scholarly journals THE EFFECTIVENESS OF "PEER GROUP DISCUSSION" IN IMPROVING HEALTH CADRE'S KNOWLEDGE ABOUT DANGER SIGNS IN THE MATERNAL PERIODS

Author(s):  
Ermiati E ◽  
Anita Setyawati ◽  
Etika Emaliyawati

Limited health literacy is one of the causes of late detection related to danger signs in pregnancy, postpartum and newborns. Health cadres are one of the main resources for early detection and dissemination of health information in the community. The purpose of this study was to determine the effectiveness of the peer group discussion method in increasing the knowledge of health cadres about danger signs in pregnancy, postpartum and new-borns (maternal periods). This research was Quasi-experimental study with a pre-test and post-test design. The stages of intervention in this study included training on danger signs with the lecture method followed by small group discussions (5-6 people) for 30 minutes, and practicing early warning signs detection. Questionnaires were given before and after training. The population in the study were all health cadres at Penanjung Health Center, while the sample was 32 health cadres from the health post (POSYANDU) Sari Asih. The Wilcoxon test was used to determine whether there was a difference in knowledge before and after training. The results showed the midpoint of the pregnancy danger signs before intervention 66.7 and after the intervention was 100. Middle value of postpartum danger signs knowledge before intervention 70 and after intervention 100. Midpoint knowledge of danger signs in newborns before intervention 75 and after intervention 100.  The results of the bivariate analysis of the Wilcoxon Test before and after the intervention showed a p-value of 0,000 which means that there were significant differences before and after the intervention related to the danger signs in the maternal periods. Training on health cadres with this method increases cadres’ knowledge about danger signs in pregnancy, postpartum and newborns.Keywords: Danger sign, health care, newborns, postpartum, pregnancy, training

2021 ◽  
Vol 6 (2) ◽  
pp. 45-52
Author(s):  
Reny Sulistyowati

Fatigue is a widespread clinical complaint among adults with type 2 diabetes. Fluctuating glucose levels can cause fatigue. Several factors are associated with fatigue in diabetic patients, including physiological factors such as hypoglycemia or hyperglycemia, psychological factors such as depression associated with diabetes. Progressive muscle relaxation is a procedure to get relaxation in the muscles through two steps, namely by applying tension to a muscle group and stopping the tension then focusing on how the muscle relaxes, feeling the sensation of relaxation and fatigue is reduced. The aim of this study was to identify the effect of progressive muscle relaxation on fatigue symptoms in type II DM clients in 15 control groups and 15 intervention groups. The research method used a quasi-experimental design with a pretest-posttest control group design approach, consisting of one treatment (in the intervention group) and a control group. Data analysis was performed using univariate and bivariate analysis using t-independent and t-dependent tests. Wilcoxon test results in the intervention group and the control group showed a significant p-value of 0.002 (<0.05), meaning that there was a significant difference in fatigue symptoms in the intervention group before and after the intervention. This shows that there was a decrease in fatigue symptoms in the intervention group before and after combination OHO therapy and progressive muscle relaxation exercises (previously the average respondent in the intervention group experienced symptoms of severe fatigue, after intervention, the average value of fatigue symptoms turned into mild fatigue ). Conclusion: Progressive muscle relaxation combined with OHO therapy can reduce symptoms of fatigue compared to only OHO therapy.


2019 ◽  
Vol 2 (2) ◽  
pp. 25
Author(s):  
Tiarnida Nababan ◽  
Karmila Kaban

Pain is an unpleasant sensory and emotional experience due to actual and potential tissue damage. One of the non-pharmacological therapies to deal with pain is the back massage technique. The technique can reduce the intensity of pain in postoperative appendicitis patients so that the therapy can provide comfort for the patient. This study aims to explore the effect of back massage technique on reducing pain intensity in patients with postoperative appendicitis. This type of research is pre-experimental using a one-group pre-post design test. The research population included 13 patients postoperative appendicitis at Royal Prima Hospital Medan in 2018. The research samples were drawn by using the Accidental Sampling technique. The research was conducted on March 2018 at Royal Prima hospital Medan. The research data were analyzed using Wilcoxon Test with a significant value of α = 0.05. The patient experienced pain before back massage was provided and after the administration of back massage technique, patient experiencing mild pain was 60% and 40% experienced moderate pain. The results of bivariate analysis showed that p-value = 0.034. This showed that there was a difference between the intensity of pain before and after the back massage technique was performed in patients with postoperative appendicitis. From the results of the above research, it is suggested that the implementation of back massage techniques has an effect on the decrease in pain intensity in patients with postoperative appendicitis. This back massage technique can be applied at hospitals as a measure of pain management which is an independent action of the nurse to handle the patient's pain.


