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Shinta Prawitasari
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RASIO ESTRIOL/ ESTRADIOL TINGGI SEBAGAI PREDIKTOR KEBERHASILAN INDUKSI PERSALINAN PADA KEHAMILAN LEWAT WAKTU Muhammad Nur Adintyo Rahman; Shinta Prawitasari; Heru Pradjatmo
JURNAL KESEHATAN REPRODUKSI Vol 2, No 2 (2015)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.12642

Abstract

RASIO ESTRIOL/ ESTRADIOL TINGGI SEBAGAI PREDIKTORKEBERHASILAN INDUKSI PERSALINAN PADA KEHAMILANLEWAT WAKTUMuhammad Nur Adintyo Rahman1, Shinta Prawitasari2, Heru Pradjatmo3ABSTRACTBackground: Induction of labor is a common procedure performed at 15-20 % of pregnancies. The mostcommon indication was prolonged pregnancy (70 %). The past decade labor induction rate was increased2-fold as well as the risk of cesarean section. Difficulties to predict the success of induction made predictorsof success of induction widely studied. Predictors can be physical or chemical markers. One of the chemicalmarker is the ratio of estriol to estradiol levels.Objective: To determine the value of the ratio of estriol/ estradiol to predict success of induction of laborin prolonged pregnancy.Method: The design of study are Prospective Cohort. Study two hospitals (Wonosobo District Hospitaland Banjarnegara District Hospital) used in this study from September 10, 2013 until December 31,2013. Blood sampling was drown from the subject before induction to examin the levels of estriol andestradiol the induction which end in vaginal delivery were noted as succesull induction Receiver OperatingCharacteristic (ROC) method in order to determine the sensitivity, specificity, positive predictive value,negative predictive value and Area Under the Curve. Bivariate and multivariate analyzes also used todetermine the correlation between variables.Results and Discussion: This study obtained 76 samples, 69 with successful induction and 7 failed ofinduction. The research got a cut-off was point 35 the sensitivity was 71% value, specificity value of 71%,positive predictive value 49%, negative predictive value was 55.6%. Area Under the was value of 80,7%.Positive likelihood ratio 1,06 and negative likelihood ratio 0,88. Bivariate and multivariate analysis showedthat the ratio of estriol / estradiol ≥ 35 ng / mL significantly associated with successful induction (OR 9,598;95% CI 1,378-66,859) Bishop score was also associated with a significant induction success (OR 13,481;95% CI 1,955 -92,955)Conclusion: This study shows that the proportion ratio of estriol / estradiol in succeed induction groupwere higher (≥ 35) compared with induction failure group (<35).Keywords: prolonged pregnancy, labor induction , estriol/ estradiol ratio, predictorsABSTRAKLatar Belakang: Induksi persalinan adalah prosedur umum yang dilakukan pada 15-20% kehamilan.Indikasi tersering adalah kehamilan lewat waktu (70%). Satu dekade terakhir angka induksi persalinantelah meningkat 2 kali lipat begitu juga dengan risiko seksio sesarea. Keberhasilan induksi sulit diprediksi.Prediktor keberhasilan induksi banyak diteliti baik penanda fisik maupun kimia. Salah satu penanda kimiaadalah rasio kadar estriol terhadap estradiol.Tujuan: Mengetahui nilai rasio kadar estriol estradiol untuk memprediksi keberhasilan induksi padakehamilan lewat waktuMetode: Kohort prospektif. Dua rumah sakit (RSUD Wonosobo dan RSUD Banjarnegara) dipakai dalampenelitian ini dari 10 September 2013 sampai 31 Desember 2013. Subyek yang memenuhi kriteriainklusi dan eksklusi diambil sampel darah sebanyak 5 ml sebelum Induksi untuk diperiksa kadar estrioldan estradiol kemudian dilihat keberhasilan induksinya. Analisis yang digunakan adalah metode ReceiverOperating Characteristic (ROC) untuk dapat mengetahui nilai sensitivitas, spesifitas, nilai ramal positif,nilai ramal negatif dan Area Under Curve. Analisis X2 dan Regresi logistik digunakan untuk mengetahuihubungan antar variabel.Hasil dan Pembahasan: Selama waktu penelitian didapatkan 76 sampel, 69 dengan induksi berhasil dan7 gagal induksi. Dengan cut off point 35, nilai sensitivitasnya 71%, nilai Spesifitas 71%, nilai ramal positif49%, nilai ramal negatif 55,6%. Nilai Area Under Curve sebesar 80.7%. Likelihood ratio positive 1,06 danlikelihood ratio negative 0,88. Hasil analisis multivariat menunjukkan bahwa Rasio estriol/ estradiol ≥ 35berhubungan dengan keberhasilan induksi secara signifikan (RO 9.598; IK 95% 1.378-66.859) Skor Bishopjuga berhubungan dengan keberhasilan induksi secara signifikan (RO 13,481; IK 95% 1.955-92.955)Kesimpulan: Kelompok yang berhasil diinduksi memiliki proporsi rasio estriol/ estradiol yang lebih tinggi(≥ 35) dibandingkan dengan kelompok gagal induksiKata kunci: Kehamilan lewat waktu, induksi persalinan, rasio estriol/ estradiol, prediktor1,2,3 Bagian Obstetri dan Ginekologi Fakultas Kedokteran Universitas Gadjah Mada Yogyakarta
KORELASI BEBAN KERJA PERAWAT PELAKSANA DAN KESELAMATAN PASIEN DI RUMAH SAKIT HUSADA JAKARTA Shinta Prawitasari
Jurnal Kesehatan Holistic Vol 1 No 1 (2017): Jurnal Kesehatan Holistic Volume 1/Nomor 1/Januari 2017
Publisher : Sekolah Tinggi Ilmu Kesehatan RS Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33377/jkh.v1i1.30

