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Peningkatan Pengetahuan Kader Posyandu dalam Penggunaan Buku KIA Eli Rahmawati; Ernani Setyawati; Novia Nurhasanah
Poltekita: Jurnal Pengabdian Masyarakat Vol. 1 No. 2 (2020)
Publisher : Pusat Penelitian & Pengabdian Masyarakat Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (613.888 KB) | DOI: 10.33860/pjpm.v1i2.105

Abstract

In an attempt to accelerate the decline of AKI and AKB, the health sector made a breakthrough using the Program Perencanaan Persalinan dan Pencegahan Komplikasi (P4K), midwifemedicaster relations, the utilization of MCH, and the practical revitalization of Pemantauan Wilayah Setempat Kesehatan Ibu Anak (PWS KIA). The role of health service workers in the practice of Integrated Service Posts are crucial. Alas, a huge number of health service workers have the lack of comprehension and skills in regards of doing their tasks. The purpose of social service is to identify the characteristics of the Integrated Health Service workers that take parts in social service (i.e. Age, Education Level, and their tenure as health services workers). Efforts regarding the development of the service workers’ comprehension of KIA books, and the effectiveness of MCH books towards society, particularly health service workers. The methods used are lectures and discussions. the results gained from the participants are as follows: Ages in the range of 27-63 years, Tenures in the range of 2-32 years, and Education Levels in the range of Junior high-university graduates. The numerical mean for pretest is 48.57 and for post test is 64.89. An increased number of mean had been achieved by 16.33. This result concludes that education may develop the comprehension of health service workers in the utilization of MCH book.
PENGARUH KOMUNIKASI TERAPEUTIK TERHADAP INTENSITAS NYERI PERSALINAN KALA I DI RUMAH SAKIT Dr. R HARDJANTO BALIKPAPAN TAHUN 2020 Eli Rahmawati; Sriyayi Sriyayi
Husada Mahakam Vol 10 No 2 (2020): Nopember 2020
Publisher : Poltekkes Kemenkes Kalimantan Timur (URL: http://poltekkes-kaltim.ac.id/)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35963/hmjk.v10i2.242

Abstract

Background: The first stage of childbirth consists of contractions which can press on the nerve endings, causing pain stimulation. Approximately 90% of deliveries are accompanied by pain and 7-14% are not. Therapeutic communication can reduce the thought of anxiety on the patient, reducing the patient doubts therefor providing stimulation of calm and reducing pain. Objective : To determine the effect of therapeutic communication on the intensity of latent phase I labor pain. Methods: quasi experiment method and one group pretest - posttest research design. The population of all mothers giving birth from January to September was 1,123 people. The sample of this research was 12 latent phase I stage mothers with purposive sampling technique as many as 12 people. Observational research instrument. The data analysis technique is univariate analysis with the mean, median, standard deviation, minimum and maximum mean values, while the bivariate analysis uses paired t test. Result: pre-experimental labor pain average of 6.33, post-experimental average of 3.92. There is an effect of therapeutic communication on the intensity of labor pain during the latent phase of the p value of 0.000. Conclusion:Therapeutic communication affects labor pain. Suggestions for dr. R. Hardjanto Hospital Balikpapan, thereputic communication can be recommended in midwifery care for delivery and to make therapeutic communication SOPs. Keywords: Therapeutic Communication, Labor Pain Intensity
Hubungan Pijat Oksitosin Dengan Kelancaran Pengeluaran ASI pada Ibu Post Partum hari ke 1-2 Eli Rahmawati
Husada Mahakam Vol 3 No 8 (2014): November 2014
Publisher : Poltekkes Kemenkes Kalimantan Timur (URL: http://poltekkes-kaltim.ac.id/)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (149.827 KB)

