scholarly journals Efektivitas Metode Pembelajaran Continuity Of Care Terhadap Peningkatan Kompetensi Pemberian Asuhan Kebidanan

2020 ◽  
Vol 3 (2) ◽  
pp. 101
Author(s):  
Purwaningtias Budi Utami ◽  
Irfan Irfan ◽  
Siti Noorbaya

Postpartum, also called the puerperium or puerperium, is the time since the baby is born and the placenta is separated from the uterus until the next 6 (six) weeks, accompanied by the recovery of the organs associated with the womb, which have undergone changes related to childbirth. The changes that occur during the puerperium include all systems including the reproductive organs such as the uterus and vulva, from physiological to pathological changes as a result of complications during the puerperium. Complications of the puerperium are abnormal conditions during the puerperium caused by the entry of germs to the genetalia during labor and the puerperium, one of the complications of the puerperium, namely a rupture, is also called a perineal tear or laceration. This study aims to analyze the effectiveness of giving boiled snakehead fish on the healing of perineal lacerations in postpartum mothers in Samarinda City. In this study, the authors used a quasi-experimental method with a post-test only control group design in which the measurement of variables was given a special intervention, namely giving 100 g of steamed fish a day for 10 days, then observing its effect on post-partum maternal wound healing. As a comparison, also a control group without treatment with inclusion and exclusion criteria. The research location is at Kartika Jaya Clinic, Samarinda City. In this study, the samples were selected using purposive sampling. Data collection methods used in two ways, namely through interviews and observations. The test used Mann Whitney. The results of data analysis using the Mann-Whitney obtained the sig (2-tiled) value of 0.000 <0.05 with the average healing time of the experimental group was 7 days. Meanwhile, the average healing time for the control group was 10 days. So it can be concluded that there is an effect of giving steamed cork fish on the healing of perineal lacerations in postpartum mothers with a difference of 3.2 days. The conclusion of this study is that the administration of steamed snakehead fish is more effective in treating perineal lacerations of postpartum mothers. Student competency results obtained through the pre-test and post-test showed that the difference between the pre-test and the final test for the two groups was significantly different. This is indicated by the results of the t test obtained by t count = 0.001 <t table = 0.05, which means that H0 is rejected. With the rejection of H0, this means that the results of student competence in providing midwifery care using the Continuity of Care learning method are better than those using the ordinary practicum method. The difference in competency results between the control class and the experimental class occurs because the experimental class uses Continuty of Care learning and the control class uses the ordinary practicum method

2020 ◽  
Vol 3 (2) ◽  
pp. 92
Author(s):  
Fauziah Fauziah ◽  
Fitriana Fitriana ◽  
Siti Noorbaya

Postpartum, also called the puerperium or puerperium, is the time since the baby is born and the placenta is separated from the uterus until the next 6 (six) weeks, accompanied by the recovery of the organs associated with the womb, which have undergone changes related to childbirth. The changes that occur during the puerperium include all systems including the reproductive organs such as the uterus and vulva, from physiological to pathological changes as a result of complications during the puerperium. Complications of the puerperium are abnormal conditions during the puerperium caused by the entry of germs to the genetalia during labor and the puerperium, one of the complications of the puerperium, namely a rupture, is also called a perineal tear or laceration. This study aims to analyze the effectiveness of giving boiled snakehead fish on the healing of perineal lacerations in postpartum mothers in Samarinda City. In this study, the authors used a quasi-experimental method with a post-test only control group design in which the measurement of variables was given a special intervention, namely giving 100 g of steamed fish a day for 10 days, then observing its effect on post-partum maternal wound healing. As a comparison, also a control group without treatment with inclusion and exclusion criteria. The research location is at Kartika Jaya Clinic, Samarinda City. In this study, the samples were selected using purposive sampling. Data collection methods used in two ways, namely through interviews and observations. The test used Mann Whitney. The results of data analysis using the Mann-Whitney obtained the sig (2-tiled) value of 0.000 <0.05 with the average healing time of the experimental group was 7 days. Meanwhile, the average healing time for the control group was 10 days. So it can be concluded that there is an effect of giving steamed cork fish on the healing of perineal lacerations in postpartum mothers with a difference of 3.2 days. The conclusion of this study is that the administration of steamed snakehead fish is more effective in treating perineal lacerations of postpartum mothers


