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Journal Cover Jurnal Kesehatan
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   ISSN (Print) 2086-7751 - ISSN (Online) 2548-5695
   Published by Poltekkes Tanjungkarang Homepage  [1 journal]
  • Fraksi Kloroform Ekstrak Buah Mentimun (Cucumis sativus L.) Sebagai Anti
           Bakteri terhadap Staphylococcus epidermidis

    • Authors: Pratika Viogenta, Samsuar Samsuar, Ahmad Ferry Yeriza Utama
      Pages: 165 - 169
      Abstract: The use of antibiotics in the community massively trigger resistance to bacteria, to that need for research on other alternatives, especially herbal medicine as an antibacterial. One of the medicinal plants are cucumbers that are widely available in Indonesia. The purpose of this study was to scientifically prove the antibacterial activity of chloroform fraction cucumber extract against Staphylococcus epidermidis. Extraction cucumber done by maceration, then extract fractionated with chloroform. The fraction was used the concentration of 5%, 10%, 15%, 20% and 25%. Then tested the antibacterial power and determination of the MIC. Results of test antibacterial of the extract chloroform of cucumber against S. epidermidis showed a zone of inhibition at concentrations of 5%, 10%, 15%, 20%, 25% diameter respectively 5.86 mm, 6.5 mm, 7.05 mm, 7.43 mm, and 9.92 mm, in addition to it tested the determination of minimum inhibitory concentration, minimum inhibitory concentrations of chloroform fraction extract cucumber fruit against S. epidermidis is at a concentration of 3%. The results obtained from the culture media growth on NA which means the fraction of the chloroform extract of cucumber in 3% is bacteriostatic.
      PubDate: 2017-08-31
      Issue No: Vol. 8, No. 2 (2017)
  • Determinan Perilaku Penggunaan Kontrasepsi Pasca Persalinan di Wilayah
           Kerja Puskesmas Merdeka Kota Bogor

    • Authors: Agustina Agustina, Nawati Nawati
      Pages: 170 - 177
      Abstract: Contraceptive use by women of reproductive age nationwide showed decreased from 61.4% (2007) to 55.86% (in 2010). In West Java amounted 59.8%. Unmet need in Indonesia is 14% and in West Java is 11.1%. Achievement of the family planning program active participant in Bogor reached 78.61% and the achievement of a new family planning program postpartum still low at 49.53% (BPMPM, Bogor 2013). The Purpose of research is to find out the determinant behavioral of contraceptive use post-natal in health center Bogor 2014.This research is quantitative with the design "Cross Sectional" study sample group of mothers aged 15-49 are married, have babies ages 6 weeks to 12 months is 111 respondents. The sampling technique is purposive sampling. The results of the bivariate analysis showed there is relation antenatal/ Ante Natal Care contraceptive use with p=0.031 and the value of OR=0.2 (95% CI=0.44 to 0.9). This means that mothers during their pregnancy ≥4 times have a great opportunity for not using contraception post partum was 0.2 times. Suggested to the health nurse at the health center in order to improve quality of care through counseling activities on family planning and counseling about contraception postpartum starting from pregnancy and continues into the postpartum period.
      PubDate: 2017-08-31
      Issue No: Vol. 8, No. 2 (2017)
  • Evaluasi Pemantauan Intrapartum pada Persalinan dengan BBLR di RSUD Gunung
           Jati Kota Cirebon