Abstract

Pertumbuhan dan perkembangan bayi dan balita sebagian besar ditentukan oleh jumlah ASI yang diperoleh, termasuk energi dan zat gizi lainnya yang terkandung di dalam ASI tersebut. Banyak hal yang dapat mempengaruhi produksi ASI anatara lain prolaktin dan oksitosin. Pijat oksitosin dapat merangsang refleks oksitosin dan let down reflex. Jenis Penelitian ini adalah quasi experimen dengan rancangan post test only design and with control group, Polulasi dalam penelitian ini adalah ibu yang melahirkan normal di BPM dengan menggunakan non probability sampling yaitu dengan consecutive sampling sebanyak 24 responden setiap kelompok. Hasil analisis dengan menggunakan Chi Square diperoleh p-value 0.042 yang artinya ada perbedaan pengeluaran ASI antara kelompok ibu yang mendapat pijat oksitosin dengan ibu yang tidak dipijat oksitosin. Dari hasil nilai OR (95% CI) diperoleh angka sebesar 3.552 (1.217-12.128) yang bermakna bahwa ibu postpartum normal yang mendapat pijat oksitosin berpeluang memiliki pengeluaran ASI yang lancar sebanyak 3.552 kali dibandingkan kelompok ibu postpartum kontrol
GAMBARAN KESEHATAN REPRODUKSI PENYAPU JALANAN PEREMPUAN DI KOTA BALIKPAPAN TAHUN 2016 Eli Rahmawati
MMJ (Mahakam Midwifery Journal) Vol 2 No 1 (2017): Volume II No. 1 2017
Publisher : Politeknik Kesehatan Kementerian Kesehatan Kalimantan Timur

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (136.743 KB)

Abstract

Abstract The street sweeper is a group of high-risk workers, vulnerable to accidents and illness. One of them is the infected reproductive organs due to the use of public toilets. Preliminary study of most women's street swabs CHAPTER / BAK while working in public toilets, workers do not get maternity leave and holidays. The purpose of this research is to know the characteristics and description of reproductive health of female street sweeper covering the way to keep the reproduction organ clean, the use of public toilet, the pattern of working hours, rest, maternity leave and the use of PPE. Research design mixed method. The population is a street contract female street sweeper DKPP Balikpapan amounted to 260 people. Accumental sampling sampling technique with a sample size of 100 people. Characteristics of respondents in most ages> 40 years (64%), elementary education (40%), Islam (99%) and longest working time> 10 years. The majority of respondents still get menstruation (63%), highest parity of 2-4 people (66%), majority do not use contraception (66%), whiteness 27%, have disease history 26% and as much as 38% choose office for CHAPTER / BAK While working. Personal protective equipment is well equipped by DKPP. Maternity leave is on average 1 month, no annual leave, but allowed to take leave if necessary. The pattern of working hours and breaks is divided into two shifts ie morning shift starting at 06.00 s.d 12.00 noon and at 12.00 s.d 18.00 afternoon. The average break ranges from 1-2 hours. Suggested research results are followed up for community service on knowledge of how to maintain reproductive organs, the government pay more attention to facilities and facilities kespro, the right of workers leave and improve knowledge of reproductive health of street sweepers from various sources. Keywords: image of reproductive health, female street sweeper Abstrak Petugas penyapu jalanan merupakan kelompok pekerja berisiko tinggi, rentan kecelakaan dan terserang penyakit. Salah satunyaadalah organ reproduksi yang terinfeksi karena penggunaan toilet umum. Hasil study pendahuluan sebagian besar penyapu jalanan perempuan BAB/BAK saat bekerja di toilet umum, pekerja tidak mendapatkan cuti bersalin dan libur. Tujuan penelitian adalah diketahuinya karakteristik dan gambaran kesehatan reproduksi penyapu jalanan perempuan meliputi cara menjaga kebersihan organ reproduksi, penggunaan toilet umum, pola jam kerja, istirahat, cuti bersalin dan penggunaan APD. Rancangan penelitian mixed method. Populasi adalah tenaga kontrak penyapu jalanan perempuan DKPP kota Balikpapan berjumlah 260 orang. Teknik sampling accindental sampling dengan besar sampel 100 orang. Karakteristik responden usia terbanyak > 40 tahun (64%), pendidikan SD (40%), agama Islam (99%) dan waktu bekerja terlama > 10 tahun. Mayoritas responden masih mendapatkan haid (63%), paritas tertinggi 2-4 orang (66%), mayoritas tidak menggunakan kontrasepsi (66%), mengalami keputihan 27%, memiliki riwayat penyakit 26% dan sebanyak 38% memilih perkantoran untuk BAB/BAK saat bekerja. Alat pelindung diri sudah dilengkapi dengan baik oleh DKPP. Cuti bersalin ada rata-rata 1 bulan, tidak ada cuti tahunan, namun diperbolehkan ajukan cuti jika ada keperluan. Pola jam kerja &istirahat dibagi menjadi dua shift yaitu shift pagi dimulai jam 06.00 s.d 12.00 siang dan pukul 12.00 s.d 18.00 sore. Istirahat rata-rata berkisar antara 1-2 jam. Disarankan hasil penelitian ditindaklanjuti untuk pengabdian masyarakat tentang pengetahuan cara menjaga organ reproduksi, pemerintah lebih memperhatikan fasilitas dan sarana kespro, hak cuti pekerja dan meningkatkan pengetahuan kesehatan reproduksi para penyapu jalanan dari berbagai sumber. Kata Kunci: gambaran kesehatan reproduksi, penyapu jalanan perempuan
ANALISIS PENDAPATAN KELUARGA, BIAYA PERSALINAN, AKSES INFORMASI, DAN KEPESERTAAN JAMINAN KESEHATAN NASIONAL, DENGAN PEMILIHAN TEMPAT PERSALINAN DI KELURAHAN MUARA RAPAK KOTA BALIKPAPAN yona palin; Handry Darussalam; Eli Rahmawati
MMJ (Mahakam Midwifery Journal) Vol 4 No 1 (2019): Volume 4 No. 1 Mei 2019
Publisher : Politeknik Kesehatan Kementerian Kesehatan Kalimantan Timur

