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PENGARUH KOMBINASI SENAM KEGEL DAN RELAKSASI NAFAS DALAM TERHADAP NYERI LUKA PERINEUM PADA IBU NIFAS Arnita Rizka Amarina; Irmayani Irmayani; Sudarmi Sudarmi
Jurnal Midwifery Update (MU) Vol 3, No 2 (2021): Jurnal Midwifery Update (MU)
Publisher : Poltekkes Kemenkes Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32807/jmu.v3i2.113

Abstract

Latar Belakang : ibu nifas akan mengalami berbagai gangguan dan yang terbanyak adalah gangguan nyeri yang mencapai 70,9%. Penyebab utama nyeri tersebut adalah jahitan perineum dari fenomena yang terjadi untuk mengurangi nyeri ibu bisa melakukan relaksasi nafas dalam dan senam kegel.Tujuan : untuk mengetahui pengaruh kombinasi senam kegel dan relaksasi nafas dalam terhadap nyeri luka perineum pada ibu nifas di UPT BLUD Puskesmas Meninting Metode : penelitian ini menggunakan rancangan penelitian Quasi experiment dengan jenis Pre and Post Test With Control Group Design. Populasi adalah seluruh ibu nifas, sample diambil dengan Purposive Sampling dengan jumlah sampel 30 responden. Analisa data menggunakan analisis univariat dan bivariat menggunakan Kruskal WallisHasil : Nyeri perineum pada ibu nifas sebelum dan sesudah dilakukan senam kegel memiliki rata-rata selisih yaitu 3,60 dan mean rank 11,45. Relaksasi nafas dalam memiliki rata-rata selisih yaitu 3,50 dan mean rank 11,35. Kombinasi senam kegel dan relaksasi nafas dalam memiliki rata-rata selisih yaitu 5,50 dan mean rank 23,70. Uji statistik menggunakan Kruskal wallis hasil didapatkan ada pengaruh senam kegel dan relaksasi nafas dalam dengan p-value 0,001 < α 0,05.Kesimpulan : Ada pengaruh kombinasi senam kegel dan relaksasi nafasdalam terhadap nyeri luka perineum pada ibu nifas        Abstract Background: post partum mothers will experience various disorders and the most is pain disorders that reach 70.9%. The main cause of the pain is the perineal suture from the phenomenon that occurs to reduce the pain of the mother can do deep breath relaxation and kegel exercise. Aim : To determine the effect of combination kegel exercise and deep breath relaxation on perineal wound pain in postpartum mothers in UPT BLUD Meninting Health Center. Methods : this study used Quasi Experimental research design with the type of Pre and Post Test With Control Group Design. The population of this research that all childbirth mother, samples were taken by purposive sampling with a sample of 30 respondents. Analysis of the data using univariate and bivariate analyses using Kruskall Wallis. Results : Perineal pain in post partum women before and after Kegel exercises has an average difference of 3.60 and mean rank 11.45. Deep breath relaxation has an average difference of 3.50 and mean rank 11.35. The combination of Kegel exercises and deep breathing relaxation has an average difference of 5.50 and mean rank 23.70. The statistical test using Kruskal wallis results showed there was the effect combination of  kegel exercise and deep breath relaxation with p-value 0.001 <α 0.05. Conclusion: There is an effect of the combination of kegel exercise and deep breathing relaxation on perineal wound pain on postpartum mothers
PEMBERDAYAAN IBU BAYI MENINGKATKAN STATUS GIZI BAYI YANG BERUSIA 6-12 BULAN MELALUI PIJAT BAYI BERBASIS BUDAYA LOKAL (OBISA) DI KOTA MATARAM Sudarmi Sudarmi; St. Halimatusyaadiah; Ni Putu Dian Ayu Anggraeni
SELAPARANG: Jurnal Pengabdian Masyarakat Berkemajuan Vol 5, No 1 (2021): Desember
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jpmb.v5i1.5685

