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The Development of a Community-Based Model as an Assisting Approach in the Prevention of Pregnancy and Labor Complications in Pandeglang Regency, Banten, Indonesia Yudhia Fratidhina; Nina Herlina; Hamidahs; Sri Mulyati
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 4 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i4.17141

Abstract

Most of the direct causes of maternal death is obstetrical complications. Some programs have been doneto reduce the incidence of complications on pregnancy and childbirth complications unfortunately theimplementation of the program has not been maximized. Community empowerment is required to ensurethe sustainability of the program. This research was conducted to develop community-based Model inpreventing pregnancy and labor complications based on asset and community participatory. This researchwas conducted with a mixed method approach. On the stage of model development is conducted qualitativelythrough Focus Group Discussion and in-depth interview with 4 key informants and 13 support informants.Furthermore, model is developed quantitatively by using cross sectional study design on 80 respondents.The analysis that used in this research is SEM PLS. Once the model is formed, the evaluation was conductedon 83 respondents by using pre and post-test design. Application of community-based Model in the societyis done by mentoring models using Module of asset and participatory-based prevention of pregnancy andlabor complication through community-based Model. The results show that community-based modelcan be achieved through community participation, community assets development, knowledge, attitudesand behavior. The results also reveal that the community-based model is statistically proven to increaseknowledge (p 0.000), attitude (p 0.000) and the behavior of expectant mother (p. 0.000). Community-basedModel consists of five variables and it was proved to be effective in improving the knowledge, attitude andbehavior of expecting mothers on the prevention of pregnancy complication and childbirth.
Development of a Patient Safety Model in Independent Practice of Midwifery in Bogor Regency, West Java, Indonesia Nina Herlina; Yudhia Fratidhina; Ambariani; Sri Mulyati; Titin Martini
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 3 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i3.15894

Abstract

The concept of patient safety has been developed due to the increased incidence of medical error in Indonesia.Although incidents related to patient safety occurs in health servicessuch as the Independent Practice ofMidwifery or BidanPraktikMandiri(BPM), it has not received enough attention from the stakeholders. Thisresearch discusses the implementationof Patient Safety Model atthe Independent Practice of MidwiferyinBogor District, West Java Province. The research was conducted with mixed method approach, using threewayphase. The first phase is the construction on patient safety goals in BPM by doing focus group discussionon 3 groups and 2 in-depth interviews with 2 informants. The second phase is the model development inthe form of validation based on findings in the first phase. Additionally, phase 2 is done by using crosssectionaldesign of 90 midwives and SEM analysis using PLS. The third phase is conducting a quantitativeevaluation model with pre and post design at 30 BPM which have had training on Patient Safety Model. Thefindings show allvariables (patient safety goals, knowledge, attitudes, motivations, and behaviors related tothe patient safety) are valid in shaping Patient Safety Model. The results on Model application evaluation(phase 3) indicate that the model effective in increasing knowledge (p 0.000), attitude (p 0.000), motivation(p 0.000) and behavior (p 0.001) on patient safety in BPM.
PENGARUH MENDENGARKAN MUROTTAL TERHADAP PENURUNAN TEKANAN DARAH PADA IBU HAMIL PREEKLAMSI DI RSIA PKU MUHAMMADIYAH TANGERANG Kartini Kartini; Yudhia Fratidhina; Heni Kurniyati
Jurnal JKFT Vol 1, No 2 (2016): Jurnal JKFT
Publisher : Universitas Muhammadiyah Tangerang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31000/jkft.v2i2.61

