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Herry Herman
Department of Orthopaedics and Traumatology, Faculty of Medicine, Universitas Padjadjaran, Bandung
Dentistry Health Professions Immunology & microbiology Nursing Public Health

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The Effect of the BC-MK15 Birth Chair on the Labor Pain Intensity in Multipara Yetti Purnama; Johanes Cornelius Mose; Herry Herman
Global Medical & Health Communication (GMHC) Vol 6, No 3 (2018)
Publisher : Universitas Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (476.576 KB) | DOI: 10.29313/gmhc.v6i3.2841

Abstract

Labor pain causes worry, anxiety, increases the secretion of the adrenaline, adrenocorticotropic hormone (ACTH), cortisol serum levels, catecholamines and the perception of pain. One method to decrease labor pain is through the mobilization and upright position during labor which is facilitated by the BC-MK15 birth chair to relax, decrease catecholamines, increase the release of β-endorphins and block the transmission of pain stimulus. This study aims was analyze the difference of the effect of using the BC-MK15 birth chair and the conventional bed on the intensity of labor pain in multipara. The design of this study was the posttest-only control group design in 60 samples of the first active phase of multipara at Public Health Centers Garuda, Ibrahim Adjie and Puter of Bandung city in April–May 2017. Each group consisted of 30 for treatment (using BC-MK15 birth chair) and control (using the conventional bed). Assessment of pain scores using the visual analogue scale (VAS) in cervical dilations of 4 cm (post 1), 7–9 cm (post 2) and 10 cm (post 3). The statistical test analysis uses the Mann-Whitney test and the chi-square test. There were significant differences among groups which are obtained by the treatment and control of post 2 and post 3 (p<0.05, RR=0.69 [0.531–0.896]). In conclusion, there is an effect of using the BC-MK15 birth chair and the conventional bed on the intensity of labor pain in multiparous mothers. PENGARUH KURSI PERSALINAN BC-MK15 TERHADAP INTENSITAS NYERI PERSALINAN PADA MULTIPARANyeri persalinan menimbulkan rasa khawatir, kecemasan, meningkatkan sekresi adrenalin, adrenocorticotropic hormone (ACTH), kadar kortisol serum, katekolamin, dan persepsi nyeri. Salah satu metode menurunkan nyeri persalinan adalah mobilisasi dan posisi tegak saat persalinan difasilitasi dengan kursi persalinan BC-MK15 sehingga menimbulkan relaksasi, menurunkan katekolamin, meningkatkan pelepasan β-endorfin, dan mengeblok transmisi stimulus nyeri. Penelitian ini bertujuan menganalisis perbedaan pengaruh penggunaan kursi persalinan BC-MK15 dan tempat tidur konvensional terhadap intensitas nyeri persalinan pada multipara. Desain penelitian eksperimen posttest-only control group design  dengan jumlah sampel 60 multipara kala I fase aktif di Puskesmas Garuda, Ibrahim Adjie, dan Puter Kota Bandung pada bulan April–Mei 2017. Tiap-tiap kelompok berjumlah 30 untuk perlakuan (menggunakan kursi persalinan BC-MK15) dan kontrol (menggunakan tempat tidur konvensional). Penilaian skor nyeri menggunakan visual analogue scale (VAS) pada dilatasi serviks 4 cm (post 1), 7–9 cm (post 2), dan 10 cm (post 3). Pengujian statistik menggunakan analisis Uji Mann-Whitney dan uji chi-square. Didapatkan perbedaan bermakna antara kelompok perlakuan dan kontrol pada post 2 dan post 3 (p<0,05; RR=0,69 [0,531–0,896]). Simpulan, terdapat pengaruh penggunaan kursi persalinan BC-MK15 dan tempat tidur konvensional terhadap intensitas nyeri persalinan pada ibu multipara.
Difference Duration of Labor at BC-MK15 Birth Chair with Conventional Bed in Multiparous Fitriani Fitriani; Johanes Cornelius Mose; Herry Herman
Global Medical & Health Communication (GMHC) Vol 6, No 2 (2018)
Publisher : Universitas Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (66.492 KB) | DOI: 10.29313/gmhc.v6i2.2847

