PENGARUH TEKNIK MASASE COUNTER PRESSURE TERHADAP INTENSITAS PENURUNAN NYERI PERSALINAN KALA 1 FASE AKTIF DI BPM HERASDIANA

PENGARUH TEKNIK MASASE COUNTER PRESSURE TERHADAP INTENSITAS PENURUNAN NYERI PERSALINAN KALA 1 FASE AKTIF DI BPM HERASDIANA 1Selvy Apriani, 2HEnderia Sari 1Fakultas ilmu Kesehatan Program studi D III Kebidanan, Institut Ilmu Kesehatan dan Teknologi Muhammadiyah Palembang [email protected] 2Fakultas ilmu Kesehatan Program studi D III Kebidanan, Institut Ilmu Kesehatan dan Teknologi Muhammadiyah Palembangen [email protected] ABSTRAK Proses persalinan merupakan rangkaian yang pasti dilalui oleh setiap ibu hamil, nyeri pada saat persalinan merupakan kondisi fisiologis yang secara universal di alami oleh hampir semua ibu bersalin. Manajemen nyeri persalinan dapat diterapkan secara non farmakologis tanpa penggunaan obat-obatan seperti relaksasi dan masase. Persalinan lama adalah penyebab utama kesakitan ibu selama persalinan, nyeri persalinan dapat dikelola melalui penanganan nyeri yang tepat salah satunya dengan teknik masase counter pressure. Tujuan penelitian ini untuk mengetahui intensitas nyeri persalinan sebelum dan setelah dilakukan masase counter pressure serta pengaruh teknik masase counter pressure. Metode penelitian yang digunakanadalah quasi eksperiment, desain satu kelompok pre dan post test. Teknik menggunakan observasi partisipatif, yaitu melakukan pengukuran intensitas nyeri dan melakukan tindakan teknik masase counter pressure. Sample penelitian adalah ibu bersalian yang berda dalam kala I fase aktif, berjumlah 30 orang dengan teknik pengambilan sample total sampling. Dari hasil penelitian didapatkan bahwa rata-rata nyeri sebelum masase counter pressure 7,27 dengan standar deviasi 691. Pada responden yang telah dilakukan teknik masase counter pressure rata-rata nyeri persalinan adalah 5,47 dengan standar deviasi 819. Terlihat nilai mean perbedaan antara nyeri sebelum dan sesudah teknik masase counter pressure adalah 1800 dengan standar deviasi 887. Hasil uji statistik didapatkan nilai p=0,0001 maka dapat disimpulkan ada perbedaan yang significan rata-rata intensitas penurunan nyeri sebelum dan sesudah dilakukan teknik masase counter pressure. Kesimpulan terdapat pengaruh teknik masase counter pressure terhadap penurunan intensitas persalinan normal. Teknik masase counter pressure dapat diterapkan oleh bidan dalam melakukan asuhan intranatal, dapat dimasukan dalam protap penatalaksanaan nyeri persalinan.

PEMANFAAT MEDIA BOOKLET TERHADAP PENINGKATAN PENGETAHUAN IBU MENYUSUI TENTANG PIJAT OKSITOSIN

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

EFEKTIVITAS PENGGUNAAN EKSTRAK ANTOSIANIN TANAMAN BUNGA KEMBANG SEPATU UNTUK MENDETEKSI BORAKS PADA BAKSO

One of the causes of food safety problems in Indonesia is the lack of knowledge, responsibility and supervision by producers, consumers and the authorities. This results in cheating by irresponsible food producers, adding ingredients that can harm the human body. There are several ways to detect or detect the presence of hazardous food additives, one of which is using indicators made from natural ingredients added with several other ingredients that can detect hazardous food additives, one of which is borax. After conducting research on the effectiveness of hibiscus flower anthocyanin extract as an indicator of borax detection in meatballs, it was found that hibiscus flower extract can be used as an indicator for borax detection, seen from the change in the color of hibiscus flower extract which at first is brownish orange (purplish. ) After being absorbed with meatballs containing borax, the hibiscus flower extract changes its color to dark brown red, this is due to the pelagornidin antasianin compounds reacting with borax compounds.

