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Jurnal Delima Harapan
Published by Akademi Kebidanan Harapan Mulya Ponorogo
ISSN : 23551399     EISSN : 26203871     DOI : -
Core Subject : Health,
Medicine & Pharmacology
FOCUS This journal is focused on the development of health science, especially obstetrics in order to help reduce maternal and infant mortality SCOPE This journal covers the health disciplines especially the study of midwifery.
Arjuna Subject : -
Articles 204 Documents
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SIGNIFICANT CORRELATION BETWEEN LACK OF VITAMIN D LEVELS 25 OH IN PREGNANT WOMEN WITH LOW BIRTH WEIGHT Diah Lestari; Dwi Rahmawati; Yosanti Elsa
Jurnal Delima Harapan Vol 10 No 1 (2023): Maret
Publisher : AKADEMI KEBIDANAN HARAPAN MULYA PONOROGO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31935/delima.v10i1.208

Abstract

Pregnant women who lack in vitamin D will increase the risk of fetal growth and development, one of which is births with low birth weight (LBW). Vitamin D functions for calcium absorption up to 60% during pregnancy for fetal bone growth. This study aims to determine the correlation between vitamin D levels in pregnant women and low birth weight babies at RSAB Harapan Kita. The research method uses a cross-sectional design. The population was pregnant women who checked levels of Vitamin D (Vit D 25 (OH)) in the first trimester and third trimester with sample size of 80. The data analysis used is the Chi-Square test. Examination of vitamin D levels with the ELISA method. The results showed that the average level of vitamin D content was abnormal (Insufficient and Deficient) 73.8%, and normal vitamin D content (Sufficient) 26.2%. The mean of extremely low birth weight (ELBW) was 13.8%, very low birth weight (VLBW) was 26.2% and low birth weight (LBW) was 60.0%. There was a significant correlation between vitamin D levels in pregnant women and low birth weight (Sig = 0.025), (p < 0.05). Conclusions vitamin D intake in pregnant women is needed for fetal development to reduce the risk of low birth weight (LBW).
THE INFLUENCE OF SOCIAL SUPPORT AND NON-PHYSICAL WORK ENVIRONMENT ON NURSE ANXIETY DURING THE COVID-19 PANDEMIC IN TABANAN HOSPITAL I Nengah Wira Wijaya; Cokorda Bagus Jaya Lesmana
Jurnal Delima Harapan Vol 10 No 1 (2023): Maret
Publisher : AKADEMI KEBIDANAN HARAPAN MULYA PONOROGO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31935/delima.v10i1.212

Abstract

Anxiety in health care workers can be detrimental to health care. Support from family, loved ones, workplaces and the environment is important for nurses because people under stress need advice, solutions and care to ease their worries about the COVID-19 situation. This study aims to determine the effects of social support and non-physical work environment on the anxiety of nurses during the COVID-19 pandemic at Tabanan Hospital. This study used a cross-sectional method of observational study design. This study will be conducted at Tabanan hospital from May to June 2022 with 82 nurses selected from the entire sample. Different topics include social support and non-physical work and anxiety for nurses during the COVID-19 pandemic. Data were collected from questionnaires and analyzed using logistic regression analysis with 95% confidence intervals. RESULTS: In this study, nurses in physical workplaces were found to experience stress 21 times (OR=21.482, p-value=<0.001) compared to nurses in physical workplaces. Nurses with positive social support experienced 7 times less anxiety than nurses with positive social support (OR=6.823, p value=<0.010).The prevalence of nursing anxiety during the COVID-19 outbreak at Tabanan Hospital is 64.6%. Social support and work environment were not physical variables related to anxiety (p<0.05). The prevalence of anxiety among nurses during the COVID-19 pandemic in Tabanan Hospital is 64.6%, which is 58.5% mild anxiety, 6.1% moderate anxiety. Social support variables and non-physical work environment variables influence anxiety (p < 0.05). no less than 92.9% of nurses with good social support had no fear. no less than 89.3% of nurses with a good non-physical work environment had no fear. Nurses with a sufficiently demanding physical work environment experienced anxiety 21 times (OR = 21.482, p value = <0.001) compared to nurses with a good physical work environment. Nurses with adequate social support were less depressed and experienced anxiety 7 times (OR = 6.823, p value = <0.010) compared to nurses with good social support
CHILDREN'S BEHAVIOR IN CONSUMING SNACKS AT SDN 01 TAMAN MADIUN CITY Intan Ariani; Zaenal Abidin; Riska Ratnawati
Jurnal Delima Harapan Vol 10 No 1 (2023): Maret
Publisher : AKADEMI KEBIDANAN HARAPAN MULYA PONOROGO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31935/delima.v10i1.215

