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HUBUNGAN CARA PEMBERIAN ASI DENGAN KEJADIAN MASALAH PADA PUTING LECET DI UPTD PUSKESMAS NUSAHERANG Nurdewi Sulymbona; Russiska Russiska; Mala Tri Marliana; Epa Sopiatul Mutaharoh
Jurnal Ilmu Kesehatan Bhakti Husada: Health Sciences Journal Vol. 12 No. 1 (2021): Jurnal Ilmu Kesehatan Bhakti Husada: Health Science Journal
Publisher : Lembaga Penelitian Sekolah Tinggi Ilmu Kesehatan Kuningan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34305/jikbh.v12i1.260

Abstract

Abstrak Ibu menyusui sering mengalami masalah putting susu lecet, dimana bayi hanya menyusu pada puting, maka bayi akan mendapatkan ASI sedikit karena gusi bayi tidak menekan pada sinus laktiferus. Hal ini dapat menyebabkan nyeri atau lecet pada puting ibu. Dampak dari puting lecet ini bukan hanya bagi ibu akan tetapi bagi bayi juga sehingga bayi tidak mendapatkan ASI penuh dari ibunya. Masalah yang sering terjadi dalam menyusui adalah puting susu lecet. Sekitar 57% dari ibu yang menyusui dilaporkan pernah mengalami lecet pada putingnya. Metode penelitian ini menggunakan analitik dengan rancangan cross sectional, populasi dalam penelitian ini ibu menyusui pada bulan Mei 2019. Teknik pengambilan sampel Total Sampling, dengan jumlah 60 orang instrument menggunakan lembar ceklis, analisis menggunakan analisis univariat dan analisis bivariat. Berdasarkan hasil penelitian univariat menunjukkan ibu yang memberikan ASI secara langsung 40,%, yang memberikan ASI Perah 60%, dan yang mengalami putting lecet 43,3%. Hasil analisis bivariat menunjukkan nilai p = 0,019 (<0,05). Kesimpulan bahwa terdapat hubungan antara teknik menyusui dengan kejadian puting susu lecet pada ibu menyusui. Saran bagi ibu untuk meningkatkan pengetahuan tentang teknik menyusui yang benar serta dapat melakukan dan mengaplikasikannya dalam kehidupan sehari-hari, sehingga dapat meminimalisir terjadinya puting susu lecet.
HUBUNGAN ANTARA KARAKTERISTIK IBU HAMIL DENGAN TINGKAT PENGETAHUAN TENTANG MANAJEMEN LAKTASI DI WILAYAH KERJA UPTD PUSKESMAS PASAWAHAN KABUPATEN KUNINGAN Nurdewi Sulymbona; Evi Soviyati; Anggit Kartikasari; Nurrukmini Hamsah
Jurnal Praktik Dan Pendidikan Keperawatan Vol 1 No 2 (2021): Journal of Nursing Practice and Education
Publisher : Lembaga Penelitian Sekolah Tinggi Ilmu Kesehatan Garawangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34305/jnpe.v1i2.265

