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<![CDATA[PERAN SUAMI MENURUNKAN KECEMASAN SAAT PROSES PERSALINAN ]]>
<![CDATA[Ari Shanti, Elvika Fit]]>
<![CDATA[ MEDIA ILMU KESEHATAN Vol 1 No 3 (2012): Media Ilmu Kesehatan ]]>
Publisher : <![CDATA[Universitas Jenderal Achmad Yani Yogyakarta ]]>
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<![CDATA[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]]>
<![CDATA[TAPAS ACUPRESSURE TECHNIQUE (TAT) INTERVENSI TEPAT UNTUK MENURUNKAN KECEMASAN PADA PASIEN PREOPERASI. ]]>
<![CDATA[Rodi Sanjaya, Lalu]]>;
<![CDATA[Sulistyaningsih]]>
<![CDATA[ MEDIA ILMU KESEHATAN Vol 1 No 3 (2012): Media Ilmu Kesehatan ]]>
Publisher : <![CDATA[Universitas Jenderal Achmad Yani Yogyakarta ]]>
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<![CDATA[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)]]>
<![CDATA[ONSET LAKTASI TERLAMBAT SERING TERJADI PADA PRIMIPARA ]]>
<![CDATA[Kesumaningsih, Rr. Fitriyana]]>;
<![CDATA[Nursanti, Ida]]>
<![CDATA[ MEDIA ILMU KESEHATAN Vol 1 No 3 (2012): Media Ilmu Kesehatan ]]>
Publisher : <![CDATA[Universitas Jenderal Achmad Yani Yogyakarta ]]>
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<![CDATA[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.]]>
<![CDATA[PERSEPSI KELUARGA PELAKU BUNUH DIRI TENTANG STIGMA SOSIAL DI GUNUNGKIDUL ]]>
<![CDATA[Sungkana, Mayantoni]]>;
<![CDATA[Sutejo]]>
<![CDATA[ MEDIA ILMU KESEHATAN Vol 1 No 3 (2012): Media Ilmu Kesehatan ]]>
Publisher : <![CDATA[Universitas Jenderal Achmad Yani Yogyakarta ]]>
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<![CDATA[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]]>
<![CDATA[SENAM EFEKTIF MENURUNKAN KADAR GULA DARAH PASIEN DM TIPE 2 ]]>
<![CDATA[Ekawati, Jati]]>;
<![CDATA[Mahfud, Aris]]>
<![CDATA[ Jurnal Media Ilmu Kesehatan Vol 2 No 1 (2013): Media Ilmu Kesehatan ]]>
Publisher : <![CDATA[Universitas Jenderal Achmad Yani Yogyakarta ]]>
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<![CDATA[Background: Diabetes is one of the major threats to human health in the 21st century. Indonesia's own country with diabetes mellitus was ranked the world's fourth largest with 8.6% of the total prevalence of diabetes sufferers after India, China, and the United States. Factors that influence diabetes include; 1) age, 2) Obesity, 3) Family History, and 4) ethnic group. There are four pillars of prevention in Indonesia which is applied to the diabetes to control blood sugar levels, namely: 1) diet, 2) Physical Exercise, 3) medications, and 4) Health Education. Objective: To determine the effect of physical exercises Gymnastic DM administration and Gymnastic Senior to decrease blood sugar levels in patients with type 2 diabetes. Method: This study is a quantitative study with this type of study without a comparison group quasy experiments. The design of the study is a pretest-posttest one group design. Number of samples used were 41 respondents from the participants calisthenics DM in the psychiatric hospital. Prof. dr. Soerojo Magelang. Analysis of the data used is the analysis bivariabel univariabel and analysis using statistical models Paired sample t-tests with significance level ? = 0.05. Result: There was a decrease in blood sugar levels after exercise DM for 3 times a week for 2 weeks, an average of 64.780 mg/dl. T count value obtained at 13.624 with a p-value 0.000 <0.05, means that there are significant differences in blood sugar levels before and after doing gymnastic DM and Gymnastic Senior. Conclusion: The provision of physical training exercises conducted by DM DM participants calisthenics in Prof. RSJ. Dr. Soerojo Magelang for 3 times a week for 2 weeks can lower blood sugar levels in patients with type 2 diabetes mellitus. Keywords: Physical exercise, gymnastics, blood sugar levels. ]]>
<![CDATA[PENYEMBUHAN LUKA JAHITAN PERINEUM TEHNIK JELUJUR SUB KUTIKULER LEBIH CEPAT DIBANDING TEHNIK TERPUTUS SEDERHANA ]]>
<![CDATA[Rahayu, Dewi]]>;
<![CDATA[Setya Arum, Dyah Noviawati]]>
<![CDATA[ Jurnal Media Ilmu Kesehatan Vol 2 No 1 (2013): Media Ilmu Kesehatan ]]>
Publisher : <![CDATA[Universitas Jenderal Achmad Yani Yogyakarta ]]>
