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PENGARUH MASSAGE ABDOMEN TERHADAP KONSTIPASI PADA PASIEN YANG TERPASANG VENTILASI MEKANIK DI RUANG ICU Ni Made Dwi Purnama Sari; Made Ririn Sri Wulandari; Komang Yogi Triana
Journal of Advanced Nursing and Health Sciences Vol. 2 No. 2, Agustus 2021
Publisher : Universitas Kusuma Husada Surakarta

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Constipation is most common occurred in mechanically ventilated patients. Constipation that occurs in mechanically ventilated patients is often the cause of failed weaning. Constipation in a mechanically ventilated patient can be observed using the constipation scoring system. Nurses have an important role in overcoming constipation in patients who are mechanically ventilated during treatment. One of the non-pharmacological therapies that nurses can do to treat constipation is abdomen massage. This study aimed to determine the effect of abdomen massage on constipation experienced by patients with mechanical ventilation in the ICU Ward of X Hospital Denpasar. This study used a quasi-experimental design with a posttest only control group approach. The sampling method was purposive sampling, with one intervention and control group, each group consisted of 10 members. The data were analyzed using Shapiro Wilk test to determine the distribution of the data that had been obtained and using the Independent Sample T-Test to compare the posttest results of the intervention and control group. There was an effect of abdomen massage on constipation experienced by patients with mechanical ventilation with a Sig. (2-tailed) value of 0.00 with r value of 0.05, meaning that Sig. (2-tailed) <0.05. Therefore it can be concluded that there was an effect of abdomen massage on constipation experienced by patients with mechanical ventilation in the ICU Ward of X Hospital Denpasar. It is expected that in the treatment of patients with mechanical ventilation, abdomen massage can be applied to overcome constipation so that the weaning process can run smoothly.

Dukungan SIMS (Suami dalam Persiapan Menyusui) pada Ibu Hamil dengan dan tanpa Pengalaman Menyusui: Studi Komparatif Di Desa Wisata Panji, Buleleng Made Ririn Sri Wulandari; Ni Nyoman Ayu Desy Sekarini; I Nyoman Tri Sanjaya; Galih Gayatri; Kadek Julia Chandra Jyoti
Journal Center of Research Publication in Midwifery and Nursing Vol 8 No 1 (2024): Journal Center of Research Publication in Midwifery and Nursing
Publisher : STIKES Bina Usada Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36474/caring.v8i1.320

Latar Belakang: Air Susu Ibu (ASI) merupakan pondasi utama nutrisi untuk bayi baru lahir. Meskipun ASI sangat penting dikonsumsi oleh bayi baru lahir, namun belum semua ibu memberikan ASI secara eksklusif. Tujuan Penelitian: untuk mengetahui perbandingan dukungan suami dalam persiapan menyusui (breastfeeding father) pada ibu hamil yang sudah pernah menyusui dengan yang belum pernah atau gagal menyusui sebelumnya, dengan harapan dapat memberikan dasar bagi pengembangan program atau intervensi yang dapat meningkatkan praktik menyusui di masyarakat. Metedologi: Penelitian ini adalah analitik komparatif desain cross-sectional, teknik sampling non-probability sampling jenis purposive sampling. Kriteria inklusi melibatkan ibu hamil trimester II dan III, multigravida, serta ibu yang memiliki atau tidak memiliki pengalaman menyusui/sebelumnya menggunakan susu formula. Hasil: Dalam penelitian ini, dukungan suami dalam persiapan menyusui pada ibu hamil dengan pengalaman menyusui (90%). Namun, kelompok ibu hamil tanpa pengalaman menyusui cenderung kurang mendapat dukungan suami (90%). Analisis komparasi antar dua kelompok menggunakan Mann Whitney didapatkan p-value 0,000 yaitu terdapat perbedaan signifikan pada kedua kelompok. Kesimpulan: Dukungan suami berperan penting dalam persiapan menyusui, terutama pada ibu hamil. Perawat perlu mengembangkan intervensi yang melibatkan suami dalam persiapan menyusui untuk meningkatkan dukungan dan persiapan menyusui sejak masa kehamilan.

