Wiwin Lismidiati
Departemen Keperawatan Anak Dan Maternitas Program Studi Ilmu Keperawatan Fakultas Kedokteran, Kesehatan Masyarakat, Dan Keperawatan Universitas Gadjah Mada

Published : 37 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 37 Documents
Search

Effectiveness of Effleurage and Counter-Pressure Massages in Reducing Labor Pain Santiasari, Retty Nirmala; Nurdiati, Detty Siti; Lismidiati, Wiwin; Saudah, Noer
Health Notions Vol 2 No 7 (2018): July 2018
Publisher : Humanistic Network for Science and Technology (Address: Cemara street 25, Ds/Kec Sukorejo, Ponorogo, East Java, Indonesia 63453)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (186.802 KB)

Abstract

labor. Effects of labor pain includes inflammation in uterus and labor dystocia. Effleurage and counter-pressure massage were complementary treatment to relieve pain. This study aimed to analyze effectiveness of effleurage and counter-pressure massages for reducing labor pain in stage 1 of active labor phase. This study used quasi experiment design with pre-post test non-equivalent control group. Research subjects were 68 mothers in stage 1 of active labor phase, which were divided evenly to two groups. Sampling collection technique used consecutive sampling. Independent variables were effleurage and counter-pressure, while dependent variables were decline of labor pain. Instrument to assess labor pain was Numeric Rating Scale (NRS). Data were analyzed using Wilcoxon and Mann Whitney. Labor pain before and after intervention in effleurage group were 9.26±1.05 and 6.88±1.22, respectively (p=0.00). Meanwhile, the respective numbers in counter-pressure groups were 9.00±0.98 and 6.59±1.28 (p=0.00). Average labor pain decline in effleurage and counter-pressure groups were 2.38 and 2.41, respectively (p=0.74). There was no significant difference between effleurage and counter-pressure in reducing labor pain. Keywords: Labor pain, Effleurage, Counter-pressure
EFEKTIVITAS PIJAT EFFLEURAGE DAN COUNTERPRESSURE TERHADAP KEMAJUAN DILATASI SERVIKS PADA KALA I FASE AKTIF Santiasari, Retty Nirmala; Nurdiati, Detty Siti; Lismidiati, Wiwin
Media Ilmu Kesehatan Vol 7 No 3: MIK Desember 2018
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat FKes Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/mik.v7i3.293

Abstract

Backgraound: Labor process begins with the process of cervical dilatation, which is commonly accompanied by pain. Labor pain caused by uterine contractions can cause thinning of the cervix. Effects of labor pain includes inflammation in uterus and labor dystocia. Effleurage and counterpressure are complementary treatment to stimulate uterine contractions. Objective: To analyze the effectiveness of effleurage and counterpressure massages on the progress of cervical dilatation. Method: This was a quasi-experiment study with pre-post test nonequivalent control group. Population was the women in labor in stage I active phase. Research subjects were 68 people that were divided into two groups. Sampling technique was consecutive sampling. Instrument used in this study was the internal examination. Data were analyzed using Wilcoxon and Mann Whitney. Results: The progress of cervical dilatation before and after the intervention of the effleurage was 4.74±0.83 vs 7.47±1.21 with p=0.00 and the result for the counterpressure group was 4.59±0.66 vs 8.03±0.96 with p=0.00. The average improvement of cervical dilatation on the effleurage and counterpressure groups was 2.73 vs 3.44 with p=0.00. Conclusion: The counterpressure has the more significant effect than the effleurage on improving the cervical dilatation.   Keywords: Cervical dilatation, counterpressure, effleurage
EFEKTIVITAS PIJAT EFFLEURAGE DAN COUNTERPRESSURE TERHADAP KEMAJUAN DILATASI SERVIKS PADA KALA I FASE AKTIF Nirmala Santiasari, Retty; Siti Nurdiati, Detty; Lismidiati, Wiwin
MEDIA ILMU KESEHATAN Vol 7 No 3 (2018): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (51.777 KB) | DOI: 10.30989/mik.v7i3.240

