ABSTRAKPendahuluan: Angka Kematian Ibu (AKI) dan Angka Kematian Bayi (AKB) di Indonesia masih cukup tinggi dibandingkan dengan negara ASEAN lainnya.Untuk persoalan tersebut perlu pemecahan dalam mengatasi masalah kesehatan ibu dan bayi, salah satunya dengan membangun model edukasi postnatal yang difokuskan pada ibu postpartum dengan melibatkan keluarga sebagai dukungan sosial. Metode: Penelitian ini dilakukan dengan pendekatan penelitian partisipatif (kualitatif) dan Participatory Action Research (PRA), dengan tujuan uji coba model edukasi postnatal secara komprehensif sekaligus evaluasi dalam menyempurnakan model sehingga diperoleh model yang tepat. Tehnik pengumpulan data pada penelitian ini dilakukan dengan cara survei/observasi, wawancara, FGD, wawancara mendalam pada ibu postpartum dan keluarga sejumlah 100 responden, maupun petugas kesehatan. Hasil: Penelitian yang dilakukan telah berhasil merumuskan model edukasi postnatal melalui pendekatan FCMC sebagai strategi optimalisasi competent mothering dalam menurunkan Angka Kematian Ibu dan Bayi. Model tersebut telah dilakukan ujicoba secara komprehensif baik terhadap ibu postpartum dan keluarga serta terhadap petugas kesehatan dengan media modul dan booklet tentang perawatan diri ibu nifas dan perawatan bayi baru lahir yang disesuaikan dengan tahapan masa postpartum. Terdapat pengaruh model edukasi postnatal dengan pendekatan FCMC terhadap persepsi ibu nifas dan keluarga tentang perawatan diri pada masa immediately postpartum, perawatan diri dan bayi baru lahir pada fase early postpartum dan fase late postpartum dengan nilai p masing-masing adalah 0,00 (α≤0,05). Selain itu juga didapatkan ada pengaruh sosialisasi model edukasi postnatal dengan pendekatan FCMC terhadap persepsi petugas kesehatan dengan nilai p 0,00. Diskusi: Rekomendasi penelitian ini adalah model edukasi postnatal melalui pendekatan FCMC sebagai strategi optimalisasi competent mothering dapat diterapkan sebagai salah satu upaya dalam menurunkan Angka Kematian Ibu dan Bayi.Kata Kunci: Model Edukasi Postnatal, FCMC, Competent Mothering.ABSTRACT Introduction: Indonesia's rate of MMR and IMR remains high among other ASEAN countries. This issue needs to be seriously addressed, particularly in dealing the mother-and-infant related problems, through developing the postnatal education model which focuses on postpartum mother by involving family as the social support. Methods: This research employed participative approach (qualitative) and Participatory Action Research (PRA), with the intention of conducting the try-out to the postnatal education model comprehensively, as well as evaluating the perfection attempts to the model in order to generate the fittest model. The data collection technique used in this research were survey/observation, interview, FGD, in-depth interview for postpartum mothers and family (100 respondents), as well as healthcare extension agents. Results: This research has successfully formulated the postnatal education model through FCMC approach as the optimization of competent mo...
Introduction: Indonesia’s rate of MMR and IMR remains high among other ASEAN countries. This issue needs to be seriously addressed, particularly in dealing the mother-and-infant related problems, through developing the postnatal education model which focuses on postpartum mother by involving family as the social support.Methods: This research is conducted at dr. Soebandi Regional Hospital Jember and the Kaliwates Primary Health Service Jember Regency. This research employs participative approach (qualitative) and Participatory Action Research (PRA), with the intention of conducting the try-out to the postnatal education model comprehensively, as well as evaluating the perfection attempts to the model in order to generate the fittest model. The data collection technique used in this research is survey/observation, interview, FGD, in-depth interview to postpartum mothers and family (100 respondents), as well as healthcare extension agents.Results: This research has successfully formulated the postnatal education model through FCMC approach as the optimization of competent mothering strategy in lowering the infant and maternal mortality rate. This model has undergone comprehensive trial to postpartum mothers and family as well as the healthcare extension agents by providing modules and booklet concerning the treatment of postpartum mother and newly born infants in accordance with the postpartum stages. The results of this research revealed that the effect of postnatal education model through the FCMC approach on the perception of postpartum mothers and their family regarding the self-care treatment during the immediately post partum period, the infant and self-care treatment at the early and late postpartum stages by using the α = 0,05 existed as shown by the p value of 0,00 each. Furthermore, there was also an impact of the extension attempt of postnatal education model through the FCMC towards the perception of the healthcare extension agents with the p value of 0,00.Conclusion: This research recommended that the postnatal education model through family centered maternity care (FCMC) as the optimization of competent mothering is implemented as one of the attempts in lowering the Maternal and Infant Mortality Rates, respectively.
