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<![CDATA[HUBUNGAN KUALITAS PELAYANAN DENGAN KEPUASAN PASIEN BPJS DI INSTALASI RAWAT JALAN RSUD LABUANG BAJI MAKASSAR TAHUN 2019 ]]>
<![CDATA[Andi Rizky Amaliah]]>
<![CDATA[ Jurnal Delima Harapan Vol 8 No 1 (2021) ]]>
Publisher : <![CDATA[AKADEMI KEBIDANAN HARAPAN MULYA PONOROGO ]]>
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DOI: 10.31935/delima.v8i1.105
<![CDATA[Patient satisfaction is a function of the patient's assessment of the health services provided by the hospital in the hope that before the patient receives health services from the hospital as a provider, the patient will feel satisfied if the quality of hospital services is higher or at least the same as what the patient expects. This study aims to determine the relationship between physical evidence, reliability, responsiveness, assurance and empathy with BPJS patient satisfaction. The results showed that the quality of service physical evidence (Tangibles) p (0.76)> 0.05 which means there is no relationship, reliability (reliability) p (0.01) <0.05 which means there is a relationship, responsiveness (responsiveness). ) p (0.03) <0.05, which means there is a relationship, assurance p (0.00) <0.05 which means there is a relationship, empathy (empathy) p (1.00)> 0.05 which means no relationship. The conclusion in this study is that there is no relationship between physical evidence service quality and empathy with patient satisfaction, and there is a significant relationship between service quality reliability, responsiveness, and assurance with BPJS patient satisfaction. It is suggested to the hospital to further improve service quality, reliability, responsiveness, and assurance in order to increase BPJS patient satisfaction.]]>
<![CDATA[STUDI FENOMENOLOGI : DUKUNGAN TERHADAP KEPATUHAN MINUM OBAT PADA PENDERITA TUBERCULOSIS DENGAN MULTIDRUG-RESISTANT ]]>
<![CDATA[Murwanti Murwanti]]>
<![CDATA[ Jurnal Delima Harapan Vol 8 No 1 (2021) ]]>
Publisher : <![CDATA[AKADEMI KEBIDANAN HARAPAN MULYA PONOROGO ]]>
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DOI: 10.31935/delima.v8i1.106
<![CDATA[Background: Tuberculosis is an infectious disease if the patient does not complete therapeutic treatment can cause multidrug-resistant tuberculosis (MDR-TB). The role of the environment is needed to support treatment.The study aims to explore more deeply the family's support for medication adherence in patients with multidrug-resistant tuberculosis (TBC-MDR). Method: This type of research is qualitative using a descriptive phenomenological approach, in-depth interviews of 5 participants based on purposive sampling technique. Results: The results of the study found the role of the family towards TB-MDR patients manifested in emotional, physical, instrumental, and spiritual support. emotional support consists of positive and negative emotional. Community involvement after counseling was supportive but there were some who could not accept even families of MDR-TB sufferers were also shunned. The role of health services is to convey information, prepare medicines, supervise, motivate treatment, remind check schedules, refer to more complete facilities when needed, visit homes and ensure patients take medication if unable to come to the public health service. Conclusion: This study found 3 main themes, namely the role of comprehensive family, community involvement and the role of health services in mentoring TB-MDR patients.]]>
<![CDATA[PERUBAHAN SIKAP AKSEPTOR SEBELUM DAN SESUDAH KONSELING TENTANG PEMERIKSAAN ULANG PASCA PEMASANGAN IUD ]]>
<![CDATA[Eny Pemilu Kusparlina]]>
<![CDATA[ Jurnal Delima Harapan Vol 8 No 1 (2021) ]]>
Publisher : <![CDATA[AKADEMI KEBIDANAN HARAPAN MULYA PONOROGO ]]>
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DOI: 10.31935/delima.v8i1.107
<![CDATA[The results BKKBN Center (2018) found that the acceptor inspection afterinstallation of the IUD and some of them do not exercise control on the groundsthere was no suggestion from the officer, did not know and no complaints. Thereason is because the officer did not provide full counseling about the IUD andside effects that may arise after the installation, or due to lack of staff knowledgeabout these devices that cause they do not provide complete and correctinformation. One way to handle it is by counseling. Counseling is an attempt to help resolve conflicts, obstacles and difficulties in meeting our needs, as well as efforts to improve mental health. The purpose of this study was to identify changes in attitude acceptors before and aftercounseling on post-installation re -examination of the IUD. The