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ASUHAN KEPERAWATAN POST PARTUM DENGAN PIJAT OKSITOSIN UNTUK PENINGKATKAN PRODUKSI ASI DIRUANGAN MERANTI RSU TORABELO Sridani, Ni Wayan; Asia, Nur; Palesa, Hayati
Medika Tadulako: Jurnal Ilmiah Kedokteran Fakultas Kedokteran dan Ilmu Kesehatan Vol 6, No 2 (2019)
Publisher : Medika Tadulako: Jurnal Ilmiah Kedokteran Fakultas Kedokteran dan Ilmu Kesehatan

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ABSTRACTÂ According to Indonesian health departemen, Achievement of breastfeeding in postpartum mother in Indonesia have decreased on past three years, on 2015 was 55,7%, 20016 was 54,0%, and on 2017 was 35,73%(Indonesia health profile 2015,2016, and 2017). And in central of Sulawesi also have an decreased for past three years, on 2015 was 55,4%, on 2016 was 43,3% and on 2017 was 23,91% (Indonesia health profile 2015, 2016, 2017). From that documents can be seen that happened a decreased from a breastfeeding mother in nationally or in central Sulawesi, one of the causes of that decreasment is mother psikological like stress and worried. Therefor one of a nursing action to decrease the stress is doing an Oxytocin Massage. The purpose of that researched are to describe a nursing care in post partum patient with giving a oxytocin massage to increased the production of breast milk. The case of study method with two patient who has a same problem,The result after doing the oxytocin massage in patient number 1 and patient number 2 on the first and second day do not have yet a production of breast milk. On day 2 patient starts to producing a breast milk and on the day 3 milk producing is getting smoother. The conclution of the oxytocin massage is effective to giving a comfort feeling in post partum patient so from that confortable feelings will stimulate of hormone oxytocin and prostaglandin that can help the production of breast milk. The suggest from nurse is always socialize and benefits and how to do an oxytocin massage to their family members so they can do it by self to helping increased a breast milk and the mother can give a breastfeeding to their children.Â Keywords: Oxytocin massage, breast milk production decreased, postpartumÂ Â Â Â Â Â Â Â Â Â ABSTRAKÂ Menurut Departemen Kesehatan RI, pencapain pemberian ASI esklusif pada ibu post partum di Indonesia megalami penurunan pada tiga tahun terahkir, pada tahun 2015 sebanyak 55,7%, tahun 2016 sebanyak 54,0 %, dan tahun 2017 sebanyak 35,73%.(Propil Kesehatan Indonesia 2015,2016 dan 2017). dan di provinsi Sulawesi tengah juga mengalami penurunan pada tigatahunterahkir, padatahun 2015sebanyak 55,4%, tahun2016 sebanyak43,3%, tahun 2017sebanyak 23,91%. (Propil Kesehatan Sulteng 2015,2016 dan 2017). Melihat dari data tersebut diatas terjadi penurunan pemberian Asi Ekslusif baik secara NasionalÂ Â maupun di Sulawesi Tengah, salah satu penyebab kurangnya produksi Asi adalah keadaan psikologis ibu seperti stress dan cemas. Oleh karena itu salah satu tindakan keperawatan yang bisa dilakukan untuk mengurangi cemas atau stress adalah denganÂ melakukan pijat oksitosin. Tujuan penelitian mampuÂ mendeskripsikan asuhan keperawatan pada pasien post partum dengan pemberian tindakan pijat oksitosin untuk peningkatan produksi ASI. Metode studi kasus dengan 2 pasien yang memiliki masalah yang sama.Â Â Â Â Â Â Â Â Â Â Â Hasil yang di peroleh setelah dilakukan pijat oksitosin pada pasien1 dan pasien 2 yaitu pada hari pertama kedua pasien belum memiliki produksi ASI, hari kedua pasien sudah mulai memproduksi ASI dan pada hari ketiga produksi ASI sudah semakin lancar,Kesimpulan pijat oksitosin sangat efektif untuk memberikan rasa nyaman pada pasien post partum sehingga dengan pasienÂ rileks akan merangsang pengeluaran hormone oksitosin dan prostaglandin yang dapat membantu produksi ASI. Saran perawat selalu mensosialisasikan manfaat danÂ melatih cara melakukan pijat oksitosin pada keluarga sehingga mereka bisa melakukannya secara mandiri untuk membantu peningkatan produksi ASI sehingga ibu bisa memberikan ASI ekslusif.Â Kata kunci: Pijat Oksitosin, Produksi ASI Kurang, Post Partum