Abstract

Mortalitas dan morbiditas pada wanita hamil dan bersalin adalah masalah terbesar di negara berkembang. Tingginya angka Kematian ibu terkait dengan banyak faktor,  di antaranya kualitas perilaku ibu hamil yang tidak memanfaatkan Antenatal Care (ANC) pada pelayanan kesehatan, sehingga  kehamilannya  berisiko  tinggi.  preeklampsia merupakan sindrom yang ditandai dengan peningkatan tekanan darah dan proteinuria. dari berbagai macam pengobatan yang paling baik adalah Al- qur’an. Salah satu metode penyembuhan Al-Qur’an adalah dengan mendengarkan bacaan Al-Qur’an (murottal). Tujuan penelitian: untuk mengetahui apakah ada pengaruh mendengarkan murottal terhadap penurunan tekanan darah pada ibu hamil preeklamsi di PKU Muhammadiyah Tangerang. Desain Penelitian: menggunakan pendekatan kuantitatif dengan desain penelitian Quasi Experiment, dengan rancangan one  group  pretest  dan  posttest.  Sampel penelitian  ini  berjumlah  30 sampel. Pengumpulan data dilakukan dengan menggunakan lembar observasi. Data yang terkumpul kemudian diolah dan dianalisis dengan menggunakan Spss Statistics 17.0 serta menggunakan Uji paired sampel T test. Hasil penelitian: menunjukkan p value = 0,000 [p<α (α=0,05)]. Kesimpulan: ada pengaruh mendengarkan murrotal terhadap penurunan tekanan darah diastolik pada ibu hamil preeklamsi.
PERBEDAAN POSISI MIRING DENGAN POSISI SETENGAH DUDUK TERHADAP KEMAJUAN PERSALINAN KALA II PADA MULTIPARA DI PUSKESMAS BALARAJA TAHUN 2016 Titin Martini; Wulan Damayanti; Yudhia Fratidhina
PROSIDING SEMINAR NASIONAL & INTERNASIONAL 2016: PROSIDING KONTRIBUSI HASIL PENELITIAN DAN PENGABDIAN MASYARAKAT DALAM PROGRAM SUSTAINABLE DEVE
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (263.978 KB)

Abstract

Sebagian kematian maternal banyak terjadi pada saat persalinan, salah satu penyebabnya adalah kala II yang lama 37%, sehingga diperlukan upaya untuk menurunkan angka kematian ibu maka diperlukan penerapan asuhan sayang ibu diantaranya pemilihan posisi persalinan. Menggunakanmetode eksperimen static group comparison, tekhnik pengambilan sampel purposive sampling, dengan menggunakan data primer melalui cheklist sebagai dasar observasi. Sampel penelitian ini adalah semua ibu multipara dengan asuhan persalinan normal sebanyak 30 responden dengan pembagian 15 responden kelompok posisi miring, dan 15 responden kelompok posisi setengah duduk. Analisa data menggunakan uji independen sample T-test. Hasil penelitian menunjukkan bahwa lamanya kala II normal pada posisi miring 15 orang (100%), posisi setengah duduk pada kala II normal 13 orang (87%) dan kala II memanjang 2 orang (13%). Hasil uji statistik didapatkan nilai P value 0,178 > 0,05 artinya tidak ada perbedaan posisi miring dengan posisi setengah duduk terhadap kemajuanpersalinan kala II. Adapun perbedaan lama kala II antara posisi miring dan posisi setengah duduk didapatkan nilai rata-rata lamanya kala II pada posisi miring 29,5 menit, sedangkan rata-rata pada posisi setengah duduk 35,4 menit, dengan perbedaan nilai 5,9 menit. Diharapkan petugas kesehatandan pelayanan kesehatan dapat memberikan asuhan sayang ibu secara optimal, diantaranya pemilihan posisi pada kala II, sehingga proses persalinan ibu dapat berjalan dengan aman dan nyaman.Kata Kunci : Posisi Setengah Duduk, Kala II, Multipara
HUBUNGAN IBU HAMIL PENGIDAP DIABETES MELLITUS DENGAN KELAHIRKAN BAYI MAKROSOMIA DI RSAB HARAPAN KITA JAKARTA Heru Setiawan; Yudhia Fratidhina; Mohammad Ali
Jurnal Ilmu dan Teknologi Kesehatan Vol 1 No 2 (2014): Maret
Publisher : Poltekkes Kemenkes Jakarta III

