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Perbedaan Efektivitas Terapi Musik Klasik Dan Aromaterapi Peppermint Terhadap Perubahan Skala Nyeri Pada Ibu Post Sectio Caesarea Aprilian, Esa; Elsanti, Devita
Jurnal Keperawatan Muhammadiyah 2020: JKM EDISI KHUSUS SEPTEMBER 2020
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v0i0.5662

Abstract

Background : World Health Organization (WHO) has issued a standard regulation that the average number of sectio caesarean (SC) operation in a country is 10-15% per 100,000 births. However, in 2015 it was estimated that 22.5% of labors around the world were conducted through SC. SC can cause trauma in the incision area and cause pain. Non-pharmacological techniques that can be implemented to reduce the pain include therapy using classical music and peppermint aromatherapy. Objective : Identifying the differences in the effectiveness of therapy between using classical music and peppermint aromatherapy on the change of pain scale in post section caesarean mothers. Metode : The research samples consisted of 44 post sectio caesarea mothers in RSIA Bunda Arif Purwokerto. The samples were divided into two groups and were selected through consecutive sampling. The research instrument was an observation sheet with Mann Whitney test. Result : Most of the respondents are 21-35 years old on the group of classical music therapy (72.7%) and peppermint aromatherapy (86.4%), have senior high school education degree (45.5%), multipara parity of classical music therapy (68.2%) and of peppermint aromatherapy (72.7%), never get SC history before (68.2%), housewives in classical music therapy (50%) and in peppermint aromatherapy (54.5%). The result of p-value bivariate test is 0.038, indicating that there is a significant difference between therapy using classical music and peppermint aromatherapy. The average difference between classical music therapy is 2.97, and peppermint aromatherapy is 3.34. Conclusion : Peppermint aromatherapy is more effective to reduce pain scale in post sectio caesarea than classical music theraphy. Keywords : Sectio caesarea, pain, classical music therapy, peppermint aromatherapy
Perbedaan Self Tapping Dan Senam Dismenore Terhadap Perubahan Tingkat Dismenore Primer Pada Mahasiswi Putri Priatiningrum, Aisah Catur; Elsanti, Devita
Jurnal Keperawatan Muhammadiyah 2020: JKM EDISI KHUSUS SEPTEMBER 2020
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v0i0.5312

Abstract

Objective: Menstruation is a physiological matter on female that occurs from menarche to menopause. Primary dysmenorrhea is menstrual cramps without any disorders in reproductive or gynecological organs, but caused by excessive uterine contractions. Non-pharmacological management such as self tapping and dysmenorrhea gymnastics may relieve dysmenorrhea. This research aims to find out the difference between self tapping and dysmenorrhea gymnastics towards the level change of primary dysmenorrhea on female adolescents. Methods: This research used quantitative method of pre-experimental design with two group pretest posttest design. Sampling technique used central limit theorem method with 30 respondents of self tapping intervention and 30 respondents of dysmenorrhea gymnastics intervention. The sample total was 60 respondents. The research instrument used was Numeric Rating Scale (NRS). Bivariate analysis used Wilcoxon test and Mann-Whitney test. Results: The research result shows the difference between self tapping and dysmenorrhea gymnastics towards the level change of primary dysmenorrhea with p of 0.007 (p<0.05) on Mann-Whitney test. Self tapping is more effective than dysmenorrhea gymnastics.  Conclusion: It can be concluded that there is a difference between self tapping and dysmenorrhea gymnastics towards the level change of primary dysmenorrhea on female adolescents.
Pengaruh bedside teaching model terhadap penguasaan kasus dan kemampuan ketrampilan mahasiswa praktik klinik keperawatan Solikhah, Umi; Elsanti, Devita
Jurnal Keperawatan Soedirman Vol. 07 No. 3 (2012)
Publisher : Jurusan Keperawatan FIKES UNSOED

