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The Related Factors To Decreased The New Graduate Nurses Work Stress Level Of In Semarang ARIEF YANTO; SRI REJEKI
NURSCOPE: Jurnal Penelitian dan Pemikiran Ilmiah Keperawatan Vol 3, No 2 (2017): Desember
Publisher : Fakultas Ilmu Keperawatan Universitas Islam Sultan Agung, Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/nurscope.3.2.1-10

Background: The new graduate nurses have been in a stressful situation about their workplace. The High level of work stress has been decreased the nurse’s motivation in the work, so it will have an impact on the decline the nursing services quality. The new graduate nurses with the work stress will be motivated to quit their jobs. Objective: This study aims to determine the factors associated with decreased job stress of new graduate nurses. Method: This study was a quantitative research. The data was analized with the associative analytic method and cross sectional approach. The population of this study was all new graduate nurses who have had experience for 1-6 months. The sample size is determined by total sampling technique of 30 nurses. The study was conducted at Semarang Medical Center. Work stress measurement using DASS 42 instrument. The analysis process of the data performed using Spearman rank test and multiple linear regression to measure the relation of factors related to work stress. Result: The new graduate nurses work stress has a normal until light category. The average value of new graduate nurses work stress was 27, with the minimum and maximum score 8-40. The factors that have been eligible for the multivariate analysis of new graduate nurses work stress reduction were age and the mentoring programs. The result of the multivariate test showed that nurse ages together with the mentoring program had significant effect to the decreased of new graduate nurses work stress (p-value = 0,007). Discussion: Has increased of ages have been improved adaptability and positive response to stressors. The mentoring was the process of coaching for the new graduate nurses. Mentoring can be used as a support system for new graduate nurses in facing the transition from student to being nurses. The combination of increased the ages and the mentoring programs have been reduced the new graduate nurses work stress.

PENGARUH RELAKSASI OTOT PROGRESIF TERHADAP KUALITAS TIDUR PADA PEREMPUAN MENOPAUSE Steffy Putri Amanda; Sri Rejeki; Dwi Susilawati
Jurnal Keperawatan dan Kesehatan Masyarakat Cendekia Utama Vol 8, No 2 (Oktober 2019) : Jurnal Keperawatan dan Kesehatan Masyarakat Cendekia Utama
Publisher : STIKES Cendekia Utama Kudus

Indonesia pada tahun 2025 diperkirakan akan ada 60 juta perempuan menopause. Perempuan menopause tahun 2016 di Indonesia mencapai 14 juta atau 7,4 % dari total populasi yang ada. Perkiraan umur rata-rata usia menopause di Indonesia adalah 50 tahun. Perubahan hormon dapat menyebabkan ketidakseimbangan hormon sehingga menyebabkan kualitas tidur menurun.Penelitian ini bertujuan untuk melihat pengaruh relaksasi progresif terhadap kualitas tidur. Desain penelitian ini adalah Quasi Eksperimen dengan pre and post testwith control group. Populasi dalam penelitian adalah perempuan menopause di Puskesmas Gondokusuman II Yogyakarta sebanyak 100 perempuan, tehnik pengambilan sampel menggunakan probability sampling. Kuesioner yang digunakan dalam penelitian ini adalah Pittsburgh Sleep Quality Index (PSQI) yang sudah baku dengan nilai r alpha 0,83 pada penelitian sebelumnya. Analisis menggunakan uji Mann-Whitney. Hasil penelitian menunjukkan bahwa relaksasi otot progresif dapat meningkatkan kualitas tidur pada perempuan menopause dengan nilai p 0,000. Peneliti merekomendasikan untuk dilakukan secara rutin dan dapat dijadikan alternatif pilihan dalam meningkatkan kualitas tidur secara nonfarmakologis. Kata Kunci : Menopause, Kualitas Tidur, Relaksasi Otot Progresif, Keperawatan Maternitas

