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Faktor Predisposisi Yang Mempengaruhi Keberhasilan Pemberian Asi Eksklusif Berdasarkan Teori Maternal Role Attainment Ramona T Mercer Dwi Rahayu; Yunarsih Yunarsih
coba Vol 6 No 1 (2017): Nopember 2017
Publisher : Akademi Keperawatan Dharma Husada Kediri

According to the Indonesian Demographic Health Survey (SDKI) from 1997 to 2002, the number of exclusive breastfeeding infants aged six months decreased from 7.9% to 7.8%. Meanwhile, the results of SDKI 2007 showed decreased number of exclusively breastfeeding infants up to 7.2% and the number of infants under six months who fed formula improved from 16.7% in 2002 to 27.9% in 2007. The number of infants in Indonesia who get exclusive breastfeeding continues to decline as more and more babies under 6 months of formula-feeding. The purpose of this research was to determine the factors that affect the successfull of exclusive breastfeeding Based On Maternal Role Attainment Ramona T Mercer Theory. The type of this research is an analytic survey. The population in this study are mothers who have babies aged 0-6 months in the Village Pojok Kediri. Sampling technique by Purposive Sampling and obtained the number of samples are 30 Respondents. The instrument used in this study is a questionnaire. Data analysis using Chi-Square test with α = 0,05. From the results of this study it was found that factors related to exclusive breastfeeding practices were maternal education (p value: 0,037), information how to breastfeeding (p value: 0,031), and community support (p value: 0,010), while Factors not related to Exclusive Breastfeeding practices include age (p value: 0.293), occupation (p value: 0.297), information of exclusive breastfeeding (p value: 0,903), Family Support (p value: 0.479) and Health Workers’s Support (p value: 0.669) . To improve the success of exclusive breastfeeding, counseling should be started from antenatal visit of the Pregnant Woman that aims to provide information preparation for breastfeeding, and counseling will be continued during breastfeeding which aims to monitor Exclusive breastfeeding up to 6 months and increase the participation of parents in exclusive breastfeeding support groups.

Hubungan Pengetahuan Dengan Perilaku Hidup Bersih Sehat Pada Remaja Putri Dwi Rahayu; Ani Andriyani
coba Vol 1 No 1 (2012): Nopember 2012
Publisher : Akademi Keperawatan Dharma Husada Kediri

Clean living healthy behaviors (PHBs) to be one government program that is expected to complete a variety of diseases and health problems. Clean and comfortable environment that will reduce negative impacts on the environment. This research design uses a Cross Sectional correlation approach. The population in this study were young women in the sixth grade girls cabin Ibtidaiyah Lirboyo as many as 62 teenagers. Studied sample of 53 adolescents using a sample random sampling technique. Independent variables in this study is the knowledge of clean healthy living, while the dependent variable is the behavior of a healthy clean life. Collecting data using questionnaires. Analyze data using Spearman Rank statistical test. The results obtained (47.17%) adolescents have adequate knowledge and category (45.28%) adolescents have poor behavior category. The results of data analysis using the Spearman Rank statistical test at α = 0.05 obtained by the correlation coefficient 010 and a significant level of 0.432. This result means that there is no relationship of knowledge about healthy living clean with a clean healthy living behaviors in adolescent girls in the sixth grade girls cabin Lirboyo Elementary. This study shows that the less knowledge about living a clean healthy then the less well their healthy hygienic behavior. This can be used as a picture or information to carry out further research related to environmental health.

Hubungan Antara Pengetahuan Dengan Pelaksanaan Sistem Lima Mejadi Posyandu Balita Kelurahan Ngronggo Kecamatan Kota Kota Kediri Dwi Rahayu; Moh Alimansur; Fajar Rinawati
coba Vol 1 No 1 (2012): Nopember 2012
Publisher : Akademi Keperawatan Dharma Husada Kediri

Posyandu is a place to get basic services, especially in areas that are managed by the public health. Posyandu function is not optimal in fourth table or a healt promotion table has not been fully utilized by the cadres. Many of those who did not provide information at the time of weighing every month. The purpose of this study was to determine the relationship between knowledge and implementation the five tables systems in Posyandu balita the Ngronggo Village, Kediri. The population in this study is all cadres posyandu balita who was in the district Ngronggo Kediri which totaled 57 people. Number of samples taken as many as 52 people. The sampling technique used is proportioned random sampling. Analysis of the relationship between knowledge and implementation the five tables systems is Spearman rho correlation. From the processing of the analysis statistic obtained probability value is more than 0.05, which means there is no relationship between knowledge and implementation the five tables systems in Posyandu balita the Ngronggo Village, Kediri City. The results showed the cadres who have obtained the information and training has been attempted to try (trial) and try to adopt all the knowledge gained to apply when posyandu but because it is constrained by a variety of conditions such as facilities and infrastructure, the less number of cadres, many cadres who had elderly so that their knowledge can not be fully used when posyandu

