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PERAN KONSELOR SEBAYA TERHADAP PENINGKATAN PENGETAHUAN DAN PERILAKU TANGGAP DARURAT BENCANA Yayah Rokayah; Kadar Kuswandi; Ismiyati Ismiyati; Siti Rusyanti
Jurnal Medikes (Media Informasi Kesehatan) Vol 8 No 1 (2021): Mei
Publisher : Politeknik Kesehatan Kementerian Kesehatan Banten

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36743/medikes.v8i1.276

Abstract

Bencana merupakan suatu peristiwa yang mengancam dan mengganggu kehidupan dan penghidupan masyarakat,sehingga mengakibatkan timbulnya korban jiwa, kerusakan lingkungan, kerugian harta benda dan dampak psikologis. Teman sebaya adalah teman yang sejajar atau memiliki tingkat usia dan kematangan yang sama, mempunyai kesamaan dalam minat, nilai-nilai, pendapat, dan sifat-sifat kepribadian.Tahun 2018 terjadi bencana sunami di kabupaten pandeglang dan serang, dampaknya menimbulkan banyak korban jiwa sebanyak 438 orang meninggal, 584 orang luka luka, sebagian korban adalah anak-anak. Tujuan penelitian untuk mengetahui pengaruh informasi teman sebaya terhadap peningkatan pengetahuan dan prilaku penanggulangan bencana pada anak remaja SMP. Penelitian ini merupakan penelitian kuantitatif dengan desain quasi eksperiment, jumlah sampel yang sebanyak 70 orang (35 orang untuk kelompok intervensi, dan 35 orang kelompok control). Analisis data dengan menggunakan uji Wiloxom dan Mann Whitney. Hasil uji Univariat terjadi peningkatan nilai rerata pengetahuan sebelum dan sesudah perlakuan pada kedua kelompok dengan selisih rata-rat lebih tinggi pada kelopok kontrol yaitu dari 3,60 menjadi 7,86. dan kesalahan perilaku menyelamatkan diri saat terjadi bencana memiliki proporsi yang hampir sama, yaitu 62.9% dan 57.1%, dan perubahan perilaku penyelamatan diri lebih banyak (85.7%) terjadi pada kelompok kontrol dengan nilai p=0.009 (p<α), dengan OR sebesar 0.198. Perbedaan rerata nilai pengetahuan sebelum dan setelah perlakuan adalah signifikan pada masing-masing kelompok, dengan rerata selisih (delta) nilai pengetahuan lebih tinggi terjadi pada kelompok kontrol. Perubahan perilaku penyelamatan diri lebih banyak terjadi pada kelompok kontrol bila dibandingkan dengan kelompok intervensi dan terdapat pengaruh atau hubungan antara perilaku yang diberikan pada kelompok dengan perubahan perilaku penyelamatan diri saat terjadi bencana.
The Effect of Effleurage Massage on Lowback Pain In Trimester Iii Pregnant Women At Mandala Puskesmas, Lebak Regency In 2021 Nani Yuningsih; Kadar Kuswandi; Siti Rusyant
Science Midwifery Vol 10 No 2 (2022): April: Science Midwifery
Publisher : Institute of Computer Science (IOCS)

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

Abstract

The biopsychosocial needs of pregnant women have not been explored. We need an intervention that is able to restore the balance of the body. The purpose of this study was to prove the effect of effleurage massage on back pain in the third trimester pregnant women. A quasi-experimental study with randomized control group pre-test post-test design. The division of the intervention group was 18 people with effleurage massage and the control group was 16 people with pregnant exercise. Observations using the ODI scale for 3 weeks at the end of week 4 were evaluated. Before and after treatment, each group did not have a difference in the average pain score (intervention group p=0. 2 and control group p=0.830). The difference between the FHR differences between groups was not significant, the p value = 0.31. The intervention with effleurage massage was proven to reduce back pain discomfort in third trimester pregnant women compared to the exercise group, using the ODI scale. There is a need for continuous care in health services for mothers such as complementary services for effleurage massage as an alternative to care for pregnant women at health centers.
KONSELING INTENSIF DAPAT MENINGKATKAN EFIKASI DIRI IBU HAMIL DENGAN HEPATITIS B DALAM MENGHADAPI PERSALINAN Siti Rusyanti; Yayah Rokayah; Nani Yuningsih; Kadar Kuswandi
Jurnal Medikes (Media Informasi Kesehatan) Vol 9 No 2 (2022): November
Publisher : Politeknik Kesehatan Kementerian Kesehatan Banten