    • Authors: Lisnawati Lisnawati
      Pages: 178 - 185
      Abstract: Low Birth Weight (LBW) is neonates with birth weight less than 2,500 grams (up to 2,499 grams) without looking the duration of pregnancy. LBW is one cause of infant mortality rate in Indonesia. Increasing the knowledge, attitudes, and skills of midwives are the strategy to reduce infant mortality rate. The number of spontaneous labor with preterm gestation by midwives is the main reason to increase the skills of the LBW. This study was aimed to evaluate the skills of midwives in the management of labor with low birth weight in intrapartum monitoring. The methods were a quantitative and qualitative study with cross sectional approach. The quantitative was to evaluate the skills of midwives in intrapartum monitoring (active phase of the first stage), it is using checklists to 20 midwives in the delivery room who had received at least 1 case of labor with LBW. Research also conducted qualitatively by interviewing midwives in the delivery room and hospital managers. The results of this study showed that the midwives were not competent in the intrapartum monitoring of LBW. The average value of midwives skills in action intrapartum monitoring is 70.3% (the highest value is 81,25% and the lowest is 62,25%). The midwives know that labor with LBW is not authorized by midwives, all this time management labor with low birth weight is through a doctor's advice, but the midwives were not competent and not confident in providing care in the management of labor with LBW. This study showed that the skills of midwives in the intrapartum monitoring of LBW are not good enough to be able to reduce mortality due to LBW. 
      PubDate: 2017-08-31
      Issue No: Vol. 8, No. 2 (2017)
  • Hubungan Dukungan Keluarga dengan Kepatuhan Konsumsi Obat Infeksi Saluran
           Pernapasan Akut (ISPA) Masyarakat Pulau Pongok

    • Authors: Syamsul Rizal Sinulingga
      Pages: 186 - 190
      Abstract: Acute Respiratory Infection (ISPA) is the diseases of acute respiratory top dan bottom breather that caused by infection of bacteria, virus even the rickettsia with or without parenkim bronchiolus injury. This diseases common strike to adult and child. At 2012 according to the report from all primary healthcare facility around of Kabupaten Bangka Selatan that found and caring of the pneumonia inn child the highest score at in Puskesmas Pongok (27,5%) meanwhile lower at the Puskesmas Rias around (3,5%) and Puskesmas Airgegas around (1,9%). This research used by descriptive quantitative with a cross sectional approach and with bivariate statistic chi-square. According to the result of research that found common of the patient, ISPA is Child baby (58,3%) and child (18,8%). Variable of obedience that shows the highest score (95.8%). Variable of family support that results of score around 97,9%. The result of chi-square test that shows value p=0,00 that mean Ho reject and meaning have a significant relationship between family support with ISPA medication adherence. Commonly of ISPA patient is toddler and child, and from chi-square test that shown have a relationship between family support with ISPA medication adherence.
      PubDate: 2017-08-31
      Issue No: Vol. 8, No. 2 (2017)
  • Perbedaan Pengaruh Terapi Psikoreligius dengan Terapi Musik Klasik
           terhadap Kecemasan Pasien Pre Operatif di RSUD dr. H. Abdul Moeloek
           Provinsi Lampung

    • Authors: El Rahmayati, Ririn Sri Handayani
      Pages: 191 - 198
      Abstract: The surgical procedure for most patients triggers anxiety and fear. Approximately 60-80% of patients who will undergo surgery experience anxiety that needs to be intervened in the category of moderate to severe anxiety (Efendy, 2005 in Faradisi, 2012). This study aims to determine the effect of psycho-religious therapy and classical music therapy on pre operative patient anxiety in RSUDAM Lampung Province in 2016. This research type is quasi-experiment research with non-equivalent control group design. This research was conducted at RSUDAM Lampung Province in September- November 2016 in three surgical wards: the gelatik room (orthopedic surgery), the kutilang room (male general surgery) and the rose room (female general surgery). The population taken were all pre operative patients within the study period. The sampling technique uses a purposive method and the sample size is 80 people divided into 2 groups ie the group which is given the classical music intervention and the group that is given psycho-religious therapy with religious music and murrotal Al Quran surah Arrahman. The data were collected using a survey of Zung Self Anxiety Rating Scale (ZSARS) instruments before and after treatment. Bivariate analysis was performed using independent t-test statistic test by setting Alpha value 0,05 and 95% CI. The results of this study conclude that there are differences of psycho-religious therapy and classical music therapy on pre operative patient's anxiety at RSUDAM Lampung Province 2016 (p-value 0,030) with a decrease of ZSARS score in patients treated with psycho-religious therapy 2,250. Researchers suggested that psycho-religious therapy performed on pre operative patients at RSUDAM Lampung Province and entered into one form of intervention to decrease preoperative anxiety.
      PubDate: 2017-08-31
      Issue No: Vol. 8, No. 2 (2017)
  • Determinan Hipertensi pada Lansia di Puskesmas Sidomulyo Kota Pekanbaru

