Latar Belakang: Kanker leher rahim adalah penyebab kematian wanita terbanyak kedua di Indonesia. Salah satu cara pencegahannya adalah dengan deteksi dini. Untuk mencapai cakupan deteksi dini yang baik perlu peningkatan pengetahuan masyarakat tentang bahaya, faktor risiko, pencegahan, dan deteksi dini.Tujuan Penelitian: Membandingkan efektivitas metode promosi kesehatan dalam meningkatkan pengetahuan dan sikap para kader kesehatan mengenai deteksi dini kanker leher rahim.Metode penelitian: Quasi eksperimental. Subyek adalah kader kesehatan Kecamatan Gedongtengen. Intervensi berupa penyuluhan dengan leaflet atau tanpa leaflet mengenai deteksi dini kanker leher rahim. Desain penelitian adalah pre-test dan post-test. Instrumen penelitian menggunakan kuisioner dengan 30 pertanyaan pengetahuan dan 19 pertanyaan sikap yang dinyatakan sahih dan andal melalui uji korelasi Perason. Uji statistik yang digunakan adalah uji Wilcoxon, Uji Mann Whitney, uji korelasi Pearson dan uji regresi linier berganda.Tempat penelitian: Kecamatan Gedongtengen, Daerah Istimewa YogyakartaHasil: Dari 128 responden, penyuluhan dengan atau tanpa leaflet meningkatkan pengetahuan dan sikap kader kesehatan secara bermakna (p =0,000), tetapi besar peningkatan ini tidak berbeda secara bermakna (p=0,175 dan p=0,740). Variabel luar yang berpengaruh dengan korelasi negatif pada peningkatan pengetahuan adalah penghasilan (p=0,006). Variabel luar yang berpengaruh pada peningkatan sikap dengan korelasi negatif adalah pendidikan (p=0,009).Kesimpulan: Penyuluhan dengan atau tanpa pemberian leaflet tidak berbeda untuk meningkatkan pengetahuan dan sikap kader kesehatan.Kata kunci: deteksi dini; kanker leher rahim; kader kesehatan; promosi kesehatan
Pelayanan keperawatan harus berfokus pada keselamatan pasien baik dalam tatanan rumah sakit, komunitas maupun perawatan di rumah. Penelitian ini bertujuan untuk mendapatkan gambaran tentang hubungan beban kerja perawat pelaksana dengan keselamatan pasien di Rumah Sakit Husada Jakarta. Penelitian ini merupakan penelitian deskriptif korelasi dengan pendekatan restrospective, descriptive cross sectional. Sampel yang digunakan berjumlah 93 data dinas perawat pelaksana dan 93 dokumen rekam medik. Hasil penelitian menunjukkan proporsi beban kerja tinggi pada perawat pelaksana paling banyak pada bulan Januari 53.7%, diikuti oleh bulan Mei 51.6%, Juli 39.8% dan Maret 35.3%. Sedangkan beban kerja adekuat pada perawat pelaksana paling banyak terjadi pada bulan Maret 64.5%, Juli 60,2%, Mei 48,4%, dan Januari 46,2%. Terdapat hubungan yang bermakna antara beban kerja perawat pelaksana dengan keselamatan pasien. Departemen keperawatan harus memperhatikan peningkatan pasien untuk setiap unit keperawatan dan menggunakan data untuk menghitung tenaga keperawatan setiap shift, untuk mengalokasikan tenaga keperawatan, dan mengawasi sebagai jadwal.Perlunya dikembangkan budaya keselamatan dan mengikis budaya menghukum, memilih champion sebagai motor penggerak keselamatan pasien serta tidak membebani perawat dengan pekerjaan non keperawatan. Nursing services should focus on patient safety in both the order of the hospital, community and home care. The purpose of this study is to describe the relationship of nursing workload and patient safety at Husada Hospital Jakarta. This research is descriptive correlation with retrospective approach, descriptive cross sectional. This study used 93 samples of nursing schedule data and 93 patient documents. The result shows that proportion of high nursing workload was in January 53,7%, May 51,6%, July 39,8%, and March 35,3%.Proportion of adequate nursing workload was in March 64,5%, July 60,2%, May 48,4%, and January 46,2%. The proportion of patient safety was 19,4%. There is a significant association between the workload of nurses with patient safety. The department of nursing should assess the trend of patient acuity for each nursing unit and using the data to calculate of nursing personnel every shift, to allocate nursing personnel, and supervise as schedule. Develop the culture of safety and eliminate punitive culture from her unit, choosing the champion for patient safety and eliminate non nursing tasks.