PENGETAHUAN DAN KETERAMPILAN IBU BEKERJA DALAM PEMBERIAN ASI EKSKLUSIF Nikmatul Khayati; Lusyana Nurhidayati; Sri Rejeki; Machmudah Machmudah; Eni Hidayati
Jurnal Keperawatan dan Kesehatan Masyarakat Cendekia Utama Vol 10, No 3 (2021): Jurnal Keperawatan dan Kesehatan Masyarakat Cendekia Utama
Publisher : STIKES Cendekia Utama Kudus

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31596/jcu.v10i3.834

Air susu ibu (ASI) merupakan makanan terbaik bagi bayi untuk membantu pertumbuhan dan perkembangan anak secara optimal serta melindungi terhadap penyakit. Cakupan ASI Eksklusif di Desa Bakung sebesar 67,8% dari harapan pemerintah sebesar 80%. Ibu bekerja tetap dapat memberikan ASI Eksklusif pada bayi dengan cara pengelolaan ASI yang dapat diberikan saat ibu sedang bekerja. Penelitian ini bertujuan untuk mengetahui pengetahuan dan keterampilan ibu bekerja dalam pemberian ASI Eksklusif di Desa Bakung Mijen Demak. Metode penelitian ini menggunakan metode deskriptif teknik purposive sampling sebanyak 40 responden. Menggunakan instrument penelitian berupa kuesioner tertutup yang berisikan pengetahuan dan keterampilan ibu tentang ASI Eksklusif. Hasil dan kesimpulan penelitian ini menunjukan pengetahuan ibu bekerja sebanyak 67,5% kategori baik dalam komponen waktu emerah, menyimpan serta mencairkan ASI dan keterampilan ibu bekerja sebanyak 45% kategori sedang dalam komponen memerah, menyimpan dan menyajikan ASI. Adanya pengetahuan dan keterampilan baik yang artinya ada kemampuan pengelolaan ASI menjadikan gizi bayi dapat terpenuhi. Saran untuk ibu tetap berupaya meningkatkan pengetahuan dan keterampilan dengan berbagai sumber literasi dari internet, tenaga medis, dan teman berbagi pengalaman serta dukungan kepada sesame ibu bekerja dalam mengelola ASI.

Maternal interleukin-6 and prostaglandin levels post-regiosacral counter-pressure as pain therapy due to uterine contractions Sri Rejeki; Achmad Solichan; Fitri Nuroini
Media Keperawatan Indonesia Vol 4, No 4 (2021)
Publisher : Universitas Muhammadiyah Semarang

Pain is a physiological condition that is generally experienced by almost all mothers in labor or pain during menstruation (dysmenorrhea). Pain causes tachycardia in the mother, increased oxygen consumption, lactic (lactic) acid production, hyperventilation with a risk of respiratory alkalosis, and increased skeletal muscle tension. Regiosarcal Counter Pressure is an effective therapy to reduce pain due to uterine contractions. Based on research that has been done, Regiosarcal counter-pressure therapy can reduce pain levels and has also been shown to slightly reduce prostaglandin (PGE-2) levels in an insignificant amount. Changes in PGE-2 are suspected to have an impact on the stimulant hormone Interleukin-6 (IL-6). This study aims to determine the levels of IL-6 and prostaglandins in the first stage of labor. The research method used quasi-experimental, with inclusion criteria of first-stage labor, no pelvic abnormalities and other abnormalities that hindered the process of vaginal delivery, primiparas, singleton pregnancies, the location of the head did not receive painkillers. The results obtained 25 respondents with an average age of 23.72 (± 2.89) years, the average concentration of IL-6 before therapy was 185.159 (± 3.76) pg/ml and the mean after therapy was 180.782 (± 22.05) pg. /ml, the mean concentration of PGE2 before treatment was 223.521 (± 72.73) pg/ml and the mean after treatment was 179.873 (± 110.61) pg/ml. Administration of regiosacral counter-pressure therapy did not significantly reduce the levels of the hormone IL-6 and prostaglandins in women who experienced uterine contractions.

