scholarly journals A Fictitious Replicated Display about the Effect of Physiotherapy and Health Education Programs on the Surgical Repair of Vesico-Vaginal Fistula

Author(s):  
Mahdya Bukhari ◽  
◽  
Abdulaziz Alorwan ◽  

Objectives: Surgery is the only effective therapy for the majority of Vesico-Vaginal (V-V) fistulae. The current research assessed the effect of a planned program of pre- and postoperative physiotherapy and health education on the outcome of V-V fistula surgery. Methods: We examined the postoperative outcomes of two groups of women with V-V fistulae recruited and followed up on by two local nonprofit organizations at a hospital in Saudi Arabia on April-October 2021. The first group of women (n = 99) underwent fistula repair using conventional procedures. The second group (n = 112) had a standardized surgical technique as well as a systematic pre- and postoperative health education and physiotherapy regimen. Results: The training had a strong favorable influence on overall recovery and urine incontinence in particular. The chances of recovery after physiotherapy were 2.7 times higher for women in the physiotherapy group than for control patients, and the likelihood of postoperative stress incontinence was significantly higher for patients in the control group than for those in the physiotherapy group (P value 0.001). Conclusion: A planned program of health education and physiotherapy provided by skilled nurses and physiotherapists increases the chance of a satisfactory result after V-V fistula repair surgery.

2019 ◽  
Vol 19 (1) ◽  
pp. 42
Author(s):  
Hesty Hesty ◽  
Rahmah Rahmah ◽  
Nurfitriani Nurfitriani

World Health Organization (WHO), cervical cancer is the number two cause of death in the world for women from all existing cancer. Every two minutes a woman dies of this disease. This cancer attack at an early stage does not cause any symptoms. That is why, why does this type of cancer fall into the category of the silent killer. One of the promotive and preventive efforts in women of childbearing age as primary prevention can be through the provision of health education about cervical cancer using the Acetic Acid Inspection (IVA) method. The purpose of this study is to find out whether there is an influence of health education about IVA on WUS motivation in cervical cancer detection in health centers. Putri Ayu Jambi. This type of quantitative research with non randomized pretest-posttest with control group design, with purposive sampling technique totaling 22 WUS, 11 people as controls and 11 experimental people. The instrument in the form of questionnaires was analyzed by univariate and bivariate Paired Test t-test, which was conducted from April to July 2018.  The results of the study revealed that of the 22 WUSs studied, the average motivation of the pretest in the experimental group was 41.1818 and the control group was 39.9091, while the results of the posttest of the experimental group after being given counseling and leaflets increased by 42.9091 with p-value 0.034. There is an influence of health education about IVA tests on WUS motivation in detecting cervical cancer. It is suggested that the Puskesmas can improve activities in planning disease control programs, especially carrying out counseling and counseling both in the puskesmas building and in the working area of the puskesmas by involving cadres in their environment so that WUS is moved to take the IVA examination.


2018 ◽  
Vol 3 (1) ◽  
Author(s):  
Masta Hutasoit

Background: Bantul is one of the areas in Yogyakarta that is at risk of disaster. The results of interviews with the head of SD N 2 Padokan found that the school had never had any training on disaster and not yet implemented the curriculum on disaster mitigation. Children are age groups that are very vulnerable to the impact of both physical and psychological disasters. Knowledge of disaster preparedness is important for disaster preventionThe purpose of the study: to determine the effect of health education on knowledge of student preparedness to earthquake disaster events in SD N 2 Padokan, Bantul.Method: This research is quantitative research with quasi experiment design. The design used was pre test and post test nonequivalent control group. The number of samples in the intervention group and the control group were 27 students of class V. The sampling were collected by purposive sampling according to the criteria. Methods of data collection using questionnaires and using nonparametric statistical analysis Wilcoxon with the help of SPSS v.17 for Windows program.Results: The results showed no effect of health education on earthquake disaster preparedness knowledge in SD N 2 Padokan obtained p value 0.480 with α 0.05. In the intervention group the difference of knowledge before and after is indicated by p value 0.180, while for the control group 1,000.Conclusion: there is no effect of health education on disaster preparedness knowledge in SD N 2 Padokan.  