Pengaruh Metode Pendidikan Sebaya terhadap Tingkat Pengetahuan Tentang Pemeriksaan Payudara Sendiri (SADARI) Pada Remaja Putri Di SMA Negeri 1 Kubu Ni Putu Eka Wijayanti; Made Ririn Sri Wulandari; Luh Putu Widiastini
Ners Jurnal Keperawatan Vol 18, No 2 (2022)
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.18.2.82-91.2022

Peningkatan Pengetahuan Dan Kesiapan Menarche: Program Pendidikan Kesehatan Di Sd No.1 Canggu, Bali Sulyastini, Ni Komang; armynia subratha, hesteria friska; Wulandari, Made Ririn Sri; Pasek, Made Suadnyani; Pratiwi , Made Dinda
Jurnal Abdimas ITEKES Vol 4 No 1 (2024)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat Institute Teknologi dan Kesehatan (ITEKES) Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37294/jai.v4i1.628

Pendidikan kesehatan tentang menarche sangat penting bagi siswa sekolah dasar, mengingat semakin banyak anak perempuan yang mengalami menstruasi pada usia dini. Kesiapan dalam menghadapi menarche tidak hanya berpengaruh pada kesehatan fisik, tetapi juga mental dan psikososial. Program pengabdian masyarakat ini dilaksanakan di SD No.1 Canggu, Bali, dengan tujuan meningkatkan pengetahuan dan kesiapan siswa menghadapi menarche melalui edukasi kesehatan reproduksi. Kegiatan ini melibatkan 154 siswa kelas 1 hingga 6 dan menggunakan metode penyuluhan interaktif, termasuk penggunaan video animasi dan demonstrasi praktik kebersihan menstruasi.Hasil evaluasi menunjukkan bahwa terjadi peningkatan pengetahuan tentang menarche sebesar 31,7%, praktik kebersihan menstruasi sebesar 28,8%, dan kesiapan mental menghadapi menarche sebesar 32,2%. Program ini juga berhasil mengurangi stigma terkait menstruasi. Hal ini didukung oleh umpan balik yang diterima dari siswa dan pengamatan dalam interaksi kelompok, yang menunjukkan peningkatan penerimaan dan pemahaman di antara siswa, termasuk siswa laki-laki yang turut berpartisipasi dalam kegiatan edukasi.Kesimpulannya, edukasi kesehatan reproduksi ini terbukti efektif dalam meningkatkan pemahaman dan kesiapan siswa menghadapi menarche. Disarankan agar program ini diintegrasikan ke dalam kurikulum sekolah secara berkelanjutan, dengan dukungan orang tua serta pelatihan khusus bagi guru dan tenaga kesehatan. Kata kunci : menarche, kesehatan reproduksi, edukasi, kesiapan mental, siswa sekolah dasar

Postnatal Education Package for Breastfeeding Motivation And Self Efficacy Postpartum Mother's Early Stage Made Ririn Sri Wulandari; Ni Made Ari Sukmandari; Pande Putu Indah Purnamayanthi
International Journal of Nursing and Health Services (IJNHS) Vol. 5 No. 2 (2022): International Journal of Nursing and Health Services (IJHNS)
Publisher : Alta Dharma Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35654/ijnhs.v5i2.549

Background: The postpartum period is a phase of adaptation in accepting a new role as a mother. During this period experienced, several changes occurred in mothers and their partners and their families, especially in the early week after giving birth. As a form of maternal support, which is an essential key to the health of the mother and baby, a supportive education structure is crucial to give. The Family-Centered Maternity Care (FCMC) approach can be a choice for mothers to adapt to role changes, especially for maternal beliefs in caring for infants and motivations to give breast milk. Objective: This study aimed to determine the effect of PEP (Postnatal Education Package) on self-efficacy and breastfeeding motivation among mothers during the early postpartum period. Method: This study uses pre-experimental research methods with one group pretest-posttest. Result: The results showed increased breastfeeding motivation and self-efficacy among mothers after receiving the intervention (p-value of <0.0001). Conclusion: Education supportive structured with the FCMC approach can concern health workers improve further education programs to help increase competent mothering during the postpartum period

