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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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Emergency Room at Udayana University Hospital Emyastuti, Ni Luh Wayan; Suarjana, I Ketut; Lesmana, Cokorda Bagus Jaya
Jurnal Delima Harapan Vol 11 No 1 (2024): Maret
Publisher : AKADEMI KEBIDANAN HARAPAN MULYA PONOROGO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31935/delima.v11i2.258

Abstract

Background and objectives: The Emergency Department (ER) at Udayana University Hospital is required to provide quality health services in accordance with the Minimum Service Standards (SPM) set by the government. However, there are several SPM indicators that have not been achieved. Therefore, this research aims to develop a strategy to increase SPM achievement in the emergency room at Udayana University Hospital using the two-stage Delphi method. Method: A qualitative approach with a two-stage Delphi method was used to achieve this objective. Data was collected through in-depth interviews with 16 informants, FGDs and questionnaires. Results: The research found that internal factors categorized as strengths and weaknesses influenced the achievement of SPM in the IGD. External factors are classified into opportunities and threats. SWOT analysis shows that the IE matrix describes a grown and built organization. In the 4-Quadrant SWOT Matrix, it is in quadrant I which describes the opportunities and strengths of the organization and strategies that can be carried out with aggressive strategies. The TOWS matrix produces 11 alternative strategies which are ranked using the QSPM method. Alternative strategies generated using the Delphi method resulted in 6 priority strategies. Conclusion: From this research, 7 strength factors, 7 weakness factors, 4 opportunity factors and 3 threat factors were found at UNUD Hospital and there are 6 priority strategies that can be used to improve SPM IGD achievements.
PERMAINAN KOLASE BERBAHAN ALAM DALAM MENINGKATKAN PERKEMBANGAN MOTORIK HALUS ANAK PRA SEKOLAH DI TK AL HIDAYAH BAKTI KABUPATEN KEDIRI Wahyu Rini, Sulistyo Dewi
Jurnal Delima Harapan Vol 11 No 1 (2024): Maret
Publisher : AKADEMI KEBIDANAN HARAPAN MULYA PONOROGO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31935/delima.v11i2.261

Abstract

Latar Belakang: Motorik halus adalah kemampuan anak untuk mengamati sesuatu, melakukan gerakan yang melibatkan bagian tubuh tertentu saja dan memerlukan koordinasi yang cermat dengan otot-otot kecil mereka. Tujuan penelitian untuk mengetahui pengaruh permainan kolase berbahan alam terhadap perkembangan motorik halus pada anak prasekolah di TK Al Hidayah Bakti I Tulungrejo Pare Kediri Tahun 2022. Metode: Desain penelitian pre-ekperimen pendekatan One Group Test Post Test Design. Populasi semua anak prasekolah dan sampel 17 responden menggunakan teknik purposive sampling. Instrumen penelitian kuesioner dan lembar observasi. Hasil: Hasil penelitian perkembangan anak sebelum diberikan permainan kolase sebagian besar perkembangan anak menyimpang sebanyak 8 anak, setelah diberikan permainan seluruhnya perkembangan anak sesuai sebanyak 17 anak, rata-rata peningkatan sebelum dan sesudah 0,69%. Hasil uji Wilcoxon diperoleh nilai p = 0.005 < α = 0.05 yang artinya ada pengaruh pengaruh permainan kolase berbahan alam terhadap perkembangan motorik halus pada anak prasekolah di TK Al Hidayah Bakti I Tulungrejo Pare Kediri Tahun 2022. Kesimpulan: Permainan kolase berbahan alam sangat bermanfaat dalam mengembangkan kreatifitas, daya pikir dan rasa keindahan anak. Saran bagi pembimbing atau pendidik untuk lebih keberagam mediasi permainan sehingga dapat membantu proses perkembangan motorik halus anak
HUBUNGAN PENGETAHUAN KELUARGA DENGAN KEPATUHAN KONTROL ULANG PASIEN SKIZOFRENIA DI PUSKESMAS NAWANGANKABUPATEN PACITAN Rosita, Ani
Jurnal Delima Harapan Vol 11 No 1 (2024): Maret
Publisher : AKADEMI KEBIDANAN HARAPAN MULYA PONOROGO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31935/delima.v11i2.263

