scholarly journals PENGARUH PEMBERIAN ENDORPHIN MASSAGE TERHADAP SKALA NYERI IBU BERSALIN DI BPM LU’LUATUL MUBRIKOH, S.ST BANGKALAN

Author(s):  
Nailufar Firdaus

Labor is identical to the pain that will be experienced. Physiologically, pain occurs when the muscles of the uterus contract as an effort to open the cervix and push the baby's head towards the pelvis. Based on preliminary studies conducted at the BPM Lu’luatul Mubrikoh, Bangkalan S.ST was obtained from 20 women giving birth, 4 (20%) of the mothers giving birth experienced severe labor pain. The purpose of this study was to analyze the effect of giving endorphin massage on the scale of maternal pain. The design used in this study was to use a pre-experimental design with the One group Pretest posttest approach. The independent variable is endorphin massage while the dependent variable is labor pain. The study population was all 16 maternity mothers with a sample of 15 respondents using non-probability sampling and purposive sampling. Data analysis using univariate analysis normality test and bivariate analysis. The research measuring instrument is the observation sheet analyzed with statistical tests paired t-test or Wilcoxon Signed Rank Test. The results showed that of the 15 respondents given endorphin massage therapy, before being given therapy on average the respondents experienced labor pain with a scale of 6. Whereas after being given endorphin massage therapy the average maternity experience the intensity of labor pain on a pain scale 5. There were 4 people significant reduction in pain, not significant 8, and 3 people with constant pain intensity. The results of the Wicoxon Signed Rank Test statistical test showed ρ value 0.005 which means that α <0.05 Ho was rejected Ha accepted, which means that there are differences in the scale of pain before and after giving endorphin massage to the mother. Health workers should provide the best service to maternity mothers, including one of them trying to overcome or reduce labor pain by various methods.

2010 ◽  
Vol 1 (1) ◽  
Author(s):  
Sri Sumaryani ◽  
Indri Nurasa

PENGARUH PEMBACAAN DZIKIR PADA IBU MELAHIRKAN TERHADAP TINGKAT NYERI INTRA NATAL DI RUMAH BERSALIN FAJAR YOGYAKARTAEffect of Reading Dhikr Women On The Level Of Birth Pain Intra Christmas At Home Delivery Dawn YogyakartaSri Sumaryani1 & Indri Nurasa21, 2)Program Studi Ilmu Keperawatan Fakultas Kedokteran Universitas Muhammadiyah YogyakartaJl. Lingkar Barat Taman Tirto Kasihan Bantul Yogyakarta 55182*)e-mail: [email protected] atau yang biasa disebut dengan proses persalinan merupakan suatu proses membuka dan menipisnya serviks, dan janin turun ke dalam jalan lahir. Gejala awal persalinan akan menimbulkan nyeri yang sangat hebat karena adanya kontraksi uterus dan otot abdomen. Nyeri intra natal adalah suatu nyeri yang dirasakan saat terjadinya proses persalinan (melahirkan). Saat nyeri persalinan muncul, ada baiknya bagi ibu untuk membaca dzikir. Dzikir adalah mengingat Allah SWT dan menghadirkan apa yang tadinya ada di dalam benak untuk kemudian dilafadzkan atau disebut-sebut yang dapat dilakukan secara lisan dengan menggunakan lidah atau bisa juga diucapkan tanpa adanya keterlibatan lidah, yaitu melalui hati. Penelitian ini bertujuan untuk mengetahui pengaruh pembacaan dzikir pada ibu melahirkan terhadap tingkat nyeri intra natal. Teknik pengambilan sampel menggunakan purposive sampling. Desain penelitian pra eksperimen, dengan rancangan pre test-post test tanpa kelompok kontrol. Sampel penelitian berjumlah 30 responden. Pengumpulan data dilakukan dengan observasi langsung kepada responden untuk mengukur tingkat nyeri. Analisa data menggunakan uji statistik wilcoxon signed rank test dan regresi linier dengan menggunakan SPSS 14. Hasil penelitian menunjukkan bahwa hasil uji statistik untuk nilai pre test dan post test tingkat nyeri diperoleh nilai signifikansi 0,02 dengan p < 0,05.Kata kunci: pembacaan dzikir, melahirkan, nyeri intra natal, tingkat nyeriABSTRACTThe delivery or usually called labor process is a process open and thin the cervix, and descent of the fetus into the way of birth. The early symptom of delivery will be appearing very heavy because there are uterus contraction and abdomen muscle. In partum pain is a pain which feel when delivery process happening (labor). When labor pain appears, there is a good for the mother to read dzikir. Dzikir is remembering Allah SWT and make present what before in the mind and then pronounced or make cal can do spoken by tongue or pronounced without there are involving tongue, by heart. The purpose of this research is to know about the influence of reading dzikir to the delivery mother toward in partum level of pain. Technique sampling used purpose sampling. The research of design pre experiment, with pre test-post test without control group design. The sample in this research’s total is 30 respondents. The manner of data was did by direct observation to the respondents to measure pain level. Data analysis used statistic test wilcoxon signed rank test and regression linier in SPSS 14. The results of research showed that results of the statistic pretest and posttest of pain level show significance value 0,02 with p < 0,05.Keywords: reading dzikir, delivery, in partum pain, pain level


