scholarly journals EFFECT OF PERSUASIVE COMMUNICATION TO DECISION MAKING OF MOTHER THAT HAVING HIGH RISK PREGNENCY

2020 ◽  
Vol 7 (1) ◽  
pp. 101-110
Author(s):  
Ai Nur Zannah

The coverage of management pregnancy complications in Indonesia tends to increase every year, but not yet comparable to a decrease in maternal morbidity and mortality. This was allegedly due to the increase in the number of high-risk pregnant women each year and because of the delay in referral due to delays in the mother and family in seeking care or deciding on approval of actions when there was a risk of even complications / emergencies. Delayed decision making is assumed due to lack of awareness of the mother and family due to lack of convincing and ineffective health communication carried out by health workers, especially midwives in delivering information about the risks and complications of pregnancy. Effective communication in changing behavior is persuasive communication that can be learned by midwives in order to help convince mothers, families and the community to be aware of the risks so that they can quickly and accurately make decisions for handling / action. This study aims to analyze the effectiveness of midwives' persuasive communication on the decision making of mothers and families experiencing high risk pregnancies. The design of this study uses a quasi-experimental pre-posttest with control groups. Subjects were selected based on inclusion criteria by simple random sampling for the treatment and control group, with a total of 30 midwives in the Jember Regency. Communication is measured by a checklist and decision making of pregnant women viewed from filling out the questionnaire. Data analysis with simple linear regression test to assess the effectiveness of midwife persuasive communication on decision making for pregnant women. The results showed a significant effect of persuasive communication on maternal decision making by 49% (P <0.001). Persuasive communication into an intervention increases the competence of midwives' promotives so that they can help convince mothers, families and the community to be aware of the risks, there is no delay in referrals that cause pain or even maternal death.

2020 ◽  
Vol 11 (3) ◽  
pp. 197-200
Author(s):  
Rosmaria . ◽  
Sri Yun Utama ◽  
Titik Hindriati ◽  
Diniyati .

Background: The consumption of Fe tablets needs to be the attention of midwives as one of the spearheads in providing antenatal care services. Due to the low level of compliance of pregnant women to consume Fe tablets, it is necessary to provide appropriate counseling as an effort to increase compliance with Fe tablets. Objective: This study aimed to determine the effectiveness of the application model (Sumiferos) for preventing anemia with pregnant women compliance in consuming Fe tablets at Putri Ayu Health Center in Jambi city. Materials and methods: This study used a quasi-experimental research design with a post-test design by involving an intervention group and a control group (post-test), two group designs. With the total of 70 subjects;the intervention group, 35 respondents were given a website application (sumiferos), and a control group 35 respondents were given a leflet. After a month, the number of Fe tablets that have been consumed was monitored. Compliance of pregnant women in consuming Fe tablets required a monitoring or supervisioncarried out by health workers. Therefore, an intervention was given by using a website-based application (sumiferos) for pregnant women as a communication tool that has been created and designed previously by researchers. Results: Posttest statistical analysis showed that pregnant women who were given a website application (sumiferos) in the intervention group showed better compliance than pregnant women in the control group given lefket. Conclusion: Based on the results,a website application (sumiferos) is more effective than leaflets in improving maternal compliance to consume Fe tablets given by health workers.


2018 ◽  
Vol 6 (1) ◽  
Author(s):  
Christopher Vunni Draiko ◽  
Khemika Yamarat ◽  
Alessio Panza ◽  
Judith Draleru ◽  
Martin Taban ◽  
...  

This study aimed to examine the effects of the Helping Babies Breathe (HBB) training interventions program on the knowledge, psychomotor skills, and competency of health workers in managing birth asphyxia and reducing mortality of newborns experiencing asphyxia within 24 hours. This study used pre- and post-test design (quasi experimental study). Purposive sampling was employed, and a computer-generated number was used to select the participants. Health workers from Juba Teaching Hospital comprised the intervention group. They were evaluated before and after the training from February to June 2017. A post training skill and competency evaluation was performed using a NeoNatalie newborn simulator and was repeated after three months of implementation for intervention and control group. Seventy health workers were enrolled; 40 were in the intervention group and 30 in the control group. Early newborn mortality due to asphyxia within 24 hours in intervention and control measure at pre and post implementation showed a significant reduction within the intervention than the control. Knowledge, psychomotor and competency of health care workers improved immediately after training and early newborn mortality reduced by half at the end of three months. It is recommended that training of health workers on HBB should be scaled up in most of the health facilities in South Sudan.


