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WASPADAI KETERLAMBATAN ONSET LAKTASI PADA IBU OBESITAS
Eni Priska Dewi Silaban;
Dwi Susanti
MEDIA ILMU KESEHATAN Vol 1 No 3 (2012): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta
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Background: Efforts to increase exclusive breastfeeding have become a Global Action since 1990. However, exclusive breastfeeding in Yogyakarta in 2010 was still low at 40.57%, still far from the national target of 80%. Several studies have shown that the onset of lactation may be an obstacle of mothers in breastfeeding their babies exclusively. One cause in the delay of the onset of lactation is body mass index (BMI). Objective: To determine the relationship of body mass index (BMI) to the onset of lactation in primiparous postpartum mothers in Panembahan Senopati Hospital of Bantul. Methods: The study design was a prospective cohort with primiparous postpartum mothers as the study subjects. Sampling was done by purposive sampling technique with a sample size of 62 people. The data were collected using observation sheet instruments. The data were analyzed with univariable and bivariable analysis using Chi-square test with a significance level of p <0.05. Results: Based on the results of the research, overweight BMI with a slow onset of lactation was 30.6%, and with a rapid onset of lactation was 3.2%. Normal BMI with a slow onset of lactation was 6.5%, and with a rapid onset of lactation was 59.7%. The result of Chi-square showed a significance of p value of 0.00 (p <0.05) and a value of contingency coefficient of 0.62. Conclusion: There was a significant relationship between BMI and the onset of lactation in primiparous postpartum mothers in Panembahan Senopati Hospital of Bantul. It is recommended that pregnant women prepare themselves for pregnancy in order to keep their body mass index in the normal range to avoid the delay of the onset of lactation. Keywords: Onset of lactation, body mass index, postpartum mothers
STATUS GIZI BALITA DITENTUKAN OLEH PENGETAHUAN IBU TENTANG MAKANAN PENDAMPING ASI (MP-ASI)
Tyasning Yuni Astuti Anggraini
MEDIA ILMU KESEHATAN Vol 1 No 3 (2012): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta
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Background: Improving the nutritional status of the community is one of the basic formation of qualified human resources. Under-five is the most decisive period in human development because it is the most critical period mainly viewed from the aspects of nutrition and health. To achieve optimal growth and development, WHO/UNICEF recommend four important things to do, one of which is providing comple- mentary foods in addition to breast milk (MP-ASI) since infants are aged 6 to 24 months or more. Maternal knowledge about complementary feeding is very important especially if associated with nutritional status as knowledge is included indirect factors that influence nutritional status. Objective: To determine the relationship between the level of maternal knowledge about comple- mentary feeding and the under-five nutritional status in Ngestiharjo Village. Methods: This was an observational, descriptive, analytic study with a cross sectional design. The population was all pairs of mother-under-five, amounting to 190 samples that had been adapted to the criteria of the children aged 6-24 months. Sample was determined with Quota Sampling. Data collection used observation sheets and questionnaires. Analysis used the Kendall Tau test. Results: The level of maternal knowledge about MP-ASI was that the majority was in good category by 87.4%. On the under-five nutritional status, mostly the under-five children had good nutritional status by 84.2%. The result of the hypothesis with Kendall Tau correlation obtained p value = 0.005. Conclusion: There was a significant relationship between the level of maternal knowledge about complementary feeding and the under-five nutritional status. Good knowledge about complementary feeding will reduce the risk of lack of nutrition or malnutrition in under-five children. Keywords: Complementary foods in addition to breast milk, nutritional status, under-five
PENGETAHUAN MENENTUKAN PEMBERIAN ASI EKSKLUSIF
Ika Fitria Ayuningtyas
MEDIA ILMU KESEHATAN Vol 1 No 3 (2012): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta