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (195.729 KB) | DOI: 10.35963/midwifery.v4i1.118

Abstract

Abstract Until the end of 2015, Indonesia had the opportunity to fail to achieve the MDG targets. The MDG target for the Maternal Mortality Rate in 2015 was 102 per 100,000 births. This optimism was reconsidered after seeing the results of 2012 which experienced a significant increase of 359 per 100,000 births. Births in Muara Rapak Village area in 2016 were 598 live births and 2 born deads. A total of 597 births were helped in health facilities and 3 births were assisted by Traditional Birth Attendants / at home. The purpose of this study was to analyze the relationship of family income, birth costs, access to information, participation in National Health Insurance, with the selection of places of birth in Muara Rapak Village, Balikpapan Town. This study used a cross sectional design. The data collection technique was accidental sampling with a sample of 92 mothers who brought infants to visit the Muara Rapak Health Center, from October to November 2018. Data analysis techniques used bivariate data analysis with Chi Square test, p_value> α (0.05) concluded there was no relationship between variables. There were 79.3% of respondents choosing the place of birth at the hospital, 10.9% of respondents choosing the place of birth the maternity clinic, 6.5% choosing the place of birth at the Independent Practice Midwife, and 3.3% of respondents choosing the place of birth by Traditional Birth Attendants / at home. The results of statistical tests, for family income variables the value of p = 0.967, for birth of costs the value of p = 0.496, for access to information the value of p = 0.867, which means the value of p> 0.05, and for participation in National Health Insurance the value of p = 0.001 < 0.05. There is no relationship between family income, birth of costs, access to information, with the choice of place of birth. But between the participation of the National Health Insurance and the choice of place of birth, there is a relationship. Keywords: Income, costs, access to information, NHI, place of birth Abstract Hingga akhir tahun 2015, Indonesia berpeluang gagal mencapai sasaran–sasaran MDGs.Target MDG’s untuk Angka Kematian Ibu tahun 2015 adalah sebesar 102 per 100.000 Kelahiran Hidup. Optimisme tersebut menjadi pertimbangan kembali setelah melihat hasil tahun 2012 yang mengalami kenaikan signifikan yaitu sebesar 359 per 100.000 Kelahiran Hidup. Kelahiran di wilayah Kelurahan Muara Rapak pada tahun 2016 sebanyak 598 lahir hidup dan 2 lahir mati. Sebanyak 597 kelahiran ditolong di fasilitas kesehatan dan 3 kelahiran ditolong oleh dukun beranak / di rumah. Tujuan penelitian ini adalah untuk menganalisis hubungan pendapatan keluarga, biaya persalinan, akses informasi, kepesertaan Jaminan Kesehatan Nasional, dengan pemilihan tempat persalinan di Kelurahan Muara Rapak Kota Balikpapan. Penelitian ini menggunakan rancangan cross sectional. Teknik pengumpulan data adalah accidental sampling dengan jumlah sampel 92 ibu yang membawa bayi berkunjung ke Puskesmas Muara Rapak, mulai Oktober sampai dengan Nopember 2018. Teknik analisa data menggunakan analisis data bivariat dengan uji Chi Square, p_value > α (0,05) disimpulkan tidak ada hubungan antar variabel. Terdapat 79.3% responden memilih tempat persalinan di rumah sakit, 10.9% responden memilih tempat persalinan di klinik bersalin, 6.5% memilih tempat bersalin di Bidan Praktek Mandiri, dan 3.3% responden memilih tempat persalinan di dukun beranak/di rumah. Hasil uji statistik, untuk variabel pendapatan keluarga nilai p=0.967, untuk biaya persalinan nilai p=0.496, untuk akses informasi nilai p=0.867, yang berarti nilai p > 0.05, dan untuk kepesertaan Jaminan Kesehatan Nasional nilai p=0.001 < 0.05. Kesimpulan Tidak ada hubungan antara pendapatan keluarga, biaya persalinan, akses informasi, dengan pemilihan tempat persalinan. Namun antara kepesertaan Jaminanan Kesehatan Nasional dengan pemilihan tempat persalinan, terdapat hubungan. Keywords: Pendapatan, biaya persalinan, akses informasi, JKN, tempat persalinan
STUDI SEKSUALITAS SELAMA KEHAMILAN DI PUSKESMAS GUNUNG INTAN KABUPATEN PENAJAM PASER UTARA Sekar Handayani; Eli Rahmawati; Devi Agustria
MMJ (Mahakam Midwifery Journal) Vol 6 No 2 (2021): Mahakam Midwifery Journal
Publisher : Politeknik Kesehatan Kementerian Kesehatan Kalimantan Timur

