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Learning design for couple prenatal education program; birthing class 夫妻产前教育课程的学习设计生产类
Pub Date : 2023-04-14 DOI: 10.21927/jnki.2023.11(1).29-38
Ni Made, Dwi Purnamayanti, G. Ayu, Novya Dewi

Background: The involvement of birth attendants has been shown to have a positive impact on pregnancy outcomes. Unprepared fathers tend to have negative experiences during childbirth. Mothers and partners need to be prepared since pregnancy to face childbirth and have a satisfying birth experience. It is necessary to arrange a learning program for childbirth classes not only for pregnant woman but also their partners.

Objectives: The purpose of this study is to develop a birthing class learning design for the prenatal couple education program.

Methods: This research design is research and development (R&D) level 1. The product to be developed is a birthing class learning design for prenatal couple education program. The stages of the research are 1) analysis of gaps and needs of the developed program; 2) Drafting; 3) internal validation of the design

Results: This study found that the needs of mother and their partners for birthing classes are high. The material most needed in birthing class is husband’s role in delivery process. In the management of birthing class, mother and partner want a balance practicum and theory method, the duration of the class is 90 minutes, with the number of participants less than 5 couples and the use of learning modules. The birthing class learning design for prenatal couple education program is structured in form of training program curriculum that consist 1) competencies; 2) learning outcome; 3)study materials; 4) training subjects; 5) training course loads; 6) learning methods and 7) assessments. 

Conclusions The birthing class learning design for prenatal couple education program is needed by pregnant women and their partners. The design can be used for preparing the birthing class model.
背景:助产士的参与已被证明对妊娠结局有积极影响。没有做好准备的父亲在分娩时往往会有消极的经历。母亲和伴侣需要从怀孕开始就准备好面对分娩,并有一个满意的分娩体验。有必要为孕妇及其伴侣安排分娩课程学习计划。目的:本研究的目的是为产前夫妇教育计划制定分娩课堂学习设计。方法:本研究设计为研发(R&D)一级。该产品为产前夫妻教育项目的分娩课堂学习设计。研究的阶段是:1)分析已开发项目的差距和需求;2)起草;3)设计的内部验证结果:本研究发现,母亲及其伴侣对分娩课程的需求较高。分娩课上最需要的材料是丈夫在分娩过程中的角色。在分娩课的管理上,母亲和伴侣希望实践和理论方法平衡,课程时长为90分钟,参加人数不超过5对,使用学习模块。产前夫妇教育课程的分娩班学习设计以培训课程的形式构成,包括1)能力;2)学习成果;3)学习材料;4)培训科目;5)培训课程负荷;6)学习方法和7)评估。结论孕妇及其伴侣需要产前夫妻教育课程的分娩课堂学习设计。该设计可用于生产类模型的编制。
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引用次数: 0
Literature Review: Factors affecting the implementation of Early Initiation of Breastfeeding (EIBF) in maternity and breastfeeding mothers 文献综述:影响母亲和母乳喂养母亲早期开始母乳喂养(EIBF)实施的因素
Pub Date : 2023-04-14 DOI: 10.21927/jnki.2023.11(1).39-54
Nur Aziza Wahdaliya, Ni'mal Baroya, D. Kusumawardani

Background: Early initiation of breastfeeding (EIBF) is the process of direct skin contact between the mother and the baby within the first hour after delivery. EIBF affects the welfare and survival of newborns. Implementation of early breastfeeding initiation globally according to WHO is 42% and the low implementation of EIBF is influenced by several factors.

Objectives: To identify factors that influence the implementation of Early Breastfeeding Initiation (EIBF) in mothers who give birth and breastfeed based on empirical studies in the last five years.

Methods: The research method in this study was a literature review with the type of narrative literature review by using flowcharts to determine screening studies that were adjusted to the research objectives. A search for literature reference sources was carried out from August 2021 to March 2022 with secondary data. Research reference sources are 31 international articles using 3 databases, namely PubMed, Sciencedirect, and Springer.

