The Factors Concerning Caesarean Section at dr. H. Abdul Moeloek GeneralHospital of Lampung Province.The incidence of caesarean section in Asia since 2007 to 2008 was 110,000. In Indonesia, during last five weeks, there was 15.3% out of 20,591 caesarean section from 33 provinces. RISKESDAS in 2012 released data that the risk factors of caesarean section were 13.4% caused by early membrane break, 5.49% preeclampsia, 5.14% bleeding, 4.40% improper fetal position, 4.25% delivery canal blockage, and 2.3% break uterus. The objective of the study was to identify the factors concerning caesarean section at Dr. H. Abdul Moeloek General Hospital of Lampung Province in2015.This was a quantitative study with cross sectional approach. The population was the whole delivering women at the hospital in 2014 amounting to 1,533 people. The sampling was taken by using Slovin formula with simple random technique resulting 319 people. Univariate and bivariate analysis was done through chi squaretest.There were correlations among PEB, placenta pravia, non-accelerated partus, and position disorder towards caesarean section (respectively, p value= 0.000 and OR= 2.947, P value= 0.000 and OR= 3.30, p value = 0.000 and OR= 24.533, p value= 0.000 and OR= 3.996). The health practitioners of the hospital should socialize the importance of preventing caesarean section including the risk factors such as PEB, Placenta Previa, position disorder and nonaccelerated partus for women. Tingkat persalinan sectio caesarea di Indonesia 15,3% sampel dari 20.591 ibu yang melahirkan dalam kurun waktu 5 tahun terakhir yang di survey dari 33 provinsi. Gambaran adanya faktor resiko ibu saat melahirkan atau di operasi caesarea adalah 13,4% karena ketuban pecah dini, 5,49% karena Preeklamsia, 5,14% karena perdarahan, 4,40% kelainan letak janin, 4,25% karena jalan lahir tertutup, 2,3% karena rahim sobek (RISKESDAS, 2012 000, OR= 3,30). Ada hubungan partus tak maju dengan sectio caesarea (p-value = 0,000, OR= 24, 533). Ada hubungan antara kelainan letak dengan sectio caesarea 000, OR= 3,996). Perlu lebih ditingkatkannya pemberian dukungan terhadap pentingnya pengetahuan ibu hamil maupun bersalin tentang tanda bahaya kehamilan dan persalinan guna mencegah terjadinya sectio caesarea saat persalinan terutama informasi tentang faktor-faktor yang dapat, mempengaruhi terjadinya sectio caesarea termasuk PEB, Plasenta previa, kelainan letak janin, serta partus tak maju.KataKunci: Persalinan, sectio caesarea.Pertolongan operasi persalinan dengan sectio caesarea mempunyai sejarah yang panjang. Bahaya infeksi merupakan ancaman serius sehinggabanyakterjadi kematian. Perkembangan teknologi sectio caesarea demikian majunya sehingga bahayanya makin dapat ditekan. Oleh karenanya pertolongan persalinan dengan sectio caesarea makin banyak dilakukan dengan
<p><span>The pregnancy gymnastics is useful to decrease the difficulties of normal childbirth for mothers, which means the mortalities will be decreased. The pre-survey in Negara RatuVillage, Natar District results in 6 from 10 pregnant women (60%) who don't know what the pregnancy gymnastics use to be, and 100% never do. Lack of knowledge and attitude are the reason pregnant women never do the pregnancy gymnastics. The research goals are knowing the difference between knowledge and attitude of pregnant women who get counseling by android applications and who get from the pregnancy gymnastic booklet in District Natar, South Lampung. This research is a Quasi Experiment type with a pre-test post-test control group design. With 129 population, 2nd and 3rd trimester and 90 samples obtained by probability sampling, divided into 3rd groups, 30th respondents are android application users, 30th respondents used booklet and 30th is controller respondent. Wilcoxon test result: the knowledge of pregnant women before counsel by android average is 10,57, after counsel is 15,67, and p-value=0,000; the attitude of pregnant women before getting counsel average is 46,27 after counsel is 45,03, and p-value=0,56. The knowledge before counsel by booklet average is 12,36, after counsel is 15,33, and p-value=0,000; the attitude before counsel average is 46,50, and after counsel is 48,63, and p-value=0,08. Result test by Mann-Whitney obtained: the difference of average between pregnant women who get knowledge counsel by android application, and of the booklet is 2,13 and p-value=0,68; the difference average attitude is 0,89 and p-value=0,563. The conclusions are no difference between knowledge and attitude the pregnant women who get counsel by android applications and booklets. </span></p>
