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UJI DIAGNOSTIK APLIKASI MOTHER CARES (MOCA) UNTUK DETEKSI DINI RISIKO PENYIMPANGAN PERKEMBANGAN BALITA Tri Wahyuni; Desy Syswianti; Dian Roslan Hidayat
HSG (Health Science Growth) Journal Vol 4 No 1 (2019): Health Science Growth (HSG) Journal
Publisher : Fakultas Ilmu Kesehatan Unsika

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Deteksi dini tumbuh kembang merupakan hal penting untuk mengidentifikasi secara dini penyimpangan tumbuh kembang pada balita. Deteksi perkembangan selama ini dilakukan dengan Kuesioner Pra skrining perkembangan (KPSP), namun alat ukur ini menyulitkan orang tua. Saat ini terdapat aplikasi smartphone mother cares (MOCA) yang dapat memudahkan orang tua melakukan deteksi tumbuh kembang balita. Penelitian merupakan uji diagnostik aplikasi MOCA untuk deteksi penyimpangan perkembangan balita dengan KPSP sebagai gold standard. Populasi adalah seluruh balita usia 0–36 bulan di Wilayah Kerja Puskesmas DTP Tarogong, Garut. Sampel penelitian sejumlah 60 responden, diambil menggunakan simple random sampling. Pengujian dilakukan dengan uji diagnostik. Hasil penelitian didapatkan bahwa bahwa uji diagnostik aplikasi mother cares (MOCA) untuk deteksi penyimpangan perkembangan dengan KPSP sebagai gold standard, didapatkan sensitivitas sebesar 83,33% dan spesifisitas sebesar 97,92%, sehingga memenuhi validitas dan reliabilitas sebagai alat ukur perrkembangan balita. Kata kunci: Aplikasi Mother Cares (MOCA), KPSP

PENGARUH HYPNOBIRTHING TERHADAP LAMA PERSALINAN KALA II PADA IBU BERSALIN PRIMIGRAVIDA Desy Syswianti; Tri Wahyuni; Dina Mardiana
JKM (Jurnal Kebidanan Malahayati) Vol 6, No 4 (2020): Volume 6 Nomor 4 Oktober 2020
Publisher : Program Studi Kebidanan Fakultas Kedokteran Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v6i4.2937

ABSTRACT Background: The labor process does not run smoothly if it is not handled properly. Hypnobirthing is an alternative to speed up the labor process. This technique aims to make the mother have a calm spirit with positive energy, which helps relieve pain and anxiety during contractions which have an impact on weakening the uterine contractions and causing the labor process to take a long time. Hypnobirthing can eliminate fear of women during childbirth so that the uterine muscles relax. This will make labor easier and lead to a stress-free delivery.Purposes: To find out the comparison of the length of the second stage of labor in mothers who apply hypnobirthing and do not apply hypnobirthing, as well as to analyze the effect of hypnobirthing on the duration of the second stage of labor at the Midwife Practice Dina Garut.Methods: This research is a quasy experiment, with posttest only with control group design. The research was conducted at the Practical Midwife Dina Garut. The sample was selected by purposive sampling, as many as 20 pregnant women for each sample group. Data collection was carried out by observation using the observation sheet for the duration of second stage labor. The data analysis used was the independent sample t test.Results: The results showed that the average of second stage lenght of labor in the experimental group was 20.24 minutes and the standard deviation was 3.0758. The average of second stage lenght of labor in the control group was 20 - 45 minutes and the standard deviation was 7.3045. Independent sample t test results obtained t of -8.746 and p of 0.000 (p <0.05), so hypnobirthing affects the length of second stage of labor. Conclusion: Hypnobirthing influences the length of second stage of labor in primigravida mothers at BPM Midwife Dina Garut.Suggestion: BPM Dina in particular and in general all midwives in the Garut area, in order to be able to apply to all pregnant women regarding hypnobirthing at an affordable cost, and apply to the entire delivery process Keywords: Hypnobirthing, the length of second stage of labor ABSTRAK Latar Belakang: Proses persalinan tidak berjalan lancar jika tidak ditangani dengan benar. Hypnobirthing menjadi alternatif untuk mempercepat proses persalinan. Teknik ini bertujuan agar ibu memiliki jiwa yang tenang dengan energi positif, yang membantu menghilangkan rasa sakit dan kecemasan selama kontraksi yang berdampak pada melemahnya kontraksi rahim dan menyebabkan proses persalinan berjalan lama. Hypnobirthing dapat menghilangkan rasa takut pada wanita saat melahirkan sehingga otot rahim menjadi relaksasi. Hal ini akan mempermudah proses persalinan dan menyebabkan persalinan yang bebas stres.Tujuan: Untuk mengetahui perbandingan lama persalinan kala II pada ibu yang menerapkan hypnobirthing dan tidak menerapkan hypnobirthing, serta menganalisis pengaruh hypnobirthing terhadap lama persalinan kala II di Bidan Praktik Dina Garut.Metode: Penelitian ini merupakan quasy eksperimen, dengan posttest only with control group design. Penelitian dilakukan di Bidan Praktik Dina Garut. Sampel dipilih dengan purposive sampling, sebanyak 20 wanita hamil untuk setiap kelompok sampel. Pengumpulan data dilakukan secara observasi dengan menggunakan lembar observasi lama persalinan kala II. Analisis data yang digunakan adalah uji t sampel independen.Hasil: Hasil penelitian menunjukkan bahwa rata-rata lama persalinan kala II pada kelompok eksperimen adalah 20,24 menit dan standar deviasi adalah 3,0758. Rata-rata lama persalinan kala II pada kelompok kontrol adalah 20 - 45 menit dan standar deviasi adalah 7,3045. Hasil uji t sampel independen diperoleh t sebesar -8,746 dan p sebesar 0,000 (p <0,05), sehingga hypnobirthing berpengaruh terhadap lama persalinan kala II.Kesimpulan: Hypnobirthing berpengaruh terhadap lama persalinan kala II pada ibu primigravida di BPM Bidan Dina Garut.Saran Bidan Praktik Dina khususnya dan secara umum seluruh bidan yang ada di wilayah Garut, agar dapat menerapkan kepada seluruh ibu hamil mengenai hypnobirthing dengan biaya yang terjangkau, dan menerapkan pada seluruh proses persalinan Kata Kunci: Hypnobirthing, Lama Persalinan Kala II

