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All Journal International Journal of Public Health Science (IJPHS) Abdimas Umtas : Jurnal Pengabdian kepada Masyarakat Jurnal Aisyah : Jurnal Ilmu Kesehatan Community Development Journal: Jurnal Pengabdian Masyarakat Proceedings Series on Health & Medical Sciences Urecol Journal. Part F: Community Development Prosiding University Research Colloquium Jurnal Salingka Abdimas Jurnal Ilmu Keperawatan dan Kebidanan
Kusumastuti Kusumastuti
Departement Of Midwifery, Universitas Muhammadiyah Gombong
Religion Agriculture, Biological Sciences & Forestry Arts Humanities Computer Science & IT Economics, Econometrics & Finance Education Environmental Science Health Professions Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary

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Comparison on the Effectiveness of Postpartum Exercise And Oxytocin Massage for Uterine Involution of Postpartum Women in Kebumen, Indonesia Kusumastuti Kusumastuti; Siti Mutoharoh; Wulan Rahmadhani
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6, No 3: September 2021
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (600.953 KB) | DOI: 10.30604/jika.v6i3.647

Abstract

Maternal mortality rates are caused by several factors, including bleeding. During postpartum, bleeding can be caused by a failure of uterine involution which can cause subinvolution. Oxytocin plays an important role in the uterine involution process. This study aims to compare the effectiveness of postpartum exercise and oxytocin massage for the uterine involution of postpartum women in the Kebumen. This study applied a quasi-experimental design for comparing two treatments. It involved a total of 534 respondents with 267 respondents in each group. Each group received 10 minutes of intervention per day for 9 days. The data were collected through observation sheets. The univariate analysis used frequency distribution and bivariate analysis used an independent t-test. The statistics show that the p-value (0.002) was lower than (0.05) meaning that the postpartum exercise and oxytocin massage provide different uterine involution times. The mean of uterine involution for the postpartum exercise group decreases by 137.60 hours compared to the oxytocin massage group by 159.06 hours. Postpartum exercise can be applied in post-natal care as it can make uterine involution faster. Abstrak: Kematian ibu di sebabkan beberapa factor termasuk perdarahan. Selama postpartum perdarahan di sebabkan oleh kegagalan involusi uterus yang di sebabkan oleh subinvolusi. Oxitosin memaikan peran yang sangat penting dalam proses involusi uteri. Penelitian ini bertujuan adalah untuk membandingkan efektifitas dari senam nifas dan pijat oksitosin terhadap proses involusi uteri paa ibu postpartum di wilayah kerja Kebumen. Metode quasi experiment di gunakan dalam penelitian ini dengan membandingkan dua treatment. Sampel pada penelitian ini berjumlah 534 dengan masing-masing 267 respondent pada masing-masing kelompok. Analisis univariate menggunakan distribusi frekuensi dan analisis bivariate menggunakan independent t-test. Hasil pada penelitian ini di temukan bahwa p-value (0.002) kurang dari 0.05 yang mana terddapat perbedaan antara senam nifas dan pijat oksitosin terhadap perubahan involusi uteri. Mean dari involusi uteri pada grup senam nidas menurun menjadi 137.60 jam di banding dengan pijat oksitosin grup dengan 159.06 jam. Senam nifas bisa di jadikan atau di aplikasikan dalam perawatan pascapersalinan karena dar hasil dapat membuat dan membantu involusi uteri lebih cepat pada ibu nifas.
The Effect of Service Quality on Patient Satisfaction in Obstetrics and Gynecology Polyclinic of PKU Muhammadiyah Gombong Hospital, Kebumen District During the Covid-19 Pandemic Wulan Rahmadhani; K Kusumastuti; Phan Trieu Phu MD
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6, No 3: September 2021
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (601.377 KB) | DOI: 10.30604/jika.v6i3.642

