AbstrakRasa nyeri persalinan yang tinggi dapat menimbulkan kecemasan pada ibu, terutama pada ibu primigravida. Nyeri yang tidak bisa diadaptasi oleh ibu yang akan melahirkan dapat meningkatkan perasaan cemas pada ibu, rasa cemas tersebut dapat menyebabkan terjadinya persalinan yang lama, sehingga kekuatan ibu akan habis saat persalinan yang berakibat terhadap kejadian perdarahan serta kala II lama. Tujuan penelitian ini untuk mengetahui pengaruh pijat terhadap pengurangan rasa nyeri persalinan fase aktif, lama kala II, dan perdarahan persalinan pada primigravida di Puskesmas Magelang Selatan. Penelitian ini merupakan penelitian desain kuasi eksperimental bentuk perbandingan kelompok statistik, yaitu memberikan perlakuan atau intervensi, kemudian dilakukan pengukuran atau observasi. Hasil pengukuran pada kelompok perlakuan dibandingkan dengan kontrol. Skala rasio digunakan. Subjek penelitian sebanyak 40 orang. Analisis data dengan uji Mann Whitney didapatkan hasil ada pengaruh pijat punggung terhadap adaptasi rasa nyeri persalinan fase aktif, lama persalinan kala II dan perdarahan persalinan pada primigravida dengan nilai p= 0,001. Kata kunci: Nyeri persalinan, pijat punggung, primigravida AbstractSevere labour pain can cause anxiety especially in primigravida. Many mothers who experience labour have not got action yet to minimize labour pain, If labour pain cannot be decreased, it will cause mother anxiety, that anxiety result in long labour, so energy will decrease that can cause labour bleeding. Therefore it is needed to take action to minimize labour pain. One of that action was back massage that could stimulate endorphine, so the pain will decrease. The objectives of this study was to know the influence of massage towards the decrease of labour pain in active fase, lenght of stage II, and labour bleeding in primigravida at Publich Health Center Magelang Selatan. Quasi-experimental design was applied with static group comparation. The design gave intervention, then measurement and obser- Pengaruh Pijat Punggung terhadap Adaptasi Nyeri Keywords: Labour pain, back massage, primigravida PendahuluanPersalinan merupakan proses membuka dan menipisnya serviks sehingga janin turun ke dalam jalan lahir. 1 Kejadian itu terjadi seiring dengan otot-otot rahim yang berkontraksi. Pada saat terjadi kontraksi di rahim, kepala janin bergerak melewati jalan lahir yang menyebabkan tekanan pada kandung kemih, rektum, tulang belakang dan tulang pubik yang juga menyebabkan terjadinya rasa nyeri pada ibu. 2 Nyeri persalinan dapat memengaruhi kontraksi uterus melalui sekresi kadar katekolamia dan kortisol yang menaikkan aktivitas sistem saraf simpatis, perubahan tekanan darah, denyut jantung, pernapasan dan akibatnya memengaruhi lama persalinan. Nyeri juga dapat menyebabkan aktivitas uterus yang tidak terkoordinasi yang akan mengakibatkan persalinan lama. Adapun nyeri persalinan yang berat dan lama dapat memengaruhi verifikasi sirkulasi maupun metabolisme yang harus segera diatasi karena dapat menyebabkan kematian. 3 Rasa nyeri per...
Background : Breast cancer is a type of malignant cancer that attacks women. The highest prevalence in Indonesia that attacks adolescence, this shows that knowledge is still low in young women about the importance of preventing breast cancer.Purpose : This study aimed to determine the level of knowledge of young women before and after being given health education about breast cancer.Methods : This type of research is quantitative research with research design using Quasi-Experimental. The instrument used for knowledge is a questionnaire. The sampling technique in this study used total sampling with a sample size of 84. Processing data used the Wilcoxon statistical test.Result : This study shows that the level of knowledge before health education 47.62% of girls have sufficient level of knowledge and the level of knowledge after health education 72.62% knowledge of adolescent girls in good categories, from the results of Wilcoxon statistical tests of knowledge before and after health education obtained grades p value 0.000 (p <0.05).Conclusion : There is an influence of health education on the level of knowledge about breast cancer. Keywords : Breast cancer, knowledge, health education.
Android Based Diabetic Manager (ABDM) is an application used for diabetic patients to control their diet. This application is an easy way to remind them in consuming foods and giving them alert when its necessary calories have been achieved. This study was conducted in response to technological developments in the Era 4.0 to help people with Type 2 Diabetes Mellitus through diet control that can be done independently. This study was conducted in the city of Magelang aimed to evaluate whether using ABMD was effective to improve patients adherence in their diet and to control their blood glucose levels. This experimental study was using pre test and post test with control group design. By using simple random sampling, 52 people suffering from Type 2 Diabetes Mellitus recruited in this study devided into two groups, ABDM group and control group. The Pearson Chi-Square test result showed that there was significantly different between ABDM group and control group in the status of blood glucose control and patient adherence with p value was 0.048and 0.000 respectively (p value <0.05). This result indicated that H0 was rejected and H1 was accepted, which could be interpreted that Android based Diabetic Managerapplication influenced the status of blood sugar control and improved the patient adherence in managing their diet. Android based Diabetic Managerapplication influenced the status of blood sugar control and improved the patient adherence in managing their diet. Recomendation was made to conduct future study in the wider Diabetes community by adding more complete types of menu list and its variations in the Android based Diabetic Manager.
The research entitled this background is based on a preliminary study conducted by researchers in Tidar Magelang Selatan village, that the population of women aged 45-59 experienced some anxiety facing menopause. Anxiety occurs due to various reasons, one of which is the absence of family support.The purpose of this study was to determine the relationship between family support and anxiety in facing menopause in premenopausal mothers in Tidar Village, South Magelang.The research method used is cross sectional through data collection from 62 questionnaires distributed to 62 respondents. This study conducted an expert validity test with three experts. Univariate and bivariate data analysis. The statistical test used is the contingency coefficient test by including a 2 x 2 contingency table and using a significance level of 0.05.The results of statistical tests show the chi square value of 7.468 and a significance level of 0.006, this means that family support is needed for mothers who are facing premenopausal anxiety with a strong enough relationship. From this study it can be concluded that the existence of family support can reduce the anxiety experienced by premenopausal mothers when facing menopause. It is hoped that midwives can provide health education to families regarding the importance of family support for premenopausal mothers to reduce anxiety in mothers who are facing menopause.
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