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PENGARUH CONTINUITY OF CARE (CoC) PADA ASUHAN KEBIDANAN MASA POSTPARTUM TERHADAP KECENDERUNGAN DEPRESI POSTPARTUM PADA IBU NIFAS lusiana el sinta bustami; Aldina Ayunda Insani; Yulizawati Yulizawati; Erda Mutiara Halida; Feni Andriani
2-TRIK: TUNAS-TUNAS RISET KESEHATAN Vol 9, No 1 (2019): FEBRUARI 2019
Publisher : FORUM ILMIAH KESEHATAN

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Abstract

Pada masa nifas seorang ibu akan mengalami adaptasi fisiologis dan psikologis. Adaptasi psikologis ibu nifas merupakan penyesuaian diri ibu dalam hal kejiwaan terhadap peran barunya sebagai ibu. Pada masa 2 minggu setelah postpartum, pada fase ini lah biasanya dapat terjadi depresi postpartum. Depresi postpartum merupakan bentuk adaptasi psikologis masa nifas yang tidak normal. Dalam memberikan asuhan bidan dapat mencoba melaksanakan Continuity of Care (CoC). CoC merupakan salah satu model asuhan kebidanan yang memberikan pelayanan dalam membantu wanita membangun hubungan dengan pemberi asuhan yang sama (dapat berupa grup) selama hamil, bersalin dan nifas. Jenis penelitian ini adalah penelitian kuantitatif dengan menggunakan rancangan eksperimen semu. Pada penelitian ini, kelompok eksperimen akan mendapatkan perlakuan yaitu diberikan asuhan dengan metode CoC. Tempat penelitian ini adalah Praktik Mandiri Bidan (PMB) di Padang yang dilaksankan pada tahun 2018. Subjek dalam penelitian ini adalah semua ibu dalam 6 minggu postpartum dengan menggunakan teknik konsekutif sampling dengan menggunakan kuesioner EPDS dan daftar cheklist kunjungan masa nifas. Analisis yang digunakan adalah analisis diskriptif dan Independent Sample T-Test dimana nilai p didapatkan 0,127. Dari hasil penelitian, dapat disimpulkan bahwa tidak terdapat pengaruh yang bermakna antara CoC terhadap kecenderungan depresi post partum. Namun, berdasarkan hasil rata-rata kedua kelompok, didapatkan rata-rata kelompok kontrol lebih besar dari kelompok eksperimen yaitu 8,50>6,73 yang artinya kelompok kontrol atau kelompok yang tidak diberikan CoC lebih memiliki kecenderungan untuk mengalami depresi pada masa post partum. Dilihat dari karakteristik responden pada kelompok kontrol yaitu kelompok yang tidak diberikan CoC maupun kelompok eksperimen yaitu kelompok yang diberikan CoC sebagian besar responden memiliki tingkat pendidikan SMP-SMA, bekerja sebagai ibu rumah tangga, serta memiliki riwayat persalinan ataupun penyakit dalam keadaan baik. Hal itu yang menjadi salah satu penyebab tidak adanya pengaruh CoC terhadap kecenderungan depresi post partum terhadap responden. Kata Kunci: Continuity of Care (CoC), Depresi Postpartum
HUBUNGAN POLA PEMENUHAN KEBUTUHAN DASAR BAYI DALAM PEMBERIAN ASI TERHADAP PERKEMBANGAN BAYI Lusiana El Sinta Bustami; Aldina Ayunda Insani; Yulizawati Yulizawati
2-TRIK: TUNAS-TUNAS RISET KESEHATAN Vol 8, No 2 (2018): MEI 2018
Publisher : FORUM ILMIAH KESEHATAN

