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Efektivitas Terapi Musik Ayurveda Terhadap Tingkat Kecemasan Pada Pasangan Usia Subur Yang Infertil Di Wilayah Kerja Puskesmas Medan Johor Tahun 2020 Eka Falentina Tarigan; Eva Ratna Dewi; Siti Nurmawan Sinaga; Marliani Marliani
DINAMIKA KESEHATAN: JURNAL KEBIDANAN DAN KEPERAWATAN Vol 11, No 2 (2020): Dinamika Kesehatan Jurnal Kebidanan dan Keperawatan
Publisher : Universitas Sari Mulia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33859/dksm.v11i2.698

Latar Belakang: InfertilitasÂ adalah ketidakmampuan atau penurunan kemampuan menghasilkan keturunan atau kondisi pada pasangan suami-istri belum mampu memiliki anak,Berdasarkan hasil sensus penduduk pasangan suami istri di Indonesia sekitar 12 % atau sekitar 3 juta pasangan mengalami infertile.Â Menurut data WHO penyebab infertilitas pada wanita adalah factor Tuba fallopi (saluran telur) 36 %, gangguan ovulasi 33 %, endometriosis 30 %, dan hal lain yang tidak diketahui sekitar 26 %.Tujuan: untuk mengetahui efektivitas terapi music ayurveda terhadap tingkat kecemasan pada pasangan usia subur yang infertile di Wilayah Kerja Puskesmas Medan Johor Tahun 2020.Metode: penelitian kuantitatif dengan metode quasi eksperimen; rancangan pretest dan posttest nonequivalent control group untuk membandingkan hasil Terapy Musik Ayurveda dengan suatu kelompok kontrol yang serupa dalam mempengaruhi kecemasan.Hasil: Hasil analisa univariate rata â€“rata tingkat kecemasan pada pretest kelompok intervensi = 2,40 dengan standart deviasi 0,960 dan kelompok kontrol rata-rata kecemasan 2,27 dengan standar deviasi 0,961. Secara keseluruhan rata-rata tingkat kecemasan post test pada kelompok intervensi adalah 1,40 dengan standar deviasi sebesar 0,632 dan rata-rata kecemasan 2,13 dengan standar deviasi 0,915 pada kelompok control. Hasil analisa bivariate diperoleh hasil analisis dengan uji-t berpasangan pada kelompok control didapatkan nilai rata-rata tingkat kecemasan dengan Î± 0,05 (p-value = 0,625) artinya tidak terdapat perbedaan yang signifikan nilai rata-rata tongkat kecemasan antara pre dan post test nilai kecemasan. Hasil analisis tingkat kecemasan sebelum dan sesudah diberikan terapi Ayurveda pada kelompok intervensi menggunakan uji t-paired sample t-test didapatkanÂ nilai rata-rata tingkat kecemasan dengan Î± 0,05 (p-value = 0,000)Simpulan: terdapat efektivitas terapi music Ayurveda terhadap tingkat kecemasan pada pasangan usia suburÂ di Wilayah Kerja Puskesmas Medan Johor Tahun 2020.Â Kata Kunci : Musik, Ayurveda , Kecemasan, PUS.Â Background: Infertility is the inability or decreased ability to produce offspring or a condition in which husband and wife are not able to have children. According to WHO data, the causes of infertility in women are 36% fallopian tube (fallopian tube) factors, 33% ovulation disorders, 30% endometriosis, and other unknown things around 26%.Objective: To determine the effectiveness of ayurvedic music therapy on the level of anxiety in infertile fertile age couples in the Medan Johor Health Center Work Area in 2020.Methods: quantitative research with quasi-experimental methods; a pretest and posttest nonequivalent control group design to compare the results of Ayurvedic Music Therapy with a control group that was similar in affecting anxiety.Results: Univariate analysis results mean level of anxiety in the pretest intervention group = 2.40 with a standard deviation of 0.960 and control group an average of 2.27 with a standard deviation of 0.961. Overall, the average post-test anxiety level in the intervention group was 1.40 with a standard deviation of 0.632 and an average anxiety level of 2.13 with a standard deviation of 0.915 in the control group. The results of the bivariate analysis showed that the results of the paired t-test in the control group obtained an average value of anxiety levels with Î± 0.05 (p-value = 0.625) meaning that there was no significant difference in the average score of anxiety sticks between pre and post anxiety score test. The results of the analysis of the level of anxiety before and after being given Ayurvedic therapy in the intervention group using the t-paired sample t-test showed an average value of anxiety levels with Î± 0.05 (p-value = 0.000)Conclusion: There is the effectiveness of Ayurvedic music therapy on the level of anxiety in fertile aged couples in the Medan Johor Public Health Center 2020.Â Keywords: Music, Ayurveda, Anxiety, EFA.