2020 ◽  
Vol 8 (2) ◽  
pp. 87-93
Author(s):  
Indri Mulyani ◽  
Nurul Fatwati Fitriana

Choking can result in death if handled inappropriately. The accuracy of handling is based on sufficient knowledge. Lack of knowledge for mothers who have toddlers in handling choking results in mothers under five still wrongly handling choking. To find out the effect of providing education using audio visual (video) to housewives on the knowledge of toddler choking handling, to find out differences in maternal knowledge before and after it is done education using audio visual (video). This study used a pre-experimental design technique with a one group pre-test-post-test design approach. Data collection using a questionnaire and data analysis using the Wilcoxon test. The results showed that the average value of knowledge obtained by 69 respondents before being given audio-visual education (video) was 15.06, with a minimum value of 6 to a maximum of 19, and after being given audio-visual education (video) was 18.00, with a minimum value. 12 maximum 21. The results of bivariate analysis using the Wilcoxon test obtained p value 0.000. In conclusion, there is an effect of providing education using audio visual (video) to housewives on the knowledge of choking handling for toddlers in Pajerukan. It needs to be developed by adding variables and using different research designs and using qualitative research types. Keywords: Audio Visual Education (Video), Knowledge, Handling Choking


2020 ◽  
Vol 1 ◽  
pp. 60-65
Author(s):  
Retno Puji Hastuti ◽  
Fitarina Fitarina

Stunting cases in North Lampung continuously increase due to lack of visits by mothers to perform stimulation, detection, early intervention for toddler development (SDIDTK). This study aims to determine the effectiveness of cadre empowerment on SDIDTK completion among children under five. The intervention of SDIDTK training for 50 cadres. The study used a Quasi-experimental Pre and Post-Test Design without control. Univariate data analysis with proportion, average, and standard deviation. Bivariate analysis using the Wilcoxon-test and Pearson Chi-Square Test. The results showed that there was a significant difference in the average score of knowledge of the cadres before and after the empowerment of cadres (p-value = 0.000). There was a significant correlation between cadre empowerment and the measurement completion of height, head circumference, and measurement of development (p-value = 0.000), however, there is no significant relationship between cadre empowerment and the completion of body weight measurement (p-value = 0.317). Suggestions for Health workers and health offices to carry out training on SDIDTK to all cadres, to provide guidance and motivation, and to provide SDIDTK facilities and infrastructure at Posyandu.


2020 ◽  
Vol 5 (2) ◽  
Author(s):  
Yudiarsi Eppang

Objective: The purpose of this study was to determine the effect of counseling during Antenatal care (ANC) on the knowledge and attitudes of pregnant women about the danger signs of pregnancy in the Kapasa health center coverage area. Methods: In this study, using a pre-experimental design design with the One Group Pre test and Post test approach and using purposive sampling research techniques. The number of samples is 16 people. The sampling technique uses the Federer formula. Data was collected by means of a questionnaire, data analysis used univariate and bivariate analysis using distribution tabels and Wilcoxon statistical test with 95% confidence degrees. Results: The results showed that the results of the Wilcoxon test for knowledge obtained p value = 0.011 which means that there is an effect of counseling on knowledge of pregnant women. And the Wilcoxon test results obtained p value = 0.025, which means there is an effect of counseling on the attitude of pregnant women. Conclusion: there is an effect of counseling during antenatal care on attitudes of pregnant women.


2018 ◽  
Vol 11 (2) ◽  
pp. 57
Author(s):  
M. Ridwan ◽  
Sri Lestariningsih ◽  
Gangsar Indah Lestari

<p><strong><em>Background:</em></strong><em> The prevalence of anemia in adult women aged 15-19 years in Metro City in 2016 was 67%, higher than the national rate of 35.3%. <strong>Purpose:</strong> The purpose of this study is to determine the effect of dates on the increase in hemoglobin (Hb) levels in Madrasah Aliyah students in Metro City. <strong>Methods</strong>: This study was a pre-experimental research design of the one group pretest - posttest. The study population was a class XI Madrasah Aliyah student in Metro city who experienced anemia with a sample of 71 students. The variables analyzed were the average Hb before and after the intervention by giving dates for 7 days. Univariate analysis using mean, median and bivariate analysis using non parametric dependent t test (Wilcoxon test). <strong>Results:</strong> The results of the study average Hb levels before the intervention were 10.45 gr / dL (46.5%) and after the intervention 11.70 gr / dL (49.3%), while the average increase in Hb levels after the intervention 1 , 1 gr / dL. Statistical test results obtained p value = 0,000, meaning that there is an influence of dates on increasing Hb levels. <strong>Conclusion:</strong> Consumption of dates for seven days increases the Hb level of 1.1 gr / dL. Prevention of anemia in young women during menstruation can consume dates as a complementary therapy that is still natural.</em></p>