2019 ◽  
Vol 6 (1) ◽  
pp. 63-70
Author(s):  
Arlin Dewi Utari ◽  
Yanita Trisetiyaningsih

Background: Adolescence showed maturation of the reproductive organs one of menstruation. When menstruation dysmenorrhea usually accompanied to disrupt the activities of youth and reduce quality of life of individuals. In Indonesia the incidence of dysmenorrhea amounted to 64.25%. Teens knowledge about dysmenorrhea showed 78.3% of young women are included in the category level of knowledge is lacking. Hence the need for health education about dysmenorrhea, the importance of knowledge about adolescent dysmenorrhea can change attitudes in dealing with dysmenorrhea appropriately and well, so as to achieve healthy behaviors (health behavior). Objective: To determine the effect of health education on the  attitudes of young women in dealing with dysmenorrhea. Method: The research design uses methods quasy Experiment pretest and posttest design with non-equivalent control group. The samples used were 36 respondents. Analysis of the data used is univariable and Paried bivariable analysis using t-test and Independent t-test with a significance level of p <0.05. Result: There are differences in the attitude between pretest and posttest in the intervention group with a p-value of 0.000 (<0.05). There are differences in the attitude pretest and posttest control group with a p-value  of p-value 0.028 (<0.05). There are differences in the attitude posttest between the intervention group and the control group with a p-value 0.003 (<0.05). Conclusion: There is effect on dysmenorrhea health education on attitudes of young women in dealing with dysmenorrhea in SMP N 1 Pleret. Keyword : Dysmenorhea, Attitude.


2021 ◽  
Vol 7 (3) ◽  
pp. 533-543
Author(s):  
Holidah Holidah ◽  
Fenita Purnama Sari Indah

Background: The total infant mortality rate (IMR) in Indonesia shows that the infant mortality rate in Indonesia is still relatively high when compared to ASEAN member countries, which is 4.6 times higher than Malaysia, 1.3 times more. Purpose: Analyzing the causative factors and indications for high-risk events and to analyze the increased understanding of mothers about high-risk neonates. Methods: The research was conducted in 2 stages, with quantitative research methods. In the first phase, a survey was conducted of 100 mothers who have babies and toddlers in the Pamulang Puskesmas working area. In the second phase of research, with a participatory approach, namely the provision of health education about High Risk neonates. The research design was a quasi experiment with non-equivalent control group design with pre test and post test design. A total of 27 samples were taken using purposive sampling technique. The data were processed using the Willcoxon test. Results: In this study, the results obtained were p value 0.011 (<0.05), which means that there is a difference in understanding between the pretest and posttest, there has been an increase in the average value of respondents' knowledge about high-risk neonates after health education. The mean value of maternal knowledge increased from 25.8 when the pre-test was conducted to 27.4 at the post-test. Conclusion: There are changes when after health education is carried out, the community can understand well the material providedSuggestion: health institution to increase understanding of pregnant women and mothers who have babies and toddlers in a more innovative and participatory way about the factors that cause high risk neonates and indications of high risk neonates in mothers. For the community, it can increase knowledge and insight as a reference in order to prevent the occurrence of high risk neonates in pregnant women and mothers who have babies and toddlers. Keywords: Participatory Approaches, High-Risk Neonates, Mother's Understanding ABSTRAK                                                                                                                                                        Latar Belakang: Jumlah Angka Kematian Bayi (AKB) di Indonesia menunjukan bahwa tingkat kematian bayi di Indonesia masih tergolong tinggi jika dibandingkan dengan negara-negara anggota ASEAN, yaitu 4,6 kali lebih tinggi dari Malaysia, 1,3 kali lebih.Tujuan: Penelitian bertujuan untuk menganalisis faktor penyebab serta indikasi kejadian berisiko tinggi serta menganalisis peningkatan pemahaman ibu mengenai neonatus berisiko tinggi.Metode: Penelitian dilakukan dengan 2 tahap, dengan metode penelitian kuantitatif. Pada tahap pertama dilakukan survey terhadap ibu yang memiliki bayi dan balita di wilayah kerja Puskesmas Pamulang, berjumlah 100 ibu. Pada penelitian tahap kedua, dengan pendekatan partisipatif yaitu pemberian pendidikan kesehatan mengenai neonatus Risiko Tinggi. Rancangan penelitian adalah quasi experiment dengan desain Non-equivalent Control Group Design with pre test dan post test design. Sampel diambil sebanyak 27 sampel dengan menggunakan teknik purposive sampling data diolah menggunakan Uji Willcoxon. Hasil: Pada penelitian ini diperoleh hasil bahwa diperoleh p value 0,011 (<0,05) yang berarti bahwa terdapat perbedaan pemahaman antara pretest dan posttest, telah terjadi peningkatan nilai rata-rata pengetahuan responden mengenai neonatal risiko tinggi setelah dilakukan pendidikan kesehatan. Nilai rata-rata pengetahuan ibu mengalami kenaikan dari 25,8 saat pre-test dilakukan menjadi 27,4 saat post-test.Kesimpulan:Terdapat perubahan pada saat setelah dilakukan pendidikan kesehatan, masyarakat dapat memahami dengan baik dari materi yang diberikan.Saran : bagi instansi kesehatan agar dapat meningkatkan pemahaman ibu hamil serta ibu yang memiliki bayi dan balita dengan cara yang lebih inovatif dan partisipatif tentang faktor penyebab kejadian neonatus risiko tinggi maupun indikasi kejadian neonatus risiko tinggi pada ibu. Bagi Masyarakat dapat meningkatkan pengetahuan dan wawasan sebagai acuan agar dapat mencegah terjadinya kejadian neonatus risiko tinggi pada ibu hamil serta ibu yang memiliki bayi dan balita. Kata Kunci : Pendekatan Partisipatif, Pemahaman Ibu, Neonatus Risiko Tinggi 


