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The Effect of Health Education with Flashcard Media on Improvement of Knowledge and Reduction of Anxiety Degree in Adolescents Primigravida Dwie Yunita Baska; Tita Husnitawati Madjid; Ponpon S. Idjradinata
Global Medical & Health Communication (GMHC) Vol 8, No 1 (2020)
Publisher : Universitas Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (94.458 KB) | DOI: 10.29313/gmhc.v8i1.5192

Abstract

The education about the reproductive health of pregnancy is needed to increase knowledge and reduce anxiety in adolescent primigravida, one of them is by conducting flashcard media. Flashcards are pictorial media in the form of cards that have words; it’s proven to be able to create fun learning, attracts attention, and stimulates critical thinking. The purpose of the study was to analyze the effect of education with flashcard media on knowledge and anxiety degree in adolescent primigravidas. The research method used in this study was a one-group pretest-posttest quasi-experimental design. The number of samples as many as 30 people (<20 years old) at Sawah Lebar Public Health Center and Padang Serai Public Health Center in Bengkulu city from May to July 2018, by using consecutive sampling. The data of this study obtained from pretest and posttest questionnaires of knowledge, and Zung Self-rating Anxiety Scale (ZSAS), Shapiro-Wilk, Wilcoxon, and chi-square test statistics. The results showed a significant increase in knowledge before and after the intervention of p value=0.001 (p<0.05), an increase in the average score of knowledge of series one card amounts to 35.0% and knowledge of series 2–3 card amounted to 30%. A significant decrease in anxiety degree of 9.2% after the treatment (p<0.05). In conclusion, flashcards can increase knowledge and reduce the anxiety of adolescents primigravida mothers so that health workers use this educational approach appropriately. PENGARUH EDUKASI KESEHATAN DENGAN MEDIA FLASHCARD TERHADAP PENINGKATAN PENGETAHUAN DAN PENURUNAN DERAJAT KECEMASAN PADA PRIMIGRAVIDA REMAJAThe education about the reproductive health of pregnancy is needed to increase knowledge and reduce anxiety in adolescent primigravida, one of them is by conducting flashcard media. Flashcards are pictorial media in the form of cards that have words; it’s proven to be able to create fun learning, attracts attention, and stimulates critical thinking. The purpose of the study was to analyze the effect of education with flashcard media on knowledge and anxiety degree in adolescent primigravidas. The research method used in this study was a one-group pretest-posttest quasi-experimental design. The number of samples as many as 30 people (<20 years old) at Sawah Lebar Public Health Center and Padang Serai Public Health Center in Bengkulu city from May to July 2018, by using consecutive sampling. The data of this study obtained from pretest and posttest questionnaires of knowledge, and Zung Self-rating Anxiety Scale (ZSAS), Shapiro-Wilk, Wilcoxon, and chi-square test statistics. The results showed a significant increase in knowledge before and after the intervention of p value=0.001 (p<0.05), an increase in the average score of knowledge of series one card amounts to 35.0% and knowledge of series 2–3 card amounted to 30%. A significant decrease in anxiety degree of 9,2% after the treatment (p<0.05). In conclusion, flashcards can increase knowledge and reduce the anxiety of adolescents primigravida mothers so that health workers use this educational approach appropriately.
Kelas Ibu Hamil Meningkatkan Partisipasi Suami/Keluarga dalam Pendampingan Persalinan Eva Susanti; Dwie Yunita Baska
Aksiologiya: Jurnal Pengabdian Kepada Masyarakat Vol 7 No 1 (2023): Februari
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/aks.v7i1.4616

