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Jurnal Ners dan Kebidanan Indonesia
Number of Followers: 0  Open Access journalISSN (Print) 2354-7642 - ISSN (Online) 2503-1856 Published by Alma Ata University  [2 journals]
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- Pain score and quality of post cesarean section recovery with ERACS method
Authors: Ida Ruspita, Siti Cholifah, Rafhani Rosyidah
Abstract: Background: A cesarean section must be done when regular childbirth is impossible owing to fetal or maternal health issues. One of the complications of cesarean section is pain and quality of recovery. The strategy for managing pain and quality of recovery is using the ERACS method. This method is a new technique in anesthesia with the principles of evidence-based perioperative care, a multidisciplinary approach carried out in a team, carried out on an ongoing basis, and continues to be developed.Objectives: The study aimed to use the ERACS method to calculate the pain score and the quality of recovery following cesarean section.Methods: The study was quasi-experimental with a post-test control group design. Participants in this study were mothers who had a cesarean section. The sample size in this study was 70, namely 35 treatment groups and 35 control groups. The instrument uses VAS (Visual Analog Scale) and obsQor 11Results: Statistical test for pain obtained P value = 0.000 and for quality of recovery obtained P value = 0.000Conclusions: There is a sizable distinction in pain scores carried out by the ERACS and Non ERACS methods, where the pain scores carried out by the ERACS method are lower than the non-ERACS methods, and there are differences in the quality of recovery between the ERACS and Non ERACS methods where the recovery quality scores are given by the method. ERACS is higher than non ERACS method. The ERACS method can be an alternative method to reduce postoperative morbidity. Reduction of complications through reduced use of anesthetic doses. And in the future, the development of surgical techniques has reasonable goals, such as improving public health, increasing patient comfort and peace of mind during surgery, and reducing hospitalization, which indirectly reduces costs
PubDate: 2023-04-14
DOI: 10.21927/jnki.2023.11(1).%p
Issue No: Vol. 11, No. 1 (2023)
- Environmental factors determin the occurrence of pulmonary tuberculosis
Authors: Eppy Setiyowati, Khamida Khamida, Nurul Kamariyah, Budhi Setianto, Netty Mawardah Hatmanti
Abstract: Background: Environment consisting of residential density, house ventilation, room humidity, and lighting, is regarded as one of the factors causing the transmission of pulmonary tuberculosis (TB). The current research aimed to figure out the environmental factors determining the occurrence of pulmonary TB in Surabaya City. Objectives: the purpose of the current study was to figure out the environmental factor determining the incidents of pulmonary tuberculosis (TB) in Surabaya CityMethods : This was observational research carried out by a cross-sectional approach. People with pulmonary TB registered for treatment at the Perak Timur Community Health Center and Jagir Community Health Center in Surabaya City were recruited as the research population. Meanwhile, the research samples were patients with pulmonary TB in both Community Health Centers. Simple random sampling was utilized to collect 130 patients as respondents. The data obtained were then analyzed using univariate and bivariate logistic regression.Results: The bivariate statistical test on the four research variables showed that residential density had OR=0.671, house ventilation had OR=2.874, room humidity had OR=1.231, and house lighting had OR=1.170. Fourth, environmental factors are not the cause of TB disease, because the results of statistical tests show that the OR value is above 0.5Conclusions: It can be concluded that residential density, lighting, and house ventilation did not influence the occurrence of pulmonary tuberculosis. It was more likely that it was caused by factors which do not come from the living environment. Suggestions for future research need to be an air swab examination around the residence of TB patients
PubDate: 2023-04-14
DOI: 10.21927/jnki.2023.11(1).%p