Pengaruh Pendampingan Terhadap Peningkatan Berat Badan Bayi Dan Keterampilan Ibu Pasca Bersalin Dengan Bblr (Dismatur) Setelah Kelas Perawatan Metode Kanguru Di Rumah Sakit Haji Medan Retno Wahyuni; Isyos Sari Sembiring; Herna Rinayanti Manurung; Marliani Marliani
DINAMIKA KESEHATAN: JURNAL KEBIDANAN DAN KEPERAWATAN Vol 11, No 2 (2020): Dinamika Kesehatan Jurnal Kebidanan dan Keperawatan
Publisher : Universitas Sari Mulia

Latar Belakang:Salah satu penyebab utama kesakitan dan kematian bayi yaitu bayi dengan berat lahir rendah atau berat badan lahir rendah (BBLR). Berdasarkan Riskesdas 2007 bahwa komplikasi yang menjadi penyebab kematian terbanyak pada bayi yaitu asfiksia, berat bayi lahir rendah (BBLR) serta infeksi pada bayi. Data World Health Organization (WHO) memperlihatkan sekitar 20 juta bayi berat lahir rendah (BBLR) lahir setiap tahunnya yang dapat disebabkan oleh kelahiran sebelum waktunya (prematur) maupun perkembangan janin terhambat saat dalam kandungan. Prevalensi BBLR di Indonesia berkisar antara 2 hingga 17,2% dan menyumbang 29,2% AKN.Tujuan untuk mengetahui pengaruh pendampingan pada ibu pasca bersalin dengan BBLR terhadap peningkatan berat bada bayi dan keterampila ibu dalam melakukan Perawatan Metode Kanguru setelah kelas perawatan metode kanguru di Rumah Sakit Haji Medan.Metode: Quasi eksperiment, non equivalent control design, menggunakan responden ibu pasca bersalin dengan BBLR (dismature), sampel sejumlah 38 orang berdasarkan minimal sampel eksperimen. Penentuan sampel di masing-masing lokasi ditentukan berdasarkan consecutive sampling. Instrumen yang digunakan untuk mengetahui peningkatan keterampilan adalan SOP PMK. Data yang di peroleh kemudian di analisis menggunakan uji Wilcoxon Signed Rank Test dan uji Mann Whitney dengan taraf signifikan 0,05.Hasil: menunjukkan terdapat perbedaan bermakna peningkatan keterampilan ibu pasca bersalin dengan BBLR (dismature) dalam melakukan PMK di rumah antara kelompok pendampingan dan tanpa pendampingan (p-value 0,000).Simpulan: Terdapat perbedaan yang signifikan atau bermakna selisih antara kelompok pendampingan dan tanpa pendampingan pada ibu pasca bersalin dengan BBLR (dismature) di rumah setelah kelas perawatan metode kanguruKata kunci : Keterampilan, pendampingan, ibu pasca bersalin, BBLR, PMKAbstractBackground: One of the main causes of morbidity and mortality is infants with low birth weight or low birth weight (LBW). Based on Riskesdas 2007, the complications that cause the most death in infants are asphyxia, low birth weight (LBW) and infections in infants. Data from the World Health Organization (WHO) shows that around 20 million low birth weight (LBW) babies are born each year which can be caused by premature births or stunted fetal development while in the womb. The prevalence of LBW in Indonesia ranges from 2 to 17.2% and accounts for 29.2% of the AKN.The aim was to determine the effect of postpartum assistance with LBW mothers on the increase in baby weight and maternal skills in performing Kangaroo Method care after kangaroo method care class at Haji Hospital Medan.Methods: Quasi-experimental, non-equivalent control design, using respondents from postpartum mothers with LBW (dismature), a sample of 38 people based on a minimum experimental sample. The samples at each location were determined based on consecutive sampling. The instrument used to determine the improvement of skills was the PMK SOP. The data obtained were then analyzed using the Wilcoxon Signed Rank Test and the Mann Whitney test with a significant level of 0.05.Results: showed that there was a significant difference in improving the skills of postpartum mothers with low birth weight (dismature) in doing PMK at home between the mentored and unaccompanied groups (p-value 0,000).Conclusion: There is a significant or significant difference between the assisted and unattended groups of postpartum mothers with LBW (dismature) at home after the kangaroo care classKeywords: skills, mentoring, postpartum mothers, low birth weight, PMK