Abstract

Angka kematian ibu dan bayi di Indonesia masih cukup tinggi disebabkan oleh komplikasi selama kehamilan, persalinan dan nifas. Upaya menurunkan angka kematian ibu saat ini telah mengalami pergeseran paradigma, dari mendeteksi dan mengatasi komplikasi, berubah menjadi mencegah, mendeteksi dan mengatasi komplikasi yang ditemukan. Upaya tersebut melalui peningkatan kualitas pelayanan kesehatan bagi ibu hamil di Indonesia, yakni dengan melibatkan peran serta suami dalam kegiatan kelas ibu hamil. Permasalahan saat ini masih banyak keluarga/suami yang masih bingung akan perannya sebagai pendamping itu sendiri. Peran pendamping persalinan ini adalah pemberi dukungan emosional, materi, informasi, dan penghargaan terus-menerus. Kegiatan ini bertujuan untuk meningkatkan peran serta suami/keluarga agar dapat meningkatkan partisipasi suami dan pendamping dalam proses persalinan. Kegiatan dilaksanakan di Praktik Mandiri Bidan (PMB) Kasih Ibu, sebanyak dua kali pertemuan, dengan target peserta melibatkan 10 pasangan suami istri (usia kehamilan ibu 32-36 minggu, primigravida). Metode yang digunakan adalah metode survey lapangan, pre-post test pengetahuan, pengisian materi, diskusi tanya jawab, simulasi pendampingan dan praktik manajemen nyeri persalinan. Solusi yang ditawarkan berkaitan dengan kemampuan suami/pendamping dalam meningkatkan pengetahuan, informasi, dukungan, dan keterampilan dalam pendampingan serta manajemen mengurangi nyeri. Keluaran pengabdian masyarakat ini adalah berupa peningkatan pengetahuan, kualitas pendampingan dan partisipasi suami menjelang proses persalinan, dan memperkaya pendidikan dalam aktivitas kelas ibu hamil.
Intervention of Kusuma Milk-Shake Drink on Cervical Dilatation and Duration of Labor: Experience from Bengkulu, Indonesia Dwie Yunita Baska; Elly Elly Wahyuni; Nispi Yulyana
Althea Medical Journal Vol 10, No 1 (2023)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v10n1.2824

Abstract

Background: Labor processes require energy consumption regulated by a complex nervous system and hormonal response. Thus, the intensity of maternal nutritional intake since pregnancy should be highly considered for physiological delivery. Nutrients that are high in energy and provide fast-decomposing glucose intake should be chosen by the mothers. Kusuma is a kind of drink made from dates, milk, and honey. This study aimed to analyze the effect of Kusuma milk-shake drink implementations on cervical dilatation and duration of labor.Methods: An experimental study was conducted by post-test only with a controlled group design, including 34 mothers with term pregnancy, which was intervention groups and controls. A completely randomized design in two different places was conducted. Data were analyzed using Shapiro-wilk, independent sample T-test, and Mann-Whitney. Results: There was a significant effect of Kusuma milk-shake implementation on cervical dilatation (p=0.000). The dilatation process was found to be 5.5 times faster, and the duration of labor (p=0.000) was observed to be 9.7 hours faster than the control group.Conclusions: Implementation of the Kusuma milk-shake has a significant effect on the acceleration of cervical dilation and the duration of labor. This research is expected to improve the quality of midwifery services as an effort to realize the concept of a Continuum of Obstetric Care.
The Establishment of Youth Posyandu to Increase Adolescent's Productivity Dwie Yunita Baska; Wewet Savitri; Nispi Yulyana
DIKDIMAS : Jurnal Pengabdian Kepada Masyarakat Vol. 2 No. 1 (2023): DIKDIMAS : JURNAL PENGABDIAN KEPADA MASYARAKAT  VOL 2 NO 1 APRIL 2023
Publisher : CV Media Inti Teknologi

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (369.589 KB) | DOI: 10.58723/dikdimas.v2i1.129

