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Effectiveness of Early Exercise Against Uterine Involution in Spontaneous Postpartum Patients Nurafifah, Dian; Kusbiantoro, Dadang
KEMAS: Jurnal Kesehatan Masyarakat Vol 15, No 1 (2019)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v15i1.11936

Abstract

It is estimated that 50% of puerperal mortality occur within the first 24 hours. At thistime the involution process occured. Involutionary disorders cause complications whichis the leading cause of maternal mortality. Most of postpartum women do not obtainexercise guidance after giving birth. They are only advised to do simple mobilizationwithout planned guidance. The purpose of this study was to determine the effectivenessof early exercise against uterine involution (fundus and lochea). The research methodused Quasi Experimental (pre-post test non equivalent control group design). It wasconducted from May to August 2017. The samples were 40 respondents spontaneousprimiparous postpartum mother. The study was started by 1) divided the samples intocontrol group and treatment group, 2) measured the fundus and lochea, 3) providedearly exercise on treatment group, 4) re-measured fundus and lochea in both groups, 5)analyzed the effectiveness of early exercise to fundus and lochea expenditure decrease.The data analysis used Mann Whitney with α = 0.05. The results showed p value is 0.000(fundus) and p value are 0.001 (lochea). It means that early exercise is effective againstuterine involution (fundus and lochea). The results can provide positive contribution inpreventing maternal mortality caused by puerperal complications.
Formulasi dan Uji Hedonik Serbuk Effervescent Ekstrak Kunyit dengan Variasi Asam Sitrat dan Asam Tartat Octavia, Devi Ristian; Nurafifah, Dian; Muhtaromah, Muhtaromah; Utami, Primanitha Ria
Window of Health : Jurnal Kesehatan Vol 4 No 4 (Oktober 2021)
Publisher : Fakultas Kesehatan Masyarakat Universitas Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33368/woh.v4i04.635

Abstract

Turmeric (Curcuma longa), which is widely grown in tropical Asia, is known to have various health benefits. The use of turmeric is well known, among others, as herbal medicine, whereas as an ingredient in effervescent tablets it has never been developed. This study aims to produce the best formula for making turmeric effervescent powder that the public likes. This research is an experimental research. Turmeric was extracted and then made an effervescent powder with three variations of the formula for citric acid and tartic acid, namely formula 1 (3: 1), 2 (2: 2), and 3 (1: 3). The effervescent powder that has been made was then evaluated for its physico-chemical properties and a hedonic test was carried out on 20 panelists to test their preferences for color, taste, aroma and texture. The data obtained were then analyzed using the SPSS 22 statistical test, using the ANOVA test and Duncan's Post Hoc advanced test. The results showed that all formulas met the criteria for chemical physical properties of effervescent powder drink where the Hedonic test results showed that formula 3 was the most preferred formula by panelists.
PENGARUH PEMBERIAN POVIDONE IODINE 10% TERHADAP KECEPATAN PENYEMBUHAN LUKA PERINEUM PADA IBU POSTPARTUM DI BIDAN PRAKTIK MANDIRI ANI MAHMUDAH KABUPATEN LAMONGAN Dian Nurafifah
Jurnal Kebidanan Vol 5, No 2 (2016): JURNAL KEBIDANAN
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (419.098 KB) | DOI: 10.26714/jk.5.2.2016.114-120

