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Persepsi Pasien tentang Kualitas Layanan Mempengaruhi Kepuasan Pasien Rawat Inap Kelas III Rumah Sakit Sulistyaningsih Sulistyaningsih; Fitnaningsih Endang Cahyani; Nuli Nuryanti Zulala; Sri Lestari
Disease Prevention and Public Health Journal Vol. 14 No. 1 (2020): Disease Prevention and Public Health Journal
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/dpphj.v14i1.1809

Abstract

Background: The higher quality of hospital services will cause customers to have a high level of satisfaction and behavior. The purpose of the study was to analyze the quality of hospital inpatient services. Method: The survey research method used cross-sectional design. The sample of this study was 172 third class inpatients in PKU Muhammadiyah Gamping Hospital determined by consecutive sampling. Results: The results of study showed that patients' perceptions about the quality of inpatient services were mostly good on all dimensions (58%), most patients feel satisfied (63%). Conclusion: Education is significantly related to patients' perceptions of the quality of the hospital inpatient services. The experience of patients being treated in hospital is significantly related to inpatient satisfaction. Patients' perceptions of the quality of hospital inpatient services are significantly related to patient satisfaction. The quality dimension that needs to be improved is empathy, while the best is reliability.
Pemberian Edukasi tentang Peran Orang Tua dalam Pencegahan COVID-19 pada Anak Pra Sekolah Nidatul Khofiyah; Fitnaningsih Endang Cahyani
JPKMI (Jurnal Pengabdian Kepada Masyarakat Indonesia) Vol 2, No 2: Mei (2021)
Publisher : ICSE (Institute of Computer Science and Engineering)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36596/jpkmi.v2i2.152

Abstract

Abstrak: Berkembangnya virus  corona saat ini tidak hanya berdampak di bidang kesehatan namun juga pada sektor lainnya termasuk pendidikan. Pemerintah mengeluarkan peraturan bahwa proses pendidikan dan pembelajaran dilakukan dirumah dengan pendampingan langsung oleh orang tua. Akibat dari COVID-19 ini juga dapat menyebabkan kecemasan pada berbagai pihak tidak terkecuali para orang tua. Dengan banyaknya pemberitaan mengenai COVID-19 di televisi bahkan media sosial membuat orang tua merasa cemas dan dapat menularkan kecemasan tersebut kepada anak-anak. Dampak dari COVID-19 ini dirasakan oleh semua pihak tidak terkecuali para orang tua wali siswa di Kelompok Bermain/RA Alfa Kids Purworejo. Banyak orang tua yang merasa cemas dan panik dengan adanya COVID-19 ini. Selain cemas karena takut penularan terhadap anak tetapi juga karena pandemi ini memaksa beberapa pekerjaan orang tua menjadi terkendala sehingga membuat kesulitan secara ekonomi. Oleh karena itu, pemberian edukasi pada orangtua diperlukan untuk meningkatkan pengetahuan dan mengurangi kecemasan orangtua terhadap kondisi pandemi. Metode yang digunakan  Luaran yang dihasilkan adalah (1) Tersusunnya video dan booklet sebagai media informasi, (2) edukasi kepada orang tua terlaksana dengan baik via daring, (3) pemberian bantuan untuk orang tua dan guru yang terdampak pandemi COVID-19 ini terdistribusi sesuai yang membutuhkan (4) publikasi. Berdasarkan hal tersebut diharapkan pelaksanaan kegiatan pendidikan anak dirumah dapat berjalan dengan baik, anak-anak dapat menerapkan protokol kesehatan sesuai yang diharapkan.Abstract: The development of the current coronavirus has an impact not only in the health sector but also in other sectors including education. The government issued a regulation that the education and learning process is carried out at home with direct assistance by parents. The consequences of COVID-19 can also cause anxiety to various parties, including parents. With so much news about COVID-19 on television and even social media, it makes parents feel anxious and can transmit this anxiety to children. The impact of COVID-19 is felt by all parties, including the parents of students in the Play Group/Kindergarten Alfa Kids Purworejo. Many parents feel anxious and panic about COVID-19. Apart from being anxious because they are afraid of transmission to children, but also because of this pandemic, they are forcing some of the work of parents to be constrained, thus creating economic difficulties. Therefore, providing education to parents is needed to increase knowledge and reduce parental anxiety about the pandemic conditions. The resulting outputs are (1) Compilation of videos and booklets as information media, (2) education for parents carried out well online, (3) providing assistance to parents and teachers affected by the COVID-19 pandemic, distributed according to those requiring (4) publications. Based on this, it is hoped that the implementation of children's educational activities at home can run well, children can apply health protocols as expected.
UPAYA PENINGKATAN KESIAPAN DAN KEWASPADAAN BIDAN MENGHADAPI KASUS KEGAWATDARURATAN DI ERA PANDEMI COVID-19 Yosy Budi Setiawan; Alfaina Wahyuni; Fitnaningsih Endang Cahyawati Cahyawati
Prosiding Seminar Nasional Program Pengabdian Masyarakat 2021: 3. Kesehatan Keluarga dan Masyarakat
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/ppm.43.645