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Abstract

Modal paling utama dalam pembangunan kesehatan adalah sumber daya manusia (SDM). Untuk menghasilkan SDM yang sehat dan berkualitas, maka diperlukan pemenuhan kebutuhan dasar yang optimal. Kebutuhan dasar anak untuk tumbuh kembang, secara umum digolongkan menjadi 3 kebutuhan dasar, yaitu Asih, Asuh dan Asah. Pemenuhan kebutuhan dasar bayi dapat dilaksanakan dalam proses pemberian ASI. Penelitian ini bertujuan untuk mengetahui hubungan pemenuhan kebutuhan dasar bayi dalam pemberian ASI terhadap perkembangan bayi. Jenis penelitian ini adalah penelitian kuantitatif dengan menggunakan rancangan crosssectional study dan observasi. Tempat penelitian ini adalah wilayah kerja Puskesmas Lubuk Buaya Padang pada tahun 2017. Subjek dalam penelitian ini adalah semua ibu pada mempunyai bayi usia 6-12 bulan dan bayinya berjumlah 73 orang. Teknik pengambilan sampel menggunakan teknik total sampling. Instrumen yang digunakan adalah kuesioner, KMS dan KPSP. Analisis yang digunakan adalah analisis univariat dan bivariat. Uji statistik yang digunakan dalam penelitian ini adalah uji Chi Square. Hasil penelitian menunjukkan bahwa tidak ada hubungan antara pemenuhan kebutuhan dasar bayi asih dengan perkembangan bayi (p=231), ada hubungan antara pemenuhan kebutuhan dasar bayi asuh dengan perkembangan bayi (p=0,009), dan tidak ada hubungan antara pemenuhan kebutuhan dasar bayi asah dengan perkembangan bayi (p=258). Kata Kunci: Kebutuhan dasar bayi, Asih, asuh, dan asah; Air susu ibu; Perkembangan bayi
PENGARUH PENDIDIKAN KESEHATAN METODE PEER EDUCATION MENGENAI SKRINING PRAKONSEPSI TERHADAP SIKAP DAN MOTIVASI WANITA USIA SUBUR Lusiana El sinta Bustami; Yulizawati Yulizawati; Aldina Ayunda Insani; Ayu Nurdiyan
2-TRIK: TUNAS-TUNAS RISET KESEHATAN Vol 7, No 2 (2017): Mei 2017
Publisher : FORUM ILMIAH KESEHATAN

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Abstract

Kesehatan prakonsepsi merupakan bagian dari kesehatan secara keseluruhan selama masa reproduksi yang berguna untuk mengurangi risiko dan mempromosikan gaya hidup sehat untuk mempersiapkan kehamilan sehat dan meningkatkan kemungkinan memiliki bayi yang sehat. Tujuan penelitian ini adalah untuk mengetahui pengaruh pendidikan kesehatan dengan metode peer education mengenai skrining prakonsepsi terhadap sikap dan motivasi wanita usia subur. Penelitian ini merupakan studi quasi eksperimental dengan rancangan pretest-posttest design. Instrumen yang digunakan yaitu kuesioner. Dilakukan pendidikan kesehatan dengan metode peer group pada kelompok intervensi, dan pada kelompok kontrol tidak dilakukan. Data dianalisa menggunakan uji t-test, dan nilai p
EDUKASI ASUHAN KEBIDANAN IBU NIFAS DALAM PELAYANAN CONTINUITY OF CARE PADA ERA PANDEMI COVID-19 DI SUMATERA BARAT Yulizawati Yulizawati; Lusiana El Sinta Bustami; Erda Mutiara Halida; Fitrayeni Fitrayeni; Rafika Oktova; Laila Rahmi; Ulfa Farrah Lisa; Aldina Ayunda Insani; Uliy Iffah; Feni Andriani; Miranie Safaringga
BULETIN ILMIAH NAGARI MEMBANGUN Vol 5 No 3 (2022)
Publisher : LPPM (Institute for Research and Community Services) Universitas Andalas Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/bina.v5i3.300

