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PENGARUH FAKTR USIA DAN GRAVIDA IBU TERHADAP PERDARAHAN ANTEPARTUM DI RSUD CILACAP PERIODE TAHUN 2016-2018 Sohimah; Andhi Lestari, Yogi; Hendrawan, Arief
Jurnal Kesehatan Al-Irsyad Vol. 13 No. 1 (2020): Vol. 13, No. 1 Edisi Maret 2020
Publisher : UPT PPM Sekolah Tinggi Ilmu Kesehatan Al Irsyad Al Islamiyyah Cilacap

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (81.574 KB) | DOI: 10.36760/jka.v13i1.51

Abstract

Berdasarkan Laporan World Bank Tahun 2017, dalam sehari ada empat Ibu di Indonesia yang meninggal akibat melahirkan. Angka ini menempatkan Indonesia sebagai Negara dengan angka kematian tertinggi kedua di Asia Tenggara setelah Laos dengan AKI 357 per 100 ribu (WHO,2017). Penyebab kematian Ibu terdiri dari penyebab langsung dan tidak langsung. Penyebab langsung kematian ibu disebabkan karena perdarahan sampai saat ini masih memegang peranan penting sebagai penyeba utama kematian maternal. Perdarahan dapat terjadi disetiap usia kehamilan, pada kehamilan muda ssering dikaitkan dengan abortus, misscariiage, early pregnancy loss. Perdarahan yang terjadi pada umur kehamilan yang lebih tua terutama setelah melewati trimester III disebut perdarahan antepartum. Survey pendahuluan yang dilakukan pada tanggal 4 Januari 2019 dan didukung data pada Profil Dinas Kesehatan Kabupaten Cilacap, Kematian ibu selama tahun 2016 sebanyak 25 kasus, 2017 sebanyak 20 kasus dan 22 kasus selama Tahun 2018. Penyebab kematian ibu sebagian besar terjadi pada saat persalinan dan segera setelah persalinan yaitu perdarahan (30,37%), eklampsia (32,97%), infeksi (4,34%), Gangguan sistem peredaran darah 8%, Gangguan metabolism 4,34 %, dan lain-lain 0,87 % . Tujuan dari penelitian ini adalah untuk Mengetahui Pengaruh Usia dan Gravida Ibu terhadap kejadian perdarahan antepartum di RSUD Cilacap Tahun 2016 – 2018. Desain penelitian ini adalah deskriptif analitik dengan metode pendekatan case control yang bertujuan mengetahui analisis Pengaruh fektor usia dan Gravida ibus terhadap kejadian perdarahan antepartum di RSUD Cilacap. Tekhnik pengambilan sampel pada penelitian ini adalah dengan total sampling dengan kriteria inklusi rekam medik lengkap. Uji statistik yang digunakan adalah Chi-Square. Hasil Penelitian: Berdasarkan hasil analisis Faktor usia ibu berpengaruh terhadap kejadian perdarahan antepartum dengan p value 0.001. Faktor gravida berpengaruh terhadap kejadian perdarahan antepartum dengan p value 0.000. Faktor usia merupakan faktor yang paling berisiko terhadap kejadian perdarahan antepartum, dengan OR: 2,098. Kesimpulan: Usia ibu yang berisiko berpengaruh 2.098 kali lebih besar terhadap perdarahan antepartum dibanding dengan usia yang tidak berisiko Key Word : Gravida, Perdarahan Antepartum, Usia Ibu
The EFFECTIVENESS OF USE OF POSTERS AS A HEALTH PROMOTION MEDIA ON SELF CARE MANAGEMENT KNOWLEGDE OF DEGENERATIVE JOINT DISEASE IN ELDERLY: EFEKTIFITAS PENGGUNAAN POSTER SEBAGAI MEDIA PROMOSI KESEHATAN TERHADAP PENGETAHUAN SELF CARE MANAGEMENT PENYAKIT DEGENERATIF SENDI INSAN LANJUT USIA Dwi Setiyawati; Hendrawan, Arief
Jurnal Kesehatan Al-Irsyad Vol. 14 No. 2 (2021): Vol. 14, No. 2 Edisi September 2021
Publisher : UPT PPM Sekolah Tinggi Ilmu Kesehatan Al Irsyad Al Islamiyyah Cilacap

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (50.426 KB) | DOI: 10.36760/jka.v14i2.296

