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All Journal PROSIDING SEMINAR NASIONAL Jurnal NERS Jurnal Keperawatan dan Kesehatan Masyarakat CENDEKIA UTAMA Jurnal Berita Ilmu Keperawatan Jurnal Biomedika Warta LPM International Journal of Nursing Information
Winarsih Nur Ambarwati
Universitas Muhammadiyah Surakarta
Biochemistry, Genetics & Molecular Biology Economics, Econometrics & Finance Education Engineering Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Social Sciences

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HUBUNGAN TINGKAT KECEMASAN DENGAN MEKANISME KOPING PADA PASIEN GAGAL JANTUNG KONGESTIF DI RSU PANDAN ARANG BOYOLALI Atina Inayah Ihdaniyati; Winarsih Nur Ambarwati
Jurnal Berita Ilmu Keperawatan Vol 1, No 4, 2008
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/bik.v1i4.3729

Abstract

Background : Anxiety on congestive heart failure patient resulted because they experience out of breath and chest pain so they tend to concerned. Anxiety could motivate the individual to appropriate with to stressor and conduct an action to correct it. Coping mechanism is the result of an individual action to face of the stressor. When individual could face the stressor very well, it will deliver the adaptive coping. But when individual unable to find the good solution, it will conduct the maladaptive coping. Target of research : To know the relation between anxiety level with the coping mechanism on congestive heart failure patient. Research method : This Research has the non-experimental character with the descriptive method of correlation use the cross sectional approach. Sampling techniques which used are accidental sampling with the total samples are 30 responders. Validity test use the Product Moment test and reliability test use the Alpha Cronbach test. For data analysis, it uses the Kendal tau-b test with test of normality data use the z test. Result of research : Result of Kendal tau-b correlation analysis indicate that the count value equal to -0,745 with the probability 0,000 (p z table . The results indicate that there is a capable and significant of negative relation between anxiety level with the coping mechanism.
First Time Experience of Being a Father in Adapting to Postpartum Period in Indonesia Setting Winarsih Nur Ambarwati; Risalatul Ihtiarini
Jurnal Berita Ilmu Keperawatan Vol. 12, No. 1, 2019
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/bik.v12i1.11249

Abstract

The post partum period is an extraordinary transition for a father in his first experience. Research results have shown that fathers have a very large role in the health and welfare of mothers and children. However, often the father has difficulty in adapting and carrying out his role due to lack of knowledge, skills and support. The lack of research exploring the experience, needs and behavior of fathers in adapting to postpartum causes a lack of references. The objective of is to explore fathers’ experience in adapting to postpartum period in Indonesia. The research design is qualitative research by descriptive phenomenology study.Technique sampling is by purposive sampling. The number of participants is 10 fathers who get their first child . Data were collected through in-depth interviews. Data were analysed by qualitative analysis with Colaizzi method. The result is the first psychological experience of being a father in adapting to postpartum includes positive and negative feelings. Positive feelings include happiness and gratitude. Negative feelings include confusion, difficulty adapting to new roles, feeling worried, changing patterns of relationships with wives, feelings of neglect, expected and required to be able to understand wives and provide support, lack of information from health workers relating to postpartum care. Conclusion: Father's first experience of adapting to postpartum is more perceived negative feelings. Recommendation : Health professionals are required to be able to understand the psychological condition of the father and then be able to provide the necessary support so that the father can adapt well and have a positive influence on the mother and baby.
HUBUNGAN PREEKLAMSIA DENGAN KONDISI BAYI YANG DILAHIRKAN SECARA SECTIO CAESAREA DI RSUD DR. MOEWARDI SURAKARTA Winarsih Nur Ambarwati; Irdawati Irdawati
Jurnal Berita Ilmu Keperawatan Vol. 2, No. 1, 2009
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/bik.v2i1.3755

