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RISIKO ASFIKSIA NEONATORUM BERDASARKAN KEADAAN AIR KETUBAN DI RSU Dr. H. KOESNADI BONDOWOSO TAHUN 2018 Palupi, Jenie; Widada, Wahyudi; Fitrianingsih, Ayu Agustina
The Indonesian Journal of Health Science Vol 11, No 1 (2019): The Indonesian Journal Of Health Science
Publisher : Universitas Muhammadiyah Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (360.256 KB) | DOI: 10.32528/ijhs.v11i1.2235

Abstract

Asfiksia neonatorum adalah kondisi bayi baru lahir tidak segera bernafas secara spontan dan teratur. Salah satu penyebab dari asfiksia neonatorum ialah keadaan air ketuban yang bercampur dengan mekonium atau keruh. Tujuan penelitian untuk mengetahui besar risiko asfiksia neonatorum berdasarkan keadaan air ketuban di RSU dr. H. Koesnadi Bondowoso. Desain penelitian deskriptif dengan pendekatan cross sectional, menggunakan teknik purposive sampling dengan sampel yaitu sebagian ibu bersalin. Besar sampel 100 responden. Instrumen yang digunakan adalah checklist dari data yang diambil di rekam medik RSU dr. H. Koesnadi Bondowoso tahun 2018. Analisa data menggunakan odds ratio. Hasil penelitian didapatkan 49% bayi mengalami asfiksia dan 82% ibu bersalin dengan keadaan ketuban keruh serta 46% ibu bersalin dengan keadaan air ketuban keruh melahirkan bayi dengan asfiksia. Hasil analisis bivariat menggunakan komputer dengan SPSS didapatkan  hasil odds ratio yaitu sebesar 6,389 yang artinya keadaan air ketuban keruh 6,389 kali lebih berisiko bayi lahir mengalami asfiksia. Berdasarkan hasil penelitian tersebut diharapkan perawat atau bidan dapat memberikan pelayanan serta mampu mendeteksi secara dini risiko bayi dengan asfiksia
Resiko Kejadian Asfiksia Neonatorum pada Ketuban Pecah Dini di Rumah Sakit Kalisat Jember Maryanti, Syiska Atik; Palupi, Jenie
Jurnal MID-Z (MIDWIFERI ZIGOT) Vol 3 No 1 (2020): MAY
Publisher : Universitas Islam Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36835/jurnalmidz.v3i1.638

Abstract

Ketuban pecah dini adalah keluarnya cairan ketuban dari jalan lahir sebelum ada tanda-tanda persalinan.Ketuban pecah dini merupakan salah satu faktor penyebab terjadinya asfiksia neonatorum karena akibat dariadanya penekanan pada tali pusat di dalam kandungan sehingga bayi mengalami gangguan pertukaran O2 danberlanjut menjadi asfiksia. Tujuan penelitian mengetahui ada resiko kejadian asfiksia neonatorum pada ketubanpecah dini di Rumah Sakit Kalisat Jember. Desain penelitian analisis korelasi dengan pendekatan case control,jumlah sampel 69 responden menggunakan data sekunder rekam medik RS Kalisat Jember bulan Oktober -Desember 2017 dan dianalisa dengan uji chi square, Koefisien Kontingensi dan odd ratio. Hasil penelitianterdapat 42,02% ketuban pecah dini dan bayi yang mengalami asfiksia sebesar 31,88%. Analisa menggunakanchi square didapatkan X2 hitung sebesar 20,987 > X2 tabel sebesar 3,841 dan Koefisien Kontingensi 0,483artinya ada hubungan yang cukup kuat. Analisa menggunakan odd ratio didapatkan nilai 14,727 artinya adaresiko (efek negatif). Kesimpulan ada hubungan antara ketuban pecah dini dengan asfiksia neonatorum dan adaresiko kejadian asfiksia neonatorum pada ketuban pecah dini Sebaiknya bagi tenaga kesehatan di rumah sakituntuk melakukan pelayanan dan perawatan yang konservatif pada ibu bersalin yang mengalami ketuban pecahdini sehingga dapat mengurangi resiko terjadinya asfiksia pada bayi baru lahir. Key words: Resiko Kejadian Asfiksia, Ketuban Pecah Dini
PENGARUH KOMUNIKASI TERAPEUTIK TERHADAP TINGKAT KECEMASAN IBU DALAM MENGHADAPI PROSES PERSALINAN KALA I Moh Wildan; Jenie Palupi; Sukartini -
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 7, No 2 (2016): April 2016
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (158.77 KB) | DOI: 10.33846/%x