2020 ◽  
Vol 13 (1) ◽  
Author(s):  
Sri Rahayu

Abtrak. Anemia merupakan masalah kesehatan masyarakat secara global baik dinegara berkembang maupun negara maju. Anemia terjadi pada semua tahap siklus kehidupan, umumnya terjadi pada masa anak-anak dan wanita hamil (WHO, 2008). Di puskesmas Pegandon Kabupaten Kendal pada bulan Agustus 2017 didapatkan ibu hamil dengan kadar HB 8,2 gr% mengalami perdarahan pada saat melahirkan. Penelitian ini bertujuan mengevaluasi pemberian tablet FEpada ibu nifas.Desain penelitian menggunakanmatching pretest-post test control group design. Penelitian ini menggunakan data kohort dari ibu hamil  di puskesmas Pegandon yang melahirkan pada bulan Desember 2017 – Januari 2018. Sampelnya ibu nifas pada bulan  Januari – Maret 2018yang datang di puskesmas Pegandon untuk melahirkan sebanyak 72 ibu nifas. Hasil penelitian menunjukkan sebagian besar  pada responden perlakuan mempunyai usia reproduksi 30 (83,3%),  sebagian berpendidikan (SD danSMP) 28 (77.8%) dan berpenghasilan sesuai UMK 22 (61.1%) sedangkan pada responden control untuk usia reproduksi25 (69%), berpendidikan (SD dan SMP) 31 (86%) dan berpenghasilan sesuai UMK 15 (41.7%).Pada analisis bivariate dengan uji kolmogorov-smirnov didapatkan p> 0.00 pada perlakuan dan kontrol. Disimpulkan bahwa diberikan dan tidak diberikan tablet FE pada ibu nifas didapatkan hasil sama berpengaruh dalam peningkatan kadar HB.Disarankansetiap ibu nifas meminum tablet FE supaya tidak terjadi anemia dan memberikan ASI pada bayinya dengan maksimal.Kata kunci : anemia, ibu nifas, tablet FE The Influence Of Iron Tablets In Pifandon Mother To Post Partum Anemia In Pegandon Community Health Center Area Abtract.Anemia is a global public health problem both in developing and developed countries. Anemia occurs at all stages of the life cycle, generally occurring during childhood and pregnant women (WHO, 2008). In Pegandon Puskesmas Kendal Regency in August 2017 it was found that pregnant women with HB levels 8.2 gr% had bleeding at the time of delivery. This study aims to evaluate the administration of FE tablets to postpartum mothers. The study design used a matching pretest-post test control group design. This study uses cohort data from pregnant women at the Pegandon puskesmas who gave birth in December 2017 - January 2018. The sample was postpartum mothers in January - March 2018 who came to the Pegandon puskesmas to deliver 72 postpartum mothers. The results showed that most of the treatment respondents had a reproductive age of 30 (83.3%), some were educated (SD and SMP) 28 (77.8%) and earning according to MSE was 22 (61.1%) while the control respondents were for reproductive age 25 (69% ), educated (elementary and junior high) 31 (86%) and earning according to UMK 15 (41.7%). In the bivariate analysis with the Kolmogorov-Smirnov test, p> 0.00 was obtained for treatment and control. It was concluded that given and not given FE tablets to the puerperal mothers found the same effect had an effect on increasing HB levels. It is recommended that every puerperal woman take FE tablets so that anemia does not occur and give milk to her baby to the maximum..Keywords: anemia, puerperal mothers, FE tablets


2019 ◽  
Vol 2 (2) ◽  
pp. 123-133
Author(s):  
Kristina Maharani ◽  
Choirul Anwar ◽  
Agus Suwandono

