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Kinerja Pelayanan Kesehatan Ibu dan Anak di Papua Tahun 2018: Apakah input tenaga bidan dan dokter berpengaruh? Ratna Dwi Wulandari; Agung Dwi Laksono; Ratu Matahari; Nikmatur Rohmah; Hana Krismawati
Buletin Penelitian Sistem Kesehatan Vol 24 No 4 (2021): Buletin Penelitian Sistem Kesehatan
Publisher : Pusat Penelitian dan Pengembangan Humaniora dan Manajemen Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/hsr.v24i4.4913

Abstract

Maternal and child health is one of factors that indicate the community health status. The study analyzes the relationship between the input of midwives and doctors on the performance of maternal and child health services. This study uses an ecological analysis approach. The population is 42 districts/cities in Papua Island . In addition ,this study analyzes K4, childbirth in health care facilities, and KN1 as the dependent variable. The analysis uses a scatter plot with a linear fit line as a determinant. The study results a very high variation among districts/cities, both the input variable and maternal and child health performance. Spatially, the lowest input of midwives and doctors is more likely to the Central Mountain region. It showed the higher the input of midwives and doctors, the higher the K4 performance. The higher the input of midwives and doctors, the higher the delivery performance at health service facilities. In addition, The higher the input of midwives and doctors is the higher the performance of KN1. The midwife's input has a more significant effect than the doctor's input for all maternal and child health performance. The study concludes that the input range for midwives and doctors in Papua Island is very extensive. The input of midwives and doctors is positively related to the performance of maternal and child health services in Papua Island. K4 is the factor that is least carried out, both by midwives and doctors. Abstrak Kesehatan ibu dan anak merupakan salah satu faktor yang mengindikasikan status kesehatan masyarakat di suatu wilayah. Studi ditujukan untuk menganalisis hubungan antara input tenaga bidan dan dokter pada kinerja pelayanan kesehatan ibu dan anak di Pulau Papua. Studi dilakukan dengan pendekatan analisis ekologi. Populasi studi adalah seluruh kabupaten/kota di Pulau Papua (42 kabupaten/kota). Selain input tenaga bidan dan tenaga dokter sebagai variabel independen, studi ini menganalisis K4, persalinan di fasilitas pelayanan kesehatan, dan KN1, sebagai variabel dependen. Analisis memanfaatkan scatter plot dengan garis fit linier sebagai penentu. Hasil studi menunjukkan variasi yang sangat tinggi antar kabupaten/kota, baik pada variabel input tenaga maupun pada kinerja kesehatan ibu dan anak. Secara spasial input tenaga bidan dan dokter yang paling rendah cenderung di wilayah Pegunungan Tengah. Semakin tinggi input tenaga bidan maupun tenaga dokter, semakin tinggi pula kinerja K4 di kabupaten/kota tersebut. Semakin tinggi input tenaga bidan maupun tenaga dokter, maka semakin tinggi pula kinerja persalinan di fasilitas pelayanan kesehatan di wilayah tersebut. Semakin tinggi input tenaga bidan maupun tenaga dokter, maka semakin tinggi pula kinerja KN1 di area tersebut. Lebih lanjut, input tenaga bidan memiliki efek yang lebih bermakna dibanding input tenaga dokter untuk seluruh kinerja kesehatan ibu dan anak. Studi menyimpulkan bahwa rentang input tenaga bidan dan dokter di Pulau Papua sangat lebar. Input tenaga bidan dan tenaga dokter berhubungan secara positif dengan kinerja pelayanan kesehatan ibu dan anak di Pulau Papua. K4 merupakan faktor yang paling kurang dilakukan, baik oleh tenaga bidan maupun tenaga dokter.
Manajemen Nyeri Non Invasive Pada Ibu Post Partum dengan Pendekatan Evidence Based Practice Nikmatur Rohmah
Jurnal Ners Vol. 6 No. 2 (2011): Oktober 2011
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (291.694 KB) | DOI: 10.20473/jn.v6i2.3992