Abstract

Background: Most pregnant mother experienced the feeling of anxiety prior to the delevires of their babies. This pre-labour anxiety requires a serious attention from the health professionals involved in helping the labour process, including the midwife, because it potentially increases into a higher degree of anxiety when no immediate action is taken to overcome it. The objective of this research was to obtain in depth information on the difference to degree of anxiety which was experienced by pregnant mother prior and post to obtaining therapeutic communications. Methods: This Research used “one group pre test-post design” with total responden of 30 expecting mather admitted to Elisabeth Hospital, Situbondo. The data obtained were then analized using Chi Square statistical tes on 5 % level significance and degree of freedom 4. Results: The result showed that the value of the computed Chi Square X2 (10,582) is higher than that of the stsndard value of X2 presented in Chi Square tables (9,488). Therefore te hypotesis which said that there was a difference degree of anxiety experienced by pregnant mother prior and post to obtaining therapeutic communications was accepted. The value of the contingency coefficience was only 0,392, hence there was a positive correlation, even thought it was no so strong. Conclusion: It could be concluded that the degree of anxiety experienced by pregnant mother facing labour process at term I decreased upon obtaining therapeutic communications from the midwife. Keywords: Therapeutic communications, anxiety, labour
Nurse's Effective Communication Ability to Patient's Safety in Hospitals Loetfia Dwi Rahariyani; Nikmatul Fadilah; Yessy Dessy Arna; Jenie Palupi
Health Notions Vol 6, No 01 (2022): January
Publisher : Humanistic Network for Science and Technology (HNST)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hn60103

Abstract

Communication errors in the treatment process will have an impact on the safety and security of patients in the hospital. The emergence of wrong perceptions among health professionals can result in conflict or harm to the patient, leading to lawsuits. The purpose of this study was to identify the nurse's ability to communicate effectively the SBAR technique on patient safety in the hospital. The study used cross-sectional design. Subjects were 225 nurses that they worked at medical surgical ward of 2 hospitals in East Java, selected using cluster sampling technique in July 2019. Independent variable was effective communication-SBAR (Situation, Background, Assessment, Recommendation) technique and dependent variable was patients safety goals. Ordinal regression test was used to analyze the influence of effective communication-SBAR on patient safety goals. The Most of the nurses had received training in effective communication and patient safety. The majority of nurses had good skills on SBAR-based effective communication, but more than half of nurses had low patient safety goals. The conclusion is: effective communication of SBAR has no significant effect on patient safety objectives. This is due to other factors that can affect the implementation of effective communication for patient safety. Keywords: effective communication; patient safety; hospital
Increased Cadre Motivation Conducting Childbirth Referrals through Training with the DABA Method Dhiana Setyorini; Intim Cahyono; Jenie Palupi; Nur Hasanah
Health Notions Vol 5, No 4 (2021): April
Publisher : Humanistic Network for Science and Technology (HNST)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hn50402

Abstract

One of the causes of high maternal mortality is delivery assistance provided by other than health workers or traditional healers. The way to reduce the bondage relationship is to increase the motivation of cadres to refer mothers to health workers. The DABA method is a modification or development of the SALT method (support, appreciate, learn, and transfer), is a method or technique for forming something, showing that a community has the ability to respond to every challenge including childbirth assistance. The maternal mortality rate is still high, the Inter-Census Population Survey data released by the Central Statistics Agency shows that there were 359 maternal deaths per 100,000 births in 2013. The purpose of this study was to analyze the motivation of cadres by empowering the DABA method for referral for delivery assistance by health workers in Jember Regency. Motivation is the reason that underlies an action done by an individual. The method used was quasi-experimental using 2 groups. This study used the non equivalent control group, pre test post test design. The population in this study were 2220 posyandu cadres in the working area of the health centers in the Jember District. The subjects of this study were 100 posyandu cadres in Jember district in 2019 who met the criteria. The sampling technique was carried out by simple random sampling by selecting from a list of names of cadres in each health center. There was differences (p-value = 0.021) of cadre motivation between treatment and control group. The cadre motivation of intervention group was higher than the control group for referral labor. Having high motivation means having very strong reasons to achieve what he wants by doing his current job. The cadre motivation of treatment group increased significantly, this happened because cadres trained through the DABA method were invited to achieve the dreams they had built, namely to reduce maternal and infant mortality. Training using the DABA method is able to increase the motivation of cadres to make a referral to mothers to give birth at a health service place, so training with the DABA method is highly recommended to increase motivation for certain groups to achieve certain goals. Keywords: cadre motivation; DABA method; childbirth referrals
Gambaran Derajat Asfiksia Neonatorum pada Persalinan Pervaginam Letak Sungsang di RSD Kalisat Syiska Atik; Jenie Palupi; Yunita Sari
Jurnal MID-Z (MIDWIFERI ZIGOT) Vol 2 No 1 (2019): MAY
Publisher : Universitas Islam Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36835/jurnalmidz.v2i1.381