Abstract

The COVID-19 pandemic has created anxiety and concern for the public to visit health facilities. Efforts are needed to continue to provide knowledge to the public about physical health and degenerative disease, especially at this time. One of the promotive effort to increase public health understanding is the use of health promotion media. The use of health promotion media is very effective to increase the level of public konwlegde. This studi aims to ditermine the effectiveness of using posters as a medium for health promotion on knowlegde of self care management of degenerative diseases of the elderly. The research method that will be applied is analytical description research with purposive sampling technique. The research design is one group pretest-posttes. The study was conducted from March to July 2020 on 21 respondents from the Nurul Huda Taqlim Assembly in Menganti Village, Kesugihan District, Cilacap Regency. The data analysis technique used paired sample t test. The result showed that the effectiveness of the use of posters as a medoum for health promotion on self care managemen knowlegde of degenerative joint disease in elderly people (p=0,001)
Deteksi Dini Gangguan Postur Melalui Peningkatan Life Skill Education Dokter Kecil Hendrawan, Arief; Setiyawati, Dwi
Aksiologiya: Jurnal Pengabdian Kepada Masyarakat Vol 4 No 2 (2020): Agustus
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/aks.v4i2.3300

Abstract

ABSTRAK Pengabdian kepada masyarakat yang dilakukan berfokus pada peningkatan life skill education dokter kecil untuk melakukan deteksi dini pencegahan gangguan postur. Kegiatan dilaksanakan di SDN Jangrana Kecamatan Kesugihan Kabupaten Cilacap pada bulan Maret – April 2019. Metode pelaksanaan kegiatan adalah pemaparan materi dan pemberian pelatihan tentang gangguan postur tubuh serta deteksi dini gangguan postur tubuh. Peserta kegiatan adalah 10 orang dokter kecil yang ditunjuk oleh pihak sekolah sebagai perwakilan. Hasil dari kegiatan ini didapatkan peningkatan pengetahuan dan peningkatan kemampuan deteksi dini gangguan postur oleh peserta kegiatan.Kata Kunci: deteksi; postur; anakEarly Detection of Posture Disorders through Increased Life Skill Education of Little DoctorsABSTRACKThe activities carried out focus on improving the life skills of small doctors to detect early prevention of posture disorders. The activity was carried out at SDN Jangrana Kesugihan District, Cilacap Regency in March - April 2019. The method of implementing the activity was the presentation of material and the provision of training on postural disorders and early detection of postural disorders. The participants were 10 small doctors who were appointed by the school as representatives. The results of this activity obtained an increase in knowledge and increased ability to detect postural disorders early by the activity participants.Keyword: detection; postur; child
Physiotherapy Management for Pulmonary and Neuromuscular Disorders in Post-Craniotomy Patients: A Case Study Dwi, Setiyawati; Hendrawan, Arief; Sohimah
SAINS INDONESIANA Vol. 3 No. 4 (2025): Vol. 3, No. 4 Edisi Agustus 2025
Publisher : Gamma Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Background:Post-craniotomy patients often experience pulmonary complications due to immobility and decreased consciousness, as well as neuromuscular impairments such as hemiplegia and spasticity that hinder functional recovery. Objective: To evaluate the effects of integrated physiotherapy interventions on respiratory function, neuromuscular performance, and functional independence in a post-craniotomy patient. Methods: A single-case study was conducted on a 61-year-old male post-craniotomy patient with right hemiplegia, spasticity, and excessive sputum production. The intervention was delivered 5 times/week for 12 weeks and included breathing exercises, airway clearance techniques, positional changes, passive-active mobilization, proprioceptive neuromuscular facilitation (PNF), and functional training. Outcomes measured included SpO₂, sputum volume, respiratory rate, Borg Dyspnea Scale, Modified Ashworth Scale, Brunnstrom Recovery Stage, Functional Independence Measure, and mobility time. Results: SpO₂ improved from 92% to 96%, sputum volume decreased from 25 ml to 8 ml/day, spasticity decreased (MAS from 3 to 1), BRS improved (stage 2 to 4), and FIM score increased from 35 to 72. Conclusion: Integrated physiotherapy interventions effectively improved pulmonary function, reduced spasticity, enhanced motor ability, and accelerated independence in a post-craniotomy patient, suggesting their potential inclusion in multidimensional rehabilitation protocols for similar cases.