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THE EFFECTIVENESS OF GUAVA LEAVES IN THE LONG TIME HEALING OF PERINEAL WOUNDS OF POSTPARTUM MOTHERS AT MIDWIFES INDEPENDENT PRACTICE IN BENGKULU CITY Sri Yanniarti; Rosmala Aprelia; Epti Yorita; Rialike Burhan
Proceeding B-ICON Vol. 2 No. 1 (2023): Proceeding of The 3rd Bengkulu International Conference on Health (B-ICON 2023)
Publisher : Poltekkes Kemenkes Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33088/bicon.v2i1.169

Abstract

Based on data from the World Health Organization, the direct causes of death in other countries are the same, namely bleeding (28%), eclampsia (24%) and postpartum infection (1%). There are infections with a proportion (20-30%) of cases of infection caused by infection of the birth canal or perineal rupture. Cases of laceration or rupture of the perineum in maternity women worldwide occur in 2.7 million people. Based on the results of a survey conducted at one of the Independent Practices of Midwives in Bengkulu City, data on the number of mothers giving birth from January-July 2021 was 58 people and the incidence of perineal injuries with episiotomy was 38 mothers (65%). The average perineal wound healing time is 7-10 days. The design used in this study was a quasi-experimental. The sampling technique in this study was accidental sampling. The total number of samples was 15 respondents in the guava leaf group and 15 respondents in the comparison group. Statistical analysis used is the Mann Whitney test. The results of this study were the average length of perineal wound healing with guava leaves was 5.47 days, while for binahong leaves it was 5.63 days. There is an effect of guava leaves on the duration of perineal wound healing with a p value of 0.003 which means that guava leaves are effective on the duration of perineal wound healing in postpartum mothers. The most dominant influence of other variables on perineal wound healing is nutritional intake.
Marmet technique and oxytocin massage increase the smoothness of breastfeeding Rialike Burhan; Afrina Mizawati; Mariati Mariati; Asmariyah Asmariyah; Lia Nurcahyani
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 11, No 4 (2023)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2023.11(4).380-391

Abstract

Background: Breast milk is the best baby food and every baby has the right to get breast milk. Based on data from the World Health Organization (WHO) in 2018, data on the coverage of exclusive breastfeeding in several countries had not yet reached the target. Referring to the national target of 80%, in 2018 nationally the coverage of babies receiving exclusive breastfeeding is 68.74%. Meanwhile, in Bengkulu province, newborns who received exclusive breastfeeding were 65.46%. Based on the results of the 2018 Riskesdas, the proportion of breastfeeding patterns for infants aged 0-5 months in Indonesia is 37.3% exclusive breastfeeding.Objectives: This study aimed to determine the effectiveness of the marmet technique and oxytocin massage on the smoothness breastfeeding .Methods: This research used a quantitative approach with a quasi-experimental design, employing a two-group pretest-posttest design with a control group. The experimental group was administered the Marmet technique, while the control group received oxytocin massages for seven consecutive days. The sample for this study consisted of 60 first-day postpartum mothers, with 30 in the intervention group and 30 in the control group. The research was conducted at PMB Bengkulu City. The research instruments used observation sheets, and data analysis was tested using the t-test and processed using computerization. Results: The statistical results obtained showed that there was a significant difference between the groups given the marmet technique and oxytocin massage regarding the smoothness of breast milk, where the marmet technique group had better improvement. There is a relationship between education and parity with breastfeeding fluency but there is no relationship between age and work with breastfeeding fluency. Intervention and parity variables are the most effective variables in increasing the smooth breastfeeding of postpartum mothers.Conclusions: There is an effect of the marmet technique and oxytocin massage on the smoothness of breast milk. It is expected that midwives can provide midwifery care for postpartum mothers by applying the marmet technique and oxytocin massage for the smooth production of breast milk and can be disseminated to the community
HUBUNGAN PENGETAHUAN DAN SIKAP REMAJA TENTANG PENDEWASAAN USIA PERKAWINAN (PUP) DI SMAN 03 KOTA BENGKULU BURHAN, RIALIKE; SURIYANTI, MELSYAH; YULYANA, NISPI
Journal of Nursing and Public Health Vol 12 No 1 (2024)
Publisher : UNIVED Press, Universitas Dehasen Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37676/jnph.v12i1.6333