Abstract

Introduction: Pain is a sensation of discomfort that most post-partum mothers complain about, in the case of prolonged pain, the risk of post-partum blues is higher. The usage of evidence based practice method gives a bigger opportunity for nurse and medical attendants to think more critically in making decisions and in performing the appropriate treatment in accordance with the patient's problem and uniqueness. This research aimed to applicate management of non-invasive pain on post partum mother through the approach of evidence based practice.Method: This was a case-study, performed to client Mrs. A P1-1 A0 post sectio caesarea day 1 as there is an indication of suspect cepalo pelvis disproportion secondary arrest. Data were collected at maternity room, dr. Soebandi Regional General Hospital. Using interview, observation, and physical examination. Data analysis was conducted through a descriptive analysis.Result: Through a careful nursing, it is found out that pain location and spreading that generally spotted at the patient’s back during the contraction in the uterus, occurred around the shoulders when evidence-base practice is applied. The basic principle of applying an intervention to non invasive pain based on evidence–base practice are: cutaneous stimulation and distraction, while massaging area was set on the face, while the distraction media was interaction with the baby. Evaluation on evidence –based practice showed that pain is reduced to scale 2, while face and mobilitation become more relaxed.Discussion: Massage was intended to stimulated the production of endorphine and dinorphine that play an important roke to block the pain transmission through the descendent control system. Interaction with the baby was intended to function as a distraction media to dominate the incoming impuls into the ascendant control system,which further may close the gate of the pain transmitter. Both of the interventions were axpected to work synergically in reducing pain, since post-partum pain can be relieved more quickly when more than one technique are applied. Thus, to reduce post-partum pain, facial massage and interaction with the baby as non–invasive treatments are of important, respectively.
Pemberdayaan Masyarakat dalam Upaya Meningkatkan Kepemilikan Kartu Identitas Anak di Taman Kanak-Kanak Daerah Pedesaan: Community Empowerment in Efforts to Increase Child Identity Card Ownership in Kindergartens in Rural Areas Nikmatur Rohmah; Siti Kholifah
PengabdianMu: Jurnal Ilmiah Pengabdian kepada Masyarakat Vol. 7 No. 4 (2022): PengabdianMu: Jurnal Ilmiah Pengabdian kepada Masyarakat
Publisher : Institute for Research and Community Services Universitas Muhammadiyah Palangkaraya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33084/pengabdianmu.v7i4.2931

Abstract

A Child Identity Card (CIC) is a card issued by the Government to collect data and provide child protection. However, not all preschoolers have CIC. This service aims to provide CIC ownership solutions in rural areas. The service method is applying science and technology and community empowerment. Empowerment is carried out by kindergarten teachers and the surrounding community. The facts at the service location show that 30 children do not have CIC. Thirty-three percent of children who do not have CIC do not have a birth certificate. As many as 57.1% of parents of children who do not have birth certificates do not register their marriage at the Office of Religious Affairs. Parents do not have time to take care of CIC. Parents feel CIC is not necessary. The online CIC program has difficulties; parents do not have cellphones, cellphones are not active, and they cannot create emails. The result of the empowerment is that teachers are skilled in proposing birth certificates and CIC offline and online through the Jember Regency Dispendukcapil Service Information System application. The result of the service is that 24 preschool children have KIA, and five children have birth certificates. Teacher participation should be optimized to increase the ownership of CIC for preschool children.
MOTIVASI MAHASISWA KEPERAWATAN DALAM PERSPEKTIF GENDER BERBASIS TEORI ATTENTION, RELEVANCE, CONFIDENCE, AND SATISFACTION ATTRIBUTES: Motivation of Nursing Students from A Gender Perspective Based on The Theory of Attention, Relevance, Confidence, And Satisfaction Attributes Nikmatur Rohmah; Elfira Damayanti; Yasminta Salsabila; Yesica Ajeng Dwi Rusti Arifin; Ratna Agustina; Ando Mangkuluhur; Oky Yosiawan
Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing) Vol. 9 No. 2 (2023): JIKep | Juni 2023
Publisher : LPPM STIKES Pemkab Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33023/jikep.v9i2.1564