Results: The results of the study show that the mother's knowledge can be influenced by the availability of EIBF information, and the level of education of the mother. Parity has an influence on EIBF, because it is related to the mother's experience of breastfeeding. In caesarean delivery, it is influenced by post-delivery factors such as caesarean incision pain, the effect of anesthesia, and the mother's perception of milk production, whereas in normal delivery there are conditions of the mother's health that can affect the implementation of EIBF. Social support (husband, family and health workers) can encourage mother's confidence in the implementation of EIBF.

Conclusions: There are several factors that influence and relate to the mother's knowledge, parity, type of delivery, social support, and health services on the success of EIBF in the implementation of EIBF in labor and breastfeeding mothers.
背景:早期母乳喂养(EIBF)是指母亲和婴儿在分娩后的第一个小时内直接接触皮肤的过程。EIBF影响新生儿的福利和生存。根据世卫组织的数据,全球早期母乳喂养的执行率为42%,而早期母乳喂养的低执行率受到几个因素的影响。目的:根据过去五年的实证研究,确定影响分娩和母乳喂养的母亲实施早期母乳喂养的因素。方法:本研究的研究方法为文献综述,采用叙事性文献综述的方式,采用流程图确定适合研究目的的筛选性研究。从2021年8月至2022年3月,对文献参考来源进行二次数据检索。研究参考文献来源为31篇国际论文,使用PubMed、Sciencedirect、Springer 3个数据库。结果:研究结果表明,母亲的知识可以受到EIBF信息可获得性和母亲受教育程度的影响。胎次对EIBF有影响,因为它与母亲的母乳喂养经历有关。在剖腹产中,它受到分娩后因素的影响,如剖腹产切口疼痛、麻醉效果和母亲对产奶量的感知,而在正常分娩中,母亲的健康状况会影响EIBF的实施。社会支持(丈夫、家庭和保健工作者)可以鼓励母亲对实施欧洲基础设施的信心。结论:有几个因素影响并与母亲的知识、胎次、分娩类型、社会支持和卫生服务有关,这些因素影响着EIBF在分娩和哺乳母亲中成功实施EIBF。
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引用次数: 0
Environmental factors determine the occurrence of pulmonary tuberculosis 环境因素决定肺结核的发生
Pub Date : 2023-04-14 DOI: 10.21927/jnki.2023.11(1).11-18
Eppy Setiyowati, Khamida Khamida, Nurul Kamariyah, B. Setianto, Netty Mawardah Hatmanti, Difran Nobel Bistara, Erika Martining Wardani

Background: Environment consisting of  residential density, house ventilation, room humidity, and lighting, is regarded as one of the factors causing the transmission of pulmonary tuberculosis (TB). The current research aimed to figure out the environmental factors determining the occurrence of pulmonary TB in Surabaya City.

Objectives: the purpose of the current study was to figure out the environmental factor determining the incidents of pulmonary tuberculosis (TB) in Surabaya City

Methods : This was observational research carried out by a cross-sectional approach. People with pulmonary TB registered for treatment at the Perak Timur Community Health Center and Jagir Community Health Center in Surabaya City were recruited as the research population. Meanwhile, the research samples were patients with pulmonary TB in both Community Health Centers. Simple random sampling was utilized to collect 130 patients as respondents. The data obtained were then analyzed using univariate and bivariate logistic regression.

