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JURNAL KEBIDANAN KESTRA (JKK)
Published by Institut Kesehatan Medistra Lubuk Pakam
ISSN : -     EISSN : 26550822     DOI : -
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Jurnal Kebidanan Kestra (JKK) terbit dua kali setahun, yakni periode Mei-Oktober, dan November- April tiap tahunnya. Jurnal ini memberikan ruang bagi akademisi, peneliti dan pengguna hasil penelitian dan pengabdian untuk mendiseminasikan, menginformasikan, mendiskusikan dan menggunakan hasil penelitian dan pengabdian sebagai upaya meningkatkan kualitas kebijakan di bidang kebidanan yang berbasis ilmiah dan dapat dipertanggung jawabkan. Jurnal ini menyajikan hasil penelitian, pengabdian masyarakat serta artikel ilmiah di bidang kebidanan.
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Articles 231 Documents
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The Effect of Ginger Water Decoction on Leg Edema in Pregnant Mothers at Kasih Ibu Primary Clinic, 2024 Lubis, Basyariah; Wulandari, Suci; Safrida Nuzul Hayati
JURNAL KEBIDANAN KESTRA (JKK) Vol. 7 No. 1 (2024): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkk.v7i1.2355

Abstract

The bending of the uterus restricts venous return and gravitational pull, which increases fluid retention and causes 80% of pregnant women in the third trimester to experience leg edema or swelling. Edema in pregnant women’s legs can be a sign of dangerous pregnancy conditions, such as pre-eclampsia. Edema is also very dangerous for pregnant women as it can lead to issues with the heart, kidneys, and other body parts, disrupting their functions. Foot soaking, or foot hydrotherapy, is an additional therapy that can be done independently. To improve blood circulation and trigger a systemic response (vasodilation) through the dilation of blood vessels, bathing with warm water will help. The authors aim to conduct research on "The Effect of Ginger Decoction on Edema in Pregnant Women's Legs at Kasih Ibu Pratama Clinic in 2024" based on the above information and data. They believe that foot soaks can also be combined with other herbal ingredients. The research method used a population of 100 with a sample of 17 individuals, employing a quantitative research design and a one-group pre-test post-test model, where observations were made before and after treatment with data analysis using the Wilcoxon test. The study found that ginger decoction has an effect on reducing edema in the legs of pregnant women. The test results showed a probability of 0.01. This means that the probability < level of significance (? = 0.05), so Ha is accepted, and H0 is rejected, indicating a significant difference between leg edema in pregnant women before (pre-test) and after (post-test) the administration of ginger decoction. Therefore, ginger decoction has an effect on reducing edema in pregnant women's legs.
Relationship Between Knowledge of Giving Warm Water Compresses to Prevent Breast Milk Retention in Postpartum Mothers Br Ginting Munthe, Novita; Sembiring, Iskandar Markus
JURNAL KEBIDANAN KESTRA (JKK) Vol. 7 No. 1 (2024): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkk.v7i1.2357

Abstract

Breast milk dams are a common problem often experienced by postpartum mothers, which if not treated properly can cause pain, infection and obstacles in the breastfeeding process. One method that is known to be effective in preventing breast milk dams is by applying warm water compresses. This study aims to analyze the relationship between the level of knowledge of postpartum mothers regarding giving warm water compresses and preventing breast milk dams. This study used a cross-sectional design involving 60 postpartum mothers at the Juliana Clinic, Deli Serdang Regency, North Sumatra, Indonesia. Data was collected through a questionnaire that measured the mother's level of knowledge about warm water compresses and the incidence of breast milk dams. The results showed that the majority of mothers had sufficient (41.7%) and good (33.3%) knowledge about warm water compresses, while 25% of mothers had insufficient knowledge. As many as 58.3% of mothers did not experience breast milk dams, while the other 41.7% experienced breast milk dams. The results of the chi-square test showed that there was a significant relationship between postpartum mothers' knowledge about warm water compresses and prevention of breast milk dams (p-value < 0.05). Mothers with good knowledge experience breast milk dams less often than mothers who have less knowledge. In conclusion, good knowledge about warm water compresses has proven effective in preventing breast milk dams. More intensive education and counseling for postpartum mothers is needed to increase their knowledge about appropriate breast care techniques to prevent lactation problems.
The Relationship Between Chronic Energy Deficiency and Anemia in Pregnant Women at The Madandan Community Health Center Rantetayo District Tana Toraja Regency Kartini S
JURNAL KEBIDANAN KESTRA (JKK) Vol. 7 No. 1 (2024): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkk.v7i1.2363

