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Faktor - Faktor yang Berhubungan dengan Riwayat Persalinan Sectio Caesarea Wahyuni, Rini; Rohani, Siti
Wellness And Healthy Magazine Vol 1, No 1 (2019): February
Publisher : Universitas Aisyah Pringsewu (UAP) Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (78.262 KB) | DOI: 10.30604/well.16112019

Abstract

Angka kejadian sectio caesarea di Indonesia menurut data survey nasional pada tahun 2011 adalah 1.200.000 dari 5.690.000 persalinan atau sekitar 24.8 persen dari seluruh persalinan (DepKes RI, 2011). Dari pendataan yang dilakukan didapatkan angka kejadian sectio caesarea pada tahun 2017 berjumlah 463 dari 1.281 persalinan atau sekitar 68,69 persen dari seluruh persalinan. Jenis penelitian ini adalah analitik pendekatan cross sectional. Subjek penelitian ini adalah  ibu bersalin. Teknik pengumpulan data secara sekunder, ibu dengan sectio caesarea sebanyak 146 (52,1 persen), karakteristik ibu bersalin berdasarkan umur yang terbanyak 21 tahun – 34 tahun sebesar 71,8 persen, karakteristik ibu bersalin berdasarkan paritas yang terbanyak pada ibu multigravida sebesar 50,2 persen, karakteristik ibu bersalin dengan ibu bersalin berdasarkan riwayat penyakit yang terbanyak dengan ibu yang tidak mempunyai riwayat penyakit sebesar 69,3 persen. Hasil bivariat didapatkan ada hubungan antara umur, paritas, dan riwayat penyakit dengan sectio caesarea dengan p value sebesar 0,001. Perlu diberikan penyuluhan tentang ibu yang memiliki risiko dalam persalinan tentang bagaimana menjaga kesehatan selama hamil. Dengan demikian resiko dan angka kejadian kejadian sectio caesarea dapat diminimalisir.
Faktor – Faktor yang Berhubungan dengan Kejadian Pre Eklamsia Berat di Rumah Sakit Umum Pringsewu Rohani, Siti; Wahyuni, Rini; Veronica, Septika Yani
Wellness And Healthy Magazine Vol 1, No 1 (2019): February
Publisher : Universitas Aisyah Pringsewu (UAP) Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (78.267 KB) | DOI: 10.30604/well.13112019

Abstract

Pre eklampsia merupakan salah satu komplikasi yang menyumbang angka kematian Ibu. Kejadian pre eklampsia dapat berlanjut menjadi eklampsia serta meningkatkan risiko kematian ibu, pada janin dapat mengakibatkan berat badan lahir rendah, IUGR, prematuritas, dismaturitas dan IUFD atau kematian janin dalam kandungan. Penelitian ini secara umum bertujuan untuk mengetahui faktor – faktor yang berhubungan dengan kejadian pre eklamsia berat di RSUD Pringsewu Tahun 2017. Metode penelitian yang digunakan yaitu metode  analitik dengan rancangan case control. Populasi kasus adalah ibu bersalin yang mengalami pre eklampsia berat yang berjumlah 36 ibu dan populasi kontrol adalah yang tidak mengalami pre eklampsia berat yang berjumlah 130 ibu. Sampel kasus berjumlah dan sampel kontrol 1 (24) : 3 (72) ibu bersalin dengan tehnik quota sampling. Cara ukur dengan observasi dan angket dan alat ukur lembar checklist yang dianalisa secara univariat dengan tabel persentase dan bivariat dengan analisa chi square. Hasil pengolahan data proporsi kejadian pre eklampsia berat pada sampel kasus sebanyak 25 persen (24 orang), 27,08 persen (26 orang) dengan usia berisiko, 45,83 persen (44 orang) dengan paritas berisiko, 4,17 persen (4 orang) dengan pendidikan rendah, 57,29 persen (55 orang). Hasil uji statistik hubungan usia dengan pre eklampsia berat menunjukkan skor p value sebesar 0,034 dan OR sebesar 3,215, paritas dengan pre eklampsia berat (p value 0,033) dan OR sebesar 3,143. Pendidikan dengan pre eklampsia berat dengan  (p value 0,49). Kesimpulan penelitian faktor risiko ibu yang berhubungan dengan kejadian pre eklampsia berat di RSUD Pringsewu Tahun 2017 adalah terdapat hubungan antara usia, paritas, dan pendidikan dengan kejadian pre eklampsia berat, sehingga perlu ditingkatkan upaya penanganan yang lebih intensif pada ibu dengan pre eklampsia berat terutama jika terdapat tanda-tanda peningkatan tekanan darah, oedem dan protein urine.
Hubungan Kepuasan Pengguna Kartu BPJS Terhadap Mutu Pelayanan di Rumah Sakit Daerah Kotabumi Lampung Utara Wahyuni, Rini; Rohani, Siti; Oktavianti, Rizky; Mukhlis, Hamid
Wellness And Healthy Magazine Vol 1, No 2 (2019): August
Publisher : Universitas Aisyah Pringsewu (UAP) Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (71.242 KB) | DOI: 10.30604/well.30122019