Abstract

Nursing services should focus on patient safety in both the order of the hospital, community and home care. The purpose of this study is to describe the relationship of nursing workload and patient safety at Husada Hospital Jakarta. This research is descriptive correlation with retrospective approach, descriptive cross sectional. This study used 93 samples of nursing schedule data and 93 patient documents. The result shows that proportion of high nursing workload was in January 53,7%, May 51,6%, July 39,8%, and March 35,3%.Proportion of adequate nursing workload was in March 64,5%, July 60,2%, May 48,4%, and January 46,2%. The proportion of patient safety was 19,4%. There is a significant association between the workload of nurses with patient safety. The department of nursing should assess the trend of patient acuity for each nursing unit and using the data to calculate of nursing personnel every shift, to allocate nursing personnel, and supervise as schedule. Develop the culture of safety and eliminate punitive culture from her unit, choosing the champion for patient safety and eliminate non nursing tasks.
Acceptance Analysis of the Electronic Kohort Information System for Maternal and Child Health Using the Technology Acceptance Model at the Bima City Health Center Hizriansyah; Shinta Prawitasari; Lutfan Lazuardi
Jurnal Sistem Informasi Vol. 19 No. 1 (2023): Jurnal Sistem Informasi (Journal of Information System)
Publisher : Faculty of Computer Science Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (597.04 KB) | DOI: 10.21609/jsi.v19i1.1207

