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The Effect of Early Mobilization on Daily Living Activity based on Dependence on Post Patients Section Caesarian Operation in General Hospital Maluku Area of East Seram Regency, Maluku 马鲁古市东萨拉姆区马鲁古综合医院剖宫产术后依赖患者早期动员对日常生活活动的影响
Pub Date : 2023-04-30 DOI: 10.26699/jnk.v10i1.art.p010-017
Arie Jefry Kaarayeno, Rachmat Chusnul Choeron
Early mobilization is a therapy for the ability of individuals to move freely, easily and regularly. Individuals post operation Section caesarean often feel unable to do activity daily living. The research objective was to determine the effect of early mobilization on daily living activity based on dependence on postoperative caesarean section patients at the east seram district general hospital, Maluku. Research design using quasi experimental. The study population was all patients with post operation section caesarea in the regional general hospital of east seram regency with the study sample of all patients with post operation section caesarea. Samples were taken using quota sampling. Data were collected using a barthel instrument index, early mobilization SOP, leaflets, observation sheets and analyzed using the marginal Homogeneity test. The results of the study prove that all respondents performed early mobilization and most respondents experienced the activity daily living category independently in patients with post operation section caesarea. The results of the marginal homogeneity test obtained p value = (0,000), which means that there is an effect of early mobilization on daily living activity based on dependence on postoperative caesarean section patients at the regionalgeneral hospital of east seram regency, Maluku. Based on the research results, it is necessary for further researchers to measure all the factors that affect the level of dependence on activity daily living on the post operation section caesarean.
早期活动是一种治疗个人自由,轻松和有规律地移动的能力。剖宫产术后个体常感到无法进行日常生活活动。研究的目的是确定早期动员对马鲁库东部塞拉姆区综合医院剖腹产术后患者日常生活活动的影响。研究设计采用准实验。研究人群为东部地区综合医院手术后剖宫产患者,研究样本为所有手术后剖宫产患者。采用配额抽样法取样。采用barthel仪器指数、早期动员SOP、传单、观察单收集资料,采用边际齐性检验进行分析。研究结果证明,术后剖宫产患者所有的被调查者都进行了早期活动,大部分被调查者都独立经历了活动日常生活类别。边际齐性检验的结果得到p值=(0000),说明马鲁古市东seram regency地区总医院剖腹产术后患者的依赖程度对早期动员的日常生活活动有影响。基于本研究结果,有必要进一步研究人员测量影响术后剖宫产患者活动日常生活依赖程度的所有因素。
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引用次数: 0
The Effectiveness of Consumption of Rujak Rujak Herbs on the Acceleration of Uterine Involution in the Independent Practice of Bengkulu City Midwives in 2022 2022年明古鲁市助产士独立实践中食用酸枣对加速子宫内卷的有效性
Pub Date : 2023-04-30 DOI: 10.26699/jnk.v10i1.art.p025-031
Afrina Mizawati, Ferly Yorenza, M. Mariati
According to the World Health Organization (WHO) in 2021, the highest AKI cases occurred in Africa with 525 deaths per 100,000 live births and the lowest was in Europe with 13 deaths per 100,000 live births. The most common cause of AKI in Indonesia in 2019 was caused by several cases such as bleeding (30.32%). Uterine atony occurs due to failure of uterine contractions to control bleeding after delivery, causing uterine subinvolution. This process is known as uterine involution. The herbal composition of rujak soup is useful for preventing blood clots due to a compound called gingerol in ginger. The type of research used in this study was a quasi-experiment with a two-group post-test design. The population in this study were postpartum mothers from the first day to the tenth day of postpartum at PMB F Bengkulu City as many as 117 people with a sample of 30 respondents. The statistical test used was the Independent T-test. The results of this study indicate that the average acceleration of uterine involution on the seventh day is known that in the herbal soup rujak group is 4.73 and the uterine involution acceleration in the palm juice group is 5.40 with a mean difference between the herbal kuah rujak group and the date palm juice group. 0.67. There was an effect between the group of herbal ingredients of rujak sauce and the palm juice group on the TFU on day 7 with a p value = 0.038 and a mean difference of 0.67. This proves that the herbal soup rujak accelerates uterine involution more. It is hoped that the PMB of the Telaga Dewa Working Area will continue to promote complementary medicine with herbal ingredients to reduce the use of chemical drugs and help deal with problems during the postpartum period.
根据世界卫生组织(世卫组织)2021年的数据,非洲的急性肾损伤病例最高,每10万活产死亡525例,欧洲最低,每10万活产死亡13例。2019年印度尼西亚AKI最常见的原因是出血等几种情况(30.32%)。由于分娩后子宫收缩不能控制出血,导致子宫收缩不全。这个过程被称为子宫复旧。由于姜中含有一种叫做姜辣素的化合物,所以姜汤的草药成分对预防血栓很有用。本研究使用的研究类型为准实验,采用两组后测设计。本研究的人群为产后母亲,从产后第一天到产后第十天,在PMB F Bengkulu市多达117人,样本为30名受访者。统计检验采用独立t检验。本研究结果表明,中药汤汁组第7天子宫复旧的平均加速速度为4.73,棕榈汁组子宫复旧的平均加速速度为5.40,且中药番石榴组与枣棕榈汁组的平均差异有统计学意义。0.67. 辣椒酱中草药成分组与棕榈汁组对第7天TFU有显著影响,p值= 0.038,平均差异为0.67。这证明中药汤参更能加速子宫复旧。希望Telaga Dewa工作区的PMB将继续推广以草药成分为主的补充药物,以减少化学药物的使用,并帮助处理产后问题。
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引用次数: 0
The Relation Between the Use of Hormonal Contraception Methods with The Leucorrhoea Occurrence 激素避孕方法的使用与白带发生的关系
Pub Date : 2023-04-17 DOI: 10.26699/jnk.v10i1.art.p059-068
Mirza Aulia Cahyani, Ira Titisari, L. Wijayanti