OPTIMALISASI PERTUMBUHAN DAN PERKEMBANGAN BAYI DENGAN HOME CARE BABY SPA DAN BABY GYM DI MASA PANDEMI Eka Falentina Tarigan; Eva Ratna Dewi; Siti Nurmawan Sinaga; Marliani Marliani; Cindy Silvia Br. Sitepu
Prosiding Konferensi Nasional Pengabdian Kepada Masyarakat dan Corporate Social Responsibility (PKM-CSR) Vol 4 (2021): Peran Perguruan Tinggi dan Dunia Usaha dalam Mewujudkan Pemulihan dan Resiliensi Masya
Publisher : Asosiasi Sinergi Pengabdi dan Pemberdaya Indonesia (ASPPI)

Based on data from the Basic Health Research (Riskesdas) in 2018, there are 37.2% of children under five in Indonesia experiencing stunting. Public health problems are considered serious if the short prevalence is 30-39 percent and serious if the short prevalence is 40 percent. There are 16% of Indonesian toddlers experiencing developmental disorders, both fine and gross motor development, hearing loss, low intelligence and delays. The purpose of the study was to determine the difference in the effect of the baby gym and baby spa on growth and development. This research is a quasi-experimental research and the design used is pre test post test with control group design. The research subjects consisted of 20 infants in the case group and 20 infants in the intervention group at the Mother's School of the True Mother Foundation in 2019. The effect of the baby gym in increasing growth and development with the paired sample t-test, the results obtained for body weight p value = 0.716, for development p = 0.330 and for body length p value = 0.014. The effect of the baby spa in the intervention group was carried out by paired sample t-test. The results were for weight, p = 0.012, for body length, p = 0.000 and for development, p = 0.001. Differences in the effect of baby gym and baby spa in increasing growth and development in infants with independent sample t test, the results obtained for growth are weight p value = 0.00, for body length p value = 0.021 and for development p value = 0.00 . Ho is rejected and Ha is accepted so that it can be concluded that there is a difference in the effect of baby gym and baby spa in increasing growth and development in infants 9-12 months. Keywords : Baby Gym, Baby Spa, Growth, Development, Baby

PEMBERDAYAAN IBU HAMIL UNTUK MENCEGAH ANEMIA DENGAN PENINGKATAN PENGETAHUAN DI WILAYAH KERJA PUSKESMAS SIALANG BUAH Edy Marjuang Purba; Eva Ratna Dewi; Nur Azizah; Marliani Marliani
Prosiding Konferensi Nasional Pengabdian Kepada Masyarakat dan Corporate Social Responsibility (PKM-CSR) Vol 4 (2021): Peran Perguruan Tinggi dan Dunia Usaha dalam Mewujudkan Pemulihan dan Resiliensi Masya
Publisher : Asosiasi Sinergi Pengabdi dan Pemberdaya Indonesia (ASPPI)