Issue No: Vol. 11, No. 1 (2023)
- The relationship of exclusive breastfeeding with the return of menstrual
time in mothers who have babies aged 6 -12 months in the work area of
Pekik Nyaring Puskesmas, Bengkulu Central District
Authors: Sri Yanniarti, Veby Yunita Putri Omi, Rolita Efriani
Abstract: Background: Exclusive breastfeeding means giving only breast milk to babies from 30 minutes after birth (after birth) until the age of 6 months, without additional fluids, such as formula milk, fruit juices, water, honey, tea water and solid complementary foods such as fruit, biscuits, milk porridge. , rice porridge and team rice. Mothers who breastfeed exclusively, in principle, will get menstruation longer than those who do not exclusively breastfeed their babies. Objectives: The purpose of this study was to determine the relationship between exclusive breastfeeding and the duration of the return of menstruation in mothers who have babies aged 6-12 months in the Working Area of Pekik Nyaring Health Center, Central Bengkulu Regency. Methods: This research was conducted in December 2021 in the working area of the Pekik Nyaring Health Center, Central Bengkulu Regency using a kohort retrospektif.design. Determination of the number of samples using the slovin formula. The sample in this study were mothers who had babies aged 6-12 months in the Pekik Nyaring Health Center Work Area, Central Bengkulu Regency as many as 54 people spread over 7 villages with proportional random sampling technique. Results: The results showed that most of the respondents were under 35 years old with the most education level graduating from high school and most of them working as housewives. Most mothers who have babies aged 6-12 months give exclusive breastfeeding and get menstruation back more than six months. There is a significant relationship between exclusive breastfeeding and the length of return of menstruation for mothers who have babies 6-12 months in the Working Area of Pekik Nyaring Health Center, Central Bengkulu Regency.Conclusions: There is a significant relationship between exclusive breastfeeding and the duration of the return of menstruation in mothers who have babies 6-12 months in the Working Area of Pekik Nyaring Health Center, Central Bengkulu Regency
PubDate: 2023-04-14
DOI: 10.21927/jnki.2023.11(1).%p
Issue No: Vol. 11, No. 1 (2023)
- Learning design for couple prenatal education program; birthing class
Authors: Ni Made Dwi Purnamayanti, I Gusti Agung Ayu Novya Dewi
Abstract: Background: The involvement of birth attendants has been shown to have a positive impact on pregnancy outcomes. Unprepared fathers tend to have negative experiences during childbirth. Mothers and partners need to be prepared since pregnancy to face childbirth and have a satisfying birth experience. It is necessary to arrange a learning program for childbirth classes not only for pregnant woman but also their partners.Objectives: The purpose of this study is to develop a birthing class learning design for the prenatal couple education program.Methods: This research design is research and development (R&D) level 1. The product to be developed is a birthing class learning design for prenatal couple education program. The stages of the research are 1) analysis of gaps and needs of the developed program; 2) Drafting; 3) internal validation of the design Results: This study found that the needs of mother and their partners for birthing classes are high. The material most needed in birthing class is husband’s role in delivery process. In the management of birthing class, mother and partner want a balance practicum and theory method, the duration of the class is 90 minutes, with the number of participants less than 5 couples and the use of learning modules. The birthing class learning design for prenatal couple education program is structured in form of training program curriculum that consist 1) competencies; 2) learning outcome; 3)study materials; 4) training subjects; 5) training course loads; 6) learning methods and 7) assessments. Conclusions The birthing class learning design for prenatal couple education program is needed by pregnant women and their partners. The design can be used for preparing the birthing class model.