2017 ◽  
Vol 11 (1) ◽  
pp. 55
Author(s):  
Muhammad Zamzami ◽  
Dwi Astuti ◽  
Kusuma Estu Werdani

SubdistrictBoyolaliSelois a pest endemic area, tillat any timecould bean epidemicof pest diseaseanymorebecausediscoveryis stillpositivetitersin miceandhumanbloodspecimens. Preventionneeds to bedonerightthrough thechild’searlyelementary studentstoimprove their knowledge andattitudes. The aims this research is for knowing there are the influence of health education using ladder snake method about prevention of pest disease towards knowledge level and ttitude of students in elementary school of 1 Selo Boyolali. This research method are Quasi Eksperiment with design Non-Equivalent Control Group. Research subjects areelementary school studentsgrades 4-6are divided intoan experimental groupanda control groupusing70samples. Statistical test with significant level (α=0,05) using Paired sample t-test, showed there is difference average value on knowledge level(p-value=0.000) andattitude(p-value=0.000) in the experimental groupaftertreatment and there is no difference average value on knowledge(p-value=0.202) andattitude(p-value=0.750) in the control group. The result of Independent t-test showed there any effect of health education with ladder snake about prevention of pest disease on knowledge level (p-value=0,000) and attitude (p-value=0,000). Suggestedto health practitionersto disseminate society how to prevention pest disease, especially about vector and reservoir pest disease


2021 ◽  
Vol 8 (2) ◽  
pp. 8-13
Author(s):  
Ria Gustirini

Breast milk production in the first days of childbirth becomes an obstacle for mothers in breastfeeding. Oxytocin massage is one way to overcome the improper production of breast milk. Knowledge or cognitive is a very important domain in shaping one's actions (ovent behavior). Health education can use various media, one of which is through the use of booklets. The aims: to analyze the effect of using booklet media on breastfeeding mothers' knowledge about oxytocin massage. The Method: This research was a quasi-experimental study using a pre test and posttest control design. Sampling in this study using purposive sampling technique. Some postpartum mothers who gave birth in January - May 2020 and met the inclusion criteria for a sample of 30 respondents who were divided into the treatment group and the control group. The statistical test used the independent t-test. Results: The results showed that there was a significant difference in increasing knowledge about oxytocin massage between the group that was given a booklet (treatment) and the group that was not given a booklet (control) with p value <0,05. Conclusion: The role of a midwife as a professional is indispensable in providing health education so that the use of various media as a means of conveying information is needed to increase maternal knowledge


2019 ◽  
Vol 4 (2) ◽  
Author(s):  
Silvia Nuruddani ◽  
Handono Fatkhur Rahman ◽  
Setiyo Adi Nugroho ◽  
Sri Astutik Andayani ◽  
Abdul Hamid Wahid

Objective:   Hypertension  is one of the main problems of public health, and if still a big challenge in indonesia with a high prevelention amounting to 34,1% (percent). Uncontrolled hypertension will cause  complication and death. One of the factors that can cause hypertension is a bad self management. To improve self management on hypertensive dilent is health education needs to be done.Methods:   The kind of quantitative research with Quasi Experiment design in the form of a Pretest-Posttest Nonequivalent Control Group sampale selection with Simple Random Samping as many as 40 respondets 20 intervention groups, 20 control graups data collection techniaques with self management questioner (H-SCALE).Results:   Paired T-test results of the intervention group obtained a P-value of 0,000, and in the control group a P-value of 0.106 was obtained. While the results of the Independent T-test in the intervention group and the control group obtained a value of 0,000. So it can be said that there are effects and differences before and after health education is given to hypertension client self management. Conclusion:   Expected by health education obout hypertension can improve self management on hypertension drent.


