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EVALUASI PENGELOLAAN PERJANJIAN LAYANAN SISTEM INFORMASI AKADEMIK POLTEKKES KEMENKES RI PADANG MENGGUNAKAN KERANGKA KERJA COBIT 5 TAHUN 2017 Alsri Windra Doni; Elda Yusefni .
Jurnal Sehat Mandiri Vol 13 No 1 (2018): Jurnal Sehat Mandiri, Volume 13, No.1 Juni 2018
Publisher : Poltekkes Kemenkes Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (100.463 KB) | DOI: 10.33761/jsm.v13i1.40

Abstract

The purpose of this study was to determine the level of capability and proposed recommendations for improvement of academic information systems polytechnic MoH RI Padang particularly manage service agreements (process APO09) using the COBIT framework 5. This research is a qualitative descriptive study using the COBIT framework 5. The procedure of this study begins by observation, interviews, literature review, gave questionnaires to the parties involved in the management of academic information systems. The survey results revealed that the level of capability for academic information system Poltkekkes MoH Padang to APO domain on APO09reached level 1 with category Largely Achieved (60.00%). The results of processing this data to base recommendations for improving the management of academic information system Poltkekkes MoH Padang to reach the target level 3. Keywords: Academic Information Systems; COBIT 5; Level Capability
Hubungan Pengetahuan dan Sikap Dengan Tindakan Seksual Pranikah Remaja Di SMA Kabupaten Sijunjung Elda Yusefni
Jurnal Sehat Mandiri Vol 12 No 2 (2017): Jurnal Sehat Mandiri, Volume 12, No.2 Desember 2017
Publisher : Poltekkes Kemenkes Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (100.487 KB) | DOI: 10.33761/jsm.v12i2.99

Abstract

Premarital sexual behavior has a negative impact that unwanted pregnancy and abortion. Based on data found BKKBN and secondary school students had sexual intercourse 63% and 21% had an abortion. The aim of research to determine the relationship of knowledge and attitudes to premarital sexual acts Sijunjung teenagers in high school. This type of research analytic survey with the cross-sectional approach. The study was conducted in January-September 2013 in class X SMA N 9 Sijunjung on 65 samples using questionnaires, the data processed using univariate and bivariate frequency distribution by chi-square test. The data is processed by a computerized system. The results showed a minority of students (38.5%) had a high-risk sexual activity before marriage. A small portion (33.8%) students had low knowledge levels, the vast majority (63.1%) students had negative attitudes toward premarital sexual. There is a significant relationship between knowledge and attitudes to premarital sexual activity in adolescents. Based on the research results suggested in the school make reproductive health education programs for adolescents in collaboration with health care, providing information about the dangers of premarital sex among adolescents, spiritual counseling or held ESQ activities every student or a new student.
Faktor-Faktor yang Berhubungan dengan Perilaku Seksual pada Remaja Di SMKN 1 Painan Tahun 2020 Yuliva Yuliva; Elda Yusefni; Vini Azian
Jurnal Sehat Mandiri Vol 15 No 2 (2020): Jurnal Sehat Mandiri, Volume 15, No.2 Desember 2020
Publisher : Poltekkes Kemenkes Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (124.398 KB) | DOI: 10.33761/jsm.v15i2.318

Abstract

Based on the result of SDKI in 2012 and 2017 there was an increase of adolescent sexual behavior, the proportion of female adolescents that had sexual intercourse before marriage 1% became 2%. The purpose of the research was to find out the factors related to sexual behavior on adolescents at SMKN 1 Painan in 2020. The type of the research is analytic with cross sectional design. The research was conducted from November 06, 2019 to June 30, 2020. The population of the research was the students of SMKN 1 Painan, the sample number was 85 students. The data collection used questioner with google form. The data processing technique was editing, coding, entry, tabulating and cleaning. The data analysis was univariate and bivariate with chi square statistical test. The result of univariate analysis was 54,1% respondents had risky sexual behavior, low religiosity 45,9%, authoritarian parenting 36,5%, and peers play a role in sexual behavior 54,1%. The result of bivariate analysis for religiosity relationship was p=0,001 (p<0,05), parenting style relationship with the value p=0,000 (p<0,005) and peer role p=0,026 (p<0,005) with the sexual behavior on adolescents. It was cocluded that there was the relation of religiosity, parenting style and peer role with the sexual behavior on adolescents. It is expected that the school activates PIK-R at school in order that adolescents have a place to get correct information about adolescents reproductive health and sexuality.
Pengaruh Pemijatan Perineum pada Primigravida terhadap Kejadian Ruptur Perineum saat Persalinan di Bidan Praktek Mandiri di Kota Bengkulu Tahun 2014 Wewet Savitri; Ermawati Ermawati; Elda Yusefni
Jurnal Kesehatan Andalas Vol 4, No 1 (2015)
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v4i1.204

