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Perbedaan Luaran Neonatal pada Ibu Preeklampsia dengan Covid-19 dan Tanpa Covid-19 di RSUD Ulin Banjarmasin Periode Mei 2020–April 2021 Talia Zulfa Najmia; Ferry Armanza; Rahmiati Rahmiati; Pudji Andayani; Roselina Panghiyangani
Homeostasis Vol 5, No 1 (2022)
Publisher : Homeostasis

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (295.512 KB)

Abstract

Abstract: Preeclampsia is a serious complication of pregnancy and occurs in 3-8% of all pregnancies. Preeclampsia can affect newborn, causing hypoxia, Intra Uterine Growth Retardation, preterm labor and low birth weight babies (LBW). Pregnant women are easily infected by SARS-CoV-2. Fetal complications of mothers that infected with COVID-19 include miscarried, IUGR, and preterm birth. Preeclampsia can be exacerbated or exacerbate by COVID-19 which has an impact of the condition of the newborn. The purpose of this study was to determine difference of neonatal outcomes of preeclampsia mothers with COVID-19 and without COVID-19 at Ulin Hospital Banjarmasin for the period May 2020-April 2021. This study was an analytical observational study with a retrospective approach used the Chi-square test and Fisher's exact test as an alternative. The data used was from medical records. The sample used was neonates born to preeclampsia mothers with COVID-19 and without COVID-19 at Ulin Hospital Banjarmasin for the period May 2020-April 2021, selected by purposive sampling and met the inclusion and exclusion criteria. The results showed a significant difference of the outcome of the length of stay of neonates (p= 0.002) and no significant difference of the outcomes of neonates with low birth weight (p= 0.271), preterm (p= 0.126), the 1st minute (p= 0.731) and 5th minute (p= 0.993) of APGAR score, and mortality (p= 0.240). The conclusion of this study is there was only a difference in the length of stay while the other outcomes did not. Keywords: neonatal outcome, preeclampsia, COVID-19 Abstrak: Preeklamsia merupakan komplikasi kehamilan berat dan terjadi sekitar 3-8% dari keseluruhan kehamilan. Preeklampsia dapat berpengaruh terhadap bayi yang dilahirkan, menyebabkan hipoksia, pertumbuhan janin terhambat, persalinan prematur dan bayi berat lahir rendah (BBLR). Ibu hamil mudah terinfeksi oleh SARS-CoV-2. Komplikasi janin pada ibu yang terinfeksi COVID-19 berupa keguguran, IUGR, dan kelahiran prematur. Preeklampsia dapat diperburuk atau memperburuk kehamilan dengan COVID-19 yang berdampak pada kondisi bayi yang dilahirkan. Tujuan penelitian untuk mengetahui perbedaan luaran neonatal pada ibu preeklampsia dengan COVID-19 dan tanpa COVID-19 di RSUD Ulin Banjarmasin periode Mei 2020-April 2021. Penelitian berupa observasional analitik dengan pendekatan retrospektif menggunakan uji Chi-square dan Fisher’s exact test sebagai alternatif. Data yang digunakan dari rekam medik. Sampel penelitian berupa neonatus yang lahir dari ibu preeklampsia dengan COVID-19 dan tanpa COVID-19 di RSUD Ulin Banjarmasin periode Mei 2020-April 2021, dipilih secara purposive sampling dan memenuhi kriteria inklusi dan eksklusi. Hasil penelitian terdapat perbedaan bermakna (p= 0,002) pada luaran lama rawat inap neonatus dan tidak terdapat perbedaan bermakna pada luaran neonatus dengan BBLR (p= 0,271), prematur (p= 0,126), skor APGAR neonatus menit ke-1 (p= 0,731) dan ke-5 (p= 0,993), dan meninggal (p= 0,240). Kesimpulan penelitian hanya terdapat perbedaan pada luaran lama rawat inap sedangkan luaran lainnya tidak. Kata-kata kunci: luaran neonatal, preeklampsia, COVID-19
Perbedaan Luaran Maternal pada Pasien Preeklampsia dengan Covid-19 dan Tanpa Covid-19 Veronica Shania Aprillia; Ferry Armanza; Rahmiati Rahmiati
Homeostasis Vol 5, No 1 (2022)
Publisher : Homeostasis