Abstract

Di Indonesia sampai Desember 2020, terdapat 369 tenaga medis terinfeksi Covid-19. Dengan peningkatan kasus tersebut, maka kemungkinan ibu hamil terpapar Covid-19 juga lebih besar. Bidan sebagai salah satu ujung tombak menghadapi ibu hamil dalam menjalani kehamilan maupun persalinan, tentunya memerlukan kesiapan dan kewaspadaan dalam menghadapi pasien ibu hamil suspek atau terkonfirmasi Covid-19. Selain itu bidan juga berperan penting dalam sosialisasi tentang Covid-19 dan vaksinasi kepada masyarakat sehingga diharapkan tumbuh kesadaran dan meningkatkan partisipasi masyarakat dalam pelaksanaan program vaksinasi Covid-19 sebagai upaya pencegahan terhadap infeksi Covid-19. Berdasarkan survey pada beberapa bidan di Bantul didapatkan masih banyak yang belum mengetahui tentang perkembangan terkini dan penatalaksanaan kegawatan penyakit Covid-19. Oleh karena itu diadakanlah kegiatan penyuluhan bersama Ikatan Bidan Indonesia Cabang Bantul Ranting Bantul Tengah dengan harapan para bidan mendapatkan pendidikan dan pelatihan untuk mengetahui berbagai hal mengenai etiologi, patofisiologi, pencegahan dan penatalaksanaan Covid-19 khususnya pada kasus kegawatdaruratan. Kegiatan pengabdian masyarakat dilaksanakan secara daring (zoom dan live youtube). Metode yang digunakan dalam kegiatan tersebut melalui penyuluhan kepada bidan-bidan dan mendapatkan respon yang sangat bagus dengan diikuti oleh 333 peserta. Berdasarkan hasil evaluasi pre test dan post test, peserta menunjukkan adanya peningkatan yang cukup signifikan, yaitu rerata pre test 25,4%, dan rerata post test 27,1%. Sehingga dari hasil tersebut terdapat peningkatan pengetahuan sebanyak 1,7%.
GAMBARAN TINGKAT PENGETAHUAN IBU HAMIL TENTANG PEMANFAATAN BUKU KESEHATAN IBU DAN ANAK Fitnaningsih Endang Cahyawati
MEDIA ILMU KESEHATAN Vol 9 No 1 (2020): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/mik.v9i1.321

Abstract

Background: The number of deaths that occur in pregnant women was caused by several complications. This is certainly greatly influenced by the knowledge held by mothers about pregnancy One tool for increasing maternal knowledge is the existence of a MCH that contains a load of information about knowledge and signs of danger of pregnancy Objective: The study aimed to describe the level of mother's knowledge about the use of MCH books in the area of ​​Kasihan I Primary Health Care, Bantul Yogyakarta. Method:. This research method was a quantitative descriptive conducted in January-March 2019 for pregnant women who perform ANC. Sampling was done by accidental sampling technique by totaling 31 respondents. Retrieval of data using primary data using questionnaires. Univariate data analysis used frequency distribution. Results: The results showed that respondents who had high knowledge based on age characteristics were mostly aged 20-35 years as many as 14 people (45.2%), multiparous as many as 11 people (35.3%), highly educated mothers as many as 13 people (41 , 9%), working mothers were 15 people (48.4%). Conclusion: Pregnant women in Kasihan I Public Health Center Bantul Yogyakarta in 2019 have a high level of knowledge about the use of MCH books with high knowledge categories.
MASA KERJA DAN USIA BERHUBUNGAN DENGAN PRAKTIK KOLABORASI INTERPROFESIONAL PADA RAWAT INAP RUMAH SAKIT Sulistyaningsih; Fitnaningsih Endang Cahyani; Nuli Nuryati Zulala; Sri Lestari
MEDIA ILMU KESEHATAN Vol 9 No 2 (2020): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/mik.v9i2.352

