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FAKTOR-FAKTOR YANG MEMPENGARUHI MOBILISASI DINI PADA PASIEN POST OPERASI SECTIO CAESAREA DI RUMAH SAKIT AR BUNDA PRABUMULIH Riri Pusphita; Berlian Kando Sianipar; Kartika Murya Ningrum
Excellent Midwifery Journal Vol. 9 No. 1 (2026): Volume 9 No. 1, April Tahun 2026
Publisher : STIKes Mitra Husada Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55541/emj.v9i1.410

Abstract

Latar Belakang: Menurut WHO (2021) jumlah klien yang menjalani tindakan operasi mencapai angka peningkatan yang sangat signifikan setiap tahunnya. Diperkirakan setiap tahun ada 165 juta tindakan bedah dilakukan di seluruh dunia. Tercatat di tahun 2021 ada 234 juta jiwa klien di semua rumah sakit di dunia. Tindakan operasi/pembedahan di Indonesia tahun 2021 mencapai hingga 1,2 juta jiwa. Tingkat kemandirian pasien pada pemulihan paska bedah merupakan indicator keberhasilan intervensi keperawatan yang dinilai dari kapasitas kemampuan fungsional pasien  Metode: Metode yang digunakan adalah jenis penelitian secara deskriftif analitik dengan menggunakan desain cros sectional data dikumpulkan dengan menyebarkan kuesioner pada 47 pasien post operasi section caesarea. Cara pengambilan sampel pada penelitian adalah dengan menggunakan tehnik accidental sampling Hasil: Hasil analisis uji univariat Lebih sebagian responden 30 orang (63,8%) pelaksanaan mobilisasi dini baik, Hampir sebagian responden 21 orang (44,7%) memiliki pengetahuan baik, Sebagian responden 25 orang (53,2%) memiliki tingkat sedang, Sebagian responden 24 orang (51,1%) memiliki kecemasan normal, Lebih sebagian responden 27 orang (57,4%) memiliki motivasi baik). Analisis Bivariat hubungan tingkat nyeri, pengetahuan, kecemasan dan motivasi dengan Mobilisasi Dini Pada Pasien Post Operasi Sectio Caesarea Kesimpulan: pelaksanaan mobilisasi dini dapat dipengaruhi oleh tingkat nnyeri, pengetahuan dan motivasi.
Factors Influencing Participation in Free Health Checkups Among Students at State High School 5 in Bengkulu City Arita Hasoloan Simarmata; Fiya Diniarti; Berlian Kando Sianipar; Tuti Rohani; Hartian Pansori
Journal Hygeia Public Health Vol 4 No 3 (2026): June
Publisher : LPPJPHKI Universitas Dehasen Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37676/jhph.v4i3.11444

Abstract

The Free Health Check-up (CKG) is a health screening program conducted by health workers directly at the target location, so students do not need to go to a community health center except for follow-up care, with a target of 52–53 million students (Ministry of Health, 2025). Data from the Bengkulu Provincial Health Office (September 2025) shows that CKG coverage for school-aged children is only 2.6%. This study aims to analyze the factors influencing CKG participation among students at SMA N 5 in Bengkulu City. The study employs a quantitative method with a cross-sectional design. A sample of 84 tenth-grade students was selected using systematic random sampling. Data analysis utilized the chi-square test (SPSS 22) followed by a binary logistic regression analysis. The results of the univariate analysis showed that of the 84 respondents, 48 (57.1%) had a good level of knowledge, 48 (57.1%) had a supportive attitude, 65 (77.4%) were female, 51 (60.7%) rated the role of teachers as good, 50 respondents (59.5%) rated the role of health workers as good, 52 respondents (61.9%) rated the implementation of the Free Health Check. The results of the bivariate analysis indicate a significant association between knowledge (p = 0.000), attitude (p = 0.009), gender (p = 0.022), the teacher’s role (p = 0.023), and the teacher’s role (p = 0.000) regarding the Free Health Check-up (CKG) among 10th-grade students at SMA N 5 in Bengkulu City. Multivariate Results: The role of health workers was the dominant factor associated with the implementation of the free health check-up program for 10th-grade students at SMA N 5 Kota Bengkulu, with the highest Exp(B) value of 16.337. It is hoped that SMA N 5 Kota Bengkulu can continue to increase support for the implementation of the Free Health Check-up (CKG) program by strengthening the role of teachers in health promotion and education activities for students.
Faktor-Faktor yang Berhubungan dengan Keikutsertaan Kelas Ibu Hamil di Wilayah Kerja Puskesmas Telaga Dewa Kota Bengkulu Tahun 2025 Ade Irma Suryani; Berlian Kando Sianipar; Jumita Jumita
Jurnal Multidisiplin Dehasen (MUDE) Vol 5 No 3 (2026): Juli
Publisher : LPPJPHKI Universitas Dehasen Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37676/mude.v5i3.11340