Abstract

The postpartum period is an important period for health workers to always monitor to avoid complications during the puerperium. Improper implementation can increase the Maternal Mortality Rate (MMR). During this pandemic, pregnant and breastfeeding women are categorized as vulnerable to Covid-19 corona virus infection because they have low immunity due to hormonal changes. As of June 4, 2020, there were 594 positive cases of Covid-19 for the West Sumatra region, 25 people died and 312 people recovered. There is a need for the role of health workers and the education department, husband's involvement and family participation with sustainable midwifery care. the method is carried out by interviewing and providing online and contact care according to the health protocol from the ministry of health. The application of the model of continuous care (Continuity of Care) is given since pregnancy, birth and the postnatal period for all women, both low and highrisk mothers and in all series of midwifery units in West Sumatra. The results of the activity showed that the awareness of mothers, husbands and families to be able to provide assistance and implementation of the fulfillment of the physical and psychological needs of mothers during childbirth by paying attention to environmental conditions in this Covid-19 pandemic era. Evaluation of midwifery care until the end of the puerperium needs to be carried out in order to assess better postpartum outcomes and the achievement of exclusive breastfeeding.
Pemberdayaan Perempuan melalui Pelaksanaan Continuity of Care dalam Pelayanan Kebidanan Yulizawati Yulizawati; Lusiana El Sinta B; Rafika Oktova; Erda Mutiara Halida; Ulfa Farrah Lisa; Laila Rahmi; Aldina Ayunda Insani; Uliy Iffah; Miranie Safaringga; Feni Andriani; Fitrayeni Fitrayeni; Henni Fitria; Feri Anita Wijayanti; Hindun Mila; Rahmayani Afrah; Marzatia Yulika
Warta Pengabdian Andalas Vol 29 No 3 (2022)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat (LPPM) Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jwa.29.3.171-179.2022

Abstract

The Maternal Mortality Rate (MMR), which is still high and far from the Sustainable Development Goals (SDGs) target, encourages midwives to increase promotive and preventive efforts in providing midwifery care and reproductive health. One of the efforts of midwives is to provide midwifery care based on Continuity of Care (CoC). Midwifery care covers the entire life cycle, from preconception, pregnancy, childbirth, postpartum, newborns, neonates, toddlers, adolescent preschoolers, and childbearing ages to the elderly. This sustainable care is expected to be able to explore the problems that exist in individuals and to overcome these problems by empowering husbands, families and communities. This activity aims to increase the number of better health degrees for women of childbearing age in every phase they go through, physically and psychologically/mentally, in the era of the Covid-19 pandemic. The method was carried out by interviewing groups of women in the preconception period, groups of pregnant women, postpartum mothers, mothers who have babies and toddlers, and women of childbearing age. It involved Independent Practice Midwives in the Cities of Padang, Padang Panjang and Pariaman by providing communication, information, education, and counselling. Each group has increased knowledge of physical and psychological needs in every phase of their life and sufficient involvement of husband or family in pregnancy, postpartum and newborn phases. It is necessary to increase community empowerment in every phase to achieve health status in every cycle of a woman's life.
Pemantauan Status Gizi dan Deteksi Dini Kekurangan Energi Kronis (KEK) serta Pemberian Edukasi Kesehatan secara Holistik dalam Upaya Peningkatan Kesehatan Reproduksi pada Remaja Putri di SMP YPI Ciparay Kabupaten Bandung Meita Dhamayanti; Veranita Pandia; Nita Arisanti; Devi Azriani; Lusiana El Sinta Bustami; Hesty Widyasih; Made Yos Kresnayana
Warta Pengabdian Andalas Vol 30 No 2 (2023)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat (LPPM) Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jwa.30.2.245-252.2023

Abstract

From 10–19, adolescence is a transition from childhood to adulthood. There will be changes in the shape and function of the body in a reasonably short time. Sufficient and adequate nutrition for adolescents is one factor affecting their reproductive health. This community service aimed to monitor nutritional status and detect early signs of Chronic Energy Deficiency (CED). Monitoring of nutritional status is carried out for adolescents, especially young women. Physical health and healthy reproductive organs are essential in preparation for becoming healthy expectant mothers who can later give birth to a healthy generation. Holistic health education was needed in adolescents' growth to become better human beings in terms of their health. This activity was carried out in May 2023 at Junior High School, YPI Ciparay, and Bandung Regency. The target audience was young girls in 7th grade; there were 82 people. At the time, the students filled out questionnaires about their characteristics. Then the team measured the anthropometrics to determine the nutritional status and the incidence of CED by weighing, measuring height, and measuring upper arm circumference. The measurements showed that the nutritional status based on body mass index for most female students was standard, about 60.97%, and 41.46% of female students were CED. Counselling and health information were also provided holistically to increase the girls' understanding of their health status.
PELATIHAN KADER POSYANDU REMAJA WUJUD PEMBERDAYAAN REMAJA DALAM MENINGKATKAN KESEHATAN REMAJA SECARA HOLISTIK Dhamayanti, Meita; Pandia, Veranita; Arisanti, Nita; Azriani, Devi; Bustami, Lusiana El Sinta; Widyasih, Hesty; Kresnayana, Made Yos
GEMAKES: Jurnal Pengabdian Kepada Masyarakat Vol. 3 No. 2 (2023): GEMAKES: Jurnal Pengabdian Kepada Masyarakat
Publisher : Politeknik Kesehatan Kemenkes RI Jakarta I

