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The Differences in The Use of Time Period II between The Dorsal Recumbent Position and The Combination Position in Primigravidian Mothers Hanifah Hanifah; Wagiyo Wagiyo; Elisa Elisa
JENDELA NURSING JOURNAL Vol 3, No 2 (2019): December 2019
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jnj.v3i2.4610

Background: Normal labor is influenced by five factors known as 5P, namely passenge (fetus and placenta), passageway (birth canal), powers (strength of contraction / uterine strength, contraction of the abdominal wall muscles, contraction of the diaphragm, and ligament action) ), psychologic maternal and position maternal. The position of labor is one way that can be done to reduce the risk of prolonged labor or when elongated. The position of labor commonly used is the dorsal recumbent position, but a combination of labor positions can also be performed.Purpose: The aim of this study was to determine the differences in the use of time period II between the dorsal recumbent position and the combination position in primigravidian mothers at Roemani Hospital Muhammadiyah Semarang.Methods: The research method used was Quasy Experiment with the design of the Post Test Only Design Group. The number of samples in this study were 30 respondents who were divided into 2 treatment groups. The sampling technique uses Accidental sampling. Data analysis using Independent t-test.Results: Based on the results of the Independent test the t-test obtained p-value = 0,000 (P 0.05), so that there was a significant difference between the dorsal recumbent position and the combination position of the second stage of labor in primigravidian mothers. The average time period II with the dorsal recumbent position was 24.14 minutes and the average time of the second time with the combination position was 19.71 minutes. The conclusion is that the time period II with the combination position is more effective than dorsal recumbent position.Conclusion: It’s hoped that it can be used as a material consideration to improve the quality of services for midwives or health workers, especially for labor positions so as to shorten the time period II.

HANDHELD FINGER TECHNIQUE RELAXATION AND MUSIC THERAPY TO DECREASE ANXIETY IN PRE SECTIO CAESAREA PATIENTS Arina Ma'rufa; kurniawati Puji Lestari; Elisa Elisa
JENDELA NURSING JOURNAL Vol 3, No 1 (2019): June 2019
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jnj.v3i1.4513

Background: There are still many pre-sectional caesarean patients who are increasing the number of surgical stressors that cause fear because they cause surgical action. In addition, patients must undergo psychological surgery during this operation are ignored and do not need to be treated because of psychological difficulties performed by the patient before surgery.Purpose: To find out the combination of the effect of handheld finger technique relaxation and music therapy to decrease of anxiety in patients with pre-Sectio Caesarea.Method: This research used a Pre-Experimental Design with a One-Group pre-post test design. The sampling technique uses accidental sampling. The number of respondents of Sectio Caesarea patients was 33 respondents. The instrument used was the Zung Self Anxiety Rating Scale (ZSARS) questionnaire.Results: The results of the study showed that the pre-sectional caesarean patients were given an intervention with a mild level of difficulty and after being given an intervention regarding the coverage, they were not worried. The Wilcoxon test results showed a p value of 0,000 (p 0.05).Conclusion: The combination of handheld finger relaxation techniques and music therapy has an effect to decreasing anxiety in pre-sectional caesarean patients

Menyusu Dini Dan Senam Nifas Terhadap Tinggi Fundus Uteri Ibu Postpartum Multipara Fitriani Widyastanti; Elisa Elisa; Wagiyo Wagiyo
JURNAL KEPERAWATAN MERSI Vol 8, No 1: April 2019
Publisher : Prodi Keperawatan Purwokerto

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

The hemorrhage of multiparous postpartum mothers occurs because the uterus has stretched so the uteri involution is slow. The lack of myometrial contraction cause a slow uteri involution so the decreasing of uteri fundus level is slow. The early breastfeeding and postpartum exercise are the ways that can be used to accelerate the decreasing of high fundus uteri. This research aims to know the influence of early breastfeeding and postpartum exercise to decrease the high fundus uteri of multiparous postpartum mothers at Klinik Utama Rawat Inap Ngesti Widodo Ungaran. The research method used is Quasi Experiment with post test-only non equivalent control group design. The number of samples are 30 respondents divided into control and intervention groups. The sampling technique used is total sampling. The data analysis used is Independent T-Test and obtained the result of p-value = 0.000 with α = 5% (0,05) showed that there is significant decreasing of high fundus uteri between early breastfeeding group than the combination of early breastfeeding and postpartum exercise. The average of high fundus uteri in the early breastfeeding group is 7,909 cm and postpartum exercise group is 4,820 cm. The conclusion, that combination of early breastfeeding and postpartum exercise affect the high fundus uteri.

