Claim Missing Document
Check
Articles

Found 5 Documents
Search
Journal : Jurnal Kesehatan

PENDIDIKAN DIABETES DI RUMAH SAKIT Asri Prabawani Martan; Eka Ratnawati
Jurnal Kesehatan Vol 1 No 1 (2013): Volume 02/Nomor1/2013
Publisher : STIKES Ngesti Waluyo

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Introduction: Diabetes mellitus is a chronic disease that may cause further complications if it is not appropriately controlled. Diabetes education is needed so that diabetic patients can apply knowledge, and practical skills learned to manage their life with diabetes. Hospitalized diabetic patients need basic information about diabetes on their first admission to help them to better manage their diabetes at home. Diabetes education can also reduce length of hospitalization, limit readmissions and reduce the various complications associated with the disease. Methods: This research is an exploratory descriptive study that investigated what information that diabetic patient received on their first admission and who provided the education. Data were gathered via means of a semi structured interview. A convenience sample of eleven diabetic patients that have been hospitalized more than once were interviewed and the collected data were analyzed using thematic analysis. Results: The main themes that emerged from the data were medication, diet, blood glucose, skin integrity and life style. The interviews revealed that collaboration between nurse, dietician and doctor was the most common group of health practitioners who provided diabetes education during their first admission. The participants stated that the information was given at the time of discharge, and this information helped them manage their diabetes at home, although in some cases the information provided was not comprehensive. Conclusion: Nurse as an educator should be able to transfer their knowledge to patients, and have more chances to give health education to patients. Hospital should concern of nurse staffing because it can affect patient safety and quality of care. Institute and health practitioner should also collaborate in diabetes education and develop tools and program that effective for diabetes patients and help them to better manage their diabetes at home.
Survei Penerapan Pijat Oksitosin di Unit Pelayanan Keperawatan Maternitas Ratnawati, Eka; Agustina, Clara
Jurnal Kesehatan Vol 12 No 1 (2023): Jurnal Kesehatan
Publisher : STIKES Ngesti Waluyo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46815/jk.v12i1.142

Abstract

Riskesdas data (2018) showed that 3.9% toddlers have malnutrition status and 13.8% with malnutrition due to lack of food intake and infection disease. The coverage of breastfeeding in Indonesia is 9.3% of the target of 80% because of exclusive breastfeeding failure, with one of the factors is the lack of stimulation of the oxytocin and prolactin hormones. Oxytocin massage is effective for stimulating the release of the oxytocin hormone, appropriate to do on day 0-3 puerperium at health service. This study aims to determine the implementation of oxytocin massage performed by midwife and nurse in the obstetric ward. This study used quantitative design with survey method. The questionnaire was presented as a google form to midwives and nurses at YAKKUM’s hospital, Public Health Centre Temanggung, and midwives alumni Semarang. The analysis used distribution frequencies statistics, percentages, and maximum/minimum/average values. 31.6% of 38 midwives/nurses were aged 31-40 years, Diploma 3 Midwifery graduates (50%), has been working for more than 10 years (65.8%), work in hospitals (52.6%), manage 1-3 patient/day (65.8%). Midwives/nurses (52.6%) did not do oxytocin massage because there was over workload and they had not received information/training about oxytocin massage (15,8%). 50% of midwives/nurses did not do the intervention due to lack of information and training, over workload, and do not having enough time properly to do the oxytocin massage. Uncooperative patients and the perception of there is no need to do the oxytocin massage in the community are also other reasons of why this intervention is not optimal. Health workers are expected to be proficient in terms of knowledge, attitudes and skills in performing oxytocin massage for postpartum mothers when the patients are still at the health service (days 0-3), and are also expected to be able to teach it to families in order independently continue it at home.
Faktor Pemungkin dalam Peningkatan Kesehatan Ibu dan Anak di Kecamatan Lamboya, Sumba Barat Ratnawati, Eka; Susilowati, Endang; M. Nancye, Pandeirot
Jurnal Kesehatan Vol 12 No 2 (2023): Jurnal Kesehatan
Publisher : STIKES Ngesti Waluyo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46815/jk.v12i2.177