Abstract

Pelayanan kesehatan bermutu sering dikaitkan dengan pelayanan kesehatan yang memuaskan pasien. dimana kepuasan pasien adalah dimensi mutu layanan kesehatan yang penting. Tujuan  penelitian ini untuk mengetahui Hubungan kepuasan pengguna kartu BPJS terhadap mutu pelayanan di RSD Mayjend HM Ryacudu Kotabumi Kabupaten Lampung Utara tahun 2019. Jenis penelitian yang digunakan dalam penelitian ini adalah kuantitatif analitik dengan menggunakan metode pendekatan cross sectional. Populasi dalam penelitian ini adalah semua pasien yang di rawat di RSD Mayjend HM Ryacudu Kotabumi Kabupaten Lampung Utara pada bulan Januari tahun 2019 yang berjumlah 618 orang. Sampel dalam penelitian ini berjumlah 86 orang.  Pengambilan sampel dengan cara simple random sampling. Teknik pengumpulan data dengan cara wawancara. Analisa yang digunakan adalah analisa univariat dan analisa bivariat.Hasil penelitian didapatkan sebagian besar mutu pelayanan di RSD Mayjend HM Ryacudu baik yaitu 64 persen. Sebagian besar Kepuasan Pengguna Kartu BPJS di RSD Mayjend HM Ryacudu puas yaitu 55,8 persen. Terdapat hubungan antara kepuasan pengguna kartu BPJS terhadap mutu pelayanan  dengan  p value 0,00. Kesimpulan ada hubungan antara kepuasan pengguna kartu BPJS terhadap mutu. Diharapkan kepada pihak Manajemen RSU melakukan pengawasan yang efektif kepada tiap pelayanan serta dokter yang terdapat di rumah sakit, baik struktural maupun fungsional agar meningkatkan disiplin kerja, sehingga dapat memberikan pelayanan yang bermutu pada tiap bidang pelayanannya.
HUBUNGAN ANTARA RIWAYAT PERSALINAN PREMATUR DENGAN KEJADIAN BERAT BAYI LAHIR RENDAH DI RUMAH SAKIT UMUM PRINGSEWU TAHUN 2014 Rohani, Siti; Wahyuni, Rini
Jurnal Kelitbangan Bappeda Pringsewu Vol 2 No 1 (2017): JURNAL KELITBANGAN PENGEMBANGAN DAN INOVASI IPTEK KABUPATEN PRINGSEWU
Publisher : Bappeda Kabupaten Pringsewu

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Abstract

The death of rate on baby based on WHO was 35/1000 from the birth of rate in 2012. Based on Survey Demografi dan Kesehatan Indonesia in 2012 the death of rate was 32/1000 from the birth of rate. In Lampung, birth of rate in 2012 was 30/1000 from the birth of rate. Health Department Regency Of Pringsewu, the death of rate on baby in Regency of Pringsewu 9/1000 from the birth of rate up to October 2012. The great cause was Low Birth Weight. On the baby, Low Birth Weight death before birth was 8 times larger than normal’s baby. The objective of this research was known the relationship between the history of premature childbirth with the case of Low Birth Weight in General Hospital Of Pringsewu 2014. This research use analytic method with crossectional approach. The population in this research was all the new born baby who was born in General Hospital Of Pringsewu in 2014 they were 988 respondents and to get the samples use systematic random sampling technique which the total was 285 respondents. The measuring instrument in this research use checklist and analysis technique data’s they were univariate and bivariate which use experiment statistic Chi-square with computerization. The result of this research was based in univariate analysis from 285 responden, 170 babies who was born with the Low Birth Weight and 161 mothers had the history of premature childbirth. The result of bivariate analysis with Chi-square analysis between the history of premature child birth with the case of Low Birth Weight was gotten p-value 0,00 < α 0,05 meant Ha was accepted hence there was the relationship between the history of premature child birth and the case of Low Birth Weight in General Hospital Of Pringsewu 2014, with OR 2,601 it meant the mother who has the history of premature child birth has possibility 3 times larger to get Low Birth Weight. The conclution of this research is there is relationship between the history of premature child birth and the case of Low Birth Weight. Hence for the pregnant mother gets ancheck up routinely to get early detection avoiding Low Birth Weight, and the need of nutrient for the pregnant mother to sufficient too
HUBUNGAN JENIS PERSALINAN IBU DENGAN PEMBERIAN KOLOSTRUM DI RSIA MUTIARA HATI GADING REJO PRINGSEWU Wahyuni, Rini; Rohani, Siti
Jurnal Kelitbangan Bappeda Pringsewu Vol 2 No 1 (2017): JURNAL KELITBANGAN PENGEMBANGAN DAN INOVASI IPTEK KABUPATEN PRINGSEWU
Publisher : Bappeda Kabupaten Pringsewu