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36082/gemakes.v3i2.1187

Abstract

Survei Kesehatan Berbasis Sekolah di Indonesia tahun 2015 (GSHS) menunjukkan tingginya faktor risiko kesehatan remaja antara lain 41,8% remaja laki-laki dan 4,1% remaja perempuan mengaku pernah merokok. Data lainnya 124,4% remaja laki-laki dan 5,6% remaja perempuan pernah mengkonsumsi alkohol dan 2,6% remaja laki-laki pernah mengkonsumsi narkoba. Masalah perilaku seksual 8,26% remaja laki-laki dan 4,17% remaja perempuan pernah melakukan hubungan seksual.  Upaya yang dapat dilakukan untuk mengatasi masalah tersebut salah satunya dengan peningkatan kesehatan remaja secara holistik melalui literasi kesehatan. Tujuan kegiatan: pemberdayaan remaja untuk meningkatkan kesehatan diri dan teman sebaya melalui posyandu remaja. Metode pelaksanaan: kegiatan pelatihan kader posyandu remaja. Hasil kegiatan terjadi peningkatan rata-rata pengetahuan kader remaja tentang posyandu remaja dari 8.7 menjadi 8.8. Kesimpulan: kegiatan pengabdian masyarakat dapat dilaksanakan dengan baik dan memberikan dampak terhadap peningkatan pengetahuan kader remaja.
DETEKSI DINI KOMPLIKASI KEHAMILAN, PERILAKU HIDUP BERSIH DAN SEHAT SERTA DETEKSI DINI GANGGUAN PERTUMBUHAN DAN PERKEMBANGAN BAYI DAN BALITA DI WILAYAH KERJA PUSKESMAS PEGAMBIRAN KOTA PADANG Aldina Ayunda Insani; Erda Mutiara; Fitrisia Amelin; Yulizawati Yulizawati; Lusiana El Sinta Bustami; Feni Andriani
BULETIN ILMIAH NAGARI MEMBANGUN Vol. 2 No. 4 (2019)
Publisher : LPPM (Institute for Research and Community Services) Universitas Andalas Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/bina.v2i4.129

Abstract

Puskesmas Pegambiran is located in Lubuk Begalung Sub-district, Padang City has five villages with a pregnancy complication rate of 19.9% and neonatal complications of 11.74% (2016). The general objective that will be achieved is to increase the number of better health degrees for pregnant women, infants, toddlers, and pre-school age children through promotive and preventive activities. The method used is by conducting surveys and interviews, conduct counseling, demonstrate clean and healthy living habits, anthropometric measurements of infants, toddlers, and pre-school children, observation, pregnancy checks, hemoglobin checks, and counseling. The results obtained were counseling and demonstrations on clean and healthy living behaviors in pre-school age children at Alya Zahira Kindergarten, which all students could participate in and run smoothly. 98% of kindergarten students demonstrated healthy hygiene habits, including washing hands, brushing teeth, and mentioning healthy snacks. Anthropometric measurements of infants and toddlers and pre-school age children showed that weight for age was within normal limits, height/length according to age, and expected limits. 3.7% thin and short toddlers and 1.2% of toddlers have speech delays, 1.2% children under five with a history of epilepsy, and need further treatment, so referrals are made. 1.2% of children under five were referred to because they did not recognize colors. All pregnant women (100%) have normal hemoglobin levels (10 g / dl), and pregnancy conditions are appropriate for their gestational age. It is hoped that further community service activities will be carried out by applying the partnership midwifery practice model (mentoring) to the above targets for several months. There are changes in behavior patterns for promotive and preventive actions that have been given.
PEMBERDAYAAN MASYARAKAT DI NAGARI LUMPO KABUPATEN PESISIR SELATAN Yusrawati Yusrawati; Yulizawati Yulizawati; Lusiana El Sinta Bustami; Aldina Ayunda Insani; Vaulinne Basyir; Hudila Rifa Karmila; Feni Andriani; Erda Mutiara Halida; Fitrayeni Fitrayeni; Uliy Iffah; Miranie Safaringga; Laila Rahmi; Rafika Oktova; Ulfa Farah Lisa; Muhammad Iqbal; Rahmat Syawqi; Syandrez Prima Putra; Liganda Endo Mahata; Elfira Yusri
BULETIN ILMIAH NAGARI MEMBANGUN Vol. 2 No. 4 (2019)
Publisher : LPPM (Institute for Research and Community Services) Universitas Andalas Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/bina.v2i4.130

