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TINGKAT KECEMASAN IBU HAMIL TERHADAP KUNJUNGAN ANTENATAL CARE DI MASA PANDEMI COVID-19 Sulistyowati, Nining; Trisnawati, Yeti
Jurnal Kebidanan VOLUME 13. NO.01, JUNI 2021
Publisher : Sekolah Tinggi Ilmu Kesehatan Estu Utomo Boyolali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35872/jurkeb.v13i01.423

Abstract

ABSTRAKLatar belakang: Pandemi Covid-19 menyebabkan banyak pembatasan hampir ke semua layanan rutin termasuk pelayanan kesehatan maternal dan neonatal. Ibu hamil menjadi enggan ke puskesmas atau fasiltas pelayanan kesehatan karena takut tertular, adanya anjuran menunda pemeriksaan kehamilan dan kelas ibu hamil Kurangnya kunjungan ANC ini bisa menyebabkan bahaya bagi ibu maupun janin seperti terjadinya perdarahan saat masa kehamilan karena tidak terdeteksinya tanda bahaya. Tujuan penelitian: Untuk menganalisis kecemasan ibu hamil terhadap kunjungan antenatal care di masa pandemic covid-19. Metode: Penelitian analitik dengan rancangan cross sectional. Penelitian dilakukan di Praktik Mandiri Bidan di Kota Tanjungpinang dari bulan Januari – Februari 2021. Populasi seluruh ibu hamil TM III yang terdata di Praktik Mandiri Bidan di Kota Tanjungpinang dengan sampel sebanyak 32 responden. Teknik purposive sampling dengan kriteria antara lain ibu hamil dengan usia kehamilan trimester III, mampu mengungkapkan perasaan dan kecemasannya, mempunyai handphone dan nomor whatsapp, memiliki Buku KIA serta skor L-MMPI (Lie-Score Minnesota Multiphase Personality Inventory) <10. Hasil penelitian: Hasil uji statistik chi square diperoleh nilai p 0,016 (p<0,05) disimpulkan ada hubungan antara tingkat kecemasan ibu hamil dengan kunjungan antenatal care ke fasilitas pelayanan kesehatan di masa pandemi Covid-19. Simpulan: Hasil penelitian menunjukkan bahwa kunjungan ANC ibu hamil ke fasilitas pelayanan kesehatan pada masa pandemi covid-19 sebagian besar melakukan kunjungan ANC teratur 22 ibu hamil (68,8%), ibu hamil tidak mengalami kecemasan 9 (28,1%). Ibu hamil yang mengalami kecemasan dan tidak teratur melakukan kunjungan ANC sebanyak 12 ibu hamil (37,5%). Ibu hamil yang tidak mengalami cemas seluruhnya melakukan kunjungan ANC secara teratur yaitu 9 responden.Kata kunci: umur, Pendidikan, pekerjaan, kehamilan, kecemasan, frekuensi antenatal carePREGNANT MOTHER'S ANXIETY LEVELS ON ANTENATAL CARE VISITS DURING THE COVID-19 PANDEMICABSTRACTBackground: The Covid-19 pandemic has caused many restrictions on almost all routine services, including maternal and neonatal health services. Pregnant women are reluctant to go to the puskesmas or health service facilities for fear of contracting it, there are recommendations to postpone pregnancy checks and classes for pregnant women. This lack of ANC visits can cause danger to the mother and fetus, such as bleeding during pregnancy because no danger signs are detected. The purpose of the study: To analyze the anxiety of pregnant women regarding antenatal care visits during the covid-19 pandemic. Methods: Analytical research with cross sectional design. The study was conducted at the Independent Midwife Practice in Tanjungpinang City from January - February 2021. The population of all TM III pregnant women recorded at the Midwife Independent Practice in Tanjungpinang City with a sample of 32 respondents. Purposive sampling technique with criteria including pregnant women with the third trimester of pregnancy, being able to express their feelings and anxieties, having a cellphone and whatsapp number, having a KIA Book and an L-MMPI (Lie-Score Minnesota Multiphase Personality Inventory) score <10. Research results: The results of the chi square statistical test obtained a p value of 0.016 (p <0.05) it was concluded that there was a relationship between the level of anxiety of pregnant women and antenatal care visits to health care facilities during the Covid-19 pandemic. Conclusion: The results showed that ANC visits of pregnant women to health care facilities during the covid-19 pandemic mostly carried out regular ANC visits 22 pregnant women (68.8%), pregnant women did not experience anxiety 9 (28.1%). Pregnant women who experience anxiety and do not regularly visit ANC as many as 12 pregnant women (37.5%). Pregnant women who do not experience anxiety all make regular ANC visits, namely 9 respondents.Keywords: age, education, occupation, pregnancy, anxiety, antenatal care frequency.
Association between Nursing Spiritual Managament on Quality of Life: Meta-Analysis Sarwoko, Sarwoko; Winarto, Eko; Sulistyowati, Nining
Journal of Health Policy and Management Vol. 7 No. 3 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (31.792 KB)