Abstract

Chronic Energy Deficiency in pregnant women negatively impacts maternal health and fetal development, leading to weight loss, fatigue, weakness, and reduced immunity. CED also increases the risk of anemia, which can decrease oxygen supply and disrupt vital organ function. Anemia in pregnant women can cause fatigue, reduced productivity, and a higher risk of pregnancy and childbirth complications. This quantitative cross-sectional study aimed to analyze the relationship between CED and anemia in 40 pregnant women out of a total population of 64 at the Madandan Community Health Center, Tana Toraja. Data collection was carried out using a questionnaire, and the analysis employed a chi-square test. The results of Fisher's Exact Test indicated a significant association (p 0.000 < 0.05) between Chronic Energy Deficiency and anemia among pregnant women seeking treatment at the Madandan Community Health Center. The study recommends that community health centers enhance education on balanced nutrition for pregnant women through prenatal clinics, including up-to-date nutritional information, regular health monitoring, and provision of appropriate supplements to reduce the risk of anemia.
Level of Students' Knowledge about Pulmonary TB in Elementary Schools X Gurusinga, Rahmad
JURNAL KEBIDANAN KESTRA (JKK) Vol. 7 No. 1 (2024): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkk.v7i1.2368

Abstract

Tuberculosis (TB) in children is an infection caused by the bacteria Mycobacterium tuberculosis with symptoms such as prolonged coughing, chest pain, and weight loss, which can interfere with children's health and growth. In terms of education, infected children often have to be absent from school to undergo treatment, which can cause learning delays and academic difficulties. Therefore, it is very important for elementary school children to know about pulmonary TB disease. This study aims to assess elementary school students' knowledge about tuberculosis (TB) and describe the demographic characteristics of the respondents. This type of research is descriptive. The research location is at Elementary School Sampling was carried out using a systematic sampling technique. The data collection instrument is a questionnaire. The results showed that the majority of respondents were aged 10–12 years (80.0%) and a small proportion were aged 6–9 years only (20.0%), the female gender was more numerous, namely (70.0%), while the male gender -men only (30.0%). Analysis of knowledge about TB shows that half of the respondents (50.0%) have poor knowledge, and only (12.5%) have good knowledge. It can be concluded that there is a need for more effective health education programs in schools to increase knowledge about TB among students, so as to reduce the risk of transmission and increase health awareness in the community.
The Influence Of Health Education Using Animated Video Media On The Level Of HIV/AIDS Knowledge In Adolescent Women At SMA N 1 Mlati Sleman Yogyakarta Ravicka Rahmawati; Nur Rahmawati Sholihah
JURNAL KEBIDANAN KESTRA (JKK) Vol. 7 No. 1 (2024): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkk.v7i1.2383

Abstract

Background: In Indonesia, HIV/AIDS cases increase every year. HIV cases reached their peak in 2019, with 50,282 cases and an incidence of 8 people per 100,000 population. Globally, the vulnerable generation of young people aged 10- 19 years have 75% knowledge about HIV/AIDS. Adolescent behavior towards preventing HIV/AIDS is currently still not optimal, namely 30-45%. Meanwhile, only 10% have 100% accurate knowledge, therefore to reduce the incidence of HIV/AIDS among teenagers, efforts are needed to increase knowledge about HIV/AIDS among teenagers. Objective: The aim of this research is to determine the effect of health education using animated video media on the level of HIV/AIDS knowledge among young women at SMA N 1 Mlati Sleman Yogyakarta. Research Method: This research uses quantitative research with a pre-experiment one group pretest-posttest research design. The sample in the research was 72 young women at SMA N 1 Sleman. Data was obtained using a questionnaire and analyzed using the mann whitney. Results: The results of data analysis obtained a p-value = 0.000 (<0.05) so it can be concluded that there is an influence of health education with animated videos on the level of HIV/AIDS knowledge among young women at SMA N 1 Mlati Sleman Yogyakarta. Conclusion: The conclusion is that there is an influence of health education with animated videos on the level of HIV/AIDS knowledge among young women at SMA N 1 Mlati Sleman Yogyakarta.
Evaluation of the Effectiveness of a Clinical Pathway Based on Interprofessional Collaboration in the Treatment of Acute Heart Failure Wasliati , balqis
JURNAL KEBIDANAN KESTRA (JKK) Vol. 6 No. 1 (2023): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkk.v6i1.2514