HUBUNGAN PRILAKU SEKSUAL DAN KEBERSIHAN ALAT REPRODUKSI EKSTERNAL DENGAN KEJADIAN PENYAKIT MENULAR SEKSUAL PADA USIA REMAJA DI WILAYAH KERJA PUSKESMAS TALISE KOTA PALU Palesa, Hayati; Sridani, Ni Wayan; Adawiyah, Rabiatul
Medika Tadulako: Jurnal Ilmiah Kedokteran Fakultas Kedokteran dan Ilmu Kesehatan Vol 6, No 3 (2019)
Publisher : Medika Tadulako: Jurnal Ilmiah Kedokteran Fakultas Kedokteran dan Ilmu Kesehatan

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ABSTRAKPerilaku seksual dan kebersihan alat reproduksi eksternal denganÂ kejadian penyakit menular seksual (PMS) pada Usia remaja di wilayah kerja Puskesmas Talise Kota Palu. Penyakit menular seksual (PMS) Merupakan penyakit yang ditularkan terutama melalui hubungan seksual, Kejadian PMS remaja terbanyak di wilayah kota palu yaitu Puskesmas Talise berjumlah 1,172 kasus. Yang di obati hanya 417 kasus.Â Â Tujuan penelitian ini Untuk menganalisis Hubungan Perilaku seksual dan kebersihan alat reproduksi eksternal pada usia remaja di wilayah kerja Puskesmas talise Kota Palu. Jenis penelitian merupakan rancangan penelitian case control. Jumlah sampel sebanyak 84 Responden. Tehnik pengambilan sampel accidental sampling. Analisis data menggunakan Chy Square. Hubungan prilaku seksual denganÂ kejadian penyakit menular seksual (PMS) pada Usia remaja di tambah nilai p valueÂ 0,006Â (Î± = 0,005). Hubungan kebersihan alat reproduksi eksternal denganÂ kejadian penyakit menular seksual (PMS) pada Usia remajaÂ di tambah niali p valueÂ 0.016Â (Î± = 0,005). KesimpulanÂ penelitian ini adalah ada hubungan antara prilaku seksual dan kebersihan alat reproduksi eksternal dengan kejadian penyakit menular seksual (PMS) pada usia remaja di wilayah kerja Puskesmas Talise Kota Palu. Saran bagi Instansi terkait untuk perbaikan perencanaan maupun implementasi program kesehatan reproduksiKata kunci: Prilaku seksual,Kebersihan alat reproduksi eksternal.ABSTRACTRelationship betweenÂ sexual behavior and cleanliness of external reproductive devices with the incidence of sexually transmitted diseases (STDs) in adolescents in the workingÂ area of the Palu City Health Center Talise. Sexually transmitted diseases (STDs) Is a disease that is transmitted primarily through sexual intercourse, the highest incidence of adolescent STDs in the hammer city area, namely the Talise Health Center totaling 1,172 cases. Only 417 cases were treated. The purpose of this study was to analyze the relationship betweenÂ sexual behavior andÂ cleanliness of external reproductive devices in adolescence in the working area of the Talise Health Center in Palu City. This type of research is a case control research design. The number of samples was 84Â respondents. Accidental sampling technique for sampling.Data analysis using Chy Square. The relationship of sexual behavior with the incidence of sexually transmitted diseases (STDs) in adolescents added a p value of 0.006 (Î± = 0.005). The relationship between the cleanliness of external reproductive devices with the incidence of sexually transmitted diseases (STDs) in adolescents is added to the value of p value 0.016 (Î± = 0.005). The conclusion of this study is that there is a relationship between sexual behavior and cleanliness of external reproductive devices with the incidence of sexually transmitted diseases (STDs) in adolescence in the working area of the Palu City Talise Health Center. Suggestions for related institutions to improve the planning and implementation of reproductive health programsKeywords: sexual behavior, cleanliness of external reproductive devices.