Hormonal contraceptives contain estrogen and progesterone. Prolonged use causes a higher dose of the estrogen and progesterone hormones that can cause leucorrhoea or vaginal discharge. Analyzing and reviewing articles related to the relation between the use of hormonal contraceptive methods with the leucorrhoea occurrence. The literature review method used a systematic mapping study design. Literature sources were obtained from the Google Scholar, Pubmed, and Proquest databases with 6 years of publication. The literature collection strategy using PEOS was then selected to produce 10 articles that matched the research criteria. Of 10 articles that examined the type of hormonal family planning (KB) that were mostly used were 3 articles with injectable KB, 2 articles on pill KB, 2 articles on KB implants, and 3 articles that did not mention the type. There were 3 articles describe that both <1 year and >1 year duration of the usage can cause vaginal discharge. There were 7 articles with analytical tests, 4 articles (57%) stated that there was a relation between the use of hormonal contraceptive methods and the occurrence of vaginal discharge, while 3 articles (43%) stated that there was no relation between the use of hormonal contraceptive methods and the occurrence of vaginal discharge. There were 3 articles that did a descriptive analysis, it was found that contraceptive users who experienced vaginal discharge were more than 35%. The use of hormonal contraception can cause physiological vaginal discharge since the hormones progesterone and estrogen change the flora and pH of the vagina, besides that vaginal discharge occurs because personal hygiene is not correct.
激素避孕药含有雌激素和黄体酮。长期使用会导致雌激素和孕激素的剂量增加,从而导致白带或阴道分泌物。分析和回顾有关激素避孕方法的使用与白带发生之间关系的文章。文献综述法采用系统的映射研究设计。文献来源于Google Scholar、Pubmed和Proquest数据库,出版时间为6年。然后选择使用PEOS的文献收集策略来产生10篇符合研究标准的文章。在检查激素计划生育(KB)类型的10篇文章中,最常用的是3篇注射用KB的文章,2篇关于药丸KB的文章、2篇关于KB植入物的文章和3篇没有提及该类型的文章。有3篇文章描述了使用1年的时间都会导致阴道分泌物。有7篇文章进行了分析测试,4篇文章(57%)指出使用激素避孕方法与阴道分泌物的发生之间存在关系,而3篇文章(43%)指出使用荷尔蒙避孕方法与发生阴道分泌物之间没有关系。有3篇文章进行了描述性分析,发现有阴道分泌物的避孕药具使用者超过35%。使用激素避孕会导致生理性阴道分泌物,因为激素黄体酮和雌激素会改变阴道的菌群和pH值,此外,阴道分泌物的发生是因为个人卫生不正确。
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引用次数: 0
The effect of yoga movements in reducing complaints symphysis pubis dysfunction in pregnancy 瑜伽运动对减少孕期耻骨联合功能障碍的影响
Pub Date : 2023-04-14 DOI: 10.21927/jnki.2023.11(1).86-94
Ratih Kumorojati, Alfie Ardiana Sari, Ika Fitri Ayuningtyas
Background: The incidence of Section Caesarea (SC) based on the results of the 2018, states that the highest prevalence is in the DKI Jakarta area with a percentage reached 31.3% while the Papua region percentage is only 6.7%. It is known  that the causes of birth with CS include, a narrow pelvis, disproportion of the fetal head, malposition of the fetus, and disorders of the descent of the fetal head which often cause complaints of symphysis pubis dysfunction (SPD). Every pregnant woman needs to empower herself to increase her self-confidence in facing the pregnancy process until before delivery. Several studies have stated that practicing yoga during pregnancy can reduce pregnancy complaints. During the Covid-19 pandemic, pregnant women were limited to doing activities outside the home. In this case, independent yoga media is needed that is safe, easy to understand, and as a guide for pregnant women, both in the form of videos, flashcards, spin cards, and picture cards of practical yoga movements.Objectives: To find out the effectiveness of yoga movements in dealing with complaints of symphysis pubis dysfunction in pregnancy.Methods: This research method uses quasi-experimental research with a one-group pre-test design which reveals a causal relationship involving one group of subjects. Respondents consisted of 25 pregnant women entering the third trimester of pregnancy with the inclusion criteria of pregnant women experiencing dysfunction of the symphysis pubis before the intervention. The interventions that will be carried out are measuring pain scales, printing yoga movement cards, teaching, and doing yoga 4 times in 1 month.Results: It is known that the number of respondents who did yoga before the intervention was mostly in the mild pain category (36%) and moderate (28%). After the intervention, the majority of respondents were in the no-pain category (44%). Respondents with severe pain before intervention (16%) decreased to (8%) post-intervention. The results of statistical tests using the Wilcoxon test obtained p = 0.036 where this value is below 0.05, which means that there is an effect of yoga movements in reducing complaints of symphysis pubis dysfunction in pregnancy.Conclusions: From the results of the research that has been done, it can be concluded that there is an influence of yoga movements in reducing complaints of symphysis pubis dysfunction in pregnancy. There were significant changes in pregnant women before and after the intervention. Therefore pregnant women are encouraged to do yoga regularly to reduce complaints of pregnancy discomfort which can interfere with the delivery process.
背景:根据2018年的调查结果,剖腹产(SC)的发病率最高的是DKI雅加达地区,其百分比达到31.3%,而巴布亚地区的百分比仅为6.7%。众所周知,CS的出生原因包括:骨盆狭窄、胎头不成比例、胎儿体位不正和胎头下降障碍,这通常会引起耻骨联合功能障碍(SPD)。每个孕妇都需要增强自己的自信心,以面对怀孕的过程,直到分娩前。一些研究表明,在怀孕期间练习瑜伽可以减少怀孕的抱怨。在2019冠状病毒病大流行期间,孕妇被限制在家外活动。在这种情况下,需要独立的瑜伽媒体,安全,容易理解,并作为孕妇的指导,无论是视频,抽听卡,旋转卡,以及实用瑜伽动作的图片卡。目的:探讨瑜伽运动对妊娠期耻骨联合功能障碍的治疗效果。方法:本研究采用准实验研究,采用单组前测设计,揭示一组被试之间的因果关系。调查对象包括25名进入妊娠晚期的孕妇,纳入标准为干预前出现耻骨联合功能障碍的孕妇。干预措施包括测量疼痛量表,打印瑜伽运动卡,教学,1个月做4次瑜伽。结果:已知在干预前做瑜伽的受访者数量主要属于轻度疼痛类别(36%)和中度疼痛类别(28%)。干预后,大多数受访者属于无疼痛类别(44%)。干预前有严重疼痛的受访者(16%)减少到干预后的(8%)。使用Wilcoxon检验的统计检验结果得到p = 0.036,其中该值低于0.05,这意味着瑜伽运动对减少妊娠期耻骨联合功能障碍的抱怨有影响。结论:从已有的研究结果可以得出,瑜伽运动对减少孕期耻骨联合功能障碍的投诉有影响。孕妇在干预前后有显著的变化。因此,孕妇被鼓励定期做瑜伽,以减少对怀孕不适的抱怨,这些不适会干扰分娩过程。
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引用次数: 0
Pain score and quality of post cesarean section recovery with ERACS method 应用ERACS方法观察剖宫产术后疼痛评分及恢复质量
Pub Date : 2023-04-14 DOI: 10.21927/jnki.2023.11(1).1-10
Ida Ruspita, S. Cholifah, Rafhani Rosyidah

