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Viva Medika: Jurnal Kesehatan, Kebidanan dan Keperawatan

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Published by Universitas Harapan Bangsa Purwokerto

ISSN : 19791034 EISSN : 26561034 DOI : -

Core Subject : Health,

Health Professions Medicine & Pharmacology Nursing Public Health

Viva Medika Is a journal that publishes articles or research results relating to health, nursing and midwifery issues. Viva Medika is published by Harapan Bangsa University twice a year (September and February). The mission of the Journal of Viva Medika is to disseminate and discuss scientific writings on midwifery, nursing, and various issues within the scope of health problems. This journal is intended as a medium of communication for lecturers and people who have attention to health, obstetrics, nursing.

Arjuna Subject : -

Articles 571 Documents

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ANALISIS FAKTOR-FAKTOR YANG MEMPENGARUHI MP-ASI DINI DI KELURAHAN ARCAWINANGUN KECAMATAN PURWOKERTO TIMUR 1 TAHUN 2014 Feti Kumala Dewi; Melati Khusnanisa
Viva Medika Vol 7 No 1 (2014)
Publisher : Universitas Harapan Bangsa Purwokerto

0-6 months old mother stated that 7 <35 years of providing complementary foods such as honey,porridge sun, bananas (5 mothers with low education (elementary, middle), 4 work and 6 hadrevenue> Rp. 1,000,000, -), and three mothers aged> 35 years did not give breast milk (oneworking mother, two highly educated mothers, and one mother had revenue> Rp. 1,000,000, -).The purpose of this study to describe age, education, occupation, economic status of mothers andthe provision of complementary feeding and to know the relationship, age, education, employmentand economic status of women with early breast milk giving dikelurahan Arcawinangun work areaPuskesmas East Purwokerto 1 2014.This research method is analytical correlation with cross sectional approach based on primarydata. This research instrument with a checklist. Sempelnya are mothers with babies aged 0-6months. Sempel retrieval technique is cluster sampling with a sample of 30 respondents.The result of this research is the most maternal age is â‰¤ 35 years (60%). Based on the highest levelof education is low (63.3%). Most are based on the work of working mothers (56.7%). Based onthe economic status of the mother is the most economic high (53.3%) and the provision of thehighest breast milk is not suitable (â‰¤ 6 months), namely (66.7%). There was no associationbetween maternal age with early administration of MP-ASI with Ï value 0.461. There is arelationship between the mother's education by giving breast milk to premature Ï value 0,001.There is a relationship between the mother's occupation by giving breast milk to premature Ïvalue 0,007.There is no correlation between economic status women with early breast milk givingthe value Ï 0.122. Keywords: Age, Education, Employment, Economic Status, MP-ASI

GAMBARAN FAKTOR RISIKO KEJADIAN BAYI BERAT LAHIR RENDAH (BBLR) DI RSUD dr. R. GOETENG TAROENADIBRATA PURBALINGGA TAHUN 2013 Ema Wahyuningrum; Etika Ervanti
Viva Medika Vol 7 No 1 (2014)
Publisher : Universitas Harapan Bangsa Purwokerto

Infant Low Birth Weight (LBW) is a newborn whose weight at birth of less than 2500 grams (upto 2499 grams). The cause of LBW in general because of several factors, including maternalfactors such as disease (anemia, bleeding, IMS, premature rupture of membranes, preeklampsiand eclampsia), age, parity, socioeconomic circumstances. Fetal factors such as infection of thefetus and multiple pregnancies, as well as environmental factors. In dr. R. GoetengTaroenadibrata Purbalingga, LBW in 2013 as many as 237 cases (19.47%).The study aims todescribe risk factors of low birth weight (LBW) by maternal factors in dr. R. GoetengTaroenadibrata Purbalingga 2013. This research is descriptive quantitative research with crosssectional study with retrospective time approach. Sampling in this study using total sampling,sample of this research is all infants with low birth weight based medical record dr. R. GoetengTaroenadibrata Purbalingga the year 2013 as many as 237 cases. Measuring instruments usedmaster table and type of data is secondary data. Data were analyzed using univariate. The resultshowed a risk factor for low birth weight by the age of majority is 20-35 years as many as 101respondents (65.3%), based on the parity mostly primiparas total of 133 respondents (56.1%)and by disease or pregnancy complications mostly experienced respondent is preeclampsia were92 respondents (38.8%). Risk factors of low birth weight (LBW) in dr. R. GoetengTaroenadibrata Purbalingga in 2013, mostly aged 20-35, primiparous parity and have a historyof preeclampsia. Keywords: risk factors, Infant Low Birth Weight (LBW)