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (360.331 KB)

Abstract

Abstract: Preeclampsia is a pregnancy complication characterized by the onset of high blood pressure that occurs after 20 weeks of pregnancy. Pregnant women are prone to infection by COVID-19 and the risk of pregnancy complications. These causes can effect complications in maternal outcomes such as HELLP syndrome, pulmonary edema, acute kidney failure, and eclampsia, which will affect methods of childbirth and even cause maternal death. The purpose of this study is to determine the differences in maternal outcomes of preeclampsia with COVID-19 and without COVID-19.This study is an analytical observational with a retrospective approach using chi-square test and fisher exact test as an alternative, using secondary data from medical records of preeclampsia patients with COVID-19 and without COVID-19 at RSUD Ulin Banjarmasin for May 2020 – April 2021. The results showed there were differences in outcomes of methods of childbirth (p=0,001) while there were no differences in outcomes of HELLP syndrome (p=0,554), eclampsia (p=0,960), kidney failure (p=0,139), pulmonary edema (p=0,730), and maternal death (p=0,521). From those results, it can be concluded that there were differences in outcomes of methods of childbirth and there were no differences in outcomes of HELLP syndrome, eclampsia, kidney failure, pulmonary edema, and maternal death in preeclampsia patients with COVID-19 and without COVID-19. Keywords: maternal outcomes, preeclamsia, COVID-19 Abstrak: Preeklampsia adalah gangguan kehamilan ditandai hipertensi setelah 20 minggu kehamilan. Ibu hamil rentan terjangkit COVID-19 dan berisiko komplikasi kehamilan. Gangguan ini mengakibatkan terjadinya luaran maternal seperti sindrom HELLP, edema paru, gagal ginjal akut, eklampsia, mempengaruhi metode persalinan bahkan kematian ibu. Tujuan penelitian ini untuk mengetahui perbedaan luaran maternal pasien preeklampsia dengan COVID-19 dan tanpa COVID-19. Penelitian ini bersifat observasional analitik dengan pendekatan retrospektif menggunakan uji chi-square dan uji fisher exact sebagai alternatif, menggunakan data sekunder dari rekam medik pasien preeklampsia dengan COVID-19 dan tanpa COVID-19 di RSUD Ulin Banjarmasin periode Mei 2020 – April 2021. Hasil penelitian menunjukkan perbedaan luaran metode melahirkan (p=0,001), sedangkan luaran  sindrom HELLP (p=0,554), eklampsia (p=0,960), gagal ginjal (p=0,139), edema paru (p=0,730), dan kematian (p=0,521) tidak terdapat perbedaan. Kesimpulan penelitian terdapat perbedaan luaran metode melahirkan dan tidak terdapat perbedaan luaran sindrom HELLP, eklampsia, gagal ginjal, edema paru dan kematian pada pasien preeklampsia dengan COVID-19 dan tanpa COVID-19. Kata-kata kunci: luaran maternal, preeklampsia, COVID-19
Literature Review: Hubungan Pengetahuan dan Sikap dengan Penggunaan Metode Kontrasepsi Jangka Panjang (MKJP) Tasya Ayunisa Dewi; Meitria Syahdatina Noor; Ferry Armanza; Renny Aditya; Lena Rosida
Homeostasis Vol 5, No 2 (2022)
Publisher : Homeostasis