Abstract

Health is one of the indicators of community welfare, so the community needs quality health services to meet their basic needs. To improve services and increase patient satisfaction, hospitals need to apply the Covid-19 policy in screening and service flows which are predicted to affect patient satisfaction. The aim of this study was to determine the effect of service quality on patient satisfaction during the COVID-19 pandemic. The research method in this study used a cross-sectional approach. The population was outpatients at the obstetrics and gynaecology polyclinic. The sample was determined using the accidental sampling technique with a total of 360 patients. The data were analyzed to determine the most dominant factor by using a logistic regression test. Based on the results of multivariate analysis, the variables with the greatest influence on patient satisfaction are the assurance variable (95% CI 1.50-6.06 with a p-value of 0.012), empathy (95% CI 1.38-4.65 with a p-value of 0.006), and tangible (95% CI 1.04- 4.08 with a p-value of 0.001). Based on the results, it can be concluded that there is a relationship between the dimensions of service quality and patient satisfaction. The quality of service during the Covid-19 pandemic is considered good but needs to be optimized on the dimensions of assurance, empathy, and tangible.  Abstrak: Kesehatan adalah indikator kesejahteraan masyarakat yangpaling utama, dan untuk memenuhi kebutuhan dasarnya masyarakat membutuhkan pelayanan yang bermutu. Rumah sakit berusaha meningkatkan pelayanan dan kepuasan pasien perlu adanya kebijakan mengatasi penularan Covid-19 berupa prosedur pelayanan, keharusan screening, serta alur proses pelayanan yang berubah diduga juga berpengaruh terhadap kepuasan pasien dan mutu pelayanan.  Tujuan penelitian ini bertujuan untuk mengetahui pengaruh mutu pelayanan terhadap kepuasan pasien dalam masa pandemic covid-19. Metode Penelitian menggunakan pendekatan cross sectional. Populasi penelitian adalah pasien rawat jalan di poliklinik kebidanan dan kandungan, Prosedur sampel Accidental Sampling sebanyak n=360. data hasil survey di analysis untuk mengetahui factor yang paling dominan dengan menggunakan uji regresi logistic.  Berdasarkan hasil analisis multivariate variabel yang paling besar pengaruhnya terhadap kepuasan pasien adalah variabel Assurance dengan nilai 95%CI 1.50-6.06 dan p =0.012, Emphaty 95%CI 1.38-4.65 p=value 0.006 dan Tangiable dengan nilai 95%CI 1.04-4.08 dan p=value 0.001. Berdasarkan hasil pada penelitian ini dikatakan bahwa terdapat hubungan pada dimensi mutu pelayanan dengan kepuasan pasien. Mutu pelayanan yang terjadi selama masa pandemi Covid-19 dinilai mulai sudah baik, akan tetapi harus di tingkatkan da dioptimalkan pada dimensi jaminan, emphaty dan tangibles.
Effect of combining oketani and oxytocin massage towards breast milk production: a quasi-experimental study Dewi, Adinda Putri Sari; Kusumastuti, Kusumastuti
International Journal of Public Health Science (IJPHS) Vol 13, No 4: December 2024
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v13i4.24609

Abstract

Challenges in achieving exclusive breastfeeding often emerge during the initial days when complete establishment of breast milk production may not occur. In this vulnerable period, infants might receive supplementary foods or drinks, creating barriers to exclusive breastfeeding. This study seeks to integrate oketani and oxytocin massage with a suggestive approach to evaluate their impact on breast milk production among mothers. Employing a quasi-experimental design with a pre-post-test control group, the research focuses on postpartum mothers at PKU Muhammadiyah Gombong Hospital, with a sample size of 60 respondents chosen through purposive sampling. Demographic data and observation sheets were utilized to document breast milk production before and after the intervention. Data analysis involved Mann-Whitney and Wilcoxon tests. The study revealed a significant difference between pre- and post-intervention phases within the intervention group (p-value <0.005), indicating noteworthy changes following the implementation of oketani and oxytocin massages. The interventions demonstrated potential in enhancing breast softness, nipple and areola elasticity, and overall milk production, offering valuable insights into non-pharmacological approaches for supporting breastfeeding.
HUBUNGAN PERILAKU MENYUSUI, POLA HIDUP SEHAT DAN KONDISI KESEHATAN DENGAN PEMBERIAN ASI Adinda Putri Sari Dewi; Kusumastuti Kusumastuti; Dyah Puji Astuti
Jurnal Ilmu Keperawatan dan Kebidanan Vol 14, No 1 (2023): JURNAL ILMU KEPERAWATAN DAN KEBIDANAN
Publisher : Universitas Muhammadiyah Kudus

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26751/jikk.v14i1.1629

Abstract

WHO stated that the COVID-19 pandemic had a special impact on breastfeeding mothers. This is due to concerns about COVID-19 and the safety of breastfeeding. Mothers are worried and stressed because of the reduced supply of breast milk, limited access to maternal and child health services, and delays in medical care. The purpose of this study was to determine breastfeeding behavior, healthy lifestyle and health conditions of post partum mothers regarding breastfeeding during the Covid-19 pandemic in the Ayah I Community Health Center area.This research is a type of correlational research with a retrospective approach. The population in this study were breastfeeding mothers in the area of the Ayah I Health Center as many as 105 people using the total sampling technique. Data analysis uses Chi-square to obtain the relationship between the two variables. Meanwhile, multivariate analysis used logistic regression at 95% confidence intervals.The results of the analysis showed that the factors influencing breastfeeding in the Ayah I Health Center area were breastfeeding behavior (OR=14.92; CI=3.96-81.51), and healthy lifestyle ((OR=6.28; CI=1.66-34.85) while health conditions do not affect breastfeeding.There is a relationship between breastfeeding behavior and a healthy lifestyle with breastfeeding.
FAKTOR-FAKTOR YANG MEMPENGARUHI KEJADIAN STUNTING PADA ANAK BALITA Adinda Putri Sari Dewi; Kusumastuti Kusumastuti; Dyah Puji Astuti
Jurnal Ilmu Keperawatan dan Kebidanan Vol 13, No 2 (2022): JURNAL ILMU KEPERAWATAN DAN KEBIDANAN
Publisher : Universitas Muhammadiyah Kudus