Abstract

The Maternal and Child Health (MCH) Program in Indonesia is faced with a diversity of achievements between regions caused by disparities in the capacity of the health system and exacerbated by the Covid-19 pandemic which has caused a decrease in service activities and reporting quality so that digitalization of services is needed. This type of research is qualitative research with the design of phenomenological studies using thematic analysis with the help of the Nvivo 12 application. Primary data collection was carried out by means of observation and in-depth interviews with research informants by purposive sampling. To increase the credibility of the data use source triangulation. The research informants consisted of the head of the family health services section, the head of the health centers and the midwife as the user of the e-cohort. Thirteen informants (11 women and 2 men) participated in the study. Most informants can use the core functions of the e-cohort app navigation menu. The study proposes that the perceived perception of ease of use may not be in line with the perceived expediency of explaining variations in the successful acceptance of MCH e-cohort applications. The study also found that there were differences in outcomes between user perceptions at the operational level and policy makers at the managerial level. In general, the analysis collects several types of obstacles and potentially problems that negatively affect the usefulness of the e-cohort application : not being able to make the work of midwives easier and faster, ineffective and not so much to increase the productivity of performance. With regard to ease of use, users feel that the e-cohort can be easily learned and used. The e-cohort is considered to have value as a system that makes the work of midwives more difficult and hinders the work, however, the appearance, elements, features and design are perceived to be quite easy to use. In addition, users also highlight the need to consider how the system can be implemented in order to minimize the impact and optimize usability
Effect of Pursed Lips Breathing (PLB) on Increased Oxygen Saturation in Chronic Obstructive Pulmonary Disease (COPD) Patients: Literature Review Yarwin Yari; Ulfa Nur Rohmah; Shinta Prawitasari
Jurnal Kesehatan Holistic Vol 7 No 2 (2023): Jurnal Kesehatan Holistic Volume 7/ Nomor 2/ Juli 2023
Publisher : Sekolah Tinggi Ilmu Kesehatan RS Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33377/jkh.v7i2.163

Abstract

Introduction: Pursed-lips breathing (PLB) is a breathing exercise performed on patients with chronic obstructive pulmonary disease (COPD) to relieve symptoms of dyspnea so that the patient's oxygen saturation value increases, and its practice is widely taught as a breathing strategy to increase tolerance in performing activities. Objective: Determine the effect of pursed lips breathing (PLB) on increasing oxygen saturation in patients with chronic obstructive pulmonary disease (COPD). Method: This study used the method of literature review study. Result: Initial search results found as many as 4011 potential articles. After discarding articles identified as duplication and relevance to the topic, there were 6 articles that met the theme of the literature study, the six journals discussed the effectiveness of PLB in COPD patients. Conclusion: PLB is able to increase the patient's oxygen saturation value, so PLB intervention is recommended for COPD patients with dyspnea symptoms.
HUBUNGAN RESPONSE TIME DENGAN LUARAN KEBERHASILAN PENANGANAN PERDARAHAN POSTPARTUM DI RSU MARGONO SOEKARDJO PURWOKERTO Dyah Puji Astuti; Mohammad Hakimi; Shinta Prawitasari
Jurnal Ilmiah Kesehatan Keperawatan Vol 11, No 2 (2015): JURNAL ILMIAH KESEHATAN KEPERAWATAN
Publisher : LPPM UNIVERSITAS MUHAMMADIYAH GOMBONG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26753/jikk.v11i2.104

Abstract

Maternal mortality rate is still high. PPH is a major cause of maternal mortality in the world and in developing countries. Handling cases of postpartum hemorrhage is right in health facilities can reduce the incidence of maternal death from postpartum hemorrhage cases, therefore, required response time appropriate in health care facilities.This objective of this study is to determine the relationship of response time with the successful outcome of the handling of cases of PPH. An observational study design was used with case-control study design (case control study. The subjects were all mothers who referred to the Hospital of Purwokerto Soekardjo 2008-31Desember from 1 January 2011 due to PPH. Mechanical sampling with purposive sampling . Data collected by observation medical record and in-depth interviews, analysis of the data used to use univariable analysis, and multivariable bivariable.The results of X ² statistical test known value of 0.058 with p 0.810 (OR 1.22 95% CI 0.39 to 3.20) greater that 0.05 is not statistically significant meaning there is no relationship of response time to the successful outcome of treatment of bleeding post partum. Conclusion: There is no relationship of response time with the successful outcome of the handling of cases of postpartum hemorrhage in RSUMargono Soekardjo Purwokerto. Keywords: response time, postpartum hemorrhage
Co-Authors Dyah Puji Astuti Heru Pradjatmo Hizriansyah Lutfan Lazuardi Mohammad Hakimi Muhammad Nur Adintyo Rahman Rohmah, Ulfa Nur Yari, Yarwin