Abstract

Pendahuluan: Pendewasaan Usia Perkawinan (PUP) sebagai upaya untuk meningkatkan usia pada perkawinan pertama, sehingga pada saat perkawinan mencapai usia minimal 20 tahun bagi perempuan dan 25 tahun bagi laki-laki. Batasan usia ini dianggap sudah siap baik dipandang di sisi kesehatan maupun perkembangan emosional untuk menghadapi kehidupan berkeluarga. Metode: Jenis penelitian ini adalah dengan metode cross sectional. Populasi pada penelitian adalah siswa di SMAN 03 Kota Bengkulu kelas XI berjumlah 389 orang pengambilan sampel berjumlah 86 orang, menggunakan teknik proportionate Stratified Random sampling. Analisis data dalam penelitian menggunakan uji chi square. Hasil dan Pembahasan: Hasil uji chi square menunjukkan nilai OR 3,333 artinya responden yang memiliki pengetahuan tentang pendewasaan usia perkawinan kurang baik lebih berisiko 3 kali lipat dari pada responden yang memiiki pengetahuan tentang pendewasaan usia perkawinan yang baik dan nilai P Value 0,019 (<0,05) artinya ada hubungan signifikan antara pengetahuan dan sikap remaja tentang Pendewasaan Usia Perkawinan (PUP) di SMAN 03 Kota Bengkulu 2023. Kesimpulan: Berdasarkan hasil peneitian yang telah dilakukan di SMA N 03 Kota Bengkulu, dapat disimpulan bahwa adanya hubungan yang signifikan antara pengetahuan dengan sikap remaja tentang Pendewasaan Usia Perkawinan (PUP) di SMAN 03 Kota Bengkulu.
IMPLEMENTASI AROMA TERAPI LEMON PADA EMISIS GRAVIDARUM YORITA, EPTI; EKANUGRAHENI, DIAH; AFELA, INTAN; BURHAN, RIALIKE; SAVITRI, WEWET
Journal of Nursing and Public Health Vol 12 No 1 (2024)
Publisher : UNIVED Press, Universitas Dehasen Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37676/jnph.v12i1.6340

Abstract

Mual muntah adalah gejala yang sering dialami pada wanita hamil akibat faktor hormonal, genetik, infeksi dan psikologi. Ini merupakan kondisi ringan, dapat sembuh dengan sendirinya, dapat dikontrol dengan tindakan konservatif serta tidak menimbulkan gejala sisa yang merugikan pada janin, namun mual muntah yang kepanjangan berdampak buruk terhadap ibu dan janin. Oleh karena diperlukan terapi non farmakologi yang mudah, murah dan tidak menimbulkan efek samping seperti aromaterapi lemon. Penelitian ini bertujuan memberikan asuhan kebidanan dengan menerapkan aroma terapi lemon pada ibu hamil dengan emisis gravidarum. Desain penelitian studi kasus, Subjek penelitian Ibu hamil normal trimester I primigravida, usia kehamilan 7-8 minggu yang mengalami mual muntah >3-4 kali sehari. Tempat penelitian di PMB “F” Kota Bengkulu, dengan waktu pengambilan data pada bulan Mei 2023. Pengumpulan data menggunakan data primer menggunakan instrument format pengkajian metode Varney dan catatan perkembangan menggunakan metode SOAP. Bahan penelitian berupa minyak aromaterapi lemon pure essential oil yang dibeli di toko online dan telah memiliki izin edar dari Badan Pengawas Obat dan Makanan (BPOM) diberikan 2x1 hari selama 7 hari. Skala mual muntah pada ibu hamil diobservasi menggunakan 24 hours pregnancy unique quantification of emesis (PUQE -24). Hasil penelitian mendapatkan bahwa terjadi penurunan skor mual muntah dari skor 7 menjadi 3 setelah pemberian aroma terapi lemon. Ini berarti aroma terapi leon dapat mengurang mual munta pada ibu hamil. Disarankan kepada bidan atau pemberi pelayanan Kesehatan tingkat pertama agar memberikan aroma terapi lemon untuk menurunkan frekuensi mual muntah pada ibu hamil.
Faktor - Faktor yang bErhubungan dengan Kesediaan Ibu Hamil Mengikuti Vakisn Covid -19 Di Wilayah Puskesmas Perawatan sidodadi dan puskesmas Sekayun Tahun 2022 Dyah Sari Maharany; Eka Nugraheni, Diah; Burhan, Rialike
JURNAL BESUREK JIDAN Vol 2 No 2 (2023): Jurnal Besurek Jidan Jurusan Kebidanan Poltekkes Kemenkes Bengkulu Volume 2 No 2
Publisher : Poltekkes Kemenkes Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33088/jbj.v2i2.271