Abstract

AbstrakRuptur perineum merupakan salah satu komplikasi persalinan kala II yang dapat menyebabkan disfungsi organ reproduksi wanita, perdarahan dan laserasi. Sebanyak 85% wanita melahirkan pervaginam dapat mengalami ruptur perineum. Salah satu cara mengurangi ruptur perineum adalah dengan melakukan pemijatan perineum untuk meningkatkan kesehatan, aliran darah dan elastisitas perineum. Tujuan penelitian ini adalah untuk menentukan pengaruh pemijatan perineum pada primigravida terhadap kejadian ruptur perineum saat persalinan di Bidan Praktek Mandiri di Kota Bengkulu Tahun 2014. Penelitian ini merupakan penelitian quasi eksperimen dengan metode post test only control group design. Penelitian dilakukan di Bidan Praktek Mandiri (BPM) kota Bengkulu dengan subjek 28 orang primigravida usia kehamilan 36 minggu yang terdiri dari 14 orang kelompok intervensi dan 14 orang kelompok kontrol. Penelitian dilakukan dari 10 Maret 2014 hingga 10 Mei 2014, kemudian data dianalisis dengan uji Chi Square. Kejadian ruptur perineum pada kelompok intervensi setelah dilakukan pemijatan perineum hanya 21,4% sementara pada kelompok kontrol 71,4%. Hasil penelitian membuktikan ada pengaruh pemijatan perineum pada primigravida terhadap kejadian ruptur perineum (p<0,05). Penelitian ini menyimpulkan bahwa pemijatan perineum pada primigravida berpengaruh terhadap kejadian ruptur perineum pada saat persalinan.Kata kunci: pemijatan perineum, primigravida, ruptur perineumAbstractPerineal rupture is one of the second stage of labor complications that can lead to dysfunction of the female reproductive organs, bleeding and lacerations. As many as 85% of women give birth vaginally may experience rupture of the perineum. A method of reduce perineal rupture is a perineal massage to promote health, blood flow and elasticity of the perineum. The objekctive of this study was to determine the effect of perineal massage on the incidence of perineal rupture in primigravid during childbirth in Independent Practice of Midwifery in the city of Bengkulu year 2014. This study was a quasi-experimental study with the method of post test only control group design. The study was conducted in independent practice of midwifery) in Bengkulu city including subject of 28 primigravida with 36 weeks of gestation consisting of 14 intervention group and 14 control group. The study was done from March 10th untill may 10th 2014, then the data were analyzed with chi- square test. Perineal rupture in the intervention group after perineal massage performed only 21.4% while in the control group was 71.4%. this study showed that there was effect of perineal massage on the incidence of perineal rupture of primigravida (p<0.05). This study concludes that perineal massage in primigravida can effected the incidence of perineal rupture at delivery.Keywords: perineal massage, primigravida, perineal
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN KANKER SERVIKS DI RSUP DR M.DJAMIL PADANG TAHUN 2017 mega wanda; Nike Sari Oktavia; Elda Yusefni
JIK-JURNAL ILMU KESEHATAN Vol 2, No 1 (2018): JIK- April Volume 2 Nomor 1 Tahun 2018
Publisher : STIKes ALIFAH PADANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (273.385 KB) | DOI: 10.33757/jik.v2i1.82