The purpose of this study was to analyze the effectiveness of a combination of herbal steam bath and massage therapy as a way to prevent post partum blues of postpartum mothers. This type of quasi experiment research design with pre-test and post-test control group. The results of the study, herbal steam bath and massage therapy are more effective than conventional puerperal care in the prevention of post partum blues with a p-value <0.05. Conclusion, Herbal steam bath and massage therapy can be used as an alternative therapy in the prevention of post partum blues.   Keywords: Herbal Steam Bath, Massage therapy, Postpartum Blues, Postpartum Blues


2018 ◽  
Vol 4 (2) ◽  
pp. 192
Author(s):  
Dwi Gita Oktaviani ◽  
Ahmad Harjono ◽  
I Wayan Gunada

Lesson material presented in the form of data or facts and specific concepts on expository learning model helps learners to connect new material with material that precedes it, so organizers help is provided to instill meaningful learning. This study aims to determine the difference of influence of the implementation of learning model of assisted advance organizer and post organizer expository. The population in this study is all students of class X MIA SMA Negeri 3 Mataram academic year 2017/2018. Sampling is done by purposive sampling technique, and quasi experimental research uses non-equivalent control group design with pre-test-and post-test. The results obtained from the classroom given the treatment of expository learning model assisted by advance organizer and post organizer have the same tendency improvement. In both classes there is a relatively similar increase in the mastery of the previous concept, but the difference between the two is not much different. Therefore, there is no difference of influence between expository model of assisted advance organizer and post organizer to the mastery of work and energy concepts of learners.


2020 ◽  
Vol 6 (4) ◽  
pp. 401-407
Author(s):  
Nurul Azizah

ABSTRACT Background Failed process involution uterus puerperal can cause bleeding. Back Massage and postpartum gymnastics can stimulate hormone oxytocin causes uterine contractions.Purpose identify Comparison of Back Massage and Postpartum Gymnastics on Involuntary Uterine in Post Partum. Method research design used quasi experimental with post test only non equivalent control group design. Samplings using quota sampling 90 respondents divided into 3 groups. Bivariable analysis using repeated measurement with clinical significance used mean 95% interval with P<0.05, multivariable analysis using linear regression. Result shows a significant difference of uterine involution in each group, overall mean -1.700 (95% CI:-2,26 - (-1,37) with P<0.05, back massage group using Clary-sage essential oil compared to gymnastics postpartum group. Back massage group using Clary-sage essential oil (salvia sclarea) showed faster processes of uterine involution than post-partum gymnastics group. Multivariable analysis showed value of P<0.05 with regression coefficient of back massage 0.835 (CI-0.799-1.091), suggesting significantly greater association of uterine involution in back massage intervention group after controlled by parity variables and maternal age, with adjusted values R2 0.621, it means reduction in fundal uteri level 62,1% in a day.Conclusion is mothers who received back massage using Clary-sage essential oil experienced faster uterine involutions compared with other groups of postpartum Suggestion Further research is needed in order to identify the effect of back using Clary sage essential oil on uterine involution of oxytocin hormone levels through venous blood tests before and after intervention, so as to identify with certainty the effect of back massage using Clary sage essential oil accurately in increasing hormone concentrations. oxytocin in the blood. Keywords : Back Massage, Postpartum  Gymnastics, Involution uterus ABSTRAK Latar Belakang Involusi uteri masa nifas gagal mengakibatkan perdarahan. Back Massage dan senam nifas merangsang hormon oksitosin memicu kontraksi uterus. Tujuan mengidentifikasi Perbandingan Back Massage dan Senam Nifas terhadap Involusi Uteri.Metode penelitian menggunakan quasi eksperimental with post test only non equivalent control group design, pengambilan sampel dengan quota sampling sampel sebanyak 90 responden dibagi 3 kelompok. Analisis bivariabel menggunakan repeated measurement dengan kemaknaan klinis mean dan cofidence interval 95% dengan nilai P<0,05, analisis multivariabel menggunakan regresi linier. Analisis bivariabel menunjukkan terdapat perbedaaan involusi uteri pada masing-masing kelompok, Δoverall mean -1.700(95% CI:-2,26-(-1,37) dengan nilai p<0.05 yakni kelompok back massage menggunakan minyak esensial Clary sage menunjukkan involusi uteri lebih cepat dibandingkan dengan kelompok senam nifas secara signifikan.Hasil analisis multivariabel menunjukkan nilai p<0,05 dengan koefisien regresi  pijat punggung sebesar 0,835 (CI-0,799-1,091). Adanya hubungan yang bermakna bahwa involusi uteri lebih cepat pada kelompok intervensi pijat punggung setelah dikontrol dengan variabel paritas dan umur ibu, dengan nilai adjusted R2  sebesar 0,621, yakni penurunan tinggi fundus uteri mencapai 62,1% perhari.Kesimpulan dari penelitian ini Ibu yang mendapatkan intervensi pijat punggung menggunakan minyak esensial Clary sage mengalami involusi uteri lebih cepat dibandingkan dengan kelompok lain.Saran Perlu dilakukan penelitian lanjutan agar dapat mengidentifikasi pengaruh back menggunakan minyak esensial Clary sage terhadap involusi uteri terhadap kadar hormon oksitosin melalui pemeriksaan darah vena sebelum dan sesudah dilakukan intervensi, sehingga dapat mengidentifikasi secara pasti pengaruh pijat punggung menggunakan minyak esensial Clary sage secara akurat dalam meningkatkan kosentrasi hormon oksitosin dalam darah. Kata kunci : Back Massage, Senam Nifas, Involusi uterus 