Abstract

Acute heart failure is a medical emergency that requires a multidisciplinary approach to improve patient outcomes. An interprofessional collaboration-based Clinical Pathway has been implemented as a strategy to enhance treatment effectiveness, accelerate clinical decision-making, and reduce care variation. This study aims to evaluate the effectiveness of implementing an interprofessional collaboration-based Clinical Pathway in the management of acute heart failure in hospitals. This research uses a literature review approach by analyzing various recent journals discussing Clinical Pathway and acute heart failure management. The study results show that the implementation of Clinical Pathway can improve treatment efficiency, reduce complications, and accelerate patient recovery time. In conclusion, the integration of an interprofessional collaboration-based Clinical Pathway is an effective approach to improving the quality of care for patients with acute heart failure. This research method uses a retrospective cohort study approach with analysis of medical record data from patients treated in the last five years. The study population consisted of patients diagnosed with acute heart failure, with sample selection carried out using a purposive sampling method. Data collected includes length of stay, complication rates, compliance with clinical guidelines, and level of patient satisfaction. Data analysis was carried out with descriptive and inferential statistics using the chi-square test and logistic regression. The research results show that implementingthe Clinical Pathway can increase treatment efficiency, reduce complication rates, and speed up patient recovery time. Implementation of the Clinical Pathway also has a positive impact on health workers' compliance with standard therapy guidelines and improves communication and coordination between health professionals in patient management. Additionally, patients treated with Clinical Pathway reported higher levels of satisfaction compared to the control group who received conventional care.
EVALUATION OF THE SPEED OF RESPONSE OF PRIMARY HEALTH CARE WORKERS IN HANDLING PATIENTS WITH HYPERTENSION CRISIS Aritonang, Barita
JURNAL KEBIDANAN KESTRA (JKK) Vol. 6 No. 1 (2023): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkk.v6i1.2521

Abstract

Hypertensive crisis is an emergency condition that requires rapid treatment to prevent complications such as heart failure, stroke, or other organ damage. The speed of response of health workers in primary care is a crucial factor in handling this condition. The purpose of this study was to evaluate the speed of response of health workers in handling patients with hypertensive crisis and to identify the factors that influence it. Research methods: Quantitative and qualitative approaches. Quantitative data were obtained from patient medical records, while qualitative data were collected through interviews with health workers in primary care facilities. The parameters measured included initial assessment time, diagnosis time, treatment initiation time, and referral time if needed. The results showed that the average initial assessment time was 8 minutes (ideal ?5 minutes), diagnosis time 15 minutes (ideal ?10 minutes), treatment initiation time 12 minutes (ideal ?10 minutes), and referral time 25 minutes (ideal ?20 minutes). Several stages of treatment are still delayed due to limited medical personnel, lack of training, and suboptimal referral systems and standard protocols. Discussion: shows that health workers need further training in recognizing and handling hypertensive crises effectively. Optimizing the triage system and improving referral coordination are also important factors in accelerating treatment. Conclusion: although several aspects of service are quite good, improvements are still needed in the primary health care system so that patients with hypertensive crises receive faster and more appropriate treatment, thereby reducing the risk of complications and mortality.
Readiness of Health Workers in Facing Catastrophic Disease Emergencies in Remote Areas Sihombing, Benny
JURNAL KEBIDANAN KESTRA (JKK) Vol. 6 No. 1 (2023): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkk.v6i1.2522