Author(s):  
Heni Frilasari ◽  
Heri Triwibowo

Anxiety can affect the condition of pregnant women. Also, it causes increased heart rate and systolic blood pressure. The psychological responses make individuals withdraw and reduce involvement with others. cognitive responses unable to pay attention decreased concentration. And effective response causes confusion and excessive suspicion. Impact of anxiety can be minimized by doing spiritual guidance to lower anxiety levels. The purpose of the research was to know the influence of spiritual guidance on the level of anxiety in patients pre Sectio Caesar in RSI Sakinah Mojokerto. This research used analytic design. The population was all pre-operative patients in SSI surgery Sakinah Mojokerto, and samples taken with consecutive sampling type. The instruments used are spiritual guidance and anxiety materials using HARS questionnaires. The result of research by using Wilcoxon signed rank test, got ρ value equal to 0.000 <0,05, then H0 rejected, mean there is the influence of spiritual guidance to pre patient's anxiety level in surgery room of Hasyim As'ary RSI Sakinah Mojokerto. Spiritual guidance is one means of good therapeutic communication to improve the mechanism of coping and individual relaxation because it is spiritual guidance should be used as a communication of health workers in midwifery care.    


2021 ◽  
Vol 12 (11) ◽  
pp. 22-28
Author(s):  
Asif Jeelani ◽  
Shafat Sideeq Lone ◽  
Hilal Rather

Background: COVID-19 diagnosis should serve as an impetus for smokers to discontinue its use. The study was conducted to estimate the change in cigarette dependence among newly diagnosed COVID-19 cases. Aims and Objectives: COVID-19 diagnosis should serve as an impetus for smokers to discontinue its use. The study was conducted to estimate change in cigarette dependence among newly diagnosed COVID-19 cases. Materials and Methods: Study was conducted between October and December 2020 and newly diagnosed male COVID-19 patients who were current smokers at diagnosis were recruited from two hospitals involved in testing and treatment of COVID-19. Baseline socioclinical information was recorded at diagnosis in addition to the estimation of cigarette dependence using Fagerstrom Test for Nicotine Dependence (FTND) and health status using Post-COVID-19 Functional Scale (PCFS). Follow-up was done at 2 weeks after recovery using both FTND and PCFS scales. Wilcoxon signed-rank test, paired t-test, and ANOVA were used for univariate analysis and multivariate regression was done. Results: A total of 171 subjects with mean age of 43.79 years were included in the study. FTND scores decreased significantly from the day of diagnosis to follow-up visit with 79% of subjects reporting a decrease. On univariate analysis, decrease in FTND had a significant association with presence of comorbidity, any symptoms, presence of respiratory symptoms, and if supplemental oxygen was administered. On multivariate analysis, symptomatic COVID-19 disease, higher age, PCFS at baseline, and PCFS at follow-up had a significant association with decreased PCFS values at follow-up. Conclusion: COVID-19 diagnosis was followed by significant decrease in FTND score, particularly for symptomatic and older subjects. Post-COVID follow-up visits should be used asan opportunity by health providers to ensure its sustainability and for achieving cessation.


2020 ◽  
Vol 8 (1) ◽  
pp. 43-50
Author(s):  
Vellyza Colin ◽  
Buyung Keraman ◽  
Dian Dwianamaydinar ◽  
Mahdalin Prasensi

The distraction method is a method for pain relief by diverting the patient's attention to other things so that the patient will forget about the pain he is experiencing. The purpose of this study was to determine the effect of the distraction technique of watching animated cartoons on the decrease in pain scale during injection in preschool children (3-6 years) in the Edelwis room of Dr. M. Yunus Bengkulu General Hospital. This research is a quantitative study with a pre-experimental research design using a one group pretest and posttest design. Samples of 30 respondents were taken by accidental sampling technique. Primary data collection was carried out using a pain scale questionnaire, while secondary data were obtained from related agencies that were related in this study. The results of the study, from 30 respondents there were 23 people with mild pain and 7 people with moderate pain after being treated watching animated cartoons. Based on the Wilcoxon Signed Rank Test, the Z value of -3.963 is obtained with the A symp value. Sig (ρ) = 0,000, because the value of ρ 0.05, it can be concluded that there is an influence of the distraction technique of watching animated cartoons to reduce the pain scale in pre-school children when injecting in the Edelweis room of Dr. Yunus Bengkulu General Hospital. It is expected that health workers and the community can be more focused on care for children when the child is hospitalized in undergoing hospitalization. Keywords: Distraction Technique, Watching Animated Cartoons, Pain Scale