Pengaruh Aplikasi Mother Cares (MOCA) terhadap Peningkatan Pengetahuan dan Keterampilan Orang Tua dalam Melakukan Stimulasi Tumbuh Kembang Balita Usia 12–18 Bulan Tri Wahyuni
Jurnal Medika Cendikia Vol 4 No 01 (2017): JURNAL MEDIKA CENDIKIA
Publisher : STIKes Karsa Husada Garut

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Stimulation is a very important need for growth and development of children. The ability of parents in stimulating toddlers can not just appear, it is necessary to provide information with interesting media in order to achieve optimal results. Applications Mother Cares (MOCA) is a smartphone application that contains a guide to stimulate the growth of toddlers. This application is easy to use so it is expected to be a medium to improve the knowledge and skills of parents in stimulating growth of children under five independently. The purpose of this study is to determine the effect of MOCA application to increase knowledge and skills of parents in stimulating the growth of infants aged 12-18 months. This study uses true experiment design with pretest-posttest with control group design. The subjects of this study are 60 parents who had children aged 12-18 months in the Working Area of Ibrahim Adjie Bandung Community Health Center. Sampling is based on probability sampling technique proportionate stratified random sampling. Statistical test using paired t test and Wilcoxon test with significance of test result determined based on p value <0,05. The results showed that there was a significant difference for the scores of parents' knowledge and skills in stimulating growth between the intervention group and the control group with p = 0.004 for knowledge and p <0.001 for skill. The conclusion of this research is the application of MOCA influential in improving the knowledge and skills of parents in stimulating the growth of infants under the age of 12-18 months.

Evaluasi Pembelajaran Daring Dengan Menggunakan Aplikasi Zoom di Masa Pendemi Covid-19 Pada Mata Kuliah Pengantar Asuhan Kebidanan Desy Syswianti; Naning Suryani; Tri Wahyuni
Jurnal Medika Cendikia Vol 7 No 1 (2020): Jurnal Medika Cendikia
Publisher : STIKes Karsa Husada Garut