Perubahan Tingkat Nyeri Pada Pasien Primigravida Inpartu Kala I Dengan Penerapan Slow Stroke Back Massage Berbasis Teori Kenyamanan Kolcaba Dwi Rahayu
coba Vol 4 No 1 (2015): Nopember 2015
Publisher : Akademi Keperawatan Dharma Husada Kediri

Untuk mengurangi nyeri selama persalinan kala I digunakan manajemen nyeri baik secara farmakologis maupun nonfarmakologis. Dilakukan penelitian untuk membuktikan bahwa Slow Stroke Back Massage dapat mempengaruhi intensitas nyeri pada pasien primigravida inpartu kala I. Penelitian ini merupakan penelitian eksperimental dengan metode yang digunakan adalah rancangan One Group pretest-Posttest Design. Sample terdiri dari 11 responden yang diambil secara purposive sampling yaitu semua pasien primigravida inpartu kala I fase aktif yang masuk kamar bersalin Rumah Sakit Umum Daerah Kabupaten Kediri selama bulan September hingga Oktober 2014. Variabel yang diukur adalah perubahan intensitas nyeri sebelum dan sesudah dilakukan Slow Stroke Back Massage. Dari penelitian didapatkan data bahwa sebagian besar responden (72,8%) mengalami nyeri berat dan sebagian kecil (27,20%) mengalami nyeri sedang selama kala I fase aktif. Setelah dilakukan Slow Stroke Back Massage didapatkan data bahwa sebagian besar responden (72,80%) mengalami nyeri sedang dan sebagian kecil (27,20%) tetap mengalami nyeri berat. Kesimpulan yang didapatkan dari penelitian ini adalah menunjukkan adanya perbedaan intensitas nyeri sebelum dan sesudah perlakuan. Dari uji statistik menggunakan uji t-test ( = 0,05) didapatkan hasil t hitung = 6,5 (t table = 2,228) dengan signifikansi 0,000. Dari hasil ini dapat disimpulkan bahwa Slow Stroke Back Massage mempengaruhi intensitas nyeri pada pasien primigravida inpartu kala I fase aktif. Dari hasil temuan diatas, disarankan agar dalam penelitian selanjutnya digunakan sampel yang lebih besar dengan pengukuran intensitas nyeri pada masing-masing fase dalam kala I fase aktif. Kata kunci: Nyeri, Primigravida Inpartu, Slow Stroke Back Massage

Analisis Penerapan Breastfeeding Peer Counseling Pada Pasien Post Partum Fisiologis Dengan Masalah Keperawatan Menyusui Tidak Efektif Berdasarkan Teori Maternal Role Attainment-Becoming A Mother Ramona T. Mercer Dwi Rahayu; Yunarsih Yunarsih
coba Vol 3 No 2 (2015): Mei 2015
Publisher : Akademi Keperawatan Dharma Husada Kediri

The postpartum period is a critical time for the mother of one side is happy at the same times stressful to adapt after childbirth. Adaptation includes adjusting to build a positive interaction with the baby. One of the problems that occur in the postpartum period is the failure of mothers in exclusive breastfeeding. The low exclusive breastfeeding for mothers because they do not know the benefits of breastfeeding for children's health. Support from father also affect the success of exclusive breastfeeding for six months. Mother's decision to breastfeed affected family members information about the benefits of breastfeeding, as well as a lactation consultant. The purpose of this study is to analyze specific interventions , namely breastfeeding peer Counseling to improve exclusive breastfeeding in the postpartum period using theory of nursing, Maternal Role Attainment - Becoming a Mother developed by Ramona T. Mercer. The method used in this paper is a case report on the Physiological Postpartum Mothers treated in Kabupaten Kediri Hospital. On The assessment results according to the theory of Ramona T Mercer in the antisipatori data obtained on the condition of pregnancy that the mother does not experience problems, the ANC program appropriate with the schedule of health workers. In the Formal assessment of the phase Formal acceptance by the baby's mother obtained the difficulty breast-feeding mother to baby and family support is still lacking. In the Informal phase obtained for fear the baby's mother in the care especially during the current bathing and cord care. In the personal phase obtained mother feel mother’s role is very important in baby care. Breastfeeding Peer Counseling can be applied to postpartum mothers who experience difficulties with breastfeeding to their babies. The program is to motivate mothers to give babies the best nutrition to their infants through exclusive breastfeeding and provide psychological support to the mother to perform maintenance on the baby independently.

