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INCREASING COMPETENCE OF MIDWIFERY STUDENTS IN PERINEAL WOUND SUTURING USING LOW COST MODEL MADE FROM FLANNEL FABRIC Rery Kurniawati Danu Iswantoro; Nani Yuningsih; Ayi Tansah Rohaeti; Melyana Nurul Widyawati
Proceedings of the International Conference on Applied Science and Health No. 2 (2017)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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

Background: Competence of postpartum perineum wound suturing should be owned by midwives. However, students are limitedly trained on how to use cotton pads that are less representative in form and material. This results in a lack of student competence in perineum stitching practice. Aims: This study goal is to know the effectiveness of perineum wound suturing model made from flannel in order to increase stitching competence on the students of Midwifery study program of Banten Health Polytechnic. Methods: This research was designed using experimental design with post-test design method. The respondents consisted of 11 treatment group and 14 control group. The research implementation consisted of three stages. First, an introduction to the perineum wound sewing technique. Second, the model group practiced with flannel and cotton. Third, the respondents filled up the questionnaire on level of confidence and competence assessment of both groups of students. Data analysis used Mann Whitney test because the median difference of two independent groups if the dependent variable data scale is ordinal and ratio. Results: The results showed that the mean of perineum wound suturing competence in the model group was higher (83) than in the non-model group (74). The statistical test results obtained p = 0.002 which means that there was a significant difference in the competency of both groups. At the self confidence level of the respondents in performing perineum wound suturing, both groups had the same mean (4) with p = 0.651. At the time of perineum wound suturing, it is known that the model group mean was slightly faster (20 minutes) than the non-model group (22 minutes) with p = 0.978. There were no significant differences between the two variables. Conclusion: The study showed that the test model was better in improving the competence of the perineum wound suturing. Flannel model is also more affordable and can be sutured over and over so it is economical for students. Further study on efficient media is recommended so that duration and confidence would be better.

HUBUNGANANTARA KEIKUTSERTAAN IBU HAMIL PADA PROGRAM PERENCANAAN PERSALINAN DAN PENCEGAHAN KOMPLIKASI (P4K) DENGAN KEJADIAN KOMPLIKASI PERSALINAN DIWILAYAH KERJA PUSKESMAS WARUNGGUNUNG KABUPATEN LEBAK 2016 Nintinjri Husnida; Nani Yuningsih
Jurnal Medikes (Media Informasi Kesehatan) Vol 4 No 1 (2017): April
Publisher : Politeknik Kesehatan Kementerian Kesehatan Banten

Tingginya angka kematian ibu setiap tahun dan semakin meningkat, sehingga perlunya melihat hubungan antara keikutsertaan ibu hamil pada program perencanaan persalinan dan pencegahan komplikasi (P4K) dengan kejadian komplikasi persalinan di Wilayah kerja Puskemas Warunggunung Kabupaten Lebak 2016. Berdasarkan gambaran tentang tingginya Angka kematian ibu di Provinsi Banten, maka dirumuskan masalah penelitian bagaimanakah hubungan antara keikutsertaan ibu hamil pada program perencanaan persalinan dan pencegahan komplikasi (P4K) dengan kejadian komplikasi persalinan, sedangkan hipotesis yang dirumuskan terdapat hubungan antara keikutsertaan ibu hamil pada program perencanaan persalinan dan pencegahan komplikasi (P4K) dengan kejadian komplikasi persalinan. Penelitian ini menggunakan metode kuantitatif dengan studi kohort dan menggunakan kuesioner. Jumlah sampel yang digunakan 48 responden, dengan total populasi. Data penelitian diambil secara primer menggunakan kuesioner. Analisis data untuk mengetahui hubungan antar variabel menggunakan Chi-Square. Dari hasil penelitian secara univariat menunjukkan jumlah ibu yang tidak memanfaatkan P4K sebesar 31,3 %, kejadian komplikasi sebesar 33,3% . Dari hasil uji bivariat didapatkan bahwa ada hubungan yang signifikan antara keikutsertaan ibu hamil pada program perencanaan persalinan dan pencegahan komplikasi (P4K) dengan kejadian komplikasi di wilayah kerja Puskemas Warunggunung Kabupaten Lebak 2016 dan nilai 0,008 (p < α) dapat diartikan bahwaada hubungan ibu hamil yang mengikuti P4K dengan kejadian komplikasi. Dapat disimpulkan bahwa Terdapat hubungan signifikan antara pemanfaatan P4K pada ibu hamil dengan kejadian komplikasi persalinan