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2012.7.3.401

Abstract

Bedside teaching methods are used to know in depth and comprehensive review of all cases of patients being studied. Selection of appropriate methods for teaching clinical nursing at the hospital became urgent need for nursing education providers to obtain an appropriate learning outcomes with student competence. The aim of this research is to identifying differences in the influence of bedside teaching methods towards the case mastery and the skill capabilities of nursing student clinical practice between the control group and intervention group. Quasy experiments study was used in this research; with 25 samples of each group. Data was analyzed with independent t-test. The study has been found differences in the influence of bedside teaching methods to the case mastery of nursing clinical practice student between the control group and intervention group (p-value=0.001); but did not with the skill capabilities (p-value = 0.686). It should be used as guidance as clinical bedside teaching methods applied in conjunction with other methods to improve the competence of nursing students mastery of the case.
THE SOCIAL SUPPORT AND PREVALENCE EMESIS GRAVIDARIUM ON PREGNANT MOTHER IN TRIMESTER I AT PUSKESMAS KEMBARAN I BANYUMAS REGENCY Devita Elsanti; Siti Nurjanah; Happy Dwi Aprilina
UNEJ e-Proceeding Proceeding of 1st International Conference on Medicine and Health Sciences (ICMHS)
Publisher : UPT Penerbitan Universitas Jember

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

Abstract

Maternal Mortality Rate (MMR) served asa basis or benchmark for the country's welfare.Based on estimation made from the Demographicand Health Survey Indonesia (IDHS) 1990 to 2007,it showed that the maternal mortality ratio (MMR)in Indonesia in 2015 reached 161 / 100,000 livebirths, while the MDG targets Indonesia is 102 /100,000 live births (Health Dept, 2013). The datafrom WHO Maternal Mortality Rate (MMR) inIndonesia in 2013 shows that as many as 8,800 bythe Maternal Mortality Ratio (MMR) of 190 (120-300) per 100,000 live births (WHO, 2013). Thematernal mortality rate in Central Java Province in2012 based on reports from regency / city was116.34 / 100,000 live births, an increase comparedwith MMR in 2011 was 116.01 / 100,000 livebirths. Most maternal deaths are in Brebes with 51deaths. Salatiga is the Regency with the leastnumber of maternal deaths with only 2 cases.According to the Central Java Provincial HealthOffice, there were 32 maternal deaths (CentralJava Health Office, 2012). Additionally, it wasnoted that there were maternal mortality by 711cases and in 2015 there were 115 cases in 2014(Nurdin, 2015).The reason of the high death toll inIndonesia is due to the low quality of life, theaverage low education, health status and poornutrition, anemia, iron deficiency, and theincidence of chronic malnutrition (Amaludin,2015). Pregnant women are in need of adequatenutrition even doubled because nutrition is neededby pregnant women to meet the needs not only forthe fetus but also the mother. However,sometimes pregnant women experience nauseaand excessive vomiting so that nutrition cannot befulfilled. Rose & Neil (2006) states that emesisgravidarium in pregnant women can cause avariety of negative effects, one of which is adecrease in appetite that result in changes in theelectrolyte balance of potassium, calcium, andsodium, causing changes in the body's metabolism.It affects the fetus, it will be lack of nutrients andfluids needed by the body, the baby will be bornwill be in low birth weight and impaired growthprocess. Excessive nausea and vomiting can alsoreduce body fluid, so that the blood becomes thick(hemoconcentration) and blood circulation totissues is late. If that happens, then theconsumption of oxygen and nourishment to thetissues also reduced (Anggarani and Subekti, 2013,Jeffrey et al, 2003). Lack of oxygen and food to thenetwork will cause tissue damage that couldreduce maternal health and fetal development inthe womb. In such cases, it needs serioustreatment (Hidayati, 2009).The purposes of this research are:1. To find out the characteristics of pregnantwomen consisting of age, education level andoccupation.2. To find out the status of social support forpregnant women in the first trimester inPuskesmas Kembaran I Banyumas.3. To find out the incidence of emesis gravidariumin the first trimester pregnant women inPuskesmas Kembaran I Banyumas.4. To find out the correlation between socialsupport and emesis gravidarium in the firsttrimester of pregnant women in PuskesmasKembaran I Banyumas.
Faktor Faktor Penyebab Penundaan Operasi Elektif Di Instalasi Bedah Sentral Rsud Banyumas Nasrulloh, Amin; Asiandi, Asiandi; Elsanti, Devita; H, Dyah Yulistika
Barongko: Jurnal Ilmu Kesehatan Vol. 2 No. 2 (2024): Barongko : Jurnal Ilmu Kesehatan (Maret)
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/bajik.v2i2.344