Abstract

The complexity of health problems in adolescents needed requires an comprehensive and integrated treatment that involves all elements across the programs and related sectors. Youth Posyandu was a solution that can be offered to community. This activities aims as a forum that brings together adolescent or youth in managing and facilitating them to getting informations which is about healthy lifestyle, adolescent reproductive health and other health problems. The methods used include 3 steps: preparation, actions, and evaluation. The location was in Lempuing, Ratu Agung District, Bengkulu City, and involving 25 adolescents. The results of the activity showed that the establishment of the youth Posyandu in Lempuing had a positive impact on partners. In conclusion, this youth Posyandu makes it easier for teenagers to obtain information related to a healthy lifestyle, forms youth support groups, and becomes a forum that facilitates youth in understanding their daily problems.
The Empowering of Alert Husbands in Maternal's Class to Increasing Knowledge and Skills of Labor Pain Management Techniques: Pemberdayaan Peran Suami Siaga Pada Kelas Ibu Hamil Dalam Meningkatkan Pengetahuan dan Keterampilan Melakukan Teknik Manajemen Nyeri Persalinan Dwie Yunita Baska; Nispi Yulyana
Dinamisia : Jurnal Pengabdian Kepada Masyarakat Vol. 7 No. 2 (2023): Dinamisia: Jurnal Pengabdian Kepada Masyarakat
Publisher : Universitas Lancang Kuning

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31849/dinamisia.v7i2.12482

Abstract

Maternal Class is one of the essential activities that respectful care for making maternal and safe childbirth. However, in reality, so far these maternal classes have only been attended by mothers themselves, without the participation of husbands as birth attendants, even though since 2000, the Indonesian government has launched the Alert Husband program. Therefore, the community service team in collaboration with the midwife made efforts to empower the participation of husbands in-class activities for pregnant women to increase the knowledge and skills of husbands as facilitators of childbirth assistance, especially in carrying out labor pain management techniques. The main target of this activity is 10 couples of husband and wife, with counseling methods, discussions, simulations, and practical demonstrations. The results of this activity were very satisfying and effective, there a knowledge increase score was obtained with an average of 45.50 to 93.50, and skills from a value of 5.60 increased to 10.00. Furthermore, it is hoped that this maternal's class will be routinely carried out at least once a week so that the Alert husband's role will continue to be active and sustainable.
Efektifitas the Safe Delivery App (SDA) secara Blended Learning terhadap Pengetahuan Bidan: Effect of The Safe Delivery App (SDA) by Blended Learning on Midwives' Knowledge Dwie Yunita Baska; Elly Wahyuni; Wewet Savitri
Jurnal Bidan Cerdas Vol. 5 No. 1 (2023)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jbc.v5i1.1774

Abstract

Instroduction: Globally on the industrial revolution of 4.0 mobile learning (mLearning) tools were familiar and attracted considerable attention for healthcare workers as a means of continuous training. The Safe Delivery App’s innovation (SDA) is a smartphone mLearning app that contains information and skills for trained health workers, can be accessed directly, quckly, and based on evidence-based Basic Emergency Obstetric and Neonatal Care (BEmONC) content. Purpose: This study assessed the effect of the SDA intervention by blended learning on midwives’ knowledge. Methods: The study used a quasi-experimental group pre-and post-test design with control group. The research sample consisted of 48 midwives with randomized sampling grouping through by-wheel trial numbers, timing 3 to 6 month. An independent sample t-test was used to statistically, Confidence interval (Cls) and effect size by Cohen’s d were used. Results: The use of The SDA App has proven to be significantly effective in creasing knowledge, the mean differences before-after 5,39 (SD=2,37); 95% Cl 2,29 ± 4,28, p-value <0,001 and d=1,38 in one of the modules. Conclusion: The SDA App has proven very effective improved the quality of human resources for midwives, hope these benefits will be further disseminated wider by all heatlh cares provider.
PENGARUH PIJAT ENDORPHIN TERHADAP PENURUNAN INTENSITAS NYERI PERSALINAN: LITERATURE REVIEW Nur Hasilah Silah Naution; Elvi Destariyani; Dwie Yunita Baska
JURNAL BESUREK JIDAN Vol 1 No 1 (2022): Jurnal Besurek Jidan Jurusan Kebidanan Poltekkes Kemenkes Bengkulu Volume 1 No 1
Publisher : Poltekkes Kemenkes Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33088/jbj.v1i1.119