2017 ◽  
Vol 1 (1) ◽  
pp. 55
Author(s):  
Rahma Musyawarah ◽  
La Ode Amaluddin ◽  
La Ode Nursalam

This study aims: 1) To know the significance of the difference between the average value of pre-test of experimental class students and the average value of pre-test of control class students, 2) Knowing the average value of post-test of experiment class students is significantly higher compared with the mean value of post-test control class, 3) Knowing the average value of students' gain of experimental class is significantly higher than the control group's average gain. This type of research is experimental research with pretest-posttest control group design. Sample determination technique is random sampling, obtained class X2 as experimental class and class X4 as control class. The data collection technique is done by giving the test of Geography learning result in the form of multiple choice test. Data analysis techniques use descriptive and inferential statistics. The results showed that the average value of post-test students class X2 = 79.67 with n-gain = 0.72 while class X4 = 75.05 with n-gain = 0.63. Based on t test analysis, t-Calculated = 2.07> tTable = 2.00 at a significant level of 95% (α = 0.05), this indicates that the average post-test grade of the experimental class is significantly higher than the the average value of post-test of control class students on the subject matter of the history of earth formation.


2019 ◽  
Vol 7 (2) ◽  
Author(s):  
PUTU SINTA CANTIKA . ◽  
Drs. Ignatius I Wayan Suwatra,M.Pd . ◽  
Mutiara Magta, S.Pd., M.Pd. .