    • Authors: liva maita
      Pages: 199 - 201
      Abstract: Hypertension is a condition in which a person has an elevated blood pressure above normal which is indicated by systolic number ≥140 mmHg and diastolic ≥ 90 mmHg. Based on the Health Profile of Riau Province in 2010 the incidence of hypertension ranks first of 10 most common diseases, namely 27.3%. The purpose of this study to determine the determinant factors of hypertension in elderly in Puskesmas Sidomulyo Pekanbaru. The type of this research is quantitative analytical research with cross sectional design. Population amounted to 4.101 people with a sample of 176 people.Teknik sampling used purposive sampling. Data analysis in this research is multivariate analysis using multiple logistic regression test. The results of this study indicate that there is a correlation of hypertension history with hypertension occurrence with p value 0,001 (<0,05), OR 95% CI 13,3 (5,74 to 30,93). Health workers are expected to perform routine blood pressure checks on the elderly, providing information, education and health promotion about hypertension.
      PubDate: 2017-08-31
      Issue No: Vol. 8, No. 2 (2017)
  • Faktor Risiko Manual Handling dengan Keluhan Nyeri Punggung Bawah Pembuat
           Batu Bata

    • Authors: Heru Subaris Kasjono, Yamtana Yamtana, Dian Intan Pandini
      Pages: 202 - 211
      Abstract: During done manual work handling for objects work hard, it will cause risk of injury or cause musculoskeletal systems. Risk assessment manual work handling with the methods indicators key-Leitmerkmal Method (LMM) intended to know the relationship between time, burden, attitudes of the body, and working conditions manual handling with complaints of the lower back pain at all stages making bricks perceived maker bricks. The kind of research used is surveyed such data is cross sectional. The data taken by lower back pain questionnaire assisted examination physically by nurses and checklist Key-LMM. Analysis relations use the spearman. The results of research acquired at variable time manual handling based frequency raised or operation the transfer of on stage excavation raw materials, the formation and drying bricks there are relations with complaints of  low back pain with p value each are 0,039, 0,047, 0,038 while on the variables of working conditions manual handling in stage excavation raw materials obtained p value of 0,028 with so it can be said there was a correlation between working conditions manual handling with complaints low back pain. A variable load manual handling and attitudes of the body manual handling do not relate in significant to lower back pain all stages making bricks. Conclusion researchers that the variable time manual handling relate in significant with complaints lower back pain in stage excavation raw materials, the formation and drying bricks, while the phase processing raw materials that there was no correlation, in a variable load manual handling and attitudes of the body manual handling all these stage there was no correlation with complaints lower back pain, while variable working conditions manual handling only in stage excavation the raw materials there are relations with complaints lower back pain in the third stage other there was no correlation. 
      PubDate: 2017-08-31
      Issue No: Vol. 8, No. 2 (2017)
  • Risiko Fotoreaktivasi terhadap Kualitas Mikrobiologi Air Minum Isi Ulang

    • Authors: Prayudhy yushananta, Mei Ahyanti
      Pages: 212 - 219
      Abstract: Photoreactivation is a direct process of repairing a damaged DNA with the help of ultraviolet in the range of 320-370 nm. Research is designed to acknowledge the effect of time exposure and UV vis ray’s intensity to numbers of Coliforms and E.coli. The results prove the effect of UV exposure time on the increase of coliform which is 60,2% (p-value=0,0001). The increase of coliform happens after 180th minutes of exposure. But, in this research there is no effect of UV’s intensity towards both numbers of coliform (p-value = 0,152) and E.Coli (p-value=0,578). Besides buying a refilled mineral water from a water depot whose disinfecting with UV ray and ozone combined, closing the gallon of mineral water since the first day being used to avoid being exposed by UV vis ray from the sun is a must-do to avoid photoreactivation process.
      PubDate: 2017-08-31
      Issue No: Vol. 8, No. 2 (2017)
  • Determinan Penggunaan Metode Kontrasepsi Jangka Panjang (MKJP) pada
           Akseptor KB