Abstract

Preeclampsia is major cause of maternal mortality in developed and developing countries. It is also a major cause of perinatal morbidity and mortality. Preeclampsia complicates almost 10 percent of all pregnancies, and the incidence is higher if the women are nulliparous. Perinatal outcome is strongly influenced by gestational age. The main impact on the fetus is undernutrition as a result of utero-placental vascular insufficiency, which leads to growth retardation, low birth weight, asfiksia, premature. Fetal health as well as its weight are highly compromised, leading to various degrees of fetal morbidity, and fetal damage may be such as to cause fetal death. This research was a documental study. The population is women pregnancy with preeclampsia at Dr.Moewardi Hospital in Surakarta. The sampling method was consecutive sampling. The analysis of variable used were Chi Square test. The results of this study show preeclampsia have siqnifican association with asfiksia neonatorum and baby birth weigt and premature birth.
Response and Coping on Physically to Side Effect Cemotherapy in Women Suffered Cervical Cancer Winarsih Nur Ambarwati; Erlinda Kusuma Wardani
Jurnal Ners Vol. 10 No. 1 (2015): April 2015
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (301.903 KB) | DOI: 10.20473/jn.v10i1.1857

Abstract

Introduction: The Cervical cancer is a cancer that causes most deaths especially in developing countries. The management for most cancer is chemotherapy. Chemotherapy has many impacts in many areas of life, among others, the impact lays on the physical and psychological. Lack of information about the side effects of chemotherapy treatments cause the quality of life of patients continued to decline. The Objective of the research: It: is to develop the concept of responses and coping physically of the cervical cancer patients who received the chemotherapy. Methods: The study design was designed using qualitative methods. The approach used was qualitative research of the Phenomenology Study. The subjects of the research were the women with cervical cancer treated by chemotherapy in Hospital of Dr. Moewardi of Surakarta. The sampling technique was the purposive sampling. The research instruments were interview guidelines, observation guidelines, stationery and recording devices, and fi eld notes. The data analysis would be conducted by using qualitative analysis.Result: The physical response of cervical cancer patients on chemotherapy include nausea, vomiting, constipation, peripheral neuropathy, fatigue, weight loss, alopecia, skin toxicity, decreased appetite, pain, change in taste on the tongue. The coping of the patients generally use traditional ways or leave it, and very few pharmacological were used to resolve the problem.Conclusion: Chemotherapy give real effect to the physical. Patients in general were coping by traditional and non-pharmacological means. Suggestion: the results of the research can be used as evidence-based research in the treatment of cervical cancer patients with chemotherapy and used as the basis for the development of interventions to improve the life quality of the patients.
Men`S Physical, Psychological and Social Response to Vasectomy Acceptor of Family Planning Program in Sukoharjo Central Java Winarsih Nur Ambarwati
Jurnal Ners Vol. 7 No. 2 (2012): Oktober 2012
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (209.227 KB) | DOI: 10.20473/jn.v7i2.4018

Abstract

Introduction: Indonesia is on the fourth position in the world as the most populated nation in 2009. Great number of people with lack of skill would give potential burden in the nation development. Generally, the outcome of Indonesian Family Planing Program(FPP) acceptor to Indonesian women is sufficient which is ranging to 59 percent of the total 60,3 percent of participants but if compared to men's participation in is still insignificant. Husband's participation as participant is still low 1.3% consisted of 0.9 percent condom user, 0.4 percent vasectomy user. To describe experiences of Indonesian men following vasectomy in relation to their physical, psychological and social responses to vasectomy.Method: The research design of this research uses descriptive qualitative study. The sample selection was done using theoretical sampling technique. The data collection instrument of grounded theory research is the researcher herself, while other instruments are namely field report, audiotape, videotape, and notes. The data analysis is utilized Colaizzi`s method. Result: Numbers of participants were 7 persons. Physical change after the vasectomy surgery is on general physical change (there is no change felt, the body's stamina raises, healthier, less energy, or weary) and physical change on reproduction organ is none. Sexual ability has no change, it increases, it also decreases. The sexual satisfaction is the same, more satisfi ed, or less satisfied. The characteristic change of spermatid is the same, there is change (lesser quantity, more dissolved), and ignore it. All participants said that they feel more comfortable in doing sex after vasectomy surgery. Most participants feel confidence of their sexual ability. The participants' perspective had no difference and feel difference, or there is a change. Most participants stated that vasectomy is the right decision, but few felt disappointed. The social environment response toward men as the acceptor of vasectomy is that the society support it and few contradict it.Discussion: vasectomy no hazard to physic, psycology, social, and wife. Vasectomy is a good one of methode contraception to men.
Edukasi dan Deteksi Dini Kecacingan pada Ibu Hamil di Wilayah Kerja Puskesmas Gatak Sukoharjo Sulastri Sulastri; Winarsih Nur Ambarwati; Dian Hudiyawati; Widya Putri Rachmawati; Anindyati Fatikhul Jannah
Warta LPM WARTA LPM, Vol. 25, No. 3, Juli 2022
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (606.314 KB) | DOI: 10.23917/warta.v25i3.1088