Pengaruh Pemberian Terapi Musik (Murottal) terhadap Kecemasan pada Pasien Pre Operasi Sectio Caesarea di Ruang Instalasi Bedah Sentral (IBS) RSUD K.R.M.T Wongsonegoro Yunita Wigatiningsih; Hermawan Hermawan; Elisa Elisa
JURNAL KEPERAWATAN MERSI Vol 9, No 1: April 2020
Publisher : Prodi Keperawatan Purwokerto

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Background - Cesarean section is an artificial labor where the fetus is born through an incision in the abdominal wall and uterine wall with uterine nerves intact and weighs above 500 grams (Rantauprapat, 2015). Based on medical record data at IBS Wongsonegoro Hospital in May 2019 patients with Sectio Caesarea were 60 patients. According to Primasari in 2017 states that the highest level of anxiety is during pre-operation. The SC action also has several complications, such as wound infections, thrombophlebitis, postoperative bleeding and pain. SC surgery can also result in physical trauma and risk of death. This high risk can affect a patient's psychology, namely fear and anxiety arising (Ahsan, 2017). Therefore, the act of administering music therapy (murottal) is intended to reduce the level of anxiety. Objective -Provide an overview of nursing care in patients with anxiety problems preoperative Sectio Caesarea in the Central Surgical Installation of RSUD K.R. T Wongsonegoro. Method - This type of research is a descriptive method aimed at getting a realistic and objective picture of a particular condition that is happening. The number of samples needed is 3 respondents. The average scores of anxiety after doing (murottal) music therapy have dropped from moderate to mild Discussion - Interventions carried out on managed patients, namely patients given therapy (murottal) music for 10-15 minutes. By listening to the verses of AlQuran, a Muslim can feel a great physiology. In general they feel a decrease in depression, sadness and peace of mind. Conclusions and Suggestions - The results of a case study are known to provide intervention using music therapy (murottal) which has an effect on reducing patient anxiety during SC preoperative.

Pengaruh Masase Fundus Uteri Dengan Pendidikan Kesehatan (Video Masase Fundus Uteri) Terhadap Penurunan Tinggi Fundus Uteri Ibu Postpartum Di RSUD Pandan Arang Boyolali Elisa Elisa; Luluk Dwi Royani; Wien Sulistyo Adi
Jurnal Ilmu Keperawatan Maternitas Vol. 1 No. 2 (2018): December 2018
Publisher : Indonesian National Nurses Association (INNA) of Central Java

Di dalam masa postpartum terdapat suatu proses yang disebut dengan proses involusi uteri atau kembalinya uterus ke keadaan normal atau sebelum hamil. Secara normal penurunan tinggi fundus uteri turun 1 cm setiap harinya, dan pada hari ke 7 postpartum tinggi fundus uteri berada pada ketinggian 5 cm, untuk mempercepat proses penurunan tinggi fundus uteri dapat dilakukan dengan masase fundus uteri. Untuk itu peneliti ini bertujuan untuk mengetahui adakah pengaruh masase fundus uteri dengan pendidikan kesehatan (video masase fundus uteri) terhadap penurunan tinggi fundus uteri pada ibu postpartum di RSUD Pandan Arang Boyolali. Jenis penelitian yang digunakan adalah quasi exsperiment dengan rancangan post test only and with control grup design. Penelitian ini dilakukan pada 30 responden dengan teknik consecutive sampling. Selanjutnya data penelitian di analisa menggunakan uji Mann-Whitney. Hasil penelitian didapatkan mean rank kelompok perlakuan 8,73 dan kelompok kontrol 22,27 dengan p value 0,000 (<0.05) dapat disimpulkan ada pengaruh masase fundus uterui dengan pendidikan kesehatan menggunakan video masase fundus uteri terhadap penurunan tinggi fundus uteri.