Abstract

ABSTRAKGizi buruk dapat terjadi pada semua kelompok umur, Prevalensi berat badan kurang sangat tinggi di NTB melebihi 30 % sehingga perlu lebih diperhatikan pada kelompok bayi dan balita usia 0 - 2 tahun yang merupakan masa tumbuh kembang yang optimal (golden period). Penanganan secara nonfarmakologis salah satunya pijat bayi berbasis budaya Sasak (OBISA) sangat diperlukan untuk membantu meningkatkan berat badan bayi dan mencegah terjadinya kurang gizi pada bayi. Berdasarkan hal tersebut maka kami bermitra dengan Puskesmas Cakranegara, Puskesmas Tanjung Karang dan Puskesmas Karang Pule, melaksanakan kegiatan pengabdian masyarakat dengan metode yang digunakan adalah ceramah, diskusi tanya jawab, konseling, demonstrasi, dan pemeriksaan antropometri. Pada akhir kegiatan setelah dilakukan pemantauan pelaksanaan Pijat bayi berbasis budaya Sasak ini dirangkaikan dengan pemberian makanan tambahan pendamping ASI selama 3 bulan menunjukkan peningkatan berat badan bayi dengan status gizi kurang sebelumnya berat badan bayi rata-rata 6,69±0,547 meningkat setelah intervensi pijat bayi OBISA menjadi 7,67±1,261 dan menunjukkan peningkatan status gizi bayi menjadi status gizi baik sekitar 63.3%. Diharapkan dengan adanya kegiatan pengabdian masyarakat ini dapat memberikan pendidikan  kesehatan kepada masyarakat tentang pijat bayi berbasis budaya Sasak (OBISA) mengenai cara pelatihan pijat bayi dan pemberian makanan pada bayi sesuai usia sehingga dapat mencegah terjadinya stunting. Kata kunci : status gizi; pijat bayi; OBISA ABSTRACTMalnutrition can occur in all age groups, the prevalence of underweight is very high in NTB exceeding, 30% so that more attention needs to be paid to the group of infants and toddlers aged 0-2 years which is the optimal growth and development period (golden period). Non-pharmacological treatment, one of which is baby massage based on Sasak culture (OBISA) is needed to help increase baby's weight and prevent malnutrition in infants. Based on this, we partnered with the Cakranegara Health Center, Tanjung Karang Health Center and Karang Pule Health Center, carrying out community service activities with the methods used were lectures, question and answer discussions, counseling, demonstrations, and anthropometric examinations. At the end of the activity, after monitoring the implementation of Sasak culture-based baby massage, coupled with the provision of complementary food for breastfeeding for 3 months, it showed an increase in the weight of infants with poor nutritional status before the average baby weight of 6.69±0.547 increased after the OBISA infant massage intervention. became 7.67±1.261 and showed an increase in the nutritional status of infants to good nutritional status of about 63.3%. It is hoped that this community service activity can provide health education to the community about Sasak culture-based baby massage (OBISA) regarding how to train baby massage and provide age-appropriate feeding to infants so as to prevent stunting. Keywords: nutritional status; baby massage; OBISA 
Determinants of Affecting Factors Mortality of in The Elderly Covid-19 Patients Sudarmi Sudarmi; Rohani Rohani; Irianto Irianto; Ni Putu Dian Ayu Anggraeni
Jurnal Kesehatan Prima Vol 16, No 1 (2022): FEBRUARY
Publisher : poltekkes kemenkes mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32807/jkp.v16i1.812

Abstract

The elderly groups to be infected with COVID-19 with a relatively high mortality rate, so they need attention. This study aims to determine the determinants of factors that affect the mortality of COVID-19 patients in the elderly in West Nusa Tenggara Province. The design of this study was cross-sectional with a purposive sampling technique, namely all elderly patients diagnosed with COVID-19 with PCR swab (+) who were treated in hospitals throughout NTB Province during the period March to December 2020. the total sample is 569 people. The variables of this study were age, gender, cluster, treatment status and, history of comorbidities. Data were analyzed using bivariate analysis using Chi-Square and multivariate with Logistic Regression. The results of the study were that most of the elderly COVID-19 patients were in the early 60-70 years (81.7%), the sex was primarily male 339 people (59.6%), without cluster 484 people (85.5%), history of comorbidities with comorbid 470 people (82.6%) and recovered after treatment 454 people (79.8%). COVID-19 patients in the elderly mainly died aged 60-70 years 85 people (73.9%), male sex, namely 71 people (61.7%), without cluster 107 people (94.7%), and 62% died without comorbidities as many as 72 people due to COVID-19. There is a significant relationship between clusters and comorbidities on the death of the elderly infected with COVID-19. Comorbidities (with comorbidities) are the most dominant influencing mortality in the elderly by 60.9% based on logistic regression model analysis involving four variables affecting the mortality of COVID-19 in the elderly,  and other factors influence the rest.
The Effect of the Combination of Baby Massage With Boreh Rice Kencur Bima Against Baby Sleep Quality Eva Sofiana Putri; Linda Meliati; Sudarmi Sudarmi; Intan Gumilang Pratiwi
Jurnal Kesehatan Prima Vol 16, No 1 (2022): FEBRUARY
Publisher : poltekkes kemenkes mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32807/jkp.v16i1.841