FAKTOR â€“ FAKTOR YANG BERHUBUNGAN DENGAN PENDERITA HIPERTENSI DI RSU ANUTAPURA PALU PROVINSI SULAWESI TENGAH Palesa, Hayati; Wayan Sridani, Ni
Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Vol. 5 No. 2 (2019)
Publisher : Universitas Tadulako

Hipertensi didefinisikan sebagai peningkatan tekanan darah sistolik di atas 140 mmHg atau tekanandiastolik diatas 90 mmHg. Prevalensi di Indonesia menurut Riskesda 2018 mengalami kenaikan dibandingkan tahun 2013, Hipertensi naik 25,8% menjadi 34,1%. Jenis penelitian yang dipergunakanadalah analitik dengan pendekatan observasi dan rancangan Cross sectional. Pada penelitian inipenderita penyakit hipertensi sebagai variabel terikat dan riwayat keluarga, umur, jenis kelamin, danmerokok sebagai variabel bebas yang diukur secara bersama, Sampel dalam penelitian ini berjumlah44 responden Hasil Analisa Bivariat: Hubungan antara tingkat hipertensi dan Umur menunjukkanbahwa XÂ² hitung < XÂ² tabel yaitu 0,29 < 3,84. Hubungan antara tingkat hipertensi dan jenis kelaminmenunjukkan bahwa XÂ² hitung > XÂ² tabel yaitu 4,48 > 3,84. Hubungan antara tingkat hipertensi dankebiasaan merokok, menunjukkan bahwa XÂ² hitung < XÂ² tabel yaitu 2,22 < 3,84. Hubungan antaratingkat hipertensi dan riwayat keturunan menunjukkan bahwa hipertensi berat). Berdasarkan hasilperhitungan chi kuadrat menunjukkan bahwa XÂ² hitung > XÂ² tabel yaitu 4,96 < 3,84. Hubungan antaratingkat hipertensi dan umur, menunjukkan bahwa tidak ada hubungan yang bermakna. Hubunganantara tingkat hipertensi dan jenis kelamin menunjukkan bahwa ada hubungan bermakna antara jeniskelamin dengan tingkat hipertensi. Hubungan antara tingkat hipertensi dan kebiasaan merokok,menunjukkan bahwa tidak ada hubungan bermakna. Hubungan antara tingkat hipertensi dan riwayatketurunan menunjukkan bahwak ada hubungan bermakna antara riwayat keturunan hipertensi dengantingkat hipertensi.

KORELASI PENGETAHUAN DAN SIKAP KEPALA KELUARGA PENGENDALIAN TEKANAN DARAH DI RT. 2 RW. 1 KELURAHAN KAWATUNA Ni Wayan Sridani
Medika Tadulako: Jurnal Ilmiah Kedokteran Fakultas Kedokteran Vol. 8 No. 1 (2023): Maret
Publisher : Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/mtj.v8i1.615