PubDate: 2023-04-14
DOI: 10.21927/jnki.2023.11(1).%p
Issue No: Vol. 11, No. 1 (2023)
- Literature Review: Factors affecting the implementation of Early
Authors: Nur Aziza Wahdaliya, Ni'mal Baroya, Devi Arine Kusumawardani
Abstract: Background: Early initiation of breastfeeding (EIBF) is the process of direct skin contact between the mother and the baby within the first hour after delivery. EIBF affects the welfare and survival of newborns. Implementation of early breastfeeding initiation globally according to WHO is 42% and the low implementation of EIBF is influenced by several factors.Objectives: To identify factors that influence the implementation of Early Breastfeeding Initiation (EIBF) in mothers who give birth and breastfeed based on empirical studies in the last five years.Methods: The research method in this study was a literature review with the type of narrative literature review by using flowcharts to determine screening studies that were adjusted to the research objectives. A search for literature reference sources was carried out from August 2021 to March 2022 with secondary data. Research reference sources are 31 international articles using 3 databases, namely PubMed, Sciencedirect, and Springer.Results: The results of the study show that the mother's knowledge can be influenced by the availability of EIBF information, and the level of education of the mother. Parity has an influence on EIBF, because it is related to the mother's experience of breastfeeding. In caesarean delivery, it is influenced by post-delivery factors such as caesarean incision pain, the effect of anesthesia, and the mother's perception of milk production, whereas in normal delivery there are conditions of the mother's health that can affect the implementation of EIBF. Social support (husband, family and health workers) can encourage mother's confidence in the implementation of EIBF.Conclusions: There are several factors that influence and relate to the mother's knowledge, parity, type of delivery, social support, and health services on the success of EIBF in the implementation of EIBF in labor and breastfeeding mothers.
PubDate: 2023-04-14
DOI: 10.21927/jnki.2023.11(1).%p
Issue No: Vol. 11, No. 1 (2023)
- Perceived psychological reactions to second wave of pandemic COVID-19
Among Working Adult Indonesians: An Online Survey Study
Authors: Edi Sampurno Ridwan, Sofyan Indrayana, Asep Badrujamaludin, Dedi Supriadi, Nuh Huda, Priyanto Priyanto, Qori’ Ila Saidah, Aan Sutandi
Abstract: Background: The Corona Virus Disease (Covid-19) pandemic caused serious health consequences including mental health issues. Thus, gaining insight into the emergence of mental health problems including fear, anxiety and stress in society during the second wave Covid-19 pandemic is imperative. Objectives: This study aimed to identify the psychological reactions of working Indonesians living in five metropolitan cities in Java Island and its association with personal characteristics during the second wave Covid-19 pandemic.Methods: This cross-sectional study included a total of 916 respondents from five metropolitan cities in the Island of Java that was voluntarily completing the anonymous online survey. The data were administered by using the Indonesian version of Perceived Stress Scale (PSS), Covid-19 Anxiety Scale (CAS), and Fear of Covid-19 Scale (FCS). Bivariate and multivariate analysis were performed using non-parametric methods due to non-normal distribution data. Significance for hypothesis testing was set with p-value 0.05 on 95% Confidence Interval. Data was analyzed using software STATA14 of StataCorp.Results: A total of 916 respondents were included, with the median of age being 28 years old. Perceived fear and anxiety to Covid-19 among working individuals was low (35.92% and 40.94%), yet they were on moderate and high-levels of stress (31.88% and 45.52%) respectively. After adjusted all predictors, age was a significant predictor to the level of fear (p< 0.001), anxiety (p= 0.05), and stress (p< 0.001). The first dose of vaccination significantly predicted a reduction in the fear of Covid-19 (p= 0.045).Conclusions: Increasing a year of age predicted the reduction of fear, anxiety, and perceived of stress to Covid-19. First dose vaccination significantly reduced the fear to Covid-19.
PubDate: 2023-04-14
DOI: 10.21927/jnki.2023.11(1).%p
Issue No: Vol. 11, No. 1 (2023)
- The effectiveness of aromatherapy combination of pepperlav (Peppermint and
Lavender) to relieve nausea vomiting in pregnant women
Authors: Isti Chana Zuliyati, Annisa Fatmawati, Sundari Mulyaningsih
Abstract: Background : Nausea and vomiting in first trimester pregnant women can cause symptoms of prenatal distress and stress which will affect a mother’s quality of life. Nausea and vomiting will also affect the nutritional intake of the mother and fetus. Nutritional needs that are not fulfilled from the beginning of pregnancy can cause fetal growth restriction which can cause short and long term complications and have a negative impact on quality of life.Objectives : This research aims to test the combination aromatherapy product Pepperlav (Peppermint and Lavender) in pregnant women to relieve nausea and vomiting.Methods : This study pretest-posttest control group design method with a total sample of 40 first trimester pregnant women who experienced nausea and vomiting. This research was conducted at the Midwife Independent Practice in the Bantul Region. Data collection was carried out by interviewing and filling out questionnaires that measured nausea and vomiting before and after the intervention. The questionnaire used is a valid and reliable RINVR. Intervention were carried out by administering Pepperlav Aromatherapy Combinations with formulations FIB (40:50:10), F2B (30:60:10), F3B (20:70:10) with VCO based notes that have fulfilled the physical stability, homogeneity, measurement PH, spreadability and adhesion tests, product safety tests and preference tests conducted on women who are not pregnant. Data were analyzed using the Paired t Test. Results : Based on statistical tests with Paired t test analysis p value: 0.001, this shows that the p value <0.05, there is a significant effect on the administration of pepperlav aromatherapy in Formula 1 formulation (a combination of 40% peppermint, 50% Lavender and 10% VCO. Conclusions : Aromatherapy combination of Pepperlav (peppermint and lavender) can relieve nausea and vomiting in pregnant women.