Results: The bivariate statistical test on the four research variables showed that residential density had OR=0.671, house ventilation had OR=2.874, room humidity had OR=1.231, and house lighting had OR=1.170. Fourth, environmental factors are not the cause of TB disease, because the results of statistical tests show that the OR value is above 0.5

Conclusions: It can be concluded that residential density, lighting, and house ventilation did not influence the occurrence of pulmonary tuberculosis. It was more likely that it was caused by factors which do not come from the living environment. Suggestions for future research need to be an air swab examination around the residence of TB patients
背景:由居住密度、房屋通风、室内湿度和照明组成的环境被认为是导致肺结核(TB)传播的因素之一。本研究旨在了解泗水市肺结核发生的环境因素。目的:本研究的目的是找出泗水市肺结核(TB)发病率的环境因素。方法:采用横断面方法进行观察性研究。在泗水市Perak Timur社区卫生中心和Jagir社区卫生中心登记治疗的肺结核患者被招募为研究人群。同时,研究样本为两个社区卫生中心的肺结核患者。采用简单随机抽样法,共收集130例患者作为调查对象。然后使用单变量和双变量逻辑回归分析获得的数据。结果:4个研究变量的双变量统计检验结果显示,居住密度OR=0.671,室内通风量OR=2.874,室内湿度OR=1.231,室内照明OR=1.170。第四,环境因素不是肺结核发病的原因,因为统计检验结果显示OR值大于0.5。结论:可以得出居住密度、采光、房屋通风对肺结核的发生没有影响。这更有可能是由生活环境以外的因素引起的。建议今后的研究需要在结核病患者住所周围进行空气拭子检查
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引用次数: 0
Determinant Factors Related To Family Utilization Of Health Services 影响家庭利用卫生服务的决定因素
Pub Date : 2023-04-13 DOI: 10.26699/jnk.v10i1.art.p069-074
Bisepta Prayogi, Khairir Rizani, Ferry Fadli Fratama
Health is one of the important elements in human life, so that the utilization of health services is an important factor in determining health. In fact, the utilization of health services has been recommended by the World Health Organization (WHO) as a primary health concept. The purpose of this study was to determine the factors related to the utilization of health services by families. This research method uses an analytic observational research design/analytic survey with a cross sectional approach. The sampling technique uses simple random sampling with a total sample of 61 respondents. Bivariate analysis to determine the relationship of each factor using the chi-square test. The results showed that there was no relationship between age and family utilization of health services (p>0.05), there was a relationship between education level and family utilization of health services (p<0.05), there was no relationship between employment status and service utilization. health by the family (p>0.05), and there is no relationship between distance (access) and utilization of health services by the family (p>0.05). In this way, families can take advantage of the nearest health service when they are sick, so that they can find out what disease they are suffering from and get the right treatment/care.
健康是人类生活中的重要元素之一,因此卫生服务的利用是决定健康的重要因素。事实上,世界卫生组织(世界卫生组织)已建议将利用保健服务作为一个主要保健概念。本研究的目的是确定与家庭利用卫生服务有关的因素。该研究方法采用分析性观察性研究设计/横断面分析调查法。抽样技术采用简单的随机抽样,共有61名受访者。双变量分析,使用卡方检验来确定每个因素的关系。结果表明,年龄与家庭卫生服务利用率无相关性(p>0.05),受教育程度与家庭卫生保健服务利用率有相关性(p0.05),距离(获取)与家庭利用卫生保健服务无相关性(p>0.05),当他们生病时,家庭可以利用最近的医疗服务,这样他们就可以了解自己患的是什么疾病,并得到正确的治疗/护理。
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引用次数: 0
Positive Correlation of Family Support and Level of Anxiety in Facing Labor 家庭支持与临产焦虑水平呈正相关
Pub Date : 2023-04-12 DOI: 10.26699/jnk.v10i1.art.p053-058
D. Septiani, Wan Anita, Rummy Islami Zalni