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Pendahuluan: Saat ini program studi keperawatan tidak lagi diminati hanya oleh perempuan. Laki-laki juga sudah mulai banyak memilih menjadi mahasiswa di program studi keperawatan. Sejauh ini belum diketahui ada bukti empiris motivasi mahasiswa keperawatan dalam perspectif gender. Tujuan: menganalisis motivasi mahasiswa keperawatan dalam perpectif gender berdasarkan teori attention, relevance, confidence and satisfaction attributes dalam setting pembelajaran kuliah kerja nyata.  Metode: Desain penelitian cross sectional. Populasinya adalah mahasiswa program studi S1 Ilmu Keperawatan yang sedang melaksanakan kuliah kerja nyata. Pemilihan sampel menggunakan simple random sampling. Sampel berjumlah 71 responden. Pengumpulan data menggunakan kuesioner. Analisis data menggunakan uji Wilcoxon. Hasil: Namun hanya aspek attention yang terbukti ada perbedaan gender (p=0,029), sedangkan aspek relevance (p=0,153), confidence (p=0,116), dan satisfaction attributes (p=0,756) tidak terbukti ada perbedaan antara perempuan dan laki-laki. Kesimpulan: Mahasiswa perempuan dapat menunjukkan motivasi yang lebih tinggi pada kegiatan kuliah kerja nyata terutama pada aspek attention. Mahasiswa laki-laki hendaknya dapat meningkatkan motivasi belajarnya dengan cara meningkatkan attention pada kegiatan kuliah kerja nyata.
A Assistance for micro businesses in processing rice bran as alternative nutrition to prevent stunting Awatiful Azza; Nikmatur Rohmah; Ara Nugrahayu Nalawati
Community Development Journal Vol 7 No 2 (2023): Community Development Journal
Publisher : UNUSA Press

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

Abstract

Stunting is a condition that can interfere with the growth and development of children. There are several causes of stunting, including the lack of high nutritional intake by pregnant women. Rice bran is one of the processed rice wastes which has nutritional content and is very good for health, which can be used as an alternative nutritional basis for pregnant women. Until now, the use of rice bran as an alternative nutrient has not been optimally utilized by the people in Silo village. The purpose of this activity is to assist micro businesses in processing rice bran as an alternative nutrition to prevent stunting. This activity was carried out in the home industry group "Azzahra" which is developing its business in the field of processed rice bran as the basic ingredient. There are 4 housewives involved in bran processing. The method of implementing this community service is assistance and demonstration of how to choose and store rice bran so that it remains of good quality. The result of this activity is an increase in partner knowledge in choosing and storing rice bran as an alternative nutrition for prevention.
The Relationship between Sociodemographic Factors and Short Stature in Toddlers Indah Wulandari; Zuhrotul Eka Yulis Anggraeni; Roza Riska Romadhoni; Putri Nofia Marta Wulandari; Nuril Alifia Damayanti; Trias Maharani; Nikmatur Rohmah
Adi Husada Nursing Journal Vol 9 No 2 (2023): Adi Husada Nursing Journal
Publisher : STIKES Adi Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37036/ahnj.v9i2.396

Abstract

Stature is the human physical form or somatotypes. Stature is often associated with sociodemographic factors. However, now, further evidence is needed about this phenomenon, especially in the toddler population. This study aims to analyze the relationship between sociodemographic factors and short stature in toddlers. Cross-sectional study design. The population is 303 toddlers aged 12-60 months in Lojejer Wuluhan Jember Village, East Java. A total of 172 samples were taken by cluster sampling. Sociodemographic variables that were measured included: father's age, mother's age, father's education, mother's education, family income, under-five gender, and birth weight. Toddler stature dependent variable. Data collection techniques using observation and questionnaires. Data analysis using logistic regression. The results showed that the variables of family income, child's gender, and birth weight had a relationship with short stature in toddlers. The results of the modeling analysis showed that male sex (p 0.004, AOR 3.94, 95% CI 1.54 to 10.07) and birth weight (p <0.001, AOR 39.005, 95% CI 7.69 up to 197.63) have been shown to have a significant relationship with short stature in toddlers. Birth weight is an illustration of the nutritional status of toddlers during the intra-uterine period. This study concluded that male toddlers have a higher risk of experiencing short stature compared to female toddlers. Babies born with low birth weight are at risk of experiencing short stature compared to those with normal birth weight and more. Nutritional status at birth is the initial capital for children's growth in the Toddler period. Therefore, the government needs to establish stricter policies so that pregnant women get assurance of adequate nutritional intake for themselves and their babies. In addition, it is necessary to carry out further studies related to mediating variables related to gender and their effect on short stature.
GAMBARAN TEKANAN DARAH PADA PASIEN DENGAN TERAPI BEKAM DI TEMPAT PRAKTIK JEMBER BEKAM KABUPATEN JEMBER Muhammad Kandar; Nikmatur Rohmah; Luh Titi Handayani
Medic Nutricia : Jurnal Ilmu Kesehatan Vol. 1 No. 1 (2023): Medic Nutricia : Jurnal Ilmu Kesehatan
Publisher : CV SWA Anugerah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5455/mnj.v1i1.505