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35963/mmj.v6i2.174

Abstract

Abstract During pregnancy, the pregnant women usually feel discomfort and less pleasure during sexual intercourse during pregnancy. The method used is a qualitative research, using a descriptive phenomenological approach. We use the population of married couples as a participants and informants, with the condition of the wife being pregnant in the working area of the UPT. Gunung Intan Health Center, Babulu District, North Penajam Paser Regency. The sampling technique used is judgment sampling (purposive sampling). The results showed that the husband's sexual function did not have a significant effect when the couple was pregnant, while the wife experienced sexual dysfunction during pregnancy. The husband's sexual function does not change when the couple is pregnant, while the wife experiences sexual dysfunction during pregnancy, i.e. the mother rarely has the desire to have sexual intercourse and often the mother refuses to do it, and the mother rarely climaxes and there are even mothers who never climax. during sexual intercourse during pregnancy. Keywords: sexual function, husband and wife couple, pregnancy Abstrak Selama masa kehamilan ketidaknyamanan dan kurang nikmat saat berhubungan seksual umumnya sering terjadi. Metode penelitian ini adalah penelitian kualitatif, menggunakan pendekatan fenomenologi deskriptif. Populasi adalah pasangan suami istri, dengan kondisi istri sedang dalam masa kehamilan yang berada di wilayah kerja UPT. Puskesmas Gunung Intan Kecamatan Babulu Kabupaten Penajam Paser Utara. Teknik pengambilan sampel dengan judgement sampling (purposive sampling). Hasil penelitian ini diperoleh bahwa fungsi seksual pada suami tidak memiliki pengaruh yang signifikan saat pasangan hamil, sedangkan pada istri mengalami disfungsi seksual selama masa kehamilan. Fungsi seksual pada suami tidak mengalami perubahan saat pasangan hamil, sedangkan pada istri mengalami disfungsi seksual selama masa kehamilan yaitu ibu jarang memiliki hasrat untuk melakukan hubungan seksual bahkan sering kali ibu menolak melakukannya, dan ibu jarang terjadi klimaks bahkan ada ibu yang tidak pernah klimaks saat berhubungan seksual selama kehamilan. Kata kunci : Fungsi seksual, suami istri, kehamilan
Pemenuhan Gizi Ibu Hamil KEK melalui Program Pendampingan Ibu Hamil di Kelurahan Graha Indah Balikpapan Eli Rahmawati; Faridah Hariyani; Damai Noviasari
Poltekita: Jurnal Pengabdian Masyarakat Vol. 4 No. 3 (2023): Juli-September
Publisher : Pusat Penelitian & Pengabdian Masyarakat Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/pjpm.v4i3.2023