Abstract

Abstrak Manajemen laktasi adalah tatalaksana yang diperlukan untuk menunjang keberhasilan menyusui. Bila manajemen laktasi tidak terlaksana maka akan berdampak penurunan pemberian ASI sehingga bisa berdampak pada peningkatan angka gizi buruk dan gizi kurang yang beresiko pada peningkatan kematian bayi. Metode penelitian menggunakan analitik dengan rancangan cross sectional. Populasi penelitian ini yaitu seluruh ibu hamil di Wilayah Kerja UPTD Puskesmas Pasawahan dengan jumlah 346 ibu hamil menjadi 185 ibu hamil yang diambil secara Stratified Random Sampling. Data diperoleh dengan menggunakan kuesioner kemudian dianalisis secara bivariat. Tidak terdapat hubungan antara umur ibu hamil dengan tingkat pengetahuan tentang manajemen laktasi (p=0,199), tidak terdapat hubungan antara pendidikan ibu hamil dengan tingkat pengetahuan tentang manajemen laktasi (p=0,064), tidak terdapat hubungan antara pekerjaan ibu hamil dengan tingkat pengetahuan tentang manajemen laktasi (p=0,285), dan terdapat hubungan antara paritas ibu hamil dengan tingkat pengetahuan tentang manajemen laktasi (p=0,008) dengan tingkat pengetahuan tentang manajemen laktasi.
Efektivitas Pendidikan Kesehatan Prakonsepsi Menggunakan Buku Saku Terhadap Pengetahuan Pasangan Usia Subur tentang Kehamilan Berisiko Asrina, Andi; Sulymbona, Nurdewi; Anggraeni, Susanti Dwi
Jurnal Ilmu Kesehatan Bhakti Husada: Health Sciences Journal Vol. 14 No. 02 (2023): Jurnal Ilmu Kesehatan Bhakti Husada: Health Science Journal
Publisher : Lembaga Penelitian Sekolah Tinggi Ilmu Kesehatan Kuningan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34305/jikbh.v14i02.855

Abstract

Latar Belakang: Kehamilan berisiko dapat membahayakan ibu maupun janin bahkan meningkatkan kematian ibu dan bayi. Salah satu faktor yang berkaitan dengan risiko tinggi kehamilan ibu adalah usia ibu terlalu muda (< 20 tahun), terlalu tua (> 35 tahun), terlalu sering atau terlalu dekat jarak kehamilan, serta terlalu banyak anak. Beberapa faktor yang menyebabkan meningkatnya angka kematian ibu dan bayi akibat kehamilan resiko tinggi antara lain rendahnya kesadaran dan pengetahuan pasangan usia subur (PUS) tentang kesehatan kehamilan dan resiko kehamilan saat masa sebelum hamil. Sehingga dibutuhkan informasi, edukasi serta promosi kesehatan yang jelas dan benar. Promosi kesehatan lebih efektif dengan bantuan media promosi, salah satu media promosi kesehatan yang efektif dalam upaya menciptakan perilaku baru adalah buku saku. Metode: Penelitian kuantitatif ini menggunakan desain pre ekperimen dengan rancangan one group pre-test dan post-test pada 100 pasangan usia subur, uji statistik menggunakan uji Wilcoxon. Hasil: Terdapat perbedaan pengetahuan PUS sebelum dan sesudah dilakukan edukasi kesehatan menggunakan buku saku prakonsepsi antisipasi kehamilan berisiko (p 0.000). Kesimpulan: Buku Saku prakonsepsi efektif digunakan sebagai media edukasi kesehatan sebagai antisipasi kehamilan berisiko. Saran: : Buku saku dapat dimanfaatkan sebagai salah satu media pendidikan kesehatan untuk mencegah terjadinya kehamilan berisiko.
Hubungan Pengetahuan dengan Kecemasan pada Pasien Pre Operasi Katarak di Rumah Sakit B Dwi Alba Fitria; Ayu My Lestari Saragih; Irfan Ilmi; Nurdewi Sulymbona
Vitamin : Jurnal ilmu Kesehatan Umum Vol. 3 No. 1 (2025): Jurnal ilmu Kesehatan Umum
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/vitamin.v3i1.1254