HUBUNGAN PARITAS IBU DENGAN KEJADIAN PARTUS LAMA DI RSUD PROF. DR. MARGONO SOEKARJO PURWOKERTO TAHUN 2013 Tin Utami
Viva Medika Vol 7 No 1 (2014)
Publisher : Universitas Harapan Bangsa Purwokerto

The purpose of this study was to determine the relationship of maternal parity with the incidence of prolonged labor in the District General Hospital Prof. Dr. Margono Soekarjo Purwokerto in 2013. This research method is analytic correlation with case control approach. This study uses secondary data derived from medical records of patients at the General Hospital of Prof. Dr. Margono Soekarjo Purwokerto. Sampling using quota sampling number 50 case samples and 50 control samples. Analysis of the data used were univariate ie only see the picture of the distribution of variable frequency and bivariate analysis using chi square. The results of this study is no relationship between maternal parity with the incidence of prolonged labor. (Î¡value = 0.0001 <0.05). In get the value of OR = 24.438, meaning that parity primiparous and grandemultipara can cause the incidence of prolonged labor 24.438 times higher than parity multiparas. The conclusion of this research that there is a relationship between parity with the incidence of prolonged labor in hospitals Prof. Dr. Margono Soekarjo 2013 Keywords: parity, prolonged labor.

KUALITAS TIDUR PASIEN CONGESTIVE HEART FAILURE (CHF) PADA POSISI TIDUR MIRING KEKANAN Suci Khasanah; Harnanto Setyo Pambudi
Viva Medika Vol 7 No 1 (2014)
Publisher : Universitas Harapan Bangsa Purwokerto

A series of studies shows the influence of sleep on quality of sleep position. Setting theposition of sleep is one of the nursing actions that aim to reduce breathlessness and meetpatient needs rest so as to obtain good quality sleep. This study aims to determine the qualityof sleep in a sleeping position facing to the right in congestive heart failure patients.Comparative descriptive study with a population of congestive heart failure patients withoutCOPD. The sample size of 16 respondents consecutive sampling and sampling techniques.The instrument used was obserbvasi sheet and a video recorder as well as kuasioner ThePittsburgh Sleep QualityIndex (PSQI). The results of measuring the quality of sleep in anumeric scale and analysis of different test used is Independent sample t test. The resultsshowed a mean score of sleep quality treatment groups smaller than the control group(respectively 6.75 and 10.5). Results obtained independent t-test p 0.015 <Î±. Conclusion: Nodifference in sleep quality scores between the treatment group and the control group,statistically significant. Thus, the quality of sleep of heart failure patients were skewed rightkongstif better than sleeping position facing in addition to the right. Keywords: Quality, Sleep Position, Congestive Heart Failure

HUBUNGAN INISIASI MENYUSU DINI DENGAN KEBERHASILAN ASI EKSKLUSIF DI DESA KEMBARAN WETAN KABUPATEN PURBALINGGA Arlyana Hikmanti; Etika Dewi Cahyaningrum
Viva Medika Vol 7 No 1 (2014)
Publisher : Universitas Harapan Bangsa Purwokerto

Breastfeeding is the best way to provide nutrition for infants aged <6months. Exclusive breastfeeding can begin with the process of early breastfeedinginitiation (IMD). IMD will greatly help boost the immune system of infants aged 1month. Giving late initiation of breastfeeding may increase the risk of death by 24times.Therefore,exclusivebreastfeedingissupportedbytheimplementationof theIMDinwomenafterchildbirth.Themethodusedisanalyticcorrelationbased on primary data taken using a questionnaire to the 71 respondents who hadinfants aged 7-12 months in the village Twinning Wetan Purbalingga. Motherswith infants aged 7-12 months, 52.1% had done IMD, amounting to 62.0% havebeen successful exclusive breastfeeding for 6 months. Based on the results of thestatistical test Chi Square obtain p-value = 1.000 (> 0.1), meaning Ho acceptedand Ha rejected. This shows that there is no correlation between the IMD to thesuccess of exclusive breastfeeding in mothers who had infants aged 7-12 monthsin the village Twinning Wetan Purbalingga. There was no relationship betweenthe IMD to the success of exclusive breastfeeding in mothers who had infantsaged 7-12 months in the village Twinning Wetan Purbalingga. Suggested tomidwives in order to further improve maternal health education on theimportance of exclusive breastfeeding for infants aged 0-6 months although notthrough IMD beforehand. Keywords: IMD, exclusive breastfeeding, mothers with babies 7-12 months