Abstract

Pesisir Selatan Regency is one of the districts with 15 sub-districts with the largest population in IV Jurai District. The number of deaths per year on the South Coast fluctuates. In 2015 the number of infant deaths increased from 6 to 42 people (male 29 and 13 female) from the previous year, AKABA of 47 from 18 in the previous year. There were 16 toddlers with herniated nutrition and many pregnant women, namely around 273 pregnant women. Based on a preliminary study conducted by the activity implementation team at the Lumpo Public Health Center, IV Jurai District, Pesisir Selatan Regency, it is known that there is no ultrasound examination facility in pregnancy and prenatal yoga facilities at the Lumpo Puskesmas, besides that there are no similar activities carried out at SD Negeri 016 and MTsN. Nagari Lumpo which is included in the work area of Lumpo Puskesmas. Several tests can be done during pregnancy as an effort to detect early and prevent complications and growth disorders in the fetus. Among others, by monitoring weight gain during pregnancy, conducting general examinations (vital signs), physical examinations that focus on the breasts, abdomen, genitalia with inspection, palpation, auscultation, and percussion, ultrasonography (USG) examinations, and performing supporting examinations in the form of laboratory examination (hemoglobin examination). The result of this activity is an increase in each target group's quality of life by the stages of life after this activity.
EDUKASI ASUHAN KEBIDANAN IBU NIFAS DALAM PELAYANAN CONTINUITY OF CARE PADA ERA PANDEMI COVID-19 DI SUMATERA BARAT Yulizawati Yulizawati; Lusiana El Sinta Bustami; Erda Mutiara Halida; Fitrayeni Fitrayeni; Rafika Oktova; Laila Rahmi; Ulfa Farrah Lisa; Aldina Ayunda Insani; Uliy Iffah; Feni Andriani; Miranie Safaringga
BULETIN ILMIAH NAGARI MEMBANGUN Vol. 5 No. 3 (2022)
Publisher : LPPM (Institute for Research and Community Services) Universitas Andalas Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/bina.v5i3.300

Abstract

The postpartum period is an important period for health workers to always monitor to avoid complications during the puerperium. Improper implementation can increase the Maternal Mortality Rate (MMR). During this pandemic, pregnant and breastfeeding women are categorized as vulnerable to Covid-19 corona virus infection because they have low immunity due to hormonal changes. As of June 4, 2020, there were 594 positive cases of Covid-19 for the West Sumatra region, 25 people died and 312 people recovered. There is a need for the role of health workers and the education department, husband's involvement and family participation with sustainable midwifery care. the method is carried out by interviewing and providing online and contact care according to the health protocol from the ministry of health. The application of the model of continuous care (Continuity of Care) is given since pregnancy, birth and the postnatal period for all women, both low and highrisk mothers and in all series of midwifery units in West Sumatra. The results of the activity showed that the awareness of mothers, husbands and families to be able to provide assistance and implementation of the fulfillment of the physical and psychological needs of mothers during childbirth by paying attention to environmental conditions in this Covid-19 pandemic era. Evaluation of midwifery care until the end of the puerperium needs to be carried out in order to assess better postpartum outcomes and the achievement of exclusive breastfeeding.