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PERBEDAAN KOMBINASI MASSAGE TENGKUK DAN MASSAGE OKSITOSIN DENGAN MASSAGE OKSITOSIN TERHADAP WAKTU PENGELUARAN ASI PADA IBU POST PARTUM Yeyen Wulandari Dhanio; Rafika Rafika; Siti Hadijah Batjo
Media Kesehatan Politeknik Kesehatan Makassar Vol 15, No 1 (2020): Media Kesehatan
Publisher : Politeknik Kesehatan Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32382/medkes.v15i1.1379

Abstract

Pengeluaran ASI dipengaruhi faktor stress sehingga terganggunya ketenangan jiwa dan pikiran ibu, menghambat sekresi oksitosin dan prolaktin. Sehingga pemberian ASI secara dini terkendala akibat produksi dan ejeksi ASI lebih sedikit pada hari pertama melahirkan. Penelitian dilakukan di BPM Amanah selama 6 minggu. Tujuan penelitian untuk mengetahui perbedaan kombinasi massage tengkuk dan massage oksitosin dengan massage oksitosin terhadap waktu pengeluaran ASI pada ibu postpartum di BPM Amanah. Jenis penelitian Pre-Exsperimental dengan desain One-Shot Case Study. Jumlah sampel 48 orang, diambil dengan teknik consecutive sampling dan dibagi menjadi 24 responden setiap kelompoknya. Pemberian intervensi dilakukan setelah 2 jam postpartum dan diobservasi waktu pengeluaran ASI pertama setelah pemberian intervensi, kemudian data dianalisis secara univariat dan bivariat menggunakan uji Mann Whitney. Hasil penelitian diperoleh waktu pengeluaran ASI kelompok kombinasi massage tengkuk dan massage oksitosin yang <6 jam sebanyak 18 responden, 6-24 jam sebanyak 5 responden dan >24 jam sebanyak 1 responden serta waktu pengeluaran ASI kelompok massage oksitosin yang <6 jam sebanyak 13 responden, 6-24 jam sebanyak 9 responden dan >24 jam sebanyak 2 responden. Hasil uji statistik diperoleh rerata waktu pengeluaran ASI ibu yang diberikan kombinasi massage tengkuk dan massage oksitosin 3,35 jam serta massage oksitosin 6,87 jam. Hasil uji Mann Whitney diperoleh ρ-value 0,026. Kesimpulan, ada perbedaan waktu pengeluaran ASI yang diberikan kombinasi massage tengkuk dan massage oksitosin dengan massage oksitosin setelah kala IV persalinan. Berdasarkan hasil penelitian disarankan bagi petugas bidan di BPM Amanah untuk perlunya diadakan sosialisasi kepada ibu postpartum dan penerapan kombinasi massage tengkuk dan massage oksitosin. Kata Kunci : Waktu Pengeluaran ASI, Postpartum, Massage Tengkuk, Massage Oksitosin.
PENGARUH LAMA PENYIMPANAN DAHAK PAGI PADA SUHU KAMAR TERHADAP JUMLAH BAKTERI TAHAN ASAM (BTA) Wa Ode NurAlfiyani Muin; Kalma Kalma; Artati Artati; Rafika Rafika
Jurnal Media Analis Kesehatan Vol 11, No 2 (2020): JURNAL MEDIA ANALIS KESEHATAN
Publisher : Poltekkes Kemenkes Pakassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32382/mak.v11i2.1785