Abstract

Prolonged labor increases the mortality and morbidity of mother and baby. The philosophy of childbirth is a natural process by taking the upright positions. The BC-MK15 birth chairs can facilitate the vertical position of the delivery mother. This study aims to analyze the difference of childbirth duration in the BC-MK15 birth chair with the conventional bed in multiparous. This research was an experimental study of posttest-only control group design. Experimented at Pelayanan Obstetri Neonatal Emergensi Dasar/PONED (Basic Emergency Obstetric and Neonatal Care/BEONC) Puskesmas (Public Health Center) Garuda, Puter, and Ibrahim Aji Bandung from 17 April–26 May 2017. The research samples were 30 multiparous on their first stage active phase of treatment and control group. Sampling method using a random permuted block. Birth measurements using the digital Q & Q stopwatch. The results of the duration during the active phase of first stage BC-MK15 was shorter 250.44 minutes than conventional bed 271.61 minutes (p=0.038). The second stage of the BC-MK15 birth chair was shorter 20.67±2(1.02) minutes than the conventional beds of 26.06±2(1.08) minute (p=0.001). The total duration of the labor of BC-MK15 was 269.42 minutes shorter than conventional bed 299.09 minutes (p=0.011). In conclusion, the duration of childbirth is shorter in the BC-MK15 birth chair than the conventional bed in multiparous. PERBEDAAN LAMA PERSALINAN DI KURSI PERSALINAN BC-MK15 DENGAN TEMPAT TIDUR KONVENSIONAL PADA MULTIPARAPersalinan lama meningkatkan mortalitas dan morbiditas ibu dan bayi. Upaya yang dapat dilakukan sesuai filosofi persalinan adalah proses alamiah dengan memanfatkan posisi tegak. Kursi persalinan BC-MK15 dapat memfasilitasi posisi tegak pada ibu bersalin. Penelitian ini bertujuan menganalisis perbedaan lama persalinan di kursi persalinan BC-MK15 dengan tempat tidur konvensional pada multipara. Penelitian ini merupakan studi eksperimental posttest-only control group design. Sampel penelitian multipara kala I fase aktif di Puskesmas Pelayanan Obstetri Neonatal Emergensi Dasar (PONED) Garuda, Puter, dan Ibrahim Aji Kota Bandung. Penelitian dilakukan pada 17 April−26 Mei 2017 yang memenuhi kriteria inklusi berjumlah 30 sampel tiap-tiap kelompok perlakuan dan kontrol. Pengambilan sampel menggunakan random permuted block. Pengukuran lama persalinan menggunakan stopwatch digital merek Q&Q. Hasil penelitian lama persalinan kala I fase aktif kursi persalinan BC-MK15 lebih singkat 250,44 menit daripada tempat tidur konvensional 271,61 menit (p=0,038). Kala II kursi persalinan BC-MK15 lebih singkat 20,67±2(1,02) menit daripada tempat tidur konvensional 26,06±2(1,08) menit (p=0,001). Total lama persalinan kursi persalinan BC-MK15 lebih singkat 269,42 menit daripada tempat tidur konvensional 299,09 menit (p=0,011). Simpulan, lama persalinan lebih singkat pada kursi persalinan BC-MK15 daripada tempat tidur konvensional pada multipara.
The Use Reproductive Health Game (KEPO Game) on Female Adolescent’s Five Dimensions Satisfaction Sri Susilawati; Farid Husin; Firman Fuad Wirakusumah; Meita Dhamayanti; Herry Herman; Ruswana Anwar; Nanan Sekarwana
Global Medical & Health Communication (GMHC) Vol 7, No 1 (2019)
Publisher : Universitas Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (557.453 KB) | DOI: 10.29313/gmhc.v7i1.2966