Abstract

Latar Belakang: Skizofrenia adalah gangguan mental yang parah. Gangguan ini ditandai dengan gejala positif seperti gejala bicara kacau. Tujuan dari penelitian ini adalah untuk mengetahui hubungan pengetahuan keluarga dengan kepatuhan kontrol ulang patien skizofrenia di Puskesmas Nawangan di Kabupaten Pacitan. Desain penelitian kuantitatif dengan pendekatan korelasional. Penelitian ini dilakukan pada bulan Desember 2021. Populasi dalam penelitian ini adalah seluruh keluarga pasien skozophrenia sebanyak 30 responden. Sedangkan sampel dalam penelitian ini adalah sebagian besar keluarga penderita skizofrenia di Puskesmas Nawangan di Kabupaten Pacitan sebanyak 30 responden. Metode: Menggunakan teknik pengambilan sampel dalam penelitian ini adalah accidental sampling. Analisis data menggunakan uji peringkat Spearman. Berdasarkan hasil uji statistik dengan SPSS Spearman Rank dalam memperoleh hasil ρ α = 0,05 nilai ≤ 0,05 maka ρ = 0,000 ≤ 0,422 0,05 korelasi dengan tingkat H1 diterima berarti ada Ilmu Hubungan Keluarga Dengan Kepatuhan Kontrol ulang pasien Skizofrenia di Puskesmas Nawangan Kabupaten Pacitan. Hasil: penelitian yang diharapkan tenaga kesehatan terus memberikan motivasi agar pasien kontrol tepat waktu
GAMBARAN PENERAPAN HIGIENE SANITASI PADA PEDAGANG KAKI LIMA DI KOTA GRESIK JAWA TIMUR Rahmawati, Desie; Deviatin, Nafiatus Sintya; Permatasari, Eska Distia; Roshida, Devy Syanindita; Fanani, Tamam Al; Handriyanto, Candra Ferdian; Khiyaroh, Yuntafi’il
Jurnal Delima Harapan Vol 11 No 2 (2024): September
Publisher : AKADEMI KEBIDANAN HARAPAN MULYA PONOROGO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31935/delima.v11i2.265

Abstract

Latar Belakang: Higiene sanitasi makanan pada Pedagang Kaki Lima (PKL) merupakan aspek penting dalam menjaga kesehatan masyarakat yang mengonsumsi makanan dari pedagang tersebut. Makanan yang terkontaminasi dapat menjadi sumber penyakit salah satunya dapat menyebabkan keracunan. Kasus keracunan makanan yang terjadi di Gresik tahun 2018 sebanyak 6 kasus dan tahun 2019 terjadi peningkatan yaitu sebanyak 23 kasus. Tujuan: Penelitian ini bertujuan untuk menggambarkan higiene dan sanitasi pada PKL yang berjualan di sekitar kampus Universitas Gresik di Jalan Arif Rahman Hakim Kota Gresik, Jawa Timur. Metode: Penelitian ini menggunakan metode analisis deskriptif. Sasaran/subyek penelitian adalah PKL yang berjualan di sekitar kampus Universitas Gresik di sepanjang Jalan Arief Rahman Hakim Kota Gresik Jawa Timur yang berjumlah 30 orang. Instrumen pengumpulan data yang digunakan berupa kuesioner pengetahuan tentang hygiene sanitasi dan lembar observasi higiene sanitasi. Hasil: Hasil penelitian menunjukkan bahwa mayoritas PKL di sekitar Universitas Gresik memiliki pengetahuan tentang higiene sanitasi dalam kategori sedang yaitu sebanyak 70%. Hasil observasi menunjukkan bahwa sebagian besar PKL memiliki personal hygiene dalam kategori kurang yaitu sebanyak 17 orang (56,7%), sebanyak 16 orang (53,3%) telah menggunakan bahan pangan yang bersih dan aman dengan baik dan sebanyak 19 orang (63,4%) telah menggunakan peralatan/tempat yang cukup bersih dan aman bagi kesehatan. Kesimpulan: Sebagian besar PKL di sekitar kampus Universitas Gresik memiliki pengetahuan dalam kategori sedang sehingga diperlukan adanya sosialisai tentang higiene sanitasi makanan untuk meningkatkan pengetahuan PKL.
The Physiotherapy Study Program PENATALAKSANAAN FISIOTERAPI PADA KASUS LOW BACK PAIN (LBP) e.c ISCHIALGIA DENGAN TERAPI SHORT WAVE DIATHERMY (SWD) DAN WILLIAM FLEXION EXERCISE DI RS. BHAYANGKARA PUSDIK BRIMOB WATUKOSEK Khoiroh, Muhimmatul; Rohmah, Eliya; Hidayah, Agus Nurul
Jurnal Delima Harapan Vol 11 No 2 (2024): September
Publisher : AKADEMI KEBIDANAN HARAPAN MULYA PONOROGO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31935/delima.v11i2.266