Abstract

Infeksi kecacingan masih menjadi masalah di Indonesia, prevalensi cacingan di Indonesia pada umumnya masih sangat tinggi terutama pada golongan penduduk yang kurang mampu mempunyai risiko tinggi terjangkit penyakit ini. Infeksi cacing juga dapat muncul pada kehamilan dan menjadi salah satu penyebab anemia pada ibu. Anemia pada kehamilan sangat terkait dengan mortalitas dan morbiditas pada ibu dan bayi. Upaya pencegahan kecacingan pada ibu hamil dapat dilakukan dalam pelayanan asuhan antenatal care melalui kelas ibu hamil. Pelaksanaan kelas ibu hamil di Desa Luwang saat ini sudah berjalan dengan baik, akan tetapi pengetahuan ibu mengenai kecacingan pada ibu hamil masih tergolong rendah. Upaya yang dapat dilakukan untuk mengatasi hal ini adalah dengan memberikan pendidikan kesehatan tentang kecacingan pada ibu hamil dan melakukan deteksi dini penyakit kecacingan pada ibu hamil. Kegiatan dilaksanakan di kelas ibu hamil Desa Luwang yang dihadiri sebanyak 30 peserta. Metode yang digunakan dalam pengabdian ini adalah pendidikan kesehatan dan pemeriksaan kecacingan. Pendidikan kesehatan dimulai dengan pretest dan diakhiri dengan posttest. Media yang digunakan dalam pendidikan kesehatan adalah power point dan booklet sebagai buku panduan. Pemeriksaan kecacingan dilakukan dengan mengumpulkan sampel berupa sedikit tinja yang akan diperiksa dengan metode Harada Mori. Setelah kegiatan berlangsung terdapat peningkatan pengetahuan dari sebelum dilakukan pendidikan kesehatan dan setelah pendidikan kesehatan, dari hasil analisis didapatkan terdapat pengaruh pendidikan kesehatan terhadap pengetauhan dan sikap ibu hamil. Dari hasil pemeriksaan kecacingan pada 30 ibu hamil terdapat 4 ibu hamil yang positif terinfeksi.
PENERAPAN MOBILISASI DINI PADA PASIEN POST SECTIO CAESAREA UNTUK MEMPERCEPAT PEMULIHAN DAN KUALITAS HIDUP IBU POST PARTUM Bakhtiar, Alif; Ambarwati, Winarsih Nur
Jurnal Keperawatan dan Kesehatan Masyarakat Cendekia Utama Vol 14, No 1 (2025): Jurnal Keperawatan dan Kesehatan Masyarakat Cendekia Utama
Publisher : STIKES Cendekia Utama Kudus