BackgroundNipple eczema is a less common presentation of atopic dermatitis. No studies in the literature have correlated nipple eczema in pregnancy as a manifestation of atopic dermatitis.ObjectiveTo evaluate whether nipple eczema presenting in pregnancy is a manifestation of atopic dermatitis.MethodsThis was a prospective observational study including 100 women who presented with nipple eczema for the first time during pregnancy. The exclusion criteria were any patient with previous history of nipple eczema, those already on oral or topical treatment for atopic dermatitis or nipple eczema, and other disorders mimicking eczema. Patients were divided into two groups ‒ nipple eczema with atopic dermatitis and without atopic dermatitis. Demographic data, clinical features, total leukocyte count, differential leukocyte count, absolute eosinophil counts, and serum IgE levels were compared between the two groups to detect association between nipple eczema in pregnancy and atopic dermatitis.ResultsOut of 100 patients, 39 were diagnosed with atopic dermatitis, whereas 61 were ruled out to have any features suggestive of atopic dermatitis. There were no statistically significant differences in mean age, mean duration of symptoms, and serum IgE levels. In patients with atopic dermatitis, bilateral symptoms were noted more commonly than in patients without the disease, but this was statistically insignificant.Study limitationsLack of long term follow-up and no large studies in literature to compare results.ConclusionNipple eczema in pregnancy follows a similar pattern as in other age groups. The clinical profile of patients is similar in cases with and without atopic dermatitis.
Broad ligament is a very uncommon site for presentation of leiomyoma with a very low incidence rate. Because of its overall low incidence rate, it poses both clinical and radiological difficulty in differentiating with an ovarian tumour. We are presenting a rare case of a 37 year old multiparous female with a huge broad ligament fibroid.
The results of a preliminary study of Punggur District, Central Lampung, since 2018, the highest diseases are hypertension and DM. The purpose of this study was to determine the effectiveness of health education with a social group approach to increasing knowledge and attitudes towards controlling non-communicable diseases in the community in Punggur District, Central Lampung. This type of quasi-experimental research, with a nonequivalent group pretest-posttest control design. The population was 60 people consisting of experimental group 1 (Recitation Social Group) of 30 people and experimental group 2 (Posbindu Social Group) of 30 people. The intervention is in the form of health education with a social group approach. The Wilcoxon test was used to determine the effect of the intervention on both groups and the Mann-Whitney test to determine the effectiveness of health education methods with a social group approach to increasing people's knowledge and attitudes towards controlling NCDs. The significance limit (confidence interval) is 95% and the p-value is 0.05. The results showed that there were differences in knowledge and attitudes before and after the intervention in experimental group 1 (Recitation Social Group), with each p-value<0.001 and there were differences in knowledge and attitudes in experimental group 2 (Posbindu Social Group), with p- value<0.001. The results of the post-test revealed that there were differences in knowledge between experimental group 1 (Recitation Social Group) and experimental group 2 (Posbindu Social Group) (p-value 0.043) and there were also differences in attitudes (p-value 0.028). It is recommended to expand health education activities with other social group approaches with more conducive methods and techniques and a larger number of respondents.