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36743/medikes.v9i2.325

Abstract

Pregnant women with Hepatitis B must have confidence in their abilities to organize the actions needed to manage the situation during childbirth. Achieving self-efficacy in pregnant women requires internal and external support intensive counselling as part of the management of pregnant women with Hepatitis B. The formulation of the problem in this study is how the description of the self-efficacy of pregnant women with Hepatitis B in dealing with childbirth and whether there is an effect of Intensive counselling on the self-efficacy of pregnant women with Hepatitis B in facing a delivery. The purpose of this study was to describe the self-efficacy of pregnant women with Hepatitis B in dealing with delivery and to determine the effect of intensive counselling on the self-efficacy of pregnant women in dealing with the delivery in Lebak Regency in 2021. This study used a quasi-experimental approach with a pretest-posttest design approach. The sample size in this study was based on the number of pregnant women with Hepatitis B in the Lebak district in July 2021, as many as 32 (Consecutive sampling). Inclusion criteria in this study were pregnant women in the third trimester who suffered from Hepatitis B. Univariate data analysis aimed to present an overview of the frequency distribution of each variable, and bivariate analysis to analyze the relationship between independent and dependent variables, with the non-parametric Wilcoxon test. The results showed an increase in the self-efficacy of pregnant women with Hepatitis B in facing delivery, after intensive counselling, with a value of p = 0.000 (p < ). Pregnant women with Hepatitis B need intensive counselling as external support in preparing for childbirth and caring for their babies. One strategy to increase people's knowledge and attitudes is through intensive counselling. The provision of health education, including the implementation of counselling, aims to improve knowledge, change behaviour, prevent complications, support health conditions, empowerment and self-efficacy.
CAKUPAN PELAYANAN KESEHATAN IBU DAN ANAK PADA MASA PANDEMIC COVID 19 DI PUSKESMAS MANDALA Yayah Rokayah; Kadar Kuswandi
Jurnal Medikes (Media Informasi Kesehatan) Vol 10 No 1 (2023): Mei
Publisher : Politeknik Kesehatan Kementerian Kesehatan Banten

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36743/medikes.v10i1.357

Abstract

Health services during a pandemic are a problem for the community and the health workers. Providing services during this period is very risky to public health, especially for pregnant women, babies, and toddlers. The lack of public knowledge about the spread and prevention of COVID-19 will affect the attitudes and behavior of the community (pregnant women, maternity, infants, and toddlers) to visit healthcare centers out of fear. The study aimed to determine the difference in the average coverage of the Mother and Child Health Program before and after the Covid 19 pandemic. The research design used a cross-sectional sample. This study sample resulted from the coverage of MCH health services (ANC, childbirth, and neonatal) from January to September 2020. This research was conducted at the Mandala Health Center. Data collection used secondary data from the PWS report register. The results obtained mean coverage of all variables (ANC of 1.492%, Linakes of 1.78%, and Neonates of 3.698%) experienced an increase after the spread of the Covid-19 pandemic when compared to the average before the spread of the Covid-19 pandemic. The highest mean coverage was neonatal services at 3.698%. At the same time, the results of the T-test showed that the p values obtained for all variables were (ANC P value of 0.243, Linakes P value of 0.082, and Neonates P value of 0.091) exceeding the alpha value used (0.05), thus in this T-Test, it was found that the average coverage before and after the spread of information about Covid-19 did not experience a significant difference. There was an increase in the average coverage and MCH (ANC, delivery by health workers and neonates) after the COVID-19 pandemic, and there was no significant impact from the COVID-19 pandemic on the coverage of the MCH program.