Hipertensi sekarang menjadi masalah utama kita semua, tidak hanya di Indonesia tetapi juga di dunia, karena hipertensi ini merupakan salah satu pintu masuk atau factor risiko terjadinya penyakit jantung, gagal ginjal, diabetes dan stroke. Untuk dapat memahami factor risiko ini dengan baik maka diperlukan pengetahuan dan sikap yang baik tentang hipertensi. Tujuan penelitian ini adalah untuk menganalisis korelasi antara pengetahuan dan sikap dengan pengendalian tekanan darah di RT 02 RW 01 Kelurahan Kawatuna. Dengan metode penelitian survei analitik dengan pendekatan Cross Sectional Study. Dan Data dianalisis dengan bantuan software Statistical Packages for Social Sciences (SPSS) release 23.0 for Windows. Dilakukan analisis deskriptif yang menampilkan nilai frekuensi dan persentase lalu dilanjutan dengan analisis inferensial menggunakan uji spearman rank untuk mengetahui korelasi antar variabel. Hasil uji memperlihatkan nilai p < 0.05 dengan koefisien korelasi 0.465 yang berarti bahwa terdapat korelasi positif yang bermakna antara pengetahuan dengan pengendalian hipertensi, sedangkan hasil uji spearman rank yang memperlihatkan nilai p > 0.05 dengan koefisien korelasi -0.028 yang berarti bahwa tidak terdapat korelasi yang bermakna antara sikap dengan pengendalian hipertensi.

INTERVENSI TERAPI KOMPRES AIR HANGAT UNTUK MENGURANGI NYERI PADA PENDERITA HIPERTENSI DI WILAYAH PUSKESMAS TINGGEDE KECAMATAN MARAWOLA KEBUPATEN SIGI Ni Wayan Sridani; Parmin; Hayati; Tiara Tilana
Medika Tadulako: Jurnal Ilmiah Kedokteran Fakultas Kedokteran Vol. 8 No. 2 (2023): Oktober
Publisher : Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/mtj.v8i2.1103

Innovative Approach: Exploring the Efficacy of Red Ginger Infusion Therapy in Hypertension Management Sridani, Ni Wayan; Muh Sabir; Fauzan; Ratna Devi; Arifuddin, Adhar; Rahman, Abd; Nur, A Fahira
Public Health of Indonesia Vol. 11 No. 1 (2025): January - March
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v11i1.824

Background:Hypertension is a serious global health issue due to its rising prevalence and its link to severe cardiovascular diseases. Red ginger (Zingiber officinale var. rubrum)infusion therapy has gained attention as a potential natural treatment for high blood pressure because of its active compounds, such as gingerols and shogaols, which have anti-inflammatory and vasodilatory effects. Objectives:This study investigates the effectiveness of red ginger infusion therapy in reducing hypertension among residents of Kawatuna Village, where hypertension rates reached 12.2% in 2022. Given the community’s dietary habits and limited healthcare access, alternative treatments like this are important for managing blood pressure. Methods:The study used a Quasi-Experimental design with a Pretest-Posttest Control Group approach. A total of 66 participants were divided into an experimental group and a control group. The experimental group consumed red ginger infusion daily for seven days, while the control group received no intervention. Blood pressure was measured before and after the intervention. Results:The results showed a significant decrease in blood pressure in the experimental group. Systolic pressure dropped by an average of 24 mmHg and diastolic pressure by 11 mmHg (both p<0.001). In contrast, the control group had only slight changes, with a decrease of 0.17 mmHg in systolic pressure and 1.1 mmHg in diastolic pressure. These findings suggest that red ginger infusion therapy can effectively lower blood pressure in the short term. However, the small sample size and short duration of the study highlight the need for further research. Future studies should explore the specific mechanisms behind red ginger’s effects and assess its long-term safety and efficacy. Addressing lifestyle factors, like the high consumption of coconut milk in Kawatuna, through health education programs could also improve hypertension management. Conclusion:Red ginger infusion therapy shows promise as a complementary treatment for hypertension, but more comprehensive studies are needed to confirm its long-term benefits. Keywords: red ginger; hypertension; infusion therapy, blood

