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EFECTIVITIES OF HEALTH EDUCATION WITH THE DEMONSTRATION METHOD AND THE LECTURES METHOD OF PRIMIPARA MOTHER’S KNOWLEDGE ABOUT BREAST CARE IN THE REGION OF SOCIAL HEALTH CENTER KAYUMAS Sabekti Utami Safitri; Witriyani .; Erlina Hermawati
STIKES DUTAGAMA KLATEN Vol 9 No 2 (2017): JURNAL ILMU KESEHATAN STIKES DUTA GAMA KLATEN
Publisher : STIKES DUTAGAMA KLATEN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5737/v9i2.264

Background: Breast care is an act of caring for breast lactation primarily to launch a spending of breast milk. At the time of parturition breast infection can occur, especially at the mother of primipara parturition. Infection occurs through wound on the nipple and the blood circulation. Objective: The purpose of the research to find the effectivities of health education with the demonstration method and the method lectures of primipara mother’s knowledge about breast care in the region of social health center Kayumas. Methods: This research using quasy experimental design with non equivalent control group and using pretest-posttest control group design. The population of this research was the mother of primipara, with sample as many as 30 respondents. Data analysis Wilcoxon Match Pair Test. Results: Based on results of a Wilcoxon test indicates that the control group with p value 0.317 > p value 0.05 mean knowledge there is no difference. A p value of 0.025 < p value 0.05 mean so there is a difference knowledge on respondent groups were given health education methods lectures, while the p value of 0.014 < p value 0.05 mean so there is a difference knowledge on the group that was given a health education demostration method. After health education with the demonstration method and lectures method, with the results of the p value of 0.014 compared with p value 0.025 means show that there is a difference between the health education by the demonstration method and the lectures method p value 0.014 < 0.025. Conclusion: Health education using demonstration method more effective to increase of primipara mother’s knowledge about breast care in the region of social health center Kayumas.

THE INFLUENCE OF BRAIN BRIGHT AGAINST DEMENSION LEVEL IN POSYANDU LANSIA VILLAGE DESCRIPTION MRISEN JUWIRING KLATEN Setyowati .; Erlina Hermawati; Witriyani .
STIKES DUTAGAMA KLATEN Vol 9 No 2 (2017): JURNAL ILMU KESEHATAN STIKES DUTA GAMA KLATEN
Publisher : STIKES DUTAGAMA KLATEN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5737/v9i2.266

Background: In the elderly, there is a decrease of the brain ability and senility. The decline of memory that happened in the elderly can be fixed by doing brain gymnastics. To handling of dementia can be given by simulation to increase the ability of the right hemisphere that need to give an exercise or game which are need the concentration, orientation, attention to memory and visual. Brain gymnastics is the one of simulations of preventive way to optimize stimulate of brain function to getting better. Goal: Knowing the influence of brain gymnastics toward the level of dementia in the elderly posyandu at Mrisen village, Juwiring, Klaten. Research Methodology: This research used of pre-experimental design research with one group pre-test post-test design. The population in this research is all of the member of elderly posyandu at Mrisen, Juwiring, Klaten. The technique of taking the sample using purposive sampling with 25 respondents. The instrument of this research is using questionnaire of Mini Mental State Examination (MMSE). Result: The result of one group that given treatment by using paired samples T-test showed that there was significance score about 0,000 (p=0,000<0,05%). T count 10,324, T table 2,060. Conclusion: There was the influence of brain gymnastics toward the level of dementia in the elderly posyandu at Mrisen village, Juwiring, Klaten. This is evidenced by the existence of the difference score in pre-test and post-test of MMSE which indicates a decrease in the level of dementia before and after giving treatment of brain gymnastics.