Abstract

Tuberkulosis adalah infeksi bakteri mycobacterium tuberculosis yang menyerang dan merusak jaringan tubuh manusia. Bakteri dapat ditularkan melalui saluran udara tuberkulosis yang biasanya menyerang lugn tetapi biasanya juga menusuk tulang, kelenjar getah bening, sistem saraf pusat, jantung, dan organ lainnya. Pemeriksaan dahak secara langsung menghidupkan kembali banyak kelemahan yaitu banyak lendir dan jaringan yang akan meningkatkan volume sampel sehingga akan mengurangi kemungkinan terkena mikrobakterium tuberculosis. Oleh karena itu, untuk meningkatkan efektivitas pemeriksaan mikroskopis dahak, sampel sampel NaOH 4% dapat diproses sehingga BTA akan dikumpulkan dalam volume yang lebih kecil dan lebih mungkin untuk mendapatkan sampel yang mengandung kuman. Penelitian ini dilakukan dengan 3 perlakuan, yaitu dahak pagi yang diperiksa segera, dahak pagi tertunda 3 jam, dan dahak pagi tertunda 6 jam kemudian didekontaminasi dan diperiksa dengan mikroskop untuk melihat seberapa besar pengaruhnya. Berdasarkan analisis uji Varians (ANOVA), ditemukan bahwa nilai signifikan dari uji ANOVA 1.000> 0,05 tidak memiliki pengaruh yang signifikan antara dahak yang diperiksa dan langsung tertunda 3 jam dan tertunda 6 jam. Para peneliti menyimpulkan bahwa lama penyimpanan filem pagi hari pada suhu kamar diperiksa segera, ditunda 3 jam dan ditunda 6 jam tidak berpengaruh pada jumlah bakteri tahan asam (BTA) (ρ = 1.000) sehingga hipotesis alternatif dalam hal ini studi ditolak. Namun walaupun tidak ada pengaruh yang signifikan terhadap lamanya menyimpan dahak di pagi hari, para peneliti masih melakukan segmentasi bahwa mereka masih menggunakan dahak pagi yang segera diperiksa agar tetap mendapatkan kualitas dahak dan hasil pemeriksaan yang baik.Kata kunci : Lama Penyimpanan, DekontaminasiSampel,Pemeriksaan (BTA)
Upaya Deteksi Dini Penularan Tuberkulosis Pada Anggota Keluarga Kontak Serumah Penderita TB Aktif Menggunakan Uji Tuberkulin Rafika Rafika; Nurlia Naim; Ridho Pratama; Dhia Istiqomah
Lontara Abdimas : Jurnal Pengabdian Kepada Masyarakat Vol 3 No 1 (2022): Juni
Publisher : Lembaga Penelitian Dan Pengabdian Masyarakat Politeknik Kesehatan Muhammadiyah Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53861/lomas.v3i1.257

Abstract

Screening tests of tuberculosis transmission on family members living in housemates are attempts to increase the discovery of tuberculosis cases and are important in the control of tuberculosis. Positive TB event figures at the community Hall of Public Lung Health (BBKPM) in Makassar the defense is experiencing a tendency to increase so that the risk of transmission will increase especially against family members because of the transmission of TB through droplet infection. The activities of this Community devotion to improving the capacity of health workers in the efforts of the prevention of tuberculosis disease by enhancing the early detection ability of tuberculosis disease transmission in family members of housemates. The method of this dedication by conducting the Tuberculin test in the family contact of patients with active TB in BBKPMM. This activity is conducted from July to October 2019. Diagnosis of examination is conducted by nurses and medical laboratory energy analysts. The family member of the patient who is used as a participant in this activity is a family of active TB sufferers in the treatment room of the second floor in BBKPMM. Results of the test tests of tuberculosis from 45 members of the household contacts of patients with active Lung Tuberculosis obtained 22 people (49%) Positive and 23 people (51%). The results of this activity as an input for the BBPKMM will do follow up for the positive family members of the sufferer.
PENINGKATAN KESEHATAN MASYARAKAT MELALUI PEMERIKSAAN KREATININ SEBAGAI DETEKSI DINI PENYAKIT GINJAL DI KELURAHAN TAMALABBA Rafika Rafika; Zulfikar Ali Hasan; Nurlia Naim
Lontara Abdimas : Jurnal Pengabdian Kepada Masyarakat Vol 3 No 2 (2022): Desember
Publisher : Lembaga Penelitian Dan Pengabdian Masyarakat Politeknik Kesehatan Muhammadiyah Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53861/lomas.v3i2.333

