puskesmas work area in the June-July 2019 period was still a high incidence of anemia in the Tiron Puskesmas Kediri Regency work area (60%). This study aimed to analyze factors affecting anemia in pregnant women with second and third trimester of pregnancy at tiron community health center, Kediri district, East Java. Subjects and Method: A cross sectional study was carried out at Tiron community health center, Kediri, East java, from June to July 2020. A sample of 49 2nd and 3rd trimesters of pregnant women was selected by purposive sampling. The dependent variable was anemia. The independent variables were age, iron tablet intake, ANC visit. The data were collected by questionnaire and analyzed by a multiple logistic regression. Results: Anemia in pregnant women decreased with older age (OR= 0.08; 95% CI = 0.01 to 1.20; p = 0.068). Anemia in pregnant women increased with irregular iron tablet intake (OR= 18.45; 95% CI = 2.77 to 123.10; p = 0.003) and irregular ANC visit (OR = 1.85; 95% CI = 1.05 to 38.18; p = 1.87). Conclusion: Anemia in pregnant women decreases with older age. Anemia in pregnant women increases with irregular iron tablet intake and irregular ANC visit. Keywords: anemia, hemoglobin levels, pregnant women Correspondence: Dewi Kartika Sari. Faculty of Health Sciences Universitas Kadiri. Jl. Selomangleng No 1, Kediri. Email: [email protected] DOI: https://doi.org/10.26911/the7thicph.03.50


2020 ◽  
Vol 3 (2) ◽  
pp. 188-192
Author(s):  
Triswanti ◽  
Tri Maghfiroh

Background: Giving iron tablets together with drinking orange juice can increase hemoglobin levels higher than administering iron tablets alone Purpose: This study aims to examine the differences in the effectiveness of taking iron tablets against changes in hemoglobin levels in second trimester pregnant women at Sindang Barang Bogor Community Health Center. Methods: Quasi experimental research with Pretest-Posttest Control Group Design. The sample is divided into two groups, namely the intervention group and the control group. The intervention group was given iron tablets simultaneously by drinking orange juice for 30 days.  Result: The provision of iron tablets simultaneously drinking with lemon juice water is more effective than the provision of iron tablets simultaneously drinking with lemon juice water is more effective than the provision of iron tablets simultaneously drink with water in pregnant women second trimester. Conclusion: By giving vitamin C in the form of tablets or orange juice or foods or tablets of vitamin C can increase the absorption og iron pregnant women


2017 ◽  
Vol 10 (17) ◽  
pp. 114
Author(s):  
Puji Lestari Heryadi ◽  
Rani Sauriasari ◽  
Retnosari Andrajati

 Objectives: Anemia during pregnancy is a common problem among women. Iron deficiency can result from low compliance to consuming iron supplement tablets (ISTs) as well as consumption patterns that may affect iron uptake. The purpose of this study was to provide knowledge regarding anemia during pregnancy, to increase adherence to consumption of IST, and to improve IST consumption patterns.Methods: The study design was experimental with a randomized pre-post control design. There were 192 respondents who were divided into two groups: 96 respondents were not counseled and 96 respondents had received media leaflet counseling. The research was conducted at the community health center (CHC) of the Pagedangan Sub-district, Tangerang District, and Banten Province. All respondents were interviewed, and the hemoglobin (Hb) value was examined using the Hemocue Hb 301 Analyzer photometry method.Results: The results were analyzed using a Chi-square test to assess significant differences between the two groups (p<0.05) and multivariate analysis was conducted using binary logistic regression. The results showed that the influence of counseling could increase the Hb value by 8.6 times compared to the non-counseling group (OR=8.6; p<0.05) after controlling for number of IST per month, consumption pattern of IST with calcium, consumption pattern of IST with foods/beverages that inhibit the absorption of iron, level of education, and gestational age.Conclusions: Gestational age in the third trimester tends to increase the Hb value by 5.1 times compared with the first- and second-trimester gestations (OR=5.1, p<0.05). Thus, counseling from pharmacists can improve the success of anemia treatment in pregnant women in the CHC of the Pagedangan Sub-district, Tangerang District.


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