Abstract

Background : Currently, lifestyles are increasingly deviating from healthy lifestyle standards, and as a result many people are suffering from diseases with neurological symptoms such as musculoskeletal problems, one of which is LBP or Low Back Pain which is lower back pain that occurs in the paralumbar area. There are several etiologies of LBP, one of which is Ischialgia or Sciatic Pain. Ischialgia is a feeling of pain and tingling from the lower back to the knee due to pinching of the sciatic nerve. Lower back pain can be reduced in intensity using Short Wave Diathermy (SWD) and William Flexion Exercise. Results of preliminary studies at the hospital's medical rehabilitation clinic. Bhayangkara Pusdik Brimob Watukosek in 2023 found a total of 87 cases of LBP e.c. Ischialgia patients, therefore the author was interested in finding out the effectiveness of these two modalities for one of the respondents to be used as a research subject for scientific writing using the case study method. Objective: Have experience regarding the physiotherapy management of LBP e.c. Ischialgia with Short Wave Diathermy therapy and William Flexion Exercise at the hospital. Bhayangkara Pusdik Brimob Watukosek. Method: In the case of Low Back Pain e.c Ischialgia, Short Wave Diathermy therapy and William Flexion Exercise were used. Results: Physiotherapy treatment during 6 therapy sessions showed a decrease in pain, an increase in joint range of motion, an increase in muscle strength values, and an increase in functional activity. Conclusion: Using the two modalities of SWD and William Flexion Exercise for 6 therapy sessions, it was found that there was a reduction in pain, an increase in joint range of motion, an increase in muscle strength values, and an increase in functional activity.
HUBUNGAN HYPEREMESIS GRAVIDARUM DAN KEKURANGAN ENERGI KRONIK DENGAN KEJADIAN ANEMIA PADA IBU HAMIL DI WILAYAH PUSKESMAS GADANG HANYAR BANJARMASIN Naipon, Junia Fitria; Ariani, Malisa; Latifah, Hj; Dhea Manto, Onieqie Ayu
Jurnal Delima Harapan Vol 11 No 2 (2024): September
Publisher : AKADEMI KEBIDANAN HARAPAN MULYA PONOROGO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31935/delima.v11i2.268

Abstract

Latar belakang: Anemia merupakan masalah pada kehamilan dampaknya bisa menyebabkan abortus, pertumbuhan janin terhambat, BBLR, mudah terjadi infeksi, ancaman dekompensasi kordis, pendarahan, dan ketuban pecah dini. Anemia bisa disebabkan oleh beberapa faktor seperti seperti hyperemesis gravidarum, kekurangan energi kronik dll. Tujuan: Untuk mengetahui hubungan antara hyperemesis gravidarum dan kekurangan energi kronik dengan kejadian anemia pada ibu hamil. Metode: Menggunakan metode kuantitatif dengan desain penelitian deskriptif analitik dengan pendekatan cross sectional. Jumlah sampel sebanyak 45 ibu hamil menggunakan tekhik total sampling yang memiliki kriteria inklusi seperti ibu bisa baca tulis, bersedia menjadi responden dan memiliki buku KIA. Penelitian ini menggunakan analisis univariat dan bivariat yang selanjutnya dilakukan uji Chi- Square. Hasil: Berdasarkan hasil analisis bivariat hyperemesis gravidarum dengan kejadian anemia pada ibu hamil menunjukan p-value sebesar 0,000 (p < 0,05) yang berarti terdapat hubungan yang signifikan antara hyperemesis gravidarum dengan kejadian anemia pada ibu hamil. Hasil analisis kekurangan energi kronik dengan kejadian anemia pada ibu hamil menunjukan p-value sebesar 0,000 (p < 0,05) yang berarti terdapat hubungan yang signifikan antara dengan kekurangan energi kronik kejadian anemia pada ibu hamil. Simpulan: Ibu hamil dengan hyperemesis gravidarum dan kekurangan energi kronik disarankan untuk meupayakan mengosumsi makanan dalam porsi kecil tapi sering untuk meningkatkan nutrisi ibu selama kehamilan agar tidak terjadi masalah anemia. Serta meningkatkan asupan gizi dengan mengonsumsi tablet Fe, dan memeriksakan kehamilannya kepada petugas kesehatan.
HUBUNGAN RIWAYAT PERNIKAHAN USIA DINI DENGAN KEJADIAN STUNTING DI WILAYAH UPT PUSKESMAS SUNGAI TABUK 2 KABUPATEN BANJAR Safitri, Aghus Triani Holyza; Irawan, Angga; Ariani, Malisa; Fetriyah, Umi Hanik
Jurnal Delima Harapan Vol 11 No 2 (2024): September
Publisher : AKADEMI KEBIDANAN HARAPAN MULYA PONOROGO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31935/delima.v11i2.269