Penelitian ini bertujuan untuk mengetahui perbedaan perkembangan motorik halus antara kelompok anak yang dibelajarkan menggunakan kegiatan kolase dan kelompok anak yang di belajarkan menggunakan kegiatan mewarnai pada B di TK Gugus VIII Kecamatan Buleleng Tahun Pelajaran 2018/2019. Penelitian ini termasuk jenis penelitan kuantitatif. Penelitian ini tergolog dalam penelitian quasi eksperimen dengan rancanga Non-Equivalen Post Test Only Control Group Desain. Populasi penelitian ini adalah seluruh kelompok B yang ada di Gugus VIII Kecamatan Buleleng Tahun Pelajaran 2018/2019, yang berjumlah 96 orang anak. Sampel penelitian ini yaitu anak kelompok B TK Kumara Kerti yang berjumlah 15 orang sebagai kelas eksperimen dan kelompok B TK Shinta Kumara yang berjumlah 15 orang anak sebagai kelas kontrol, pengambilan sampel menggunakan teknik cluster sampling. Data yang diperoleh menggunakan tehnik analisis statistik deskriptif dan analisis statistik inferensial (uji Uji-t). Berdasarkan hasil analisis data, di peroleh thitung =10,10 dan ttabel (pada taraf taraf signifikansi 5%) =2,048. Hal ini berarti bahwa thitung > ttabel sehingga dapat diinterpretasikan bahwa perkembangan motorik halus kelompok anak yang belajarkan menggunakan kegiatan kolase lebih tinggi dibandingkan dengan kelompok anak yang dibelajarkan dengan kegiatan mewarnai. Dengan demikian, kegiatan kolase berpengaruh positif terhadap perkembangan motorik halus Kelompok B di TK Gugus VIII Kecamatan Buleleng Tahun Pelajaran 2018/2019.Kata Kunci : Kata-kata kunci: Anak usia dini, kegiatan kolase, perkembangan motorik halus The study aims to determine the difference in fine motor development between groups of children that are taught using collage activities and groups of children that are used to use coloring activities on Kelompok B TK GUGUS VIII Kecamatan Buleleng Tahun Pelajaran 2018/2019. This study included quantitative research types. The research has been goed in experimental quasi research with the Non-equivalent Post Test Only Control Group design. The population of this research is Kelompok B Gugus VIII Kecamatan Buleleng Tahun Pelajaran 2018/2019 a total of 96 children. This research sample is the child Kelompok B TK Kumara Kerti which amounted to 15 people as an experimental class while Kelompok B TK Shinta Kumara Which amounted to 15 children as the control class, sampling using cluster sampling technique. Data obtained using descriptive statistical analysis techniques and inferential statistical analysis (test-t test). Based on the results of data analysis, in obtaining Thitung = 10.10 and Ttabel (at the level of significance 5%) = 2.048. This means that Thitung > Ttabel so that it can be interpreted that the fine motor development of a child group that belteaches using a higher collage activity compared to a group of children who are used to the coloring activities. Thus, the collage activities positively impact the development of fine motor Kelompok B TK Gugus VIII Kecamatan Buleleng Tahun Pelajaran 2018/2019.keyword : Keywords: activity, collage, progression, motor, smooth


2020 ◽  
Vol 15 (2) ◽  
pp. 179
Author(s):  
Eka Yulia Fitri ◽  
Aprina Aprina ◽  
Setiawati Setiawati

<p>Risiko tinggi/komplikasi adalah keadaan penyimpangan dari normal, yang secara langsung menyebabkan kesakitan dan kematian ibu maupun bayi. Tujuan Penelitian : diketahui pengaruh senam kegel terhadap penyembuhan luka pada ibu post partum. Jenis  penelitian kuantitatif, desain penelitian metode <em>quasi eksperimen</em> dengan pendekatan <em>Post test with control group design</em>, objek penelitian adalah pengaruh senam kegel dengan ruptur perineum. Populasi dalam penelitian ini adalah seluruh ibu bersalin<em>. </em>Populasi penelitian ini adalah seluruh ibu bersalin primi dengan jumlah sampel adalah 60 responden. Analisis data menggunakan uji t independen. Hasil Penelitian: Rata-rata penyembuhan luka pada kelompok eksperimen sebelum senam kegel adalah 10,73 dan setelah senam kegel 4.40. Rata-rata penyembuhan luka pada kelompok kontrol pada pengukuran pertama adalah 10.53 dan pengukuran kedua 5.20. Ada penyembuhan luka pada ibu post partum (<em>p-value</em> 0,015) dengan nilai beda mean 0,800 dan t-test 2,592. Kepada perawat diharapkan selalu mengajarkan senam kegel pada ibu hamil dan terutama pada ibu-ibu primigravida.</p><p> </p>


2016 ◽  
Vol 5 (1) ◽  
Author(s):  
Nuriah Arma ◽  
Yanwirasti Ariadi ◽  
Lisma Evareny