Abstract

Perawatan perineum dilakukan untuk memulihkan kesehatan secara umum dan menjaga kebersihan luka perineum setelah masa nifas. Perawatan luka perineum dilakukan secara rutin misalnya membasuh luka dengan cairan antiseptik povidon iodine. Akan tetapi akhir-akhir ini penggunaan antiseptik povidon iodine sering kali diabaikan dengan berbagai alas an, misalnya ibu tidak mengetahui tentang cara perawatan luka perineum dengan cairan antiseptik povidon iodine, sehingga akan beresiko terjadinya perlambatan penyembuhan luka yang dapat menyebabkan infeksi dan kematian. Penelitian yang dilakukan oleh Cris valentine mengungkapkan bahwa banyak ibu pada masa nifas mengalami infeksi luka perineum (4 orang) yang disebabkan karena cara perawatan luka perineum yang kurang tepat. Desain penelitian menggunakan Quasy Experiment. Populasi adalah seluruh ibu nifas dengan persalinan pervaginam yang mengalami laserasi derajat II. Pemilihan sampel dengan quota sampling. Variabel independen yaitu pemberian povidon iodine 10% dan variabel dependen yaitu penyembuhan luka perineum. Pengambilan data dengan wawancara dan observasi. Pengolahan data menggunakan editing, coding, scoring dan tabulating, kemudian dianalisa menggunakan uji Chi Square dengan ? = 0.05. Hasil penelitian menunjukkan ibu post partum yang diberikan povidon iodine 10% mengalami penyembuhan luka yang cepat (90%), sedangkan ibu post partum tanpa povidone iodine 10% sebagian besar mengalami penyembuhan luka lambat (60%). Hasil uji Chi Square didapatkan nilai p = 0,019 (p < ?) sehingga Ho ditolak, artinya ada pengaruh pemberian povidon iodine 10% terhadap penyembuhan luka perineum pada ibu post partum. Berdasarkan hasil penelitian maka perlu peningkatan peran petugas kesehatan dalam memberikan informasi yang tepat tentang personal hygene setelah persalinan dengan pemberian povidon iodine 10% agar mengoptimalkan penyembuhan dari luka perineum.
AYAH ASI (BREASTFEEDING FATHER) TERHADAP KEJADIAN POSTPARTUM BLUES Dian Nurafifah
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 (270.578 KB)

Abstract

Postpartum blues adalah periode emosional stres yang terjadi antara hari ke 3 dan ke 10 setelah persalinan yang terjadi 80% pada ibu postpartum. Breastfeeding Father merupakan bentuk peran ayah dalam membantu ibu selama masa kehamilan, persalinan, dan nifas yang diharapkan akan mencegah kejadian postpartum blues. Tujuan penelitian untuk mengetahui hubungan breastfeeding father dengan kejadian postpartum blues. Desain adalah analitik korelasional. Populasi seluruh ibu post partum primipara yang tinggal bersama suami. Sampel sebanyak 24 orang, pengambilan sampel dengan teknik consecutive sampling. Pengambilan data dengan panduan kuesioner dan observasi. Analisa data menggunakan Uji Chi Square dengan ? = 0.05. Hasil penelitian menunjukkan nilai p = 0,001 sehingga terdapat hubungan breastfeeding father terhadap kejadian postpartum blues. Perlunya upaya peningkatan pemberian informasi kepada suami tentang pentingnya peran suami selama kehamilan, persalinan dan nifas untuk mendukung wanita mencapai perannya menjadi sebagai seorang ibu terutama pada masa transisi kritis postpartum sehingga memperkecil kemungkinan terjadi postpartum blues. Kata kunci: breastfeeding father, postpartum blues.
Granting Exclusive Breastfeeding Certificate to Increase Maternal Motivation for Exclusive Breastfeeding Dian Nurafifah; Ratih Indah Kartikasari; Ihda Mauliyah; Andri Tri Kusumaningrum
Jurnal Ilmiah Kesehatan Vol 15 No 01 (2022): Jurnal Ilmiah Kesehatan (Journal of Health Science) 
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (185.464 KB) | DOI: 10.33086/jhs.v15i01.2594