Overview of experiences of pregnant women about the role of nurses as educators on healthy behaviors of the Era of Sustainable Development Goals pregnancy Much Nurkharistna Al Jihad; Sri Rejeki; Elis Hartati
Media Keperawatan Indonesia Vol 3, No 3 (2020)
Publisher : Universitas Muhammadiyah Semarang

Maternal Mortality Rate (MMR) in Indonesia is still high. One of the indirect causes of maternal death is the behaviour of pregnant women. Information is needed about the role of nurses as educators on the healthy behaviour of pregnant women. The purpose of the study was to find a picture of the experience of pregnant women related to the role of nurses as educators on the healthy behaviour of pregnant women. This type of research is a qualitative phenomenological. As the population is pregnant women in the city of Semarang, samples were taken by convenience sampling technique of 6 people. Data collection was carried out by in-depth interviews. Analysis of qualitative data with the Colaizzi model. The results found 3 themes describing the role of nurses as educators on healthy behaviour of pregnant women, namely the role of nurses as educators, efforts made by pregnant women in pregnancy care, and expectation of mothers towards the role of nurses. The conclusion of this research is the role of nurses in healthy behaviour of pregnant women, healthy behaviour of mothers in the form of physical health care, nutritional needs of pregnant women, supporting food needs, routine examination of pregnant women (antenatal care), and establishing emotional relations with the fetus.

The Positive Report Of benson Relaxation For Acute Miocard Infark Pain: A Case Report Study Dwi Nur Rahmantika Puji Safitri; Sri Rejeki; Edy Soesanto; Muhammad Ali
South East Asia Nursing Research Vol 3, No 4 (2021)
Publisher : University of Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/seanr.3.4.2021.172-178

Structured Acute Myocardial Infarction (AMI) is myocardial necrosis caused by inadequate blood supply due to acute blockage of the coronary arteries. Typical signs and symptoms experienced in AMI patients are chest pain such as squeezing, pressing, stabbing, heat or being crushed by heavy objects. Giving pharmacological therapy such as oxygen, nitroglycerin and aspirin can reduce AMI pain, but if the effects of the drug begin to decrease the pain will back, so complementary therapy is needed to help reduce pain in AMI patients. The purpose of the research is to evaluate Benson's relaxation effect in reducing chest pain in acute myocardial infarction (AMI). The descriptive method was used by involving 2 subjects who experience chest pain. The intervention was carried out once a day for 2 days with an intervention duration of 30 minutes. The results of the evaluation were obtained, there was a decrease in both patients from 5 scales to 2 scales in patient 1 and 1 scale in patient 2. The combination of both pharmacological therapy and Benson relaxation can reduce the scale of pain. Benson relaxation can be used as a complementary therapy in reducing pain in AMI patients.

Mother's Efforts in Increasing Breast Milk Production Gadhis Yunita Sari; Yuni Puji Widiastuti; Istioningsih Istioningsih; Sri Rejeki
Proceedings of the International Conference on Nursing and Health Sciences Vol 1 No 1 (2020): November 2020
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (357.359 KB)

Exclusive breastfeeding coverage in Indonesia is only 42%. The low number of breast milk covers is due to the smooth production of breast milk. The smooth production of breast milk can be increased by various efforts, including maternal efforts. This research aims is to assess mothers' efforts to increase breast milk production. This research design is descriptif with crossectional design. The number of responden are 57 responden with total sampling. The results of this study represent the majority of mothers' efforts to increase breast milk production in the "less" category (64.9%) in Kebondalem Village. Efforts that have not been made by mothers during pregnancy, childbirth and breastfeeding, such as attending breastfeeding counseling and applying warm compresses to the breasts when they feel tight. The mother efforts that done during pregnancy are pregnancy exercise, consume vegetables that can improve breast milk produktion (lactogoge), also early breastfeeding initiation in childbirth periode and family support especially husband, psicological condition and comfort in post partum periode.