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Background: The decline in infant mortality is one of the important indicators to measure the success of health development. Various attempts have been made to reduce infant mortality by promoting exclusive breastfeeding. Indonesian Demographic Health Survey (IDHS) year 2003 mentioned that the coverage of exclusive breastfeeding was only 40%; this condition was far from the national target by 80%. Mother's ability to breastfeed should be prepared from pregnancy, especially the second trimester and third trimester. The content of breast milk (ASI) gives a huge benefit for the baby. Breast milk contains balanced nutrition in quantity and quality. The composition of nutrients contained in breast milk is very precise and ideal for the development of the child. In addition, the well-maintained composition of breast milk also makes infants and children healthy. Mother’s knowledge on exclusive breastfeeding affects maternal behavior in exclusively breastfeeding their children. Objective: This study aimed to determine the relationship of the level of mother’s knowledge about exclusive breastfeeding to breastfeeding. Methods: This was a descriptive analytic study with a cross sectional approach. The research was conducted in BPS (privately practicing midwife) Endang Purwaningsih of Bantul in September 2009- February 2010. The samples in this study were some of the mothers who had children aged > 6 months as many as 30 mothers. The instrument used a questionnaire. Data analysis used Chi-square. Results: The level of mother’s knowledge on exclusive breastfeeding was mostly good (43.3%) and infants who were exclusively breastfed was 60%. From the analysis of the chi-square test, the value of p= 0.04 (p <0.05), with a correlation coefficient of 0.41. Conclusion: There was a significant relationship between the level of mother's knowledge on exclusive breastfeeding and exclusive breastfeeding. The correlation between the two variables was positive with a moderate degree of closeness in the relationship. Mother’s knowledge about exclusive breastfeeding needs to be upgraded to the success of exclusive breastfeeding. Keywords: Knowledge, breastfeeding, exclusive breastfeeding
KECEMASAN DAN INSOMNIA PADA MASA MENOPAUSE
Endah Puji Astuti
MEDIA ILMU KESEHATAN Vol 1 No 3 (2012): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta
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Background: The climacterium is often regarded as a sign or signal that a person has begun to aging when this period is marked by physical and psychological setbacks. Psychological changes that occur during menopause can lead to different attitudes, among which is the existence of a crisis manifested in psychological symptoms such as depression, irritability, suspicion, a lot of anxiety and insomnia, as the person is very confused and restless. Insomnia is a state when one cannot sleep or has disruption of sleep patterns. The person concerned may not be able to sleep, difficult to sleep or wake up easily and then cannot sleep anymore. Sleeping trouble (insomnia) is a health problem that is very disturbing and should be anticipated in menopausal women. Objective: To determine the relationship of anxiety levels to the occurrence of insomnia in menopausal women at BPS (privately practicing midwife) Seri Suprapti in Purworedjo. Methods: This study used a descriptive correlational design with a cross sectional approach. Sampling used total sampling as many as 95 people who had been menopause. Data collection used questionnaires. Analysis of the data used Chi-Square test. Results: The majority of menopausal women had moderate levels of anxiety (72.5%) and insomnia (62.5%). From the statistical test, it prevailed significant relationship between anxiety and insomnia in menopause, with p = 0.03 (p <0,05). Conclusion: Menopausal women who had a high level of anxiety had a risk of insomnia than women with low levels of anxiety. Menopausal women are expected to actively search for information related to the changes in menopause. Sufficient understanding of the changes in menopause can help reduce anxiety. Keywords: Menopause, anxiety, insomnia
REMAJA PUTRI MEMPUNYAI PENGETAHUAN LEBIH BAIK TENTANG SEKS BEBAS
Ekawati
MEDIA ILMU KESEHATAN Vol 1 No 3 (2012): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta
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Background: Adolescence is a period of transition characterized by a change in the physic, emotion, and psychology. In adolescence there is an important development, namely cognitive, emotional, social and sexual development quickly. Sexual changes are conditions necessary to watch out for risk of adverse behavior that is sex-free. The risk of free-sex is less known by many adolescents. Lack of knowledge is caused by various factors such as customs, culture, religion and lack of information from the right source. Objective: This study investigated the differences in the level of knowledge about sex between adolescent boys and girls in class XI of SMA Muhammadiyah I of Magelang. Methods: This was a quantitative study with survey and analytic methods and a cross-sectional approach. Sample collection technique in this study was total sampling for male and female students of class XI of SMA Muhammadiyah I, Magelang. Data were taken by using questionnaires. Data analysis used univariable and bivariable analysis. Results: Most of the adolescent boys (77%) and girls (98.4%) had good knowledge about free-sex. Correlation of the level of knowledge about sex between adolescent boys and girls proved significant, with p = 0.03. Conclusion: Knowledge of adolescent girls about free-sex was better than that of adolescent boys. Adolescent boys are expected to put more effort in getting information about free-sex properly from a reliable source. Keywords: Knowledge, adolescent, free-sex