Abstract

Background: Stunting is a global nutritional problem in developing countries which ischaracterized by chronic shorter body height compared to age. One of the causes ofstunting is early marriage. Early marriage is marriage to teenagers under 20 years of agewhich is thought to be one of the causes of stunting in children. Objective: To find out therelationship between the history of early marriage and the incidence of stunting in the UPTarea of Sungai Tabuk 2 Community Health Center, Banjar Regency. Method: Quantitativeanalytical observational research with a cross sectional design. The sample in the researchwas 30 toddlers aged 2-5 years. Samples were taken using accidental sampling technique.Data collection uses questionnaires and anthropometric measurements. Data analysisused univariate and bivariate Chi Square tests. Results: The majority of mothers underfive's occupation are not working as many as 25 people (83.3%), the education of mothersunder five has completed elementary school as many as 14 people (14.7%), the gender oftoddlers is mostly male as many as 17 people (56.7%) and age toddlers 36-48 years old 13people (43.3%). There were 18 toddlers who experienced stunting (60%) and 17 people(56.7%) had a mother's history of early marriage. The results of the correlation analysisshow that there is a relationship between a history of early marriage and the incidence ofstunting in toddlers (p-value = 0.013 < α 0.05) with an OR value of 10.500. There is arelationship between a history of early marriage and the incidence of stunting in toddlers.Conclusion: Pregnant women should carry out pregnancy checks at least 6 times tomonitor the baby's development. Community health centers and health institutions canprovide education about safe marriage ages for women and education about reproductivehealth for teenagers.
PENGARUH METODE KANGAROO MOTHER CARE (KMC) DENGAN PENINGKATAN BERAT BADAN DAN STABILITAS SUHU TUBUH BBLR DI RSUD dr. H. MOCH. ANSARI SALEH BANJARMASIN Sari, Dina Aulia; Salmarini, Desilestia Dwi; Meldawati, Meldawati; Yuliana, Fitri
Jurnal Delima Harapan Vol 11 No 2 (2024): September
Publisher : AKADEMI KEBIDANAN HARAPAN MULYA PONOROGO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31935/delima.v11i2.270

Abstract

Background: Low birth weight (LBW) babies are babies whose birth weight is less than 2500 grams. Problems that may arise in LBW cases include unstable body temperature, respiratory problems, digestive and nutritional disorders, weak suction reflex, intestinal morbidity which results in decreased body weight, liver immaturity, anemia, seizures, infections, hypoglycemia, hyperglycemia and hypocalcemia. The intervention that can be carried out is the use of the kangaroo mother care (KMC) method. The KMC concept imitates the way kangaroos store their babies in a pouch on their stomachs, allowing heat to flow from the mother's body to the baby kangaroo so that it stays alive and avoids hypothermia. Objective: This study aims to analyze the effect of the KMC method on increasing body weight and stability of LBW body temperature at RSUD dr. H. Moch. Ansari Saleh Banjarmasin. Method: This quantitative research uses a pre-experimental design with one group pretest-posttest. The sampling technique used purposive sampling and obtained 15 respondents. Data analysis uses 2 types of tests. Paired sample T-Test was used to analyze LBW body weight before and after KMC method treatment because the data was normally distributed. Meanwhile, the Wilcoxon test was used to analyze the effect of LBW body temperature before and after KMC treatment because the data was not normally distributed. Results: Analysis of the effect of LBW body weight before and after KMC method treatment obtained a p-value of 0.000. The p-value in the test for the effect of LBW body temperature before and after KMC treatment was found to be 0.001. Conclusion: Looking at the existing results, it can be seen that there is a p value of less than <0.05, meaning that there is a significant difference in the data in the positive direction or an increase before and after the KMC method treatment for both the weight variable and the stability of LBW body temperature at RSUD dr. H. Moch. Ansari Saleh Banjarmasin. Based on these results, it was concluded that there was an influence between the KMC method and increasing body weight and stability of LBW body temperature at RSUD dr. H. Moch. Ansari Saleh Banjarmasin
HUBUNGAN RIWAYAT KEHAMILAN REMAJA (12-18 TAHUN) DAN JARAK KELAHIRAN DENGAN KEJADIAN STUNTING PADA BALITA DI PUSKESMAS PEKAUMAN BANJARMASIN Pradini, Santia Andira; Ariani, Malisa; Fetriyah, Umi Hanik; Latifah, Hj
Jurnal Delima Harapan Vol 11 No 2 (2024): September
Publisher : AKADEMI KEBIDANAN HARAPAN MULYA PONOROGO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31935/delima.v11i2.272