    • Authors: Indah Budiarti, Dina Dwi Nuryani, Rachmat Hidayat
      Pages: 220 - 224
      Abstract: The main problem that Indonesia faces in demography is the high population growth. Efforts in realizing quality family has the main goal to control the population growth and to improve the quality of small size family which is indicated with the use of rational, effective and efficient birth control method, the long term birth control method (LTBCM). Kalirejo public health center in gaining LTBCM tended to decrease in the last two years from 10,87% to 10,62%. The pre-survey result in October 2016 showed reduced LTBCM of 377 fertile age couples (10,62%) from 3555 birth control acceptors. The objective of this research was to find out the determinants of a long term birth control method used in the birth control acceptors in Kalirejo public health center working area in Negeri Katon sub district of Pesawaran in 2017. This was an analytic research with cross sectional approach. The research population was all active birth control acceptors in Kalirejo public health center with 360 samples of acceptors of LTBCM and non- LTBCM. Primary data were collected with questionnaires and analyzed by using univariate, bivariate and multivariate analyses. The research results showed that 75,3% respondents used non-LTBCM, 57,2% risks not to use LTBCM, 56,7% unemployed, 65,3% respondents were in risks to have more children, 83,6% respondents were supported by their couples. Bivariate analysis result found correlations of age (p=0,007), occupation (p=0,000), couple’s support (p=0,000), to the use of LTBCM. Amount of child (p=0,208) did not correlate with the use of LTBCM. The researcher recommends that the local public health centers should conduct education of the active birth control acceptors to use the LTBCM as the role models for new acceptor candidates which in turn will enhance the coverage of the LTBCM services in their working areas.
      PubDate: 2017-08-31
      Issue No: Vol. 8, No. 2 (2017)
  • Implementasi Deteksi Dini Kanker Payudara dan Kanker Leher Rahim dengan
           Menggunakan Metode CBE dan IVA di Kabupaten Lampung Selatan

    • Authors: Sudarmi Sudarmi, Nurchairina Nurchairina
      Pages: 225 - 234
      Abstract: Breast cancer and cervical cancer are the highest female cancers in Indonesia. Both of these cancers become one of the main problems in health. From 2007 Up to 2014, the program has been running at 1,986 Puskesmas in 304 districts/ cities located in 34 provinces in Indonesia, including southern Lampung regency. The purpose of this study was to evaluate the implementation of prevention / early detection program of breast cancer and cervical cancer. The research method used is descriptive qualitative, research time July to December 2016. Technique of collecting data using documentation study, interview, observation, and active participation, using protocol research, Data analysis is done by testing the prevalence of data, classify data according to sub focus and Research question, merging of data in matrix or table form and triangulation strategy to describe the result of analysis and research findings. The results of the implementation of early detection of breast cancer and cancers of the womb of Rahim 2016, CBE Implementation 75% according to SOP, Implementation of IVA 86.3% according to SOP and from target 28.138 (20%) WUS only reached 14.821 (52.67%), and found lesions White (Accetowhite) 357 (2.49%) and CBE positive 198 (1.34%). Recommendations addressed to the Health Department, head of Puskesmas and cancer detection operators in the process of cancer detection are expected in accordance with Standard Operating Procedures (SOP) so that the expected program objectives can be achieved.
      PubDate: 2017-08-31
      Issue No: Vol. 8, No. 2 (2017)
  • Deviasi Taksiran Berat Janin pada Metode Johnson-Toshack, Formula
           Sederhana dan Formula Dare

    • Authors: Emy Rianti, Siti Aminah
      Pages: 235 - 239
      Abstract: The ability of the birth attendant to estimate the birth weight of the fetus is very important that it does not cause childbirth dystocia that may cause rip in the birth canal. The aim of this study was to compare the deviation of fetal weight estimation according to Johnson-Toshack method, simple formula and Dare formula. Thedesign used was cross sectional, the data taken primarily, involving 100 respondents at Fatmawati General Hospital Jakarta, from August to September 2015. The findings showed that the smallest deviation mean of fetal weight estimation is Johnson-Toshack method. The results of this method of measurement tend to be close to infant birth weight, especially in the client childbirth with abdominal circumference 90 - 100 cm. The conclusion of this study is that Johnson-Toshack's fetal weighing estimates are more appropriate for childbirth with 90 to 100 cm abdominal circumference size, except in childbirth with ruptured membranes, applying a fetal weight estimate based on the Dare formula would be more appropriate. 
      PubDate: 2017-08-31
      Issue No: Vol. 8, No. 2 (2017)