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26751/jikk.v13i2.1340

Abstract

AbstrakStunting adalah salah satu keadaan malnutrisi yang bersifat kronik yang dapat menimbulkan gangguan perkembangan fisik, penurunan kognitif serta penurunan motorik. Stunting pada anak balita merupakan konsekuensi dari beberapa faktor yang sering dikaitkan dengan kemiskinan termasuk gizi, kesehatan, sanitasi dan lingkungan. Tujuan penelitian ini untuk mengetahui faktor-faktor yang mempengaruhi kejadian stunting pada anak balita.Penelitian ini merupakan jenis penelitian observasional analitik dengan desain kasus kontrol. Sampel yang diambil sebanyak 24 balita untuk masing-masing kelompok kasus maupun kontrol dengan teknik simple random sampling. Analisis data menggunakan chi square dengan α=0,05 pada interval kepercayaan 95% dan regresi  logistik  pada interval kepercayaan  95%.Hasil analisis menunjukan bahwa faktor yang mempengaruhi terjadinya stunting di desa Semali Kecamatan Sempor Kabupaten Kebumen adalah riwayat pemberian ASI Eksklusif (OR=3,40; CI=1,03-11,07), Riwayat Penyakit Infeksi (OR=3,54; CI=1,05-11,92), dan Keteraturan Menimbang di posyandu (OR=0,020; CI=1,04-16,19). Namun untuk faktor riwayat BBLR, pola asuh makan, dan pendapatan keluarga tidak mempengaruhi terjadinya stunting.Terdapat hubungan antara riwayat pemberian ASI Eksklusif, Riwayat Penyakit Infeksi, dan Keteraturan Menimbang di posyandu terhadap kejadian stunting pada balita.Keywords: Stunting, Anak Balita, ASI Eksklusif  AbstractStunting is chronic malnutrition that can cause physical Developmental Problems, reduced cognitive and motor function. Stunting among children under 5 years of age is the consequence of several factors that are often associated with poverty, including nutrition, health, sanitation and environment. The aim of this research is to determine the factors affecting the prevalence of stunting in children under five years of age.This research is analytical observational study with A case-control design. Samples were 24 toddlers for each of case and control group using Simple random sampling. Data analysis was conducted by chi-square test with α = 0.05 at the 95% confidence interval and the logistic regression at the 95% confidence interval.The result of the analysis shows that the factors influencing the occurrence of stunting in Semali Village, Sempor District, Kebumen Regency is the record of exclusive breastfeeding. (OR = 3.40; CI = 1.03-11.07), the record of infectious diseases (OR = 3.54; CI = 1.05-11.92), and the regularity measuring weight of children at Posyandu (OR = 0.020; CI = 1.04-16.19). However, the factors of low birth weight history, dietary care, and family income do not influence the occurrence of stunting.There is a relationship among  history of exclusive breastfeeding, history of infectious diseases, and regularity measuring weight of children at Posyandu to the incidence of stunting in children under five years of age.Keywords: stunting, toddler, exclusive breastfeeding 
Co-Authors Adinda Putri Sari Dewi Asri Khaswana Widyasari Dewi, Adinda Putri Sari Dhenara Madumeta Dyah Puji Astuti Dyah Puji Astuti Dyah Puji Astuti Dyah Puji Astuti Eni Indrayani Eti Sulastri Faiqoh Febrianti Fifi Agustin Fitria Prabandari Hastin Ika Indriyastuti Herniyatun Herniyatun Juni Sofiana Marlinda Dewi Arum Sari Pall Chamroen Phan Trieu Phu MD Phan Trieu Phu MD Rosmawati Rosmawati S Sumarni Siti Mutoharoh Siti Mutoharoh Siti Mutoharoh Siti Mutoharoh Siti Mutoharoh Sumarni Sumarni Wulan Rahmadani Wulan Rahmadani Wulan Rahmadhani Wulan Rahmadhani Wulan Rahmadhani Wulan Rahmadhani Wuri Utami Yusronisa Nur Hikmah