MENGGAMBAR DAN MEWARNAI MENURUNKAN TINGKAT KECEMASAN ANAK YANG DIRAWAT
Widiyono;
Atik Badi’ah
MEDIA ILMU KESEHATAN Vol 1 No 3 (2012): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta
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Background : Hospitalization is a process due to an arranged or emergency reason where children should stay at hospital, get therapy, and care until they may go home. During the process, children can have traumatic experience and heavy anxiety. The reaction of anxiety due to hospitalization are : crying, fear, agressive, often ask, lost control, confuse, reject to eat and reject on invasive procedure. Execution of nursing treatment to child cannot be quit of giving playing therapy as effort to decrease anxiety, increase co-operative behavior to child and as stimulasi for growth and development of child during experiencing treatment in hospital. One of the recommended interventions is play therapy use drawing and coloring. Objective : The objective of the study was to get illustration influence of play therapy use drawing and coloring to anxiety level for pre school age at Pediatric Ward Ar Rahman in general hospital PKU Muhammadiyah Bantul. Method : The study was a pre experiment using one group pre-post test study design. A total 30 respondents were selected by means of purposive sampling. Data were collected using anxiety observation guidance before and after play therapy and analysed with wilcoxon signed rank test with α=0.05. Results: Results of analysis with wilcoxon signed ranks test is significant level < α=0,05. Indicating that there was significant influence of play therapy use drawing and coloring on anxiety level for pre school age at pediatric ward Ar Rahman in general hospital PKU Muhammadiyah Bantul. Conclution : There was influence of play therapy use drawing and coloring to anxiety level in pre school age at Pediatric Ward Ar Rahman in general hospital PKU Muhammadiyah Bantul. Keywords : Play therapy, anxiety, pre school age
PERAN SUAMI MENURUNKAN KECEMASAN SAAT PROSES PERSALINAN
Elvika Fit Ari Shanti
MEDIA ILMU KESEHATAN Vol 1 No 3 (2012): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta
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Background: Labor or childbirth is a very tough fight for a mother; the mother in this process does not escape from fear. Fear is usually caused by the lack of emotional support, especially from the husband. Most mothers who deliver babies rarely accompanied by their husband are more depressed after childbirth. Husband's presence during childbirth makes a shorter delivery time, so the pain is also reduced, and the birth canal laceration is also rarer because the birth canal is more elastic. However, until present, husbands have not been able to show their full support for deliveries where 68% of births are not accompanied by husbands. Suami SIAGA (ALERT Husband) program implementation has not been carried out and has not become routine antenatal care program. This can affect the psychology of the mother. Objective: To determine the effect of husband support quality on the anxiety experienced by mothers in labor at BPS (privately practicing midwife) Endang Purwaningsih of Bantul in Yogyakarta. Methods: This was a quasi experimental study with one group pretest-posttest design without control. The sample size was 30 that had been adapted to the criteria, ie labor accompanied by the husband, the active phase of the first stage of labor, singleton pregnancy, and parity 1-3. Sampling technique used Accidential Sampling. Data were collected by using observation sheets and check lists. Analysis of the data used parametric technique ie normality test using Kolmogorov Smirnov and inferential analysis with paired t-test. Results: The results of the husband support quality assessment showed that the average of husband support was good. The measurement result of maternal anxiety levels was known that pretest and posttest values showed the same condition that most of the mothers in labor had severe levels of anxiety (pretest by 60% and posttest by 53.3%). However, the percentage in the level of anxiety ie panic declined, from 6.6% to 3.3%. The data were normally distributed and paired t-test analysis obtained p value = 0.04 (p <0.05). Conclusion: The higher level of husband support quality led to the lower level of anxiety experienced by mothers in childbirth. Husband is expected to provide emotional support and pay attention to the wife during labor. Keywords: Support quality, anxiety, childbirth
TAPAS ACUPRESSURE TECHNIQUE (TAT) INTERVENSI TEPAT UNTUK MENURUNKAN KECEMASAN PADA PASIEN PREOPERASI.