Abstract

Abstrak         Kanker serviks merupakan salah satu penyebab kematian terbanyak, estimasi jumlah kanker serviks di Indonesia sebanyak 98.692 kasus. Estimasi jumlah kanker serviks di  Sumatera Barat sebanyak 2.285 kasus. Jumlah penderita kanker serviksdi RSUP DR M.Djamil Padang meningkat dari tahun 2014 sampai 2015 dengan peningkatan sebanyak 44%. Tujuan penelitian ini untuk mengetahui faktor-faktor yang berhubungan dengan kejadian kanker serviks di RSUP DR M.Djamil Padang tahun 2017         Metode penelitian ini deskriptif analitik dengan menggunakan pendekatan cross sectional. Pengumpulan data dilakukan tanggal 15 Desember 2016 – 15 Januari 2017 di ruangan Ginekologi RSUP DR M.Djamil Padang, dengan besar sampel 80 orang. Sampel ini diambil secara Non Random Sampling dengan teknik total populasi. Data dikumpulkan menggunakan kuisioner. Analisis data terdiri dari analisis univariat dan bivariat yang diolah dengan uji Chi-Square.         Hasil penelitian didapatkan 37,5% pasien menderita kanker serviks, 60%  pasien melakukan intercourse pada usia muda (< 20 tahun), 33,8% pasien memiliki paritas tinggi (> 3), 36,2% pasien memakai kontrasepsi hormonal dalam waktu ≥ 5 tahun. Hasil analisis  bivariat terdapat hubungan usia pertama melakukan intercourse dengan kejadian kanker serviks (0,010), tidak ada hubungan paritas dengan kejadian kanker serviks (0,246), ada hubungan pemakaian kontrassepsi hormonal dengan kejadian kanker serviks (0,003).         Disimpulkan adanya hubungan usia pertama melakukan intercourse, pemakaian kontrasepsi hormonal dengan kejadian kanker serviks dan tidak ada hubungan paritas dengan kejadian kanker serviks. Diharapkan kepada masyarakat  agar mengurangi lama pemakaian kontrasepsi hormonal dengan memakai kontrasespi non hormonal dan tidak melakukan intercourse pada usia muda. Kata kunci : usia pertama melakukan intercourse, paritas,   pemakaian kontrasepsi hormonal, kanker serviks AbstractCervical cancer is one cause of death most, estimation the number of servical cancer in Indonesia as many as 98.692 cases. Estimation the number of servical cancer in West Sumatera as many as 2.285 cases. The number of cervical cancer In Hospital DR M.Djamil Padang increased from 2014 to 2015 with an increase of 44%. The purpose of this study to determine the factors associated with the incidence of cervical cancer in DR M.Djamil Padang on 2017Methods this study was descriptive analytic with approach cross sectional The data collection was done on December 15th, 2016 - January 15th, 2017 in room Gynecology DR M.Djamil Padang, with a sample size of 80 respondents. These samples were taken in Non-Random Sampling technique the total population. Data were collected using a questionnaire. The data analysis consisted of univariate and bivariate analysis were prepared by Chi-Square.The results showed 37.5% of patients with cervical cancer, 60% of patients to perform intercourse at a young age (< 20 years), 33.8% of patients had high parity (> 3), 36.2% of patients taking hormonal contraception within ≥ 5 years. The results of the bivariate correlation analysis of the age of first intercourse with the incidence of cervical cancer (0,010), no parity correlation with the incidence of cervical cancer (0.246), there is correlation use of hormonal contraception with incidence of cervical cancer (0,003).Concluded therearecorrelation age of first intercourse, use of hormonal contraception with cervical cancer incidence and no parity correlation with the incidence of cervical cancer.Expected to the public to reduce the duration of use hormonal  contraception by using non hormonal contraception and didn’t do intercourse at a young age. Keywords            :     age at first intercourse, parity, use of                                  hormonal contraception, cervical cancer
PENGARUH PEMBERIAN TUMBUKAN BAWANG MERAH SEBAGAI PENURUN SUHU TUBUH PADA BALITA DEMAM DI PUSKESMAS LUBUK BUAYA KOTA PADANG TAHUN 2018 Faridah BD; Elda Yusefni; Ingges Dahlia Myzed
JIK-JURNAL ILMU KESEHATAN Vol 2, No 2 (2018): JIK-Oktober Volume 2 No 2 Tahun 2018
Publisher : STIKes ALIFAH PADANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (145.171 KB) | DOI: 10.33757/jik.v2i2.128