Background: A cesarean section must be done when regular childbirth is impossible owing to fetal or maternal health issues. One of the complications of cesarean section is pain and quality of recovery. The strategy for managing pain and quality of recovery is using the ERACS method. This method is a new technique in anesthesia with the principles of evidence-based perioperative care, a multidisciplinary approach carried out in a team, carried out on an ongoing basis, and continues to be developed.

Objectives: The study aimed to use the ERACS method to calculate the pain score and the quality of recovery following cesarean section.

Methods: The study was quasi-experimental with a post-test control group design. Participants in this study were mothers who had a cesarean section. The sample size in this study was 70, namely 35 treatment groups and 35 control groups. The instrument uses VAS (Visual Analog Scale) and obsQor 11

Results: Statistical test for pain obtained P value = 0.000 and for quality of recovery obtained P value = 0.000

Conclusions: There is a sizable distinction in pain scores carried out by the ERACS and Non ERACS methods, where the pain scores carried out by the ERACS method are lower than the non-ERACS methods, and there are differences in the quality of recovery between the ERACS and Non ERACS methods where the recovery quality scores are given by the method. ERACS is higher than non ERACS method. The ERACS method can be an alternative method to reduce postoperative morbidity. Reduction of complications through reduced use of anesthetic doses. And in the future, the development of surgical techniques has reasonable goals, such as improving public health, increasing patient comfort and peace of mind during surgery, and reducing hospitalization, which indirectly reduces costs