2018 ◽  
Vol 3 (2) ◽  
pp. 82-94
Author(s):  
Seri Wahyuni

Anemia is one of the indirect causes of maternal mortality. The Government of Indonesia has made efforts to overcome anemia, including by giving iron tablets to pregnant women. To improve maternal compliance in consuming iron tablet healthcare workers should include family/cadres in the supervision of food and medicine. This study aims to know the effectiveness of accompaniment drinking iron tablet By Cadres Against Increasing Hb Level of Pregnant Women at Puskesmas Kota Palangka Raya. This research is a quasi-experimental design using "nonrandomized control group pretest-posttest design" approach. Sampling technique total sampling is with the number of samples of 62 people divided into 2 groups, 31 intervention groups, and 31 control groups. In the intervention group involving cadres as moderate blood-boosting drink companions in the control group without blood-boosting companions. The analysis technique used for the intervention and control group is using the Wilcoxon test. The result of intervention group statistic test get p-value = 0,000 (


2021 ◽  
Vol 5 (4) ◽  
pp. 119-122
Author(s):  
Dhiana Setyorini ◽  
Intim Cahyono ◽  
Jenie Palupi ◽  
Nur Hasanah

One of the causes of high maternal mortality is delivery assistance provided by other than health workers or traditional healers. The way to reduce the bondage relationship is to increase the motivation of cadres to refer mothers to health workers. The DABA method is a modification or development of the SALT method (support, appreciate, learn, and transfer), is a method or technique for forming something, showing that a community has the ability to respond to every challenge including childbirth assistance. The maternal mortality rate is still high, the Inter-Census Population Survey data released by the Central Statistics Agency shows that there were 359 maternal deaths per 100,000 births in 2013. The purpose of this study was to analyze the motivation of cadres by empowering the DABA method for referral for delivery assistance by health workers in Jember Regency. Motivation is the reason that underlies an action done by an individual. The method used was quasi-experimental using 2 groups. This study used the non equivalent control group, pre test post test design. The population in this study were 2220 posyandu cadres in the working area of the health centers in the Jember District. The subjects of this study were 100 posyandu cadres in Jember district in 2019 who met the criteria. The sampling technique was carried out by simple random sampling by selecting from a list of names of cadres in each health center. There was differences (p-value = 0.021) of cadre motivation between treatment and control group. The cadre motivation of intervention group was higher than the control group for referral labor. Having high motivation means having very strong reasons to achieve what he wants by doing his current job. The cadre motivation of treatment group increased significantly, this happened because cadres trained through the DABA method were invited to achieve the dreams they had built, namely to reduce maternal and infant mortality. Training using the DABA method is able to increase the motivation of cadres to make a referral to mothers to give birth at a health service place, so training with the DABA method is highly recommended to increase motivation for certain groups to achieve certain goals. Keywords: cadre motivation; DABA method; childbirth referrals


2021 ◽  
Vol 5 (1) ◽  
pp. 280-285
Author(s):  
Weni Tri Purnani ◽  
Miftakhul Mu’alimah

Based on a preliminary study, there were 18.31% who had a breech delivery, it would result in complications in the baby such as asphyxia, bleeding or soft tissue edema, damage to the medulla oblongata, damage to the cervical spine joints, and even death due to severe asphyxia. determine the effect of Prenatal Yoga on Changes in Fetal Position in Pregnant Women. This type of observational research uses a quasi-experimental design with pre-test and post-pest with control group design. The research was conducted in the city of Kediri. The sample in this study was 32, namely third trimester pregnant women with gestational age > 28 weeks who experienced breech, latitude, and obligate fetal positions which were divided into 2 groups of 16 intervention groups (Prenatal Yoga) and 16 people as controls (pregnancy exercise). The sampling technique used is simple random sampling. Bivariate analysis using Mann Whitney Test. The results obtained are Z = -2.626 and -value 0.009 <0.05 so that Ho is rejected and it can be concluded that there is an effect of Prenatal Yoga on Changes in Fetal Position in Pregnant Women in Kediri City. Yoga exercises to help change the position of the fetus are more focused on providing a wide space in the abdomen, flexing the muscles of the uterus and pelvis. Three movements were used in this study, namely cat cow, downward-facing dog and puffy pose. Suggestions for health workers that prenatal yoga can be a solution and can be applied to help change the position of the fetus from malpresentation to head position.


Author(s):  
Sudhir Singh

Health worker are constantly exposed to infectious pathogens while they provide care to the patients. There are plenty of infection, for health workers to get affected by infection, so infection control measures are most necessary for health workers. By practicing infection control techniques, the health workers can avoid spreading microorganism. This can be possible when there is up gradation of knowledge and attitude of health workers regarding PPE. In this study the researcher Aimed: to assess the effectiveness of Structured teaching programmed on use of PPE among nursing students. Research design: adopted for this study was quasi experimental design, samples for this study was selected through convenient sampling technique. Total sample size for study was 100. Pre- test was done for the subjects in both group experimental and control group and experimental group received structured teaching programme regarding PPE use. Control group subjects did not receive any special intervention. On the seventh day took post- test among subjects in both groups to assess the structured teaching programme regarding use of PPE. Data collection were analyzed with the help of descriptive and inferential statistics. Results: Mean post test score in experimental and control group was 25.72and 13.71 respectively. The mean difference score was 12.01. The standard deviation score in experimental group was 2.170 and in control group 9.131. The ‘t’ Value was 59.524 which was statistically significant at ‘P’ value 0.000. Conclusion: This study imposes importance of suitable health teaching intervention through proper structure to the nursing students, for use of PPE.