Abstract

Kejadian infeksi Covid -19 pada wanita hamil dapat terjadi pada semua trimester kehamilan baik pada trimester pertama, kedua, maupun ketiga. Penelitian ini bertujuan untuk mengetahui Faktor – Faktor yang mempengaruhi Kesediaan ibu Hamil dalam mengikuti vaksin covid 19. Desain penelitian Cross Sectional,. Populasi dalam penelitian seluruh ibu hamil di wilayah puskesmas perawatan sidodadi dan puskesmas sekayun tahun 2022 yang berjumlah 106 orang.Sampel sebanyak 106 responden.Pengumpulan data menggunakan kuesioner, analisis data secara univariat,bivariatat (chi squere) dan multivariat. Hasil penelitian menunjukkan ada hubungan yang bermakna antara Pendidikan (p=0,000), Pengetahuan (p=0,000), Pelayanan Kesehatan (p=0,005 ) dan Dukungan Keluarga (p=0,000 ). Faktor dominan yang mempengaruhi kesediaan ibu hamil mengikuti vaksin Covid-19 yaitu dukungan keluarga dengan nilai Exp B = 16,061. Diharapkan tenaga Kesehatan dapat merangkul keluarga untuk meyakinkan ibu hamil melakukan Vaksin Covid-19.
THE EFFECT OF GIVING PURPLE SWEET LEAVES ON ADEQUATE BREAST MILK PRODUCTION IN BREASTFEEDING MOTHERS IN PMB, BENGKULU CITY: PENGARUH PEMBERIAN DAUN UBI JALAR UNGU TERHADAP KECUKUPAN PRODUKSI ASI PADA IBU MENYUSUI DI PMB KOTA BENGKULU UchiKarlina; Yanniarti, Sri; Burhan, Rialike
JURNAL BESUREK JIDAN Vol 2 No 2 (2023): Jurnal Besurek Jidan Jurusan Kebidanan Poltekkes Kemenkes Bengkulu Volume 2 No 2
Publisher : Poltekkes Kemenkes Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33088/jbj.v2i2.274

Abstract

Air Susu Ibu (ASI) merupakan makanan paling cocok bagi bayi untuk memenuhi kebutuhan gizi dan melindunginya dalam melawan kemungkinan serangan penyakit. Menurut pusat data dan Informasi kementrian kesehatan 2017, pemberian ASI ekslusif di indonesia hanya 35%. Angka tersebut masih jauh dibawah rekomendasi WHO (Badan Kesehatan Dunia) sebesar 50% Rendahnya cakupan ASI eksklusif di Indonesia dipengaruhi oleh beberapa faktor, antara lain ibu merasa air susunya tidak cukup dan tidak keluar pada hari-hari pertama kelahiran bayi Upaya yang dilakukan untuk memperlancar pengeluaran ASI dapat dilakukan  dengan cara makan makanan yang bergizi seperti Daun katuk dan daun ubi  jalar  ungu. Penelitian ini menggunakan metode rancangan penelitian eksperimen semu (quasy eksperiment) dengan rancangan penelitian two grup only post test Populasi dalam penelitian ini adalah semua ibu post partum hari kedua yang menyusui di wilayah kerja Puskesmas Jembatan Kecil Kota Bengkulu. Teknik pengumpulan data dalam penelitian ini dikumpulkan dari data sekunder yang didapatkan melalui catatan yang diperoleh di BPM Wilayah Kerja Puskesmas Jembatan Kecil Kota Bengkulu , sedangkan data primer yang didapatkan dari catatan hasil observasi. Rata-rata produksi ASI setelah pemberian intervensi pada kelompok daun ubi jalar ungu dengan nilai mean 3,82 dan standar deviasi 0,393. Sedangakn pada kelompok daun katuk dengan mean  3,29 dan standar deviasi 0,686. Ada perbedaan konsumsi daun ubi jalar ungu dan daun katuk  terhadap kecukupan produksi ASI pada ibu menyusui di wilayah kerja puskesmas jembatan kecil kota Bengkulu.
Factors Affecting Exclusive Breastfeeding in the Working Area of the Sawah Lebar Health Center, Bengkulu City Welly Ayunda Dwi Pratiwi; Epti Yorita,; Desi Widiyanti; Rina Rina; Rialike Burhan
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 6, No 1 (2024): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v6i1.19229