Efforts to reduce the anxiety of pregnant women include family support because it can provide peace, tranquility, and comfort in undergoing each period of pregnancy in mothers from the first, second and third trimesters. The purpose of this study was to determine the relationship between family support and the level of anxiety of pregnant women in the third trimester. This study uses quantitative methods using a cross sectional study design. The population in this study pregnant women in the third trimester. The sampling technique used is purposive sampling with the number of samples in this study, namely 30 respondents. The data collection technique used is a questionnaire. The results showed that most of the 22 respondents (73.3%) who received family support did not experience anxiety, while from 8 respondents they did not receive family support, namely 7 respondents (23.3%) experienced mild anxiety and 1 respondent (3.3%) experiencing severe anxiety. The results of the Chi Square test showed a p value (0.000 < 0.05), it can be concluded that there is a relationship between family support and anxiety levels in facing childbirth in third trimester pregnant women at Ernita Midwife Independent Practice.
减少孕妇焦虑的努力包括家庭支持,因为家庭支持可以为母亲在怀孕的每个阶段提供平静、安宁和舒适。本研究的目的是确定家庭支持与妊娠晚期孕妇焦虑水平之间的关系。本研究采用横断面研究设计的定量方法。本研究中的人群为妊娠晚期的孕妇。所使用的抽样技术是有目的的抽样,本研究中的样本数量为30名受访者。所使用的数据收集技术是问卷调查。结果显示,在接受家庭支持的22名受访者中,大多数(73.3%)没有经历过焦虑,而在8名没有获得家庭支持的受访者中,即7名受访者(23.3%)经历过轻度焦虑,1名受访者(3.3%)经历过重度焦虑。卡方检验结果显示p值(0.000<0.05),可以得出结论,在Ernita助产士独立诊所,家庭支持与孕晚期孕妇面对分娩的焦虑水平之间存在关系。
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引用次数: 0
Anxiety in The Elderly is Related to an Interest in Visiting Health Facilities During The COVID-19 Pandemic 老年人的焦虑与新冠肺炎大流行期间访问卫生设施的兴趣有关
Pub Date : 2023-04-10 DOI: 10.26699/jnk.v10i1.art.p046-052
Pria Wahyu Romadhon Girianto, D. Setyorini, Sri Untaminingtyas
Anxiety about dealing with the infectious nature of COVID-19 can influence the elderly to avoid visiting health facilities due to concerns about the rapid transmission of the disease. The impact of decreasing interest in visiting the elderly with comorbidities to health facilities causes repeated recurrences, and they do not get treatment to improve their health. The aim of this research was to determine the correlation between anxiety and interest in visiting health facilities in the elderly with comorbid diseases during the COVID-19 pandemic. The variables in this research were anxiety and interest in visiting health facilities. They used a questionnaire for data collection. The design of this research was a correlation with a cross-sectional approach, a sample of 32 respondents, and a purposive sampling technique. The results showed that most of the respondents (53.1%), 17 respondents, experienced moderate anxiety. Most of the respondents (62.5%), 20 respondents, had sufficient interest in visiting. Based on the Spearman's rank test, a p-value of 0.032 (α = 0,05) was obtained, meaning that there was a correlation between anxiety in comorbid elderly people and interest in visiting health facilities during the COVID-19 pandemic with a weak correlation category (r = 0.380). The elderly's anxiety about visiting health facilities during the pandemic can be because the elderly are getting tired of the comorbid disease process they experience; the elderly also feel vulnerable to infection due to information related to COVID-19 transmission; the elderly are afraid to die when confirmed with COVID-19; the elderly are worried about the health of their families and the elderly as well. Worried that they have contracted the COVID-19 virus? It is recommended for respondents not to be afraid or anxious about coming to health facilities during the COVID-19 pandemic. The elderly can visit health facilities during the COVID-19 pandemic safely by always complying with health protocols.