design of this study was a one group pre test – post test, the population of IUD acceptors in the working area Banjarejo Health Center Madiun City some 54 people with a sample ofsome 47 people. The number of samples that do not meet the criteria of thesample as many as 7 people, so the number of samples that meet the criteria of the sample as many as 40 people. Data were collected with questionnairs measuringinstruments covered by using Likert scale before and after counseling. Results of research prior to counseling 18 acceptors (45%) had a positive attitudeand 22 acceptors (55%) having a negative attitude. After counseling obtained 25acceptors (62,5%) ang 15 acceptors (37,5%) having a negative attitude. Statistical test Wilcoxon Match Pairs Test = 5,513. Because the count Z > Z table(5,513>1,96), so that Ho refused. This means that there is a change in attitudeacceptors before and after counseling on post-installation re -examination of theIUD. Therefore, counseling should be done continuously to increase thepercentage of acceptors who perform post-installation re- visit the IUD.]]>
<![CDATA[PENGARUH PENDIDIKAN KESEHATAN REPRODUKSI TERHADAP PENGETAHUAN SEKS BEBAS REMAJA DI BPRSW YOGYAKARTA ]]>
<![CDATA[Chanif Kurnia Sari]]>;
<![CDATA[Iis Dahlia]]>
<![CDATA[ Jurnal Delima Harapan Vol 8 No 1 (2021) ]]>
Publisher : <![CDATA[AKADEMI KEBIDANAN HARAPAN MULYA PONOROGO ]]>
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DOI: 10.31935/delima.v8i1.108
<![CDATA[Free sex is sexual behavior by individuals before marriage which is common in adolescence. As a result of changes in adolescent sexual attitudes and behavior will increase adolescent sexual problems. The consequences that can occur from free sex are unprotected sexuality, venereal disease, mortality of young mothers and their babies, abortion and unwanted pregnancy. The incidence of childbirth as many as 219 occurred in Sleman in 2017 and there were 47 marriage dispensation agreements in 2018. Factors of knowledge about reproductive health are important factors that must be possessed by adolescents to prevent the occurrence of free sex. This study aims to determine the effect of reproductive health education on adolescent free sex knowledge. This study uses a type of pre experiment design with a one-group pretest-posttest design. The population in this study were teenagers in BPRSW as many as 30 people, with sampling using total sampling. Data collection techniques using the method of observation and questionnaires. Test validity in this study using product moment correlation and declared valid with the value of r count <r table (0.05). Reliability test using Cronbach's alpha obtained Cronbach's alpha value of 0.745 so it was declared reliable. Data analysis uses univariate and bivariate analysis. Bivariate analysis using paired T-test. The results of the study indicate that reproductive health education influences adolescent knowledge in BPRSW Yogyakarta, with a value of p = (0.048) <α (0.05). As many as 24 (80.0%) of respondents had good category knowledge after being given health education about free sex.]]>
<![CDATA[ANALISIS POSITIVE DEVIANCE: POLA MAKAN YANG MEMPENGARUHI KEJADIAN ANEMIA PADA IBU HAMIL DI KOTA YOGYAKARTA ]]>
<![CDATA[Ika Mustika Dewi]]>;
<![CDATA[Prastiwi Putri Basuki]]>;
<![CDATA[Siti Uswatun Chasanah]]>;
<![CDATA[Andri Purwandari]]>
<![CDATA[ Jurnal Delima Harapan Vol 8 No 1 (2021) ]]>
Publisher : <![CDATA[AKADEMI KEBIDANAN HARAPAN MULYA PONOROGO ]]>
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DOI: 10.31935/delima.v8i1.112
<![CDATA[Introduction: Anemia is a public health problem associated with an increased of morbidity and mortality. Poor eating habits during pregnancy will cause the body's need for nutrients both micro and macro is not met, so will result in malnutrition and anemia. Methods: It was observational study using a cross sectional design. Sampling was done by purposive sampling methods. This dietary data accumulation was done by using Food Frequency Questionnaire. In-depth interviews was used to explore positive eating habit in pregnant women that are not anemic. Hemoglobin was detected by using HemoCue analyzer. Statistical analysis of data was used the Chi Square test. Results: The results show that 88.2% of the pregnant women are not anemic, 64.5% of pregnant women often consume enhancers, and 57.9% of pregnant women rarely consume inhibitors. There was no correlation between consumption of enhancer with anemia (p = 0.478). There was no correlation between consumption of inhibitors with anemia (p = 1,000). Positive eating habits of pregnant women who are not anemic is often consume foods high in vitamin C and animal protein. Conclusion: There was no correlation between consumption of enhancher and inhibitor with anemia incidence among pregnant women Recomendation: Improved health promotion of positive eating habit to prevent anemia in pregnant women]]>