ERBEDAAN TINGKAT KECEMASAN MENGHADAPI PERSALINAN IBU PRIMIGRAVIDA SETELAH MENDENGARKAN AYAT SUCI AL-QURâ€™AN DI PUSKESMAS WILAYAH PURWOKERTO Fauziah Hanum Nur Adriyani; Surtiningsih Surtiningsih; Mariah Ulfah
Viva Medika Vol 7 No 1 (2014)
Publisher : Universitas Harapan Bangsa Purwokerto

Pregnancy and childbirth on women is a fisiology process. However, the proses can cause anxiety on pregnant mother.Unstructured interviews to 3primigravida at Helath Centre Community Region of Purwokerto, as for 2 peopleto answer multigravida mother has not experienced anxiety in the face of labor.Series of research shows that listening therapy holy verses of Al-Qurâ€™an canreduce the level of anxiety.The study aims to know the difference in the level ofanxiety facing labor primigravida trimester III therapy after listening to verses ofthe Al-Qurâ€™an at Helath Centre Community Region of Purwokerto. This studyQuasi-experimental with one-group pre-posttest design. Sampel size is 40primigravida, sampling technique Quota Sampling. The study applied WilcoxonSigned Rank Test.Result of the study showed no difference in the level of anxietyin the face of labor primigravida after therapy holy verses of Al-Qurâ€™an;statistically significant (p value = 0,000 < Î± = 0,05).The finding of this studyshows that no difference before and after listening therapy holy verses of AlQurâ€™anto reduce anxiety in the primigravida trimester III in the face labor Helath Centre Community Region of Purwokerto. Key words:Al-Qurâ€™an verses, anxiety, primigravida trimester III

PENGARUH MASSAGE COUNTER PRESSURE TERHADAP INTENSITAS NYERI KALA I PADA IBU BERSALIN DI WILAYAH KERJA PUSKESMAS PEKUNCEN Ikit Netra Wirakhmi
Viva Medika Vol 7 No 1 (2014)
Publisher : Universitas Harapan Bangsa Purwokerto

Childbirth is a physiological thing where there is a series of processes that ended with theexpenditure of the POC. The first stage is the stage that took place since the onset of regularuterine contractions until full cervical dilatation. Labor uterine contractions cause pain. Firststage of labor pain management were not precise cause women experience severe pain. Massagecounter pressure is one of the non-pharmacological approaches that can be used to reduce laborpain. The purpose of this study was to determine differences in the first stage of labor pain scalebefore and after the massage counter pressure on women giving birth in Puskesmas PekuncenBanyumas 2013. The method used is pre experimental with one group pretest posttest design.This study uses primary data were taken in June 2013 in Puskesmas Pekuncen Banyumas. Thesample in this study as many as 11 respondents drawn using accidental sampling technique. Based on the results of the first stage of labor pain scale before the massage counterpressure on the most severe pain that is 8 respondents (72.7%), while the first stage of laborpain scale after the massage counter highest pressure at moderate pain that is 10 respondents(90.9%). Statistical test results using Wilcoxon Signed Ranks Test Z table values obtained aresmaller than the Z count (1.96 <3.000), which means that there are differences in the first stageof labor pain scale before and after the massage counter pressure. The conclusion from thisresearch that there are differences in the first stage of labor pain scale before and after themassage counter pressure on women giving birth in Puskesmas Pekuncen Banyumas in 2013. Keywords: massage counter pressure, pain scale, first stage of labor

HUBUNGAN INISIASI MENYUSUI DINI (IMD) DENGAN KELANCARAN PRODUKSI AIR SUSU IBU (ASI) PADA IBU POST PARTUM DI RUANG NIFAS RSUD dr. R.GOETENG TAROENADIBRATA PURBALINGGA Andri Bahrun; Atun Raudotul Ma'rifah; Noor Yunida Triana
Viva Medika Vol 7 No 2 (2014)
Publisher : Universitas Harapan Bangsa Purwokerto