Abstract

Background: The practice of interprofessional collaboration is one of the elements that determines the quality of inpatient services. As a result of dysfunctional or non-existent interprofessional collaborative health practices is a medical error, which is the leading cause of death worldwide. Objective: to analyze factors related to interprofessional health collaboration in hospital hospitalization. Methods: Survey research methods, with cross sectional approach. The sample of this study were doctors and health workers who provided care for 58 inpatients at PKU Muhammadiyah Gamping Hospital in June-July 2019 determined by consecutive sampling. Data was collected by filling out the Collaborative Practice Assessment Tool (CPAT) questionnaire. Data analysis with chi-square. Results: the practice of interprofessional collaboration in hospitalization is mostly good (mean index = 3.00). Years of service and age are significantly related to the practice of interprofessional collaboration in hospital hospitalization. Type of profession, gender, education, marital status and income are not related to the practice of interprofessional collaboration in hospital hospitalization. Conclusion: The higher the work period and age of the healthcare professional, the better the practice of interprofessional collaboration in hospital hospitalization.
Analisis Deskriptif Fenomena Penurunan Suhu Tubuh Pada Pengawasan Kala IV Pasien Post Sectio Caesarea Fitnaningsih Endang Cahyawati; Agus Gunadi
Jurnal Ilmiah Bidan (JIB) Vol 3 No 1 (2018)
Publisher : Ikatan Bidan Indonesia (IBI)

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

Abstract

Bedah sesar atau Sectio Caesarea(SC) telah menjadi tren di Indonesia. Studi membuktikan bahwa bedah sesar memiliki berbagai komplikasi seperti penurunan suhu tubuh hingga hipotermia yang sering dihubungkan dengan berbagai faktor termasuk efek dari anestesi spinal pada proses pembedahan. Penelitian ini bertujuan untuk mengalisis fenomena penurunan suhu pada pasien post SC pada pengawasan kala IV dengan menghubungkan selisih penurunan suhu antara satu jam pertama dan satu jam kedua pengawasan terhadap faktor usia, status nutrisi sesuai Lingkar Lengan Atas (LILA), Indeks Masa Tubuh (IMT) Maternal dan komplikasi saat kehamilan dan atau indikasi SC. Metode:Penelitian ini menggunakan desain Cross Sectional pada 162 pasien yang menjalani bedah sesar di RS PKU Muhammadiyah Gamping dan perawatan post operasi di Bangsal Firdaus dari Januari 2017 hingga Mei 2017. Data diambil dengan menggunakan teknik observasi dengan menggunakan lembar pengawasan kala IV. Analisis statistik komputerasi dilakukan dengan uji descriptive, explore dan uji hipotesis korelatif dengan uji Spearman untuk mendapatkan nilai mean, SD, median dan nilai signifikansi korelasi (signifikansi P<0,05). Hasil:Penurunan suhu tubuh saat pengawasan kala IV dialami sebanyak 39 responden (24,1%). Hasil uji hipotesis korelatif didapatkan usia responden (P=0,656), status nutrisi sesuai LILA (P=0,431), IMT Maternal (P=0,601) dan komplikasi saat kehamilan dan atau indikasi SC (P=0,602). Kesimpulan:Tidak terdapat hubungan yang signifikan antara variabel selisih suhu dengan variabel usia, status nutrisi sesuai LILA, IMT Maternal dan komplikasi saat kehamilan dan atau indikasi SC, sehingga pembahasan dihubungkan dengan efek anestesi spinal terhadap termoregulasi, kegagalan pencegahan ataupun manajemen penurunan suhu tubuh pada pasien post pembedahan di RS dan kepatuhan bidan dalam melakukan pengawasan, perencanaan dan evaluasi terhadap intervensi yang telah dilakukan pada pasien post SC.
Trend of Non-Pharmacological Therapy for First Phase of Active Labor Pain: A Pilot Study Agus Gunadi; Nurhayati Adnan; Fitnaningsih Endang Cahyawati; Tri Hapsari Listyaningrum; Sri Sumaryani
Jurnal Epidemiologi Kesehatan Indonesia Vol 6, No 1 (2022)
Publisher : Department of Epidemiology, FoPH, UI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/epidkes.v6i1.5915