Prevalensi anemia di Puskesmas Sialang Buah tahun 2019 cukup tinggi >35%. Determinan yang dianggap paling penting adalah pengetahuan. Hasil Penelitian tahun 2018 diketahui bahwa lebih dari 50% ibu hamil memiliki pengetahuan kurang tentang anemia dan pencegahannya. Dilakukan pengabdian kepada masyarakat dengan tujuan untuk meningkatkan pengetahuan dan pemahaman ibu hamil tentang anemia dan pencegahannya sehingga memiliki kemandirian terpadu dalam mengatasi dan mencegah anemia. Kegiatan dilaksanakan di Puskesmas Sialang Buah Kabupaten Serdang Bedagai. Pelaksanaan kegiatan berdasarkan hasil kerjasama dari pihak Dinas Kesehatan Kabupaten Serdang Bedagai, Puskesmas Sialang Buah dan STIKes Mitra Husada Medan. Berdasarkan Hasil pretest lebih banyak ibu yang memiliki pengetahuan kurang yaitu sebanyak 25 orang (73,5%). Hasil post test Setelah dilakukan penyuluhan diketahui jumlah ibu yang berpengetahuan baik meningkat menjadi 24 orang (70,6%). Kegiatan ini berjalan lancar dan disambut positif oleh masyarakat. Pengetahuan ibu hami tentang anemia dan pencegahnnya mengalami peningkatan setelah dilakukan kegiatan penyuluhan dan pemberdayaan ibu hamil Disarankan kepada pihak puskesmas, untuk lebih rutin melakukan penyuluhan kesehatan khusunya pencegahan anemia.

EDUKASI PENCEGAHAN COVID-19 PADA ANAK DENGAN PENERAPAN 5 M Marliani Marliani; Isyos Sari Sembiring; Astaria Ginting; Kamelia Sinaga; Devita Purnama Sari; Rosmelina Buulolo; Habib Nabawi
Prosiding Konferensi Nasional Pengabdian Kepada Masyarakat dan Corporate Social Responsibility (PKM-CSR) Vol 4 (2021): Peran Perguruan Tinggi dan Dunia Usaha dalam Mewujudkan Pemulihan dan Resiliensi Masya
Publisher : Asosiasi Sinergi Pengabdi dan Pemberdaya Indonesia (ASPPI)

Coronavirus Disease 2019 (COVID-19) adalah penyakit menular yang disebabkan oleh Severe Acute Respiratory Syndrome Coronavirus 2 (SARSCoV-2). Kasus positif Covid-19 di Indonesia pada anak semakin meningkat mencapai sekitar 11-12 persen yaitu sekitar 210.000-230.000 kasus. Potensi penularan masif pada kelompok usia anak baik prasekolah maupun usia sekolah dasar perlu sangat diwaspadai dikarenakan anak-anak sangat aktif beraktifitas bersama teman-teman dan sering mengabaikan kebersihan tangan karena itu perlu dilakukan upaya pencegahan secara lebih ketat dengan memberikan edukasi secara langsung tentang pencegahan penularan Covid-19 dengan menerapkan 5 M. Tujuan dari kegiatan pengabdian ini adalah untuk memberikan pengetahuan kepada anak-anak usia 7 -12 tahun tentang 5M (Memakai masker, Mencuci tangan, Menjaga jarak, Menghindari kerumunan dan Mengurangi mobilitas dengan melakukan aktivitas di rumah saja kecuali jika ada hal yang penting atau darurat) yang dapat mengurangi kejadian infeksi virus Covid-19 pada anak-anak. Metode yang digunakan pada kegiatan pengabdian ini adalah memberikan edukasi secara langsung dengan memberikan ceramah tentang penerapan 5M, dilakukan teknik pra-eksperimental dengan one gruop pretest-posttest design. Sebanyak 35 anak usia 7 – 12 tahun terlibat dalam kegiatan ini, pengambilan sampel menggunakan teknik purposive sampling. Analisis data menggunakan uji Wilcoxon dan t berpasangan. Hasil edukasi tentang pencegahan Covid-19 dengan penerapan 5 M berpengaruh terhadap tingkat pengetahuan (p value=0,000), dan sikap (p value=0,002).

