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Journal : JURNAL KEPERAWATAN MERSI

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

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Abstract

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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Abstract

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.