      Pages: 240 - 249
      Abstract: Penyakit jantung koroner merupakan salah satu penyakit degeneratif yang disebabkan karena menurunnya fungsi jantung dan pembuluh darah. Faktor resiko utama penyakit jantung koroner ialah tekanan darah. Tekanan darah dapat  dipengaruhi oleh berbagai faktor, diantaranya bertambahnya usia, perbedaan jenis kelamin, adanya atau tidaknya faktor genetik hipertensi, asupan makanan, serta pengaturan gaya hidup.Tujuan penelitian ini adalah diketahuinya hubungan asupan natrium, gaya hidup, dan faktor genetik dengan tekanan darah pada penderita jantung koroner. Penelitian ini merupakan jenis penelitian analitik dengan pendekatan cross sectional. Variabel dalam penelitian ini terdiri dari variabel independen yaitu asupan natrium, kategori aktivitas fisik, kebiasaan merokok, dan faktor genetik hipertensi serta variabel dependen yaitu tekanan darah pasien penderita penyakit jantung koroner.Sampel pada penelitian ini berjumlah 96 responden.Berdasarkan hasil uji statistik univariat menunjukkan bahwa distribusi jenis kelamin paling banyak laki-laki (56,3%), kelompok umur paling banyak 46-55 tahun (36,5%) dan kelompok umur 56-65 tahun (36,5%), tingkat pendidikan terakhir paling banyak SMA/SLTA (41,7%), jenis pekerjaan paling banyak yaitu tidak bekerja (32,3%), tekanan darah responden paling banyak tekanan darah tinggi (51 %), asupan natrium responden tergolong tidak baik (52,1%), kategori aktivitas fisik responden tergolong ringan (92,7%), responden tidak memiliki kebiasaan merokok (91,7%), dan responden yang memiliki faktor genetik hipertensi (57,3%). Berdasarkan hasil bivariat menunjukkan ada hubungan yang signifikan antara asupan natrium (p value = 0,004) dan faktor genetik hipertensi (p value =0,001) dengan tekanan darah serta tidak ada hubungan yang signifikan antara kategori aktivitas fisik (p value = 1,000) dan kebiasaan merokok (p value = 1,000) dengan tekanan darah.Pengendalian tekanan darah berguna untuk memperkecil resiko terserang penyakit gagal jantung maupun kematian melalui pengaturan asupan makanan serta mampu mengontrol tekanan darah agar tetap dalam batas normal.
      PubDate: 2017-08-31
      Issue No: Vol. 8, No. 2 (2017)
  • Efektifitas Metode ABC (Activity Based Costing) Dalam Analisis Perencanaan
           Obat JKN di Puskesmas Dagangan Kabupaten Madiun

    • Authors: Edy Bachrun
      Pages: 250 - 256
      Abstract: Drug expenditure absorbs most of the health care budget. PHC was responsible for ensuring the used of available resources optimally aimed at achieving efficiency in cost control. Based on LPLPO at Dagangan health care 2015 showed an average supply of drugs JKN in primar health care Dagangan has excess stock that is as much as 93.18% (41) types of drugs than 100% (44) types of drugs. The purpose of this research was to determine the application of the ABC method in planning analysis of drugs in Dagangan health care Dagangan Madiun city. The design of this research was descriptive categorical, with a retrospective approach. Primary data obtained from interview with Head of Health Centre and Head of Installation Pharmacy in Primary Health Care Dagangan while the secondary data obtained from LPLPO. The results showed that Dagangan health care use consumption method to planning the drug. By using the ABC analysis showed a group of JKN drugs that include into group A as many as 8 types of drugs (18,2%). Group B as many as 30 types of drugs (68,2%). And group C as much as 6 types of drugs (13,6%). Based on these results, Dagangan health care need to apply ABC analysis method to determine the priority drugs that need to be held, and there should be education and training for pharmacy personnel to increase knowledge about effective methods of drug design and efficient use of the budget.
      PubDate: 2017-08-31
      Issue No: Vol. 8, No. 2 (2017)