PubDate: 2023-04-14
DOI: 10.21927/jnki.2023.11(1).%p
Issue No: Vol. 11, No. 1 (2023)
- The effectivity of hypnobreastfeeding on the success of exclusive
breastfeeding by mothers giving birth at Dian Dwi Anggraini Independent
Midwifery Practice in Bogor Regency
Authors: Rochmawati Ramadhan, Gracea Petricka, Arini Kusmintarti
Abstract: Background:Stunting is an indicator of chronic malnutrition due to a long period of insufficient food intake. The prevalence rate of stunting in Indonesia reached 24.4% in 2021. Generally, problems related to linear growth in toddlers are frequently disregarded because it is still considered as normal as long as the child’s weight has met the standard. Several studies stated that stunting is associated with an increased risk of morbidity and mortality, as well as inhibited development of motoric and mental abilities. To decrease the prevalence of stunting, specific intervention in the form of exclusive breastfeeding needs to be carried out. The coverage of exclusive breastfeeding in Indonesia was 52.5%. Feeding the baby exclusively with breast milk up to the age of 6 months has been recommended by the World Health Organization (WHO). However, various obstacles occurred in the breastfeeding process cause the mothers unable to provide the babies with exclusive breast milk. One of the inhibiting factors of breast milk production is the psychological factor, which is the occurrence of stressors in breastfeeding mothers. One of the efforts which can be done to relieve stress in breastfeeding mothers is by applying hypnobreastfeeding. It is a natural effort carried out by providing positive affirmations for the breastfeeding process when mothers are in a very relaxed or very concentrated state. Objectives : This study aims to figure out the effect of hypnobreastfeeding on the success of giving exclusive breastfeeding.Methods: This research employed quantitative descriptive analysis with a quasi-experimental and control group post-test-only design.Results : The results of this study obtained the effectiveness of hypnobreastfeeding on the success of exclusive breastfeeding. It is indicated by statistical values with a p-value of < 0.05., and the effect is 5.5 times greater than that of the group without hynobreastfeeding. Conclusions : Referring to the high effectiveness of hypnobreastfeeding on the success of exclusive breastfeeding shown in this study, the researchers confirmed that hypnobreastfeeding is an action that must be given by health workers when accompanying mothers in labor.