Abstract

Backgraound: Labor process begins with the process of cervical dilatation, which is commonly accompanied by pain. Labor pain caused by uterine contractions can cause thinning of the cervix. Effects of labor pain includes inflammation in uterus and labor dystocia. Effleurage and counterpressure are complementary treatment to stimulate uterine contractions. Objective: To analyze the effectiveness of effleurage and counterpressure massages on the progress of cervical dilatation. Method: This was a quasi-experiment study with pre-post test nonequivalent control group. Population was the women in labor in stage I active phase. Research subjects were 68 people that were divided into two groups. Sampling technique was consecutive sampling. Instrument used in this study was the internal examination. Data were analyzed using Wilcoxon and Mann Whitney. Results: The progress of cervical dilatation before and after the intervention of the effleurage was 4.74±0.83 vs 7.47±1.21 with p=0.00 and the result for the counterpressure group was 4.59±0.66 vs 8.03±0.96 with p=0.00. The average improvement of cervical dilatation on the effleurage and counterpressure groups was 2.73 vs 3.44 with p=0.00. Conclusion: The counterpressure has the more significant effect than the effleurage on improving the cervical dilatation. Keywords: Cervical dilatation, counterpressure, effleurage
HUBUNGAN PELATIHAN DENGAN PERILAKU BIDAN DALAM MELAKUKAN PENCEGAHAN PENDARAHAN POSTPARTUM DI KABUPATEN BANTUL Nur Anisa, Diah; S Nurdiati, Detty; Lismidiati, Wiwin
MEDIA ILMU KESEHATAN Vol 8 No 1 (2019): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (62.379 KB) | DOI: 10.30989/mik.v8i1.251

Abstract

Background: Postpartum hemorrhage is define as 500 cc or more bleeding after the completion of third stage (after the placenta is born). Maternal mortality due to postpartum hemorrhage occurs a lot in health services, one of the factors that influence it is the behavior of health workers in the prevention of postpartum hemorrhage. The behavior of midwives in preventing postpartum hemorrhage is closely related to the competencies seen from the training attended. Objective: To find out the relationship between training and the behavior of midwives in preventing postpartum hemorrhage in Bantul Regency. Methods: We used a correlation study with a cross sectional design. The sampling technique in this study used probability sampling with cluster sampling totaling 68 midwives in five community health centers. Retrieval of data in this study used an observation sheet to see the actions of midwives in conducting active management in the third stage as a preventive measure for postpartum bleeding and the identity sheet of respondents to see the training that had been attended by midwives. Results: There was no relationship between training with the behavior of midwives in the prevention of postpartum hemorrhage in Bantul Regency with a p value of 0.093. A total of 40 midwives (58.8%) had good behavior and 53 midwives (77.9%) had attended training. Conclusion: There is no training relationship with the behavior of midwives in the prevention of postpartum hemorrhage in Bantul Regency Keywords: Behavior, hemorrhage, postpartum, training
The Influence of Self-Tapping on Anxiety During Primary Menstrual Cramps among Nursing Students Lismidiati, Wiwin; Fidyasanti, Neni; Nurkhasanah, Nurkhasanah
Jurnal Keperawatan Soedirman Vol 14, No 1 (2019)
Publisher : Jurusan Keperawatan FIKES UNSOED

