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FAKTOR RESIKO YANG BERHUBUNGAN DENGAN KEJADIAN KANKER SERVIK; STUDI KASUS DI RSUP DR. KARIADI SEMARANG Aziyah Aziyah; Sri Sumarni; Ngadiyono Ngadiyono
Jurnal Riset Kesehatan Vol 6, No 1 (2017): MEI 2017
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (584.761 KB) | DOI: 10.31983/jrk.v6i1.2085

Abstract

Kanker serviks uteri merupakan salah satu jenis penyakit kanker tidak menular yang diperkirakan meningkat setiap tahunnya. Di RSUP Dr.Kariadi Semarang, kunjungan kanker servik di poliklinik ginekologi dari ke tahun semakin meningkat. Banyak faktor resiko yang mendukung timbulnya penyakit kanker serviks uteri antara lain riwayat hubungan seksual pertama sebelum umur 20 tahun, multiparitas, riwayat KB oral, faktor perilaku tidak sehat, dan faktor keturunan. Tujuan penelitian ini untuk mengetahui faktor resiko kanker servik pada pasien poliklinik ginekologi RSUP Dr. Kariadi Semarang tahun 2016.Jenis penelitian ini adalah penelitian kuantitatif dengan rancangan penelitian observasional analitik korelatif menggunakan pendekatan cross-sectional. Sampel yang digunakan dalam penelitian ini total sampling dengan teknik aksidental sampling sebanyak 103 responden, terdiri dari 68 responden kanker serviks dan 35 responden bukan kanker servik.Hasil penelitian adalah ada  hubungan antara umur pertama kali berhubungan seksual (p-value=0.001, OR 4.56), status paritas (p-value=0.000, OR 0.09), kontrasepsi KB hormonal (p-value=0.008, OR 3.36), riwayat keturunan dengan sakit kanker (p-value=0.006, OR 5.1), dan perilaku vaginal hygiene (p-value=0.000, OR 6.5) dengan kejadian kanker servik di RSUP Dr. Kariadi Semarang tahun 2016.            Dari hasil penelitian ini diharapkan  tenaga kesehatan dapat menginformasikan faktor-faktor yang  berhubungan dengan kanker servik sehingga masyarakat mengerti dan melakukan tindakan preventif.   
The Influence of Differences Labor Position of Toward The Amount Number of Bleeding, Grade of Perineal Laceration, and The Length of Second Stage of Labor at Multiparaous Woman In the Independent Midwive Area Close to Semarang Sri Sumarni; Runjati Runjati; Endri Astuti
Jurnal Riset Kesehatan Vol 2, No 3 (2013): September 2013
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (2337.735 KB) | DOI: 10.31983/jrk.v2i3.389

Abstract

Labor process is complex. Anatomically and physiologically must be monitored during labor process. Normal labor case is higher than labor with medical interventional. In Indonesia, labor process training still used conventional simulation media. The simulation can’t determined about labor process and monitoring during labor process. Thus, model that can simulate of labor process and monitoring during labor process in stage I and II must be provided This research expected to contribute in learning media to simulate normal labor process and monitored during labor process in stage I and II. Biomodeling expected to provide understanding about labor process, stage of labor, and monitoring during labor process. This research conducted with approach method scenario based model for simulate gameplay for normal labor process and monitoring in stage I and II. Based on literature about reproductive system organ and physiological, also must be monitored about physiological change during labor process with partograf  WHO standard and analyze parameter to determined labor process closely with the reality. Beside that, theory of labor process and pushing in contraction also be analyze  to find the basic formula from physic and mathematical concept. From the basic formula, modified basic formula for scenario gameplay simulation of normal labor process and monitoring in stage I and II.The result of this research was produce biomodeling to determine normal labor process, the stage of labor, and physiological monitoring for report that monitored appropriate with WHO partograf standard. This biomodeling expected become learning and training media for midwivery and doctor include student of medical and midwifery. Model that is produce from this research can be develop to abnormal labor process (medical interventional) include labor complication.
The Effectiveness of Progressive Muscle Relaxation and Mozart Music Therapy on Premenstrual Syndrome Stress Scores Fina Nurul Azizah; Sri Sumarni; Farida Sukowati; Suryati Kumorowulan
JURNAL KEBIDANAN Vol 11, No 1 (2021): April 2021
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkb.v11i1.6278