Abstract

The World Health Organization (WHO) and the United Nations International Children'sEmergency Fund (UNICEF) have recommended exclusive breastfeeding, but there arestill mothers who do not provide exclusive breastfeeding. In 2018, its number was only37.3%, while the government's target of exclusive breastfeeding coverage of 80%. Oneeffort to support exclusive breastfeeding mothers is giving certificates. This study aimsto determine the correlation between granting exclusive breastfeeding certificates andmaternal motivation for exclusive breastfeeding. It was a correlational study with across-sectional design. The independent variable was granting exclusive breastfeedingcertificates, while the dependent variable was maternal motivation for exclusivebreastfeeding. The population was breastfeeding mothers for more than six months inBedingin Village, Sugio District, Lamongan Regency. The samples were 40 respondentswith simple random sampling. We interviewed respondents with a questionnaire as aresearch instrument. Then, data analysis used the Chi-Square test with α = 0.05. 87.9%of mothers who received exclusive breastfeeding certificates had good motivation forexclusive breastfeeding. In addition, the Chi-Square test obtained p=0.000 (α˂0.05).Thus, there was a significant correlation between granting exclusive breastfeedingcertificates and maternal motivation for exclusive breastfeeding. In conclusion,awarding exclusive breastfeeding certificates increase maternal motivation for exclusivebreastfeeding. Further, it could improve coverage of exclusive breastfeeding inIndonesia. The local government should make policies in issuing exclusivebreastfeeding certificates.
Peningkatan domain kognitif, afektif dan psikomotor dalam program pembelajaran di luar kampus pada mahasiswa fakultas ilmu kesehatan universitas muhammadiyah lamongan: Improvement of cognitive, affective and psychomotor domains in off-campus learning programs for students of the faculty of health sciences, universitas muhammadiyah lamongan Virgianti Nur Faridah; Arifal Aris; Siti Sholikhah; Dian Nurafifah; Riana Prastiwi
Bali Medika Jurnal Vol 8 No 4 (2021): Bali Medika Jurnal Vol 8 No 4 Desember 2021
Publisher : Stikes Wira Medika Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36376/bmj.v8i4.246

Abstract

Latar Belakang : Perguruan tinggi bidang kesehatan pada dasarnya telah menerapkan merdeka belajar terutama pembelajaran di luar kampus jauh sebelum kebijakan Kampus Merdeka ini diluncurkan namun masih sebatas satu program kegiatan yaitu magang/praktek kerja. Ini merupakan tantangan bagi program studi kesehatan untuk dapat merancang dan melaksanakan proses pembelajaran di luar kampus yang inovatif pada delapan kegiatan dengan tetap memperhatikan capaian pembelajaran mencakup domain sikap, pengetahuan, dan keterampilan secara optimal. Penelitian ini bertujuan untuk melihat capaian pembelajaran mencakup domain kognitif, afektif dan psikomotor selama melakukan kegiatan belajar di luar kampus yang dilaksanakan program studi di Fakultas Ilmu Kesehatan Universitas Muhammadiyah Lamongan. Metode : Penelitian ini menggunakan metode survey dengan menyebarkan angket kepada seluruh mahasiswa FIKES UMLA. sebanyak 960 mahasiswa (total sampling) yang terdiri dari 683 mahasiswa S1 Keperawatan, 95 mahasiswa S1 Administrasi Rumah Sakit dan 182 mahasiswa S1 Farmasi. Penelitian survei ini menggunakan teknik analisis data kuantitatif dengan pendekatan deskriptif. Hasil : Hasil penelitian didapatkan dari domain kognitif sebesar 96,15 % menyatakan terjadi peningkatan saat dilakukan pembelajaran di luar kampus, domain afektif sebesar 96,15 % dan domain psikomotor sebesar 95,83 %. Kesimpulan : Program pembelajaran luar kampus mampu meningkatkan capaian pembelajaran mencakup domain kognitif, afektif dan psikomotor.
Hubungan Peran Keluarga Sebagai Pengawas Menelan Obat (Pmo) Dan Persepsi Pasien Dengan Kepatuhan Minum Obat Penderita TBC Di Puskemas Deket Kabupaten Lamongan Tahun 2020 Arifal Aris Aris; Dian Nurafifah; Novi Sagita
Jurnal Kesehatan Vol 10 No 1 (2021): Jurnal Kesehatan
Publisher : Sekolah Tinggi Ilmu Kesehatan Yatsi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37048/kesehatan.v10i1.278