THE INFLUENCE OF DYSMENORRHEA EXERCISES TOWARD MENSTRUAL PAIN ON FEMALE STUDENTS AT STIKES DUTA GAMA KLATEN Aryani .; R. Taufiq Nur Muftiyanto; Witriyani .
STIKES DUTAGAMA KLATEN Vol 9 No 2 (2017): JURNAL ILMU KESEHATAN STIKES DUTA GAMA KLATEN
Publisher : STIKES DUTAGAMA KLATEN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5737/v9i2.267

Background: dysmenorrheal is a pain at the lower abdomen when the menstruation period along with cramps, dizziness and faint. The sore can interfere the activity and it needs medicine. Dysmenorrhea can be treated by using dysmenorrhoe exercises therapy. Objective: the aim of the study is to find out the effect of dysmenorrhea exercises towards the menstrual pain on female students at STIKES Duta Gama Klaten. Research Method: The research type of this study was pre-experiment design research by using one group pre test post test. The sample was taken by purposive sampling technique which consist of 30 respondents.The instrument used in this study is the Numeric rating scale questionnaire. The data were analyzed by paired t-test. Result: The statistical test results obtained p-value 0,000 (p <0.005). Before the treatment there were 20 respondents with moderate pain level and 10 respondents mild pain level. Then after the treatment there were 29 respondents with mild pain level and 1 respondent without any pain. There is influence of dysmenorrhea exercises toward the menstrual pain on female students at STIKES Duta Gama Klaten. Conclusion: Dysmenorrhea exercises have influence on reducing pain when menstruation period on the female students at STIKES Duta Gama Klaten.

HUBUNGAN ANTARA TINGKAT STRES DENGAN KUALITAS TIDUR PADA LANSIA DI DESA DUKUH KECAMATAN BANYUDONO KABUPATEN BOYOLALI Yuni Astuti; Witriyani .; Akbar Amin Abdullah
STIKES DUTAGAMA KLATEN Vol 9 No 1 (2017): JURNAL ILMU KESEHATAN STIKES DUTA GAMA KLATEN
Publisher : STIKES DUTAGAMA KLATEN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5737/v9i1.317

Latar Belakang: Menurut WHO (2013), populasi lansia pada tahun 2050 diperkirakan meningkat 3 kali lipat dari tahun 2013. Masa lansia akan mengalami perubahan fisik seperti gangguan penglihatan dan pendengaran serta gangguan tidur atau sulit tidur. Kualitas tidur dipengaruhi oleh beberapa faktor, yaitu penyakit, kelelahan, obat, dan stres. Menurut APA (2013), sekitar 42% orang dewasa melaporkan kualitas tidur mereka buruk dan 43% laporan bahwa stres telah menyebabkan mereka berbaring terjaga di malam hari. Tujuan: Penelitian ini bertujuan untuk mengetahui hubungan antara tingkat stres dengan kualitas tidur pada lansia di Desa Dukuh Kecamatan Banyudono Kabupaten Boyolali Metode Penelitian: Penelitian ini merupakan jenis korelasi kuantitatif dengan pendekatan cross sectional. Populasi penelitian ini adalah seluruh lansia di Desa Dukuh Kecamatan Banyudono Kabupaten Boyolali sejumlah 434 lansia. Teknik pengambilan sampel menggunakan purposive sampling. Instrumen yang digunakan adalah kuesioner PSS 14 (Perceived Stress Scale 14) dan kuesioner PSQI (Pittsburg Sleep Quality Index). Data dianalisis menggunakan uji chi square. Hasil: Karakteristik responden pada penelitian ini sebagian besar 60-65 tahun (32,9%), berjenis kelamin perempuan (58,5%), berjenis kelamin laki-laki (41,5%), bekerja sebagai IRT (32,9%), dan berpendidikan SD (36,6%). Sebagian besar lansia mengalami stres rendah (42,7%) dan memiliki kualitas tidur buruk (74,4%). Chi Square diperoleh nilai sebesar 0,000 (p < 0,05). Kesimpulan: Ada hubungan antara tingkat stres dengan kualitas tidur pada lansia di Desa Dukuh Kecamatan Banyudono Kabupaten Boyolali

EFEKTIVITAS KONSELING TENTANG DIET RENDAH GARAM DALAM MENURUNKAN TEKANAN DARAH PADA PASIEN HIPERTENSI DI WILAYAH PUSKESMAS KAYUMAS Husein Prabowo; Witriyani .
STIKES DUTAGAMA KLATEN Vol 9 No 1 (2017): JURNAL ILMU KESEHATAN STIKES DUTA GAMA KLATEN
Publisher : STIKES DUTAGAMA KLATEN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5737/v9i1.322