Lalu Rodi Sanjaya;
Sulistyaningsih
MEDIA ILMU KESEHATAN Vol 1 No 3 (2012): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta
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Background: One of preventive actions performed on patients in hospital is to prevent the occurrence of anxiety. The trigger of the anxiety is often experienced by patients due to surgery procedure. Patients who could not adjust to their anxiety often have difficulty in pre operations, such as sleep disorders, somatic complaints, digestive disorders, urinary disorders, increased blood pressure, and so forth. Anxiety experienced by patients need to be treated with drugs or with alternative therapies, complementary therapies and energy therapies. Tapas Acupressure Technique (TAT) is one of Psychological Energy Therapy (EP) which can be used to balance, restore, and enhance the function of the patient's body by stimulating the energy system in the patient's body. Objective: To determine the effect of TAT on the level of preoperative anxiety in patients in Wates Hospital in Kulon Progo of Yogyakarta. Methods: This was a Quasi-Experimental study with a design of pre test and post test nonequivalen control group. The population in this study was all pre-surgery patients. Samples were taken using accidental sampling technique amounted to 32 (16 intervention and 16 control) in accordance with the criteria. The instrument to measure anxiety was Hamilton Anxiety Rating Scale (HARS). The results were analyzed by two methods, seeing the impact of the intervention on anxiety with Wilcoxon test and comparing the anxiety levels between groups (intervention and control) using Mann Whitney test. Results: A decrease in anxiety levels occurred after TAT intervention was given (pre-test moderate anxiety by 62% and post-test mild anxiety by 69%). Wilcoxon Signed Rank test results in the intervention group obtained p-value of 0.314. The results of post-test anxiety levels with Mann Whitney in the control and intervention group obtained p-value of 0.037. Conclusions: TAT interventions undertaken could reduce the level of patient preoperative anxiety. In providing a good and comprehensive service to patients who will be undergoing surgery, there is a need to give complementary therapies such as energy psychology therapy like TAT. Keywords: Pre-operative patients, anxiety, Tapas Acupressure Technique (TAT)
ONSET LAKTASI TERLAMBAT SERING TERJADI PADA PRIMIPARA
Rr. Fitriyana Kesumaningsih;
Ida Nursanti
MEDIA ILMU KESEHATAN Vol 1 No 3 (2012): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta
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Background: WHO and UNICEF recommend giving breast milk (ASI) exclusively for 6 months. In 2009, in Indonesia, the coverage of infants who were exclusively breastfed for 6 months was only 34.3%. In Yogyakarta Province, according to the Provincial Health Office of Yogyakarta, the coverage of exclusive breastfeeding in 2010 amounted to 40.57%, whereas the MOH target of achieving exclusive breastfeeding for 6 months was by 80%. There are several factors which hamper exclusive breastfeeding, one of which is the onset of lactation. Delayed onset of lactation can result in inhibition of milk expenditures. Results of research reveal more primiparous mothers delayed onset of lactation than multiparous. Stress during labor and after childbirth can increase levels of cortisol hormone. An increase in cortisol hormone causes decreased levels of oxytocin hormone, which results in the delay of onset of lactation. Objective: To determine the effect of parity on lactation onset in postpartum mothers. Methods: This was an observational study with a prospective cohort design. Research subjects in this study were postpartum mothers. Observations made on the respondents until 72 hours of postpartum period. Analysis of the data in this study used univariable and bivariable analysis. Statistical test used was chi-square with significance level of p <0.05. Results: The results of analysis showed that delayed onset of lactation occurred in 19 postpartum mothers (44%) and 79% were primiparous. Statistical tests with chi-square obtained p-value of 0.00 with a contingency coefficient of 0.35 and Relative Risk of 5.4. Conclusion: Primiparous mothers had a risk of delayed onset of lactation 5.4 times higher than multiparous mothers. Health workers are expected to conduct health education about breastfeeding in postpartum mothers particularly those at risk of delayed onset of lactation (primiparous mothers) Keywords: Onset of lactation, parity, postpartum.
PERSEPSI KELUARGA PELAKU BUNUH DIRI TENTANG STIGMA SOSIAL DI GUNUNGKIDUL
Mayantoni Sungkana;
Sutejo
MEDIA ILMU KESEHATAN Vol 1 No 3 (2012): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta
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Background: Factors associated with suicidal behavior are the inability to communicate one’s needs and feelings. Public perception of suicide is influenced by culture. The stigma of society will affect families committing suicide. Social stigma often leads to exclusion of a person or group as a result of a lack of social support from those around the person. The area with the highest rates of suicide in Indonesia is Gunungkidul District, noted that in 2011 there were 30 suicidal cases. Objective: To determine the perception of the suicide victim's family about the social stigma in Gunungkidul District. Methods: This was a qualitative study, with a descriptive exploratory case study design. Data collection was with in-depth interviews conducted at 3 informants. The criteria to become informants were as follows: the closest person and living at home with the suicide, at least 18 years of age, sound mind and not mentally ill, and able to communicate orally. Data validation was by triangulation to relatives, close neighbors and village heads. Results: The qualitative result showed that the family of the suicide received the judgment given by the society. Family made suicide on family members as a means for self introspection. Society was consciously trying to keep the family feeling of committing suicide and providing support for the family from the tragedy experienced. Conclusion: The family of the suicide did not feel the negative stigma from society. There is a need of early identification of mental health problems in the family or society and preventive efforts to provide health education to the society. Keywords: Social stigma, family, suicide