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<![CDATA[Background: Simple cut-off stitching technique was techniques used in perineum stitching wound management. With this technique 65% mom with perineum stitching wound was healed on the fifth day of post partum, 35% of its was healed on the tenth day of post partum. According to the data in Health Department of Riau Islands Province, the cause of maternal deaths in Riau Islands Province18% were caused by infections and 68% of them werecaused by perineum wound healing complications. One way to avoid the perineum wound healing complications was with sub kutikuler baste stitching technique that can accelerate the process of wound healing. Objective: To know the difference of perineum stitching wound healing time between simple cut-off stitching technique with sub kutikuler baste on post partum moms in Riau Islands Province Public Hospital 2012. Method: Experiments with post test time series with one control group design. The population in this study was all post partum moms in Riau Islands Province Public Hospital 2012. Samples taken with simple random sampling technique with consecutive sampling and set inclusion and exclusion criterias as much as 27 intervention group subjects and 27 control group subjects. The variable in this study was sub kutikuler baste stitching technique tailoring techniques and perineum stitching wound healing time. Data was analyzed using Mann Whitney Test. Result: The average of perineum stitching wound healing time differenceswith sub kutikuler baste stitching technique and simple cut-off was 2,2963 days. The statistical test results with Mann Whitney Test obtained p value 0,0000, where p < 0.05. Conclusion: There was time difference of perineum stitches wound healing time between simple cut-off stitching techniques and sub kutikuler baste on post partum moms in Riau Islands Province Public Hospital 2012 Keywords: Subkutikuler baste, perineum stitches wound healing time.]]>
<![CDATA[PENGISIAN PARTOGRAF DI BIDAN PRAKTIK SWASTA ]]>
<![CDATA[Kartini, Farida]]>
<![CDATA[ Jurnal Media Ilmu Kesehatan Vol 2 No 1 (2013): Media Ilmu Kesehatan ]]>
Publisher : <![CDATA[Universitas Jenderal Achmad Yani Yogyakarta ]]>
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<![CDATA[Background: Partograf is used to monitor the progress of labor. By using patograf can assess the state of mother and the baby, so when there is an abnormal condition, then midwife could take the right actions and clinical decisions immediately. Objectives: To investigate the utilization of partograf by midwives private practice. Methods: The research was a qualitative research with phenomenology approach. These were five informant who got involve in this study. All of them are midwives who conduct their own private practice in Yogyakarta. Sampling technique used in this study was purposive sampling. Data collection used was through indepth interview. Results: Perception of midwives on partograf, time needed to fill partograf and reason of midwives for not always using partograf are the 3 themes found in this study. This study also identified the completeness and the accuracy of partograf filling. Conclusion: In Yogyakarta, not all midwives using partograf in an orderly manner. There should be a maintainance program regarding the utilization of partograf for midwives private practice in Yogyakarta. Keywords: Partograf, labor, midwives private practice]]>
<![CDATA[BERAT LAHIR BAYI TERGANTUNG STATUS GIZI IBU HAMIL ]]>
<![CDATA[Yase Sanjaya, I Made]]>;
<![CDATA[Sumiyarini, Retno]]>
<![CDATA[ Jurnal Media Ilmu Kesehatan Vol 2 No 1 (2013): Media Ilmu Kesehatan ]]>
Publisher : <![CDATA[Universitas Jenderal Achmad Yani Yogyakarta ]]>
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<![CDATA[Background : Intrauterine fetal growth is influenced by maternal nutritional status during pregnancy. Nutritional needs during pregnancy will increase by 25% compared to the normal needs of women. Increase of nutrition needed is required for the growth of the womb, breast, blood volume, placenta, amniotic fluid and fetal growth. LBW is one of the mirrors a country's national health and is a serious problem, because it affects the high rates of infant morbidity and mortality as well as the quality of future generations. Therefore, we do the studies about the effect of nutritional status of pregnant women to the incidence of LBW. Objective : Knowledgeable influence the nutritional status of mothers during pregnancy on the incidence of LBW Methods : The study design used in this study is a survey of analytical, case-control study design. The number of samples used were 54 respondents from RSUD Wates. Analysis of the data used is the analysis of univariate and bivariate analysis using Chi-square and look for the Odds Ratio (OR) with a significance level of 0.05. Result: Mothers who give birth babies with low birth weight is dominated by the mother during pregnancy suffer from chronic energy deficiency (55.56%), whereas mothers who gave birth babies with suffient birth weight tend not to suffer from chronic energy deficiency during pregnancy or NON CED (74%). There is a significant relationship and influence between the nutritional status of pregnant women with the incidence of LBW in RSUD Wates (p-value = 0.027, OR = 3.571, CI = 95%). Conclusion: Nutritional status of mothers during pregnancy has a significant relationship with the incidence of low birth weight, and mothers who suffer from chronic energy deficiency during pregnancy has 3.571 times greater risk for low birth weight babies compared with mothers who NON CED. Keywords : Nutritional status of pregnant women, CED, low birth weight]]>