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Abstract

Diabetes Mellitus (DM) is a collection of symptoms that occur in a person due to insufficient insulin hormone that can not work normally. DM can cause a variety of complications, and complications can also occur in pregnant women. Pregnant women who suffer from diabetes more likely to deliver larger babies (macrosomia). This can complicate the birth process may cause trauma of birth, even newborns having weight above the normal value can not cry or breathe spontaneously at birth or a regular basis. If this condition persists, the future can cause birth defects. If this condition can lead to prolonged mental or physical disability. This study aims to determine the percentage of pregnant women living with diabetes who delivered macrosomic infants. This research is a descriptive cross sectional study, the secondary data retrieval by record number of 100 medical records of pregnant women living with diabetes and non-diabetes who delivered macrosomic infants in RSAB Harapan Kita Jakarta during the period 2010-2011.The results showed the average age of pregnant women living with DM 33.5 years, gestational age 38.5 weeks, while glucose 167.5 mg / dL and the percentage of pregnant women living with diabetes with macrosomic infants born in RSAB. Harapan Kita Jakarta is 44.8%. DMG case in RSAB Harapan Kita Jakarta, prevalence was only 1.2%.There is no association between gestational diabetes mellitus with macrosomia (p-value 0.301)
PENGARUH WAKTU PENJEPITAN TALI PUSAT TERHADAP KADAR HEMOGLOBIN NEONATUS Jomima Batlajery Batlajery; Yudhia Fratidhina Fratidhina; Hamidah Hamidah Hamidah
Jurnal Ilmu dan Teknologi Kesehatan Vol 2 No 1 (2014): September
Publisher : Poltekkes Kemenkes Jakarta III

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Abstract

The timing of clamping talipusat in newborns can be a very important thing for the hemoglobin level that can influence the development of the next baby. This study aims to determine the effect of time of cord clamping on hemoglobin levels of infants aged 3 days. The research method used was a quasi-experiment. The sample was spontaneously born infants in accordance with the inclusion criteria, a total of 86 babies. Infant blood sampling performed by laboratory personnel Dinda Tangerang General Hospital on day 3. The results showed Hb baby is 14 to 20.8 g / dl and average 17.46 g / dl. Average Hb in cord clamping infants <2min was 15.9 g / dl. In cord clamping 2-7 minutes average Hb his 17.8 g / dl. Cord clamping> 7 minutes, the average infant Hb was 19.66 g / dl. There are differences in Hb levels among the three cord clamping time. The conclusion of this study is the length of time there is the influence of clamping the umbilical cord hemoglobin levels in infants aged 3 days. The longer the delay in clamping the umbilical cord, the baby will increase hemoglobin levels and reduce the risk of anemia in newborns. Suggestions for policy makers and health care to look back on the SOP of the delay cord clamp because of the research outputs can provide a significant effect on the increase in baby Hemoglobin and than preventing anemia.
PENGARUH STRES TERHADAP DISMINORE PRIMER PADA MAHASISWA KEBIDANAN DI JAKARTA Rus Martin; Sri Mulyati; Yudhia Fratidhina
Jurnal Ilmu dan Teknologi Kesehatan Vol 1 No 2 (2014): Maret
Publisher : Poltekkes Kemenkes Jakarta III

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Abstract

The complained of pain during the menstrual of woman, the results of respondens in midwifery education is disminore proportion reached 33.1% (42 people). Women who experience disminore up to 51%, do not interfere with the activity or school attendance, 8%. The purpose of this study to determine the effect of stress on pain levels. Samples were selected purposively by the number of 46 people. Processing data through ANOVA test. The results obtained average pain level of 6.70 with SD 1518 students, and the majority of student stress conditions to normal conditions 54.3% (25) and the stress was 17.4% (8) students. The results of the stress test with no influence pain level students (p- 0, 045). These stress conditions can lower the body's resistance so it will be very sensitive to pain, and each individual will be different in response to pain. The result research is suggest all students to get konwledge of management stress in the lessing the paint menstrual.
Basic Construction Factors of Participatory Asset Community Development Health In Action (Yudhia) Model to Prevent Complication of Pregnancy and Child-Birth Yudhia Fratidhina; Nursyirwan Effendi; Rizanda Machmud; Artha Budi Duarsa
Jurnal Ilmu dan Teknologi Kesehatan Vol 7 No 2 (2020): Maret 2020
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (350.209 KB) | DOI: 10.32668/jitek.v7i2.246