Introduction: Discharge planning is still become a problem for health services in hospital in-patient rooms. Discharge planning commonly is only done when the patients leave hospital by giving them an explanation about the content of the controlling card. Discharge planning is a routine activity that must be done by nurses in order to give information to the patients about their condition and any actions can or should be undertaken by them. In fact, the importance of discharge planning is not yet balanced, nor effectively applied in field. This research was conducted to find out about the implementation of discharge planning by nurses in one of the hospital in-patient rooms at the hospital of study.Methods: This research was a qualitative research study conducted with the phenomenological approach. The informants were 6 patients and 6 nurses in first, second and third class nursing wards. The instruments used in this research were the researchers themselves with interview guidance, field notes and a tape recorder. The data was collected through an in-depth interview.Results: There were three themes found through the analysis, which were 1) the information dimension involving room orientation, rights and obligations, and patient health problems as the sub-themes; 2) the understanding dimension with knowing and understanding the discharge planning as the sub-themes; 3) the implementation dimension with the time of implementation and content of discharge planning as the sub-themes.Discussion: Complete information given to the patients will bring about a positive impact, so then they can help themselves in relation to their curing time at home. A lack of and unclear information will bring about negative impacts such as mistakes when taking drugs, poor diet, neglecting activity while staying at home
Latar Belakang dan Tujuan: Kepuasan pasien merupakan cermin kualitas pelayanan kesehatan yang mereka terima. Pelayanan penting yang dapat menjadi faktor penentu kepuasan pasien adalah pelayanan persiapan pemulangan (discharge planning). Discharge planning merupakan kegiatan yang dilakukan oleh tenaga kesehatan guna menyiapkan pasien agar mampu melakukan tindakan mandiri pada waktu sudah keluar rumah sakit. Tujuan penelitian ini mengidentifikasi indeks kepuasan pasien terhadap pelaksanaan discharge planning oleh perawat. Metode: Penelitian ini merupakan penelitian cross sectional yang dilakukan di ruang rawat inap kelas I, II, dan III dua rumah sakit di Kabupaten Jember dengan sampel sebanyak 60 responden diambil secara purposive sampling. Instrumen pengumpulan data menggunakan kuesioner. Hasil: Rata-rata nilai harapan pada rumah sakit I adalah 3,6690 dengan rata-rata nilai kenyataan 3,0130. Rata-rata nilai harapan pada rumah sakit II adalah 3,5510 dengan rata-rata nilai kenyataan 2,9730. Indeks kepuasan pasien di rumah sakit I antara harapan dan kenyataan terdapat selisih 0,656 dan di rumah sakit II selisihnya 0,578. Hasil uji statistik (t-test) menunjukkan adanya perbedaan rata-rata nilai harapan dan kenyataan, baik di rumah sakit I (p value = 0,004; α.= 0,05) maupun di rumah sakit II (p value = 0,016; α.= 0,05). Simpulan dan Implikasi: Pelaksanaan discharge planning masih belum menjadi budaya yang mengakar pada diri tenaga kesehatan termasuk perawat, sehingga pelaksanaannya belum maksimal dan belum dapat memberikan rasa puas kepada pasien sebagai penerima layanan. Dengan demikian rumah sakit wajib menetapkan kebijakan yang mengatur tentang discharge planning.
Introduction: Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) remain the major indicator in assessing the level of certain country’s health quality. Both of Indonesia’s MMR and IMR levels are high enough compared to other ASEAN countries. To address this problem, a synergic cooperation among the cross-linked authorities is of prime important. One possible alternate option is building the Integrated Maternity Management model through promoting and preventive encouragement particularly designated for rural societies whose knowledge is relatively lower than the ones in urban areas.Methods: This research is conducted in Mumbulsari and Sukorambi Sub-Districts. The data collection techniques used in this research are survey/observation, interview, FGD, in-depth interview and, PRA conducted both to societies (local figures, people at risk, female teenagers, under-aged pregnant mother and young mothers) and local institutions and authorities.Result: This research has been able to formulate the Integrated Maternity Management model through promoting and preventive encouragement particularly designated for rural societies in the attempts of lowering the MMR and IIMR. This model has undergone trial, although the trial is simple in nature, by using the module medias of (1) teenager’s reproductive health which generated the average perception of the teenagers shown by the figure of 58,67 regarding their reproductive health prior to the intervention with minimum score of 30 and maximum score of 85. Meanwhile, upon applying the intervention, the average showed the figure of 81,33 with minimum score of 60 and maximum score of 95. The margin between the pre-test and post-test values reaches the figure of 22,36. This means that the supply of information regarding the module (1) which discusses the health reproductive issue generates better knowledge of those female teenagers concerning the respective issue.Discussion: Therefore, it is suggested that the implementation of the Integrated Maternity Management model through promoting and preventive encouragement put into action by initiating a comprehensive trial in order to generate the most suitable model, respectively.
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