背景:当由于胎儿或产妇健康问题不能正常分娩时,必须进行剖宫产。剖宫产的并发症之一是疼痛和恢复质量。管理疼痛和恢复质量的策略是使用ERACS方法。该方法是一种新的麻醉技术,以循证围手术期护理为原则,在团队中开展多学科方法,持续开展,并不断发展。目的:应用ERACS方法计算剖宫产术后疼痛评分及恢复质量。方法:采用准实验设计,采用测试后对照组设计。这项研究的参与者是做过剖宫产手术的母亲。本研究的样本量为70例,即35个治疗组和35个对照组。仪器采用VAS (Visual analogue Scale)和obsQor进行评分。结果:疼痛的统计检验P值= 0.000,恢复质量的统计检验P值= 0.000。ERACS方法和非ERACS方法在疼痛评分上有相当大的区别,其中ERACS方法进行的疼痛评分低于非ERACS方法,并且ERACS和非ERACS方法之间的恢复质量存在差异,其中ERACS方法给出的恢复质量评分。ERACS方法优于非ERACS方法。ERACS方法是降低术后发病率的另一种方法。通过减少麻醉剂量减少并发症。而且在未来,外科技术的发展有合理的目标,比如改善公众健康,增加患者在手术过程中的舒适度和安心度,减少住院时间,从而间接降低成本
{"title":"Pain score and quality of post cesarean section recovery with ERACS method","authors":"Ida Ruspita, S. Cholifah, Rafhani Rosyidah","doi":"10.21927/jnki.2023.11(1).1-10","DOIUrl":"https://doi.org/10.21927/jnki.2023.11(1).1-10","url":null,"abstract":"<p><strong><em>Background</em></strong><em>: A cesarean section must be done when regular childbirth is impossible owing to fetal or maternal health issues. One of the complications of cesarean section is pain and quality of recovery. The strategy for managing pain and quality of recovery is using the ERACS method. This method is a new technique in anesthesia with the principles of evidence-based perioperative care, a multidisciplinary approach carried out in a team, carried out on an ongoing basis, and continues to be developed.</em></p><p><strong><em>Objectives</em></strong><em>: The study aimed to use the ERACS method to calculate the pain score and the quality of recovery following cesarean section.</em></p><p><strong><em>Methods</em></strong><em>: The study was quasi-experimental with a post-test control group design. Participants in this study were mothers who had a cesarean section. The sample size in this study was 70, namely 35 treatment groups and 35 control groups. The instrument uses VAS (Visual Analog Scale) and obsQor 11</em></p><p><strong><em>Results</em></strong><em>: Statistical test for pain obtained P value = 0.000 and for quality of recovery obtained P value = 0.000</em></p><p><strong><em>Conclusions</em></strong><em>: There is a sizable distinction in pain scores carried out by the ERACS and Non ERACS methods, where the pain scores carried out by the ERACS method are lower than the non-ERACS methods, and there are differences in the quality of recovery between the ERACS and Non ERACS methods where the recovery quality scores are given by the method. ERACS is higher than non ERACS method. </em>The ERACS method can be an alternative method to reduce postoperative morbidity. Reduction of complications through reduced use of anesthetic doses. And in the future, the development of surgical techniques has reasonable goals, such as improving public health, increasing patient comfort and peace of mind during surgery, and reducing hospitalization, which indirectly reduces costs</p>","PeriodicalId":33460,"journal":{"name":"Jurnal Ners dan Kebidanan","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83361242","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
The relationship of exclusive breastfeeding with the return of menstrual time in mothers who have babies aged 6 -12 months in the work area of Pekik Nyaring Puskesmas, Bengkulu Central District 本古鲁中心区Pekik Nyaring Puskesmas工作区域纯母乳喂养与6 -12个月婴儿母亲月经时间恢复的关系
Pub Date : 2023-04-14 DOI: 10.21927/jnki.2023.11(1).19-28
Sri Yanniarti, Veby Yunita Putri Omi, Rolita Efriani
Background: Exclusive breastfeeding means giving only breast milk to babies from 30 minutes after birth (after birth) until the age of 6 months, without additional fluids, such as formula milk, fruit juices, water, honey, tea water and solid complementary foods such as fruit, biscuits, milk porridge. , rice porridge and team rice. Mothers who breastfeed exclusively, in principle, will get menstruation longer than those who do not exclusively breastfeed their babies. Objectives: The purpose of this study was to determine the relationship between exclusive breastfeeding and the duration of the return of menstruation in mothers who have babies aged 6-12 months in the Working Area of Pekik Nyaring Health Center, Central Bengkulu Regency. Methods: This research was conducted in December 2021 in the working area of the Pekik Nyaring Health Center, Central Bengkulu Regency using a kohort retrospektif.design. Determination of the number of samples using the slovin formula. The sample in this study were mothers who had babies aged 6-12 months in the Pekik Nyaring Health Center Work Area, Central Bengkulu Regency as many as 54 people spread over 7 villages with proportional random