Abstract

Background: Religion and spirituality play a role in coping with illness for many patients. This study examined religiousness and spiritual support in patients of diverse racial or ethnic backgrounds and associations with quality of life (QOL), treatment preferences, and advance care planning. This study aimed to analyze the association between nursing spiritual managament on quality of life based on previous studies.Subjects and Method: This study is a meta-analysis with PICO, population: inpatient. Intervention: nursing spiritual management. Comparison: without nursing spiritual management. Outcome: quality of life. The articles used in this study were obtained from three databases, namely Google Scholar, Pubmed, and Science Direct. Keywords to search for articles are “Nursing” OR “Nursing Management“ AND “Nursing Spiritual Management” AND “Quality of Life” OR “QoL” AND “Multivariate”. Articles included are full-text English from 2007 to 2022. Articles were selected using a PRISMA flow diagram. Articles were analyzed using the Review Manager 5.3 application.Results: A total of 8 cross-sectional study articles from Asia (Indonesia), Europe (Germany), South America (Brazil and Peru), and North America (Boston and US) were reviewed in the meta-analysis. Based on the results of the analysis, it was found that implementing of nursing spiritual management increase quality of life among patients 2.79 times compared to nurse does not implementing spiritual management (aOR= 2.79; 95% CI= 2.43 to 3.35; p< 0.001) and the result is statistically significant.Conclusion: Good hospital management increase nurse work motivation.Keywords: nursing management, spiritual points, quality of life, QoL.Correspondence:Sarwoko. Universitas Karya Husada Semarang. Jl. Kompol R. Soekanto 46, Semarang, Central Java. Email: sikoeub@gmail.com. Mobile: +62 81326925555.Journal of Health Policy and Management (2022), 07(03): 201-209https://doi.org/10.26911/thejhpm.2022.07.03.04
The Effect of Acupressure on Pain Levels Kala I in Maternity Mothers Sulistyowati, Nining; Trisnawati, Yeti
Jurnal EduHealth Vol. 13 No. 02 (2022): Jurnal eduHealth, Periode Oktober - December, 2022
Publisher : Sean Institute

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Abstract

Most of the mothers who gave birth stated that they could not stand the pain that was felt, especially in the abdomen, waist, back and spread to the spine, so that the mother continued to feel pain during the first stage of labor. Contractions during labor can cause pain. Labor pain can cause stress that causes excessive release of hormones such as catecholamines and steroids. One method of reducing pain without drugs that can be given continuously, is cost-effective, and has a low risk, namely acupressure. Objective: To determine the effectiveness of acupressure therapy on reducing labor pain in the active phase of the first stage. This research is a Quasi Experimental Design with a One Group Pre-Post Test Design approach. The population in this study were all birth mothers who checked their pregnancies. The sampling technique was carried out by accidental sampling and a sample of 20 respondents was obtained. Collecting data by observing the acupressure treatment with the Numerical Rating Scale (NRS). Univariate analysis using frequency distribution and bivariate analysis using paired t test. The results of the study mean labor pain before being given acupressure was 6.48 and after being given acupressure was 3.84. There was an effect of acupressure techniques on active phase I labor pain (p–value 0.0001 <0.05) with a decrease of 2.64. Acupressure therapy can be applied to midwifery care for mothers in the first stage of labor which aims to reduce labor pain