<![CDATA[STUDI DESKRIPTIF TINGKAT PENGETAHUAN KADER PASCA PELATIHAN PEMBERIAN MAKAN BAYI DAN ANAK (PMBA) DI KECAMATAN KALASAN KABUPATEN SLEMAN ]]>
<![CDATA[Ajeng Ersyam Putri]]>;
<![CDATA[Prastiwi Putri Basuki]]>;
<![CDATA[Yuli Ernawati]]>
<![CDATA[ Jurnal Delima Harapan Vol 8 No 1 (2021) ]]>
Publisher : <![CDATA[AKADEMI KEBIDANAN HARAPAN MULYA PONOROGO ]]>
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DOI: 10.31935/delima.v8i1.113
<![CDATA[Background: One of the efforts to improve community nutrition is through PMBA training for cadres. In the implementation, training has been carried out in several generations in the Kalasan sub-district, but there is no evaluation data on the level of knowledge about Infant and Young Child Feeding (IYCF) to cadres. Objective: To know the description of cadres' knowledge level on the Infant and Young Child Feeding in Kalasan District. Method: This study used a quantitative descriptive method. The sampling technique used was purposive sampling by involving 52 Posyandu cadres in Kalasan District. Results: The results showed that 33 people (63.5%) are in the good category, 18 people (34.6%) are in the moderate category and 1 person (1.9%) is in the poor category. Most of the cadres who already knew the definition of IMD is 51 (98.1%) people but had a lack of understanding about the implementation of IMD at surgical birth (36.5%), a sign of good attachment during breastfeeding (17.3%), and about snacks in infants 6-9 months (44.2%). Conclusion: The distribution results on the knowledge levels of infant and child feeding are mostly good, especially in understanding the definition of IMD, although there is a lack of knowledge on understanding the implementation of IMD in operative births, about signs of attachment during breastfeeding, and about complementary foods.]]>
<![CDATA[THE IMPACT OF MEDIA PROMOTION IN PUBLIC HEALTH TOWARDS SOCIETY’S STIGMA ON HIV/AIDS SURVIVORS AT KRAJAN SUB – VILLAGE, BANJARSARI WETAN VILLAGE, DAGANGAN DISTRICT, MADIUN REGENCY ]]>
<![CDATA[Muhammad Anwarul 'Izzat]]>;
<![CDATA[Riska Ratnawati]]>;
<![CDATA[Avicena Sakufa Marsanti]]>
<![CDATA[ Jurnal Delima Harapan Vol 8 No 1 (2021) ]]>
Publisher : <![CDATA[AKADEMI KEBIDANAN HARAPAN MULYA PONOROGO ]]>
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DOI: 10.31935/delima.v8i1.115
<![CDATA[The 2018 national prevalence of HIV/AIDSwas 301.959 cases. The 2016 East Java had an HIV/AIDS prevalence was 6.315 cases,the prevalence of HIV/AIDS in Madiun of 2002-2009 amounted to 343 cases. The prevalence in Dagangan was 46 cases. The HIV/AIDS cases in Dagangan was small, but peoples stigma on HIV/AIDS fall in high category, one in the BanjarsariWetan village. Therefore, the purpose of this studied to identify the impact of Public Health Promotion had on peoples stigma in HIV/AIDS sufferers. The kind of this research used experimental methods of epidemiology, and used pre-experimental design (one group pretest and posttest design). The population of this studied about 1,326 people and the numbers of samples were 171 respondents. The results of pre-test and post -test studies, means 96 respondents have dropped the stigma on HIV/AIDS sufferers from pre test to posttest scores. The result of the ties' value was 59, so there is a similar value between the pre test and the post test for those who develop the stigma on HIV/AIDS. Based on wilcoxon's test analysis, the value of p=0,000 can be concluded that a significant impact can be noted between the stigma on society's intervention and the promotion of health care for those with HIV/AIDS in pre-test and post-test values. Increased tools and information infrastructure to increase public knowledge about HIV/AIDS are urgently needed.]]>
<![CDATA[THE IMPLEMENTATION OF GIVING AROMATERAPY LEMONS AND GINGER DRINKS TO REDUCE EMESIS GRAVIDARUM ON PREGNANT WOMEN TRIMESTER I IN BPM YUSIDAH EDWARD PALEMBANG IN 2018 ]]>
<![CDATA[Rosmiarti Asmar]]>;
<![CDATA[Aminah Maya]]>;
<![CDATA[Cica Novitasari]]>
<![CDATA[ Jurnal Delima Harapan Vol 8 No 1 (2021) ]]>
Publisher : <![CDATA[AKADEMI KEBIDANAN HARAPAN MULYA PONOROGO ]]>
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DOI: 10.31935/delima.v8i1.116