由于担心疾病的快速传播,对应对新冠肺炎传染性的焦虑可能会影响老年人避免前往卫生机构。对去医疗机构看望患有合并症的老年人的兴趣下降的影响导致了反复复发,他们没有得到改善健康的治疗。本研究的目的是确定新冠肺炎大流行期间患有合并症的老年人对访问卫生设施的焦虑和兴趣之间的相关性。这项研究中的变量是焦虑和对访问卫生设施的兴趣。他们使用问卷进行数据收集。这项研究的设计与横断面方法、32名受访者的样本和有目的的抽样技术相关联。结果显示,17名受访者中的大多数(53.1%)经历了中度焦虑。大多数受访者(62.5%),即20名受访者,对访问有足够的兴趣。基于Spearman秩检验得到0.032(α=0.05)的p值,意味着在新冠肺炎大流行期间,共病老年人的焦虑与访问卫生设施的兴趣之间存在相关性,相关性较弱(r=0.380)。老年人在大流行期间访问卫生设施时的焦虑可能是因为老年人对他们经历的共病过程感到厌倦;由于与新冠肺炎传播有关的信息,老年人也容易受到感染;老年人在确诊为新冠肺炎时害怕死亡;老年人担心他们的家人和老人的健康。担心他们感染了新冠肺炎病毒?建议受访者在新冠肺炎大流行期间不要害怕或焦虑前往卫生机构。在新冠肺炎大流行期间,老年人可以始终遵守健康协议,安全地访问卫生设施。
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引用次数: 0
The Correlation Between The History of Antenatal Care Visits during The Covid -19 Pandemic and Stunting Incidents 新冠肺炎-19大流行期间产前护理就诊史与昏迷事件的相关性
Pub Date : 2023-04-10 DOI: 10.26699/jnk.v10i1.art.p040-045
Ratih Mega Septiasari, D. Mayasari, Yesika Nadya
Stunting occurs due to chronic malnutrition that has been going on for a long time, namely from the time the child is in the womb until the child is 2 years old. Limited access to antenatal care is one of the causes of stunting. The COVID-19 pandemic has had an impact on health services, including maternal and child health services. The purpose of this study was to analyze the relationship between the history of antenatal care visits during the COVID-19 pandemic and the incidence of stunting. This research is a quantitative study using an observational case-control research design with a retrospective approach. The population of this study were all mothers who had babies aged 0–12 months in Kebonagung Village area, Pakisaji District, Malang Regency. The sampling technique uses total sampling, so a sample of 70 respondents is obtained. The data obtained were analyzed using the Chi-squared correlation test with a p value of 0.05. The results showed that there was a significant relationship between antenatal care visits during the COVID-19 pandemic and the incidence of stunting in the Kebonagung Village area, Pakisaji District, Malang Regency, with a p value of = 0.000 (p  < 0.05). with moderate closeness and a correlation coefficient value of (r) = 0.2352. It is expected that health workers will provide counseling, information, and education to pregnant women about the importance of prenatal checks to prevent stunting.
眩晕是由于长期的慢性营养不良引起的,即从孩子在子宫里到孩子2岁。获得产前护理的机会有限是发育迟缓的原因之一。新冠肺炎大流行对包括妇幼保健服务在内的卫生服务产生了影响。本研究的目的是分析新冠肺炎大流行期间产前护理就诊史与发育迟缓发生率之间的关系。本研究是一项定量研究,采用观察性病例对照研究设计,采用回顾性方法。本研究的人群都是在马朗县帕基萨吉区Kebonagung村地区有0-12个月婴儿的母亲。抽样技术采用总抽样,因此获得了70名受访者的样本。使用卡方相关检验对所获得的数据进行分析,p值为0.05。结果表明,新冠肺炎大流行期间的产前保健访视与马朗县帕基萨吉区Kebonagung村发育迟缓发生率之间存在显著关系,p值=0.000(p<0.05),具有中等接近性,相关系数(r)=0.2352。预计卫生工作者将向孕妇提供咨询、信息和教育,让她们了解产前检查对预防发育迟缓的重要性。
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引用次数: 0
E-Booklet Media Affecting Mother's Knowledge but not the Level of Nutrition Consumption of Elementary School Children with Excess Nutrition 电子图书媒介影响母亲知识但不影响营养过剩小学生营养消费水平
Pub Date : 2023-04-06 DOI: 10.26699/jnk.v10i1.art.p032-039
Maulida Febri Rahmata, Batianus Doddy Riyadi, Juin Hadisuyitno, Suprajitno Suprajitno