Abstract

There are several of non-pharmacological therapies to be used as caring practice to mother with labor pain. This study aimed to observe the effectiveness of both single and combination therapy of warm compresses and counter pressure massage (CPM) for the management of labor pain during the first active phase through medical records. This is a pilot study that used a cohort prospective design. The total number of respondents was 90 respondents, divided into 3 groups based on the non-pharmacological therapy that was given by the midwives or nurses. Pain level was measured with NRS 11. The study was conducted at PKU Muhammadiyah Gamping Hospital from May 2020 to September 2020. A comparative hypothesis analysis was done to compare the Pretest-Posttest of pain level between groups using the Wilcoxon, Kruskal-Wallis, and Post hoc Mann-Whitney tests with a significance of p <0.05. There was a reduction of 1.53 pain level of subject who received CPM, 1.16 by received warm compress and 1.67 for those who received combination therapy. It was found there was a significant difference between three groups with p=0.020. It was found that CPM was compared to Warm compress obtained p=0.017, CPM compared to Combination therapy obtained p=0.019, warm compress compared to combination therapy obtained p = 0.396.Combination therapy showed the highest reduction effect toward pain level of First Phase of Active Labor Pain. However, the CPM therapy showed to achieve effectiveness compared to warm compress and combination therapy.
UPAYA PENINGKATAN KESEHATAN REPRODUKSI MELALUI DETEKSI DINI DAN PENCEGAHAN GANGGUAN HAID SERTA MENOPAUSE Alfaina Wahyuni; Fitnaningsih Endang Cahyani; Shifa Noor Amalya
SELAPARANG: Jurnal Pengabdian Masyarakat Berkemajuan Vol 6, No 3 (2022): September
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jpmb.v6i3.9194

Abstract

ABSTRAKMenstruasi merupakan peristiwa yang wajar dan alami, walaupun kenyataannya banyak wanita mengalami masalah menstruasi. Gangguan haid dari sisi jumlah dan lamanya sering terjadi baik pada usia remaja maupun usia menjelang menopause akibat ketidakseimbangan hormon. Penyebab ketidakteraturan haid antara lain disebabkan oleh ketidakseimbangan hormon, efek samping obat, tumor di ovarium, tumor di rahim dan polikistik ovarium sindrom (PCOS). Sebagian besar masih belum memahami bahwa haid yang tidak teratur bisa jadi merupakan gejala awal dari penyakit system reproduksi maupun hubungan antara obesitas dengan gangguan haid. Kegiatan pengabdian masyarakat bertujuan untuk memberikan pemahaman tentang gangguan haid, fakta dan mitos seputar gangguan haid, menopause serta permasalahannya. Kegiatan pengabdian masyarakat dilaksanakan pada hari Jumat, 11 Maret 2022 pukul 15.30-17.30 di Masjid Al Fatah, Bodeh, Ambarketawang, Gamping, Sleman. Metode yang digunakan melalui ceramah secara langsung kepada kader binaan Pimpinan Ranting Aisyiyah (PRA) Ambarketawang. Kegiatan tersebut diikuti oleh 34 peserta, didahului dengan dilakukan pretest dan posttest pada akhir kegiatan. Bentuk pretest dan posttest menggunakan kuesioner. Berdasarkan hasil pretest dan posttest peserta menunjukkan adanya peningkatan, dengan hasil rerata pretest tentang pengetahuan gangguan haid dan menopause 81,74%, dan hasil rerata posttest 87,59%. Disimpulkan bahwa ada peningkatan pengetahuan sebelum dan sesudah penyuluhan sebanyak 5,85%. Kata kunci: gangguan haid; menopause; menstruasi. ABSTRACTMenstruation is a normal and natural occurrence; however, many women experience menstrual problems. The majority of menstrual disorders and conditions that occur during adolescence and before menopause are caused by hormonal imbalances. Menstrual irregularities can be caused by hormonal imbalances, medication side effects, tumors in the ovaries, tumors in the uterus, and polycystic ovary syndrome (PCOS). Most people are still unaware that irregular menstruation can be an early sign of reproductive system disease, or that there is a link between obesity and menstrual disorders. The aim of the community service is to give undersatanding about menstrual disorder counseling, facts and myths about menstrual disorders, menopause, and their problems. On Friday, March 11, 2022, from 15.30-17.30, community service activities will be held at Al Fatah Mosque in Bodeh, Ambarketawang, Gamping, and Sleman. The Aisyiyah Branch Leadership (PRA) Ambarketawang is assisting with direct lectures to cadres. The activity was attended by 34 people, and it was preceded by a pretest and a posttest at the end. A questionnaire is used as a pretest and posttest. Participants improved based on the results of the pretest and posttest, with the average pretest result for knowledge of menstrual disorders and menopause being 81.74 percent and the average posttest result being 87.59 percent. As a result, there is a 5.85 percent increase in knowledge between before and after counseling. Keywords: menstrual disorders; menopause; menstruation
Husband Support Influences Delivery Anxiety In Premigravidal Mothers Primigravida Trimester Iii In The Era Of The Covid-19 Pandemic Enny Fitriahadi; Fitnaningsih Endang Cahyawati; Tri Winarsih
Prosiding University Research Colloquium Proceeding of The 14th University Research Colloquium 2021: Bidang Kesehatan
Publisher : Konsorsium Lembaga Penelitian dan Pengabdian kepada Masyarakat Perguruan Tinggi Muhammadiyah 'Aisyiyah (PTMA) Koordinator Wilayah Jawa Tengah - DIY