Latar Belakang: Salah satu penyebab kematian terbesar di Indonesia adalah penyakit hipertensi. Secara nasional 25,8% penduduk Indonesia menderita penyakit hipertensi. Peningkatan tekanan darah salah satunya dipengaruhi oleh kadar garam tinggi. Dalam upaya untuk membantu mengurangi angka morbiditas (kesakitan) dan mortalitas (kematian) banyak cara yang dapat dilakukan bagi tenaga kesehatan sebagai konselor maupun sebagai pendidik yaitu dengan cara memberikan pendidikan kesehatan dan konseling. Tujuan dari konseling adalah memperbaiki kualitas hidup. Tujuan: Penelitian ini bertujuan untuk mengetahui efektivitas konseling tentang diet rendah garam dalam menurunkan tekanan darah pada pasien hipertensi. Metode Penelitian: Penelitian ini merupakan jenis Pre-Experimental Design (nondesign) dengan rancangan One –Group Pretest-Posttest Design. Populasi penelitian ini adalah seluruh pasien hipertensi di wilayah Puskesmas Kayumas. Teknik pengambilan sampel menggunakan purposive sampling. Instrumen yang digunakan adalah kuesioner, lembar observasi, spyghnomanometer dan stetoskope. Data dianalisis menggunakan uji paired t-test. Hasil:Responden pada penelitian ini memiliki karakteristik yaitu rata-rata berumur 43 tahun, berjenis kelamin perempuan (60,7%) dan memiliki pekerjaan buruh (50,6%). Tekanan darah pada pasien hipertensi sebelum dilakukan konseling tentang diet rendah garam memiliki rata-rata sebesar 162,81 untuk sistole dan 100,01 untuk diastole, sebagian besar responden termasuk dalam kategori hipertensi sedang sebanyak 47 orang (52,8%) sedangkan setelah dilakukan konseling memiliki rata-rata sebesar 154,66 untuk sistole dan 97,76 untuk diastole, sebagian besar responden termasuk dalam kategori hipertensi ringan sebanyak 49 orang (55,1%) dan hasil uji t-test diperoleh p value 0,000 (p < 0,05) Kesimpulan: Konseling tentang diet rendah garam sangat efektif dalam menurunkan tekanan darah pada pasien hipertensi di Wilayah Puskesmas Kayumas.

EFEKTIVITAS PENDIDIKAN KESEHATAN DENGAN METODE DEMONSTRASI DAN METODE CERAMAH ERHADAP PENGETAHUAN IBU PRIMIPARA TENTANG PERAWATAN PAYUDARA DI WILAYAH PUSKESMAS KAYUMAS Witriyani .
STIKES DUTAGAMA KLATEN Vol 8 No 1 (2016): JURNAL ILMU KESEHATAN STIKES DUTA GAMA KLATEN
Publisher : STIKES DUTAGAMA KLATEN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5737/v8i1.343