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31596/jcu.v14i1.2899

Abstract

Latar Belakang: Sectio caesarea (SC) merupakan salah satu metode persalinan operatif yang dapat mempengaruhi kemampuan mobilisasi dan kualitas hidup ibu post partum. Hal ini karena nyeri mengakibatkan terbatasnya mobilitas fisik dan keterbatasan gerak pascaoperasi dapat mempengaruhi kesejahteraan ibu paska melahirkan secara operasi. Mobilisasi dini menjadi intervensi keperawatan penting yang dapat memberikan banyak manfaat kepada ibu namun intervensi ini tidak selalu diterapkan ditatanan praktik.Tujuan: Penelitian ini bertujuan melaporkan penerapan mobilisasi dini pada pasien post-sectio caesarea dan mengevaluasi manfaat yang diperoleh oleh ibu.Metode: Desain penelitian menggunakan studi kasus pada dua pasien post-SC dengan intervensi diberikan mulai rentang waktu 4–6 jam pascaoperasi. . Data dikumpulkan melalui wawancara, observasi, pemeriksaan fisik, serta studi dokumentasi, kemudian dianalisis sesuai tahapan proses keperawatan. Hasil pengakajian menunjukkan bahwa kedua pasien mengalami keterbatasan gerak akibat nyeri insisi, dengan intensitas nyeri rata-rata skala 6–7. Intervensi mobilisasi dini dilakukan bertahap, mulai dari latihan gerakan ekstremitas enam jam pascaoperasi, perubahan posisi miring, duduk setengah tegak, hingga latihan berjalan pada hari ketiga.Hasil: Evaluasi memperlihatkan adanya peningkatan kekuatan otot, pergerakan ekstremitas lebih baik, penurunan nyeri, serta kemampuan pasien melakukan aktivitas sederhana seperti berjalan, duduk, dan menggendong bayi secara mandiri.Kesimpulan: mobilisasi dini dapat direkomendasikan sebagai intervensi utama dalam keperawatan maternitas untuk mempercepat pemulihan dan meningkatkan kualitas hidup ibu pascaoperasi.Kata Kunci: sectio caesarea, gangguan mobilitas fisik, mobilisasi diniABSTRACT Background: Caesarean section (CS) is one of the operative delivery methods that can affect the mother's mobility and quality of life after giving birth. This is because pain limits physical mobility, and limited movement after surgery can affect the well-being of mothers after giving birth by caesarean section. Early mobilisation is an important nursing intervention that can provide many benefits to mothers, but this intervention is not always implemented in practice.Objectives: This study aims to report the application of early mobilisation in post-caesarean section patients and evaluate the benefits gained by mothers.Methods: The research design used case studies on two post-SC patients with interventions given within 4–6 hours post-surgery. Data were collected through interviews, observations, physical examinations, and documentation studies, then analysed according to the stages of the nursing process. The results showed that both patients experienced limited movement due to incision pain, with an average pain intensity of 6–7 on the scale. Early mobilisation interventions were carried out in stages, starting with limb movement exercises six hours after surgery, changing to a side-lying position, sitting upright, and walking exercises on the third day.Results: The evaluation showed an increase in muscle strength, improved limb movement, reduced pain, and the patient's ability to perform simple activities such as walking, sitting, and carrying a baby independently.Conclusion: Early mobilisation may be recommended as a primary intervention in maternity care to accelerate recovery and improve the quality of life of mothers after surgery.Keywords: : Caesarean section, physical mobility impairment, early mobilisation
History of Chronic Energy Deficiency (CED) of Pregnant Women and Stunting in Toddlers Yuliastanti, Triani; Ambarwati, Winarsih Nur; Sulastri, Sulastri; Rahmawati, Alfiah
International Journal of Nursing Information Vol. 2 No. 2 (2023)
Publisher : Qualitative and Quantitative Research Center

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58418/ijni.v2i2.45

Abstract

Children who experience stunting in the early stages of life up to five years of age will not reach their maximum physical and mental/intelligence potential in adulthood. The problem of stunting is in the world's attention, and it is evident that one of the targets of the Sustainable Development Goals (SDGs) is to reduce cases of stunting worldwide. The purpose of this study was to determine the relationship between the history of CED in pregnant women and the incidence of stunting. This research method is analytic with a case-control retrospective approach. The sampling technique used was proportional sampling, which in this study was divided into two groups, namely 24 groups of toddlers with stunting and a control group of 24 toddlers who were not stunted in Kacangan Village, Andong District, Boyolali Regency, Indonesia. The results show a significant relationship between the history of CED during pregnancy and the incidence of stunting. It is hoped that midwives can provide counseling and monitor the nutritional status of pregnant women, bearing in mind that if the nutritional status of pregnant women is good, it can reduce the incidence of stunting in toddlers. The contribution of this research is to provide information regarding the importance of the nutritional status of pregnant women.
Co-Authors Abi Muhlisin Aditya, Fendy Jaya Agus Sudaryanto Ahmad Faizin Ahmad Faizin, Ahmad Anindyati Fatikhul Jannah Arif Widodo Atina Inayah Ihdaniyati Bakhtiar, Alif Dian Hudiyawati Erlinda Kusuma Wardani Erlinda Kusuma Wardani Fendy Jaya Aditya I Gusti Bagus Wiksuana Ihdaniyati, Atina Inayah Ihtiarini, Risalatul Irdawati Irdawati Irdawati Irdawati Irdawati Irdawati Rahmawati, Alfiah Rifki Yulinanda Budi Santoso Risalatul Ihtiarini Santoso, Rifki Yulinanda Budi Sri Purwanti Sri Purwanti Sulastri Sulastri - Sulastri Sulastri Triani Yuliastanti Vinami Yulian Widya Putri Rachmawati Yulian -, Yulian