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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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ANALISIS POSITIVE DEVIANCE: POLA MAKAN YANG MEMPENGARUHI KEJADIAN ANEMIA PADA IBU HAMIL DI KOTA YOGYAKARTA Ika Mustika Dewi; Prastiwi Putri Basuki; Siti Uswatun Chasanah; Andri Purwandari
Jurnal Delima Harapan Vol 8 No 1 (2021)
Publisher : AKADEMI KEBIDANAN HARAPAN MULYA PONOROGO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31935/delima.v8i1.112

Abstract

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
STUDI DESKRIPTIF TINGKAT PENGETAHUAN KADER PASCA PELATIHAN PEMBERIAN MAKAN BAYI DAN ANAK (PMBA) DI KECAMATAN KALASAN KABUPATEN SLEMAN Ajeng Ersyam Putri; Prastiwi Putri Basuki; Yuli Ernawati
Jurnal Delima Harapan Vol 8 No 1 (2021)
Publisher : AKADEMI KEBIDANAN HARAPAN MULYA PONOROGO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31935/delima.v8i1.113

Abstract

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.
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 Muhammad Anwarul 'Izzat; Riska Ratnawati; Avicena Sakufa Marsanti
Jurnal Delima Harapan Vol 8 No 1 (2021)
Publisher : AKADEMI KEBIDANAN HARAPAN MULYA PONOROGO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31935/delima.v8i1.115

Abstract

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.
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 Rosmiarti Asmar; Aminah Maya; Cica Novitasari
Jurnal Delima Harapan Vol 8 No 1 (2021)
Publisher : AKADEMI KEBIDANAN HARAPAN MULYA PONOROGO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31935/delima.v8i1.116

Abstract

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
THE EFFECT OF GIVING DATE FRUIT AT THE END OF PREGNANCY TOWARDS CERVICAL RIPENING Rezah Andriani
Jurnal Delima Harapan Vol 8 No 1 (2021)
Publisher : AKADEMI KEBIDANAN HARAPAN MULYA PONOROGO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31935/delima.v8i1.118

Abstract

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.
The effectiveness of postpartum exercise to increase the quality of life score of postpartum mothers. Inge Anggi Anggarini
Jurnal Delima Harapan Vol 8 No 1 (2021)
Publisher : AKADEMI KEBIDANAN HARAPAN MULYA PONOROGO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31935/delima.v8i1.119

Abstract

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.
PENGARUH KUNYIT ASEM TERHADAP INTENSITAS NYERI HAID PADA MAHASISWI SEMESTER 3 DI AKBID HARAPAN MULYA PONOROGO TAHUN 2020 Rindang Fitriana Ulfa; Ambika Kurnia Mustikawati
Jurnal Delima Harapan Vol 8 No 1 (2021)
Publisher : AKADEMI KEBIDANAN HARAPAN MULYA PONOROGO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31935/delima.v8i1.121

Abstract

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.
The Effects of Counseling and Drug Information Services by Pharmacist to Medication Adherence and Therapy Outcomes on Sciatica Patients at Dr. Suyoto Hospital, Jakarta Farida Ariyani; Prih Sarnianto; Nurita Andayani
Jurnal Delima Harapan Vol 8 No 1 (2021)
Publisher : AKADEMI KEBIDANAN HARAPAN MULYA PONOROGO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31935/delima.v8i1.124

Abstract

People suffered from sciatica, pain along the sciatic nerve, require therapy up to 4 months or longer to achieve controlled-pain. The main treatment for sciatica is physiotherapy; medication is only secondary therapy. This quasi-experimental study aimed to investigate the effects of counseling and drug information services (DIS) by pharmacist on medication adherence and duration of therapy. In the study conducted in March‒July 2018, 128 ambulatory sciatica patients newly diagnosed at Dr. Suyoto Hospital, Jakarta, were divided randomly into two groups, each of 64 patients. The intervention group was given counseling and DIS by clinical pharmacists (3 times with interval of 4 weeks) as well as brochures. Primary data on medication adherence were obtained prospectively through interviews using a validated questionnaire, before the intervention and 4 weeks after the last counseling and DIS by clinical pharmacists. Secondary data (up to 16 weeks), including pain scores, were obtained from medical records and the patient administrative data. The results showed that sociodemographic characteristics as well as distribution of initial adherence and initial pain levels of the two groups were not significantly different (Mann-Whitney test, p>0.05). After the last intervention, the proportion of patients with high-adherence in the intervention group (12.5%) was higher than in the control group (6.3%), as was the proportion of patient achieved controlled-pain (84.4% versus 76.6%). The results of survival analysis showed that the duration of treatment by which 50% of patients achieved controlled-pain (median survival) was significantly shorter in the intervention group (85 days) than in the control group (92 days), while the probability of achieving controlled-pain (hazard ratio) in the intervention group was 1.7 times of that in the control group. In conclusion, counseling and DIS by pharmacist can improve the effectiveness of sciatica treatment, although the main therapy for the nerve pain is not medication.
Analisis Pengaruh Umur, Paritas, dan Motivasi Suami terhadap Nyeri Persalinan di Cirebon Tahun 2019 Liliek Pratiwi; Tita Hustinawati
Jurnal Delima Harapan Vol 7 No 2 (2020)
Publisher : AKADEMI KEBIDANAN HARAPAN MULYA PONOROGO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31935/delima.v7i2.128