HUBUNGAN PENGETAHUAN DAN PEKERJAAN IBU DENGAN PEMBERIAN ASI EKSKLUSIF DI PRAKTEK BIDAN NUR HAMIMAH DELI TUA TAHUN 2020 Nur Hamimah; Marliani Marliani; Astaria Br Ginting; Zulkarnain Zulkarnain
Jurnal Rumpun Ilmu Kesehatan Vol. 2 No. 3 (2022): November: Jurnal Rumpun Ilmu Kesehatan
Publisher : Pusat Riset dan Inovasi Nasional

Latar Belakang: Data Susenas menunjukkan bahwa satu diantara dua bayi usia 0-5 bulan diberi ASI eksklusif. Persentase bayi yang diberi ASI eksklusif relatif lebih tinggi di pedesaan dibandingkan dengan di perkotaan, yaitu 57,22% berbanding 54,77%. Kendala ibu dalam menyusui ada dua faktor yaitu faktor internal kurangnya pengetahuan ibu tentang manajemen laktasi dan faktor eksternal ASI belum keluar pada hari-hari pertama sehingga ibu berpikir perlu tambahan susu formula, ketidakmengertian ibu tentang kolostrum, banyak ibu yang masih beranggapan bahwa ASI ibu kurang gizi dan kualitasnya tidak baik. Metode: Desain penelitian yang digunakan adalah desain cross sectional. Populasi adalah seluruh ibu yang memiliki bayi 7-12 bulan di Praktek Bidan Nurhamimah. Jumlah sample yang digunakan sebanyak 38 orang, teknik pengambilan sampel menggunakan Total Sampling. Instrumen yang digunakan dalam penelitian ini adalah kuesioner. Metode analisa data dengan menggunakan chi square test. Hasil: Hasil penelitian menunjukkan bahwa terdapat hubungan yang bermakna antara tingkat pengetahuan dan pekerjaan ibu dengan pemberian ASI Ekslusif dengan hasil uji chi-square di dapat hasil nilai p value 0,000 < 0,05. Kesimpulan: Ada hubungan tingkat pengetahuan dan pekerjaan ibu tehadap pemberian ASI ekslusif di Praktek Bidan Nur Hamimah Kecamatan Deli Tua Tahun 2020, hipotesis penelitian terbukti atau dapat di terima. Di harapkan kepada Peneliti selanjutnya dapat mengembangkan penelitian ini lebih baik dengan menggunakan varibel-varibel lain.

Hubungan Pengetahuan Ibu Hamil Tentang Perubahan Psikologi Trimester I dengan Sikap Ibu Hamil dalam Menghadapi Masa Kehamilan di Puskesmas Medan Amplas Tahun 2022 Rolly Lenci Natalia; Deby Cyntia Yun; Marliani Marliani; Imarina Tarigan
JURNAL RISET RUMPUN ILMU KEDOKTERAN Vol. 1 No. 2 (2022): Oktober :Jurnal Riset Rumpun Ilmu Kedokteran
Publisher : Pusat riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jurrike.v1i2.2290

Background: Pregnancy is something that naturally happens to productive women. During pregnancy, changes occur in the mother, both physical and psychological. In general, the physical changes during pregnancy are, no menstruation, enlargement of the breasts, changes in the shape of the uterus, changes in the working system of the body's organs, enlargement of the stomach, weight gain, weakening of the relaxation of the muscles of the digestive tract, sensitivity to the senses, and the feet and hands begin to enlarge. The psychological changes in mothers in the first trimester are estimated to be 80%, resulting in feelings of disappointment, rejection, anxiety and sadness. In the second trimester, the mother's psychological life appears calmer and begins to adapt, and in the third trimester, changes in the mother's psychology seem more complex and increase again compared to the previous trimester, and this is none other than because the condition of the pregnancy is getting bigger. Psychological impacts on pregnant women include being sensitive, tending to be lazy, asking for more attention, easily jealous, and anxiety. Pregnant women will be more open to themselves and like to share their experiences with other people. Pregnant women will reflect on all their dreams, dreams, fantasies about objects, events or abstract concepts, such as death, life, success and happiness during pregnancy.Objective: Knowing how the knowledge of pregnant women about psychological changes in the first trimester is related to the attitude of pregnant women in facing pregnancy at the Medan Amplas Community Health Center, Medan City in 2022. Method There is a relationship between the knowledge of pregnant women about psychological changes in the first trimester and the attitude of pregnant women in facing pregnancy at the Medan Amplas Community Health Center, Medan City in 2022. Advice is given for research and for research sites and for educational institutions regarding perennial wound care.