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2019.14.1.875

Abstract

ABSTRACTBackground: Menstruation is a sign of puberty for female adolescents. The common menstrual disorder experienced by adolescent is called painful menstruation (primary dysmenorrhea). Primary dysmenorrhea triggers both physical and psychological symptoms. One of the psychological impacts is anxiety. Self-tapping is a non-pharmacological therapy which can reduce anxiety.Aim: To figure out the effect of self tapping toward anxiety level among nursing students experiencing menstrual cramps.Methods: This study was a quasy-experimental research with non equivalent pretest-posttest with control group. The total 60 respondents were divided into intervention and control group with 30 respondents each. Self tapping was practiced in intervention group, meanwhile deep breath was performed in control group. The instruments to measure anxiety were anxiety screening questionare and Hamilton Anxiety Rating Scale (HARS). Wilcoxon statistical test was applied to compare the level of anxiety before and after the treatment in both groups. Besides, Mann Whitney satistical test was used to compare the effectiveness of both treatments in reducing the anxiety level in each group.Results: The anxiety mean score of the intervention group decreased from 24,63 to 16,03 after self tapping (?=8,6; p=0,000), while the anxiety mean score of the control group decreased from 23,5 to 17,73 after the implementation of deep breath technique (?=5,77; p=0,000). There was a significant difference between self tapping and deep breath technique in reducing anxiety level (p-value=0.006). Conclusion: Self tapping indeed has impact towards anxiety level among nursing students experiencing menstrual cramps.
Effectiveness of Effleurage and Counter-Pressure Massages in Reducing Labor Pain Retty Nirmala Santiasari; Detty Siti Nurdiati; Wiwin Lismidiati; Noer Saudah
Health Notions Vol 2, No 7 (2018): July
Publisher : Humanistic Network for Science and Technology (HNST)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (186.802 KB) | DOI: 10.33846/hn.v2i7.228

Abstract

Labor pain was an emotional experience and involves both physiological and psychological mechanisms during labor. Effects of labor pain includes inflammation in uterus and labor dystocia. Effleurage and counter-pressure massage were complementary treatment to relieve pain. This study aimed to analyze effectiveness of effleurage and counter-pressure massages for reducing labor pain in stage 1 of active labor phase. This study used quasi experiment design with pre-post test non-equivalent control group. Research subjects were 68 mothers in stage 1 of active labor phase, which were divided evenly to two groups. Sampling collection technique used consecutive sampling. Independent variables were effleurage and counter-pressure, while dependent variables were decline of labor pain. Instrument to assess labor pain was Numeric Rating Scale (NRS). Data were analyzed using Wilcoxon and Mann Whitney. Labor pain before and after intervention in effleurage group were 9.26±1.05 and 6.88±1.22, respectively (p=0.00). Meanwhile, the respective numbers in counter-pressure groups were 9.00±0.98 and 6.59±1.28 (p=0.00). Average labor pain decline in effleurage and counter-pressure groups were 2.38 and 2.41, respectively (p=0.74). There was no significant difference between effleurage and counter-pressure in reducing labor pain. Keywords: Labor pain, Effleurage, Counter-pressure
Hubungan lama kerja dengan perilaku bidan dalam melakukan pencegahan perdarahan postpartum di Kabupaten Bantul Diah Nur Anisa; Detty S Nurdiati; Wiwin Lismidiati
Health Sciences and Pharmacy Journal Vol 3, No 1 (2019)
Publisher : STIKes Surya Global Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (538.645 KB) | DOI: 10.32504/hspj.v3i1.90