<![CDATA[Many pregnant women experience emesis gravidarum in the first trimester. Nausea vomiting can be treated with pharmacological and non-pharmacological treatments, one of which is aromatherapy lemon which has an effect on the inhaler, such as calmness and freshness of the body so that it can reduce nausea and vomiting. In addition, ginger drinks also include non-pharmacological drugs, ginger has a fragrant aroma that can refresh the body ,and the oloresin can warm the body so that it can reduce nausea vomiting. The aim of this study is to find out the application of lemon aromatherapy and ginger drinks to reduce emesis gravidarum in pregnant women and to find out the frequency distribution before and after the application of aromatherpy lemon and ginger drinks to reduce emesis gravidarum trimester I. The method of this study was a one group pre-post-test pre-experiment research and used the Wilcooxon test statistic test. This study obtained interviews through direct observation sheets. The results of administration were given to 15 respondents of lemon aromatherapy and 15 respondents of ginger drinks done twice a day for 3 to 7 days. The amount of nausea and vomiting was taken through average value before and after administration of lemon aromatherapy and ginger drinks. The conclusion of this study is that Aromatherapy lemon and ginger drinks were proven to reduce emesis gravidarum in first trimester pregnant women in Yusidah Edward Palembang BPM in 2018. Hopefully there are some researches that related to other kinds of aromatherapy that useful for pregnancy]]>
<![CDATA[THE EFFECT OF GIVING DATE FRUIT AT THE END OF PREGNANCY TOWARDS CERVICAL RIPENING ]]>
<![CDATA[Rezah Andriani]]>
<![CDATA[ Jurnal Delima Harapan Vol 8 No 1 (2021) ]]>
Publisher : <![CDATA[AKADEMI KEBIDANAN HARAPAN MULYA PONOROGO ]]>
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DOI: 10.31935/delima.v8i1.118
<![CDATA[One of the nonpharmacological therapies to trigger the performance of the oxytocin hormone for cervical ripening and acceleration of first stage labor is consuming fresh dates. Dates contain the oxytocin which can help stimulate contractions in the uterine muscles. Dates (Phoenix Dactylifera) contain carbohydrate can be directly absorbed by the body. Dates can be useful for labor, by consuming dates 60-70 grams per day at 4 weeks before giving birth to pregnant women it will be useful for cervical ripening and acceleration of first stage labor. The purpose of this study was to determine the effect of giving dates at the end of pregnancy on cervical ripening in pregnant women at PMB Ellna and Zuniawati in 2020. This study used a quantitative approach, the method was a quasi-experimental type of posttest control group design. The result the mean bishop score in the treatment group (11.1) was higher than control group (8.6). The mean duration of the first stage labor in the treatment group(231.1 minutes) was faster than control group (297.8 minutes). Statistically there was a significant difference in the bishop score and the duration of the first stage labor between the treatment group and the control group p <0.05.]]>
<![CDATA[The effectiveness of postpartum exercise to increase the quality of life score of postpartum mothers. ]]>
<![CDATA[Inge Anggi Anggarini]]>
<![CDATA[ Jurnal Delima Harapan Vol 8 No 1 (2021) ]]>
Publisher : <![CDATA[AKADEMI KEBIDANAN HARAPAN MULYA PONOROGO ]]>
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DOI: 10.31935/delima.v8i1.119
<![CDATA[Pregnancy, childbirth and postpartum are dramatic episodes of the biological conditions, psychological changes and adaptations of a woman who has experienced them. Complex physical and emotional changes make a mother-to-be need adaptation to lifestyle adjustments related to pregnancy, childbirth and the postpartum period. The adjustment process may work but some may not work so that the mother-to-be can experience psychological disorders with various symptoms or syndromes. There are several efforts that can be made to improve the quality of life for postpartum mothers, including postpartum exercise. The aims: to analyze the effectiveness of postpartum exercise to increase the quality of life score of postpartum mothers. The Method: This study was a quasi-experimental study with a pre-posttest control group design. Sampling taken by consecutive sampling. Results: The results showed that there were significant mean differences in the quality of life scores between the treatment group and the control group (p <0.05). Conclusion: The results of this study are expected to make a positive contribution to the science of midwifery as a non-pharmacological effort to improve the quality of life for postpartum mothers and to support government efforts to reduce maternal mortality and morbidity.]]>