Abstract

The incidence of premenstrual syndrome is high. Premenstrual syndrome sufferers feel disturbed with the symptoms. One of these symptoms is stress. Stress can reduced by progressive muscle relaxation and Mozart's music therapy. The purpose of study was to determine the effectiveness of progressive muscle relaxation and Mozart's Music therapy on the stress of premenstrual syndrome.This study used quasy experiment with nonquivalent control group design. The population was 89 midwifery students Health Polytechnic Semarang. The sample was 50 people divided into two groups with purposive sampling technique. The results showed there was an effect of progressive muscle relaxation on  premenstrual syndrome stress score (p-value : 0.001 ) with the average score decrease 5.32. It also showed that there was an effect of Mozart's Music therapy on premenstrual syndrome stress scores (p-value : 0.001 ) with the average score decrease 2.8. Different test between two groups was found that there were differences in effectiveness of progressive muscle relaxation and Mozart's music therapy on premenstrual syndrome stress scores (p-value : 0.008). Progressive muscle relaxation is more significant reducing premenstrual syndrome stress score.The research place suggested to apply progressive muscle relaxation and Mozart music therapy to students who experience stress in premenstrual syndrome
ANALISIS FAKTOR YANG BERHUBUNGAN DENGAN PEMBERIAN ASI EKSKLUSIF PADA BAYI USIA 0-6 BULAN DI KECAMATAN WONOTUNGGAL KABUPATEN BATANG Fatkhus Solikhati; Farida Sukowati; Sri Sumarni
JURNAL KEBIDANAN Vol 7, No 15 (2018): APRIL 2018
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkb.v7i15.3252

Abstract

According to Indonesia Demographic and Health Survey 2014 exclusive breastfeeding coverage only reached 52.4%, in Central Java at year of 2014 exclusive breastfeeding coverage reached 57.6%, in Batang Regency at year of 2015 exclusive breastfeeding coverage of 52.67%, and in Wonotunggal sub-district of Batang Regency In the year of Year 2015 exclusive ASI coverage of 42.1%. The presentage of it is still below of the target set in the Minimum Service Standards of 80%. This shows that exclusive breastfeeding is still low.This study aims to determine the relationship between the level of knowledge, employment status, family support and the support of health workers with exclusive breastfeeding in Sub District Wonotunggalof Batang Regency. The research method used analytical survey with cross sectional approach. The sample of this research is all breastfeeding mothers who have babies aged 7-8 months in Sub District Wonotunggal of Batang Regency as many as 86 mothers which is the total population. Data collection using questionnaire, statistic test used is Sperman Ro test and Chi_square test. The results showed that 60.5% of mothers had a good level of knowledge, 72.1% of mothers did not work, 52.3% of families supported, 50% of health workers supported, and 60.5% gave exclusive breastfeeding to their babiesthere was a correlation between maternal knowledge level (p = 0,001), family support (p = 0,001) and support of health workers (p = 0,001) with exclusive breast feeding but no relation between maternal status (p = 0,457) exclusive breast feeding in Wonotunggal sub-district, Batang regency. From the results of this study is expected that families and health workers play an active role in supporting exclusive breastfeeding and as input for health agencies associated with factors that cause the low coverage of exklusive breastfeeding.
FAKTOR RESIKO YANG BERHUBUNGAN DENGAN KEJADIAN ABORTUS DI RSUD UNGARAN JAWA TENGAH Sri Wahyuni; Ngadiyono Ngadiyono; Sri Sumarni
JURNAL KEBIDANAN Vol 6, No 13 (2017): Oktober 2017
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkb.v6i13.2864

Abstract

The maternal mortality rate one of them caused by abortion is 15-50%.. Abortion (miscarriage) is bleeding that can lead to termination of pregnancy. Factors which are suspected predisposing factors eg abortion of the fetus, maternal factors, environmental factors, age, parity, work and history of abortion. The results of a preliminary survey conducted in hospitals Ungaran researchers obtained data is abortion in 2015, there were 245 cases The aims  of this  study is to determine the risk factors that influence the incidence of abortion at Ungaran hospitals. This study is a correlative study, with retrospective design. The population that was used in this research was all first trimester pregnant women who were treated at Ungaran hospitals. They experienced abortion during Januari to Desember 2015. The total number who recruited were 245 pregnant women as a total sample. The univariate analysis with frequency distribution and bivariate using Kruskal Walis Test were usedThere is no relationship between maternal age with the incidence of abortion (p=0.349 0.05) No relationship between parity with the incidence of abortion (p=0.826 0.05). There was no relationship between the working status with the incidence of abortion (p=0.114 0.05). There is a relationship between the history of the abortion with the incidence of abortion at Ungaran hospital (p=0.022 0.05), with a coefficient correlation value of 1.6. No relationship between maternal age, parity and working status with the incidence of abortion. However, history of abortion is a risk factor to be the incidence of abortion with a 1.6 times greater than those who don’t have history of abortion. Midwives are expected to anticipate the incidence of abortion by further improving supervision, especially to pregnant women with risk factors for abortion. 
The Effect of Training on Improving Knowledge, Attitudes and Practices of Health Cadres about IVA ExaminationThe Effect of Training on Improving Knowledge, Attitudes and Practices of Health Cadres about IVA Examination Asma' Nurbaiti; Intan Nugraheni Hasanah; Sri Sumarni
JURNAL KEBIDANAN Vol 11, No 1 (2021): April 2021
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkb.v11i1.6633