EFEKTIVITAS TERAPI SPRITUAL EMOTIONAL FREEDOM TECHNIQUE (SEFT) TERHADAP TINGKAT KECEMASAN PADA PASIEN PRE OPERASI SECTIO CAESAREA Sri Rejeki; Yuni Retno Santi; Eni Hidayati; Rozikhan Rozikhan
Jurnal Ilmu Keperawatan dan Kebidanan Vol 13, No 2 (2022): JURNAL ILMU KEPERAWATAN DAN KEBIDANAN
Publisher : Universitas Muhammadiyah Kudus

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26751/jikk.v13i2.1515

Sectio Caesaria (SC) merupakan pembedahan laparotomi dan histerektomi untuk mengeluarkan bayi dari dalam rahim. Persalinan dengan metode di Indonesai sebesar 17,6 %, sedangkan di Jawa Tengah Persalinan SC sebesar 17,10%. Persalinan dengan SC sering menimbulkan kecemasan yang dapat mempengaruhi proses persalinan. Oleh karena itu harus di terapi. Terapi Spiritual Emosional Freedom Technique (SEFT) salah satu Terapi yang mengabungkan sistem energi tubuh dan terapi spiritual dengan metode ketukan (Tapping) pada 18 titik disepanjang 12 jalur energi tubuh. Penelitian ini untuk mengetahui adanya pengaruh terapi SEFT terhadap kecemasan ibu pre section caesarea.Disain penelitianini menggunakan one group pre-test-post-test without control group design dengan jumlah sampel 28 responden dengan metode purposive sampling. Penelitian ini menggunakan kuisioner VAS-A. Dari penelitian ini setelah dilakukkan uji normalitas Shapiro wilk dan analisis data uji Wilcoxon diperoleh hasil bahwa sebelum dilakukkannya terapi SEFT memiliki mean 4,86 dengan kecemasan sedang 92,9% dan kecemasan ringan 7,1% sedangkan setelah dilakukkan SEFT mendapatkan hasil mean 3,96 dengan cemas sedang 67,9% dan cemas ringan 32,1%. Hasil analisis (nilai p = 0,000 < 0,05) artinya ada pengaruh terhadap pemberian terapi SEFT pada tingkat kecemasan sebelum operasi Sectio Caesarea.Dari hasil penelitian ini pasien Sectio Caesarea dapat dilakukkan terapi SEFT untuk mengurangi kecemasan sebelum dilakukkan operasi. Dari penelitian ini setelah dilakukkan uji normalitas Shapiro wilk dan analisis data uji Wilcoxon diperoleh hasil bahwa sebelum dilakukkannya terapi SEFT memiliki mean 4,86 dengan kecemasan sedang 92,9% dan kecemasan ringan 7,1% sedangkan setelah dilakukkan SEFT mendapatkan hasil mean 3,96 dengan cemas sedang 67,9% dan cemas ringan 32,1%. Hasil analisis (nilai p = 0,000 < 0,05) artinya ada pengaruh terhadap pemberian terapi SEFT pada tingkat kecemasan sebelum operasi Sectio Caesarea. Dari hasil penelitian ini pasien Sectio Caesarea dapat dilakukkan terapi SEFT untuk mengurangi kecemasan sebelum dilakukkan operasi.Dari penelitian ini setelah dilakukkan uji normalitas Shapiro wilk dan analisis data uji Wilcoxon diperoleh hasil bahwa sebelum dilakukkannya terapi SEFT memiliki mean 4,86 dengan kecemasan sedang 92,9% dan kecemasan ringan 7,1% sedangkan setelah dilakukkan SEFT mendapatkan hasil mean 3,96 dengan cemas sedang 67,9% dan cemas ringan 32,1%. Hasil analisis (nilai p = 0,000 < 0,05) artinya ada pengaruh terhadap pemberian terapi SEFT pada tingkat kecemasan sebelum operasi Sectio Caesarea. Dari hasil penelitian ini pasien Sectio Caesarea dapat dilakukkan terapi SEFT untuk mengurangi kecemasan sebelum dilakukkan operasi. 0,05) artinya ada pengaruh terhadap pemberian terapi SEFT pada tingkat kecemasan pasien sebelum operasi Sectio Caesarea.Dari hasil penelitian ini pasien Sectio Caesarea dapat dilakukkan terapi SEFT untuk mengurangi kecemasan sebelum dilakukkan operasi. 0,05) artinya ada pengaruh terhadap pemberian terapi SEFT pada tingkat kecemasan pasien sebelum operasi Sectio Caesarea. Dari hasil penelitian ini pasien Sectio Caesarea dapat dilakukkan terapi SEFT untuk mengurangi kecemasan sebelum dilakukkan operasi.