Abstract

ABSTRAKDemam adalah hal fisiologis yang biasa terjadi pada balita, demam dapat disebabkan oleh infeksi dan non infeksi. Berdasarkan data yang telah di dapatkan dari Dinas Kesehatan Kota Padang, sebanyak 5820 orang anak mengalami demam sepanjang tahun 2016 di Puskesmas Lubuk Buaya Kota Padang. Dari survey pendahuluan yang telah dilakukan, 2 dari 10 orang ibu telah menggunakan obat tradisional untuk mengatasi demam pada anaknya, tetapi menggunakan daun jarak. Tujuan penelitian ini untuk mengetahui pengaruh pemberian tumbukan bawang merah pada balita demam di Puskesmas Lubuk Buaya Kota Padang Tahun 2018. Metode penelitian eksperimental dengan jenis penelitian quasy eksperiment menggunakan rancangan one group pretest postest design. Penelitian dilakukan pada bulan Januari 2018 di Puskesmas Lubuk Buaya Kota Padang, jumlah sampel sebanyak 16 balita dengan menggunakan teknik pengambilan sampel purposive sampling. Instrumen yang digunakan lembar observasi dan termometer. Analisis data univariat dan bivariat menggunakan uji t dependen secara komputerisasi, dengan menggunakan SPSS. Hasil penelitian rata-rata suhu tubuh sebelum dilakukan pemberian tumbukan bawang merah yaitu 37,91oC dan setelah dilakukan pemberian tumbukan bawang merah yaitu 37,42oC. Setelah dilakukan uji t paired sample didapatkan rata-rata selisih sebelum dan sesudah perlakuan adalah -0,48. p value = 0,000 < 0,05 sehingga Ho ditolak, artinya bawang merah efektif terhadap penurunan suhu tubuh pada balita demam. Kesimpulan didapatkan, bawang merah efektif sebagai penurun suhu tubuh pada balita demam. Diharapkan penelitian ini dapat dijadikan sebagai informasi terbaru mengenai obat-obatan herbal yang dapat dijadikan salah satu alternatif untuk menurunkan suhu tubuh pada balita yang demam.Kata Kunci : Bawang Merah, Balita, Demam ABSTRACTFever is a physiological thing that is common in infants, fever can be caused by infection and non infection. Based on data that has been obtained from Padang City Health Office, as many as 5820 children have fever during 2016 at Lubuk Buaya Community Center in Padang City. From the preliminary survey that has been done, 2 of 10 mothers have used traditional medicine to overcome the fever in their children, namely using leaf distance. The purpose of this study to determine the effectiveness of the use of red onion under fives under age 2 years in Puskesmas Lubuk Buaya Padang City Year 2018. Experimental research method with quasi experimental research using one group pretest postest design. The study was conducted in January 2018 at Puskesmas Lubuk Buaya Padang City, the number of sample 16 by using purposive sampling sampling technique. Instruments used observation sheets, thermometers and informed consent sheets. Analysis of univariate and bivariate data using t test dependent with computerization. The results of the average body temperature before doing onion collision is 37.91oC and after doing the onion collision of 37.42oC. After the paired simple t test obtained the average difference between before and after treatment is -0.48. Ho is rejected with p value = 0.000 <0.05 means that onion is effective against decreasing body temperature in fever toddlers. The conclusion of red onion is effective as lowering body temperature in fever toddlers. It is expected that this research can be used as the latest information about herbal medicines that can be used as an alternative to lower body temperature in fever.Keywords: Red Onion, Fever, Toddlers
Hubungan Panjang Badan Lahir dan Riwayat Imunisasi Dasar dengan Kejadian Stunting Balita Alsri Windra Doni; Elda Yusefni; Dewi Susanti; Putri Kartika Wulandari
Jurnal Kesehatan Vol 13 No 2 (2020): Jurnal Kesehatan yang diterbitkan oleh Poltekkes Ternate
Publisher : UPPM Poltekkes Kemenkes Ternate