    • Authors: Agung Octa Nihando Rokawie, Sulastri Sulastri, Anita Anita
      Pages: 257 - 262
      Abstract: Anxiety is a subjective experience of a person and an emotion like an uncertain sense of concern. One of the anxiety stressors is surgery. The objective of the study was to know the effect of deep breath relaxation therapy on decreasing anxiety level in patients with pre operative abdominal surgery. This research uses pre experimental design approach with one group pretest posttest design. This research was held on April 2017 at Surgery Room of Jendral Ahmad Yani Metro City. Sampling technique using non probability sampling by purposive sampling, obtained as many as 32 respondents based on the calculation using the formula of the sample proportion estimation. Bivariate analysis using paired t test (paired sample t test). The results of this study showed anxiety level in patients with pre operative abdominal surgery before being given deep breath relaxation therapy has an average anxiety index score of 54.59 (moderate anxiety) and anxiety level in patients with preoperative abdominal surgery after being given deep breath relaxation therapy has an anxiety index score of 49.56 (mild anxiety) and a decrease of 5.03. The results of this study are expected to be a reference to the use of deep breath relaxation therapy in accordance Standard Operational Procedures to decrease anxiety levels in pre operative patients using Leaflet.
      PubDate: 2017-08-31
      Issue No: Vol. 8, No. 2 (2017)

    • Authors: M. Ramadhani Firmansyah, Rustam Rustam
      Pages: 263 - 268
      Abstract: Hypertension is a situation where blood pressure someone was sitting on normal. Hypertension ranked 1 of 14 not infectious disease at Public Health Centre Pembina palembang, totally were 3054 in 2015 .Risk factors cause hypertension there are smoking habit and consumption coffee. This study aims to understand relations smoking and consumption coffee toward blood pressure on a patient hypertension at Public Health Centre Pembina palembang in 2016. The research is quantitative analytic survey trough cross sectional approach. The total number of respondents were 68 respondentsTrough  purposive sampling technique. Analysis of data in this study using chi-square statistic.This research result indicates that there was a smoking  ( p value = 0.014 ) and consumption coffee ( p value = 0.017) with blood pressure on a patient hypertension at Public health centre Palembang in 2016. It’s hope that the patients hypertension should quit smoking and consumption coffee, so should improve the staudard of health and lowered the incidence of Hypertension.
      PubDate: 2017-08-31
      Issue No: Vol. 8, No. 2 (2017)
  • Faktor Perilaku Cuci Tangan Pakai Sabun (CTPS) di SMP

    • Authors: Bambang Murwanto
      Pages: 269 - 276
      Abstract: Riskesdas (2013), Diarrhea is the number one cause of death in infants (31.4%), children under five (25.2). Whereas in all age groups is a cause number four, or 13.2%. Various factors affect the disease Diarrhoea among the factors of health behavior, especially the behavior of Handwashing with Soap that has been campaigned, both from the national level. As well as health offices District/City through PHC, especially in schools, including junior high school. The problem is to what extent the role of behavior Handwashing with Soap and the factors associated with it in school children. The purpose of this study was to determine the role of factors related to the behavior Handwashing with Soap, in junior high schools. This research method was quantitative observational with a cross sectional approach, with research time the months of April to July 2016. The study population was all students of SMP Negeri 1 Penengahan, South Lampung, 2016. Samples were taken by a proportional random sampling of 156 junior high school students. Subjects were children of class VII and Class VIII. The results of the study are of most variables are good (> 50%), except for the variable perception and the Role of Health who are poor (<50%), and the only variable values, Role of Teachers and the Role of Friends Schools that have a relationship significant overall Handwashing Behavior and Role of School Friend variable most dominant relationship.
      PubDate: 2017-08-31
      Issue No: Vol. 8, No. 2 (2017)
  • Stigma Negatif pada Ibu dengan Anak Gizi Buruk: Studi Fenomenologi

