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Journal : Jurnal Keperawatan Soedirman

Perubahan Respon Fisiologis BBLR setelah Perawatan Metode Kanguru di Kota Palembang Nurcahayati, Nurcahayati; Girsang, Bina Melvia; Wahyuni, Dian
Jurnal Keperawatan Soedirman Vol 11, No 1 (2016)
Publisher : Jurusan Keperawatan FIKES UNSOED

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2016.11.1.635

Abstract

The main cause of neonatal mortality is low birth weight, especially in developing countries. Kangaroo mother care is one of an effective care for low birth weight infants. The purpose of the study was to identify the effect of the kangaroo mother care on physiology response of low birth weight infants in Palembang city. The study design was one-group pre and post-test with accidental sampling technique. The research was conducted on 17 babies with low birth weight (<2500 grams) in Palembang with the implementation of research in the November - December 2015. Descriptive data processing and statistical analysis using Friedman. Statistical analysis was performed with SPSS software ver.23.The result of the study was found that there were the are significant differences between before and after kangaroo mother care intervention on body temperature, respiratory rate and heart rate (p value<0.001). Kangaroo mother care may be applied as an alternative treatment for the mother in the care of low birth weight infants at home independently
Pengaruh Psikoedukasi terhadap Tingkat Postpartum Blues Ibu Primipara Berusia Remaja Girsang, Bina Melvia; Novalina, Miranda; Jaji,
Jurnal Keperawatan Soedirman Vol 10, No 2 (2015)
Publisher : Jurusan Keperawatan FIKES UNSOED

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2015.10.2.598

Abstract

Postpartum blues merupakan sindroma stress ringan pasca melahirkan yang dialami oleh ibu dalam rentang 3-10 hari. Postpartum blues memiliki tanda gejala seperti sedih berlebihan, menangis tiba-tiba, mudah tersinggung, sulit tidur, nyeri kepala, dan cenderung menyalahkan diri sendiri. Postpartum blues mengakibatkan ibu menjadi pasif dan mengabaikan bayinya serta ketidakseimbangan hormon karena cemas dan stress. Pada bayi mengakibatkan lemahnya sistem imun bayi dikarenakan kurangnya perhatian dan sentuhan dari ibu. Posptartum blues harus ditangani dengan tepat sebelum berkembang menjadi depresi postpartum. Pikoedukasi merupakan suatu tindakan yang diberikan pada individu maupun keluarga dalam gangguan kesehatan mental dengan memperkuat strategi koping menggunakan booklet. Penelitian ini bertujuan untuk melihat adakah pengaruh tingkat postpartum blues sebelum dan setelah diberikan intervensi. Metode penelitian ini merupakan penelitian kuantitatif menggunakan desain penelitian pre experiment. Cara pengambilan sampel pada penelitian ini menggunakan cara accidental sampling yang berjumlah 20 orang. Penelitian ini dilakukan pada rentang waktu 24 Juni-24 Juli 2013 dengan hasil yaitu SD pre intervensi 1,218 dan post intervensi 1,701 dengan uji statistik paired T-test menunjukkan p value<0,05 (p value = 0,001). Untuk penelitian selanjutnya, disarankan menggunakan penelitian kualitatif tentang adat istiadat, pekerjaan, dan status ekonomi keluarga.
How A Cold Sitz Bath Versus Infrared Therapy Can Remove the Pain of Postpartum Perineal Wounds Girsang, Bina Melvia; Elfira, Eqlima
Jurnal Keperawatan Soedirman Vol 16, No 1 (2021)
Publisher : Jurusan Keperawatan FIKES UNSOED

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2021.16.1.1124

Abstract

Women who suffer perineal trauma in spontaneous labor experience pain and edema as the most common problems on the first day after delivery. Impaired mobility and a limited ability to carry out daily activities will affect the mother-baby bond. The study of the cold sitz bath intervention and infrared treatment aims to find out how these interventions can overcome the pain of perineal wounds in postpartum mothers. A quasi-experimental design was used to assess both interventions for treating pain in perineal trauma at the Madina Clinic and Sundari Hospital. The sample consisted of 40 mothers, 20 in the cold sitz bath (intervention group) and 20 in the infrared therapy (control group). Pain was measured using a numerical scale from day one to day three of the postpartum period and then the data were analyzed using the paired t-test statistical test. The results of this study revealed that the cold sitz bath hydrotherapy had a significant effect in reducing pain (p = 0.004), as well as infrared therapy (0.008). Although on the third day of the postpartum period, infrared therapy did not significantly reduce the pain level; several other factors could contribute to the significant differences in pain intensity reduction such as comfort, convenience, and the economic value of the intervention. 
Proportion of Specific Factors Risk of Breast Cancer on Women Age 25-65 Years Girsang, Bina Melvia
Jurnal Keperawatan Soedirman Vol 13, No 1 (2018)
Publisher : Jurusan Keperawatan FIKES UNSOED