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33482/medika.v7i1.129

Covid-19 pandemic which is currently affecting almost all countries in the world including Indonesia has an impact on the world of education. An online home study policy was adopted to protect students from Covid-19 exposure. The purpose of this study was to determine students' perceptions of online learning by using the Zoom application in the introductory of midwifery care course, and to determine the effectiveness of learners in terms of student achievement. The research is a descriptive study with a mixed method. The population is all STIKes Karsa Husada Garut students who take introductory of midwifery care courses. The quantitative sample was taken by students in grade 1A. The qualitative sample was taken by 4 students who actively participated in all lecture and communicative activities. Retrieval of data using the final semester exam documentation, and interviews. Data analysis is a qualitative approach with interactive analysis of Miles and Huberman, and a quantitative approach with one sample t test. The results showed that students' perceptions were not good towards learning in introductory of midwifery care courses with the Zoom application during the Covid-19 pandemic, because: 1) the Zoom application requires a large internet quota; 2) There is noise due to microphone quality problems and / or noise interference from the student environment that does not turn off the microphone; 3) students are less focused because learning is done from their homes, because the connection is lost due to bad signals, and there is no direct supervision from the lecturer. Learning in midwifery introductory courses with the Zoom application is not effective when viewed from learning achievements

Hypnobirthing And Rebozo Affect The Duration Of Labor In II And Apgar Scores Desy Syswianti; Tri Wahyuni
JKM (Jurnal Kebidanan Malahayati) Vol 9, No 1 (2023): Volume 9 No.1 Januari 2023
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v9i1.7378

Latar Belakang: Angka kematinan ibu dan angka kematian bayi di Indonesia masih tinggi. Partus lama menjadi penyebab 31% kematian ibu. Adapun kematian bayi 27,4% disebabkan karena asfiksia. Asfiksia dapat dideteksi dengan melalui pengukuran skor Apgar. Pemberian hypnobirthing dan teknik rebozo dipercaya dapat mempercepat lama persalinan kala II dan meningkatkan skor Apgar.Tujuan: Mengetahui pengaruh pemberian hypnobirthing dan rebozo terhadap lama persalinan kala II dan skor Apgar.Metode: Penelitian merupakan quasy experiment, dengan desain posttest only with control group design, di mana kelompok eksperimen diberikan hypnobirthing dan rebozo dan kelompok kontrol hanya diberikan hypnobirthing. Populasi adalah ibu melahirkan di BPM Bidan D di Garut pada periode November – Desember 2021. Sampel masing-masing kelompok sejumlah 20 ibu melahirkan, diambil dengan purposive sampling. Pengukuran lama persalinan kala II digunakan stopwatch dan pada skor Apgar digunakan tes Apgar. Analisis data digunakan uji t sampel independen apabila data penelitian distribusi data normal, dan uji Mann Whitney apabila data penelitian tidak distribusi data normal.Hasil: Hasil pengujian Mann-Whitney menunjukkan bahwa pemberian hypnobirthing dan rebozo berpengaruh terhadap lama persalinan kala II, ditunjukkan dari nilai Z sebesar -4,420 dan p sebesar 0,000 (p<0,05). pemberian hypnobirthing dan rebozo tidak berpengaruh terhadap skor Apgar, ditunjukkan dari nilai Z sebesar --0,284 dan p sebesar 0,776 (p>0,05).Kesimpulan: Pemberian hypnobirthing dan rebozo berpengaruh terhadap penurunan lama persalinan kala II, dan tidak berpengaruh terhadap skor Apgar.Saran: hendaknya bidan membuat suatu video pembelajaran teknik hypnobirthing dan rebozo, agar ibu hamil dapat menerapkan teknik hypnobirthing selama masa kehamilan, dan sebagai pembelajaran bagi bidan agar dapat membantu ibu bersalin dalam melakukan teknik rebozo. Kata kunci: Skor Apgar, Hypnobirthing, Lama Persalinan Kala II ABSTRACT Background: Maternal and infant mortality rates in Indonesia are still high. Long parturition is the cause of 31% of maternal deaths. The 27.4% infant mortality was caused by asphyxia. Asphyxia can be detected by measuring the Apgar score. Giving hypnobirthing and rebozo technique is believed to speed up the duration of the second stage of labor and increase the Apgar score.Purpose: To determine the effect of hypnobirthing and rebozo on the duration of the second stage of labor and the Apgar score.Methods: This research is a quasi experiment, with a posttest only design with control group design, where the experimental group was given hypnobirthing and rebozo and the control group was only given hypnobirthing. The population is mothers giving birth at BPM Midwife Dina Garut in the period November – December 2021. The sample of each group is 20 mothers who give birth, taken by purposive sampling. The measurement of the duration of the second stage of labor was used a stopwatch and the Apgar score was used for the Apgar test. Data analysis used the independent sample t test if the research data was normally distributed, and the Mann Whitney test if the research data was not normally distributed.Result: The results of the Mann-Whitney test showed that hypnobirthing and rebozo had an effect on the duration of the second stage of labor, indicated by the Z value of -4.420 and p of 0.000 (p<0.05). giving hypnobirthing and rebozo had no effect on Apgar score, indicated by Z value of -0.284 and p of 0.776 (p>0.05).Conclusion: The implementation of hypnobirthing and rebozo had an effect on decreasing the length of the second stage of labor, and had no effect on the Apgar score.Suggestion: Midwives should make a video learning the hypnobirthing and rebozo techniques, so that pregnant women can apply the hypnobirthing technique during pregnancy, and as a lesson for midwives so they can help mothers in childbirth in doing the rebozo technique. Keywords: Apgar Score, Hypnobirthing, Second Stage Labor Duration