    • Authors: erni setiyowati
      Pages: 277 - 281
      Abstract: Fulfillment the child’s nutrients is a challenge for the mother. The problem in fulfillment of nutrient can cause the children have malnutrition. The aims of this research to explore the mother experience for treating the child in malnutrition. The research used qualitative design with descriptive phenomenology approach and involved eight participants. One of the themes found from the result of the research is the unpleasant treatment during the mother treating her child. This unpleasant treatment is generally in form of oral from a health worker. This condition causes the mother reluctant to take her child to solve the problem of nutrients that occur. The mother only take their children to the health care if they have comorbidities. This condition requires the health workers to develop counseling and mentoring skill for mothers who have children with malnutrition.
      PubDate: 2017-08-31
      Issue No: Vol. 8, No. 2 (2017)
  • Efek Metode Non Farmakologik terhadap Intensitas Nyeri Ibu Bersalin Kala I

    • Authors: Marwati Biswan, Henny Novita, Masita Masita
      Pages: 282 - 288
      Abstract: Pain is one of the processes during the labor, the pain during the labor is able to increase the blood pressure, the fetal heart rate also increased and the focus of mothers during the childbirth is disturbed. According to data research shown that 60% primipara describes the pain caused by huge contraction, 30% about medium. In multipara, 45% feel a huge pain,  30% is medium and the lower about 25%. The purpose of this research is to understand the effectivity of the proper way to the non-pharmacological pain management for the phase 1. This research used a quasi-experimental design with the pre-post test without control group design methods. The population used in this research is maternal with phase 1 on an active postpartum. The gaining of a sample using a quota sampling technic consists of 60 maternal who were divided into two groups of 30 respondents per each. The results obtained in this research given the average degree of pain after the relaxation techniques and massage. (The group I) is 5, 47 with the result of p=0.001. The average degree of pain result after having a warm and cold compress for (the group II) is 6,60 ± 1,003 with the result of p=0.000. The conclusions of the research are there are effects in an adduction of deep breathing relaxation technique such of: the back massage, cold and warm compresses toward the decreasing of pain for phase 1 active labor. The deep breath relaxation method and back massage are more effective than cold and warm compresses in relieving pain intensity for the maternal.
      PubDate: 2017-08-31
      Issue No: Vol. 8, No. 2 (2017)
  • Relaksasi Progresif terhadap Intensitas Nyeri Post Operasi BPH (Benigna
           Prostat Hyperplasia)

    • Authors: Aprina Aprina, Noven Ilham Yowanda2, Sunarsih Sunarsih
      Pages: 289 - 295
      Abstract: Pain is one of the most common complaints in patients after experiencing a surgery. Surgery is a biphasic event against the human body that implies pain management. In post-surgery patients feel severe pain and 75% of patients have unpleasant experiences due to inadequate pain management.Based on the results of activity reports in Dr. Hi. Abdul Moeloek Public Hospital in Lampung Province in July-December 2016 obtained data operation BPH as many as 51 inhabitants. The objective of this research was to find out the effect of progressive relaxation to an intensity of pain for BPH (Benigna Prostate Hyperplasia) post-surgery patient. This was a quasi-experiment research by using one group pretest and posttest design. 20 respondent samples were taken by using accidental sampling. Data were collected by using observation sheet and analyzed by using univariate and bivariate analyses with Wilcoxon sign test. The results showed that the mean value of pain before the progressive relaxation therapy equal to 5.20 with standard deviation 0.834. While the mean value of pain scale after it was 3.60 with standard deviation 0.681. Analysis with Wilcoxon sign test derived p-value 0.000 (ρ-value 0.000 < α 0.05), and the conclusion there was a significant effect the mean value of pain in the post-surgery patient’s BPH (Benigna Prostate Hyperplasia) after progressive relaxation therapy. The researcher expects that the progressive relaxation therapy can be used by more operational methods. 
      PubDate: 2017-08-31
      Issue No: Vol. 8, No. 2 (2017)
  • Konseling KB Menggunakan Flashcard terhadap Peningkatan Pengetahuan, Sikap
           dan Keikutsertaan Kontrasepsi IUD dan MOW Pascasalin