Abstract

Based on Health Profile data, Indonesia could not reach the IVA (Inspeksi Visual Asam asetat) coverage and still experiencing fluctuating conditions from 2016-2018 (Health Ministry of Republic Indonesia, 2018). Prelimenary study result showed that from 10 mothers of health cadres of Puskesmas Singorojo 2 who were interviewed randomly, 70% of mothers had less knowledge, 80% have negative attitude and 80% of mothers had never been socialization about previous IVA examinations. The purpose of this study was determine the effect of training to increase the knowledge, attitudes and practice of health cadres about IVA examination in the Puskesmas Singorojo 02 in district Kendal. This research uses quasy experimental design with one group pre-test and post-test design. Selected research sample using total sampling techniques of 36 respondent. Analysis of data using statistic test of wilcoxon signed ranks. The result showed that with the training had an influence on increasing the knowledge of respondent (p-value = 0.001 and Z = -4,891), improved attitudes of respondents (p-value = 0.001 and Z = -4,753) and increased socialization practices of respondents (p-value = 0.001 and Z = -5.097). The conclusion of this study is the influence of training to increase the knowledge, attitudes and socialization practices of respondents about the IVA examination. This research is expected the clinic to conduct to refresh information to health cadres once a month. 
Perbedaan Hasil Masase Perineum dan Kegel Exercise terhadap Pencegahan Robekan Perineum pada Persalinan di Bidan Praktik Mandiri Wilayah Ungaran Kabupaten Semarang sri Rahayu; sri Sumarni; Umaroh Umaroh
JURNAL KEBIDANAN Vol 3, No 6 (2014): April 2014
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkb.v3i6.109

Abstract

Most women who delivered baby faced perineal laceration, which was appro-ximately 70 %. There are a lot of activities to reduce perineal laceration, such as Kegel exercises and perineal massage, especially during the third trimester for preg-nant woman. The aim of this tsudy is to know the difference result of perineal massage and Kegel exercise toward preventing of perineal laceration during labor in the Independent Midwives are close to the District of Semarang. This study is pre experimental research with posttest only design. The population in this stdy is the third trimester pregnant woman who was more than 35 weeks gestational age. The subject of this study were concisted of 18 women as a group one who have done perineal massage beforehand. However, the same number of them have done Kegel exercise from 35 weeks until at term as a group two. The sampling used in this study was a simple random sampling. A group one was tought with perineal massage from 35 weeks until at term. On the other hand, group two was tought with Kegel exercise from 35 weeks until at term. Data about perineal lacera-tion was collected from partogram when they delivered baby. The data was analisd by Man Whitney test The result of this studi is 77,8 % of group woman who done perineal massage faced first degree of perineal laceration. However, there are only 50 % woman who done Kegel exercise, got first degree of perineal laceration. There is a difference results of perineal massage and Kegel exercise toward preventing of perineal laceration during labor in the Independent Midwives are close to the District of Semarang, which is showed by p value at 0,037. Care provider especially midwive has to service the pregnant woman and encourage to them for doing perineal massage from 35 weeks gestational age until at term.
EFFECT OF COMBINATION OF HYPNOBREASTFEEDING AND ACUPRESSURE ON ANXIETY AND WOUND PAIN IN POST-CAESAREAN MOTHERS Diah Evawanna Anuhgera; Tjahjono Kuncoro; Sri Sumarni; Mardiyono Mardiyono; Ari Suwondo
Belitung Nursing Journal Vol. 3 No. 5 (2017): September - October
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (223.571 KB) | DOI: 10.33546/bnj.191