Penderita tuberkulosis paru di wilayah kerja Puskesmas Branti Kecamatan Natar masih ada yang menghentikan pengobatannya sehingga penderita ini beresiko menularkan penyakitnya kepada orang lain. Hasil pre-survei diketahui rendahnya pengetahuan, sikap dan keterampilan masyarakat tentang pemberantasan dan pengobatan tuberkulosis. Tujuan pengabmas ini adalah meningkatkan kemampuan dan kemandirian masyarakat dalam pemberantasan penyakit tuberkulosis paru. Sasaran kegiatan adalah kader kesehatan dan masyarakat sebanyak 55 orang dengan metode penyuluhan dan pelatihan tentang cara pemberantasan tuberkulosis paru. Media yang digunakan pada penyuluhan dan pelatihan adalah video edukasi dan booklet sebagai bahan bacaan di rumah. Kegiatan dilaksanakan di aula puskesmas pada bulan Juli sampai Agustus 2020. Hasil yang dicapai langsung setelah penyuluhan dan pelatihan adalah meningkatnya jumlah masyarakat berpengetahuan baik, yakni dari 3 orang (5,45%) menjadi 26 orang (47,27%), meningkat yang bersikap positif dari 19 orang (34,55%) menjadi 42 orang (76,36%) dan meningkat keterampilannya baik dari 10 orang (18,18%) menjadi 32 orang (61,83%). Hasil evaluasi akhir kegiatan diketahui 40 orang (72,73%) selalu menerapkan pemberantasan tuberkulosis paru dan 15 orang (27,27%) mengatakan kadang-kadang saja menerapkannya. Sebanyak 55 orang (100%) masyarakat yang mendapat pelatihan mengatakan puas dengan kegiatan pengabmas Dosen Poltekkes Tanjungkarang. Disimpulkan bahwa kemampuan dan kemandirian masyarakat memberantas tuberkulosis paru meningkat setelah dilakukan pengabdian masyarakat.
Pemulihan pada pasien paska operasi dengan anestesi umum merupakan kondisi kritis yang harus mendapatkan perhatian bagi perawat. Untuk itu perlu upaya perawatan yang mampu memastikan pasien dapat pemulihan tepat waktu bahkan lebih cepat dari yang seharusnya tanpa gejala sisa maupun efek samping laiinya. Terapi musik dipilih sebagai modalitas terapi yang diharapkan dapat diterapkan pada kondisi tersebut. Untuk itu penelitian ini dilakukan bertujuan untuk mengetahui pengaruh pemberian terapi musik terhadap pemulihan pada pasien paska operasi dengan anestesi umum. Populasi dalam penelitian ini adalah pasien paska operasi dengan anestesi umum anestesi umum yang dengan teknik <em>purposive sampling</em> diperoleh jumlah sampel 48 responden. Rancangan penelitian yang digunakan adalah <em>Quasi eksperimen</em> dengan <em>The Static Group Comparison. </em>Pemantauan pemulihan deilakukan menggunakan <em>aldrete score.</em> Data yang sudah dikumpulkan di analisis dengan menggunakan uji <em>Mann-whitney</em><em>. </em>Hasil penelitian<em> </em>menyimpulkan terdapat perbedaan rata-rata skor waktu pemulihan pada kelompok perlakuan dan kelompok kontrol yaitu sebesar 11,66. Hal ini berati terdapat pengaruh terapi musik terhadap pemulihan pasien paska operasi dengan anestesi umum. Saran diharapkan rumah sakit dapat memfasilitasi pemberian terapi musik dengan pasien pasca anestesi umum untuk mempercepat waktu pemulihan
Background: The preliminary study in Health Office (Dinkes) of South Lampung regarding the coverage of the Tuberculosis program in 2017 and 2018 results were only 51% and 42.41%. While the target of treatment should be 100%. Pre-survey for patients with pulmonary tuberculosis in the working area of the Natar Puskesmas families are 5 people (50%) of 10 tuberculosis sufferers who do not comply with their treatment, said that there are no routine treatment, 8 people (80%) of the family have not given serious support to family members who have pulmonary tuberculosis to adhere for treatment and have never received empowerment training from the health side. Purpose: To determine the effect of Multimedia Educational Development in Empowering Families to Support Treatment of Pulmonary Tuberculosis Patients.Method: Participant were divided into 6 groups, 10 people per group and every week it was divided into two groups. Each group gets three learning sessions. In the first session, participant were asked to listen to pulmonary TB material which was shown through educational videos for 2 x 25 minutes, interspersed with discussions and questions and answers. The material includes understanding, causes, signs and