2021 ◽  
Vol 10 (2) ◽  
pp. 79-83
Author(s):  
Ni Wayan Noviani

This study aims to know the effect of pregnancy exercise on the depression level of the third trimester of pregnant woman in the Kecamatan Sukawati. This type of research is analytic with a one group pre-test post-test design without control, the number of samples is 50 pregnant women who meet the inclusion criteria by using purposive sampling technique. The instrument data collection using depression anxiety and stress scale (DASS) questionnaire. Bivariate analysis using Wilcoxon test. The result of the data shows p value of depression level of pregnant women before and after the implementation of pregnancy exercise is 0.102 (>0.05), it can be concluded that there is an no effect of the implementation of pregnancy exercise on the depression level of pregnant women in the third trimester. From the result of research conducted, the effect of the implementation of pregnancy exercise on the depression level of pregnant women before and after of pregnant women in the third trimester.


2019 ◽  
Vol 7 (2) ◽  
pp. 112-120
Author(s):  
Havina Yase ◽  
Sri Ramayanti ◽  
Reni Nofika

Dental caries is a common tooth problem found among children. Mother's knowledge is a factor that influences children's dental caries prevention. Various media and methods can increase knowledge, such as pocket book and lecture methods that contain material about prevention of children’s dental caries. The objective of the study is to determine the effect of using pocket book and lecture methods on mother’s knowledge about children’s dental caries in Andalas District, Padang. This study used a quasi-experimental method with a pretest-posttest design. The sample was divided into two groups with different treatment, 22 samples were given health education using pocket book and 22 samples were given health education with the lecture method. Data analysis included Wilcoxon test and Mann-Whitney test. The result of the study is there is a significant difference knowledge between before and after health education to samples used pocket book (p-value=0,01) and lecture method (p-value=0,01). There is no significant difference for both groups (p > 0.915). The conclution of the study is health education using pocket book and lecture methods can increase mother’s knowledge about children’s dental caries prevention.


2019 ◽  
Vol 1 (1) ◽  
pp. 11-15
Author(s):  
Yanik Muyassaroh ◽  
Ana Afifah

Malnutrition in pregnant women has an impact on the health of the next generation. Therefore, nutrition counseling first 1000 days of life needs to be given. Good nutrition during the period of 1000 days starting from early pregnancy until the child’s second birthday. This study aims to determine the effect of counseling with “Kalpin” or Smart Calendar on knowledge and attitude of pregnant women about the first 1000 days of life. This type of research is a comparative analytic design with pre-test and post-test control group. Nutrition counseling activities carried out by the lecture method using a smart calendar. Measurement of knowledge and attitude of pregnant women perfomed twice: before and after the extension granted. Analysis of the data used were bivariate analysis test Independent T-Test and Mann Whitney. The result shows influence of counseling about first 1000 days of life with Kalpin to knowledge (p = 0,000) and attitude of pregnant woman (p = 0,000) about first 1000 days of life. For health service can be a new input in efforts to improve the quality of service with realization the Program Healthy Indonesia that include first 1000 days of life.


2020 ◽  
Vol 8 (1) ◽  
pp. 62
Author(s):  
Indah Jayani ◽  
Fatma Sayekti Ruffaida

Approach to PLWHA by providing interpersonal counseling is the right thing to do to overcome psychological problems including social, emotional and spiritual aspects of PLWHA. This study aims to look at the effect of interpersonal counseling on social, emotional and spiritual responses in HIV/ AIDS patients. This research is a type of non-experimental research with a cross-sectional approach. The sample is post-test people and tested positive for HIV in the Kediri region, which is 32 with purpossive sampling technique. Data on social, emotional and spiritual responses were obtained based on the results of data recapitulation from the instrument in the form of a questionnaire. The results of the study with the non-parametric Wilcoxon test showed there were differences between social responses of HIV/AIDS patients before and after given interpersonal counseling with p value = 0,000, there were differences between the emotional responses of HIV/AIDS patients before being given interpersonal counseling and after being given counseling with p value = 0,000, and there is a difference between spiritual responses in HIV/AIDS patients before being given interpersonal counseling and after being given interpersonal counseling with p value = 0,000. It can be concluded that interpersonal counseling influences social, emotional and spiritual responses of HIV/AIDS patients. It is recommended that the mentoring of HIV/AIDS patients through interpersonal counseling can continue so as to enhance physiological responses that will have an impact on disease prognosis, prevention of opportunistic infections and reduce mortality rates for HIV patients/ AIDS.


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