2018 ◽  
Vol 13 (2) ◽  
pp. 19-22
Author(s):  
Ranjana Shrestha ◽  
Aruna Karki ◽  
Ganesh Dangal ◽  
Hema Pradhan ◽  
Kabin Bhattachan ◽  
...  

Aims: Vesico-vaginal fistula (VVF) is an abnormal fistulous communication between the bladder and/or urethra and the vagina that allows continuous involuntary discharge of urine into the vaginal vault affecting patients’ medical, physical, mental, social and sexual life. The aim of this study was to review and deliver a profile, their demography and outcome in the early phase of fistula surgery performed in our institute. Methods: This was a retrospective study of 222 patients who underwent fistula surgery during the period of January 2012 to March 2018 in Kathmandu Model Hospital. The fistula were classified according to Goh`s system.  Patients’ demography, obstetric characteristics and fistula repair outcomes were reviewed. The primary outcome was in terms of urinary continence. Results: A total of 222 women aged between 10 to 65 years with a mean age of 31.4 were included. Majority of the patients had fistula due to obstetrical cause, contributing 58% (n=127) and in 42 % (n=95) of patients had fistula of gynecological etiology. Most of the patients had fistula of type 1a, contributing 38% (n=84) and only 0.01% (n=3) of type 3c and 4b according to Goh’s classification. Among 127 fistulas repaired of obstetric etiology100 (78.7%) patients and 85 (89.4%) out of 95 fistula patients of gynecological cause were continent and dry. Conclusions:  Our study showed obstructed and prolonged labor was the major cause of obstetric fistula, however iatrogenic fistula was also becoming common. Majority of our cases had successful outcome with some degree of stress in some patients.


2020 ◽  
Vol 2 (1) ◽  
pp. 24
Author(s):  
Nuratma Afini ◽  
Syajaratuddur Faiqah

Menurut data yang diperoleh dari Dinas Kesehatan Provinsi NTB tahun 2017 menunjukkan bahwa cakupan pemberian ASI Eksklusif pada bayi rata-rata di sebesar 77,66%, cakupan ini turun jika tahun 2016 sebesar 86,63%. Berdasarkan data Dinas Kesehatan Kota Mataram tahun 2018 cakupan ASI Eksklusif (AE5) yaitu sebesar 50,66% diseluruh puskesmas Kota Mataram dan di Wilayah Kerja Puskesmas Karang Pule persentasi cakupan ASI yaitu sebesar 27,69%.Tujuan Penelitian untuk mengetahui apakah ada pengaruh pendidikan kesehatan melalui metode demonstrasi mengenai posisi dan perlekatan terhadap kecukupan ASI pada bayi usia 0-6 bulan di kelurahan Karang Pule Wilayah Kerja Puskesmas Karang Pule tahun 2019. Desain penelitian ini menggunakan rancangan Quasi Eksperiment. Dengan teknik pengambilan sampel yaitu Total sampling dimana semua populasi bayi usia 0-6 bulan dijadikan sampel berjumlah 38 orang. Uji hipotesis menggunakan uji Wilcoxon dan Mann Whitney U-test. Pada kelompok intervensi nilai minimal-maksimal keterampilan sebelum diberikan pendidikan kesehatan untuk  kelompok intervensi didapatkan hasil (8-16), pada posttest didapatkan hasil (13-19). Sedangkan pada kelompok kontrol dengan nilai minimal-maksimal didapatkan hasil nilai pretest (8-11) dan pada posttest didapatkan hasil (18-18). Uji analisis keterampilan menggunakan uji Wilcoxon pada kelompok intervensi didapatkan hasil p value = 0.000 dan kelompok kontrol hasil p value = 0.000. hasil uji Mann Whitney untuk kecukupan ASI didapatkan hasil nilai p value = 0.039. terdapat pengaruh yang signifikan pendidikan kesehatan melalui metode demonstrasi terhadap kecukupan ASI pada bayi usia 0-6 bulan. Terdapat pengaruh pendidikan kesehatan melalui metode demonstrasi mengeani posisi dan perlekatan terhadap kecukupan ASI ada bayi usia 0-6 bulan di Kelurahan Karang Pule Wilayah Kerja Puskesmas Karang Pule Tahun 2019. According to data obtained from the NTB Provincial Health Office in 2017 shows that the coverage of Exclusive Breastfeeding for infants is at an average of 77.66%, this coverage decreases if 2016 is 86.63%. Based on data from the City of Mataram Health Office in 2018 Exclusive breastfeeding coverage (AE5) is 50.66% in all Mataram City health centers and in the Karang Pule Community Health Center Working Area, the percentage of ASI coverage is 27.69%.Objectives to find out whether there is an effect of health education through demonstration methods regarding the position and attachment to the adequacy of breastfeeding in infants aged 0-6 months in Karang Pule Village, Karang Pule Health Center Working Area in 2019.The design of this study used the Quasi Experiment design. With the sampling technique that is Total sampling where all populations of infants aged 0-6 years were sampled as many as 38 people. Test the hypothesis using the Wilcoxon test and the Mann Whitney U-test.in the intervention group the minimum score of skills before being given health education for the intervention group was obtained (8-16), in the posttest the results were obtained (13-19). Whereas in the control group with the minimum-maximum value obtained the results of the pretest (8-11) and the posttest results (18-18). Test the skills analysis using the Wilcoxon test in the intervention group obtained results p value = 0,000 and the control group results p value = 0,000. The results of the Mann Whitney test for the adequacy of ASI were obtained by the value of p value = 0.039. there is a significant effect of health education through the demonstration method on the adequacy of breastfeeding in infants aged 0-6 months.There is the influence of health education through demonstration methods to treat the position and attachment to the adequacy of breast milk there are infants aged 0-6 months in Karang Pule Village Karang Pule Health Center Working Area in 2019