Abstract

The kidney has functions to regulate the secretion of metabolic waste (removing metabolic waste, namely urea, creatinine uric acid and foreign chemicals) useful for the body. People who are at risk of chronic kidney failure, namely over 35 years of age, family history of chronic kidney failure, history of DM, high blood preassure, history of UTIs, smokers, taking supplement drugs in the long term, history of alcohol consumption. The activity method is in the form of community creatinine examination services in Tamalabba village. The location of the posyandu room RW 2 activity in Tamalabba village, Makassar city. This activity was attended by 49 participants including 40 (81.6%) women and 9 (18.4%) men. Creatinine examination through blood samples in community service participants had normal results of 69.4% and abnormal results of 30.6%. Participants in the category of abnormal results, indicating the presence of impaired renal function. The results of the examination are submitted at the puskesmas for follow-up so that participants who carry out other supporting examinations in the puskesmas laboratory.
Lama Penggunaan Alat Kontrasepsi Hormonal dengan Kejadian Hipertensi di Puskesmas Sangurara Kota Palu Hadriani Hadriani; Rafika Rafika
Jurnal Kesehatan Manarang Vol 4 No 2 (2018): Desember 2018
Publisher : Politeknik Kesehatan Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/jkm.v4i2.68

Abstract

Hormonal disturbances in the use of estrogen and progesterone synthesis hormone will occur imbalance hormone estrogen and progesterone in the body that will trigger the occurrence of disorders of the blood vessels and vascular conditions that are manifested by the increase in blood pressure. The purpose of this study is to know the relationship between the use of hormonal contraception with hypertension. This type of research is an observational analytic research using cross sectional approach. The research has been carried out in the Working Area of ​​Puskesmas Sangurara Palu City from June to September 2017. The population in this study are all family planning acceptors of Hormonal Family Health Center in Puskesmas Sangurara Kota Palu with population 26,608 people from January until August 2017 with sample size 99 people . Sampling of this research data using slovin formula. The sampling technique used Purposive Sampling technique. Univariate and bivariate data analysis using Chi Square with α 0,05. Based on statistical test, there was no relation between hormonal contraceptive use and hypertension incidence. The conclusion is that there is no relation between the use of hormonal contraceptive devices and the incidence of hypertension, so it is recommended that every hormonal contraceptive acceptor should be monitored for routine side effects Keywords: Hormonal contraception, hypertension occurrence
Hubungan Pengetahuan Ibu, Dukungan Keluarga, dan Dukungan Petugas Kesehatan dengan Pemberian ASI Eksklusif Ketut Catur Anggarwati; Anna V.Pont; Rafika Rafika; Masudin Masudin
Jurnal Kesehatan Manarang Vol 5 No 1 (2019): Juli 2019
Publisher : Politeknik Kesehatan Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/jkm.v5i1.80

Abstract

ABSTRACT Breast Milk contains antibody-rich colostrum because it contains high immune proteins and germ killers so exclusive breastfeeding can reduce infant mortality. Exclusive breastfeeding achievement in Mamboro Community Center in 2015 was 118 (71.95%) and 2016 decreased by 183 (62%). Factors that cause the baby not to get exclusive breastfeeding include education, knowledge, values ​​or cultural customs, family support and support of health workers. The purpose of this research is to know the relationship of mother's knowledge, family support and support of health officer with exclusive breast feeding in Posyandu working area of ​​Mamboro Community Health Center. This research use analytic survey method withapproach cross sectional, data collecting using primary data is by filling questionnaires on mothers who have infants aged 6-12 months, research conducted on 14 April to 16 May 2018. Sampling technique is purposive sampling with inclusion and exclusion criteria with a total sample of 55 respondents. Analysis of bivariate data usingstatistical test Chi Square with 95% confidence level (α = 0,05). The result of statistic test showed that the relationship of mother's knowledge with exclusive breastfeeding was obtained p value of 0,04 (p value <0,05), relation between family support and exclusive breastfeeding was obtained p value 0,333 (p value>0,05) and the relationship between health care support and exclusive breastfeeding was obtained by p value of 0.40 (p value>0.05). In conclusion there is a relationship between mother knowledge with exclusive breastfeeding in Posyandu work area of ​​Mamboro Community Health Center. Trying to educate and increase knowledge Mother'sabout exclusive breastfeeding, do counseling during exclusive breastfeeding period and always involve husband in giving related information about ASI. Keywords : exclusive breastfeeding, knowledge, family support, health officer support