PERAN STIMULASI ORANG TUA TERHADAP PERKEMBANGAN ANAK USIA DINI DI MASA PANDEMI COVID 19 DI DESA KADUAGUNG TENGAH KECAMATAN CIBADAK KABUPATEN LEBAK Hani Sutianingsih; Rery Kurniawati; Nani Yuningsih; Darti Rumiatun
Jurnal Medikes (Media Informasi Kesehatan) Vol 8 No 2 (2021): November
Publisher : Politeknik Kesehatan Kementerian Kesehatan Banten

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36743/medikes.v8i2.310

Based on data on pediatric patients less than 18 years old with confirmed COVID 19, it was 3.23% and 11.4% suspected cases of COVID 19 for children aged less than 18 years. This shows that childhood is a vulnerable period for contracting COVID 19. Childhood is an important period in human life, especially early childhood. This is because at an early age, children begin to be sensitive or sensitive to receive various kinds of stimuli from outside the child. Therefore, at an early age it is very important to provide appropriate stimulation or stimulation to children, so as to optimize aspects of child development. Proper stimulation will stimulate the child's brain so that the child's development can be optimal, especially during the COVID-19 pandemic which demands the implementation of social distancing. The study design was cross sectional with a total of 50 respondents. The subjects of this study were parents of early childhood (5-6 years). The statistical test used is Chi squared. Based on the results of statistical tests, it was found that there was a relationship between the role of parental stimulation on early childhood development (5-6 years) of knowledge and attitudes of the bride and groom about reproductive and sexual health (p <0.05). It is hoped that parents will play a more active role in stimulating children's development by dealing with types of games that can stimulate gross motor development

PENGARUH GYMNASTIC ZIL GREI TERHADAP KEMAJUAN KALA I FASE AKTIF DAN ROBEKAN PERINEUM PADA PRIMIGRAVIDA DI KLINIK MUTIARA MEDIKA RANGKASBITUNG Nintinjri Husnida; Nani Yuningsih; Melly Halimatussa'adiah
Jurnal Medikes (Media Informasi Kesehatan) Vol 9 No 1 (2022): Mei
Publisher : Politeknik Kesehatan Kementerian Kesehatan Banten

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36743/medikes.v9i1.277

Masalah lamanya kala I fase aktif dan robekan perineum pada primigravida dapat diantisipasi dengan memberikan pengetahuan mengenai gymnastic zil grey. Penelitian ini bertujuan untuk mengetahui pengaruh gymnastic zil grei terhadap kemajuan kala I fase aktif dan robekan perineum pada primigravida di Klinik Mutiara Medika Rangkasbitung Tahun 2019. Rancangan yang digunakan dalam penelitian ini adalah dengan quasi eksperimen. Variabel penelitian : gymnastic zil grey, lama kala I fase aktif dan robekan perineum pada primigravida. Data dikumpulkan dengan kuesioner dan intervensi gymnastic zil grey terhadap primigravida. Sampel yang digunakan sebanyak 32 orang. Analisis data dengan uji mann whitney untuk melihat perbedaan rerata lama kala I ibu primigravida yang melakukan gymnastic zil grey dengan yang tidak melakukan gymnastic zil grey. Sedangkan untuk melihat pengaruh gymnastic zil grey terhadap robekan menggunakan chi-Square. Dari penelitian yang telah dilakukan didapatkan hasil yaitu terdapat pengaruh Gymnastic Zil Grei terhadap kemajuan kala I fase aktif dan robekan perineum pada primigravida. OR ; 5.571. Diharapkan metode gymnastic zil grei ini dapat terus diterapkan dan ditingkatkan pelakasanaannya pada ibu hamil melalui pelayanan yang tersedia di klinik.

The Effect of Effleurage Massage on Lowback Pain In Trimester Iii Pregnant Women At Mandala Puskesmas, Lebak Regency In 2021 Nani Yuningsih; Kadar Kuswandi; Siti Rusyant
Science Midwifery Vol 10 No 2 (2022): April: Science Midwifery
Publisher : Institute of Computer Science (IOCS)

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The biopsychosocial needs of pregnant women have not been explored. We need an intervention that is able to restore the balance of the body. The purpose of this study was to prove the effect of effleurage massage on back pain in the third trimester pregnant women. A quasi-experimental study with randomized control group pre-test post-test design. The division of the intervention group was 18 people with effleurage massage and the control group was 16 people with pregnant exercise. Observations using the ODI scale for 3 weeks at the end of week 4 were evaluated. Before and after treatment, each group did not have a difference in the average pain score (intervention group p=0. 2 and control group p=0.830). The difference between the FHR differences between groups was not significant, the p value = 0.31. The intervention with effleurage massage was proven to reduce back pain discomfort in third trimester pregnant women compared to the exercise group, using the ODI scale. There is a need for continuous care in health services for mothers such as complementary services for effleurage massage as an alternative to care for pregnant women at health centers.