Abstract

Background: Data shows that there were 655 (22.53%) operational delays out of 2907 operations during June – December 2022. The percentage of operational delays is still much higher than the target recommended by KARS on the National Quality Indicator of postponement of elective surgery, namely no more of 5%. There are several main factors that cause delays in operations including patient factors, staff factors, facility factors, and administrative factors. This fact is very concerning considering the quality of hospital services plays an important role in the level of patient satisfaction in the midst of increasingly fierce hospital competition. Objective: To find out the factors causing delays in elective surgery at the Central Surgical Installation of Banyumas Hospital. Methods: This study used a retrospective observational analytic method with a cross-sectional approach. The sampling technique used was cluster sampling which was taken randomly from June to December with a total sample of 248 ERM. The analysis used is Logistic Regression. Results: There is a significant relationship between patient factors (p 0.045; OR 0.036) and staff factors (p 0.037; OR 0.038). Conclusion: The staff factor is the most dominant factor affecting delays in operations at the Central Surgical Installation of Banyumas Hospital.
Faktor-Faktor Yang Menyebabkan Kejadian Shivering Pada Pasien Sectio Caesarea Dengan Spinal Anestesi Di Rsud Banyumas Rusnowanto, Rusnowanto; Sodikin, Sodikin; Solikhah, Umi; Elsanti, Devita
Barongko: Jurnal Ilmu Kesehatan Vol. 2 No. 2 (2024): Barongko : Jurnal Ilmu Kesehatan (Maret)
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/bajik.v2i2.345

Abstract

Background: Shivering events during June - August 2022 obtained an average number of cesarean section actions of 106 - 110 actions per month. Of these, 53 people or 49.05% of sectio caesaria patients experienced shivering. There are several factors that can influence the incidence of shivering including age, length of operation, exposure to cold temperatures, LILA, and needle size. Objective: To determine the factors that cause shivering in sectio caesaria patients with spinal anesthesia at Banyumas Hospital. Methods: This research is a type of analytic observational study with a cross sectional approach with a random sampling technique and obtained a sample of 40 sectio caesarea patients. The analysis used is Logistic Regression. Results: There is a significant relationship between length of operation (p 0.019), operating room temperature (p 0.004), LILA (p 0.030). Conclusion: The most dominant factor affecting the incidence of shivering is body temperature (p 0.008; OR 13.1).
PENYULUHAN PRILAKU HIDUP BERSIH SEHAT DAN GERAKAN MASYARAKAT HIDUP SEHAT PADA LANSIA MENGHADAPI COVID-19 Etlidawati, Etlidawati; Yulistika, Diyah; Elsanti, Devita
Community Services and Social Work Bulletin Vol 1, No 1 (2021): Community Services and Social Work Bulletin Volume 1 No. 1 2021
Publisher : Universitas Muhammadiyah Tangerang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (2116.595 KB) | DOI: 10.31000/cswb.v1i1.5725

Abstract

COVID-19 is a disease that attacks the respiratory system in humans. This virus has infected millions of people. The elderly is a population group that is quite vulnerable and affected by health and psychological problems in the era of the COVID-19 (new normal) pandemic. One of the government's efforts to protect the elderly from being exposed to this epidemic is to increase the health promotion of the elderly. Elderly by providing counselling. The purpose of the activity is counselling on PHBS and GERMAS (Healthy Living Community Movement) which is part of health promotion in the field of environmental health in breaking the chain of spread of COVID19 and ready to face the new normal. The community can apply healthy living behaviour in the new normal era by applying the 5 M. The Community Service activity method is in collaboration with health cadres Aisyayah Ranting Karangnanas Sokaraja. The series of activities include health checks, namely blood pressure and blood sugar, counselling on healthy living habits and community movements in preventing COVID 19 in the New Normal, namely with 3 M. From the results of the activities, the knowledge of Aisyiyah and the elderly in Karangnanas Village is good knowledge. On average, they can answer about what COVID 19 is, prevention and are able to demonstrate again how to wash hands properly
Pengaruh Direct Contact Challenge terhadap Stigma dan Empati Kader Kesehatan Jiwa terhadap ODGJ Estria, Suci Ratna; Elsanti, Devita; Sari, Arum Astika
Jurnal Keperawatan Vol 16 No 2 (2024): Jurnal Keperawatan: Juni 2024
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32583/keperawatan.v16i2.1754