Pengaruh Massage Counter Pressur Terhadap Pengurangan Nyeri Pada Persalinan Kala I Fase Aktif Di Klinik Vita Serasi Kabupaten Batu Bara Tahun 2022 Nurhasanah Nurhasanah; Deby Cyntia Yun; Marliani Marliani; Imarina Tarigan
Jurnal Anestesi Vol. 1 No. 1 (2023): Januari : Jurnal Anestesi
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/anestesi.v1i1.1032

BACKGROUND: Childbirth is the process of expelling the viable products of conception in the uterus to the outside world. Normal labor and birth is the process of expulsion of the fetus that occurs at term pregnancy (37-42 weeks) spontaneous birth with a presentation of the back of the head which takes place within 18 hours, without complications for either the mother or fetus. In the first stage of labor, uterine contractions cause cervical dilation and push the fetus through the birth canal. Uterine contractions during labor cause pain, pain is caused by ischemia of the uterine muscles, pelvic floor muscles and perenium. The peak of pain occurs in the active phase where complete opening reaches 10 cm and lasts around 4-6 hours for primi para and 2-4 hours for multi para. Maternal health efforts are carried out in order to encourage every birth to be attended by trained health personnel, namely specialist obstetricians and gynecologists (SpOG), general practitioners and midwives, and are attempted to be carried out in health service facilities. Childbirth assistance is a delivery service process that starts from the first stage to the fourth stage of labor. Achievement of maternal health efforts during childbirth is measured through the indicator of the percentage of births assisted by trained health personnel (Pn Coverage). This indicator shows the level of the government's ability to provide quality delivery services assisted by trained health workers. OBJECTIVE: Knowing the Effect of Massage Counter Pressur on Reducing Pain in the First Stage of Active Phase Competition in Vita Serasi, Batu Bara Regency in 2022 METHOD chi square test p value < 0.05 means H0 is rejected and Ha is accepted, the statistical test results show a significant relationship. ADVICE There is an effect of massage counter pressure on reducing pain in competition during the first active phase in Vita Serasi Batu Bara Regency in 2022 SUGGESTION given for research and for research sites and for educational institutions regarding Massage Counter Pressure

Hubungan Dukungan Suami Terhadap Sikap Ibu Untuk Imunisasi Bayi di Puskesmas Peureulak Barat Aceh Timur Tahun 2024 Elvira Putri; Ester Simanullang; Marliani Marliani
Jurnal Ventilator Vol. 2 No. 3 (2024): September : Jurnal Ventilator
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/ventilator.v2i3.1375

One reason for the lack of information regarding the economic costs of disability or death and the benefits of immunisation when children in the vicinity are not fully immunised is the discovery of signatures. Many people are confused by the terms vaccination and immunisation. Immunisation is given to neonates as soon as possible because it can avoid primary diseases through vaccination. If the baby receives the right vaccination, he will be protected from dangerous diseases such as disabilities. Basic immunisation of infants and toddlers is a routine immunisation programme as well as an additional immunisation programme to prevent communicable diseases (PD3I) such as tuberculosis, diphtheria, pertussis, tetanus, polio, hepatitis B, and measles to reduce morbidity, mortality and disability in infants and children. BCG once, DPT-HB three times, Polio four times, HB Uniject once, and measles once are the basic vaccines. These vaccines must be given to all infants to prevent diseases from entering the body. The method used was analytical survey research. Exploration of how and why this phenomenon occurs is the goal of the analytical survey research approach.

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