Abstract

Postpartum hemorrhage is one of the causes of the hight of the maternal mortality rate (MMR) in Indonesia. Maternal mortality in Bantul regency has been increased than the last. The incident of prevention of midwives in the prevention of postpartum hemorrhage during labor proses. To find out the relationship between the length of work and the behavior of midwives in the prevention of postpartum hemorrhage in Bantul regency. This study included a type of correlation study with a cross sectional design. The sampling technique in this study used probability sampling with cluster sampling totaling 68 midwives in five health centers. Retrieval of data in this study used an observation sheet to see the actions of midwifes in conducting active management in the third stage as preventive measure for postpartum hemorrhage and the identity sheet of respondents to see the length of work that had been undertaken by midwives. The result of this research showed that the mayority of midwives who have length work ≥ 10 years, it was 47 people (69%), and midwives who have good behavior in prevention of postpartum hemorrhage was 40 people (58,8%). The result of correlation test between length work and midwives behavior in prevention of postpartum hemorrhage obtained p = value 0,851 (p 0,05). There no relatinship of long work with the behavior of midwives in theprevention of postpartum hemorrhage in Bantul regency.
STUDI LITERATURE REVIEW: ASUHAN KEPERAWATAN PALIATIF DENGAN PENDEKATAN PERAWATAN SPIRITUAL TERHADAP LEVEL NYERI PASIEN KANKER SERVIKS Eka Rora Suci Wisudawati; Sudadi Sudadi; Wiwin Lismidiati
Jurnal 'Aisyiyah Medika Vol 6, No 1: Februari 2021 Jurnal 'Aisyiyah Medika
Publisher : stikes 'aisyiyah palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36729/jam.v6i1.576

Abstract

Latar Belakang: Penyakit kanker merupakan salah satu penyebab kematian utama di seluruh dunia. Prevalensi kanker yang paling sering dialami wanita Indonesia adalah kanker serviks dan kanker payudara. Perawatan paliatif dan perawatan spiritual yang terintegrasi akan sangat menunjang managemen nyeri dan keluhan fisik pada pasien kanker. Tujuan: Literature review ini bertujuan untuk mengidentifikasi pemberian asuhan keperawatan paliatif dengan pendekatan perawatan spiritual terhadap level nyeri pada pasien kankerserviks. Metode: Desain penelitian adalah literature review. Pencarian literature dilakukan dengan melakukan penelusuran jurnal internasional dan nasional. Hasil pencarian artikel pada database ditemukan sebanyak 799 artikel. Jumlah artikel yang sesuaikriteria inklusi adalah sebanyak 12 artikel. Hasil literatur review didapatkan dari kedua belas jurnal yang direview, 1 jurnal merupakan review yaitu systematic review, 7 penelitian klinis, 2 penelitian quasy experiment, 1 penelitian randomized control trial (RCT), 3 penelitian kualitatif dan 1 penelitian campuran (mix methode), 3 penelitian merupakan penelitian survey yaitu 2 jurnal dengan pendekatan crossectionaldan 1 jurnal dengan pendekatansurvei berbasis studi multisite, 1 jurnal penelitian prospektif longitudinal. Hasil: Pemberian asuhan keperawatanpaliatif dan perawatan spiritual secara komprehensif pada pasien kanker serviks efektif untuk meningkatkan kualitas hidup pasien atau mengurang ikeluhan-keluhan yang dialami pasien kanker, terutama dalam managemen nyeri yang merupakan keluhan paling sering dialami oleh pasien kanker. Saran: Penelitian terkait pembuatan prosedur Asuhan Keperawatan Paliatif dapat dilakukan sebagai upaya managemen nyeri pasien kanker serviks.Kata Kunci: Nyeri Kanker, Perawatan Spiritual, Kanker Serviks, Perawatan Paliatif
Efektivitas Audiovisual dan Booklet sebagai Media Edukasi untuk Meningkatkan Perilaku Skrining IVA Veronica Silalahi; Mohammad Hakimi; Wiwin Lismidiati
Media Kesehatan Masyarakat Indonesia Vol. 14 No. 3: SEPTEMBER 2018
Publisher : Faculty of Public Health, Hasanuddin University, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (3094.596 KB) | DOI: 10.30597/mkmi.v14i3.4494