ACUPRESSURE TITIK P6 (NEI GUAN) MAMPU MENURUNKAN FREKUENSI MUAL MUNTAH PADA IBU HAMIL TRIMESTER 1 Nikmatul Khayati; Agustin Dwi Saputri; Machmudah Machmudah; Sri Rejeki
Jurnal Keperawatan dan Kesehatan Masyarakat Cendekia Utama Vol 11, No 3 (2022): Jurnal Keperawatan dan Kesehatan Masyarakat Cendekia Utama
Publisher : STIKES Cendekia Utama Kudus

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31596/jcu.v11i3.1208

Pendahuluan: Perubahan hormonal pada awal kehamilan memicu terjadinya mual bahkan muntah terutama pada pagi hari (emesis gravidarum). Adanya peningkatan muntah ini mengakibatkan dehidrasi, syok hypovolemi, anemia, bahkan abortus. Upaya untuk mengurangi Emesis gravidarum melalui terapi non farmakologi seperti pemberian pemijatan (acupressure) pada titik P6 (Nei Guan). Tujuan: Penelitian bertujuan untuk mengetahui pengaruh acupressure pada titik P6 (Nei Guan) terhadap frekuensi mual muntah ibu hamil trimester pertama. Metode: Metode Quasi Eksperimen, One group pre-posttest design. Sampling menggunakan Purposive Sampling pada 24 ibu hamil Trimester pertama di Klinik Pratama Kusuma Husada Klaten yang mengalami mual muntah, tidak ada riwayat gastritis, anemia, dan tidak mengkonsumsi obat anti muntah (emetic). Pengukuran mual muntah menggunakan Indeks of Nausea, Vomiting and Retching (INVR). Pemijatan pada titik P6 dilakukan selama 7 menit setiap pagi, selama 4 hari. Hasil: Analisis penelitian menggunakan uji T-test Dependent, diperoleh hasil signifikansi P Value 0,000; menunjukkan bahwa nilai P<0,05. Kesimpulan: Ada pengaruh Acupressure Pericardium 6 (P6) terhadap frekuensi mual muntah pada ibu hamil trimester pertama. Penekakan pada titik P6 dapat merangsang Chemoreceptor trigger zone sehingga merangsang aktivitas neurotransmitter mengeluarkan Beta endorpin di hipofise. Beta endorpin merupakan salah satu antiemetik endogen yang dapat menghambat impuls mual muntah di pusat muntah dan pada Chemoreceptor trigger zone. Treatment ini dapat dilaksanakan secara mandiri setiap saat jika merasakan mual. Kata Kunci: Emesis Gravidarum, Acupressure Titik P6

Mother's Efforts in Increasing Breast Milk Production Gadhis Yunita Sari; Yuni Puji Widiastuti; Istioningsih Istioningsih; Sri Rejeki
Proceedings of the International Conference on Nursing and Health Sciences Vol 1 No 1 (2020): July-December 2020
Publisher : Global Health Science Group

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

Exclusive breastfeeding coverage in Indonesia is only 42%. The low number of breast milk covers is due to the smooth production of breast milk. The smooth production of breast milk can be increased by various efforts, including maternal efforts. This research aims is to assess mothers' efforts to increase breast milk production. This research design is descriptif with crossectional design. The number of responden are 57 responden with total sampling. The results of this study represent the majority of mothers' efforts to increase breast milk production in the "less" category (64.9%) in Kebondalem Village. Efforts that have not been made by mothers during pregnancy, childbirth and breastfeeding, such as attending breastfeeding counseling and applying warm compresses to the breasts when they feel tight. The mother efforts that done during pregnancy are pregnancy exercise, consume vegetables that can improve breast milk produktion (lactogoge), also early breastfeeding initiation in childbirth periode and family support especially husband, psicological condition and comfort in post partum periode.

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