sampling technique. Results: The results showed that most of the respondents were under 35 years old with the most education level graduating from high school and most of them working as housewives. Most mothers who have babies aged 6-12 months give exclusive breastfeeding and get menstruation back more than six months. There is a significant relationship between exclusive breastfeeding and the length of return of menstruation for mothers who have babies 6-12 months in the Working Area of Pekik Nyaring Health Center, Central Bengkulu Regency.Conclusions: There is a significant relationship between exclusive breastfeeding and the duration of the return of menstruation in mothers who have babies 6-12 months in the Working Area of Pekik Nyaring Health Center, Central Bengkulu Regency
背景:纯母乳喂养是指从婴儿出生后30分钟(出生后)到6个月只喂母乳,不添加其他液体,如配方奶、果汁、水、蜂蜜、茶水和固体辅食,如水果、饼干、牛奶粥。米粥和团队饭。原则上,纯母乳喂养的母亲会比不纯母乳喂养的母亲月经时间更长。目的:本研究的目的是确定纯母乳喂养与6-12个月大婴儿的母亲月经恢复时间之间的关系。方法:本研究于2021年12月在中央明古鲁县Pekik Nyaring卫生中心的工作区域进行,采用简短的回顾性设计。使用slovin公式确定样品数量。本研究采用比例随机抽样的方法,在明古鲁中区佩基克·尼亚林卫生中心工作区内,有6-12个月婴儿的母亲多达54人,分布在7个村庄。结果:调查对象年龄以35岁以下为主,高中以上学历居多,以家庭主妇居多。大多数6-12个月大的婴儿的母亲会进行纯母乳喂养,并且月经会在6个月以上恢复。在明古鲁中区Pekik Nyaring保健中心工作区内,纯母乳喂养与生育6-12个月婴儿的母亲月经恢复时间之间存在显著关系。结论:在中央明古鲁县Pekik Nyaring保健中心工作区内,纯母乳喂养与6-12个月婴儿的母亲月经恢复时间之间存在显著关系
{"title":"The relationship of exclusive breastfeeding with the return of menstrual time in mothers who have babies aged 6 -12 months in the work area of Pekik Nyaring Puskesmas, Bengkulu Central District","authors":"Sri Yanniarti, Veby Yunita Putri Omi, Rolita Efriani","doi":"10.21927/jnki.2023.11(1).19-28","DOIUrl":"https://doi.org/10.21927/jnki.2023.11(1).19-28","url":null,"abstract":"Background: Exclusive breastfeeding means giving only breast milk to babies from 30 minutes after birth (after birth) until the age of 6 months, without additional fluids, such as formula milk, fruit juices, water, honey, tea water and solid complementary foods such as fruit, biscuits, milk porridge. , rice porridge and team rice. Mothers who breastfeed exclusively, in principle, will get menstruation longer than those who do not exclusively breastfeed their babies. Objectives: The purpose of this study was to determine the relationship between exclusive breastfeeding and the duration of the return of menstruation in mothers who have babies aged 6-12 months in the Working Area of Pekik Nyaring Health Center, Central Bengkulu Regency. Methods: This research was conducted in December 2021 in the working area of the Pekik Nyaring Health Center, Central Bengkulu Regency using a kohort retrospektif.design. Determination of the number of samples using the slovin formula. The sample in this study were mothers who had babies aged 6-12 months in the Pekik Nyaring Health Center Work Area, Central Bengkulu Regency as many as 54 people spread over 7 villages with proportional random sampling technique. Results: The results showed that most of the respondents were under 35 years old with the most education level graduating from high school and most of them working as housewives. Most mothers who have babies aged 6-12 months give exclusive breastfeeding and get menstruation back more than six months. There is a significant relationship between exclusive breastfeeding and the length of return of menstruation for mothers who have babies 6-12 months in the Working Area of Pekik Nyaring Health Center, Central Bengkulu Regency.Conclusions: There is a significant relationship between exclusive breastfeeding and the duration of the return of menstruation in mothers who have babies 6-12 months in the Working Area of Pekik Nyaring Health Center, Central Bengkulu Regency","PeriodicalId":33460,"journal":{"name":"Jurnal Ners dan Kebidanan","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86427897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The effectiveness of aromatherapy combination of pepperlav (peppermint and lavender) to relieve nausea vomiting in pregnant women 芳香疗法组合胡椒(薄荷和薰衣草)缓解孕妇恶心呕吐的效果
Pub Date : 2023-04-14 DOI: 10.21927/jnki.2023.11(1).68-78
I. Zuliyati, Anni Fatmawati, Sundari Mulyaningsih

Background : Nausea and vomiting in first trimester pregnant women can cause symptoms of prenatal distress and stress which will affect a mother’s quality of life. Nausea and vomiting will also affect the nutritional intake of the mother and fetus. Nutritional needs that are not fulfilled from the beginning of pregnancy can cause fetal growth restriction which can cause short and long term complications and have a negative impact on quality of life.