Most midwives in the Cangkringan Community Health Center and Pakem Health Center are not familiar with the symptoms of blues depression. Data shows that in Cangkringan Community Health Center, blues depression occurs 60%, 2 cases due to delayed treatment (the mother almost killed her baby). In the Pakem Health Center area, blues depression occurs at 48.1%, 2 cases experience postpartum depression due to late handling, 1 mother tries suicide. If blues depression is not handled properly and immediately, it would cause postpartum depression, which can cause the worst complications, namely postpartum psychosis. One effort to overcome this is by providing midwife training on early detection and handling of blues depression accompanied by social support. Social support and spiritual training held in six steps (once in a week a during 1,5 months. The tools in this research consist of early detection for blues depression module, social support and spiritual for blues depression prevention, Edinburgh Postnatal Depression Scale questionnaire, knowledge, and skill of blues depression early detection module and social support and spiritual questionnaire. The method in this research use presentation, discussion, role-play, practice, association, and implementation. Analyze data using the quantitative descriptive approach. Research subjects are consist of 47 midwives in the Cangkringan Community Health Center and Pakem Health Center Area and 67 postpartum women in the Cangkringan Community Health Center and Pakem Health Center Area. The results show the average value of blues depression prevention knowledge is 43.45 after training increases 85,20. The average value of blues depression early detection knowledge is 57.56; after training increase 91,27. The average value of Blues depression prevention skills is 36.45, after training increase 80,25, and the average value of blues depression early detection is 51.30, after training increase 90,20. Blues Depression in postpartum women in the Cangkringan and Pakem health centers is 57%. Changes in the average value of knowledge about blues depression control before training were 43.45% to 85.20% after training increased 41.75. Changes in the average value of skills regarding prevention and early detection of blues depression before training amounted to 36.45 to 80.85 after training increased by 44.40. The whole series of training midwives in the Cangkringan Community Health Center and Pakem Health Center Area can improve the knowledge and skills of midwives to overcome blues depression in postpartum women, reduce the incidence of blues depression in postpartum women, and reduce maternal and child mortality due to postpartum mental disorders.
Background: Mortality and morbidity among women during pregnancy and labour are a major problem in poor and developing countries including Indonesia. The prevalence of postpartum hemorrhage is between 2-11% out of all childbirth. Postpartum hemorrhage is the main cause of maternal mortality (28%). Maternal mortality mainly occurs within the first 4 hours after childbirth. Uterus contraction after childbirth greatly minimizes the risk of hemorrhage. Early breastfeeding initiation stimulates the back of hypofiche gland to produce oxytoxin that ignites womb muscle contraction so that the risk for the prevalence of postpartum hemorrhage can be minimized. Objective: To identify the impact of early breastfeeding initiation to the amount of postpartum hemorrhage. Method: The study was observational with prospective cohort design. Subject of the study were normal partum mothers at Sleman Hospital taken using non probability with consecutive sampling technique (62 samples). Data analysis used univariate with frequency distribution and percentage, bivariate with independent t-test and multivariate with linear regression. Result and Discussion: Average amount of blood in postpartum mothers that practised early breastfeeding initiation (EBI) was lower than those without EBI. The average amount of hemorrhage in mothers that practice EBI was 77,26 + 33,6 cc, and in mothers that did not practiced EB was 115,4 +31,0 cc. Average difference in the amount of hemorrhage in the two groups was -38,1 cc. This difference was statistically significant with p<0,05 (p=0,000), 95%CI=-54,6--21,7. External variables, either age, parity or education of mothers, had no significant association with the amount of postpartum hemorrhage (p>0,05). Conclusion: EBI affected the amount of postpartum hemorrhage. Average amount of postpartum hemorrhage in mothers that practiced practised EBI was 38,1 cc less than in those that did not practise EBI.Keywords: postpartum, early breastfeeding initiation, skin to skin contact ABSTRAK Latar Belakang: Mortalitas dan morbiditas pada wanita selama kehamilan dan persalinan adalah masalah besar di negara-negara miskin dan berkembang termasuk Indonesia. Prevalensi perdarahan postpartum adalah 2-11% dari semua persalinan. Perdarahan postpartum merupakan penyebab utama kematian ibu (28%). Kematian ibu terutama terjadi dalam 4 jam pertama setelah melahirkan. Kontraksi rahim setelah melahirkan sangat meminimalkan risiko perdarahan. Inisiasi menyusui dini merangsang bagian belakang kelenjar hypofiche untuk menghasilkan oxytoxin yang memicu kontraksi otot rahim sehingga resiko untuk prevalensi perdarahan postpartum dapat diminimalkan. Tujuan: Untuk mengidentifikasi dampak dari inisiasi menyusui dini terhadap jumlah perdarahan postpartum. Metode: Jenis penelitian ini adalah observasional dengan rancangan kohort prospektif. Subyek penelitian adalah ibu yang melahirkan normal di Rumah Sakit Sleman diambil menggunakan non probability dengan teknik pengambilan sampel berturut-turut (62 sampel). Analisis data yang digu...
Background: The percentage of breastfeeding within the last 24 hours is decreasing with increasing age of the baby with the percentage 6 month babies is only about 30.2%. The percentage Central Java reached 34.38%, the low, and became the 6 th lowest at Indonesia. This is not met with the government's target of 80% in 2010. In Magelang district, the number is decreased from 45.18% in 2011 and 25.6% in 2012. Total coverage of exclusive breastfeeding at Universitas Muhammadiyah Magelang is 13%. Objective: To identify employment mother's experience for exclusive breastfeeding at Muhammadiyah Magelang University. Method: This is a qualitative study, transcendental phenomenological approach. The subjects of this study are employment mother at Muhammadiyah Magelang University who have babies 6-36 months. Data was collected with in-depth interviews, observation, and documentation. Sampling was carried out using purposive sampling technique. Data analysis using 6 stages Colaizzi data analysis. This study began in February 2014-February 2015. Result and Discussion: This study resulted 6 categories: employment mother's experiences for exclusive breastfeeding at work less fun, supporting factors of exclusive breastfeeding is complex, mother's knowledge of exclusive breastfeeding is good, physical, technical, and pshycological preparation were necessary to give exclusive breastfeeding, and expectation of the workplace that support for exclusive breastfeeding. Conclusion: Employment mother's experience for exclusive breastfeeding less fun. Mother's effort to prepare for exclusive breastfeeding such as knowledge, physical, technical, and pshycological. Mother's expectation is workplace that supports exclusive breastfeeding.
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