Author(s):  
Shinta Novelia ◽  
Ariati Dewi ◽  
Sri Melinasari ◽  
Retno Widowati ◽  
Bunga Tiara Carolin

Iron deficiency is the most common pathologic cause of anemia among pregnant women. Pregnant women with clinically significant iron deficiency may present with fatigue, weakness, pallor, tachycardia, and shortness of breath. An intervention is needed to improve hemoglobin among anemic pregnant women. This study aimed to analyze the effect of iron with orange extract on hemoglobin among anemic pregnant women in the Brang Rea health centers, Sumbawa Barat Regency, Nusa Tenggara Barat Province in 2017. The design was a quasi-experimental study. The population was 30 pregnant women who were anemic at the Brang Rea health center. A total population was used for sampling technique. Thirty anemic pregnant women were divided into the experiment and control group without randomization. The data were analyzed using descriptive statistics and inferential statistics. The results showed that there was a significant difference in hemoglobin before and after the intervention (p = 0.001, t = -21.1), and there was a significant difference in hemoglobin between the experimental group and the control group (p = 0.001, t = 5.19). Consuming iron, together with orange extract, could increase hemoglobin among anemic pregnant women. Nurses and midwives need to share health education about the way to consume iron to prevent anemia among pregnant women.


2019 ◽  
Vol 7 (1) ◽  
pp. 255-287
Author(s):  
Frendy Fernando Pitoy ◽  
Dina D. Galang

Introduction: The primary aim of this study was to determine the effects of foot exercise (senam kaki diabetes) on lower limb strength and balance among the elderly.    Methods: A quasi-experimental interrupted time-series design with control group was utilized.  Participants were chosen through purposive sampling technique.  Consequently, 60 participants met the criteria set for the study.  Simple random sampling was used to divide the  participants into experimental and control groups with 30 participants in each group.    Results: Lower limb strength and balance of the participants in the experimental group gradually improved in every week of intervention compared to those  in the control group.  Further, the result shows that age, sex, and body weight did not affect the lower limb strength and balance of the elderly who underwent foot exercise.   Discussion: Based on the findings, foot exercise was effective in improving lower limb strength and balance among the elderly.  The longer the elderly will engage in senam kaki diabetes, irrespective of age sex and body weight, the better is their balance and the strength of their lower limb.  


2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Seyedeh Robab Mousavi ◽  
Leila Amiri-Farahani ◽  
Syedeh Batool Hasanpoor-Azghady ◽  
Soghra Omrani Saravi

Abstract Background Childbirth preparation trainings are an important component of prenatal education, and pregnant women are increasingly interested in seeking information from online sources. The aim of this study is to compare the feasibility and the effects of in-person and virtual childbirth preparation training courses on the pregnancy experience, fear of childbirth (FOC), birth preference, and type of delivery among pregnant women. Methods In total, 165 primiparous women referring to a prenatal clinic at Milad Hospital in Tehran, will be included in this study. The subjects will be selected using the convenience sampling method and will be divided into three groups of study A, study B, and control. The study groups A and B will receive virtual and in-person childbirth training with similar content, respectively. The control group will receive only routine prenatal care. In the 18th and 20th weeks of pregnancy, the demographic information, pregnancy experience scale (PES), and version A of the Wijma delivery expectancy/experience questionnaire (WDEQ-A) will be completed, and in the 36th and 38th weeks of pregnancy, the PES and WDEQ-A questionnaires, as well as birth preference form will be completed. The type of delivery will be recorded in the first few days of postpartum. Conclusion This quasi-experimental clinical trial will investigate the effect of virtual childbirth preparation training on primiparous women. The expected outcomes will include the difference in pregnancy experience measured by the brief version of PES, the difference in FOC measured by WDEQ-A, the birth preference, and the type of delivery. Trial registration IRCT.ir: IRCT20180427039436N2;


2019 ◽  
Vol 1 (2) ◽  
pp. 89-101
Author(s):  
Yuni Sandra Pratiwi ◽  
Siti Rofiqoh ◽  
Herni Rejeki

The low milk supply to infants is a very serious threat to the growth and development of infants as the next generation of the nation. Good motivation and ability will increase the role of mothers in giving milk to babies, so that breastfeeding to babies will increase. This study aims to identify the effect of the education package for maternal affection towards maternal motivation in exclusive breastfeeding. A quasi-experimental research method with a non-equivalent control group pre and post test approach. The research site is in the work area of ​​Buaran and Wonokerto 2 Public Health Centers in Pekalongan Regency with three trimester primigravida respondents. The sampling technique used consecutive sampling consisting of 38 respondents. Statistical tests using the Chi Square Test. The results of the study showed that there was an influence of the mother's love education package on mother's motivation in breastfeeding in the intervention group (p <0.05). Health workers are expected to be more active in health promotion programs, especially the education package for mothers to love pregnant women in order to increase the motivation of pregnant women in breastfeeding their babies.   Keywords: ASI, Education, Motivation.


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