Latar belakang : Perawatan payudara adalah suatu tindakan untuk merawat payudara terutama masa menyusui untuk melancarkan pengeluaran air susu ibu. Pada masa nifas dapat terjadi infeksi payudara, terutama pada ibu nifas primipara. Infeksi terjadi melalui luka pada puting susu dan peredaran darah. Tujuan : Penelitian ini bertujuan untuk mengetahui efektivitas pendidikan kesehatan dengan metode demonstrasi dan metode ceramah terhadap pengetahuan ibu primipara tentang perawatan payudara di wilayah Puskesmas Kayumas. Metode : Penelitian ini menggunakan quasy eksperimental design dengan rancangan non equivalent control grup dengan pretest-posttest control group design. Populasi penelitian ini adalah ibu primipara post partum dengan jumlah sampel sebanyak 30 responden. Analisa data Wilcoxon Match Pair Test. Hasil : Berdasarkan hasil uji Wilcoxon menunjukkan bahwa kelompok kontrol dengan p value 0,317 berarti p value > 0,05 tidak ada perbedaan pengetahuan. P value sebesar 0,025 berarti p value < 0,05 sehingga ada perbedaan pengetahuan pada responden kelompok yang diberi pendidikan kesehatan metode ceramah, sedangkan p value sebesar 0,014 berarti p value < 0,05 sehingga ada perbedaan pengetahuan pada kelompok yang diberi pendidikan kesehatan metode demonstrasi. Setelah pemberian pendidikan kesehatan dengan metode demonstrasi dan metode ceramah, dengan hasil p value sebesar 0,014 dibandingkan dengan p value 0,025 berarti menunjukan bahwa ada perbedaan antara pendidikan kesehatan dengan metode demonstrasi dan metode ceramah p value 0,014 < dari 0,025. Kesimpulan : Pendidikan kesehatan dengan metode demonstrasi lebih efektif dalam meningkatkan pengetahuan ibu primipara tentang perawatan payudara di Wilayah Puskesmas Kayumas.

PENERAPAN DIABETES SELF MANAGEMENT EDUCATION (DSME)DALAM MENINGKATKAN DIMENSI FISIK DAN PSIKOLOGIS KUALITAS HIDUP PASIEN DIABETES MELLITUS (DM) TIPE 2 DI RSUP DR. SOERADJI TIRTONEGORO KLATEN Witriyani .
STIKES DUTAGAMA KLATEN Vol 7 No 2 (2015): JURNAL ILMU KESEHATAN STIKES DUTA GAMA KLATEN
Publisher : STIKES DUTAGAMA KLATEN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5737/v7i2.357

Diabetes mellitus (DM) is one of the most chronic diseases experienced by many people in the world. Diabetes Mellitus ranks fourth leading cause of death in the develop countries. Diabetes can cause to complications of acute and chronic complications. DSME is a process gives knowledge to patients about application of self care strategies independently to optimize metabolic control, prevent complications and improve the quality of life of patients with diabetes mellitus.The research was a qualitative with action research design that consisted of 3 cycles, each cycle consist of a plan, action, observation and reflection. Participants in this study are five people with type 2 diabetes who do outpatient at Dr. Soeradji Tirtonegoro Klaten Hospital were taken based on inclusion and exclusion criteria have been determined. Independent variables: application of Diabetes Self Management Education (DSME), while the dependent variable in this study is the physical and psychological dimensions of quality of life. The first cycle of checking the physical and psychological dimensions of quality of life before and then continued Diabetes Self Management Education. The second cycle of checking the physical dimensions of quality of life after Diabetes Self Management Education training. The third cycle of checking the psychological dimensions of quality of life after Diabetes Self Management Education training. The results showed changes of quality of life in the physical and psychological dimensions after Diabetes Self Management Education (DSME) training. The changes in the physical dimension include increased of energy balance, increased of sleep activity, increased of physical activity, improved of physical comfort and increased of self health management. While changes in the psychological dimension among others include adaptive coping respons, positive feelings, decrease negative feeling, self acceptance, and an increase of religious spirituality. The conclusion of this study is there is an increase of quality of life in outpatients with type 2 diabetes at Dr. Soeradji Tirtonegoro Klaten Hospital after DSME training.

THE KNOWLEDGE RELATIONSHIP ABOUT ELDERLY POSYANDU WITH THE MOTIVATIONS OF THEMSELVES TO ATTEND THE ELDERLY POSYANDU AT CANDI KARANGNONGKO Desi Susanti; Agus Kirwanto; Witriyani .
STIKES DUTAGAMA KLATEN Vol 7 No 1 (2015): JURNAL ILMU KESEHATAN STIKES DUTA GAMA KLATEN
Publisher : STIKES DUTAGAMA KLATEN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5737/v7i1.358