Abstract

Pendahuluan: Tekanan darah merupakan faktor yang amat penting pada sistem sirkulasi.Tindakan yang dapat dilakukan untuk menurunkan tekanan darah yaitu dengan non farmakologi adalah seperti terapi bekam.Tujuan: Mengetahui profil tekanan darah pada pasien dengan terapi bekam di Tempat Praktik Jember Bekam Kabupaten Jember. Metode: Penelitian ini merupakan penelitian kualitatif, menggunakan analisis data deskriptif. Hasil Penelitian: Hasil penelitian menunjukkan bahwa Tekanan darah sistole pada pasien sebelum dilakukan terapi bekam di Tempat Praktik Jember Bekam Kabupaten Jember didapatkan tekanan sistole rata-rata 137 mmHg, rata- rata tekanan diastole berada pada 84 mmHg. Tekanan darah sistole rata-rata pada pasien saat dilakukan terapi bekam di Tempat Praktik Jember Bekam didapatkan berada pada 136 mmHg, sedangkan tekanan darah diastole rata-rata berada pada 90 mmH. Tekanan darah sistole sesudah dilakukan terapi bekam rata-rata pada 128 mmHg, dan rata-rata tekanan diastole berada pada 71 mmHg .Saran: Saran bagi peneliti lain jika hendak melanjutkan penelitian ini dengan menambah inovasi terkait penelitian gambaran tekanan darah pada pasien dengan terapi bekam .
HUBUNGAN LAMA TIDUR DENGAN SIKLUS MENSTRUASI PADA MAHASISWA UNIVERSITAS MUHAMMADIYAH JEMBER Niken Ramadhani; Nikmatur Rohmah; Diyan Indriyani
Medic Nutricia : Jurnal Ilmu Kesehatan Vol. 1 No. 2 (2023): Medic Nutricia : Jurnal Ilmu Kesehatan
Publisher : CV SWA Anugerah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5455/mnj.v1i2.654

Abstract

Latar Belakang: Tidur merupakan kebutuhan setiap manusia, tingkat kenyenyakan tidur tergantung dari beberapa faktor seperti usia, aktifitas, dan penyakit. Kurangnya tidur ddapat menimbulkan dampak pada kesehatan wanita produktif salah satunya siklus menstruasi. Penelitian ini bertujuan untuk menganalisis hubungan Lama Tidur denagn Siklus Menstruasi pada Mahasiswa Universitas Muhammadiyah Jember. Metode: desain penelitian ini menggunakan korelasi dengan pendekatan cross sectional. Populasi dalam penelitian adalah mahasiswa Universitas Muhammadiyah Jember rata-rata sebulan selama tiga bulan yaitu 597 mahasiswa, pengambilan sampel menggunakan rumus slovin dan didapatkan sampel sejumlah 240 responden. Sampling yang digunakan probability sampling dengan teknik Stratified Simple Random Sampling. Pengumpulan data lama tidur dan siklus menstruasi menggunakan kuesioner. Analisa data menggunakan korelasi spearman rank dengan ketentuan α ≤ 0,05. Hasil: Hasil penelitian didapatkan responden yang minimal Lama Tidur 2 jam, maximal 7 jam dengan rerata 3,06 dan responden siklus menstruasi paling banyak ≤21 dengan jumlah 105 responden (43,8%). Hasil analisa menunjukkan nilai p<0,001 dengan koefisien korelasi sebesar 0,373. Kesimpulan: Ada hubungan antara lama tidur dengan siklus menstruasi pada mahasiswa Universitas Muhammadiyah Jember.