symptoms, complications, prevention, and treatment. In the second session, participant were asked to listen to an educational video about pulmonary TB prevention practices for 25 minutes and then asked participant to practice it for 25 minutes. In the third session, participant were asked to show an educational video about the practice of supporting the treatment of pulmonary TB patients for 25 minutes, then asked participant to practice it for 25 minutes. At the end of the presentation of the material, the participant were distributed booklets containing material for pulmonary TB and how to support the treatment of pulmonary TB patientsResults: Sampling of 60 people from 70 families of pulmonary TB patients in Kecamatan Natar Lampung Selatan used educational multimedia. The level of confidence with p-value < a (0.05).Conclusion: P value was obtained 0.000, so that there was a significant difference between the ability of participant to provide emotional support, appreciation, instrumental, information, treatment networks, healing motivation, directing behavior to recover, maintaining healing behavior and knowledge about pulmonary TB treatment in pulmonary TB patients. first and second. Overall support, the difference between the first and second measures of ability to provide treatment support was 0.217 with an SD of 0.613. The results of the statistical test obtained a P-value of 0.008, so that there was a significant difference between the participant ' ability to provide treatment support for patients with pulmonary TB in the first and second measurements.Keywords: Educational Multimedia; Family Empowerment; Pulmonary Tuberculosis TreatmentPendahuluan: Hasil studi pendahuluan ke Dinkes Lamsel, tentang cakupan program TB tahun 2017dan 2018 hanya 51% dan 42,41%. Sedangkan target pengobatan seharusnya 100% . Pre survey kepada keluarga penderita TB paru di wilayah kerja Puskesmas Natar 5 orang (50%) dari 10 penderita TB tidak patuh pengobatannya, mengatakan tidak rutin berobat, 8 orang (80%) dari keluarga belum memberi dukungan serius pada anggota keluarganya TB paru untuk patuh pada pengobatannya dan belum pernah mendapat iatihan pemberdayaan dari pihak kesehatan.Tujuan: Untuk mengetahui pengaruh Pengembangan Multimedia Edukasi Dalam Pemberdayaan Keluarga Memberi Dukungan Pengobatan Penderita Tuberkulosis Paru.Metode: Partisipan dibagi dalam 6 kelompok, 10 orang per-kelompok dan setiap minggu dilakukan kepada dua kelompok. Setiap kelompok mendapatkan tiga sesi pembelajaran. Di sesi pertama reponden diminta untuk menyimak materi TB paru yang ditayangkan melalui video edukasi selama 2 x 25 menit diselingi diskusi dan tanya jawab. Materi mencakup pengertian, penyebab, tanda dan gejala, komplikasi, pencegahan serta pengobatan. Di sesi kedua partisipan diminta menyimak tayangan video edukasi tentang praktik pencegahan TB paru selama 25 menit kemudian meminta partisipan mempraktikkannya selama 25 menit. Di sesi ketiga partisipan diminta menyimak tayangan video edukasi tentang praktik mendukung pengobatan pasien TB paru selama 25 menit, kemudian meminta partisipan mempraktikkanya selama 25 menit. Di akhir pemberian materi, kepada partisipan dibagikan booklet berisi materi TB paru dan cara mendukung pengobatan pasien TB parukapanHasil: Pengambilan sempel sebanyak 60 orang dari 70 keluarga penderita TB paru di Kecamatan Natar Lampung Selatan menggunakan multimedia edukasi Tingkat kepercayaan dengan p-value < a (0,05).Simpulan: Didapatkan P-value 0,000, sehingga disimpulkan ada perbedaan yang signifikan antara kemampuan partisipan memberikan dukungan emosional, penghargaan, instrumental, informasi, jaringan pengobatan, motivasi sembuh, mengarahkan perilaku sembuh, mempertahankan perilaku sembuh dan memberi pengetahuan tentang TB paru pengobatan pada penderita TB paru pengukuran pertama dan kedua. Secara analisis keseluruhan dukungan, perbedaan pengukuran pertama dan kedua kemampuan memberi dukungan pengobatan adalah 0,217 dengan SD 0,613. Hasil uji statistik diperoleh P-value 0,008, sehingga disimpulkan ada perbedaan yang signifikan antara kemampuan partisipan memberikan dukungan pengobatan pada penderita TB paru pengukuran pertama dan kedua.
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