Abstract

Cervical cancer is the caused of high maternal mortality. Prevention of cervical cancer done by screeningVisual Inspection with Acetic Acid (IVA). The objective of this study to analyzed the effectiveness of health educationapplying health belief model using audiovisual and booklet on female behavior for IVA examination in thework area of Pacarkeling Public Health Center. The research method used Quasi Experimental with Design Non-Equivalent Control Group Design. Research subjects were women aged 30-50 years who have never done previousIVA examination. Sample selection using cluster sampling technique with sample of 79 respondents for each groupof intervention and control group. Health education using audiovisual and booklet. Data analyzed using wilcoxontest, chi-square, mann-whitney, and linear regression. Health education using audiovisual and booklet effectivein improving the behavior of respondents for IVA screening. Increased of knowledge, attitudes, health belief of theintervention group is greater than control group. The behavior of women in IVA screening for intervention groupwas greater than control group after intervention. External variables such as age, education, occupation, income,previous information have an effect on behavior improvement. Health education is effective in improving womenbehavior for IVA screening
Tradisi dan Lingkungan Sosial Memengaruhi Dukungan Menyusui pada Bayi Berat Badan Lahir Rendah di Kota Malang Muladefi Choiriyah; Elsi Dwi Hapsari; Wiwin Lismidiati
Jurnal Kesehatan Masyarakat Nasional Vol. 10 No. 1 Agustus 2015
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (278.927 KB) | DOI: 10.21109/kesmas.v10i1.816

Abstract

AbstrakBerat badan lahir rendah (BBLR) merupakan salah satu penyebab utama kematian bayi di dunia. World Health Organization tahun 2003 telah merekomendasikan menyusui sebagai salah satu penanganan BBLR. Namun, ibu yang memiliki bayi BBLR mengalami kesulitan di awal persalinan. Selain itu, menyusui di Indonesia juga dipengaruhi oleh sosial dan budaya yang dipercayai sehingga memengaruhi keputusan ibu untuk memilih tetap menyusui atau tidak sama sekali di periode awal postpartum. Tujuan penelitian ini untuk mengeksplorasi makna pengalaman ibu untuk tetap menyusui bayi dengan BBLR. Penelitian kualitatif ini dengan pendekatan fenomenologi. Tujuh orang partisipan adalah ibu yang pernah menyusui bayi BBLR. Pengumpulan data dilakukan dengan wawancara mendalam semiterstruktur, observasi, dan data sekunder pada bulan Mei – Juni 2015. Analisis data menggunakan metode Colaizzi tahun 1978. Ditemukan empat tema, yaitu pengenalan menyusui sejak dini untuk bayi BBLR, pemberian makanan pendamping air susu ibu dini sebagai alternatif dalam mengatasi kesulitan menyusui, tradisi yang dipercayai, dan lingkungan sosial memengaruhi dukungan bagi ibu menyusui serta menerima menyusui sebagai bagian dari kodrat seorang perempuan. Menyusui bayi BBLR memiliki tingkat kesulitan yang tinggi serta adanya tradisi yang dipercayai keluarga dan pengaruh lingkungan sosial sangat memengaruhi dukungan yang diberikan kepada ibu dalam menyusui.AbstractLow birthweight (LBW) is one of main causes of infant mortality in the world. World Health Organization in 2003 had recommended breastfeeding for LBW handling. However, LBW mothers face many difficulties during early postpartum period. Moreover, breastfeeding in Indonesia is also influenced by social and cultural belief, so it may influence mothers’ decision whether remain breastfeeding or not in early postpartum period. This study aimed to explore the meaning of the experience of mothers to remain breastfeeding their LBW infants. This qualitative study was conducted using phenomenological approach. Seven participants were mothers ever breastfeeding their LBW infants. Data were collected through semi-structured in-depth interview, observation and secondary data on May – June 2015. Data analysis used Colaizzi method (1978). There were four themes found namely introduction of breastfeeding since early for LBW infants, granting of early complementary feeding as an alternative to overcome breastfeeding problem, cultural belief and social environment influencing support for breastfeeding mothers as well as accepting breastfeeding as the very nature of woman. Breastfeeding LBW infants has higher difficulty le-vel, also any tradition family believe and social environment really affect support given to mothers in breastfeeding.