Abstract

Asfiksia Neonatorum adalah keadaan dimana bayi tidak segera bernafas spontan dan teratur setelahlahir. Dampak dari asfiksia yaitu henti nafas dan kerusakan pada otak.Data di RSD Kalisat tahun 2017dari 43 bayi lahir pada letak sungsang, yang mengalami asfiksia ringan (41,86%), sedang (46,51%),berat (11,63%). Penelitian ini bertujuan untuk mengetahui gambaran derajat asfiksia neonaturum padapersalinan pervaginam letak sungsang di RSD Kalisat tahun 2017. Desain yang digunakan adalahdeskriptifdata sekunder tahun 2017. Populasinya adalah semua bayi yang dilahirkan secarapervaginam pada letak sungsang, sejumlah 65. Sampel adalah total populasi. Analisis datamenggunakan analisis data deskriptif yaitu frekuensi dan prosentase. Dengan hasil bayi lahir padaletak sungsang yang mengalami asfiksia ringan 36,92% (24 bayi), asfiksia sedang 52,31% (34 bayi)dan asfiksia berat 10,77% (7 bayi). Kesimpulan yang dapat diambil yaitu setengahnya bayi mengalamiasfiksia sedang, dan sebagian kecil mengalami asfiksia berat. Diharapkan peneliti selanjutnya dapatmelanjutkan penelitian dengan metode lain, misalnya dari segi desai n penelitian dan variable lebihdari satu variable, serta tenaga kesehatan mampu memberikan asuhan pada ibu hamil agar tidak terjadikomplikasi pada kehamilannya serta asuhan bayi baru lahir dengan asfiksia secara maksimal demikeselamatan dan kelangsungan hidup bayi.Kata Kunci : Asfiksia, Persalinan Pervaginam Letak Sungsang.
Resiko Kejadian Asfiksia Neonatorum pada Ketuban Pecah Dini di Rumah Sakit Kalisat Jember Jenie Palupi; Syiska Atik Maryanti
Jurnal MID-Z (MIDWIFERI ZIGOT) Vol 3 No 1 (2020): MAY
Publisher : Universitas Islam Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36835/jurnalmidz.v3i1.638

Abstract

Ketuban pecah dini adalah keluarnya cairan ketuban dari jalan lahir sebelum ada tanda-tanda persalinan.Ketuban pecah dini merupakan salah satu faktor penyebab terjadinya asfiksia neonatorum karena akibat dariadanya penekanan pada tali pusat di dalam kandungan sehingga bayi mengalami gangguan pertukaran O2 danberlanjut menjadi asfiksia. Tujuan penelitian mengetahui ada resiko kejadian asfiksia neonatorum pada ketubanpecah dini di Rumah Sakit Kalisat Jember. Desain penelitian analisis korelasi dengan pendekatan case control,jumlah sampel 69 responden menggunakan data sekunder rekam medik RS Kalisat Jember bulan Oktober -Desember 2017 dan dianalisa dengan uji chi square, Koefisien Kontingensi dan odd ratio. Hasil penelitianterdapat 42,02% ketuban pecah dini dan bayi yang mengalami asfiksia sebesar 31,88%. Analisa menggunakanchi square didapatkan X2 hitung sebesar 20,987 > X2 tabel sebesar 3,841 dan Koefisien Kontingensi 0,483artinya ada hubungan yang cukup kuat. Analisa menggunakan odd ratio didapatkan nilai 14,727 artinya adaresiko (efek negatif). Kesimpulan ada hubungan antara ketuban pecah dini dengan asfiksia neonatorum dan adaresiko kejadian asfiksia neonatorum pada ketuban pecah dini Sebaiknya bagi tenaga kesehatan di rumah sakituntuk melakukan pelayanan dan perawatan yang konservatif pada ibu bersalin yang mengalami ketuban pecahdini sehingga dapat mengurangi resiko terjadinya asfiksia pada bayi baru lahir. Key words: Resiko Kejadian Asfiksia, Ketuban Pecah Dini
Hubungan Konsumsi Kacang - Kacangan Dengan Terjadinya Hipertensi pada Ibu Pemakai Kontrasepsi Suntik 3 Bulanan di Kecamatan Ranuyoso Tahun 2019 Jenie Palupi; syska atik; Ida Prijatni
Jurnal MID-Z (MIDWIFERI ZIGOT) Vol 4 No 1 (2021): MAY
Publisher : Universitas Islam Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