Abstract

Rasa nyeri persalinan disebabkan proses kontraksi dari Rahim dalam usaha untuk mengeluarkan buah kehamilan. Dalam persalinan, nyeri yang timbul menyebabkan stress, dan rasa khawatir berlebihan. Mengatasi rasa nyeri persalinan yaitu dengan terapi farmakologis dan non-farmakologis. Terapi non-farmakologi berupa pijat endorphin dapat menjadi salah satu pilihan dan dapat diterapkan untuk mengurangi intensitas nyeri persalinan. Tujuan penelitian ini untuk diketahui intensitas nyeri persalinan dan pengaruh pengaruh pijat endorphin terhadap penurunan intensitas nyeri persalinan dengan melakukan literature review beberapa artikel terkait. Metode yang digunakan adalah literatur review dengan desain penelitian eksperiment design. Sumber Pencarian literatur menggunakan empat database yaitu: Google Scholar, Portal Garuda, Indonesia One Search dan SINTA dengan tahun terbit 2016-2020. Seleksi studi sesuai kriteria inkulsi dengan prisma checklist dari judul, abstrak, full text dan dinilai kelayakan studi selanjutnya dianalisis dari temuan studi.Hasil pencarian terdapat 10  jurnal yang  memenuhi kriteria inkulsi. Setelah ditabulasi dan dianalisis 10 studi menggunakan eksperiment design dan secara keseluruhan menunjukkan bahwa ibu bersalin mengalami nyeri persalinan dengan intensitas nyeri ringan, nyeri sedang, nyeri berat dan secara keseluruhan studi menunjukkan bahwa terapi pijat endorphin memberikan pengaruh terhadap internsitas nyeri persalinan. Kesimpulan pijat endorphin merupakan intervensi yang layak diberikan untuk penurunan intensitas nyeri persalinan   Kata Kunci: Pengaruh, Pijat Endorphin, Nyeri, Persalinan kala I
THE RELATIONSHIP BETWEEN KNOWLEDGE AND FAMILY SUPPORT WITH ANXIETY IN PREMENOPAUSAL WOMEN AT PEKIK NYARING COMMUNITY HEALTH CENTRE CARE, CENTRAL BENGKULU REGENCY 2022 Elly Wahyuni; Mariati Mariati; Lela Hartini; Dwie Yunita Baska; Mariana Tantiri Mariana Nainggolan
Proceeding B-ICON Vol. 1 No. 1 (2022): Proceeding of The 2nd Bengkulu International Conference on Health (B-ICON 2022)
Publisher : Poltekkes Kemenkes Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33088/bicon.v1i1.9

Abstract

The percentage of the incidence of anxiety experienced by premenopausal women worldwide is still relatively high (77%). About 25% of anxiety occurs during menopause, with various symptoms caused by individuals, depending on psychological and emotional. This study aimed to determine the relationship between knowledge and family support with anxiety incidence in premenopausal women at the Pekik Nyaring Community Health Centre, Central Bengkulu Regency, in 2022. The research design used a cross-sectional approach. The population in this study were all women aged 45-55 years in 12 Integrated Post for Non-Communicable Diseases or Pos Pelayanan Terpadu Penyakit Tidak Menular (Posbindu PTM ) Pekik Nyaring Community Health Centre, totalling 981 people. The sample in this study was 78 respondents taken by purposive sampling, and the number of samples distributed in each Posbindu was not equal. Data analysis using univariate and bivariate analysis using Chi-Square. The results showed that 78 premenopausal women (53.8%) experienced moderate and severe anxiety, (59%) had poor knowledge, and (65.4%) had poor family support. There was a relationship between knowledge and anxiety in premenopausal women with p=0.002 < 0.05 and OR = 5.0. It means that premenopausal women with poor knowledge were 5 times more likely to experience moderate and severe anxiety. There was a relationship between family support and premenopausal women's anxiety, p=0.000 < 0.05 and OR = 8.4. It means that premenopausal women who receive family support were at least 8 times more likely to experience moderate and severe anxiety. Suggestions for the Community Health Centre, in this case, the Head of the Community Health Centre, can optimise health workers to create innovative programs related to women's preparation for menopause
DETERMINANTS OF ASPHYXIA NEONATORUM IN Dr. M. YUNUS HOSPITAL BENGKULU Lusi Andriani; Rigita Tiya Nora Nika; Dwie Yunita Baska; Epti Yorita; Else Tri Rahayu
Proceeding B-ICON Vol. 1 No. 1 (2022): Proceeding of The 2nd Bengkulu International Conference on Health (B-ICON 2022)
Publisher : Poltekkes Kemenkes Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33088/bicon.v1i1.43