Inisiasi Menyusui Dini merupakan pemberian ASI kepada bayi baru lahir,telapak tangan bayi tidak boleh dibersihkan terlebih dahulu dan tidak dipisahkandari ibu. Proses menyusui dapat dilakukan segera setelah bayi lahir, bayi yang lahircukup bulan akan memiliki naluri untuk menyusu pada ibunya 20-30 menit setelahmelahirkan produksi ASI telah normal volume susu terbanyak yang dapat diperolehadalah 5 menit pertama pengisapan oleh bayi biasanya berlangsung selama 15-25menit.Penelitian ini bertujuan untuk mengetahui hubungan inisiasi menyusui dinidengan kelancaran produksi ASI di RSUD R.Goeteng Taroenadibrata purbalingga. Penelitian ini merupakan penelitian kuantitatif korelasi dengan menggunakanpendekatan cross sectional. Jumlah sampel dalam penelitian ini sebanyak 56responden yang diambil dengan menggunakan metode accidental sampling. Alat ukuryang digunakan yaitu lembar kuisioner. Teknik analisis data menggunakan distribusifrekuensi dan Chi Square. Penelitian menunjukkan bahwa yang melakukan Inisiasi Menyusui Dini 41reponden (73,2%) sedangkan responden yang tidak melakukan sebanyak 15responden (26,8%).frekuensi kelancaran produksi ASI di RSUD R.GoetengTaroenadibrata purbalinnga didapatka 28 (50%) responden masuk dalam kategoribaik, sedangakan kategori kurang sebanyak 11 responden (19,6%). Ada hubungan yang signifikan antara hubungan Inisiasi Menyusui Dinidengan kelancaran produksi ASI di RSUD R.Goeteng Taroenadibrata purbalinnga. Kata kunci: Inisiasi Menyusui Dini, kelancaran produksi ASI ibu post partum.

PENGARUH SENAM ASMA TERHADAP PENINGKATAN FORCED EXPIRATORY IN 1 SECOND (FEV 1) PADA PENDERITA ASMA Rahmaya Nova Handayani; Denny Agustiningsih; Achmad Djuneadi
Viva Medika Vol 7 No 2 (2014)
Publisher : Universitas Harapan Bangsa Purwokerto

Asthma is a disorder such as chronic inflammation of the airways that causes hyperactivity of thebronchi to various stimuli which is characterized by symptoms of recurrent episodic form of wheezing , coughing , shortness of breath and tightness in the chest , especially at night or earlymorning are generally reversible either with or without treatment. Asthma fluctuated ( intermittent) means it can be quiet without symptoms , but can not interfere with the activities developed mildto severe symptoms can even cause death . One indication of obstruction in the respiratory tract isForced expiratory volume in 1 second ( FEV1 ) decreased . Forced expiratory volume in 1 secondis the amount of air that is expelled as soon as possible in the first second after taking the deepest breath. The purpose of this study was to determine the effect of asthma gymnastics to increasedFEV1 in patients with asthma . The design of this study is a quasi experimental study with pre-post study design -test group design . FEV1 measurements made at the beginning , middle and endof the treatment of asthma gymnastics performed 1 week 3 times in the morning with a sample of20 respondents . Gymnastics asthma conducted every Tuesday , Thursday and Saturday at 07.00 pm for 12 weeks . FEV1 measurements done using sprirometri brand " Autospiro AS - 505 "Minato Japanese production . People with asthma are taken by a medical diagnosis is determined by thedoctor at the health center Brits with the male gender .The result of this study is therebefore and after the effect of asthma gymnastics to increased FEV1 in patients with asthma . Keywords : Gymnastics asthma , FEV1 , asthma

FAKTOR RISIKO KEJADIAN ABORTUS PADA IBU HAMIL DI RSUD CILACAP Ema Wahyuningrum; Ade Rizki
Viva Medika Vol 7 No 2 (2014)
Publisher : Universitas Harapan Bangsa Purwokerto

ccording to the MOH in 2010, the direct cause of maternal deaths in Indonesia related to pregnancyand childbirth, especially that of bleeding (28%), then that is pre-eclampsia (24%), infection (11%),complications of puerperium (8%), prolonged labor / loss (5%), abortion (5%), and others (14%).Although abortion is not the biggest cause of maternal mortality, but the incidence of this requiresmore attention because abortion can cause complications such as bleeding, perforation, sepsis, andshock which can ultimately lead to maternal death. Hospital Cilacap in the incidence of abortion in2012 as many as 331 cases (12.7%) of pregnant women in 2595, increased in 2013 as many as 355cases (13.8%) out of 2557 pregnant women. The purpose of this study to know the description of riskfactors associated with abortion in pregnant women in hospitals Cilacap in 2013 based on maternalage, parity, history of abortion, and pregnancy spacing. This research method using retrospectivestudy approach. This study uses secondary data taken in August, 2013 in General Hospital Cilacap.Sampling using sampling saturated with the number of 355 respondents. The results showed riskfactors associated with abortion based mostly on the mother's age 20-35 years of age as many as 227pregnant women (63.94%), risk factors associated with abortion based largely on a parity paritymultiparas as many as 154 pregnant women (43.38 %), risk factors associated with abortion based onthe history of abortion mostly occurs in women who have never experienced abortion as many as 241pregnant women (67.88%), and the risk factors associated with abortion based on the distancepregnancy mostly occurs in pregnant women with pregnancy spacing â‰¥2 years of the 177 pregnantwomen (49.85%). Keywords: abortion, pregnant women

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