Abstract

ABSTRAK Introduction : Pulmonary tuberculosis (TB) is a chronic disease that is still a global health problem Problem : The purpose of this study was to determine the relationship of the role of the family as the Superintendent of Swallowing Medication (PMO) and the perception of the paisen with adherence to taking medication for TB patients at the Puskesmas Deket Lamongan Design : The design of this study using population correlation analytics is all patients treated at poly tuberculosis as many as 25 patients using the technique of total sampling data collection using a questionnaire. Data analysis uses the Spearman Rank (Rho) test. Analysis : Showed that respondents who have a family role as supervisors of swallowing medicine (PMO) are less with adherence to taking non-compliant medication as many as 20 respondents (80%) and have a role as supervisor of swallowing medicine (PMO) less with adherence to obedient taking medication as much as 1 respondent (40% ). Shows that respondents who have less perception of adherence to taking non-compliant medication as many as 18 respondents (72%) and have less perception of compliance with taking obedient medication as much as 1 respondent (4%). With a value of a = 0.01, the value of p = 0,000 obtained means that there is a relationship between the role of the family as the supervisor of swallowing drugs with adherence to take medication for TB patients at the Puskesmas Deket Lamongan. Value a = 0.05 obtained p value = 0.017 means that there is no relationship between the perception of patients with adherence to taking medication for tuberculosis patients at the Deket Lamongan Health Center. It is expected that people with Tuberculosis (TB) and families with Tuberculosis (TB) can understand the importance of the role of the family in taking medication compliance with Tuberculosis (TB) patients and the importance of positive patient perceptions can affect the success in taking medication compliance. Discussion : To overcome the problem of tuberculosis patients, especially in obedience to talking medication, one of them is the role of the family as the supervisor of swallowing the drug Keywords : PMO, Perception, Compliance
PENINGKATAN PENGETAHUAN DAN KEMAMPUAN KONSELING BAGI KADER BIKKSA (BIRO INFORMASI KONSULTASI KELUARGA SAKINAH AISYIYAH) MELALUI PELATIHAN KONSELING Dian Nurafifah; Moh. Saifudin
JMM (Jurnal Masyarakat Mandiri) Vol 6, No 4 (2022): Agustus
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (554.445 KB) | DOI: 10.31764/jmm.v6i4.8811

Abstract

Abstrak: Idealnya konseling dilakukan oleh profesonal, namun karena keterbatasan jumlah konselor maka pelaksanaan konseling dilakukan oleh kader BIKKSA yang ditunjuk dan sukarela sebagai konselor awam. Sayangnya, para kader sama sekali belum pernah mendapatkan pembekalan bagaimana melakukan konseling sehingga tidak mempunyai kemampuan yang mumpuni dalam menggali masalah dan memecahkan masalah. Berdasarkan masalah tersebut maka perlu diadakan pelatihan konseling bagi para kader. Tujuan pelatihan konseling untuk meningkatkan pemahaman dan kemampuan konseling kader BIKKSA. Pelatihan dilaksanakan dalam bentuk paparan materi dan praktik konseling. Sasaran pelatihan adalah kader BIKKSA di kabupaten Lamongan sebanyak 27 kader. Evaluasi pelatihan dilakukan dengan metode pretest dan posttest menggunakan kuesioner. Hasil pelatihan menunjukkan terdapat peningkatan pemahaman kader mengenai komunikasi konseling (85,2%) dan peningkatan kemampuan melakukan konseling (88.9%).Abstract: Ideally counseling is carried out by professionals, but due to the limited number of counselors, counseling is carried out by BIKKSA cadres who are appointed and voluntarily as lay counselors. Unfortunately, the cadres have never been briefed on how to do counseling so they don’t have the ability to explore problems and solve problems. Based on these problems, it is necessary to hold counseling training for cadres. The purpose of counseling training is to improve the understanding and counseling ability of BIKKSA cadres. Training is carried out in the form of providing counseling materials and practices. The target of the training is BIKKSA cadres in Lamongan district as many as 27 cadres. Training evaluation was carried out using the pretest and posttest methods using a questionnaire. The results of the training showed that there was an increase in the understanding of cadres about counseling communication (85,2%) and an increase in the ability to do counseling (88,9%).
Pemberdayaan Masyarakat Melalui Musyawarah Masyarakat Desa terhadap Perubahan Perilaku Kesehatan Dian Nurafifah
Prosiding University Research Colloquium Proceeding of The 11th University Research Colloquium 2020: Bidang Pengabdian Masyarakat
Publisher : Konsorsium Lembaga Penelitian dan Pengabdian kepada Masyarakat Perguruan Tinggi Muhammadiyah 'Aisyiyah (PTMA) Koordinator Wilayah Jawa Tengah - DIY