Risk Perception and Vaccination Decision: Attitudes of Parents of Children Aged 6-12 Years towards COVID-19 Vaccination Fauzan; Sukrang; Khairiyah, Mursyidah; Devi, Ratna; Sridani, Ni Wayan; Rahman, Abd; Arifuddin, Adhar; Nur, A Fahira
Public Health of Indonesia Vol. 11 No. 1 (2025): January - March
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v11i1.868

Background:The COVID-19 pandemic has highlighted the critical role of vaccination in mitigating the transmission of infectious diseases. However, parental attitudes toward COVID-19 vaccination are pivotal in determining the vaccination uptake among children. Understanding the factors that influence these attitudes is essential for the development of effective vaccination strategies. Objectives:This study aimed to identify the factors influencing parental attitudes toward COVID-19 vaccination in children aged 6-12 years. Methods:A cross-sectional study was conducted among parents of children aged 6-12 years. Data on parental attitudes toward COVID-19 vaccination, along with various demographic variables, were collected via structured interviews. Multivariate logistic regression analysis was utilized to identify significant predictors of parental attitudes toward vaccination. Results:The findings revealed several factors significantly associated with parental attitudes toward COVID-19 vaccination. Notably, perceptions regarding the halal status of the vaccine, family support, and parental anxiety were found to significantly influence these attitudes. Parents who considered the vaccine to be halal and who received strong family support were more likely to endorse vaccination. Conversely, higher levels of anxiety were negatively associated with vaccination support. Conclusions:These results highlight the importance of addressing perceptions regarding the halal status of the vaccine, enhancing family support, and alleviating parental anxiety to promote COVID-19 vaccination in children aged 6-12 years. Public health interventions should focus on providing clear, reliable information regarding vaccine halal status, fostering family discussions to encourage vaccination, and offering psychological support to reduce parental anxiety. These strategies are crucial for improving vaccination uptake and achieving herd immunity against COVID-19. Keywords:COVID-19 vaccination; parental attitudes; halal perception; family support; anxiety

Connection Knowledge and Attitude Mother to Giving Breastfeeding Compound Food in Infants Aged Less Than 6 Months in Region Kawatuna Public Health Center, Palu City Andi Mariani; Niwayan Sridani; Fauzan Fauzan; Ratna Devi; Hayati Palesa
International Journal of Health and Social Behavior Vol. 2 No. 2 (2025): May: International Journal of Health and Social Behavior
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/ijhsb.v2i2.405

Background: Providing complementary foods too early for infants under 6 months of age is an indicator that the mother has failed to provide exclusive breastfeeding, which has an impact on the low coverage of exclusive breastfeeding. The purpose of this study was to determine the relationship between maternal knowledge and attitudes towards providing complementary foods for infants under 6 months of age in the Kawatuna Health Center Work Area, Palu City.Method: This type of research is descriptive research. The method used is a descriptive correlational method which is a study that is directed to explain the relationship between two variables. Namely the independent variable with the dependent variable. The number of samples is 26 using the Slovin formula. Data collection uses a questionnaire.Results: The results of the study showed that 26 respondents. Mothers with good knowledge were 6 respondents (26.0%) in good maternal attitudes where maternal knowledge is an important aspect of good growth and development and mothers with good knowledge about maternal attitudes will fulfill the provision of Complementary Food for Breast Milk Well while mothers with less knowledge were 7 respondents (49.7%).Conclusion: This study states that there is a relationship between knowledge and attitudes of mothers regarding the provision of Complementary Foods in the Kawatuna Work Area. The results of the chi square test analysis show that the P value = 0.000 because the P value ≤ 0.05 then Ha is accepted and H₀ is rejected, meaning that there is a relationship between knowledge and attitudes of mothers.

