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PENGARUH PENYULUHAN TEKHNIK PIJAT PERINEUM TERHADAP PRAKTIK PIJAT PERINEUM PADA IBU HAMIL TRIMESTER III DI KELAS HAMIL Ambika Kurnia Mustikawati; Rindang Fitria Ulfa
Jurnal Bidan Pintar Vol 1, No 2 (2020): November 2020
Publisher : Universitas Kadiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30737/jubitar.v1i2.1289

AbstrakPenelitian ini bertujuan untuk mengetahui pengaruh tekhnik pijat perineum terhadap praktik pijat perineum pada ibu hamil trimester III Di Kelas Hamil Puskesmas Balong Kabupaten Ponorogo. Jenis penelitian ini pre-eksperimental dengan rancangan crossectional. Penelitian ini dilakukan pada bulan Januari 2020. Sampel 30 ibu hamil diambil secara random. Instrumen penelitian berupa lembar observasi dan Satuan Acara Penyuluhan. Data yang terkumpul dianalisa dengan ststistik menggunakan Wilcoxon Match Paired. Hasil penelitian didapatkan bahwa seluruh responden, sebagian besar ibu (57%) cukup mampu dalam mempraktekkan teknik pijat perineum yang benar sebelum dilakukan penyuluhan, setelah diberikan penyuluhan terdapat peningkatan hampir seluruhnya responden 27 ibu hamil trimester III (90%) baik dalam mempraktekkan teknik pijat perineum yang benar. Hasil uji statistik Wilcoxon dengan taraf signifikan 0,05 yaitu diperoleh p = 0,033 sehingga p < α 0,05 maka H0 ditolak. Saran bagi ibu hamil Trimester III agar bisa menerapakan tekhnik pijat perineum yang benar untuk mempersiapkan persalinan, membuat elastisitas perineum, mencegah robekan perineum sehingga mengurangi terjadinya perdarahan Kata kunci : Penyuluhan, Pijat Perineum, Ibu Hamil

Pengaruh Dukungan Sosial Terhadap Kecemasan Pada Ibu Hamil di Puskesmas Jetis Kabupaten Ponorogo Ambika Kurnia Mustikawati
Jurnal Delima Harapan Vol 5 No 1 (2018)
Publisher : AKADEMI KEBIDANAN HARAPAN MULYA PONOROGO

Background: Pregnancy is a valuable thing, but also one of the great stresses for awoman both physically and mentally. Pregnant women with high anxiety will increase therisk of hypertension, difficulty sleeping and stroke, seizures and even death in the motherand fetus. In Puskesmas Ponorogo district the number of pregnant women as much as5903 mothers, while in health centers Jetis the number of pregnant women as many as200 mothers. Interview results, 21 out of 27 mothers said were very anxious during herpregnancy. The purpose of this study was to analyze the factors of social support foranxiety in pregnant women.Subjects and Methods: The type of research is analytical with cross-sectional approach.The location of research at Jetis health center Ponorogo regency. Research conducted onSeptember 1 to October 15, 2016. Sample of 30 pregnant women using proportionalrandom sampling technique. Dependent variable is anxiety, while independent variable issocial support. Data collection techniques using questionnaires. Data analysis usingSpearman's Rho using SPSS 18.0 for windows computer program.Results: The results showed that from 40 respondents, almost half were 13 (32.5%)multiparous had mild anxiety and nearly half were 13 (32.5%) primipara experiencedmoderate anxiety. of the 40 respondents, nearly half (12%) of 3 trimester pregnantwomen had moderate anxiety and a small proportion of 9 (22.5%) of 2 trimester pregnantwomen had mild anxiety. The result of calculation using spearman's rho statistic testobtained p = 0,006 <α 0,05 mean there is influence between parity with anxiety inpregnant woman with correlation coefficient of -0,424 which show intensity of influenceof medium that is if the smaller parity hence more anxiety level. The calculation ofgestational age with spearman's rho p = 0,023 <α 0.05 means that there is an influencebetween parity with anxiety in pregnant women with a correlation coefficient of 0.359which shows the weakness of weak influence.Conclusion: The social support provided by husband and family will affect the level ofanxiety in each pregnant woman. It is hoped for a place of research to provide a solutionfor pregnant women who experience anxiety so that pregnancy can run smoothly andrespondents are expected to have a good coping mechanism in the face of anxiety forhealth and also the fetus.