Pengaruh Metode Pendidikan Sebaya terhadap Tingkat Pengetahuan Tentang Pemeriksaan Payudara Sendiri (SADARI) Pada Remaja Putri Di SMA Negeri 1 Kubu : Effect of Peer Education Method on Knowledge Level About Breast Self Examination (SADARI) in Adolescent Girls at SMA Negeri 1 Kubu Ni Putu Eka Wijayanti; Made Ririn Sri Wulandari; Luh Putu Widiastini
NERS Jurnal Keperawatan Vol. 18 No. 2 (2022): NJK Volume 18, Number 2
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.v18i2.121

Breast cancer is a disease that causes cells in the breast tissue to change and divide uncontrollably. BSE or breast self-examination is one of the early detection of breast cancer, but awareness of doing BSE is still low. BSE awareness can be increased by increasing knowledge first. The Bali Provincial Health Office recorded that in 2016, there were 389 cases of breast cancer in Bali, five of which were suffered by adolescents with an age range of 15-19 years. Teenagers are usually friendly and open with their peers. This study aimed to determine the effect of peer education methods on the level of knowledge about breast self-examination in adolescent girls. This study used a pre-experimental design with one group pretest posttest. The population of this study were young women who activly members of the Student Union and School Security Patrol namely 41 young women. Taking samples using total sampling, so amounted to 41 young women. The data were analyzed using the Wilcoxon Signed Rank Test to compare the results of the pretest and posttest. The results of the study obtained a p value = 0.000 which indicates that the peer educator methods can increase adolescent girl’s knowledge about BSE, it is recommended for health workers and educational institutions to be able to form adolescent cadres who are ready to provide direct health counseling to other adolescents either at school or in community.

PENGARUH TEKNIK BIOLOGIC NURTURING BABY LED FEEDING DAN FINGER HOLD TERHADAP PERUBAHAN RASA NYERI PADA IBU POST SECTIO DI RS X DI DENPASAR Rusmilawati, Ni Wayan; Wulandari, Made Ririn Sri; Agustini, I G Ayu Ratih; Purnamayanthi, Pande Putu Indah
Journal of Advanced Nursing and Health Sciences Vol. 2 No. 2, Agustus 2021
Publisher : Universitas Kusuma Husada Surakarta

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Maternal health services begin during pregnancy, one of which is delivery by means of cesarean section. The problem that occurs post sectio caesarea is pain. Management to reduce post sectio caesarean pain is recommended by finger hold relaxation. The relaxation technique that is also recommended for mothers after partum sectio caesarean is breastfeeding with the biological nurturing position of the baby led feeding. The purpose of this study was to determine the effect of biologic nurturing baby led feeding and finger hold techniques on changes in pain in post sectio caesarean mothers.This research is a true experimental quantitative research with a pretest - posttest design with control. The sampling technique used in this study is probability sampling by simple random sampling. The number of samples in this study were 36 people who were divided into two groups, namely the control group as many as 18 people and the treatment group as many as 18 people who had met the inclusion and exclusion criteria. Analysis of data using the Mann-Whitney U test analysis. The results of the Mann-Whitney U test analysis showed that the p value was 0.000 (<0,05), meaning that the hypothesis of this study was accepted, which means that there was an effect of biological nurturing baby led feeding and finger hold techniques on changes in pain in post-sectio caesarean mothers. The results of this study are expected to be used as a reference in providing nursing care so that it can improve the quality of post-caesarean post section maternal services in dealing with pain experienced.