PENGARUH PENDIDIKAN KESEHATAN DENGAN BOOKLET TERHADAP PENGETAHUAN IBU HAMIL TENTANG 1000 HARI PERTAMA KEHIDUPAN

Masalah gizi seringkali muncul karena masyarakat memiliki pengetahuan, kepercayaan, nilai atau norma yang kurang memadai. makan makanan yang bergizi merupakan perilaku yang penting untuk kesehatan dan perkembangan anak. Namun ada beberapa fakor mempengaruhi makan ibu seimbang diantaranya pengetahuan, maka untuk meningkatkan pengetahuan ibu dengan pendidikan kesehatan. Pemilihan pendidikan yang efektif diperlukan untuk mencapai maksimal. Pendidikan kesehatan yang disampaikan dengan booklet dapat meningkatkan. Tujuan penelitian untuk mengetahui pengaruh pendidikan kesehatan dengan booklet terhadap pengetahuan ibu hamil ibu tentang 1000 hari pertama kehidupan. Penelitian ini merupakan penelitian kuantitatif dengan metode quasi experiment. Desain yang digunakan dalam penelitian ini adalah pre-post test with control group design, yang dilakukan pada ibu hamil di PMB Herasdiana Palembang dengan reponden 30 ibu hamil. Hasil uji Wilcoxon menunjukan adanya peningkatan pengetahuan signifikan sebelum dan setelah intervensi pada kelompok intervensi (p=0.0005). sedangkan hasil uji man whitney juga menunjukan adanya signifiikan antara kelompok intervensi dan klompok kontrol (p=0.001). jadi dapat disimpulkan bahwa pendidikan yang disampaikan dengan media booklet dapat menpengaruh signifikan meningkakan pengetahuan ibu hamil tentang 1000 hari pertama kehidupan. Kata kunci : Pendidikan, pengetahuan kesehatan, booklet, ibu hamil , 1000 hari pertama kehidupan

Faktor yang Berhubungan dengan Kepemilikan Jamban Sehat di Desa Nambangan Kidul Manguharjo Kota Madiun

ABSTRACT The World Bank states that the 2018 data 22% of Indonesian people has not had a sanitation facility (latrine). The existence of latrines in Indonesia, according to World Bank data in 2015 about 22% of Indonesia's population does not have latrines. The coverage of national guard to urban areas with 79% and 49% for rural areas. Most of the sludge removal used the river or dug wells which do not have the requirements of health latrine and contiminate the ground water. Based on the data obtained from the Health Center Community Manguharjo in 2019 of 855 homes were inspected as many as 530 households, households have basic sanitation facilities such as latrines in the Health Center Community Manguharjo downstream for 420 households or 79%. This study aims to determine the relationship between the factors of income, knowledge, and attitude, with the ownership of latrines in Madiun City, Manguharjo. The research method used observational design with cross sectional approach. The sample are mothers who have children under five do not have latrines that 64 respondents. The sampling technique used random sampling. Statistical analysis used chi square test. Decision of research hypothesis testing based on the significance level of 5% (p = 0.05) and confidence interval (CI) 95%. The result showed that there are relationship between income and the latrine ownership (p = 0.037), knowledge (p = 0.037) and attitude (p = 0.037). The result showed no relationship between education (p = 0196), and the role of health care workers (p = 1.000) with the ownership of latrines in the Madiun City, Manguharjo. Keywords: Latrine, income, knowledge, attitude.

IDENTIFIKASI UJI FORMALIN PADA MIE BASAH MENGUNAKAN EKSTRAK UBI JALAR UNGU (Ipomoea batatas L.) DI PASAR TRADISIONAL DESA NIRU MUARA ENIM

The use of chemical additives, especially formaldehyde in food, needs to be watched out for together, both by producers and consumers. The use of formaldehyde in food is not allowed because it can cause poisoning in the human body. The purpose of this study was to describe the use of anthocyanin extract of purple sweet potato (Ipomoea batatas L.) as a natural indicator for formalin detection. The method used is experimental design. The results of this study can be seen that purple sweet potato contains anthocyanins which can be an indicator material for formalin which is acidic, this can be seen from the change in the color of the anthocyanin extract which changes when reacted with formalin, and seen from the purple sweet potato extract it turns reddish blue.

PEMAHAMAN DAN DUKUNGAN SUAMI TERHADAP KEIKUTSERTAAN IBU MENJADI AKSEPTOR KB IUD DI KECAMATAN SECANGGANG LANGKAT

The decrease in TFR (Total Fertility Rate) will be closer to the condition of the population growing in balance, a strategy is needed in the implementation of the family planning program. Activities that can be carried out are promoting long-term effective contraceptive methods. This study aims to determine the understanding and support of husbands for the participation of mothers in becoming IUD KB acceptors in Secanggang District, Langkat Regency. The research design used in this study was an analytical survey with cross sectional approach. The sample in this study was 30 respondents who came and wanted to do family planning. The data analysis used was univariate and bivariate analysis. The results of this study indicate that there is a significant relationship between Husband's understanding of the participation of mothers in becoming IUD family planning acceptors in Secanggang District, Langkat Regency, with a pvalue of 0.000. And there is a significant relationship between the husband's support for the participation of mothers in becoming IUD family planning acceptors in Secanggang District, Langkat Regency with a p value of 0,000. It is hoped that it can increase respondents' knowledge about contraceptives so that they can support and understand their wives in choosing contraceptives. Keywords: Understanding, Support, IUD