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (864.496 KB)

Abstract

Kabupaten Lamongan baru mencapai 61,04% rumah tangga yang memenuhi kriteria PHBS. Survey awal pada 10 keluarga di Desa Bandungsari menunjukkan bahwa 80% keluarga masih belum memenuhi indikator keluarga sehat. Tujuan penelitian untuk mengetahui perbedaan perilaku kesehatan masyarakat sebelum dan sesudah Musyawarah Masyarakat Desa di Desa Bandungsari Kecamatan Sukodadi Kabupaten Lamongan. Desain penelitian pra eksperimen (one group pretest – posttest). Populasi adalah seluruh keluarga di Desa Bandungsari sebanyak 513 keluarga. Sampel adalah seluruh populasi yang didapatkan dengan teknik total sampling. Teknik pengumpulan data dengan wawancara dan observasi menggunakan kuesioner. Analisa data menggunakan uji Mc Nemar dengan α=0,05. Hasil penelitian menunjukkan bahwa terdapat perbedaan perilaku kesehatan sebelum dan setelah Musyawarah pada variabel pemberantasan sarang nyamuk (p=0,000), kebiasaan merokok (p=0,008), kebiasaan menggantung pakaian (p=0,000), pencahayaan rumah (p=0,001), dan pencemaran lingkungan (p=0,000). Musyawarah masyarakat desa sebagai salah satu bentuk pemberdayaan masyarakat sangat diperlukan untuk mengatasi masalah yang ada di desa terutama masalah kesehatan.
Warm compresses to decrease dysmenorrhea among adolescents Dian Nurafifah; Ihda Mauliyah; Atiul Impartina
Journal of Health Technology Assessment in Midwifery Vol 3, No 2 (2020): November
Publisher : Universitas Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (256.91 KB) | DOI: 10.31101/jhtam.1428

Abstract

Dysmenorrhea is one of discomfort experienced by adolescent during menstruation. A Survey of 10 young women at University of Muhammadiyah Lamongan found 90% had dysmenorrhea. To reduce pain, they take pain relievers. However, the use of drugs can cause side effects, especially if long-term use can lead to addiction or dependence. Research design using Quasy Eksperiment (pretest-posttest). The study was conducted on adolescents who are experiencing dysmenorrhea. They were divided into two groups namely control and treament groups. The study began by assessing pain levels in both groups. The treatment group was given warm compresses but the control group was not given any treatment, after that reassess the level of pain. The study analyzes changes in pain levels and compares pain change in the two groups. The results showed that in the control group most of the adolescents did not experience pain changes during dysmenorrhea (86.7%), whereas in the treatment group most of the adolescents experienced a decrease in pain (93.3%). Data analysis using the Mann Whitney test showed p=0.000 where p0.05 so it can be concluded that there are differences in dysmenorrhea before and after treatment between the warm compress group and the control group. The results of this study are expected to be used as consideration in developing plans to reduce discomfort in the form of menstrual pain in a non-pharmacological manner.