Abstract

Tingginya prevalensi gangguan jiwa salah satunya akibat stigma negative yang melekat pada masyarakat terhadap ODGJ. Perlu berbagai upaya menangani masalah tersebut, antara lain dengan melibatkan berbagai pihak, salah satu yang dilakukan pemerintah adalah dengan pembentukan kader kesehatan jiwa. Meskipun sudah mendapatkan bekal pelatihan, akan tetapi kader masih memiliki stigma negative. Perlu metode mengatasi masalah tersebut, salah satunya dengan program pembelajaran direct contact challenge. penelitian ini menggunakan pendekatan kuantitatif dengan desain pre-eksperimen. Rancangan penelitian ini adalah one group pretest-posttest design. Teknik pengambilan sampel menggunakan total sampling sebanyak 72 orang. Kuesioner yang digunakan adalah kuesioner Emphaty Toward the Mentally Ill Scale dan kuesioner Community Attitudes Toward the Mentally Ill Scale (CAMI). Analisa data yang dilakukan adalah paired-sample t test. Hasil penelitian ditemukan bahwa terdapat perngaruh direct contact challenge pada stigma kader terhadap ODGJ dengan p value 0,0001 dan pada empati kader dengan p value 0,0001. Kesimpulan direct contact challenge efektif untuk menurunkan stigma negative dan meningkatkan empati terhadap ODGJ.
Kualitas Hidup Terkait Kesehatan Pada Ibu Hamil Pasca Operasi Caesar: Studi Longitudinal Nuryana, Riska; Elsanti, Devita; Sumarmi, Sumarmi
Jurnal Keperawatan Muhammadiyah Vol 9 No 4 (2024): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v9i4.24937

Abstract

Background: Research focusing on the quality of life after Caesarean Section (CS) and during subsequent pregnancies is still minimal. In addition, research on the quality of life after multiple CSs is still lacking. Several studies focus on the assessment of the quality of life of pregnant women after giving birth by comparing the type of birth: CS versus vaginal delivery (normal delivery). Objective: This study aims to compare the assessment of health-related quality of life in pregnant women who have a history of CS in the first, second and multiple CSs depending on the number of CSs in the pregnant woman's health history. Methods: A short longitudinal study will be conducted on pregnant women with a history of CS on the day before the planned caesarean section (CS)-T1, and on the third day after CS-T2. Pregnant women with a history of CS are divided into three groups. Group 1: never CS; Group 2: ever CS 1 time; Group 3: ever CS two or more times. Pregnant women will fill out a questionnaire regarding respondent characteristics, obstetric history, surgical or anesthesia history and the health-Related Quality of Life (HRQoL) Questionnaire. General linear model for repeated measurement is used by analyzing correlated and non-independent data that are measured repeatedly. Results: The results of this study showed that GLM with repeated measures was conducted to examine the effect of time (time I, time II and time III) on the quality of life variable. The analysis revealed a significant main effect of time, F (2.39) = 4750.43, p-value = 0.000, indicating that quality of life changed significantly at three time points. Conclusion: An individual approach is needed in planning pregnancy after cesarean, especially to prevent long-term health risks. Education and counseling to help mothers understand the recovery process and manage stress or anxiety. This study provides important insights for health professionals to improve post-cesarean services, both in terms of medical interventions and psychosocial support. Keywords : Sectio Caesarea (CS); quality of life; pregnant women, surgery
Dampak Climate Change Dan Ketahanan Pangan Selama Kehamilan Pada Ibu Hamil Di Pedesaan Indonesia: Studi Kualitatif Dampak Badai El Nino Ernawati, Ernawati; Wijaya, Yosi Maria; Elsanti, Devita; Sumarmi, Sumarmi; Rahayu, Mesra
Jurnal Keperawatan Muhammadiyah Vol 9 No 4 (2024): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v9i4.25026

Abstract

Background: Agriculture and food are negatively impacted by climate change, especially the long dry season caused by El Niño in Indonesia, especially in rural areas. High dependence on rainfall, land, and lack of representation in decision-making groups result in increased challenges and limited adaptive capacity of pregnant women in climate change including its impact on food security. Objectives: This study aims to characterize: 1) sensitivity to decreased food security related to El Niño for pregnant women; 2) pregnant women's perceptions of the impact of El Niño on food security during pregnancy; and 3) changes in food security and maternal and infant health over time, as observed by pregnant women in rural Indonesia. Methods: This study design is a qualitative design. This study was conducted in one district in South Sulawesi and Central Java Provinces. A semi-structured interview guide was used. Data analysis using qualitative thematic analysis methods of data using the constant comparative method. Transcripts were uploaded to NVivo© 12 to facilitate manual coding. with the constant comparative method and thematic analysis. Results: All informants did not know or did not understand the term El Niño. The most felt impacts due to the long dry season are drought and strong winds that make it difficult to obtain food. The way to overcome food insecurity is to utilize food that is still available to be processed into food that can be consumed and shared or shared with family to survive. Conclusion: Climate change has a significant impact on food security, especially in rural areas, which results in the risk of malnutrition in pregnant women.