Abstract

Asphyxia is one of the causes of neonatal death. The causes of asphyxia neonatorum consist of maternal factors, placental factors, fetal factors and labor factors. The purpose of this study was to determine the determinants of the incidence of asphyxia neonatorum in Dr. M. Yunus hospital Bengkulu. Design of this study uses a case control study with a retrospective approach. The population in this study were all newborns recorded in the perinatology room register at Dr. M. Yunus hospital Bengkulu in 2020 and 2021, as many as 577 newborns. The case sample in the case sampling technique was total sampling with a total of 186 newborns with asphyxia. The control sample was taken with a ratio of 1:1 so that the control sample was 186 newborns who did not have asphyxia. The results of statistical tests showed that maternal age, amniotic fluid mixed meconium, prolonged labor and type of delivery with p value <0.05, which means that there are a relationship with the incidence of asphyxia in newborns. The results of statistical tests on breech position and placenta previa showed p value >0.05, which means that there are no relationship to the incidence of asphyxia in newborns. The most influential factor with the incidence of asphyxia was amniotic fluid mixed meconium with an OR value of 3.798. It is necessary to increase the ability of midwives in providing services and delivery assistance, especially in the event of amniotic fluid mixed meconium through education and training both internally and externally through seminars or special training.
COMPARISON OF PAPER QUILLING AND PLAYDOUGH PLAYING ACTIVITIES TO THE FINE MOTOR DEVELOPMENT OF PRESCHOOL CHILDREN 4-5 YEARS AT AS-SHAFFAH KINDERGARTEN, BENGKULU CITY Wewet Savitri; Diah Eka Nugraheni; Tania Aprilianti Fahlevi; Dwie Yunita Baska
Proceeding B-ICON Vol. 2 No. 1 (2023): Proceeding of The 3rd Bengkulu International Conference on Health (B-ICON 2023)
Publisher : Poltekkes Kemenkes Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33088/bicon.v2i1.135

Abstract

Based on data from the Basic Health Research survey (Riskesdas, 2018), the index for children aged 36-59 months for the literacy aspect was 64.6%, physical 97.8%, social emotional 69.9%, learning aspect 95.2% and Indonesia's total development index in 2018 was 88.3% so that 11.7% of children aged 36-59 months experienced developmental disorders, where Bengkulu Province contributed to the prevalence of toddlers aged 36-59 months experiencing developmental disorders of 8.3%. The design of this study used Quasi-Experiment, taking samples using total sampling with a total sample of 40 people. This research method uses the Wilcoxon and Mann-Whitney tests. The results of the research showed that the average fine motor development score in the paper quilling group, the pre test score was from 8.40, increasing to 11.50 (post test score), with an average difference of 3.10, while in the playdough group the pre test score was 8. 60 increased by 10.60 (post test score) with an average difference of 2. The results of the Mann-Whitney test showed that the difference in the average pretest and posttest scores for the Paper Quilling group and the Playdough group was 0.9. This proves that providing paper quilling games can increase the average development score higher than playdough games.