Hartini
Universitas Ngudi Waluyo

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Asuhan Kebidanan Komprehensif pada Ny. Usia 26 Tahun G1P0A0 di Pustu Pasekan Wilayah Kerja Puskesmas Ambarawa Kabupaten Semarang Hartini; Masruroh
Prosiding Seminar Nasional dan CFP Kebidanan Universitas Ngudi Waluyo Vol. 4 No. 2 (2025): Prosiding Seminar Nasional dan Call for Paper Kebidanan Universitas Ngudi Waluy
Publisher : Universitas Ngudi Waluyo

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Abstract

According to the World Health Organization (WHO), the maternal mortality rate (MMR) remains very high, with approximately 810 women dying from pregnancy- or childbirth-related complications worldwide every day. Efforts to reduce this rate can be made through the provision of continuity of care (COC). This study is a case study that aims to provide comprehensive midwifery care to Mrs. S, aged 26 years, G1P0A0, starting from pregnancy, childbirth, postpartum, newborn, to contraceptive selection. The method used was descriptive with data collection techniques through interviews, observations, physical examinations, and documentation in the KIA book. It was conducted from August to October 2025. The results of the care showed that Mrs. S had a physiological pregnancy with third trimester complaints that were handled through education and non-pharmacological methods. The delivery was spontaneous, and the baby was born healthy. There were no complaints during the postpartum period. During the contraceptive period, counseling was provided on the selection of postpartum family planning methods to prevent obstetric complications in subsequent pregnancies. In conclusion, the continuity of care approach is effective in detecting, preventing, and managing obstetric problems from pregnancy to postpartum and improving the quality of maternal and infant health services.   Abstrak Menurut World Health Organization (WHO) Angka kematian ibu (AKI) masih sangat tinggi, sekitar 810 wanita meninggal akibat komplikasi terkait kehamilan atau persalinan di seluruh dunia setiap hari. Upaya penurunan angka ini dapat dilakukan melalui pemberian asuhan kebidanan berkesinambungan (Continuity of Care/ COC). Penelitian ini merupakan studi kasus yang bertujuan untuk memberikan asuhan kebidanan secara menyeluruh kepada Ny. S, usia 26 tahun, G1P0A0, mulai dari kehamilan, persalinan, nifas, bayi baru lahir hingga pemilihan kontrasepsi. Metode yang digunakan adalah deskriptif dengan teknik pengumpulan data melalui wawancara, observasi, pemeriksaan fisik, dan dokumentasi dalam buku KIA. Dilakukan pada bulan Agustus – Oktober 2025. Hasil asuhan menunjukkan bahwa Ny. S mengalami kehamilan fisiologis dengan keluhan trimester III yang ditangani melalui edukasi dan nonfarmakologis. Persalinan dilakukan secara spontan Bayi lahir sehat. Masa nifas tidak ada keluhan, Pada masa kontrasepsi, dilakukan konseling tentang pemilihan metode KB pasca persalinan untuk mencegah komplikasi obstetri pada kehamilan berikutnya. Kesimpulannya, pendekatan continuity of care efektif dalam mendeteksi, mencegah, dan menangani masalah kebidanan sejak masa kehamilan hingga pasca persalinan serta meningkatkan kualitas pelayanan kesehatan ibu dan bayi.
PENGARUH EDUKASI TERHADAP KEPATUHAN PASIEN HEMODIALISIS RUTIN UNTUK MENCEGAH KOMPLIKASI KARDIOVASKULER Hartini; Puji Purwaningsih
Jurnal Keperawatan GSH Vol. 15 No. 2 (2026): JULI 2026
Publisher : Akademi Keperawatan Giri Satria Husada Wonogiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56840/jkgsh.v15i2.192

Abstract

Hemodialisis (HD) merupakan prosedur vital bagi pasien gagal ginjal kronis, namun seringkali disertai komplikasi kardiovaskular yang merupakan penyebab utama morbiditas dan mortalitas. Kepatuhan pasien terhadap jadwal dialisis dan pembatasan cairan sangat penting dalam mencegah komplikasi ini. Penelitian ini bertujuan untuk menganalisis pengaruh edukasi pencegahan komplikasi kardiovaskular terhadap kepatuhan pasien hemodialisis di RSUD dr. H. Jusuf SK Tarakan. Penelitian ini menggunakan desain Quasi Experiment sederhana dengan single pre-posttest. Sampel berjumlah 20 responden pasien hemodialisis rutin di RSUD dr. H. Jusuf SK Tarakan yang dipilih menggunakan teknik purposive sampling pada bulan Juni 2025. Instrumen penelitian berupa kuesioner kepatuhan pasien hemodialisis (11 item) yang teruji valid dan reliabel (Cronbach’s Alpha 0,873). Edukasi diberikan melalui konseling dan media booklet. Data dianalisis menggunakan uji Wilcoxon Signed Rank Test. Sebelum edukasi, tingkat kepatuhan pasien tergolong rendah, khususnya pada aspek diet dan pembatasan cairan. Setelah intervensi edukasi, terdapat peningkatan signifikan pada seluruh aspek kepatuhan (p < 0,001) di mana 80% responden mencapai kepatuhan tinggi. Edukasi pencegahan komplikasi kardiovaskular menggunakan booklet efektif dalam meningkatkan kepatuhan pasien hemodialisis rutin. ABSTRACT Hemodialysis (HD) is a vital procedure for chronic kidney failure patients, but it is often accompanied by cardiovascular complications, which are leading causes of morbidity and mortality. Patient adherence to dialysis schedules and fluid restrictions is crucial in preventing these complications. This study aims to analyze the effect of education on preventing cardiovascular complications on the adherence of hemodialysis patients at RSUD dr. H. Jusuf SK Tarakan. The study used a simple quasi-experimental design with a single pre-posttest. The sample consisted of 20 regular hemodialysis patients selected using purposive sampling in June 2025. The research instrument was a patient adherence questionnaire (11 items, Cronbach’s Alpha 0.873). Education was delivered through counseling and booklets. Data were analyzed using the Wilcoxon Signed Rank Test. Before education, patient adherence was low, especially regarding diet and fluid restrictions. After intervention, a significant improvement in all aspects of adherence occurred (p < 0.001). Most respondents (80%) showed high adherence post-education. Education using booklets is effective in improving adherence among routine hemodialysis patients.