Pengaruh Paritas Dan Usia Kehamilan Terhadap Kecemasan Pada Ibu Hamil di Puskesmas Jetis Kabupaten Ponorogo Ambika Kurnia Mustikawati
Jurnal Delima Harapan Vol 4 No 2 (2017)
Publisher : AKADEMI KEBIDANAN HARAPAN MULYA PONOROGO

Background: Pregnancy is a valuable thing, but also one of the great stresses for awoman both physically and mentally. Pregnant women with high anxiety will increase therisk of hypertension, difficulty sleeping and stroke, seizures and even death in the motherand fetus. At Puskesmas Kabupaten Ponorogo the number of pregnant women is 5903.Interview results, 21 out of 27 mothers say very anxious during pregnancy. The purposeof this study was to analyze the factors of parity and gestational age to anxiety inpregnant women.Subjects and Methods: The type of research is analytical with cross-sectional approach.Location of research at health center of Balong Kabupaten Ponorogo. Researchconducted on September 1 to October 15, 2016. Sample of 30 pregnant women usingproportional random sampling technique. Dependent variable is anxiety, while theindependent variable is parity and gestational age. Data collection techniques usingquestionnaires. Data analysis using Spearman's Rho using SPSS 18.0 for windowscomputer program.Results: The results showed that from 40 respondents, almost half were 13 (32.5%)multiparous had mild anxiety and nearly half were 13 (32.5%) primipara experiencedmoderate anxiety. of the 40 respondents, nearly half (12%) of 3 trimester pregnantwomen had moderate anxiety and a small proportion of 9 (22.5%) of 2 trimester pregnantwomen had mild anxiety. The result of calculation using spearman's rho statistic testobtained p = 0,006 <α 0,05 mean there is influence between parity with anxiety inpregnant woman with correlation coefficient of -0,424 which show intensity of influenceof medium that is if the smaller parity hence more anxiety level. The calculation ofgestational age with spearman's rho p = 0,023 <α 0.05 means that there is an influencebetween parity with anxiety in pregnant women with a correlation coefficient of 0.359which shows the weakness of weak influence.Conclusion: Different parity and gestational age affect anxiety levels in each pregnantwoman. It is hoped for research sites to provide a solution for pregnant women so as toreduce perceived anxiety and respondents are expected to have a good coping mechanismin the face of anxiety for his health and his fetus as well as preparation for labor.

PENGARUH USIA KEHAMILAN TERHADAP GANGGUAN TIDUR PADA IBU HAMIL DI PBM ERNA PENIWATI DESA BALONG KECAMATAN BALONG PONOROGO Ambika Kurnia Mustikawati
Jurnal Delima Harapan Vol 5 No 2 (2018)
Publisher : AKADEMI KEBIDANAN HARAPAN MULYA PONOROGO

Pregnancy is a valuable thing, but also one of the great stresses for a woman both physically and mentally. Physical comfort disorders at each stage of gestational age vary due to interrupt the rest of pregnant women. This sleep disorder causes hypertension, exhaustion and disrupt activity. Interview results, 7 out of 10 pregnant women said experiencing sleep disorders. The purpose of this study was to analyze the effect of gestational age on sleep disturbance.The research type is analytic with cross-sectional approach. Research location in PMB Erna Peniwati Desa Balong Kabupaten Ponorogo. The study was conducted on May 15 to June 10, 2018. Determination of the sample using a simple random sampling technique of 40. Dependent variable is sleep disturbance, while the independent variable is the age of pregnancy. Data collection techniques using questionnaires. Data analysis using Pearson test with the help of computer program SPSS 22,0 for windows.The results showed that from 40 respondents, half of which were 20 (50%) of pregnant women TM 3 had moderate sleep disorder and almost half that is as many as 12 (30%) pregnant women TM 2 had mild sleep disorder. Result of calculation using Pearson statistic test with significant level 0,01 that is p = 0,000 <α 0,01 meaning Ho rejected and H1 accepted, so there is influence between pregnancy age with sleep disorder in pregnant woman in PMB Erna Peniwati with correlation coefficient 0,572 indicating closeness strong influence.Different pregnancy rates affect sleep disturbance in each pregnant woman especially in the 3rd trimester pregnant women. It is expected to place the research to provide a solution for pregnant women so as to reduce the perceived sleep disturbance and respondents are expected to have a good way of dealing with sleep disorders for their health and the fetus and preparation for labor.