Abstract

Achieving the need for sleep is an effort that affects the baby's growth. Many millions of children suffer from growth and development problems. In Indonesia, babies who have cases of poor sleep quality wake up a lot at night. Rice kencur boreh is made from rice, and kencur has the benefit of providing warmth and comfort when applied to the body. The people of Bima used to use boreh rice kencur to maintain the health of their babies and make babies sleep soundly. This study aims to determine the effect of the combination of baby massage with rice kencur boreh on improving the quality of baby sleep. This research is a quasi-experimental design with a pre-post test with the control group. The study population in this study were infants aged 3-6 months. The sample consisted of 31 people with a treatment group of 16 people and a comparison group of 15 people-data analysis using Mann Whitney. The results showed an increase in the quality of infant sleep after infant massage with VCO and Boreh Beras Kencur, namely an increase of 3.38 ± 0.44 points. There was also an increase in the control group with average sleep quality of 2.93 ± 0.83 points. There was an effect of the combination of boreh rice kencur Bima on infant sleep quality.
The Effect of Infant Massage on Nutritional Status and IGf-1 of Malnourished Babies Aged 6-12 Months Sudarmi Sudarmi; I Gusti Ayu Putu Sri Wahyuni
Jurnal Keperawatan Terpadu (Integrated Nursing Journal) Vol 4, No 1 (2022): April
Publisher : Jurusan Keperawatan, Poltekkes Kemenkes Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32807/jkt.v4i1.218

Abstract

Malnourished and poor nutrition are still a health center problem in Indonesia. A good nutritional intake can often not be fulfilled by a child, including due to various factors. Baby massage is a touch therapy that is carried out on baby so that it can provide assurance of ongoing body contact, maintain a feeling of security in the baby and strengthen the parent's love cord with the baby.  The purpose of this study was to analyze the effectiveness of baby massage by mothers on improving the nutritional status of baby with malnutrition aged 6-12 months. This study used a quasi-randomized pre-test and post-test control group design. Samples were 48 babies aged 6-12 months with malnutrition divided into two groups (intervention and control group). This research was carried out for 3 months. Results showed that stimulation of baby massage is effective in increasing mean IGF-1 levels for malnourished baby aged 6-12 months, namely the average IGF-1 level in the pre-intervention group for baby massage by 1.37 ± 1.00, showed a significant increase (p = 0.003). Whereas in the control group showed a significant increase (p = 0.001) with the average IGF-1 pretreatment level was 3.37 ± 8.15. The results of the case and control group analysis showed significant differences in mean IGF-1 levels (p = 0.002) or (p <0.05). Baby massage is effective in increasing nutritional status and IGF-1 in baby aged 6-12 months. Babies’ Mother and health provider are recommended to apply baby massage to improve nutritional status of malnourished babies.
EFEK LEAFLET, SMS REMINDER TERHADAP KONSUMSI TTD DAN PENINGKATAN HEMOGLOBIN PADA KEHAMILAN Sudarmi Sudarmi; I Gusti Ayu Putu Sri Wahyuni; Lina Sundayani; Ni Putu Dian Ayu Angraeni
Media Bina Ilmiah Vol. 17 No. 3: Oktober 2022
Publisher : LPSDI Bina Patria

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (323.68 KB) | DOI: 10.33578/mbi.v17i3.167

Abstract

Prevalensi anemia pada ibu hamil di Indonesia masih tinggi. Penyebab tertinggi anemia adalah defisiensi zat bes. Kepatuhan dalam mengkonsumsi tablet tambah darah menjadi kunci utama mencegah anemia sehingga diperlukan media informasi yang mempengaruhi kepatuhan, seperti penggunaan leaflet dan SMS reminder. Penelitian ini bertujuan meningkatkan kepatuhan mengkonsumsi tablet tambah darah dan peningkatan kadar hemoglobin (HB) kehamilan trimester III. Metode penelitian ini adalah quasi eksperimental dengan randomize pretest-postest group design. Membandingkan antara kelompok ibu hamil Trimester III diberikan intervensi pendidikan kesehatan dengan leaflet sebagai control, dan ibu hamil trimester III diberikan intervensi leaflet dan SMS reminder sebagai kelompok intervensi. Kedua kelompok diberikan tablet tambah darah sejumlah 30 tablet, dilakukan pemeriksaan kadar hemoglobin (pre-tes), dilakukan pemantauan kepatuhan meminum tablet tambah darah selama 1 bulan dan dilakukan pemeriksaan kadar hemoglobin ( post-test). Melakukan analisis deskriptif, analisis Bivariate dengan analisis parametric yaitu uji paired t – test dan uji analisis non parametric, uji Wilcoxon. Hasil penelitian menunjukkan perbedaan peningkatan kadar hemoglobin (HB),terdapat pengaruh signifikan tingkat kepatuhan mengkonsumsi tamblet tambah darah pada ibu hamil trimester III. Diharapkan bagi bidan pada saat melakukan antenatal care menggunakan metode ini untuk monitoring dan meningkatkan kepatuhan ibu hamil dalam mengkonsumsi tablet tambah darah agar anemia tidak terjadi pada ibu hamil
PENGARUH PEMBERIAN PENDIDIKAN KESEHATAN MENGGUNAKAN POP-UP BOOK TERHADAP TINGKAT PENGETAHUAN DAN SIKAP IBU HAMIL TENTANG P4K Sudarmi Sudarmi; Aulia Ramadan; Siti Halimatusyaadiah; Fachrudi Hanafi
Jurnal Midwifery Update (MU) Vol 4, No 2 (2022): Jurnal Midwifery Update (MU)
Publisher : Poltekkes Kemenkes Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32807/jmu.v4i2.124