Abstract

Snack food (FAO) is food and drink served and sold by street vendors to be consumed or enjoyed directly on the street or in other public places without further processing or preparation. In this study, researchers used qualitative research and the research used in this study was a phenomenological approach that aims to understand the essence of a phenomenon in children's behavior in choosing snacks at school. The informants of this research were 10 students/I grade VI SDN 01 Taman Kota Madiun. The results of the research carried out, obtained statements that indicate there is still a lack of knowledge of informants regarding healthy snacks, the attitude of children who buy various types of snacks at school, children's pocket money above Rp. 5000-, so that children freely choose snacks at school, habits different breakfasts, as well as the role of peers who play a role in children's behavior in choosing snacks at school. The conclusion in this study about children's behavior in choosing snacks at school is that not all informants behave well when choosing snacks, most of them buy snacks because they are hungry regardless of the content in the food. From the results of this study, suggestions are given to students in order to understand which snacks are good for consumption and not to snack randomly.
THE RELATIONSHIP BETWEEN DIET AND FAMILY SUPPORT TO BLOOD SUGAR IN DIABETES MELLITUS PATIENTS IN SUMBERBERAS HEALTH CENTER Agatha Widiyawati; Puspita Puspita
Jurnal Delima Harapan Vol 10 No 1 (2023): Maret
Publisher : AKADEMI KEBIDANAN HARAPAN MULYA PONOROGO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31935/delima.v10i1.217

Abstract

Diabetes mellitus (DM) is a disease of insulin sensitivity disorders where the body is unable to produce insulin. The purpose of this study was to analyze the diet (3J namely the right amount, type and schedule) which is adherence to the DM diet and family support for sugar levels in type 2 DM patients. This research method is a cross sectional design with a population of 44 people. The sampling technique uses a sample quota.The instruments used were the 1x24 hour food recall form and the family support form.Statistical analysis using SPSS 25 with Spearmen test.The results of the study obtained a p-value > 0.005 for the amount of intake (energy, protein, carbohydrates) and type of blood sugar, while the p-value < 0.005 for the amount of intake (fat), meal schedule and family support for blood sugar levels.The conclusion of this study is that there is no relationship between the amount of intake (energy, protein, carbohydrates), there is a relationship between the amount of intake (fat), there is no relationship between types, and the more adherent to the meal schedule and good family support, the lower the blood sugar level.
FORMULATION OF BASIL (OCIMUM BASILICUM) LEAF EXTRACT AS ANTISEPTIC POWDER AND TESTS OF INHIBITORY POWER AGAINST STAPHYLOCOCCUS AUREUS Tatik Handayani; Susilowati Andari
Jurnal Delima Harapan Vol 10 No 1 (2023): Maret
Publisher : AKADEMI KEBIDANAN HARAPAN MULYA PONOROGO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31935/delima.v10i1.218