Gaya Gesekan Udara Terhadap Benda yang Bergerak Vertikal Tanpa Kecepatan Awal Nani Yuningsih; Sardjito; Yunita Citra Dewi
Prosiding Industrial Research Workshop and National Seminar Vol 13 No 01 (2022): Vol 13 (2022): Prosiding 13th Industrial Research Workshop and National Seminar
Publisher : Politeknik Negeri Bandung

Satu konsep mekanika yang popular dipelajari baik secara teoritis maupun eksperimen adalah gerak benda jatuh vertikal karena pengaruh gravitasi bumi dengan kondisi tanpa kecepatan awal, baik itu yang disebut gerak jatuh bebas, maupun gerak jatuh melawan gesekan udara. Penelitian ini bertujuan untuk mengaplikasikan konsep gerak vertikal benda yang bergesekan dengan udara untuk menentukan formulasi yang tepat bagi gaya gesekan fluida. Analisis teoritis dilakukan dengan memperhitungkan keberadaan gaya gesek udara terhadap benda yang bergerak jatuh vertikal. Analisis data dilakukan dengan pencocokan solusi matematis terhadap data eksperimen. Pengambilan data percobaan dilakukan dengan menggunakan perangkat gerak jatuh bebas yang bersifat otomatis. Data percobaan yang diamati adalah ketinggian atau jarak tempuh serta waktu tempuhnya. Model yang diteliti tentang gaya gesekan udara ini, yaitu gaya gesekan udara yang besarnya berbanding lurus terhadap kecepatan dan yang besarnya berbanding lurus terhadap kuadrat kecepatan. Dari hasil penelitian diperoleh untuk benda berukuran kecil dengan orde centimeter, dengan kecepatan awal nol, model yang sesuai adalah gaya gesekan berbanding lurus dengan kuadrat kecepatan.

INCREASING COMPETENCE OF MIDWIFERY STUDENTS IN PERINEAL WOUND SUTURING USING LOW COST MODEL MADE FROM FLANNEL FABRIC Rery Kurniawati Danu Iswantoro; Nani Yuningsih; Ayi Tansah Rohaeti; Melyana Nurul Widyawati
Proceedings of the International Conference on Applied Science and Health No. 2 (2017)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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

Background: Competence of postpartum perineum wound suturing should be owned by midwives. However, students are limitedly trained on how to use cotton pads that are less representative in form and material. This results in a lack of student competence in perineum stitching practice. Aims: This study goal is to know the effectiveness of perineum wound suturing model made from flannel in order to increase stitching competence on the students of Midwifery study program of Banten Health Polytechnic. Methods: This research was designed using experimental design with post-test design method. The respondents consisted of 11 treatment group and 14 control group. The research implementation consisted of three stages. First, an introduction to the perineum wound sewing technique. Second, the model group practiced with flannel and cotton. Third, the respondents filled up the questionnaire on level of confidence and competence assessment of both groups of students. Data analysis used Mann Whitney test because the median difference of two independent groups if the dependent variable data scale is ordinal and ratio. Results: The results showed that the mean of perineum wound suturing competence in the model group was higher (83) than in the non-model group (74). The statistical test results obtained p = 0.002 which means that there was a significant difference in the competency of both groups. At the self confidence level of the respondents in performing perineum wound suturing, both groups had the same mean (4) with p = 0.651. At the time of perineum wound suturing, it is known that the model group mean was slightly faster (20 minutes) than the non-model group (22 minutes) with p = 0.978. There were no significant differencesbetween the two variables. Conclusion: The study showed that the test model was better in improving the competence of the perineum wound suturing. Flannel model is also more affordable and can be sutured over and over so it is economical for students. Further study on efficient media is recommended so that duration and confidence would be better.

KONSELING INTENSIF DAPAT MENINGKATKAN EFIKASI DIRI IBU HAMIL DENGAN HEPATITIS B DALAM MENGHADAPI PERSALINAN Siti Rusyanti; Yayah Rokayah; Nani Yuningsih; Kadar Kuswandi
Jurnal Medikes (Media Informasi Kesehatan) Vol 9 No 2 (2022): November
Publisher : Politeknik Kesehatan Kementerian Kesehatan Banten