Background : The number of the elderly people in Indonesia in 2011 is about 24 million peoples or nearly 10 percent of the population. In fact in 1970 there were only 2 million peoples. For 40 years, the increasing of the elderly 10-fold while the population only increased 2-fold (Kompas, 2012). The developing of elderly population need a special attentions especially how to develop the quality of their line this has aim to keep their healthy. Elder posyandu works as well as the aim, will give chance opportunity for elder to get well health service. So they live will keep well and maximal. For the elder must use this opportunity of the program as well probably their healthy will keep cared and showed by the health worker (Wahono, 2010). The knowledge of elder when they know this program will influence their motivation to join in this program (Ismawati, 2010). So very important to develop their knowledge for the benefit of join in elder program for make their live motivate to join it. Purpose : to determine the relationship of the knowledge about elderly with their motivation to attend elderly posyandu at Candi Karangnongko. Methods : The method of the study is Analytic correlation with cross sectional design and the object of the study is elderly people at Candi Karangnongko. The sampling techniques using non-probability sampling technique with a kind of saturation sampling, it means that sampling by taking all the members of the population which are being sampled. Results : The elderly knowledge about elderly posyandu at Candi Karangnongko is quite enough, it’s about 20 peoples (50,0%) . The motivations of the elderly to attend elderly posyandu at Candi Karangnongko is high, it’s about 35 people (87,5%).

EFFECTIVENESS OF PLAY HEALTH EDUCATION COMPARED WITH PLAY EDUCATION EARLY CHILDHOOD DEVELOPMENT IN EARLY CHILDHOOD EDUCATION AT VILLAGE KB AISYIYAH MORANGAN KARANGANOM NORTH KLATEN Fatonah .; Sumantri .; Witriyani .
STIKES DUTAGAMA KLATEN Vol 7 No 1 (2015): JURNAL ILMU KESEHATAN STIKES DUTA GAMA KLATEN
Publisher : STIKES DUTAGAMA KLATEN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5737/v7i1.360

Background : Play health education is game auxiliaries of edukatif about health education given to child of age early to increase health. While play education is play thing which can optimal development of child. From result of observation in PAUD KB Aisyiyah Morangan amounts to 20 childs that is age 36 months happened deviation development of according to pre questionaire skrining development. On that account researcher interests to know effectivity play health education compared to play education to development child of age early. Purpose : To know effectivity play health education compared to play education to development child of age early. Research Method : Applies sham experiment or quasy experiment. Population and sample in this research the 20 chlids in the village KB Aisyiyah Morangan Karanganom north Klaten. Sampling total divided to become 2 group, 10 child of given group of treatment and 10 childs as a group control. Analysis applies difference t-test. Result : Development score before and after done play health education with t-test that is 18,27 and play education 8,78. Conclusion : Play health education and also play education can increase development score p=0,00 ( p<0,05); CI 95% while test result t play health higher education compared to play education. Ho researcher is refused by both effective same.

EFFECIVITY OF BRAIN GYMNASTIC TO PREVENTION DEMENTIA TO ELDERLY IN THE GLODOGAN SOURTH KLATEN Paryono .; Isti Khotimah; Witriyani .
STIKES DUTAGAMA KLATEN Vol 7 No 1 (2015): JURNAL ILMU KESEHATAN STIKES DUTA GAMA KLATEN
Publisher : STIKES DUTAGAMA KLATEN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5737/v7i1.361

Background : growing older will increase dementia factor and can decreasing of concentration and remembrance in elderly people. Dementia can restain by brain – gymnastic, it can increase stimulation in brain so they can remember well or have good remembrance. The interview result from some respondence, respondence have trouble such as they usually forget about time where they put their goods. In there village many villager get descent of dementia and increace the number of dementia. Objective : ti find out efectivity of brain – gymnastic to prevention dementia to elderly people in the South Klaten. The Method of research : use quasy eksperiment with pre test and post test design qualitative. Population and sample in this research is 20 respondent, they are 10 treatment responden and 10 control respondent. Sampling by purposive sampling with univariate and bivariate analize. Result : the different result of treatment respondent and control respondent with Mann-Whitney U-Test get significan score 0.103 p> 0.05 and t -1.629. Conlusion : brain – gymnastic is not effective for prevention dementia for elderly in the Glodogan, South Klaten.

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