Abstract

In the pre-operative period, patients feel afraid, anxious, nervous and insecure, afraid that their vision will not heal completely, afraid of unwanted complications. This feeling arises due to lack of knowledge or inadequate information and expected results after surgery. This study aims to determine the relationship between knowledge and anxiety in patients during pre-cataract surgery at Hospital B. Quantitative research with descriptive correlation design with a cross-sectional approach with a non-probably sampling technique, namely purposive sampling with a total of 41 respondents. Data collection through questionnaires, data were analyzed univariately with frequency distribution and bivariate correlation using the Spearman Rank correlation test. The majority of respondents with a good level of knowledge were 25 respondents (61%), most of whom had mild anxiety were 23 respondents (56.1%). From the results of the analysis with Spearman Rank correlation (rho) using the SPSS 24 for windows application, the results of the correlation coefficient between knowledge and anxiety in pre-operative patients were -0.448. This shows that there is a strong correlation between the relationship between knowledge and anxiety with a negative relationship direction, which means that the higher the patient's level of knowledge, the lower the patient's level of anxiety during pre-cataract surgery. With the result of p = 0.003, then p <0.05, this also shows that there is a relationship between knowledge and anxiety in patients during pre-surgery at Hospital B
Hubungan Stres dengan Nyeri pada Pasien Dispepsia Ruang Nusa Indah di RSU Bhakti Asih Tangerang Bulan Agustus - Oktober 2024 Juni Riani; Ayu My Lestari; Rizki Halifah Ashri; Nurdewi Sulymbona
Jurnal Rumpun Ilmu Kesehatan Vol. 4 No. 3 (2024): November : Jurnal Rumpun Ilmu Kesehatan
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jrik.v4i3.4978

Abstract

Dyspepsia is a collection of symptoms in the form of discomfort in the upper abdomen, pain, nausea, and vomiting as well as the stomach feels full quickly when eating and feels bloated. One of the factors that causes dyspepsia is psychosocial factors, namely stress. The purpose of the study was to determine the Relationship between Stress and Pain in Dyspepsia Patients in the Nusa Indah Room at Bhakti Asih Hospital, Tangerang, August - October 2024. Quantitative research method with a Cross Sectional approach. The research sample was 53 respondents using a purposive sampling technique. The stress measurement instrument used the DASS-42 questionnaire and Pain measurement. Data were analyzed using the chi-square test. The results showed that the majority of Anemia was Severe (93.8%) and the quality of life variable was in the Good category (76.9%). Based on statistical tests using the Spearman rank correlation test, a significance level of p-value = 0.000 was obtained with an OR value of 0.548, which means that the relationship between these two variables was moderate and inversely related. Conclusion, there is a relationship between stress levels and pain in patients with dyspepsia in the Nusa Indah Room at Bhakti Asih Hospital, Tangerang, August - October 2024. The results of this study for the stress level variable, the majority of the stress levels are mild (54.5%) and the pain variable is in the moderate category (90.9%). Based on statistical tests using the chi square correlation test, a significance level of p-value = 0.001 was obtained, so it can be concluded that there is a relationship between stress levels and pain in patients with dyspepsia in the Nusa Indah Room at Bhakti Asih Hospital, Tangerang, August - October 2024.
Hubungan Stigma dengan Tingkat Kepatuhan Pasien dalam Pengobatan TBC di Rumah Sakit Umum Bhakti Asih Ciledug Tahun 2024 Khaerul Anwar; Ekberth Mandaku; Tanto Tanto; Nurdewi Sulymbona
Jurnal Rumpun Ilmu Kesehatan Vol. 4 No. 3 (2024): November : Jurnal Rumpun Ilmu Kesehatan
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jrik.v4i3.4979