Abstract

Breast milk is the best food for babies because it can build antibodies from an early age. Exclusively breastfeeding babies with additional food from birth to 6 months of age can prevent infectious diseases such as otiris media, diarrhea and acute respiratory infections. In Indonesia, the achievement of exclusive breastfeeding is still low due to various factors related to socio-demographics. Low access to relevant information about exclusive breastfeeding is also the cause of mothers' low knowledge about the benefits of exclusively breastfeeding their babies. Apart from that, adequate support from family and health workers also influences exclusive breastfeeding. This research aims to determine the relationship between socio-economics, family support and support from health workers on exclusive breastfeeding for babies 0-6 months in the Sawah Lebar Community Health Center area, Bengkulu City. Cross sectional research design with a sample of 98 babies aged 6-12 months selected using proportional random sampling technique. Data were analyzed univariately using a frequency distribution table, bivariately using chi square and multi variately using logistic regression. The results of the study found that there was a relationship between economic status and exclusive breastfeeding, p=0.00, there was a relationship between family support and exclusive breastfeeding, p=0.00, and there was a relationship between support from health workers and exclusive breastfeeding, p=0.00. Multivariate test results found that economic status was the most dominant factor influencing exclusive breastfeeding with a value of p=0.00. It is recommended for health workers to provide exclusive breastfeeding education in structured groups, the intervention given must take into account working mothers from middle to upper economic groups and involve family members.Keywords:  Exclusive breastfeeding, economy, family, officers
Education program for adolescent girl anemia to improve adherence to iron supplementation in remote areas Sri Yanniarti; Epti Yorita; Rialike Burhan; Erika Yulita Ichwan; Tengku Sri Wahyuni
Malahayati International Journal of Nursing and Health Science Vol. 7 No. 10 (2024): Volume 7 Number 10
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v7i10.502

Abstract

Background: One factor influencing the health behavior of teenagers is their level of knowledge. Utilizing applications or digital media in health education can deliver information in a more engaging and easily understandable way for teenagers. This approach helps enhance their understanding of health issues like anemia. Digital interactions enable teenagers to access more detailed knowledge and follow information more effectively. Purpose: To increase the attitudes and behavior of teenagers towards the regular consumption of iron tablets and the prevention of anemia. Method: A quasi-experimental design with a post-test-only control group approach was conducted in the Enggano Island area, North Bengkulu Regency, from January to October 2023. The research examined the relationship between compliance with iron tablet consumption (independent variable) and outcomes such as menstruation duration, age of menarche, and nutritional status (dependent variables). Using purposive sampling, 70 participants were selected and divided into two groups: 35 in the treatment group and 35 in the control group, based on specific inclusion and exclusion criteria. Data analysis included univariate tests to assess the frequency distribution of participant characteristics, followed by bivariate analysis using Wilcoxon, Paired T-Test, Mann-Whitney, Independent Sample T-Test, and MANCOVA. Results: The MANCOVA test results demonstrated that the Chatting Mira education intervention significantly influenced adolescents' knowledge, behavior, compliance with consuming iron supplement tablets, and Hb levels. This was supported by a p-value of 0.000, which was below the α threshold of 0.05, indicating statistical significance at a 95% confidence level. Conclusion: The Chatting Mira education intervention effectively influences teenagers' attitudes and behaviors toward iron tablet consumption and anemia prevention. By utilizing peer-led education and structured activities, this program raises awareness, fosters healthy habits, and encourages adherence to iron supplementation, ultimately reducing the risk of anemia in adolescents.
HUBUNGAN PENGETAHUAN DAN SIKAP WANITA USIA SUBUR (WUS) DENGAN PRAKTIK SADARI DI PUSKESMAS PASAR IKAN KOTA BENGKULU BURHAN, RIALIKE; DESTARIYANI, ELVI; UTARI, TRI INTAN; YORITA, EPTI
Journal of Nursing and Public Health Vol 12 No 2 (2024)
Publisher : UNIVED Press, Universitas Dehasen Bengkulu