PubDate: 2023-04-14
DOI: 10.21927/jnki.2023.11(1).%p
Issue No: Vol. 11, No. 1 (2023)
- The effect of yoga movements in reducing complaints symphysis pubis
dysfunction in pregnancy
Authors: Ratih Kumorojati, Alfie Ardiana Sari, Ika Fitri Ayuningtyas
Abstract: Background: The incidence of Section Caesarea (SC) based on the results of the 2018, states that the highest prevalence is in the DKI Jakarta area with a percentage reached 31.3% while the Papua region percentage is only 6.7%. It is known that the causes of birth with CS include, a narrow pelvis, disproportion of the fetal head, malposition of the fetus, and disorders of the descent of the fetal head which often cause complaints of symphysis pubis dysfunction (SPD). Every pregnant woman needs to empower herself to increase her self-confidence in facing the pregnancy process until before delivery. Several studies have stated that practicing yoga during pregnancy can reduce pregnancy complaints. During the Covid-19 pandemic, pregnant women were limited to doing activities outside the home. In this case, independent yoga media is needed that is safe, easy to understand, and as a guide for pregnant women, both in the form of videos, flashcards, spin cards, and picture cards of practical yoga movements.Objectives: To find out the effectiveness of yoga movements in dealing with complaints of symphysis pubis dysfunction in pregnancy.Methods: This research method uses quasi-experimental research with a one-group pre-test design which reveals a causal relationship involving one group of subjects. Respondents consisted of 25 pregnant women entering the third trimester of pregnancy with the inclusion criteria of pregnant women experiencing dysfunction of the symphysis pubis before the intervention. The interventions that will be carried out are measuring pain scales, printing yoga movement cards, teaching, and doing yoga 4 times in 1 month.Results: It is known that the number of respondents who did yoga before the intervention was mostly in the mild pain category (36%) and moderate (28%). After the intervention, the majority of respondents were in the no-pain category (44%). Respondents with severe pain before intervention (16%) decreased to (8%) post-intervention. The results of statistical tests using the Wilcoxon test obtained p = 0.036 where this value is below 0.05, which means that there is an effect of yoga movements in reducing complaints of symphysis pubis dysfunction in pregnancy.Conclusions: From the results of the research that has been done, it can be concluded that there is an influence of yoga movements in reducing complaints of symphysis pubis dysfunction in pregnancy. There were significant changes in pregnant women before and after the intervention. Therefore pregnant women are encouraged to do yoga regularly to reduce complaints of pregnancy discomfort which can interfere with the delivery process.
PubDate: 2023-04-14
DOI: 10.21927/jnki.2023.11(1).%p
Issue No: Vol. 11, No. 1 (2023)
- The effect of Hatha Yoga on pain intensity in severe primary dysmenorrhea
among students: a Randomized Controlled Trials
Authors: Ignatio Rika Haryono, Jessica Putri Sudarman, Nawanto Agung Prastowo, Lilis Lilis
Abstract: Background: Yoga has been known as an alternative therapeutic modality for reducing pain. The benefits of yoga for reducing pain have been proven. Women often suffer pain due to dysmenorrhea. The effect of Yoga on dysmenorrhea pain has not been widely studiedObjectives: This study aimed to investigate the effect of hatha yoga on pain in primary dysmenorrhea (PD). Methods: This was a randomized controlled study (RCT) involving 50 female students, 25 each in control (C) and yoga group (Y). PD was diagnosed by Working ability, Location, Intensity (Wong-Baker scale), and Days of the Pain of Dysmenorrhea (WaLIDD) questionnaire. Pain intensity was assessed by the Numeric Rating Scale (NRS). Hatha yoga training was conducted for 12 weeks. The unpaired t-test, ANOVA and Tukey post hoc, and Pearson correlation test was applied. Significance was set at p<0.05. Results: The characteristics between groups were not different. ANOVA indicated the NRS score in control was not changed, while yoga was diminished (p=0.02). Tukey post hoc showed that the second and third NRS were lower than basal NRS (p=0.038 and 0.01, respectively). The third was also lower than the second NRS (p=0.039). The second and the third NRS in yoga were lower than in control (p=0.027 and <0.01, respectively). The second magnitude of change of NRS was significantly different from the first in yoga (1.92 ±2.4 vs. 3.09 ± 2.8, p=0.018). The magnitude of NRS changes in the first (0.06±1.1 vs. 1.92±2.4, p=0.013) and second (0.02 ± 1.6 vs. 3.09 ± 2.8, p= 0.004) in yoga was significantly greater than the control. NRS score was not correlated with age, BMI, and age of menarche. Conclusions: Hatha yoga exercise ameliorate pain intensity in primary dysmenorrhea among female university students.
PubDate: 2023-04-14
DOI: 10.21927/jnki.2023.11(1).%p
Issue No: Vol. 11, No. 1 (2023)