Abstract

TB is an infectious disease caused by infection with the bacteria Mycobacterium Tuberculosis which can attack the lungs. However, it is not automatically transmitted because transmission depends on several factors such as: body resistance, air circulation conditions, ventilation and contact with people with TB. Based on hospital data in 2024 in the last 3 months, there were 317 cases of pulmonary TB, with 176 cases of patients diagnosed with TB. Treatment can be effective if patients comply with the rules for using drugs prescribed by doctors and from the results of the analysis there is a significant relationship between compliance with taking medication and the rate of recovery of tuberculosis patients. This figure is the third largest case of the disease after type 2 Diabetes Mellitus and Hypertension that occurred at Bhakti Asih Hospital. The purpose of the study was to determine the relationship between stigma and the level of patient compliance in TB treatment at Bhakti Asih Hospital, Ciledug. The research method used was Random Sampling with a sample size of 44 respondents and a measurement method using a questionnaire. The results of the analysis using the chi-square test showed that there was a significant relationship between stigma and compliance with taking pulmonary tuberculosis medication in lung patients at Bhakti Asih Hospital.
Hubungan Sikap Perawat dengan Pencegahan Kejadian Dekubitus di Ruang Rawat Inap Rumah Sakit Bhakti Asih Tangerang Tahun 2024 Dian Ayu Agustina; Upi Farida; Pratiwi Cahya Wardhani; Nurdewi Sulymbona
Detector: Jurnal Inovasi Riset Ilmu Kesehatan Vol. 3 No. 1 (2025): Jurnal Inovasi Riset Ilmu Kesehatan
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/detector.v3i1.4981

Abstract

Pressure ulcers are one of the common problems in hospitals including intensive care units. The impact of pressure ulcers is quite severe and can cause death. Prevention of pressure ulcers is an important thing that nurses can do. The obstacles felt by nurses in implementing pressure ulcer prevention can affect nurses' beliefs, so that they can affect nurses' intentions and attitudes in implementing prevention. The purpose of this study was to determine the Relationship between Nurses' Attitudes and Prevention of Pressure Ulcers in the Inpatient Room of Bhakti Asih Hospital, Tangerang in 2024. The research method was quantitative research with a Cross Sectional approach. The research sample was 41 nurses using a purposive sampling technique. The measurement instrument used the Nurses' Attitude questionnaire and Pressure Ulcer Prevention using the Braden Scale. Data were analyzed using the Spearman Rho test. The results of the study showed that the results of the Spearman Rank correlation test obtained a significance level of p-value = 0.005 so that it can be concluded that there is a relationship between Nurses' Attitudes and Prevention of Decubitus Incidence in the Inpatient Room of Bhakti Asih Hospital, Tangerang in 2024. The correlation coefficient in this study has a value of 0.434 which means that the relationship value of these two variables is strong and inversely related. So that the relationship between the two variables is unidirectional. Conclusion, there is a relationship between the Relationship between Nurses' Attitudes and Prevention of Decubitus Incidence in the Inpatient Room of Bhakti Asih Hospital, Tangerang in 2024.
Pengaruh Pengetahuan terhadap Kemampuan Cuci Tangan Keluarga Pasien dalam Mencegah Infeksi Nosokomial di RS Bhakti Asih Tangerang 2024 Nurul Khotimah; Ayu My Lestari Saragih; Siti Nurbaiti; Ns. Dwi Retno Handayani; Nurdewi Sulymbona
Detector: Jurnal Inovasi Riset Ilmu Kesehatan Vol. 3 No. 1 (2025): Jurnal Inovasi Riset Ilmu Kesehatan
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/detector.v3i1.4984

Abstract

Knowledge is the result of a person's knowledge of objects through their senses, namely the sense of hearing, sense of smell, sense of sight, sense of smell, and sense of touch. Ability is an individual's capacity to perform various tasks in a job. Hand washing is the activity of cleaning hands by rubbing and using soap and rinsing it in running water. The purpose of the study was to identify the relationship between the level of knowledge and the ability to wash hands in the families of patients regarding nosocomial infections in the inpatient room of Nusa Indah Bhakti Asih General Hospital, Tangerang. The research method uses the chi square test with the sampling technique used in this study is Non Random Sampling (Non Probability Sampling) which is carried out by Purposive Sampling technique. The instruments used in this study are the questionnaires used in this study, including knowledge of hand washing and handwashing ability sheet. Data analyzed This study uses the Chi square test for categorical data that is said to be related if p < 0.05. The results of the study showed that the P Value was 0.000, where the P Value was smaller than alpha (0.05), then H0 was rejected, meaning that knowledge was significantly related to the ability to wash hands in the patient's family regarding nosocomial infections in the Nusa Indah Inpatient Room, Bhakti Asih General Hospital, Tangerang City in 2024. In conclusion, there is a relationship between the level of knowledge and the ability to wash hands in the patient's family.
Penyuluhan Massage Effleurage Dalam Menurunkan Nyeri Persalinan Menggunakan Media Poster Nurul, Nurul Hidayah Bohari; Haerani; Sulymbona, Nurdewi; Agustina, Rika; Akhfar, Kurniati
JCS Vol. 7 No. 2 (2025): Edisi Juni 2025
Publisher : Akademi Kebidanan Tahirah Al Baeti Bulukumba