Abstract

The adolescent’s reproductive health is the major problem that should take into consideration. To solve this problem, it needs an alternative strategy by using a media, reproductive health/kesehatan reproduksi (KEPO) game, in Android smartphone. The aim is analyzing the effect of KEPO game on the five dimensions of female adolescent’s satisfaction. The research method was quasi-experiment, and the research design used pre-test post-test with control group design. The sampling technique used simple random sampling. The subject was 64 respondents of female student age of 12−15 years old in public junior high school in Bandung city. The respondents divided into two groups, the first one treated by KEPO game is 32 students of Public Junior High School 50 Bandung, while the control group was 32 students of Public Junior High School 8 Bandung, get counseling from Ujungberung Indah Public Health Center; the entire research conducted in April−May 2017. Research result shows the percentage differential of satisfaction average score improvement on both groups. The treatment group produces percentage of content 14.6%, display 23.6%, accuracy 11.4%, easiness 12.4%, and correctness 17%. In the other hand, control group produces content 5%, display 3%, accuracy 4.3%, easiness 2.8%, and correctness 4.7% with a p value for each indicator was p<0.05 on the intervention group and p<0.05 on the control one. Entirely, it known that adolescent’s satisfaction from those five aspects in using KEPO game has a matter differential p<0.05, with satisfied percentage, was 84%. In conclusion, there was an effect of KEPO game on the five dimensions of female adolescent’s satisfaction. PENGARUH PENGGUNAAN GIM KESEHATAN REPRODUKSI (KEPO) TERHADAP LIMA DIMENSI KEPUASAN REMAJA PEREMPUANKesehatan reproduksi remaja merupakan masalah utama yang harus diperhatikan sehingga untuk mengatasi ketidakpuasan remaja, diperlukan strategi alternatif, yaitu gim kesehatan reproduksi (KEPO) menggunakan smartphone Android. Tujuan penelitian ini adalah menganalisis pengaruh gim KEPO terhadap lima dimensi kepuasan remaja perempuan. Metode penelitian adalah quasi-experiment dan desain penelitian menggunakan pre-test post-test with control group design. Teknik pengambilan sampel menggunakan simple random sampling. Subjek penelitian adalah 64 responden siswa perempuan usia 12–15 tahun SMP Negeri di Kota Bandung. Responden dibagi menjadi dua kelompok, yaitu kelompok perlakuan menggunakan gim KEPO sebanyak 32 siswa SMP Negeri 50 Bandung, sedangkan kelompok kontrol menerima penyuluhan dari Puskesmas Ujungberung Indah sebanyak 32 siswa SMP Negeri 8 Bandung. Penelitian dilaksanakan pada bulan April–Mei 2017. Hasil penelitian menunjukkan perbedaan persentase peningkatan nilai rerata kepuasan pada kedua kelompok. Kelompok perlakuan menghasilkan persentase konten 14,6%, tampilan 23,6%, akurasi 11,4%, kemudahan 12,4%, dan ketepatan 17%. Di sisi lain, kelompok kontrol menghasilkan konten 5%, tampilan 3%, akurasi 4,3%, kemudahan 2,8%, dan ketepatan 4,7% dengan nilai p untuk setiap indikator sebesar p<0,05 pada kelompok intervensi dan p>0,05 kelompok kontrol. Secara keseluruhan, diketahui bahwa kepuasan remaja dari kelima aspek kepuasan dalam menggunakan gim KEPO memiliki perbedaan yang bermakna p<0,05 dengan persentase puas 84%. Simpulan, terdapat pengaruh penggunaan gim KEPO terhadap lima dimensi kepuasan remaja perempuan.
Co-Authors Farid Husin Firman Fuad Wirakusumah Fitriani Fitriani I Ketut Suada Johanes C. Mose Johanes Cornelius Mose Meita Dhamayanti Nanan Sekarwana Ruswana Anwar Yetti Purnama