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32763/juke.v13i2.267

Abstract

Stunting merupakan kondisi gagal tumbuh pada anak akibat kekurangan gizi kronis sejak dalam kandungan sampai usia 2 tahun sehingga anak terlalu pendek untuk usianya. Data Riskesdas prevalensi stunting secara nasional tahun 2007 sebesar 36,8 %, tahun 2013 sebesar 37, 2% dan tahun 2018 sebesar 30,8% . Tujuan penelitian untuk mengetahui hubungan panjang badan lahir dan riwayat imunisasi dasar dengan kejadian stunting pada balita. Jenis penelitian ini adalah deskriptif dengan metode study literatur review jenis narrative review. Populasi penelitian ini Anak balita umur 12–59 bulan. Sampel penelitian dengan literatur yang diambil saat study literature review. Tahapan pengumpulan data berpedoman pada studi study literature review. Hasil penelitian ada hubungan panjang badan lahir dan riwayat imunisasi dasar dengan kejadian stunting dimana panjang badan lahir dapat memicu stunting dan riwayat imunisasi dasar yang tidak lengkap berisiko terjadinya stunitng. Kesimpulan diketahui mayoritas kejadian stunting terjadi pada anak balita. Disarankan kepada petugas kesehatan lebih meningkatkan upaya untuk mencegah stunitng di wilayah kerjanya masing-masing.
Hubungan Panjang Badan Lahir dan Riwayat Imunisasi Dasar dengan Kejadian Stunting Balita Alsri Windra Doni; Elda Yusefni; Dewi Susanti; Putri Kartika Wulandari
Jurnal Kesehatan Vol 13 No 2 (2020): Jurnal Kesehatan yang diterbitkan oleh Poltekkes Ternate
Publisher : UPPM Poltekkes Kemenkes Ternate

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32763/juke.v13i2.267

Abstract

Stunting merupakan kondisi gagal tumbuh pada anak akibat kekurangan gizi kronis sejak dalam kandungan sampai usia 2 tahun sehingga anak terlalu pendek untuk usianya. Data Riskesdas prevalensi stunting secara nasional tahun 2007 sebesar 36,8 %, tahun 2013 sebesar 37, 2% dan tahun 2018 sebesar 30,8% . Tujuan penelitian untuk mengetahui hubungan panjang badan lahir dan riwayat imunisasi dasar dengan kejadian stunting pada balita. Jenis penelitian ini adalah deskriptif dengan metode study literatur review jenis narrative review. Populasi penelitian ini Anak balita umur 12–59 bulan. Sampel penelitian dengan literatur yang diambil saat study literature review. Tahapan pengumpulan data berpedoman pada studi study literature review. Hasil penelitian ada hubungan panjang badan lahir dan riwayat imunisasi dasar dengan kejadian stunting dimana panjang badan lahir dapat memicu stunting dan riwayat imunisasi dasar yang tidak lengkap berisiko terjadinya stunitng. Kesimpulan diketahui mayoritas kejadian stunting terjadi pada anak balita. Disarankan kepada petugas kesehatan lebih meningkatkan upaya untuk mencegah stunitng di wilayah kerjanya masing-masing.
EFEKTIVITAS PENGGUNAAN MEDIA KOMIK TERHADAP PENINGKATAN PENGETAHUAN SISWA TENTANG HIV/AIDS DI SMP N 45 KABUPATEN SIJUNJUNG eravianti rusli; Elda Yusefni; Firsta Auva Firji
Jurnal Kesehatan Medika Saintika Vol 12, No 1 (2021): Juni 2021
Publisher : Stikes Syedza Saintika Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30633/jkms.v12i1.1116