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Abstract

The result of Indonesia's demographic and health survey (SDKI) in 2007-2008 was only 25% of Indonesian infants who received colostrum in the first hour, almost all infants were only 41.4% of colostrum or 58.6% of unborn colostrum (Provincial Health Office Lampung, 2010). Based on the results of 5-day prasurvey at RSIA Mutiara Hati in May 2014, the number of newborns who passed through cesarean delivery as many as 15 babies, infants who were given colostrum as many as 5 infants (33.33%) and infants who do not Given colostrum of 10 infants (66.67%) in May 2014 (Data RSIA Mutiara Hati Gadingrejo, 2014). The type of this research is analytical with Restrospective approach that is with variable result of mother birth type, and variable because that is colostrum value at RSIA Mutiara Hati Gading Rejo Pringsewu Regency year 2014. Measured or at the same time. Samples with accedental sampling. Data in this study used secondary data based on data on all delivery mothers and newborn babies in midwife RSIA Mutiara Hati Gading Rejo.Analisa data used bivariate analysis. From the results of research conducted by mothers suffering from caesarea sectio as much as 70 mothers (55,56%), infants given colostrum counted 41 babies (32,5%), and vaginal delivery as much (44,44%), and not colostrum As much as 19.8%, less than the sectio caesarea and there is a relationship between the type of labor with the benefits of colostrum in RSIA Mutiara Hati Gading Rejo Pringsewu District 2014 (p-value = 0.00), therefore for health can Continue to improve the knowledge of society Especially on the issue of making a pregnancy check on how to maintain health during pregnancy and increase colostrum production.
FAKTOR – FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN PRE EKLAMSIA BERAT (PEB) DI RUMAH SAKIT UMUM PRINGSEWU TAHUN 2016 Rohani, Siti; Wahyuni, Rini
Jurnal Kelitbangan Bappeda Pringsewu Vol 3 No 1 (2018): JURNAL KELITBANGAN PENGEMBANGAN DAN INOVASI IPTEK KABUPATEN PRINGSEWU
Publisher : Bappeda Kabupaten Pringsewu

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Abstract

Pre-eclampsia is a complication that accounts for the maternal mortality rate. The incidence of pre-eclampsia in Indonesia 9.8% -25.5%. The incidence of pre-eclampsia in Lampung province by 27%. The incidence of pre-eclampsia may progress to eclampsia as well as increase the risk of maternal death, the fetus can lead to low birth weight, IUGR, prematurity, dysmaturity and IUFD or death of the fetus in the womb. The incidence of pre-eclampsia risk factors include: age, parity, race and ethnic factors, heredity (genetics), low education, low socio-economic, obesity, distended uterus berlebihandan history of maternal disease such as a history of hypertension, kidney disease, liver disease and history of diabetes mellitus (DM).This research generally aims to identify factors - factors related to the incidence of pre-eclampsia in hospitals Pringsewu 2016. The method used is an analytical method with case control design. Population is the case of mothers who have pre-eclampsia and the 36 mothers who do not control population is experiencing severe pre-eclampsia, amounting to 130 mothers. Samples numbered case and control samples 1 (24): 3 (72) maternal with quota sampling technique. How to measure with observation and questionnaire and checklist sheets measuring devices which are analyzed by univariate and bivariate percentage table with chi square analysis.The processing pre-eclampsia incidence proportion in the sample cases as much as 25% (24 mothers), 27.08% (26 mothers) with age at risk, 45, 83% (44 mothers) with parity risk, 4.17% (4 mothers ) with low education, 57.29% (55 mothers). Results of statistical tests the relationship of age with severe pre-eclampsia with p value: 0.034 and OR: 3.215, parity with pre-eclampsia with p value: 0,033 and OR: 3.143, education with pre eclampsia with p value: 0.49. Conclusion study maternal risk factors associated with the incidence of pre-eclampsia in hospitals Pringsewu 2016 is that there is a relationship between age, parity, and education with the incidence of severe pre-eclampsia, so it needs to be improved more intensive treatment efforts in women with pre-eclampsia, especially if there are signs of increased blood pressure, edema and protein urine.
Gambaran deteksi dini masalah mental emosional anak taman kanak-kanak Rohani, Siti; Wahyuni, Rini
Wellness And Healthy Magazine Vol 2, No 2 (2020): Agustus
Publisher : Universitas Aisyah Pringsewu (UAP) Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30604/well.022.82000133

Abstract

Mental and emotional disorders are one type of developmental disorder in children. These disorders are all diagnosed with mental disorders and begin in childhood, including Attention Deficit Hyperactivity Disorder (ADHD), Tourette syndrome, behavior disorders, mood disorders and anxiety, autism spectrum disorders, and substance use disorders. This study aims to determine the description of Early Detection of Children's Mental Emotional Problems in the TK Aisyiyah  Pringsewu Regency in 2019. The method used in this research is the univariate analysis method. This study used a quantitative descriptive research design. The population in this study were all children in Aisyiyah Pringsewu Kindergarten, Pringsewu Regency, as many as 80 children. The sampling technique in this study using total sampling. Univariate data analysis. Univariate analysis found that 32 respondents (40 percent) were male and 48 female respondents (60 percent), and 14 respondents (17.5 percent) who experienced emotional mental problems. 66 respondents (82.5 percent) did not experience mental-emotional problems. The results of this study can be used as input and additional knowledge to parents and school parents about the importance of the role of parents, especially mothers, families and the environment in the process of children's mental development.