Abstract

The rates of maternal and child deaths remain a national issue in Indonesia and require increased support within and beyond the health sector. Maternal and child deaths cannot be separated from maternal and child health behavior (safe motherhood) during the perinatal and postpartum periods, including newborn care at home. Mothers experience a range of obstacles to safe motherhood during the perinatal and postnatal periods in Lamboya District, West Sumba. PELKESI (Indonesian Christian Association for Health Services) provides a variety of programs across various sectors to improve maternal and child health services in East Nusa Tengara and Ambon. The enabling factors are key to increase mothers' ability to practice safe motherhood. This research aims to explore such enabling factors and their role in improving maternal and child health in Lamboya District, West Sumba. This qualitative research collected data using FGD among health workers at community health centres and hospitals, local government, NGOs, and posyandu cadres (integrated maternal and childhood health services provided at the village governance level). Data triangulation was ensured by obtaining data from women during the perinatal and postnatal periods. Factors that enable to improve maternal and child health include community health centre health programs based on local wisdom; the husband’s involvement as a support system and facilitating safe motherhood practices within their social and cultural context; empowerment of health cadres as extensions of community health centres; involvement of government and NGOs in improving maternal and child health; and the continuance of PELKESI’s programs in improving maternal and child health. Improving those enabling factors are efforts and innovations that can be used to improve maternal and child health.
P Potensi Masalah Kesehatan Reproduksi Dan Penyimpangan Perilaku Pada Remaja Ratnawati, Eka; Putu Kristian Purnamiasih, Desak Putu Kristian Purnamiasih
Jurnal Kesehatan Vol 9 No 2 (2020): Jurnal Kesehatan
Publisher : STIKES Ngesti Waluyo

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Abstract Early marriage is still common in Temanggung, lead to maternal and child health problem in the future. Several factors of early marriage are deviant behavior in sexuality and lack knowledge of reproductive health. This study aims to identify potential problems of reproductive health and behavioral distortion in adolescent. Study design is quantitative descriptive, data collection by means of survey through the google form application that is distributed to youth community groups in Temanggung, Central Java. There were 206 participants involved in this study. Data analysis uses descriptive statistics. Adolescents who expressed understanding of puberty are still very low (38,3%), reluctant to talk about puberty (18,9%), only 64,1% of them realize that is very important to maintain reproductive health, did sex before marriage (2,4%). Friends are the favorite information saource about relationship (72,8%), and internet. Adolescents experience severe problems (82,5%) and often tell stories with firends, did exercise (20,4%), but there were who consume cigarettes, alcohol and drugs even though small percentage. Adolescents in Temanggung have potential for reproductive health, sex before marriage, and abuse of alcohol and drugs. Abstrak Pernikahan usia dini masih banyak terjadi di Temanggung, yang dapat mengakibat masalah kesehatan ibu dan anak. Pernikah usia dini terjadi dengan beberapa faktornya adalah perilaku yang menyimpang dalam pergaulan dan pengetahuan kesehatan reproduksi yang rendah. Penelitian ini bertujuan untuk mengidentifikasi masalah potensia kesehatan reproduksi dan pemyimpangan perilaku pada remaja. Desain penelitian ini kuantitatif deskriptif, pengambilan data dengan cara survei melalui aplikasi google form yang disebarkan pada kelompok komunitas remaja di Temanggung Jawa Tengah. Partisipan yang terlibat dalam penelitian ini sejumlah 206 orang. Analisis data menggunakan statistik deskriptif. Remaja yang menyatakan paham terhadap pubertas masih sangat rendah (38,3%), masih ada remaja yang enggan bercerita tentang pubertasnya (18,9%), baru 64,1% remaja menyadari bahwa sangat penting untuk menjaga kesehatan reproduksi, terdapat tindakan seks di luar nikah (2,4%).Teman merupakan sumber informasi favorit terkait pergaulan (72,8%) dan setelah itu adalah internet. Remaja mengalami masalah berat (82,5%) dan banyak bercerita dengan teman, mencari hiburan dengan berolah raga (20,4%), namun ada yang mengkonsumsi rokok, minuman keras dan narkoba walau prosentasenya kecil. Remaja di Temanggung memiliki potensi terhadap terjadinya masalah kesehatan reproduksi dan penyimpangan perilaku seks di luar nikah dan penyalahgunaan minuman keras dan narkoba.
Stimulasi Hormon Oksitosin Pada Ibu Post Partum Ratnawati, Eka; Susilowati, Endang
Jurnal Kesehatan Vol 14 No 2 (2025): JURNAL KESEHATAN
Publisher : STIKES Ngesti Waluyo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46815/jk.v14i2.437

Abstract

Postpartum mothers experience peak oxytocin hormone stimulation on the first to third day after giving birth. Oxytocin hormone facilitates the smooth release of breast milk from the breast. This research aimed to investigate the implementation of oxytocin stimulation and its preliminary effect on breastmilk secretion among postpartum mothers. This study was a quasi-experiment with a single-group pre-posttest design. Postpartum mothers (n=55) without contraindications to massage and willing to participate in the study received an oxytocin massage on the first postpartum day. Data was then analysed descriptively. The result showed that after oxytocin stimulation, status 1 on breast examination became 81,82% (increase 23,65%), milk release in the “spurting” category became 3,64% (increase 3,64%), the “dripping” category became 50,91% (increase 43,64%), the “dripping” category to 34,55% (decrease 21,81%), and “no milk flow” category to 10,91% (decrease 2.45%). Oxytocin massage increased breast milk production.