Abstract

ABSTRAK HIV/AIDS adalah permasalah kesehatan yang menjadi tantangan diseluruh dunia, termasuk Indonesia. Angka kejadian HIV tahun 2018 di Indonesia 630.000 kasus, Sumatera Barat terdapat 624 kasus. dan Kabupaten Sijunjung sebanyak 25 kasus. Pada tahun 2019 terdapat kasus baru pada remaja berusia 18 tahun di Sijunjung. Rendahnya pengetahuan salah satu penyebab penularan HIV. Tujuan penelitian ini untuk mengetahui efektivitas pengunaan media komik terhadap peningkatan pengetahuan siswa tentang HIV/AIDS di SMPN 45 Sijunjung. Jenis penelitian adalah pre eksperimen dengan desain one group pretest posttest. Populasi penelitian adalah siswa SMPN 45 Sijunjung yang berjumlah 76 orang. Jumlah sampel sebanyak 22 orang yang dipilih menggunakan teknik Purposive sampling. Analisis data dilakukan dengan Uji Paired-Sampel t-Test. Hasil penelitian didapatkan rata-rata pengetahuan siswa sebelum intervensi 10,41 dan sesudah intervensi 13,23. Hasil analisis pengaruh media komik  terhadap tingkat pengetahuan siswa tentang HIV/AIDS didapatkan p value = 0,000 (p value < 0,05). Hal ini menunjukkan bahwa terdapat pengaruh komik terhadap tingkat pengetahuan siswa. Hasil penelitian ini diharapkan dapat menambah pengetahuan siswa dan remaja tentang HIV/AIDS sehingga dapat mencegah penularan HIV/AIDSKata kunci : Komik; pengetahuan; dan HIV/AIDS ABSTRACTHIV/AIDS is a health problem that is a challenge throughout the world, including Indonesia. The 2018 HIV incidence rate in Indonesia was 630,000 cases, West Sumatra there were 624 cases. and Sijunjung District with 25 cases. In 2019 there was a new case of an 18 year old teenager in Sijunjung. Low knowledge of one of the causes of HIV transmission. The purpose of this study was to determine the effectiveness of the use of comic media in increasing students' knowledge of HIV / AIDS at Junior High School 45 Sijunjung. This type of research is a pre-experiment with a one group pretest posttest design. The study population was 76 students of Junior High School 45 Sijunjung. The number of samples was 22 people who were selected using purposive sampling technique. Data analysis was performed by using Paired-Sample t-Test. The results showed that the average knowledge of students before the intervention was 10,41 and after the intervention was 13,23. The results of the analysis of the effect of comic media on students' knowledge level about HIV / AIDS obtained p value = 0.000 (p value <0,05). This shows that there is an effect of comics on the level of student knowledge. The results of this study are expected to increase the knowledge of students and adolescents about HIV / AIDS so that it can prevent HIV / AIDS transmission.Keywords : Comic; knowledge; and HIV/AIDS
The Effect Of Family Support On The Recovery Of Postpartum Mothers Based On Matrilineal Culture In Disaster Risk Areas Haspita Rizki Syurya Handini; Elda Yusefni; Yefrida Rustam; Neni Fitra Hayati
Jurnal Kebidanan dan Kesehatan Tradisional Jurnal Kebidanan dan Kesehatan Tradisional Volume 7 Number 2 Year 2022
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/jkkt.v0i0.368

Abstract

Backgrounds: The incidence of maternal death during pregnancy and the puerperium is high and has not been resolved. Many factors affect the recovery of postpartum mothers, among which the main factor is family support. The purpose of this study was to examine the effect of family support on the recovery of postpartum mothers based on the matrilineal culture in disaster-affected high-risk areas. Methods: This type of research is quantitative with a cross-sectional study design. This research was conducted in the independent practice of midwives in Padang City and Pesisir Selatan Regency. The population of this study was postpartum mothers whose samples were taken by consecutive sampling, totaling 140 people. Univariate analysis was conducted in the form of frequency distribution and mean, while bivariate analysis used the Chi-square test. Results: The results of the study found that 61.4% received good support from their husbands, 63.6% received good support from their parents, 73.6% had normal physical recovery and 2.4% had risky physical recovery. There is an influence of the husband's support and family support on the recovery of postpartum mothers both physically and psychologically (p-value = 0,000). Conclusion: The support of the husband and parents has a positive effect on the recovery of postpartum mothers, both physically and psychologically. There is a need for counseling and providing knowledge to families about the importance of family support in the recovery process during the postpartum period.