The Effect of Education on Knowledge Levels of Proper Tooth Brushing Among Grades 1–3 Students of Banawa Elementary School, Donggala Regency Andi Mariani; Hayati Palesa; Rahma Badaruddin; Warihan Unok; Ni Wayan Sridani
International Journal of Medicine and Health Vol. 4 No. 3 (2025): September : International Journal of Medicine and Health
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijmh.v4i3.5933

Teeth and mouth are the first part of the digestive system, where germs and bacteria can enter and cause health problems. Teeth are also part of the body. Tooth decay can affect the health of other body parts, which can disrupt daily activities. Brushing your teeth plays a very important role in preventing the development of bacteria that can cause tooth decay. Therefore, effective educational efforts are needed to care for teeth by brushing your teeth at least twice a day at the right time, in the morning after breakfast and at night before bed. The behavior of eating sticky and sweet foods can affect the occurrence of tooth decay. One method that is considered effective is education that can increase knowledge about how to brush your teeth properly. The purpose of this study was to analyze the effect of providing education on how to brush your teeth properly and correctly to increase the knowledge of elementary school children. This study used a quasi-experimental research method (Quasi Experimental Design), a pre-experimental design with a pre-post design Single group that is quantitative. The population in this study was 55 people. The research sample was 35 people using the Slovin formula with a margin of error (0.1). with a significance level of p <0.05.

Health literacy pencegahan hipertensi terhadap perilaku pengontrolan tekanan darah pada dewasa muda di Desa Nambaru Kec. Parigi Selatan Sridani, Ni Wayan; Fauzan; Palesa, Hayati; Devi, Ratna; Wirda
Medika Tadulako: Jurnal Ilmiah Kedokteran Fakultas Kedokteran Vol. 9 No. 1 (2024): Maret
Publisher : Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/mtj.v9i1.1267

Dikatakan hipertensi jika pada saat duduk tekanan darah sistolik mencapai 140 mmHg atau lebih dan tekanan darah diastolic mencapai 90 mmHg atau lebih (Kemenkes RI,2018). Data hipertensi di puskesmas Sumbersari pada tahun 2021 sebanyak 1533 penderita dan tahun 2022 sebanyak 2548, dimana pada tahun ini juga kasus hipertensi menempati urutan ke 2 (dua) dari 10 penyakit terbanyak di puskesmas Sumbersari. Tujuan penelitian: Untuk melihat gambaran Health Literacy Pencegahan Hipertensi terhadap Perilaku Pengontrolan Tekanan Darah Pada Dewasa Muda. Metode penelitian yaitu kuantitatif dengan studi cross-sectional, dan desain penelitian adalah observasional-analitik dimana hal-hal yang akan diobservasi yaitu health literasi mengakses informasi penyakit hipertensi, kemampuan memahami informasi penyakit hipertensi dan kemampuan menilai pencegahan penyakit hipertensi terhadap perilaku mengontrol tekanan darah pada masyarakat dewasa muda. Dengan analisis data secara bivariat menggunakan uji Chi Square pada tingkat signifikansi p=0,05. Populasi dalam penelitian ini adalah seluruh masyarakat desa Nambaru Dusun 1, usia 17 – 55 tahun sebanyak 150 orang, dengan sampel total populasi yaitu 150 resonden. Waktu penelitian adalah Maret – Juni 2023. Hasil uji statistic yang tidak signifikan dengan nilai p>0.05 sehingga dapat dikatakan bahwa hubungan health literacy pencegahan hipertensi dengan perilaku mengontrol tekanan darah pada dewasa muda tidak bermakna secara statistik. Hal ini dikarenakan distribusi data yang memperlihatkan bahwa dari 82 responden dengan tingkat literacy kurang, hanya 48 orang (58.5%) yang tidak melakukan pengontrolan TD sedang sisanya yakni 34 orang (41.5%) tetap melakukan pengontrolan tekanan darah. Selain itu, dari 6 responden dengan tingkat literacy yang baik, hampir semua (83,3%) yang tidak melakukan pengontrolan tekanan darah. Dari data diatas, dapat disimpulkan bahwa tingkat literacy yang kurang maupun baik tidak berkaitan dengan perilaku mengontrol Tekanan Darah.

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