Abstract

Background: Post-cesarean mothers often experience anxiety and discomfort due to long-term pain. The combination of hypnobreastfeeding and acupressure is considered to be effective in reducing anxiety and pain levels. Objective: This study aims to examine the effect of combination of hypnobreastfeeding and acupressure on anxiety and pain levels in post-caesarean mothers. Methods: This study was a true experiment with pretest-posttest control group design, conducted in the Ambarawa Public Hospital Indonesia on 5 November to 9 December 2016. There were 36 participants selected using stratified random sampling, with 18 assigned in the experiment and control group. Data were analyzed using Paired t-test and Wilcoxon test. Results: There were statistically significant differences of anxiety and pain levels before and after intervention in the experiment and control group with p-value 0.001 (<0.05). Conclusion: The combination of hypnobreastfeeding and acupressure has a significant effect in reducing anxiety and pain levels in post-cesarean mothers. This intervention could be applied as an alternative therapy in treating post-caesarean mothers.
EFEKTIVITAS PEMBERIAN BIJI RAMI TERHADAP NYERI SENDI PADA WANITA MENOPOUSE Arum Lusiana; Sri Sumarni; Ayuningtyas Ayuningtyas
JURNAL KESEHATAN INDRA HUSADA Vol 5 No 1 (2017): Januari-Juni
Publisher : SEKOLAH TINGGI ILMU KESEHATAN (STIKes) INDRAMAYU

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (381.42 KB) | DOI: 10.36973/jkih.v5i1.27

Abstract

Menopause merupakan masa yang pasti dihadapi dalam perjalanan hidup seorang perempuan dan suatu proses alamiah sejalan dengan bertambahnya usia. Data laporan Riskesdas 2013 menyebutkan bahwa persentase kejadian lansia yang menderita penyakit sendi di Indonesia adalah 24,7%. Pada wanita lansia prevalensi yang didiagnosis nakes lebih tinggi pada perempuan (13,4%) dibanding laki-laki (10,3%) demikian juga yang didiagnosis nakes atau gejala pada perempuan(27,5%) lebih tinggi dari laki-laki (21,8%). Data tersebut menunjukkan bahwa wanita lansia dominan mengalami nyeri sendi dari pada pria lansia dan persentase lansia yang mengalami penyakit sendi berdasarkan diagnosis dan gejalanya di Jawa Tengah adalah 11,2%. Desain penelitian yang digunakan adalah Experiment yaitu Quasi Experiment dengan desain One group pre test-post test design. Jumlah sampel sebanyak 109 orang yang terdiri atas 55 orang menkonsumsi biji rami dan 50 orang tidak mengkonsumsi biji rami. Analisis data dilakukan dalam dua tahapan yaitu analisis univariat, bivariat, dengan bantuan software SPSS. Hasil penelitian menunjukkan terdapat perbedaan rata-rata nyeri sendi pada wanita menopause yang mengkonsumsi biji rami dan tidak mengkonsumsi biji rami. Nyeri sendi wanita yang mengkonsumsi biji rami lebih rendah dibandingkan yang tidak mengkonsumi biji rami. Dari hasil penelitian disimpulkan bahwa terdapat pengaruh konsumsi biji rami terhadap nyeri sendi pada wanita menopause.
KONSUMSI ZINC TERHADAP PENYEMBUHAN LUKA PERINEUM DAN PENURUNAN SKALA NYERI : A LITERATURE REVIEW Yunisra Ikasari; Listyaning Eko Martanti; Sri Sumarni
Midwifery Care Journal Vol 2, No 2 (2021): April
Publisher : Politeknik Kesehatan Kementrian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (228.498 KB) | DOI: 10.31983/micajo.v2i2.6857

Abstract

Perineum wounds that occur in most childbirth need to be healed immediately to prevent infection and lower the scale of pain. Perineum wound healing is influenced by many things, one of which is zinc. The purpose of this study was to find out the effect of zinc on perineum wound healing and the relationship of perineum wound healing with decreased pain scale. The research design uses literacystudies,  searches using proquest sites and google scholar. Originally found 218 articles,  186 articles were eligible after duplication checks. Articles are filtered by publication time, article type, and full text availability. The articles covered are articles published in the last 10 years (2011 and above). The types of articles discussed are articles that are not literature studies. This filtering resulted in 86 articles. Articles that are not relevant to zinc, wound healing and decreased the scale of perineum pain in  eksklusi,  so obtained  11 articles that became samples in the study. Zinc is able to accelerate the healing of perineum wounds. However, its effectiveness in accelerating wound healing is still less when compared to vitamin C. Zinc will be more effective in accelerating wound healing if combined with other therapies such as honey and vitamin C. Zinc is safe to be consumed safely by humans with a maximum limit of 40mg/day. There is a link between perineum wound healing and decreased pain scale. This research is expected to be an input for health workers, especially midwives to provide zinc tablet therapy for mothers nifas to accelerate the healing of perineum wounds.