Objectives : This research aims to test the combination aromatherapy product Pepperlav (Peppermint and Lavender) in pregnant women to relieve nausea and vomiting.

Methods : This study pretest-posttest control group design method with a total sample of 40 first trimester pregnant women who experienced nausea and vomiting. This research was conducted at the Midwife Independent Practice in the Bantul Region. Data collection was carried out by interviewing and filling out questionnaires that measured nausea and vomiting before and after the intervention. The questionnaire used is a valid and reliable RINVR. Intervention were carried out by administering Pepperlav Aromatherapy Combinations with formulations FIB (40:50:10), F2B (30:60:10), F3B (20:70:10) with VCO based notes that have fulfilled the physical stability, homogeneity, measurement PH, spreadability and adhesion tests, product safety tests and preference tests conducted on women who are not pregnant. Data were analyzed using the Paired t Test.

Results : Based on statistical tests with Paired t test analysis p value: 0.001, this shows that the p value <0.05, there is a significant effect on the administration of pepperlav aromatherapy in Formula 1 formulation (a combination of 40% peppermint, 50% Lavender and 10% VCO.

Conclusions : Aromatherapy combination of Pepperlav (peppermint and lavender) can relieve nausea and vomiting in pregnant women.

背景:妊娠早期妇女的恶心和呕吐可引起产前窘迫和压力症状,从而影响母亲的生活质量。恶心呕吐也会影响母体和胎儿的营养摄入。从怀孕开始就不能满足营养需求可能会导致胎儿生长受限,从而导致短期和长期并发症,并对生活质量产生负面影响。目的:本研究旨在测试联合芳香疗法产品Pepperlav(薄荷和薰衣草)对孕妇的恶心和呕吐的缓解作用。方法:采用前测后测对照组设计方法,对40例出现恶心呕吐症状的妊娠早期孕妇进行研究。这项研究是在班图尔地区的助产士独立诊所进行的。数据收集是通过访谈和填写问卷来进行的,这些问卷测量了干预前后的恶心和呕吐情况。所使用的问卷是有效可靠的RINVR。干预是通过使用配方FIB(40:50:10)、F2B(30:60:10)、F3B(20:70:10)的Pepperlav芳香疗法组合进行的,并使用基于VCO的笔记,这些笔记已经完成了物理稳定性、均匀性、测量PH、涂抹性和粘附性测试、产品安全性测试和对未怀孕妇女的偏好测试。数据分析采用配对t检验。结果:基于配对t检验分析p值为0.001的统计检验,表明p值为0.001。结论:芳香疗法联合使用Pepperlav(薄荷和薰衣草)可以缓解孕妇的恶心和呕吐。
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引用次数: 0
The effect of Hatha Yoga on pain intensity in severe primary dysmenorrhea among students: A randomized controlled trials 哈他瑜伽对学生严重原发性痛经疼痛强度的影响:一项随机对照试验
Pub Date : 2023-04-14 DOI: 10.21927/jnki.2023.11(1).95-105
I. Haryono, Jessica Putri Sudarman, N. Prastowo, L. Lilis

Background: Yoga has been known as an alternative therapeutic modality for reducing pain. The benefits of yoga for reducing pain have been proven. Women often suffer pain due to dysmenorrhea. The effect of Yoga on dysmenorrhea pain has not been widely studied

Objectives: This study aimed to investigate the effect of hatha yoga on pain in primary dysmenorrhea (PD).

Methods: This was a randomized controlled study (RCT) involving 50 female students, 25 each in control (C) and yoga group (Y). PD was diagnosed by Working ability, Location, Intensity (Wong-Baker scale), and Days of the Pain of Dysmenorrhea (WaLIDD) questionnaire. Pain intensity was assessed by the Numeric Rating Scale (NRS). Hatha yoga training was conducted for 12 weeks. The unpaired t-test, ANOVA and Tukey post hoc, and Pearson correlation test was applied. Significance was set at p<0.05.