2016 ◽  
Vol 2 (2) ◽  
pp. 130
Author(s):  
Dora Samaria ◽  
Elsi Dwi Hapsari ◽  
Nuring Pangastuti

ABSTRAK Latar Belakang: Wanita menikah dini berisiko tidak mencapai identitas peran ibu secara optimal. Pendidikan kesehatan dapat meningkatkan kepercayaan diri, kepuasan peran ibu, dan ikatan tali kasih ibu-bayi yang merupakan indikator pencapain identitas peran ibu. Pendidikan kesehatan belum pernah diberikan kepada wanita menikah dini di Bantul, Yogyakarta. Tujuan: Mengidentifikasi efektivitas Pendidikan Kesehatan Pencapaian Identitas Peran Ibu dalam meningkatkan kepercayaan diri dan kepuasan peran ibu serta ikatan tali kasih ibu-bayi pada wanita menikah dini. Metode: Penelitian ini merupakan quasi-eksperimen dengan pretest and posttest design. Kriteria inklusi meliputi wanita berusia 24 tahun dan kurang, menikah usia 18 tahun dan kurang, dan hanya memiliki bayi usia 0-12 bulan. Kelompok Pendidikan Kesehatan Pencapaian Identitas Peran Ibu (Penkes PIPI) (n=30) diberikan pendidikan kesehatan individu dengan booklet, demonstrasi dan latihan perawatan bayi, serta konseling telepon setelah intervensi. Kelompok ceramah (n=30) hanya diberikan edukasi individu. Hasil: Kelompok Penkes PIPI memiliki skor kepercayaan diri dan kepuasan peran ibu serta ikatan tali kasih ibu-bayi lebih tinggi daripada kelompok ceramah (p value <0,05). Diskusi: Penelitian ini menunjukkan bahwa Penkes PIPI efektif meningkatkan pencapaian identitas peran ibu pada wanita menikah dini. Disarankan penggunaan desain penelitian acak untuk penelitian selanjutnya.   Kata kunci: kepuasan peran ibu, pendidikan kesehatan identitas peran ibu, dan pernikahan dini.   ABSTRACT Background: Early married women may not reach maternal role identity optimally. Health education improves maternal confidence, maternal role satisfaction and mother-baby attachment which are indicators of maternal role attainment. It had never been given to early married women in Bantul, Yogyakarta. Objective: To identify effectiveness of Maternal Role Attainment Health Education in improving self-confidence and maternal role satisfaction as well as mother-baby attachment in early married women. Methods: This study applied a quasi-experiment with pretest and posttest design. Inclusion criteria included women aged 24 years old and below, who got married at 18 years old and below, and having baby only aged 0-12 months. Penkes PIPI group (n=30) was given individual health education with booklet, demonstration and baby care training, and telephone counseling after intervention. Lecture group (n=30) was given only individual health education. Results: Intervention group scored higher on self-confidence and maternal role satisfaction, and mother-baby attachment than control group (p value<0.05). Discussion: This study showed that Maternal Role Attainment Health Education effectives improving maternal role attainment in early married women. It is suggested involving a randomized control trial design for further research. Keywords: maternal role attainment health education, maternal role satisfaction, early married


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