Abstract

The lack of participation by pregnant women in prenatal classes can lead to delays in treatment if something happens to the mother, as she may not be aware of the warning signs related to pregnancy, childbirth, the postpartum period, and newborn care. To identify the factors associated with participation in prenatal classes in the service area of the Telaga Dewa Community Health Center in Bengkulu City. The study employed an analytical survey design with a cross-sectional approach. The study population consisted of 45 pregnant women with gestational ages of 28–36 weeks as of September at the Telaga Dewa Community Health Center and PMB. The sample was selected using total sampling. Univariate analysis revealed that nearly half of the respondents (21, or 46.7%) had adequate knowledge; the majority of respondents (28, or 62.2%) were non-working pregnant women; and nearly half of the respondents (18, or 40%) were not active participants in prenatal classes. There is a relationship between knowledge and participation in prenatal classes in the service area of the Telaga Dewa Community Health Center in Bengkulu City (p-value = 0.006), there is an association between employment status and participation in prenatal classes in the service area of the Telaga Dewa Community Health Center in Bengkulu City (p-value = 0.015), and there is an association between spousal support and participation in prenatal classes in the service area of the Telaga Dewa Community Health Center in Bengkulu City (p-value = 0.000). It is hoped that the results of this study can serve as input for health workers, particularly midwives, to improve the provision of health care and serve as a foundation for the implementation of guidance, coaching, and counseling programs in an effort to increase pregnant women’s participation in prenatal classes.
Manajemen Keperawatan Paliatif Pada Pasien HIV/AIDS Dalam Meningkatkan Kepatuhan Terapi Antiretroviral (ARV): Studi Kasus Di Rumah Sakit Umum Kabupaten Empat Lawang Yanto Suryanto; Berlian Kando Sianipar; Rita S; Atifah Syahputri; Novia Afrini F; Nanda Adelia
Jurnal Multidisiplin Dehasen (MUDE) Vol 5 No 3 (2026): Juli
Publisher : LPPJPHKI Universitas Dehasen Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37676/mude.v5i3.11835

Abstract

HIV/AIDS is a chronic disease that causes a decline in the immune system and increases the risk of opportunistic infections as well as various physical, psychological, social, and spiritual problems that can affect adherence to antiretroviral (ARV) therapy. To describe the application of palliative nursing management in improving adherence to ARV therapy in HIV/AIDS patients. The study used a descriptive method with a case study approach on Mr. W, 25 years old, diagnosed with HIV/AIDS accompanied by Pulmonary Tuberculosis and suspected Toxoplasma Cerebri at Empat Lawang District Hospital. Data were collected through interviews, observations, physical examinations, and medical record documentation. Nursing problems were found in the form of nutritional deficits, activity intolerance, sleep pattern disturbances, anxiety, spiritual distress, and the risk of non-adherence to ARV therapy. Interventions were carried out through symptom management, health education, therapeutic communication, spiritual support, and family involvement. After the intervention, the patient showed an improvement in physical condition, decreased anxiety, and increased motivation and commitment to ARV therapy. Holistic palliative nursing management can improve adherence to ARV therapy and the quality of life of HIV/AIDS patients.