Author(s):  
Heni Frilasari ◽  
Heri Triwibowo

Anxiety can affect the condition of pregnant women. Also, it causes increased heart rate and systolic blood pressure. The psychological responses make individuals withdraw and reduce involvement with others. cognitive responses unable to pay attention decreased concentration. And effective response causes confusion and excessive suspicion. Impact of anxiety can be minimized by doing spiritual guidance to lower anxiety levels. The purpose of the research was to know the influence of spiritual guidance on the level of anxiety in patients pre Sectio Caesar in RSI Sakinah Mojokerto. This research used analytic design. The population was all pre-operative patients in SSI surgery Sakinah Mojokerto, and samples taken with consecutive sampling type. The instruments used are spiritual guidance and anxiety materials using HARS questionnaires. The result of research by using Wilcoxon signed rank test, got ρ value equal to 0.000 <0,05, then H0 rejected, mean there is the influence of spiritual guidance to pre patient's anxiety level in surgery room of Hasyim As'ary RSI Sakinah Mojokerto. Spiritual guidance is one means of good therapeutic communication to improve the mechanism of coping and individual relaxation because it is spiritual guidance should be used as a communication of health workers in midwifery care.    


2020 ◽  
Vol 7 (2) ◽  
pp. 190-195
Author(s):  
Elok Dwi Mamiri ◽  
Ulfa Husnul Fata ◽  
Thatit Nurmawati

TB Paru merupakan salah satu penyakit menular yang masih menjadi permasalahan di dunia hingga saat ini.Angka dropout dan kambuh terjadi setiap tahun dan salah satu faktor internal yang mempengaruhi yaitu efikasi diri (self efficacy) yang rendah dan untuk meningkatkannya perlu metode pendidikan kesehatan yang tepat yaitu guidance and counseling.Tujuan penelitian ini untuk mengetahuipengaruh pendidikan kesehatan Metode Guidance and Counselingterhadap peningkatan efikasi diri (self efficacy) pada pasien TBC di wilayah kerja Puskesmas Boro.Penelitian menggunakan desain penelitian quasy experiment.Populasi adalah Pasien TBC di wilayah Puskesmas Boro dan sesuai kriteria inklusi sebanyak 19 responden dengan teknik purposive sampling, pengumpulan data menggunakan kuesionerdan analisis data menggunakan uji statistik wilcoxon signed rank test. Nilai rata – rata efikasi diri sebelum intervensi 24, setelah intervensi sebesar 32,63. Peningkatan rata – rata sebelum dan sesudah intervensi sebesar 8,63. Hasil uji statistik wilcoxon signed rank test dengan α ≤ 0,05 menunjukkan bahwa nilai ρ-value sebesar 0,000. Hal ini berarti ada ada pengaruh pendidikan kesehatan metode guidance and counseling terhadap peningkatan efikasi diri pada pasien TBC. Berdasarkan hasil penelitianini maka petugas kesehatandapat mengaplikasikan metode guidance and counselinguntuk meningkatkan pengetahuan dan keterampilan serta memaksimalkan peran petugas kesehatan pada pemberian pendidikan kesehatan dalam rangka pelayanan paripurna dan menunjang kesembuhan pasien TBC dengan meningkatkan efikasi diri (self efficacy) pasien. Pulmonary TB is one of the infectious diseases that still exist until now. The number of dropouts and relapses cases occurs every year. One of the internal factors that affected the case is low self-efficacy (self efficacy). Guidance and counseling method could increase the self efficacy. The purpose of this study was to determine the effectiveness of health education with Guidance and Counseling methods to the improvement of self efficacy of TB patients in working area of Boro Public Health Center. The study used quasy experiment design. The population was TB patients in working area of Boro Pulic Health Center. The sample was 19 respondents with purposive sampling technique. The data collected by questionnaires and the data analysis used Wilcoxon signed rank test statistics. The average value of self-efficacy before intervention was 24, after the intervention was 32.63. The increase in the average before and after the intervention was 8.63. The result showed that ρ-value 0,000 meant that there was an effect of health education with guidance and counseling methods to the improving self-efficacy in TB patients. Based on the results of this study, health workers could apply guidance and counseling methods to the improvement of knowledge and skills and maximize the role of health workers in the provision of health education in the context of plenary service and support the recovery of TB patients by increasing patient self-efficacy.