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (143.493 KB)

Abstract

Permasalahan angka kematian maternal di Indonesia masih sangat tinggi, data dari Dinas Kesehatan Daerah Istimewa Yogyakarta tahun 2020 mengalami peningkatan yaitu 45/ 100.000 kelahiran hidup menjadi 125/ 100.000 kelahiran hidup. Di kabupaten Sleman Angka Kematian Ibu (AKI) tahun 2020 yaitu 28,0 per 100.000 kelahiran hidup. Kehamilan bagi seorang wanita merupakan hal yang membahagiakan tetapi ada beberapa ibu hamil yang mengalami kecemasan disebabkan karena resiko komplikasi bagi ibu maupun janin. Penelitian ini bertujuan untuk mengetahui dukungan suami dengan tingkat kecemasan menghadapi persalinan pada ibu hamil primigravida trimester III di era pandemic covid-19. Penelitian ini menggunakan studi korelasi dengan pendekatan cross sectional. Teknik pengambilan sampel secara purposive sampling. Responden penelitian ini berjumlah 35 ibu hamil. Dukungan suami dan tingkat kecemasan diukur dengan kuisioner. Analisa data menggunakan uji statistik Chi- Square. Hasil penelitian menunjukkan bahwa yang mendapat dukungan dari suami yaitu 20 (57,14%) dan yang kurang mendapat dukungan suami terdapat 15 (42, 86%). Terdapat 23 (65,71%) tidak mengalami kecemasan, 12 (34,28%) mengalami kecemasan ringan, tidak ada responden yang mengalami kecemasan sedang dan berat. Hasil analisa Chi- Square didapatkan nilai p value 0,04 < 0,05 dengan taraf signifikan α 5% (0,05) dengan nilai keeratan 0,328. Kesimpulannya ada hubungan antara dukungan suami dengan kecemasan menghadapi persalinan pada ibu hamil primigravida trimester III di RS PKU Muhammadiyah Gamping Sleman Yogyakarta. Saran diharapkan ibu hamil lebih memperhatikan keadaannya dan suami selalu memberikan dukungan kepada ibu sehingga dapat mengurangi kecemasan saat menghadapi persalinan.
Midwives Complience, Mother And Child Health Book, And Mother’s Health Fitnaningsih Endang Cahyawati; Septiana Nurmalitasari
International Journal of Health Science and Technology Vol 2, No 2 (2020): November
Publisher : Universitas 'Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (530.468 KB) | DOI: 10.31101/ijhst.v2i2.1846

Abstract

The Maternal and Child Health Book (MCH Handbook) contains maternal (pregnant, childbirth and postpartum) health records and children (newborns to 6 year old children) as well as various information on how to maintain and care for the health of mothers and children. Based on the 2012 Indonesia Demographic Health Survey (IDHS), the maternal mortality rate (related to pregnancy, childbirth and childbirth) was 359 per 100,000 live births. This study aims to determine the compliance of the MCH handbook by midwives in early detection of high risk of pregnancy in the Kasihan 1 Health Center, Bantul Regency. This study used a descriptive quantitative research design. The variable in this study consisted of one variable, namely compliance with the book of MCH handbook by Midwife in early detection of high risk of pregnancy. The sampling technique in this study was total sampling, with a sample of 9 midwives. The results showed that the compliance of midwives in completing MCH handbooks at the Puskesmas Kasihan 1 Bantul District was mostly obedient with 6 KIA midwives with a percentage of 66.7% and not complying with 3 midwives with a percentage of 33.3%. The suitability of midwives in filling MCH books at the Puskesmas Kasihan 1 Bantul Regency was mostly according to 41 MCH books with a percentage of 68.3% and not according to 19 MCH books with a percentage of 31.7%. The next researcher is expected to be able to conduct a complete research thoroughly the factors that influence the completeness of the MCH handbook by observing and interviewing midwives.