      Pages: 296 - 304
      Abstract: Flash card is an effective tool in Family planning counseling because it is easy to bring to the room when carrying out the IUD and MOW contraceptives counseling for postnatal mother program. This study aimed to measure the difference in knowledge and attitudes of a postnatal mother about IUD and MOW contraceptives before and after provision information program of family planning by flash card and measure the correlation in the increase of knowledge and attitude after provision family planning counseling by a flash card with the postnatal IUD and MOW contraceptives participation.This study uses a quasi-experimental research design with one group pretest-posttest design. There were 52 total samples fulfilling the inclusion criteria. The analysis was Wilcoxon, chi-square and point biserial test. The results showed that there was difference in knowledge and attitudes about family planning before and after IUD and MOW postnatal family planning counseling by flash card (p-value=0,000), there was  a positive correlation between the knowledge and attitudes of postnatal mother about family planning after counseling by flash card with the postnatal IUD and MOW contraceptives participation (p value =0,001 and 0,000), and there was  a positive correlation between the increase of knowledge and attitude with the postnatal IUD and MOW contraceptives participation by p value=0,002 and 0,001 by mean of weak and adequate relationship degree. The conclusions of this research are knowledge and attitude of a postnatal mother about family planning after the provision of family planning counseling by flash card is better than before the provision of family planning counseling. 
      PubDate: 2017-08-31
      Issue No: Vol. 8, No. 2 (2017)
  • Determinan Persalinan Prematur di RSUD Dr. Abdul Moeloek

    • Authors: Eliza Eliza, Dina Dwi Nuryani, Rosmiyati Rosmiyati
      Pages: 305 - 309
      Abstract: Infant mortality in Indonesia around 56% occurs in the very early period of a neonatal period or newborn. Most of the neonatal deaths occur at the age of 0-6 days (78.5%) and prematurity is the major cause of neonatal death. Based on perinatology room report of Dr. H. Abdul Moeloek hospital in 2015, there were 77 premature births from 391 labors. This number then increased to 84 premature labor from 402 labors by 2016. The objective of this research was to identify the determinants that influenced premature labor in a hospital. H. Abdul Moeloek 2012-2016. This was a quantitative research, design of analytic research was through case control research method. The population was whole pregnant mothers who had premature labor in Dr. H. Abdul Moeloek hospital 2012-2016. The sample was 62 cases and 62 controls to become 138 people. The analysis was through chi-square test. Multivariate analysis used regression logistic. The result showed that there was a significant correlation between mothers’ age (p-value=0,048), parity (p-value=0,000), pregnancy complication (p-value=0,000), KPD (p-value=0,005) and mothers’ education level (p-value = 0,011). The result of the multivariate analysis showed that the most dominant factor towards premature labor was pregnancy complication (p-value=0,000).  The importance of pregnant mothers to make an antenatal care visit in accordance with government program so that abnormalities or complication in pregnancy can be earlier detected.
      PubDate: 2017-08-31
      Issue No: Vol. 8, No. 2 (2017)
  • Hubungan Antara Usia dan Paritas Ibu Bersalin dengan Bayi Berat Lahir
           Rendah (BBLR) di Rumah Sakit Islam Siti Khadijah Palembang

    • Authors: ANNISA KHOIRIAH
      Pages: 310 - 314
      Abstract: Low Birth Weight is the birth weight of 1,500-2,500 grams. According to the data of Siti Khadijah Palembang Islamic Hospital in 2016 babies born in LBW from January to September of 2016 both live and die amounted to 172 babies from 1,000 births. The purpose of this study is to know the relationship between maternal age and parity with low birth weight babies at Siti Khadijah Palembang Islamic Hospital in 2016. The method used is an analytical survey with cross sectional approach. The population in this study is all mothers of maternity in Islamic Hospital Siti Khadijah Palembang in 2016 with a sample of 91 people. Based on the univariate analysis of 91 respondents who are not BBLR of 64.8%, low risk as much as 53.8%, low parity 54.8%. The result of bivariate analysis of low risk age that gave birth to LBW was 20,4%, low parity giving birth of LBW by 24%. Age of mother get p value 0,003 <0,05, parity of mother get p value 0,025 <0,05. There is a relationship between maternal age and parity with LBW. For the institution, it is expected that the results of this study can provide benefits for students about the relationship between maternal age and parity with Low Birth Weight. Hospital Parties can provide more intensive information and counseling to the community about the age and parity relationship of delivery mothers with low birth weight babies.
      PubDate: 2017-08-31
      Issue No: Vol. 8, No. 2 (2017)
School of Mathematical and Computer Sciences
Heriot-Watt University
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