2021 ◽  
Vol 3 (1) ◽  
pp. 25-30
Author(s):  
Ayu Safitri ◽  
Artika Dewie ◽  
Niluh Nita Silvia

Introduction: Pharmacological and non-pharmacological techniques are methods used to reduce labor pain. Non-pharmacological techniques in the form of distraction by listening to the murottal Al-Qur'an can be an option. The purpose of this study was to determine the effect of murottal Al-Qur'an therapy on reducing the intensity of labor pain during the 1st active phase. Method: The type of research used in this study was Pre Experiment, one group pretest-posttest research design. The population in this study were mothers who gave birth at the first stage of Sriwati PMB with a sample of 15 people. The pain was measured using the Numeric Rating Scale (NRS). Statistical analysis used the Wilcoxon Signed Rank Test with a confidence level of 95% (α = 0.05). The result of the statistical test, the value of p=0.001, which means that there is a significant difference in labor pain in women who give birth before and after listening to the Murottal Al-Qur'an. It is suggested to do non-pharmacological techniques to listen to Murottal Al-Qur'an as one of the techniques to reduce the first stage labor pain at PMB Sriwati.


2018 ◽  
Vol 7 (2) ◽  
Author(s):  
Lailatul Faricha ◽  
Chilyatiz Zahroh

Nutritional problems are  present in most class IV-V as much as approximately 35% of the students at MI Kedungturi Mufidah sub-district of Sidoarjo . Knowledge is one of the factors that affect a person's nutrition. This research aims to know the influence of health education on knowledge of students of class IV-V on a balanced nutritious food at MI Kedungturi Mufidah sub-district of Sidoarjo. This research used the pre experimental design (One-Group Pre-post-test Design). The population in this study were all the students of class IV-V MI Kedungturi Mufidah sub district of Sidoarjo, which were as many as 62 students, with the method of stratified random sampling obtained 54 respondents. The independent Variable was health education and the dependent variable was the knowledge of students. The collection of data by using a questionnaire and analyzed using the Wilcoxon Signed Rank test Test. Knowledge of students of class IV-V on a balanced nutritious diet prior to Health Education most (61,1%) of respondents have knowledge enough. Knowledge of students after health education mostly (72,2%) of respondents have good knowledge. Test results Wilcoxon Sign Rank Test suggests health education influencing students knowledge. The knowledge of students become better after health education. Health education influencing students ' knowledge about balanced nutritious meals. Influence happens is an increase in knowledge of students after being given health education regarding a balanced nutritious food. Health education is a method that can be used to increase knowledge, due to related parties (teachers and health workers) can be scheduled on these activities on a regular basis with a different topic.


2018 ◽  
Vol 5 (2) ◽  
pp. 32-34
Author(s):  
Loura Weryco Latupeirissa

Background: Groundwater often contains large amounts of iron (Fe) which can cause health problems such as nausea, high doses can damage the intestinal wall, and lead to death. The threshold value of drinking water containing iron (Fe) is 0.3 mg / l and clean water is 1 mg / l. The use of addition of quicklime according to theory can only reduce stabilize pH, reduce turbidity, and reduce organic matter. In this study the researchers wanted to try adding quicklime to reduce levels of iron (Fe) in deep groundwater. Purpose. This research aims to determinethe effect of Quicklime to Decrease Iron (Fe) Levels On Well Drilling In The Cirebon District Method: This type of research is an experimental design with pre-experimental design, with the design of one group pretest-posttest design. The sample in this study were 5 samples. Data analysis used is bevariat and univariate analysis with Wilcoxon signed rank test. Result: The results showed that the average iron content before treatment was 0.126 and after treatment was 0.02. The results of the Wilcoxon signed rank test were obtained p value = 0.042 (p <0.05). This means that there is a significant effect of lime on reducing iron content .


2021 ◽  
Author(s):  
Eka R. Gunardi ◽  
Raymond Surya ◽  
Inayah Syafitri ◽  
Yogi Pasidri

Abstract Objective: The aim of this study is to investigate the effect of one-rod levonorgestrel implant on the blood chemistry profile which include random blood glucose (RBG), hemoglobin (Hb), alanine transferase (ALT), aspartate transferase (AST), and lipid profile such as total cholesterol, High-density lipoprotein (HDL), Low-density lipoprotein (LDL), and triglycerideMethods: This prospective cohort study was conducted at Raden Saleh Clinic, Jakarta from 2010 to 2012. The implants were inserted subdermally in 30 patients. The subjects were evaluated for 6 months and the blood chemistry profile was followed up to 2 years. Bivariate analysis using t-test or Wilcoxon signed rank test was performed for all variables. The p <0.05 was considered as a significant value. Results: The level of Hb, RBG, AST, and lipid profile was different significantly before and after 6-months one-rod implant insertion (p<0.05). However, in 24 months, all of parameters were still on normal limit and not different clinically. Conclusion: One-rod levonorgestrel implant insertion shows minimal effect to all blood chemistry profiles.


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