KB suntik 3 bulanan memiliki beberapa efek samping yang sering tidak dipahami oleh para penggunanya. Salah satu efek samping adalah gangguan system kardiovaskuler, yaitu hipertensi. Kacang kacangan terutama kedelai dikenal sebagai makanan yang mengandung protein, serat, isoflavon, isoliasin yang dapat mengatasi hipertensi. Bagi akseptor yang mengalami hipertensi dengan mengkonsumsi kacang kacangan terutama jenis kedelai dan kacang tunggak dapat menurunkan resiko aterosklerosis, penyakit jantung, dan tekanan darah tinggi. Penelitian ini menggunakan teknik korelasi dengan pendekatan cross sectional dimana sample di ambil secara random sampling sejumlah 186 dari 347 populasi. Alat ukur yang digunakan Spiknomanometer dan stetoskop dengan uji statistik Chi Kuadrat ( x² ) satu sampel. Hasil penelitian pada 186 akseptor yang mengalami hipertensi sebesar 10,2 %. Sedangkan akseptor yang tekanan darahnya normal sebesar 89,8 %. Dari uji statistik di dapatkan Chi kuadrat hitung sebesar 117,763 dengan harga Chi kuadrat tabel pada dk=1 dan taraf kesalahan 5 % adalah 3,841. x² hitung > x² tabel yaitu 117,763 > 3,841, maka Ho ditolak dan Ha diterima berarti ada hubungan konsumsi kacang kacangan dengan terjadinya hipertensi pada akseptor KB suntik 3 bulanan di Kecamatan Ranuyoso tahun 2019. Pada penelitian ini sebagian besar responden tidak mengalami hipertensi. Hal ini didukung dengan mayoritas akseptor yang selalu mengkonsumsi kacang kacangan dan didukung oleh usia yang masih muda yaitu 20 – 35 tahun. Sehingga diharapkan bagi akseptor yang mengalami hipertensi dapat melakukan usaha dalam upaya memperbaiki tekanan darah.
Hubungan Pemberian ASI dengan Perkembangan Anak Usia 24-36 Bulan Melalui Skrining DDST Fikri Lutfiatus Sa’adah; Jenie Palupi; Syiska Atik Maryanti
ARTERI : Jurnal Ilmu Kesehatan Vol 3 No 3 (2022): Mei
Publisher : Puslitbang Sinergis Asa Professional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37148/arteri.v3i3.221

Abstract

Based on Riskesdas (2018) coverage of exclusive breastfeeding in Indonesia does not meet the SPM target set by the government which is 80%, coverage in East Java is 40%, in Jember Regency the lowest coverage in Andongsari Health Center is 24.51%, this will affect the scope of child development in the region. East Java Province is targeting 2020 early detection coverage growth of 95% while the current coverage is 53.44%. This study aims to determine the relationship of breastfeeding with the development of children aged 24-36 months through DDST screening in Pontang Village, the working area of Andongsari Health Center, Jember Regency. This type of research is analytic correlation with cross-sectional approach, the population of all mothers who have children aged 24-36 months, obtained a sample of 69 respondents in 6 posyandu with simple random sampling technique. The research instrument was in the form of a questionnaire to assess the history of breastfeeding and a form of DDST to assess progress. Data analysis using chi-square test with SPSS program. The results obtained 51% with a history of non-exclusive breastfeeding, and 49% exclusive breastfeeding. The results of the development assessment were 81% normal, and 19% were suspected. The analysis results obtained p value 0, 241> α (0,05) ie there is no significant relationship between breastfeeding and the development of children aged 24-36 months. Even though the child is given exclusive breastfeeding, child development is not only influenced by breastfeeding, but other internal and external factors can influence.
Resiko Pemberian Mgso4 Dosis Awal Full Dose Pasien Preeklamsi Pada Tindakan Persalinan Sectio Caesaria Siti Azizah; Sugijati Sugijati; Jenie Palupi
Malang Journal of Midwifery (MAJORY) Vol 1 No 1 (2019): MAJORY
Publisher : Poltekkes Kemenkes Malang & IBI Ranting Pendidikan Kota Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/majory.v1i1.3160

Abstract

Abstract The risk of preeclampsia labor threatens the safety of the mother and fetus. Proper handling is needed to reduce the risk of this incident. Referral preeclampsia patients did not receive full dose of MgSO4 in the treatment at the first health facility. This causes complications to become a severe condition that is accompanied by seizures at any time and increases the risk of maternal or fetal death. The purpose of this study was to determine the risk of giving a full dose of MgSO4 as an initial full dose of preeclampsia patients in caesarean section delivery. The research design is a descriptive study with a cross sectional approach, with a population of 100 mothers of preeclampsia patients who gave birth to Sectio Caesaria and not Sectio Caesaria, sampling using saturated sampling with a total sample of 100 preeclampsia patients who met the inclusion criteria. The research instrument used the patient's medical records, then the data were analyzed using the Chi square test for the one-sided hypothesis and to find out the risk (Odds Ratio) of exposure to the case at a 95% confidence level using a 2x2 table showing the risk of SC in PE patients who were given MgSO4 not full dose is greater than PE patients who are given full dose of MgSO4. Keywords: Full dose Initial MgSO4 Administration, Sectio Caesaria