Results: The characteristics between groups were not different. ANOVA indicated the NRS score in control was not changed, while yoga was diminished (p=0.02). Tukey post hoc showed that the second and third NRS were lower than basal NRS (p=0.038 and 0.01, respectively). The third was also lower than the second NRS (p=0.039). The second and the third NRS in yoga were lower than in control (p=0.027 and <0.01, respectively). The second magnitude of change of NRS was significantly different from the first in yoga (1.92 ±2.4 vs. 3.09 ± 2.8, p=0.018). The magnitude of NRS changes in the first (0.06±1.1 vs. 1.92±2.4, p=0.013) and second (0.02 ± 1.6 vs. 3.09 ± 2.8, p= 0.004) in yoga was significantly greater than the control. NRS score was not correlated with age, BMI, and age of menarche.

Conclusions: Hatha yoga exercise ameliorate pain intensity in primary dysmenorrhea among female university students.

背景:瑜伽被认为是减轻疼痛的另一种治疗方式。瑜伽对减轻疼痛的好处已经得到证实。女性经常因痛经而感到疼痛。瑜伽对痛经疼痛的影响尚未得到广泛研究。目的:本研究旨在探讨哈达瑜伽对原发性痛经(PD)疼痛的影响。方法:采用随机对照研究(RCT), 50名女学生,对照组(C组)和瑜伽组(Y组)各25人。采用工作能力、部位、强度(Wong-Baker量表)和痛经疼痛天数(WaLIDD)问卷诊断PD。采用数值评定量表(NRS)评定疼痛强度。哈他瑜伽训练为期12周。采用非配对t检验、方差分析、事后检验和Pearson相关检验。结果:两组间特征无显著差异。方差分析显示,对照组的NRS评分没有变化,而瑜伽则降低了(p=0.02)。Tukey事后分析显示,第2、3次NRS均低于基础NRS (p分别为0.038和0.01)。第三种NRS也低于第二种NRS (p=0.039)。瑜伽组第二、第三NRS低于对照组(p=0.027、1.92±2.4 vs. 3.09±2.8,p=0.018)。瑜伽组第一组NRS变化幅度(0.06±1.1比1.92±2.4,p=0.013)和第二组(0.02±1.6比3.09±2.8,p= 0.004)显著大于对照组。NRS评分与年龄、BMI和月经初潮年龄无关。结论:哈他瑜伽运动可改善女大学生原发性痛经的疼痛强度。
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引用次数: 0
Perceived psychological reactions to second wave of pandemic COVID-19 Among Working Adult Indonesians: An online survey study 印尼成年上班族对第二波COVID-19大流行的心理反应:一项在线调查研究
Pub Date : 2023-04-14 DOI: 10.21927/jnki.2023.11(1).55-67
E. S. Ridwan, Sofyan Indrayana, Asep Badrujamaludin, Dedi Supriadi, Nuh Huda, P. Priyanto, Q. Saidah, Aan Sutandi
Background: The Corona Virus Disease (Covid-19) pandemic caused serious health consequences including mental health issues. Thus, gaining insight into the emergence of mental health problems including fear, anxiety and stress in society during the second wave Covid-19 pandemic is imperative.  Objectives: This study aimed to identify the psychological reactions of working Indonesians living in five metropolitan cities in Java Island and its association with personal characteristics during the second wave Covid-19 pandemic.Methods: This cross-sectional study included a total of 916 respondents from five metropolitan cities in the Island of Java that was voluntarily completing the anonymous online survey. The data were administered by using the Indonesian version of Perceived Stress Scale (PSS), Covid-19 Anxiety Scale (CAS), and Fear of Covid-19 Scale (FCS). Bivariate and multivariate analysis were performed using non-parametric methods due to non-normal distribution data. Significance for hypothesis testing was set with p-value 0.05 on 95% Confidence Interval. Data was analyzed using software STATA14 of StataCorp.Results: A total of 916 respondents were included, with the median of age being 28 years old. Perceived fear and anxiety to Covid-19 among working individuals was low (35.92% and 40.94%), yet they were on moderate and high-levels of stress (31.88% and 45.52%) respectively. After adjusted all predictors, age was a significant predictor to the level of fear (p< 0.001), anxiety (p= 0.05), and stress (p< 0.001). The first dose of vaccination significantly predicted a reduction in the fear of Covid-19 (p= 0.045).Conclusions: Increasing a year of age predicted the reduction of fear, anxiety, and perceived of stress to Covid-19. First dose vaccination significantly reduced the fear to Covid-19. 