The Relationship between the speed of early initiation of breastfeeding with postpartum hemorrhage volume on stage labor Yunarsih Yunarsih; Dwi Rahayu
coba Vol 3 No 2 (2015): Mei 2015
Publisher : Akademi Keperawatan Dharma Husada Kediri

Maternal mortality rate in Indonesia is assumed to be high enough; it is 228 per a hundred thousand alive birth case in 2010 with the main factor is a heavy bleeding. The decrease of maternal mortality rate can be done by decreasing one of its factors that is avoiding a heavy bleeding after the delivery by doing a first breast feeding procedure. The purpose of the study is to find the correlation between the speed of early initiation of breastfeeding with the volume of blood occur at the fourth stage of the labor (post partum hemorrhage). The method used in the study is an analytical observation (longitudinal prospective). While the population of study is some mothers who experience a vaginal birth in BPM Bunda district Prambon. The number of the sample is 29 mothers using a random sampling technique. The independent variable is the speed of early initiation breastfeeding and the dependent variable is the volume of blood on the fourth stage (post partum hemorrhage). The datum are analyzed by ( SPSS ) T analyzed on two random sample and match to the meaningful degree of α< 0,05. The result of the study shows that there is a correlation between the speed of first breastfeeding with the volume of the blood p = 0,00. Therefore the conclusion of the study is that there is a correlation between the speed of the first breastfeeding and the volume of the blood, so that the researcher hope that the person on duty for the delivery process to encourage the first breastfeeding procedure to the mother and also to enlarge the knowledge of health education of the expecting mother about the essential effect of first breast feeding application. Keyword : early initiation of breastfeeding, post partum hemorrhage, maternal mortality

Hubungan Antara Inisiasi Menyusui Dini Dengan Kecepatan Waktu Pengeluaran Plasenta Pada Kala III Persalinan Di Ruang Dahlia I RSU USD Gambiran Kota Kediri Yunarsih Yunarsih; Dwi Rahayu
coba Vol 5 No 1 (2016): Nopember 2016
Publisher : Akademi Keperawatan Dharma Husada Kediri

Breaseeding (Early initiation) or the beginning of early breastfeeding is a natural process of restoring a human baby to suckle, by allowing the baby to find and suck the milk itself, within the first hour of the beginning of life. touch the baby's hands at the nipple and surrounding, sucking and licking a baby on the nipple stimulates the hormone oxytocin can help the uterus contract, helping expulsion of the placenta and reduce maternal bleeding. Normally, the placenta will be separated in less than 30 minutes after birth. The purpose of this study is the Knowing the relationship between early initiation of breastfeeding plasenta.Rancang spending time with the speed of this study was a cohort (longitudinal prospective). In this study, the speed of early initiation of breastfeeding in question are researchers doing early initiation of breastfeeding in a way after the baby is born and then dried body and the baby's head and placed the baby the mother's chest between the two breasts and then the mother and baby covered together. While time expulsion of the placenta (the third stage) is the time between the issuance of the fetus and placenta using random sampling and diambilsampelsebanyak tehniksampling 15 orangsesuaikriteriayang determined. To analyze the relationship between the relationship between early initiation of breastfeeding with spending time digunakanujistatistik T testdengan help SPSS20ForWindows.Berdasarkandari ujihasilanalisakorelasi T test using SPSS20 For Window obtained hasilp (0,037) < (0.05),a which means that H0 and H1 accepted meaning adahubunganyangsignifikanantarahubungan between breaseeding with placenta spending time at Dahlia Lounge I RSU USD Gambiran Kediri. This is because of the stimulation of the nipples when IMD stimulates oxytocin expenditures that increase the force of contraction uetus. In further research should consider other factors that increase the strength of uterine contractions. KeyWord: early breastfeeding initiation, speed removal of placenta

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