Abstract

Background : Mothers who experience childbirth will feel pain. Labor pain is an unpleasant sensory and emotional experience due to tissue damage. In Indonesia Health Profile Data in 2018, there are 4643 Health Centers that work together through the health departement with blood transfusion units and hospitals in blood services to reduce maternal mortality. It is an effort of the health service the it is also necessary en effort from the family, especially the husband. Other factors need to be assessed for what affects labor pain. In 2015, maternal mortality rate especially in Cirebon, is 4 people on 5409 live birth. So, in this study will be seen again which factors that influence labor pain. Objective : Literature studies and preliminary studies were conducted to further examine and describe the experience of mothers through childbirth in Cirebon. Method : The design of this research is descriptive research. In this study, an analysis will be conducted, namely analysis of the influence, age, parity and motivation of husbands on the healing of special births in Cirebon District, which will be carried out using descriptive methods in which the data collection process allows the research to produce a description related to this study. The sampling technique in this research is criterion-based selection sampling, because the sample selection is based on certain unique criteria.Result and Discussion : The results of the study are there are 5 categories such as husband character husband’s treatment when the mother is giving birth, number of children, husband’s motivation and back massage from husband. From 10 informans, 7 primigravida with an average age of 28 years, in her experience felt very experiencing labor pain even though her husband provided motivation without treatment during the process of giving birth. The character of multigravida mothers as informan 3,4,and 5. They are on average 36 years old., 2 informans stated, they didn’t not feel pain because their husbands motivated and facilitated pain managements like back massage. Conclusion : The conclusion of this research is that all health workers who focus on reproductive health, to be more pro active in facilitating mothers who will give birth. Then matenity women, especially in Cirebon better get the assistance of their husband and family as applying the theory of family center maternity care. The outcome of this study is related to the Cirebon District Health Office's mission, which is to improve the ability, quality and professionalism of the health provider, optimize health services to the community, and create a healthy community.
Faktor yang Berhubungan dengan Kepemilikan Jamban Sehat di Desa Nambangan Kidul Manguharjo Kota Madiun Eny Pemilu Kusparlina
Jurnal Delima Harapan Vol 8 No 2 (2021)
Publisher : AKADEMI KEBIDANAN HARAPAN MULYA PONOROGO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31935/delima.v8i2.114

Abstract

ABSTRACT The World Bank states that the 2018 data 22% of Indonesian people has not had a sanitation facility (latrine). The existence of latrines in Indonesia, according to World Bank data in 2015 about 22% of Indonesia's population does not have latrines. The coverage of national guard to urban areas with 79% and 49% for rural areas. Most of the sludge removal used the river or dug wells which do not have the requirements of health latrine and contiminate the ground water. Based on the data obtained from the Health Center Community Manguharjo in 2019 of 855 homes were inspected as many as 530 households, households have basic sanitation facilities such as latrines in the Health Center Community Manguharjo downstream for 420 households or 79%. This study aims to determine the relationship between the factors of income, knowledge, and attitude, with the ownership of latrines in Madiun City, Manguharjo. The research method used observational design with cross sectional approach. The sample are mothers who have children under five do not have latrines that 64 respondents. The sampling technique used random sampling. Statistical analysis used chi square test. Decision of research hypothesis testing based on the significance level of 5% (p = 0.05) and confidence interval (CI) 95%. The result showed that there are relationship between income and the latrine ownership (p = 0.037), knowledge (p = 0.037) and attitude (p = 0.037). The result showed no relationship between education (p = 0196), and the role of health care workers (p = 1.000) with the ownership of latrines in the Madiun City, Manguharjo. Keywords: Latrine, income, knowledge, attitude.

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