AbstrakBayi baru lahir memiliki 80 ml darah dari plasenta pada 1 menit setelah kelahiran dan 100 ml pada 3 menit setelah lahir, volume ini akan memasok 40-50 mg/kg ekstra besi untuk memiliki 75 mg/kg besi tubuh bayi yang cukup bulan yang dapat mencegah kekurangan zat besi pada tahun pertama kehidupan. Oleh karena itu pemotongan tali pusat yang terlalu cepat setelah persalinan akan mengurangi kandungan besi sekitar 15-30%, sedangkan bila ditunda 3 menit dapat menambah volume sel darah merah sekitar 58%. Tujuan penelitian ini adalah untuk membuktikan adanya perbedaan kadar Hb (hemoglobin) dan Ht (hematokrit) akibat perbedaan waktu penjepitan tali pusat. Penelitian ini dilakukan di tempat Bidan Praktek Mandiri Kota Padang. Jenis penelitian eksperimental dengan post-test only controll group design. Pengambilan sampel secara consecutive sampling sampai tercapai jumlah 36 bayi yang terbagi atas 18 bayi baru lahir pada tiap kelompok. Data dianalisis dengan uji t. Hasil penelitian didapatkan rerata kadar Hb dan Ht pada kelompok penjepitan 3 menit setelah lahir lebih tinggi daripada penjepitan 1 menit. Terdapat perbedaan kadar Hb yang bermakna antara kelompok penjepitan 3 menit setelah lahir daripada 1 menit dengan nilai P=0,004.  Ada terdapat perbedaan Ht yang bermakna antara kelompok penjepitan 3 menit dan 1 menit dengan nilai P=0,001. Kesimpulan penelitian ini ialah kadar Hb dan Ht lebih baik pada penjepitan tali pusat ditunda 3 menit setelah lahir dibandingkan dengan penjepitan 1 menit setelah lahir.Kata kunci: hemoglobin, hematokrit, penjepitan tali pusat AbstractThe newborns contain 80 ml of blood from the placenta in 1 minute after birth and 100 ml in 3 minute after birth. This volume supply 40 to 50 mg/kg of extra iron to have 75 mg/kg of body iron baby full-term that can prevent iron deficiency in the first year of life. Therefore, cutting the umbilical cord too soon after birth will reduce the iron of content about 15 to 30%, whereas when delayed 3 minute its can increase the volume red blood cells about 58%. The objective of this study was to prove the difference of hemoglobin and hematocrit level between 3 minutes and 1 minute cord clamping.  Experimental research was conducted with post-test only control group design of 36 newborns. Data were analyzed by t-test. The result of this study showed that the mean of hemoglobin and hematocrit level in 3 minutes of clamp are higher  than 1 minute of clamp.There was a significant difference of hemoglobin level between 3 minutes cord clamping group and 1 minute cord clamping group with p value is 0.004. There was also a significant difference of hematocrit level between 3 minutes cord clamping group and 1 minute cord clamping group with p value is 0.001. The conclusion is the hemoglobin and hematocrit level are better in cord clamping delayed in 3 minutes after birth than clamping in 1 minute after birth. Keywords: hemoglobin, hematocrit, cord clamping


2019 ◽  
Vol 47 (2) ◽  
pp. 35-37
Author(s):  
Kusbaryanto ◽  
Ekorini Listiyowati

Nosocomial infection is a major problem in hospitals around the world. To minimize the risk of infection in hospitals and other healthcare facilities, cough etiquette has to be applied. Thus, good situation awareness and the understanding why cough etiquette is important are necessary. The purpose of this study was to find out the effective education on cough etiquette on hospital security personnel’s and janitors’ situation awareness on cough etiquette. This research study followed quasy experimental design with pretest and post test control group design. The sampling technique was purposive sampling involving 24 respondents for experimental group and 27 respondents for the control group. The analysis of the data employed Wilcoxon test and it employed Mann Whitney test to find out the difference of independent variable medians. Questionnaires were used to gather data collection. The result of the analysis presented a mean of 97.7 on the post-test of control group and a mean of 116.3 on the post-test of treatment group. Wilcoxon and Mann Whitney tests resulted   p = 0.001 ( < 0.05 ), which meant there were significant differences. Education on cough etiquette is effective to raise hospital security personnel and the janitors’ awareness on cough etiquette situation. Bangladesh Med J. 2018 May; 47 (2): 35-37


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