PENGARUH MASSAGE ABDOMEN TERHADAP KONSTIPASI PADA PASIEN YANG TERPASANG VENTILASI MEKANIK DI RUANG ICU Sari, Ni Made Dwi Purnama; Wulandari, Made Ririn Sri; Triana, Komang Yogi
Journal of Advanced Nursing and Health Sciences Vol. 2 No. 2, Agustus 2021
Publisher : Universitas Kusuma Husada Surakarta

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

Constipation is most common occurred in mechanically ventilated patients. Constipation that occurs in mechanically ventilated patients is often the cause of failed weaning. Constipation in a mechanically ventilated patient can be observed using the constipation scoring system. Nurses have an important role in overcoming constipation in patients who are mechanically ventilated during treatment. One of the non-pharmacological therapies that nurses can do to treat constipation is abdomen massage. This study aimed to determine the effect of abdomen massage on constipation experienced by patients with mechanical ventilation in the ICU Ward of X Hospital Denpasar. This study used a quasi-experimental design with a posttest only control group approach. The sampling method was purposive sampling, with one intervention and control group, each group consisted of 10 members. The data were analyzed using Shapiro Wilk test to determine the distribution of the data that had been obtained and using the Independent Sample T-Test to compare the posttest results of the intervention and control group. There was an effect of abdomen massage on constipation experienced by patients with mechanical ventilation with a Sig. (2-tailed) value of 0.00 with r value of 0.05, meaning that Sig. (2-tailed) <0.05. Therefore it can be concluded that there was an effect of abdomen massage on constipation experienced by patients with mechanical ventilation in the ICU Ward of X Hospital Denpasar. It is expected that in the treatment of patients with mechanical ventilation, abdomen massage can be applied to overcome constipation so that the weaning process can run smoothly.

PENGUATAN PROGRAM ASI EKSKLUSIF DAN PENCEGAHAN STUNTING MELALUI PEMBERIAN INFORMASI DAN PELATIHAN PIJAT OKSITOSIN BAGI IBU HAMIL DI DESA PANJI, KABUPATEN BULELENG Pratiwi, Putu Irma; Sekarini, Ni Nyoman Ayu Desy; Linda, Irma Nurma; Astuti, Anjar Tri; Wulandari, Made Ririn Sri; Ilmy, Shofi Khaqul; Widiarta, Made Bayu Oka; Jayanti, Made Anggita Abdi; Lionita, Ni Luh Erlya
Jurnal Pengemas Kesehatan Vol 3 No 01 (2024): Jurnal Pengemas Kesehatan (JPK)
Publisher : Sekolah Tinggi Ilmu Kesehatan Bakti Utama Pati

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Abstrak: WHO merekomendasikan ASI eksklusif sebagai satu-satunya sumber nutrisi untuk bayi hingga usia 6 tahun. ASI eksklusif menjadi salah satu faktor penting dalam menurunkan tingkat kematian bayi. Peningkatan jumlah ibu yang menyusui dapat menyelamatkan 820.000 anak di bawah usia lima tahun, termasuk 87% bayi berusia enam bulan. Meskipun demikian, angka pemberian ASI secara keseluruhan masih di bawah target yang ditetapkan secara internasional. Mencapai target dalam pemberian ASI sulit dilakukan karena terganggunya proses pemberian ASI. Kekurangan dan ketidaklancaran produksi ASI dapat mengakibatkan pasokan ASI yang tidak mencukupi bagi bayi. Tujuan dilakukannya kegiatan ini untuk Penguatan Program ASI Eksklusif Dan Pencegahan Stunting Melalui Pemberian Informasi Dan Pelatihan Pijat Oksitosin Bagi Ibu Hamil Di Desa Panji, Kabupaten Buleleng. Metode Metode kegiatan ini adalah pelatihan terhadap 15 ibu hamil di desa panji. Pelatihan dimulai dari pretest, penyampaian materi, praktek pijat oksitosin, diakhiri dengan posttest. Hasil pengabdian ini didapatkan peningkatan pengetahuan dari awalnya tidak ada pada kategori pengetahuan baik (0%) menjadi 80% memiliki pengetahuan baik diakhir pelatihan serta seluruh ibu hamil mampu melakukan pijat oksitosin yang mendukung terwujudnya program ASI Eksklusif guna mencegah terjadinya stunting sehingga dapat menghasilkan sumber daya manusia yang berkualitas di desa tersebut. Kata Kunci: Asi Eksklusif, Pijat Oksitosin, Pelatihan, Ibu Hamil

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