Abstract

This study aims to understand the readiness of health workers in dealing with catastrophic disease emergencies in remote areas using a qualitative descriptive approach through case studies. Data were collected using questionnaires, in-depth interviews, participant observation, and document studies. Respondents consisted of 30 health workers, including 15 doctors, 10 nurses, and 5 other medical personnel, with the majority having more than 5 years of work experience and having attended emergency training. The results of the study indicate that health workers have a sufficient level of knowledge in handling emergencies, but practical skills in the use of emergency medical equipment and the implementation of communication protocols still need to be improved. Their attitudes towards emergency situations are generally positive, although some expressed concerns regarding limited facilities and resources. Factors that influence the readiness of health workers include education level, work experience, and support from the government and non-governmental organizations. Recommendations from this study include improving ongoing training, providing more adequate medical equipment, and strengthening coordination between related institutions. In addition, the involvement of local communities in preparedness efforts is also needed to improve the response to emergency situations. In conclusion, the readiness of health workers in dealing with catastrophic disease emergencies is greatly influenced by training, medical facilities, and cross-sector coordination. By improving these aspects, it is hoped that health workers in remote areas can provide a faster and more effective response in dealing with emergency conditions.
Integration of Health Information Systems in Improving Emergency Management in Primary Care Kasim, Felix
JURNAL KEBIDANAN KESTRA (JKK) Vol. 6 No. 1 (2023): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkk.v6i1.2523

Abstract

Emergency management in primary care often faces challenges related to response speed, coordination among medical personnel, and access to accurate patient data. The integration of health information systems (HIS) is seen as a potential solution to improve the efficiency and effectiveness of emergency services.Objective: to analyze the impact of HIS implementation on emergency management in primary care and to identify the challenges in its implementation. This study employs a literature review method by collecting data from scientific journals, research reports, and relevant policy documents. Secondary data analysis was conducted to evaluate HIS implementation in various emergency cases. : The findings indicate that HIS implementation in emergencies can accelerate triage processes, enhance diagnostic accuracy, and improve coordination among medical personnel and healthcare facilities. Additionally, the system enables more optimal monitoring of medical resources. The integration of HIS in emergency management has proven to enhance the quality of services in primary healthcare facilities. However, the success of its implementation depends on the readiness of infrastructure, data protection policies, and the improvement of medical personnel's competencies in utilizing this technology
The Effect of Speed of Intervention in Hyperglycemic Emergencies on Patient Mortality Tarigan, Indra
JURNAL KEBIDANAN KESTRA (JKK) Vol. 6 No. 1 (2023): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkk.v6i1.2533

Abstract

Hyperglycemic emergencies, such as diabetic ketoacidosis (DKA) and hyperosmolar hyperglycemia (HHS), are potentially fatal conditions if not treated immediately. The speed of medical intervention plays an important role in determining patient clinical outcomes, including the risk of mortality. However, there are still limitations in research on the relationship between the speed of intervention and patient mortality rates. This study aims to analyze the effect of the speed of medical intervention in hyperglycemic emergencies on patient mortality, as well as to determine the factors that contribute to patient clinical outcomes. This study used an observational analytical design with a retrospective approach to medical record data of patients with a diagnosis of hyperglycemic emergencies in the emergency unit of a hospital within a certain period. The main variables analyzed were the time of initial intervention after patient arrival and mortality. Data analysis was performed using descriptive statistics for univariate data and the chi-square test and logistic regression for bivariate and multivariate analysis. Univariate analysis showed that the majority of patients experienced a delay in intervention of more than 1 hour since arrival at the hospital. Bivariate analysis showed a significant relationship between the speed of intervention and patient mortality (p < 0.05). The results of logistic regression showed that patients who received intervention in less than 1 hour had a lower chance of dying compared to patients who received intervention later (OR = 2.5; 95% CI: 1.4-4.5). Other factors such as age, comorbidities, and initial blood glucose levels also have an effect on patient mortality. The speed of intervention in hyperglycemic emergencies has a significant effect on patient mortality. Faster intervention is associated with a decreased risk of death. Therefore, it is necessary to increase awareness of medical personnel regarding the importance of early detection and rapid response in treating patients with acute hyperglycemic conditions.

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