Audio Visual Media-Based Health Education Increases Knowledge of Menstrual Disorders in Adolescence Elisa Elisa; Iffah Hanifah; Desak Parwati; Muhamad Jauhar
JENDELA NURSING JOURNAL Vol 6, No 1 (2022): JUNE 2022
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jnj.v6i1.8368

Background: students' knowledge about menstrual disorders is still inadequate so that it will have an impact on disrupting learning activities, difficulty concentrating, mood changes, anemia, etc. So it is necessary to increase knowledge about menstrual disorders with interesting health education by using audio-visual media.Purpose: to determine the effect of health education with audio-visual media on knowledge of menstrual disorders in adolescents.Methods: this study used a pre-experimental design with a one-group pretest-posttest design. The sampling technique used proportional random sampling technique as many as 41 respondents, the sample selection used the lottery technique. The research instrument used is a questionnaire. Data analysis used the Wilcoxon test.Results: based on the results p-value = 0.000, it can be concluded that there is an effect of health education with audio-visual media on the level of knowledge about menstrual disorders in adolescent girls.Conclusion: it is needed that teenagers can increase their knowledge about menstrual disorders through reading books, electronics, or other printed media so that they can handle menstrual disorders when they occur.

Peer Education Improve Knowledge and Attitude About Sexual Behavior in Adolescents: A Literature Review Elisa Elisa; Salma Adilanisa; Dina Indrati; Muhamad Jauhar; Maksuk Maksuk
International Journal of Advanced Health Science and Technology Vol. 2 No. 6 (2022): December
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v2i6.191

Adolescents are included in the high-risk age group. Increased free sex behavior in adolescents has an impact on sexual and reproductive health problems. This phenomenon is supported by the increasing number of sexually transmitted diseases in adolescents. Several programs and policies have been adopted to improve adolescent reproductive health through coaching and counseling. Adolescents have confidence in their peers so peer education is an alternative intervention in increasing awareness of reproductive health. This study aims to comprehensively analyze research articles that discuss the effectiveness of peer education on knowledge and attitudes about sexual behavior in adolescents. The research design uses a literature review through the journal databases PubMed, Science Direct, and EBSCO. Researchers analyzed 18 research articles based on the inclusion criteria set, namely the time of publication in the 2015-2020 range, using English, being accessible for free, and teenage respondents. The exclusion criteria consisted of married adolescent respondents and adolescent sexual violence behavior. Keywords using peer education, knowledge, attitude, sexual behavior. Data analyzed using a table containing the author, year, method, sample, and research results. The results of the analysis of research articles show that peer education is a preventive and promotive effort in increasing knowledge and attitudes about sexual behavior in adolescents. The role of peers is an important component in this health education model. This model can be integrated and modified in adolescent reproductive health services in health care facilities.

E-Booklet on Preparation Behavior for Exclusive Breastfeeding of Pregnant Women Fitri Prihatini; Dina Indrati Dyah Sulistyowati; Elisa Elisa; Wagiyo Wagiyo
JENDELA NURSING JOURNAL Vol 8, No 1 (2024): JUNE 2024
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jnj.v8i1.11530

Background: Factors that influence mothers in providing exclusive breastfeeding are lack of exposure to information about lactation management and lack of time for working mothers to provide breast feeding directly. One effort that can be made is providing counseling and demonstrations about lactation management using e-booklets to pregnant women to improve preparation for exclusive breastfeeding.Purpose: To understand the influence of lactation management efforts on behavior in preparation providing exclusive breastfeeding to pregnant women.Methods: This research uses a quasi-experimental research design with pre-test and post-test with control group. The number of samples in this study was all primigravida pregnant women in the second and third trimesters, totaling 56 people. Sampling used total sampling technique. Data analysis used the Man-Whitney test.Results: The results of the analysis of the intervention group obtained a p-value of 0.000, so there was a significant difference in the pre-test and post-test on the behavior of pregnant women regarding lactation management in the intervention group. The results of the control group analysis obtained a p-value of 0.272 so there was no significant difference in the pre-test and post-test on the behavior of pregnant women regarding lactation management in the control group. The research results obtained a p-value of 0.005, so there was a significant difference in the average behavior of pregnant women between the intervention and control groups.Conclusion: There is an influence of lactation management efforts on improving the behavior of pregnant women in preparation for exclusive breastfeeding.

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