背景:冠状病毒病(Covid-19)大流行造成了包括精神健康问题在内的严重健康后果。因此,在第二波Covid-19大流行期间,深入了解社会中出现的恐惧、焦虑和压力等心理健康问题至关重要。目的:本研究旨在确定居住在爪哇岛五个大都市的印度尼西亚上班族在第二波Covid-19大流行期间的心理反应及其与个人特征的关系。方法:本横断面研究包括来自爪哇岛五个大都市的916名自愿完成匿名在线调查的受访者。数据采用印尼版感知压力量表(PSS)、Covid-19焦虑量表(CAS)和Covid-19恐惧量表(FCS)进行管理。由于数据非正态分布,采用非参数方法进行双变量和多变量分析。假设检验的显著性在95%置信区间上采用p值0.05。数据分析采用StataCorp的STATA14软件。结果:共纳入916名调查对象,年龄中位数为28岁。在职人群对新冠肺炎的恐惧和焦虑程度较低(分别为35.92%和40.94%),但处于中等和高度压力状态(分别为31.88%和45.52%)。调整所有预测因子后,年龄是恐惧(p< 0.001)、焦虑(p= 0.05)和压力(p< 0.001)水平的显著预测因子。第一剂疫苗接种显著预测了对Covid-19恐惧的减少(p= 0.045)。结论:年龄增加一岁预示着对Covid-19的恐惧、焦虑和压力感知的减少。首次接种疫苗显著降低了对Covid-19的恐惧。
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引用次数: 0
The effectivity of hypnobreastfeeding on the success of exclusive breastfeeding by mothers giving birth at Dian Dwi Anggraini Independent Midwifery Practice in Bogor Regency 在茂物摄政的Dian Dwi Anggraini独立助产实践中,催眠母乳喂养对分娩母亲纯母乳喂养成功的有效性
Pub Date : 2023-04-14 DOI: 10.21927/jnki.2023.11(1).79-85
R. Rochmawati, Gracea Petricka, Arini Kusmintarti
Background:Stunting is an indicator of chronic malnutrition due to a long period of insufficient food intake. The prevalence rate of stunting in Indonesia reached 24.4% in 2021. Generally, problems related to linear growth in toddlers are frequently disregarded because it is still considered as normal as long as the child’s weight has met the standard. Several studies stated that stunting is associated with an increased risk of morbidity and mortality, as well as inhibited development of motoric and mental abilities. To decrease the prevalence of stunting, specific intervention in the form of exclusive breastfeeding needs to be carried out. The coverage of exclusive breastfeeding in Indonesia was 52.5%. Feeding the baby exclusively with breast milk up to the age of 6 months has been recommended by the World Health Organization (WHO). However, various obstacles occurred in the breastfeeding process cause the mothers unable to provide the babies with exclusive breast milk. One of the inhibiting factors of breast milk production is the psychological factor, which is the occurrence of stressors in breastfeeding mothers. One of the efforts which can be done to relieve stress in breastfeeding mothers is by applying hypnobreastfeeding. It is a natural effort carried out by providing positive affirmations for the breastfeeding process when mothers are in a very relaxed or very concentrated state. Objectives :  This study aims to figure out the effect of hypnobreastfeeding on the success of giving exclusive breastfeeding.Methods: This research employed quantitative descriptive analysis with a quasi-experimental and control group post-test-only design.Results : The results of this study obtained the effectiveness of hypnobreastfeeding on the success of exclusive breastfeeding. It is indicated by statistical values with a p-value of < 0.05., and the effect is 5.5 times greater than that of the group without hynobreastfeeding. Conclusions : Referring to the high effectiveness of hypnobreastfeeding on the success of exclusive breastfeeding shown in this study, the researchers confirmed that hypnobreastfeeding is an action that must be given by health workers when accompanying mothers in labor.
背景:发育迟缓是由于长期食物摄入不足而导致的慢性营养不良的一个指标。2021年,印度尼西亚的发育迟缓患病率达到24.4%。一般来说,与幼儿线性生长有关的问题经常被忽视,因为只要孩子的体重达到标准,它仍然被认为是正常的。几项研究表明,发育迟缓与发病率和死亡率的增加有关,还会抑制运动和智力的发展。为了减少发育迟缓的发生率,需要采取纯母乳喂养形式的具体干预措施。印度尼西亚的纯母乳喂养覆盖率为52.5%。世界卫生组织(世卫组织)建议在婴儿满6个月之前完全用母乳喂养。然而,在母乳喂养过程中出现的各种障碍导致母亲无法为婴儿提供纯母乳。抑制母乳产生的因素之一是心理因素,即母乳喂养的母亲出现压力源。缓解母乳喂养母亲压力的一种方法是催眠母乳喂养。这是一种自然的努力,当母亲处于非常放松或非常集中的状态时,通过对母乳喂养过程提供积极的肯定来进行。目的:探讨催眠母乳喂养对纯母乳喂养成功率的影响。方法:本研究采用定量描述性分析,采用准实验组和对照组后验设计。结果:本研究结果获得了催眠母乳喂养对纯母乳喂养成功率的影响。以p值< 0.05的统计值表示。,效果是非催眠母乳喂养组的5.5倍。结论:根据本研究显示的催眠母乳喂养对纯母乳喂养成功的高有效性,研究人员确认,催眠母乳喂养是卫生工作者在陪同母亲分娩时必须采取的行动。
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引用次数: 0
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Jurnal Ners dan Kebidanan
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