FACTORS RELATED TO THE EVENT OF STUNTING TOddlers in the WORK AREA OF THE BOJONEGORO KANOR HEALTH CENTER

Stunting is a condition of failure to thrive in children under five. One of the signs that appears is a child with a stunted stature when he reaches the age of 2 years. Stunting occurs due to lack of nutritional intake. Many factors affect the provision of nutritional intake by parents to their toddlers. This study aims to determine what factors are associated with the incidence of stunting in the working area of ​​the Kanor Bojonegoro Health Center. This research uses quantitative descriptive research with cross sectional design. Respondents in this study were all mothers who have toddlers in the working area of ​​Kanor Health Center, Bojonegoro, as many as 128. The sampling technique used was accidental sampling. This research was conducted in January 2021. The data collection technique used in this study used a questionnaire on parenting, knowledge and income. The questionnaire has been tested for validity and reliability. Analysis of the data used to test the relationship between variables is the chi square test. The results showed that the majority of maternal parenting patterns were in the bad category, with poor knowledge of the mother and with income that was in the poor category. The correlation results show that the p-value of each variable is <0.05. The conclusion of the study showed that the factors of maternal parenting, mother's knowledge about stunting and family income were related to the incidence of stunting.

HEALTH EDUCATION TERHADAP PENGETAHUAN IBU HAMIL TENTANG TERAPI SITZ BATH DI WILAYAH KERJA PUSKESMAS BALONG KABUPATEN PONOROGO

Haemorrhoids are common in pregnant women in the second or third trimester of pregnancy. Increased intra-pressure due to fetal growth and changes in the hormone progesterone causes the hemorrhoidal veins to become wide. Pregnancy hemorrhoids are temporary hemorrhoids which means they will disappear some time after delivery, but can cause a very uncomfortable feeling, itching around the anus and even bleeding during bowel movements. Therefore, self care is needed, one of them is the sitz bath method. The design in this study is a pre-experiment with the One Group Pretest-Posttest design approach. The population in this study were all mothers with hemorrhoids who participated in the pregnant class at Balong Health Center for the period of 1-28 February 2020, a total of 37 people. The sampling method used accidental sampling of 31 people. Instrument with quesioner Statistical test using the Wilcoxon Signed-Rank Test through the SPSS program with α = 0.05. The result of knowledge of mothers about Sitz Bath Therapy in the Work Area of ​​Puskesmas Balong, Ponorogo Regency, before health education was carried out, most of them were 16 respondents (51.6%) had sufficient knowledge and after health education was carried out most of them 18 respondents (58.1%) had good knowledge. There is an effect of health education on maternal knowledge about Sitz Bath Therapy in the working area of ​​ Health Center Balong, Ponorogo with a p value of 0.000 ≤ α 0.05. The role of health workers as educators is better to carry out routine health education during the provision of care, especially regarding the method of sitz bath therapy so that targets can better understand and be able to overcome hemorrhoid problems that occur in pregnancy.

ISOLASI DAN UJI ANTIOKSIDAN HISPERIDIN DARI KULIT JERUK BALI (Citrus maxima Merr) SEBAGAI PENINGKAT IMUN UNTUK MENCEGAH COVID-19 DENGAN METODE DPPH.

Kulit buah jeruk selama ini tidak dimanfaatkan padahal kandungan senyawa kulit jeruk yang sangatlah sangatlah bervariasi salah satu senyawa yang terdapat dalam kulit jeruk jeruk adalah hesperidin yang termasuk golongan flavanoid. Senyawa hisperidin mempunyai potensi yang lebih tinggi dibanding senyawa pada lengkuas, secang, maupun kunyit. Hal itu dikarenakan senyawa jeruk itu dapat mengikat kuat dengan mudah pada protein target pada virus maupun sel inang sehigga dapat ditarik kesimpulan senyawa di jeruk membuat blokade yang menghambat virus dalam berkembang melakukan replikasi dan menginfeksi sel inang Penelitian ini bertujuan untuk mengisolasi dan mengidentifikasi hisperidin dari kulit jeruk dan mengetahui nilai IC50 . Ekstraksi dilakukan dengan metode soxletasi kemudian dilakukan identifikasi hisperidin kemudian dilanjutkan uji kemurnian isolat dengan penentuan titik leleh dan dilakukan identifikasi menggunakan spektrofotometri UV dan spektrofotometri infra merahdan FT-IR. Hasil yang diperoleh dari KLT, nilai Rf dari kulit buah jeruk manis jeruk 0,83 sedangkan nilai Rf pembanding hesperidin 0,80. Hasil spektrum UV dan IR menunjukkan bahwa isolat identik dengan hesperidin baku, sedangkan untuk uji antioksidan dilakukan dengan metode DPPH 0,1 mM dan hitung nilai IC50. Analisis statistik digunakan uji T-Test. Hasil uji DPPH ekstrak kulit jeruk bali memiliki aktivitas antioksidan kuat dengan nilai IC50 sebesar 39,77 µg/ml.