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High Maternal Mortality Rate (MMR) is mostly caused by a lack of information and a bad habit of pregnant women in high-risk pregnancy treatment. This condition causes an impact to high maternal mortality during childbirth. This study has aims to identify factors as the main construction of the Participatory Asset Community Development Research Action Model (YUDHIA). This study used a qualitative approach. The location of the study is at Cimanuk, Pandeglang, Banten. Informants were chosen based on purposive sampling and snowball techniques. Key informants were four pregnant women that had complication risk. Supporting informants were eight-person. Data collecting used in-depth interviews and recorded by a tape recorder. Analysis data used RAP techniques and released 12 themes that described the main factors in the construction of the YUDHIA model. The description was (1) development of community assets, such as physical, economic, environmental, human, and social assets. (2) Community participation, such as the dimension of community contribution, community development, and organization. This study is community participation has been already existed by forming desa siaga (standby village). The most crucial asset in the community is human assets, midwifery, and dukun (traditional birth attendant), therefore create a strong commitment to giving priority to the needs and lives of pregnant women.
Peer Group and Positive Affirmations Affect on Physical Changes and Psychological Consequences of Menopause Siti Masitoh; Yudhia Fratidhina; Heriza Syam
Jurnal Ilmu dan Teknologi Kesehatan Vol 9 No 1 (2021): September 2021
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32668/jitek.v9i1.612

Abstract

Menopause is a woman's last menstrual period influenced by reproductive hormones, occurring in her fifties. Various efforts can be made to overcome the symptoms and complaints in menopausal women, including peer groups and positive affirmations. The purpose of the study was to determine the effect of the peer group model and positive affirmations on physical and psychological changes due to menopause in the work area of ​​the Pondok Rangon Community Health Center, Cipayung District, East Jakarta. This type of research is a quasi-experiment with two group pre-test post-test. The sampling technique used the purposive sampling method with a total sample of 50 respondents. The results showed that the average age of the respondents was 53.36 years, with the majority of respondents (64%) having low education, not working (86%), and most of them being multiparous (70%). The intervention group results showed a significant difference before and after treatment, both in physical changes (p-value 0.001) and psychological (p-value 0.000). The control group found no significant difference in physical changes (p-value 0.085) and psychological changes (p-value 0.174). The study concludes a decrease in physical and psychological changes in the intervention group who received peer group treatment and positive affirmations compared to the control group who did not receive treatment. Menopausal women can use the peer group model and positive affirmations to overcome the complaints of menopausal women.
Correlation Between Troponin I Levels and Electrolytes of Sodium and Potassium in Acute Coronary Syndrome Patients at Budhi Asih Hospital Tri Prasetyorini; Diah Lestari; Dzakiyah Ghina Farhah; Suratun; Yudhia Fratidhina
International Journal of Science and Society Vol 4 No 1 (2022): International Journal of Science and Society (IJSOC)
Publisher : GoAcademica Research & Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (363.07 KB) | DOI: 10.54783/ijsoc.v4i1.428

Abstract

Acute Coronary Syndrome (ACS) is one of the clinical manifestations of coronary heart disease that most often causes of death. A sensitive laboratory examination to assess the presence of signs of myocardial infarction such as troponin I is used to diagnose ACS. Electrolyte levels can also be impaired in myocardial infarction. Electrolyte imbalance in the blood can affect the conduction and contractility of the heart, especially sodium and potassium which are needed to produce activation of the heart muscle. The aim of this study was to determine the correlation between troponin I levels and sodium and potassium levels of serum in acute coronary syndrome patients with diabetes mellitus. The research design was used a cross sectional analytical observation with secondary data. This study was used the Spearman correlation test with an alpha value of 0.05. The data were taken from the medical records section of Budhi Asih Hospital. The samples were used 65 data of patients. The results showed that there was a correlation between troponin I levels and sodium with a p value 0.001 (p < 0.05), getting a fairly strong closeness level (r = -0.390) and negative direction. Likewise, the levels of troponin I with potassium showed a p value 0.000 (p < 0.05), getting a fairly strong level of closeness (r = -0.487) and a negative direction. From this study, it can be concluded that there was a relationship between troponin I levels with sodium and potassium with a negative correlation direction which indicates that the higher troponin I levels, so the lower the sodium and potassium levels. Electrolyte examination, especially sodium and potassium, is important to help diagnose acute coronary syndrome in knowing the balance of body fluids so as to prevent death.