Abstract

Data Kabupaten Lombok Barat, angka kematian ibu tahun 2019 mengalami kenaikan. Pada tahun 2019 tercatat 6 kasus kematian ibu. Untuk menangani rendahnya cakupan penanganan komplikasi oleh tanaga kesehatan pemerintah mencanangkan program perencanaan persalinan dan pencegahan komplikasi (P4K) yang bertujuan untuk memantau kehamilan menuju persalinan yang aman dan selamat. Pop up book dapat digunakan sebagai media edukasi dalam melakukuan edukasi kesehatan. Pop up book merupakan pop-up materi yang disajikan berupa gambar yang menarik karena terdapat bagian-bagian yang bila dibuka, berubah atau menimbulkan kesan yang timbul. Untuk mengetahui pengaruh pemberian pendidikan kesehatan menggunakan pop-up book terhadap tingkat pengetahuan dan sikap ibu hamil tentang P4K. Penelitian ini adalah penelitian quasi experiment dengan racangan dengan rancangan one group pretest-posttest design. Penelitian ini dilaksanakan pada bulan Juni 2021. Populasi penelitian ini adalah ibu hamil di Posyandu Kramajaya  sebanyak 60 orang dan sampel sebanyak 30 responden. Analisa data menggunakan Uji Wilcoxon Signed Rank Test. Dari hasil univarat  menunjukkan bahwa pengetahuan ibu hamil sebelum pendidikan kesehatan dengan katagori baik 4 orang (13,3%),dan sesudah katagori baik 22 orang (73,3%). Sikap ibu hamil tentang P4K sebelum positif 15 orang (50%), dan sesudah sikap positif 18 orang (60%). Uji analisis Wilcoxon Signed Rank Test. Dengan nilai P-value tingkat pengetahuan sebesar 0,000 dan P-value sikap ibu hamil sebesar 0,083  (P< 0,05). Pendidikan kesehatan menggunakan pop-up book tentang P4K berpengaruh terhadap peningkatan pengetahuan namun tidak berpengaruh terhadap sikap ibu hamil. AbstractWest Lombok Regency data, the maternal mortality rate in 2019 has increased. In 2019 there were 6 cases of maternal deaths. To deal with the low coverage of complications handling by health personnel, the government has launched a delivery planning and prevention of complications (P4K) program which aims to monitor pregnancies leading to safe and secure deliveries. Pop up books can be used as educational media in conducting health education. Pop-up book is a pop-up material that is presented in the form of interesting pictures because there are parts that when opened, change or give rise to the impression that arises. To determine the effect of providing health education using pop-up books on the level of knowledge and attitudes of pregnant women about P4K. This research is a quasi-experimental research with a one-group pretest-posttest design. This research was conducted in June 2021. The population of this study were 60 pregnant women in Posyandu Kramajaya and a sample of 30 respondents. Analysis of the data using the Wilcoxon Signed Rank Test. Univariate result shows that knowledge of pregnant women before health education is in good category 4 people (13,3%), and after good category 22 people (73.3%). The attitudes of pregnant women about P4K before were positive 15 people (50%), and after a positive attitude 18 people (60%). Wilcoxon Signed Rank Test analysis test. With a P-value of knowledge level of 0.000 and a P-value of pregnant women's attitudes of 0.083 (P <0.05). Health education using a pop-up book about P4K has an effect on increasing knowledge but has no effect on the attitude of pregnant women.