Abstract

Basil is a plant that grows wild in the yard. The citral content in this plant produces a distinctive aroma. Utilization of this plant in general is still limited to consumption as fresh vegetables or certain traditional dishes. Basil leaves contain many useful compounds for the body such as vitamins A, B, C, beta-carotene, minerals, proteins, carbohydrates, fats, flavonoids, arginine, anetol and boron. Research on the use of basil leaf extract has been shown to have an effect on reducing the number of Staphylococcus Aureus bacteria, microorganisms that are pathogenic.The metod of vresearch is Experimental method , The sampling use a pupposive sampling,This research aims to make loose powder formulations using ethanol extract of basil leaves and test them for their inhibitory effect on Staphylococcus Aureus bacteria. The formulations made in this study were tabor powder with the main content of 1%, 2% and 3% basil leaf ethanol extract which then tested the of Staphylococcus Aureus. Based on the results of the study, the three formulations above each had an inhibitory power against Staphylococcus Aureus bacteria based on the research results, the three formulations above each had an inhibitory power against Staphylococcus Aureus bacteria Based on physical testing, both formulas 1, 2 and 3 showed results that met the requirements on organoleptic examination, pH, irritation properties, degree of fineness, pouring volume test and shock test, adhesion test and moisture test during storage for 2 weeks. From the results in this study it was concluded that the formulation above met the requirements.
THE INFLUENCE OF DEEP BREATH RELAXATION TECHNIQUE ON REDUCING PAIN INTENSITY IN POST-SECTIO CAESAREA WOMEN IN RSUD DR. DARSONO, PACITAN DISTRICT Dwi Nurjayanti; Siti Nur Haliza
Jurnal Delima Harapan Vol 10 No 1 (2023): Maret
Publisher : AKADEMI KEBIDANAN HARAPAN MULYA PONOROGO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31935/delima.v10i1.219

Abstract

Post sectio caesarea (SC) pain is often a complaint for post SC mothers and often becomes an obstacle for the mobilization process and breastfeeding for newborns because mothers feel uncomfortable with the pain it causes. Medical efforts taken to reduce pain can be pharmacological and non-pharmacological. One of the non-pharmacological actions that help reduce pain is deep breathing relaxation techniques. This study aims to determine the effect of deep breathing relaxation techniques on reducing pain intensity in post SC mothers at Dr Darsono Hospital, Pacitan Regency. The research design used in this study was a pre and post test with a purposive sampling approach. This study used 2 variables, namely deep breathing relaxation technique as the independent variable and pain intensity as the dependent variable. Data from the research results will be analyzed using the Paired T-test statistic to determine the decrease in pain intensity before and after deep breathing relaxation techniques are performed. The results of the study showed that the majority of respondents experienced mild pain, 24 respondents (85.7%) and 4 respondents felt no pain (14.3%). Based on the results of the Paired T-test, it shows a significance value (p sign = 0.000) which means p sign <0.05. The conclusion of this study is that there is an effect of deep breathing relaxation techniques on reducing pain intensity in postoperative sectio caesarea mothers in the Flamboyan Room of RSUD dr. Darsono, Pacitan Regency.
DEMOCRATIC LEADERSHIP STYLE IN ORGANIZATIONS PUBLIC HEALTH CARE SERVICES Feni Sulistyawati; Ambika Kurnia Mustikawati; Ni Luh Purnama Yanti
Jurnal Delima Harapan Vol 10 No 1 (2023): Maret
Publisher : AKADEMI KEBIDANAN HARAPAN MULYA PONOROGO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31935/delima.v10i1.220

Abstract

Achieving good basic health status requires quality and affordable PHC health service organizations that are influenced by the abilities and skills of health workers. Leaders are figures who play a role in the formation of quality health workers. The majority of leaders in health care organizations apply a democratic leadership style in leading their members. This article aims to determine the effectiveness of implementing a democratic leadership style in the management of health center organizations. This study uses a literature review of nine articles that meet the initial screening criteria. The leadership styles that are often applied in PHC are laissez-faire, participative, delegative, instructional, and democratic. The democratic leadership style in decision making prioritizes deliberation but focuses less on the right decision and more on the preferred decision The application of democratic leadership style has an effect on increasing motivation, performance, employee satisfaction, optimal health service quality and providing service satisfaction to patients, but is less able to improve employee discipline and health service coverage.
ELDERLY POST STROKE PATIENTS I Gede Nova Tesa Prajawan; I Nyoman Astika; Ni Putu Ayu Krisna Yuniastuti; Baiq Riana Lahastri
Jurnal Delima Harapan Vol 10 No 1 (2023): Maret
Publisher : AKADEMI KEBIDANAN HARAPAN MULYA PONOROGO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31935/delima.v10i1.221