<![CDATA[KOMPRES HANGAT UNTUK PASCA OPERASI SECTIO CAESAREAN ]]>
<![CDATA[R. R. Krowa, Yuliana]]>;
<![CDATA[Savitri, Wenny]]>
<![CDATA[ Jurnal Media Ilmu Kesehatan Vol 2 No 1 (2013): Media Ilmu Kesehatan ]]>
Publisher : <![CDATA[Universitas Jenderal Achmad Yani Yogyakarta ]]>
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<![CDATA[Background : Pain is an unpleasant emotional and sensory experience which is caused by the actual damage of body tissue. The pain experience by mother after Caesarean Section highly affects the ability of mother to take care and breast-feed the baby. It leads to dysfunctional family process. Many complementary therapies can be used to decrease patients? pain scale. One of the therapies is warm compress technique, but unfortunately the effectiveness of this technique has not been identified in Sleman District General Hospital. Objective : The study aimed to identify the effectiveness of the warm compress technique on patients? pain scale following Caesarean Section surgery. Method : A quasy-experiment with pre-test and post-test with control group design was utilized in this study. 15 participants who met inclusion criteria were recruited for each group. The Numerical Rating Scale is used to measure the pain scale, where the pain is measured before and after the intervention within 3 days. Data analysis used was Independent Sample t-test with p < 0.05. Result : The result of Independent Sample t-test between intervention group and controlled group is (t=-3.445, p = 0.002). The average of pain scale in the intervention group is 5.80 as compared to control group as much as 6.87 (scale of 1-10). Conclusion : Warm compress technique significantly can decrease patients? pain scale following Caesarean Section surgery. Therefore, the practical use of this technique for such population is necessary to be implemented as one of complementary therapies in clinical setting. Keywords: Warm compress technique, pain, complementary therapy.]]>
<![CDATA[FUNGSI KELUARGA DAN KUALITAS HIDUP LANSIA ]]>
<![CDATA[Anita, Ria]]>;
<![CDATA[Induniasih]]>
<![CDATA[ Jurnal Media Ilmu Kesehatan Vol 2 No 1 (2013): Media Ilmu Kesehatan ]]>
Publisher : <![CDATA[Universitas Jenderal Achmad Yani Yogyakarta ]]>
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<![CDATA[Background: In the year 2010 resident lansia in Indonesia reach 23,9 million or 9,77% and spark age of life become 67,4 year. Year 2020 estimate of resident lansia in Indonesia reach 28,8 million or 11,34% with the spark age of life about 71,1 year (Departmental of Health RI, 2005). Daerah Istimewa Yogyakarta (DIY) in this time there are 43.800 people lansia or almost 9% from amount of resident (Statistical Center Body of Indonesia, 2009). According to Whinney (1989) form of cycle and family function as a whole have the big influence to health of every family member especially family by lansia. Antecedent study in Orchard Geblagan show the amount lansia of counted 249 soul, counted 60 soul is men and 189 soul is woman and also most lansia still produktive. Objective: Purpose is to know the relation of between family function by the quality of life at lansia in Orchard of Geblagan Tamantirto Kasihan Bantul Yogyakarta Methods: Method in this research is analytic descriptive by using approach of cross sectional. Sample taken with the technique of cluster random sampling that is 89 lansia which have age to 60 year in Orchard Geblagan. Research instrument is kuesioner and result of research analysed with the formula of correlation of Kendall Tau. Result: Family function at lansia in Orchard of Geblagan Tamantirto Kasihan Bantul most is goodness of counted 54 people (60,7%). Quality of life lansia in Orchard of Geblagan Tamantirto Kasihan Bantul most is] counted 42 people (47,2%). Result test the correlation of Kendal Tau obtained p-value of equal to 0,000 < (0,05). Conclusion: There is relation between family function with the quality of life lansia in Orchard of Geblagan Tamantirto Kasihan Bantul Yogyakarta. Keywords: Function Family, Quality of Life Lansia]]>