PENGARUH JENIS PEKERJAAN DENGAN KETIDAK AKTIFAN IBU BERKUNJUNG KE POSYANDU DESA JALEN KECAMATAN BALONG KABUPATEN PONOROGO Ambika Kurnia Mustikawati
Jurnal Delima Harapan Vol 6 No 1 (2019)
Publisher : AKADEMI KEBIDANAN HARAPAN MULYA PONOROGO

Based on the Register Cohort weighing a toddler on November 10, 2018 atPosyandu Jalen there are 65 men mother toddler retrieved 25 (38.4%) bringing his son tothe always active and 40 posyandu (61.6%) mother toddler people not actively bring hisson to the Posyandu. A preliminary study of 10 people who are not active toddler'smother obtained work mother who brings her son off to their busy work posyandu 3(30%) as civil servants, 3 (30%) as farmers and 4 (40%) as a trader.Type of this research is quantitative approach to koresional and use the form ofcross sectional. The sample was all mother toddler who came to the village of posyanduJalen Subdistrict Balong Ponorogo in January 2019 with the inclusion criteria and aretaken using the technique of accidental sampling. The instruments used in this study usingquestionnaire. Analysis of the influence between the variable using the correlation testchi square with 0.05 significant level.The work of mothers in the village of Posyandu Jalen Subdistrict BalongPonorogo almost half of the respondents i.e. as many as 25 (38.4%) working as the IRTand as many as 20 (30.9%) working as a trader. The aktifan visit the mother of most ofthe respondents (58.5%) i.e., 38. There is the influence of the type of work with theinactivity of the mother paid a visit to the village of posyandu Jalen Subdistrict BalongPonorogo with statistical test p = 0.000. The kind of work that is most influentialWorking Moms as traders who are all as many as 20 respondents (100%) and motherworking as CIVIL SERVANTS who are all as many as 7 respondents (100%) not active inthe visit of the posyandu.Solutions carried out visits to posyandu on the schedule set by the posyandu andliveliness for a visit should arise on the mother because the toddler is a define in time isgrowing important role, will happen a whole person, due to his physical growth aspectshave first gained attention as well as conduct posyandu cadre in order to approach withentwined good cooperation.

DEMOCRATIC LEADERSHIP STYLE IN ORGANIZATIONS PUBLIC HEALTH CARE SERVICES Feni Sulistyawati; Ambika Kurnia Mustikawati; Ni Luh Purnama Yanti
Jurnal Delima Harapan Vol 10 No 1 (2023): Maret
Publisher : AKADEMI KEBIDANAN HARAPAN MULYA PONOROGO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31935/delima.v10i1.220

Achieving good basic health status requires quality and affordable PHC health service organizations that are influenced by the abilities and skills of health workers. Leaders are figures who play a role in the formation of quality health workers. The majority of leaders in health care organizations apply a democratic leadership style in leading their members. This article aims to determine the effectiveness of implementing a democratic leadership style in the management of health center organizations. This study uses a literature review of nine articles that meet the initial screening criteria. The leadership styles that are often applied in PHC are laissez-faire, participative, delegative, instructional, and democratic. The democratic leadership style in decision making prioritizes deliberation but focuses less on the right decision and more on the preferred decision The application of democratic leadership style has an effect on increasing motivation, performance, employee satisfaction, optimal health service quality and providing service satisfaction to patients, but is less able to improve employee discipline and health service coverage.

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