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57170/jcs.v7i2.146

Abstract

Pain in the first stage of labor arises from cervical dilation and uterine contractions. Pain occurs in the back, sacrum, cramps, and thighs when the fetal head descends into the pelvis, causing pressure on the lumbosacral plexus. Severe pain during labor can cause the mother to experience stress or fear and excessive fear, physiologically this can cause uterine contractions to feel more painful and the pain felt by the mother to increase. Labor pain can be controlled with the non-pharmacological method of Effleurage Massage. This massage aims to increase blood circulation, apply pressure, and warm the abdominal muscles as well as increase physical and mental relaxation. The solutions offered are 1. Increasing pregnant women's understanding of effleurage messages can reduce normal labor pain. The target output of this PKM activity is a scientific article published in an ISSN journal. The method used in implementing this activity includes counseling for pregnant women using poster media. The counseling material consists of the definition of effleurage messages, the benefits of effleurage messages, and techniques. The results showed that education using posters about effleurage massage proved effective in increasing mothers' knowledge and preparedness for the labor process, thereby reducing labor pain.
HUBUNGAN ANTARA PENGETAHUAN DENGAN SIKAP DALAM MENGHADAPI DISMENORE PADA REMAJA PUTRI DI KELAS X SMA N 1 SALEM KABUPATEN BREBES Sulymbona, Nurdewi
Media Ilmiah Kesehatan Indonesia Vol. 2 No. 1 (2024): JANUARY
Publisher : Pakis Journal Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58184/miki.v2i1.214

Abstract

Sebagian besar remaja di seluruh negara mengalami dismenore, yang dapat menyebabkan kontraksi rahim. Periode pematangan organ reproduksi manusia yang disebut masa pubertas biasanya terjadi pada usia 10 hingga 19 tahun. Hasil penelitian di beberapa negara berkembang menunjukkan bahwa sekitar 75% remaja perempuan dan 30-55% perempuan mengalami dismenore. Antara 5 dan 20% remaja putri yang mengalami dismenore dilaporkan mengalami nyeri yang sangat parah sehingga menghambat aktivitas sehari-hari mereka. Studi pendahuluan menunjukkan bahwa remaja putri tidak cukup memahami dismenore sehingga banyak dari mereka tidak tahu bagaimana menangani dismenore dengan benar. Tujuan dari penelitian ini adalah untuk mengevaluasi hubungan antara pengetahuan dan sikap terhadap dismenore pada remaja putri di kelas X SMA N 1 Salem. Penelitian ini melakukan survei analitik dengan pendekatan cross-sectional. Semua remaja perempuan dari kelas X SMA N 1 Salem berjumlah 181 orang terlibat dalam penelitian ini. Dalam penelitian ini, total sampling digunakan. Studi ini menggunakan kuesioner. Uji chi-kuadrat digunakan untuk menganalisis data univariate dan bivariate. Hasil penelitian yang dilakukan di SMAN 1 Salem Kabupaten Brebes menunjukkan bahwa pengetahuan remaja putri tentang dismenore termasuk dalam kategori cukup, yaitu 76 orang (42 persen), dan sikap mereka terhadap dismenore termasuk dalam kategori positif, yaitu 100 orang (55,2%) p-value 0,000.