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Abstract

Abstract: Participation of Family Planning (KB) acceptance in the use of Long-Term Contraceptive Method (MKJP) in Indonesia is still very low. The factors that cause the low participation of KB acceptance in the use of MKJP are caused by several factors, including knowledge and attitude towards the use of MKJP. The purpose of this literature review is to explain the relationship of knowledge and attitude of KB acceptance with the use of Long Term Contraceptive Method (MKJP). The method in this literature review used systematic literature review of 20 litarature research related to topic and has been done screening. The results showed the percentage of literature related to knowledge variables as much as 95%, and unrelated 5%. The results showed literature related percentages for attitude variables as much as 90.9% and those that did not support 9.09%. According to the researchers' view and the results of data synthesis, it can be satisfied that there is a suitability of the results of literature review researchers with theoretical aspects and the results of previous research. Keywords: relationship, knowledge, attitudes, family planning, long term contraceptive method. Abstrak: Partisipasi akseptor Keluarga Berencana (KB) terhadap penggunaan Metode Kontrasepsi Jangka Panjang (MKJP) di Indonesia sampai saat ini masih sangat rendah. Faktor penyebab rendahnya partisipasi akseptor KB dalam penggunaan MKJP disebabkan beberapa faktor antara lain pengetahuan dan sikap terhadap penggunaan MKJP. Tujuan dari literature review ini adalah menjelaskan hubungan pengetahuan dan sikap akseptor KB dengan penggunaan Metode Kontrasepsi Jangka Panjang (MKJP). Metode pada literature review ini menggunakan systematic literature review terhadap 20 litarature yang berkaitan dengan topik dan telah dilakukan skrining. Hasil literature review menunjukan persentase literature yang berhubungan  untuk variabel pengetahuan sebanyak 95%, dan yang tidak berhubungan 5%. Hasil penelitian menunjukan pesentase literature yang berhubungan untuk variabel sikap sebanyak 90,9% dan yang tidak mendukung 9,09%. Menurut pandangan peneliti dan hasil sintesis data, dapat disimpukan bahwa terdapat kesesuaian hasil literature review peneliti dengan aspek teoritis dan hasil penelitian terdahulu. Kata-kata kunci: hubungan, pengetahuan, sikap, program KB, MKJP.
Literature Review: Hubungan Dukungan Suami dan Tenaga Kesehatan dengan Penggunaan Metode Kontrasepsi Jangka Panjang (MKJP) Najibah Lestari; Meitria Syahadatina Noor; Ferry Armanza
Homeostasis Vol 4, No 2 (2021)
Publisher : Homeostasis

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Abstract

Abstract: Long term contraceptive methods (LTCMs) are contraceptive methods can be used effective for a long period, and efficient to delaying pregnancy. LTCMs, users in Indonesia are classified as low, specifically 7,920,260 users (21,81%). The fact0rs that influence the use of LTCMs needs support from husbands, support from heaIth workers in using LTCMs. The purpose of this literature review is to explain the relationship between husband support and health workers with the use of LACMs. The method in this study uses a systematic literature review of 20 related research literature. The value showed that the percentage of literature related to the variable of husband's support with the use of LACMs was 61%, and the husband's support that was not related to the use of LACMs was 39%. While the value of the study showed that the percentage of literature related to the variable support for health workers with the use of LACMs was as much as 75% and the support for health personnel who were not related to the use of LACMs was 25%. Keywords: relationship, husband support, health worker support, long term contraceptive methods (LTCMs) Abstrak: Metode kontrasepsi jangka panjang (MKJP) adalah metode k0ntrasepsi yang masa kerjanya lama dan mempunyai efektivitas tinggi terhadap pencegahan kehamilan. Penggunaan MKJP di lndonesia tergolong sedikit sebesar 7.920.260 pengguna (21,81%). Faktor yang berpengaruh dalam MKJP yaitu dukungan suami dan dukungan tenaga kesehatan dalam penggunaan MKJP. Tujuan kajian literatur ini untuk menjelaskan hubungan dukungan suami dan tenaga kesehatan dengan penggunaan MKJP. Metode penelitian ini menggunakan systematic literature review terhadap  sebanyak 20 litarature penelitian yang berkaitan. Hasil penelitian menunjukan persentase literature yang berhubungan  untuk variabel dukungan suami dengan penggunaan MKJP sebanyak 61%, dan dukungan suami dengan penggunaan MKJP yang tidak berhubungan sebanyak 39%. Hasil penelitian menunjukan pesentase literature yang berhubungan untuk variabel dukungan tenaga kesehatan dengan penggunaan MKJP sebanyak 75% dan dukungan tenaga  Kesehatan yang tidak berhubungan dengan penggunaan MKJP sebanyak 25%. Kata-kata kunci: hubungan, dukungan suami, dukungan tenaga kesehatan, MKJP