Abstract

Old age (elderly) is a natural process that cannot be avoided by every individual. As the economy and people's lives develop, the level of health care and increasing life expectancy make the elderly population the most important social problem in the world. The disease that often occurs in the elderly is stroke. Clinically, the physical disorders experienced by stroke patients include paralysis, namely weakness in one part of the body, difficulty moving and walking, decreased stamina, pain, numbness, very sensitive taste and loss of awareness of the position of the hand movements. This study aims to determine the general description of post-stroke elderly patients related to mobilization. This type of research is a qualitative design with a case study approach. The measuring tools used in this study are interviews, observation and documentation. The respondent's daily meals are normal, nutritional status is at risk of malnutrition, Activity Daily of Living (ADL) is totally dependent, the ADL instrument is done by other people, depression and tends to be sensitive, at risk of pressure ulcers, sleep disturbances occur during the day days, psychiatric disorders, sricardial disorders and there are symptoms of insomnia. Based on the results that have been carried out during a comprehensive assessment of the elderly after stroke, it was found that there was a morbidity/mobilization disorder. It is hoped that health workers will provide follow-up interventions in order to assist families in and improve knowledge, attitudes and skills as well as caring for elderly patients after stroke.
THE EFFECT OF GIVING EXCLUSIVE BREASTFEEDING AND MP-ASI TEMPE MORINGA OLEIFERA BISCUIT TO WEIGHT GAIN CHILDREN DIARRHEA AGE 6-24 MONTHS IN PONOROGO DISTRICT vivit vidiasari
Jurnal Delima Harapan Vol 10 No 2 (2023): September
Publisher : AKADEMI KEBIDANAN HARAPAN MULYA PONOROGO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31935/delima.v10i2.199

Abstract

HASIL REVISI
HUBUNGAN KARAKTERISTIK INDIVIDU dengan KONSEP DIRI PENDERITA TUBERKULOSIS PARU di PISKESMAS UMBULHARJO I YOGYAKARTA Murgi Handari
Jurnal Delima Harapan Vol 10 No 2 (2023): September
Publisher : AKADEMI KEBIDANAN HARAPAN MULYA PONOROGO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31935/delima.v10i2.225

Abstract

Background: Pulmonary Tuberculosis (TB) disease can affect the sufferer's self-concept. Individuals who suffer from Pulmonary TB disease often feel helpless, refuse, feel guilty, feel inferior, and withdraw from others because they are worried that the disease they are suffering from is contagious to others. A person's self-concept is not formed when a baby is born but self-concept develops in oneself and is learned through social interactions and childhood experiences. Based on Yuliana's research (2013), most of the respondents were middle-aged adults showed a relationship between self-esteem and behavior of patients with Pulmonary Tuberculosis, most of the patients were in the middle age stage (40-60 years). Sulistiyawati and Kurniawati (2012), said that pulmonary TB can interfere with the physical and psychosocial conditions of patients which affect the self-esteem of pulmonary TB patients. Pulmonary TB patients with long-term treatment will experience psychological pressure and feel worthless to their families and communities. A negative self-concept can be seen from maladaptive individual and social relationships. The components of Self-concepts are body image, self-ideal, self-esteem, self-role, and self-identity (Stuart & Sundeen, 2006). Objective: To determine the relationship between individual characteristics and self-concept of Pulmonary Tuberculosis patients at the Umbulharjo I Public Health Center Yogyakarta. Research Methods: This study used an observational analytic method with a cross sectional approach. The population in this study were all patients with Pulmonary Tuberculosis at the Umbulharjo I Health Center Yogyakarta. Data with normal distribution were analyzed using fisher's exact statistical test. Results: Most of the respondents are 15-55 years old, male, have high education (SMA – College), and have high income (Rp. 1,709,150.00). There is a significant relationship between age and self-concept (p=0.037, RR=3.50), between education and self-concept (p=0.010, RR=3.86) and between income and self-concept (p=0.000, RR= 12.14), but there is no significant relationship between gender and self-concept (p=0.343, RR=1.46) Conclusion: There is a significant relationship between age, education level and income with self concept of Puskesmas Umbulharjo I Yogyakarta

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