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2018.13.1.776

Abstract

Women who do early detection of breast cancer can be said to be still a little. Though the importance of breast examination since early is to know a woman's breasts under normal circumstances or not. This study aims to determine the proportion of several specific factors that cause the risk of breast cancer incidence in women aged 25-65 years with an observational analytic method with case control design. Sampling is done by using probability sampling with simple random sampling technique approach. The sample size was 23 women in the case group and 46 women in the control group in the working area of Gandus and Dempo, South Sumatera – Palembang sub-districts from May to September 2017. Screening data were collected using a questionnaire and analyzed by bivariate analysis using chi square and fisher's exact statistical tests, continued with multivariate analysis using multiple logistic regression statistic test. Based on the results of bivariate analysis found that there are 7 specific risk factors from the overall 15 related factors (p value <0.05) with risk factors for breast cancer incidence. The seven specific risk factors were age (OR: 0.6, 95% CI: 0.53-0.79), first menstrual period (OR: 24; 95% CI: 2.76-207.98), history of tumor (OR: 3.2, 95% CI: 2.28-4.75), long breastfeeding (OR : 95% CI: 2.23-4.54), consumption of fatty foods (OR: 0.2; 95% CI: 0.07-1.00), types of hormonal contraceptives (p value <0 , 05). The result of multivariate analysis with multiple logistic regression was found that menstrual age was the specific factor of a person detected at risk of breast cancer (p value 0.05-0.55) is very important because most women are not aware of breast cancer symptoms and risk factors that are difficult to handle.
Pengaruh Peer Support Group dalam Mengatasi Takut Melahirkan pada Ibu Primigrvida Girsang, Bina Melvia
Jurnal Keperawatan Soedirman Vol 11, No 2 (2016)
Publisher : Jurusan Keperawatan FIKES UNSOED

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2016.11.2.661

Abstract

Pelayanan kesehatan bagi ibu hamil belum berkembang pada aspek psikososial. Keadaan fisik dan psikologis ibu hamil sangat berperan dalam mempengaruhi kesehatan ibu maupun janinnya. Fear of childbirth merupakan penyebab ketidakstabilan kondisi psikologis ibu hamil yang paling sering ditemukan terutama pada ibu primigravida. Dukungan yang penuh untuk meningkatkan kepercayaan diri dan menghilangkan rasa fear of childbirth penting artinya bagi seorang ibu hamil . Peer support group dapat menjadi terapi dan pengobatan untuk mengatasi ketidakstabilan kondisi psikologis seseorang. Penelitian ini bertujuan untuk mengetahui pengaruh peer support group dalam mengatasi fear of childbirth pada ibu primigravida di wilayah Sukajaya Palembang. Jenis penelitian ini kuantitatif dengan desain penelitian pre-experimental rancangan one group pretest posttest. Responden berjumlah 52 orang dipilih dengan teknik non-probability sampling yaitu pusposive sampling. Data untuk menilai takut melahirkan diperoleh melalui kuisioner W-DEQ versi A. Analisis dengan menggunakan uji statistic Paired T-Test (P value 0.000, α 0.05%) menunjukkan bahwa terdapat perbedaan rata-rata sebelum dan sesudah pelaksanaan peer support group. Melalui penelitian ini diharapkan perawat dapat memperhatikan kondisi fisik maupun psikologis ibu hamil dan peer support group dapat dijadikan sebagai salah satu bentuk intervensi keperawatan untuk mengatasi takut melahirkan pada ibu primigravida.
Hubungan Kontrasepsi Hormonal dengan Jumlah Perdarahan di Rumah Bersalin Sri Nirmala Muslihati, Muslihati; Girsang, Bina Melvia; Herliawati, Herliawati
Jurnal Keperawatan Soedirman Vol 11, No 3 (2016)
Publisher : Jurusan Keperawatan FIKES UNSOED

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2016.11.3.675

Abstract

The hormonal contraception contains estrogen and progesterone. Hormonal contraception methods has a significant correlation with menstrual bleeding amount. The contributing factors were age, nutritional status, physical activity, and stress. This study aimed to determine the relationship between the hormonal contraception with the menstrual bleeding amount in Sri Nirmala Hospital. The study design was descriptive analytic. The sample size was 89 respondents. The study results showed that the majority of respondents used injection contraceptive method (55.1%); experienced abnormal menstrual bleeding (60.7%); age <40 years old (65.2%); normal nutritional status (62.9%); active physical activity (61.8%); experienced stress (61.8%). Menstrual bleeding amount was measured using a digital scale portable scale SF-400 during the 1st and 2nd day of menstruation. There was a significant relationship between hormonal contraception use (p=0.026), age (p=0018), nutritional status (p=0.007), physical activity (p=0016), and stress (p=0016) with menstrual bleeding amount. The hormonal contraceptive method has a significant correlation with menstrual bleeding amount.