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

Abstract

Pendahuluan: Kanker payudara ditandai oleh perkalian dan transformasi sel yang tidak terkendali di jaringan payudara, sering kali menyebabkan benjolan dan massa. Ini memiliki tingkat kematian tertinggi secara global, dengan 684.996 kasus (13,6%). Di Kota Bengkulu pada tahun 2021, terdapat 120 kejadian tumor/benjolan. Metode: Studi ini menggunakan desain deskriptif korelasional dengan pendekatan potong lintang. Populasi sasaran terdiri dari semua wanita usia subur di Pusat Kesehatan Masyarakat Pasar Ikan Kota Bengkulu yang telah menerima pendidikan pemeriksaan payudara sendiri (SADARI). Sampel dipilih melalui sampling acak proporsional, dihitung menggunakan rumus Lameshow, menghasilkan 45 subjek. Data dikumpulkan menggunakan kuesioner yang mengukur pengetahuan, sikap, dan praktik, menggabungkan sumber data primer dan sekunder. Analisis dilakukan menggunakan metode univariat dan bivariat. Hasil dan Pembahasan: Temuan mengungkapkan bahwa hampir semua peserta memiliki pemahaman yang baik tentang SADARI, dan sebagian besar memiliki sikap positif terhadapnya. Namun, mayoritas tidak secara rutin melakukan SADARI. Kesimpulan: Studi ini tidak menemukan korelasi signifikan antara pengetahuan (p=0.281) dan praktik SADARI, tetapi ditemukan korelasi signifikan antara sikap (p=0.017) dan praktik SADARI. Penelitian ini menyarankan pentingnya meningkatkan kesadaran dan praktik rutin SADARI di kalangan wanita usia subur, menekankan perlunya dukungan tambahan dari profesional kesehatan.
Improvement of Breastfeeding Efficacy Through Small Group Education of Cadres with Pregnant Women Yorita, Epti; Yanniarti, Sri; Yulinda, Yulinda; Rina, Rina; Burhan, Rialike
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 5, No 4 (2023): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v5i4.18015

Abstract

WHO recommends that every infant should be exclusively breastfed, but until now the coverage of exclusive breastfeeding is still low due to factors such as knowledge, breastfeeding efficacy, family support, lactation problems, and barriers in the health care system.  This study aims to determine the effectiveness of Small group education of cadres with pregnant women on breastfeeding efficacy among third trimester pregnant women on Enggano Island. The research design was a quasi-experimental pre-test and post-test with a control group. The treathird trimesterent group was pregnant women who received Small group education of cadres with pregnant women while the control group was pregnant women who received conventional education. The study was conducted at Enggano Health Centre from January to November 2023 with a sample of 50 pregnant women in the third trimester of pregnancy from 25-36 weeks of age, selected by purposive sampling.  The research instruments were modules and leaflets on exclusive breastfeeding, developed through a needs assessment, while breastfeeding efficacy was measured using the Breastfeeding Self-efficacy Scale-Short Form (BSES-SF). Data were analysed univariate, bivariate with  wilcoxon and multivariate with spearman rank test. The results showed that there was an effect of Small group education of cadres with pregnant women class education on breastfeeding effectiveness with p=0.00 mean difference of 19.56. There was an effect of conventional class education on breastfeeding effectiveness in the control group with p=0.46 mean difference of 1.12. The class was more effective in improving breastfeeding practices among pregnant women with p=0.00 mean difference of 47.26. Class and education level were the most dominant factors in improving breastfeeding efficiency among pregnant women. The conclusion of this study is that the small group education of cadre with pregnant women is effective in improving breastfeeding efficacy in pregnant women in the third trimester.  Keywords: Breastfeeding, Education, Efficacy, Small Group