Abstract

Background: Teenage pregnancy can be a cause of stunting in children. This is because teenagers usually do not receive sufficient education regarding pregnancy and baby nutritional care. Stunting is a condition of failure to thrive in children under five years of age (toddlers) due to chronic malnutrition. Apart from the mother's history of teenage pregnancy, the birth spacing of toddlers is also a cause of stunting in toddlers. Objective: This study aims to analyze the relationship between history of teenage pregnancy and birth interval with the incidence of stunting in toddlers at the Pekauman Community Health Center, Banjarmasin. Method: Quantitative research with a descriptive correlation type with a cohort retrospective approach. The research was carried out in May-June 2023. The sample was 103 people using accidental sampling technique who met the inclusion criteria. Data were collected using anthropometric examination observation sheets and short interviews. Analyzed univariately and bivariately using the chi square test. Results: The number of mothers with completed elementary school/equivalent education was (76.7%), the number of mothers who did not work was (93.2%), the gender of the toddlers was female (55.3%), the number of toddlers aged 24-36 months was (78 .6%), 64 (62.1%) children under five experienced stunting, 84 (81.6%) teenage pregnancies and 55 (53.4%) normal birth spacing (≥2 years). The results of the analysis showed that there was a relationship between teenage pregnancy (p=0.000 < 0.05) with an OR value of 0.238 and birth spacing (p=0.000 < 0.05) with an OR value of 5.2 and the incidence of stunting among toddlers at the Pekauman Community Health Center, Banjarmasin. Conclusion: There is a relationship between a history of teenage pregnancy and birth spacing with the incidence of stunting among toddlers at the Pekauman Community Health Center, Banjarmasin. Therefore, it is important to educate teenagers and mothers about safe pregnancies aged >20 years, maintaining birth spacing >2 years and monitoring children's growth and development every month.
The INFLUENCE OF COUNSELING ON FIBROADENOMA MAMMAE (FAM) ON THE SKILLS OF EARLY DETECTION THROUGH SADARI ACTION IN 4TH SEMESTER STUDENTS OF THE OBSTETRICS STUDY PROGRAM D-III STUDENT HIGH SCHOOL OF HEALTH SCIENCE BHAKTI MULIA PARE KEDIRI Wahyurini, Sulistyo Dewi
Jurnal Delima Harapan Vol 11 No 2 (2024): September
Publisher : AKADEMI KEBIDANAN HARAPAN MULYA PONOROGO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31935/delima.v11i2.274

Abstract

Background: Fibroadenoma Mammae (FAM) is a type of benign tumor that is often found in the female breast. Early detection with the SADARI (Breast Self Examination) method is an effective preventive measure to identify any abnormalities in the breast early on. The purpose of the study was to determine the effect of counseling about FAM on early detection skills through SADARI actions in STIKes Bhakti Mulia Pare Kediri students in 2023. Method: Pre-experiment research design One Group Pre-Post Test Design approach. The population was all fourth semester students and a sample of 36 respondents using random sampling technique . The independent variable is counseling, and the dependent variable is the skill of early detection of fibroadenoma mammae (FAM) and SADARI action. Counseling was provided in accordance with the SAP. SADARI skills were observed using an observation sheet. Data were analyzed using Wilcoxon Signed Rank test. Results: The results of the study before counseling, 1 respondent (2.77%) had good skills in performing SADARI, while 28 respondents (77.77%) had sufficient skills, and 7 respondents (19.44%) had poor skills. After counseling, there was a significant increase in respondents' skills. A total of 29 respondents (80.54%) showed good skills in performing SADARI, while 4 respondents (11.11%) had sufficient skills, and 3 respondents (8.33%) were still categorized as lacking skills. The results of the Wilcoxon test obtained a p-value = 0.000 < α = 0.05, which means that there is an effect of the effect of counseling on FAM on early detection skills through SADARI actions on STIKes Bhakti Mulia Pare Kediri students in 2023. Conclusion: Interventions in the form of health counseling have a positive impact on increasing the knowledge and practical skills of female students. Education on early detection of FAM needs to be continued to increase awareness and skills of adolescent girls in preventing and identifying breast health risks early on

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