Abstract

Nutritional problem due to prolonged lack of food intake is a Chronic Energy Deficiency (CED). There is a risk of impairing fetal growth and development which results in stunting, prematurity, birth defects, LBW, and fetal/baby death. Efforts to improve the nutritional status of pregnant women with CED include nutrition education through assistance by cadres/ health workers. The purpose of this community service is to assist in fulfilling the nutrition of pregnant women with SEZ through home visits. Assistance methods include nutrition education, PMT, giving blood supplement tablets and multivitamins, and ANC checks. Assistance was carried out 2 times: first pretest nutrition education, PMT, blood tablets, and multivitamins, second 2 weeks from the first visit to monitor pregnancy conditions, and post-test. The number of participants was 20 people. The results of the activity increased knowledge from the average pre-test score of 7 to 11, on the attitude of the average score of 12 to 16, and behavior from the average score of 9 to 13. The results of statistical tests using the Wilcoxon Test obtained a value of p = 0.000. This explains that there is a significant increase in knowledge, attitude, and behavior before and after the assistance of pregnant women. It is hoped that assistance in fulfilling the nutrition of pregnant women with CED can improve the fulfillment of nutrition for pregnant women with CED, reduce the risks that occur to mothers and babies, and can be used as one of the programs in preventing stunting.
PENGARUH AKUPRESUR TERHADAP NYERI DAN LAMA PERSALINAN KALA 1 FASE AKTIF PADA PRIMIPARA DI RSUD AJI BATARA AGUNG DEWA SAKTI SAMBOJA Lyna; Eli Rahmawati; Ernani Setyawati; Faridah Hariyani
Journal Central Publisher Vol 1 No 7 (2023): Jurnal Central
Publisher : Central Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60145/jcp.v1i7.166

Abstract

Latar Belakang : Nyeri persalinan adalah hal normal pada persalinan tetapi jika tidak ditangani dengan baik menyebabkan persalinan lama, atonia uteri, laserasi dan lain[1]lain. Upaya non farmakologis seperti akupresure dapat mengurangi nyeri persalinan dan membantu mempercepat persalinan. Tujuan : Bertujuan untuk mengetahui pengaruh akupresur terhadap nyeri dan lama persalinan Kala I fase aktif pada primipara. Metode : Jenis penelitian quasi eksperimental dengan rancangan pre test post test with control group. Populasi ibu bersalin primipara inpalrtu kallal 1 false alktif yalng melalhirkaln di RSUD Alji Baltalral Algung Dewal Salkti Salmbojal (Juli-Desember 2022) sebalnyalk 87 orang. Sampel penelitian 36 orang. Alat ukur penelitian menggunakan Numeric rating scale dan partograf. Teknik analisa data menggunakan uji pairet test dan uji t independent. Hasil dan Pembahasan : Hasil Penelitian Rata-rata skor nyeri persalinan sebelum akupresur 6,83, rata-rata skor setelah pengukuran ke 1 adalah 4,50 dan rata-rata skor nyeri pada pengukuran ke 2 adalah 2,60. Nyeri sebelum dilakukan nafas rata- rata skor adalah 6,94, pada pengukuran ke 1 rata-rata skor 5,00 dan pada pengukuran ke 2 adalah 4,61. Lama persalinan sesudah akupresure rata-rata 2,80 jam. Lama persalinan sesudah nafas dalam rata-rata 6,94 jam. Ada perbedaan nyeri persalinan sebelum dan sesudah akupresure dengan p value sebesar 0,000. Ada perbedaan nyeri persalinan sebelum dan sesudah dilakukan nafas dengan p value sebesar 0,000. Ada perbedaan nyeri persalinan antara eksperimen dan kontrol dengan p value sebesar 0,001. Ada perbedaan lama persalinan antara eksperimen dan kontrol p value sebesar 0,000. Kesimpulan : Akupresur mempengaruhi nyeri persalinan dan lama persalinan kala I pada ibu bersalin