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36743/medikes.v9i2.325

Pregnant women with Hepatitis B must have confidence in their abilities to organize the actions needed to manage the situation during childbirth. Achieving self-efficacy in pregnant women requires internal and external support intensive counselling as part of the management of pregnant women with Hepatitis B. The formulation of the problem in this study is how the description of the self-efficacy of pregnant women with Hepatitis B in dealing with childbirth and whether there is an effect of Intensive counselling on the self-efficacy of pregnant women with Hepatitis B in facing a delivery. The purpose of this study was to describe the self-efficacy of pregnant women with Hepatitis B in dealing with delivery and to determine the effect of intensive counselling on the self-efficacy of pregnant women in dealing with the delivery in Lebak Regency in 2021. This study used a quasi-experimental approach with a pretest-posttest design approach. The sample size in this study was based on the number of pregnant women with Hepatitis B in the Lebak district in July 2021, as many as 32 (Consecutive sampling). Inclusion criteria in this study were pregnant women in the third trimester who suffered from Hepatitis B. Univariate data analysis aimed to present an overview of the frequency distribution of each variable, and bivariate analysis to analyze the relationship between independent and dependent variables, with the non-parametric Wilcoxon test. The results showed an increase in the self-efficacy of pregnant women with Hepatitis B in facing delivery, after intensive counselling, with a value of p = 0.000 (p < ). Pregnant women with Hepatitis B need intensive counselling as external support in preparing for childbirth and caring for their babies. One strategy to increase people's knowledge and attitudes is through intensive counselling. The provision of health education, including the implementation of counselling, aims to improve knowledge, change behaviour, prevent complications, support health conditions, empowerment and self-efficacy.

Faktor – Faktor Yang Berhubungan Dengan Kematian Ibu Nani Yuningsih; Darti Rumiatun
Jurnal Obstretika Scientia Vol 6, No 1 (2018)
Publisher : Akademi Kebidanan La Tansa Mashiro

Barometer pelayanan kesehatan ibu disuatu negara dapat ditunjukan dengan Angka Kematian Ibu. Sampai saat ini kematian ibu masih cukup tinggi dan lambat dalam penurunannya. Hal ini dibuktikan dengan data dari profil dinas kesehatan propinsi banten tahun 2013 adalah 216/100.000 kelahiran hidup dan pada tahun 2014 adalah 230/100.000 kelahiran hidup data audit maternal diwilayah Kabupaten Lebak tahun 2014 bahkan lebih tinggi yaitu 235/ 100.000 kelahiran hidup.Tujuan dari penelitian ini untuk mengetahui hubungan antara faktor penyebab dengan kejadian kematian ibu di Wilayah Kabupaten Lebak tahun 2014.Metoda penelitian ini adalah metoda case control study. Sumber data yang digunakan adalah data skunder dari laporan KIA dan rekapitulasi audit maternal perinatal diwilayah Dinas Kesehatan tahun 2014. Penelitian ini meliputi variabel independen penyebab kematian ibu perdarahan, preeklampsia/eklampsia, umur dan paritas serta kematian ibu sebagai variabel dependen. Sampel penelitian ini meliputi ibu yang meninggal dan ibu yang tidak meninggal sebagai kontrol dengan jumlah 141 orang, dengan menggunakan skala 1: 2 kasus 47 dan kontrol 94 orang. Analisa data menggunakan analisa bevariat.

INCREASING THE CAPACITY OF CADRE FOR CONTROLLING HIGH BLOOD PRESSURE (HYPERTENSION) IN THE COMMUNITY IN THE WORKING AREA OF CIBADAK HEALTH CENTER RANGKASBITUNG LEBAK DISTRICT Yayah Rokayah; Nintinjri Husnida; Nani Yuningsih; Tutik Iswanti; Bangun Widjanarko
Jurnal Menara Pengabmas Vol 1 No 1 (2023): Jurnal Menara Pengabmas
Publisher : POLTEKKES KEMENKES BANTEN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36743/jmp.v1i1.491

57 million (63%) mortality occurs in the world, and 36 million (43%) morbidity is caused by non-communicable diseases. WHO in 2010 reported that 60% of the causes of death for all ages in the world were PTM and 4% died before the age of 70 years. Community service in the regional partnership program contributed to the Cibadak Rangkasbitung Community Health Center program with the Lebak District Health Office, PTM patient care with hypertension control. Efforts by the Health Office, Cibadak Health Center to educate the community on prevention, control through POSBINDU, training of cadres in the village on hypertension control. not yet optimal and evenly reach the community. The solution is to increase the understanding of cadres in the village of the Cibadak Community Health Center who have not had training in controlling high blood pressure (hypertension). The method of carrying out the Pre test, providing information inviting health service resource persons to increase the cadre's understanding of the concept of hypertension, prevention efforts, early detection. Lecturers train the skills of cadres to measure blood pressure with digital blood pressure. The next meeting was Post test, Monev cadres conducted education, examined 5 patients with high risk of hypertension. There was an increase in the average score of community knowledge about hypertension from 64.3% to 88.3% from 64.3%, there was an increase in the skills of cadres to measure blood pressure with digital blood pressure from 5 people to 12 people. As a continuation of activities, there needs to be community participation, good cooperation between health cadres and village supervisors, program holders

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