THE EFFECT OF USING VIDEO MEDIA ON STUDENT SKILLS IN PREGNANCY EXAMINATION PRACTICUM Tri Wahyuni; Desy Syswianti; Andhika Lungguh Perceka
Jurnal Medika Cendikia Vol 10 No 1 (2023): Journal Medika Cendikia
Publisher : STIKes Karsa Husada Garut

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33482/medika.v10i1.213

One of the competencies that must be mastered by midwives graduating from Diploma Midwifery is the skill to provide Antenatal Care (ANC) services, so prospective midwives are required to be truly skilled in pregnancy examination practicum. Midwife education institutions must have the right learning strategies and methods for pregnancy examination practicum, so that students can meet the competency standards of midwives. The purpose of this study was to determine the effect of using video media on student skills in pregnancy examination practicum. This study used a Quasi Experimental research design with Posttest-Only Control Group Design. The study population was 3rd semester students of D3 Midwifery Study Program at Karsa Husada College of Health Sciences Garut Academic Year 2022/2023. The sample consisted of 60 students who were divided into 2 groups, 30 respondents for the video group and 30 respondents for the demonstration group. The statistical test results showed a value of p less than 0.05. There is an effect of using video media on student skills in pregnancy examination practicum

Peran dan Atribut Kunci Champion dalam Keberhasilan Implementasi Kontrasepsi Pascapersalinan di Layanan Kesehatan Naning Suryani; Rosita Alvia; Desy Syswianti; Tri Wahyuni
Journal of Innovative and Creativity Vol. 5 No. 2 (2025)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/joecy.v5i2.419

Champion telah lama diakui sebagai faktor kunci dalam keberhasilan inisiatif perubahan dalam sektor kesehatan, baik untuk layanan rawat inap maupun rawat jalan. Mereka memainkan peran penting dalam mengatasi hambatan organisasi dan memfasilitasi adopsi inovasi yang meningkatkan kualitas layanan kesehatan. Metode: Penelitian ini menggunakan pendekatan studi kasus komparatif untuk menganalisis implementasi layanan kontrasepsi pascapersalinan di 11 puskesmas di Kota Bengkulu pada tahun 2022-2023. Kerangka Kerja Konsolidasi untuk Penelitian Implementasi (CFIR) digunakan untuk memandu pengumpulan data, analisis, dan pelaporan. Data dikumpulkan melalui wawancara semi-terstruktur, observasi lapangan, dan dokumentasi. Hasil: Dari 11 puskesmas yang berpartisipasi, sembilan berhasil merutinkan layanan kontrasepsi pascapersalinan, sementara dua lainnya menghadapi hambatan signifikan yang menghalangi keberhasilan implementasi. Enam atribut utama dari champion yang mempengaruhi hasil implementasi diidentifikasi: pengaruh, kepemilikan, kehadiran fisik, ketabahan, kemampuan persuasif, dan gaya kepemimpinan partisipatif. Kesimpulan: Penelitian ini menggarisbawahi pentingnya peran champion dalam implementasi layanan kesehatan yang sukses dan menunjukkan bahwa keberhasilan mereka bergantung pada interaksi antara atribut individu dan konteks organisasi. Studi ini memberikan panduan praktis bagi organisasi untuk mengidentifikasi dan mengembangkan champion yang efektif dalam upaya perubahan layanan kesehatan.

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