The prevalence of overweight and obesity among children has become a global epidemic. The causes of obesity are multifactorial. Changes in lifestyle that lead to westernization and sedentary result in changes in eating patterns in children. The objective of this study was to determine the differences in maternal nutritional knowledge before and after counseling on balanced nutrition using e-booklets and their relationship to the consumption level of elementary school children who experience excess nutrition. The research design used was a pre-experimental one-group pretest-posttest design. A sample of 31 mothers and children who are experiencing excess nutrition from SDN 1 and 2 Sambirejo, Trenggalek regency was selected by purposive sampling. Data analysis employed the Paired Sample T-Test and Chi-Square test. There was an increase in the average score of mothers' knowledge from 69.03 to 77.41 with a p-value = 0.003. However, there is no relationship between a mother's knowledge and intake of energy, carbohydrates, protein, and fat. Nutrition counseling using e-booklet media can increase mothers' knowledge but it is not related to the intake of elementary school children who have more nutrition.
儿童超重和肥胖的流行已成为一种全球流行病。肥胖的原因是多方面的。生活方式的改变导致了西方化和久坐导致了儿童饮食模式的改变。本研究的目的是确定使用电子手册进行均衡营养咨询前后母亲营养知识的差异及其与营养过剩小学生消费水平的关系。本研究采用实验前一组前测后测设计。采用有目的抽样的方法,选取了Trenggalek县Sambirejo SDN 1和2的31名营养过剩的母亲和儿童。数据分析采用配对样本t检验和卡方检验。母亲知识平均得分由69.03分上升至77.41分,p值= 0.003。然而,母亲的知识与摄入能量、碳水化合物、蛋白质和脂肪之间没有关系。利用电子小册子媒体进行营养咨询可以增加母亲的营养知识,但与营养更丰富的小学生的摄入量无关。
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引用次数: 0
Midwives’ Views Regarding Tuberculosis Screening amongst HIV/AIDS Positive Pregnant Women, South Africa 助产士对南非HIV/AIDS阳性孕妇进行结核病筛检的意见
Pub Date : 2023-04-05 DOI: 10.26699/jnk.v10i1.art.p001-009
Violet Manonyana Chewe, S. Khunou
Tuberculosis (TB) infections is classified as one of the non-pregnancy related infections (NPRI) which cause maternal mortality. Therefore, it was important for the researcher to explore the challenges faced by midwives regarding TB screening as it is the most leading complication in human immunodeficiency virus (HIV) infected pregnant women. To that effect, several strategies for TB screening during pregnancy have been introduced and implemented thus far. Screening of TB during antenatal care helps to enhance early detection, exclusion and treatment of the infection in pregnant women who are HIV positive. The study used qualitative descriptive research design. The population included all midwives aged 30 to 48 years, who were working at primary health (PHC) clinics in Kganya local area, Capricorn District, Limpopo Province in South Africa. Nonprobability purposive sampling technique was employed to select ten midwives. Data were collected through in-depth individual semi -structured interviews with ten midwives. Data analysis was accomplished, using the manual thematic analysis according to Tesch’s method of data analysis. Finally the main themes were extracted. Two themes emerged from the study, namely: Challenges regarding TB screening; Measures that can enhance TB screening. It is important that the department of health should pay attention to challenges faced by midwives to ensure adequate TB screening amongst HIV positive pregnant women. Capacitating both midwives and the community with knowledge regarding TB screening during pregnancy can be beneficial to the health of the pregnant women and their unborn babies.
结核病感染被列为导致孕产妇死亡的与妊娠无关的感染之一。因此,对于研究人员来说,探索助产士在结核病筛查方面面临的挑战是很重要的,因为结核病是感染人类免疫缺陷病毒(HIV)的孕妇最主要的并发症。为此,迄今已提出并实施了几项孕期结核病筛查战略。在产前保健期间筛查结核病有助于加强对艾滋病毒阳性孕妇感染的早期发现、排除和治疗。本研究采用定性描述性研究设计。人口包括所有在南非林波波省摩里摩恩区Kganya地方地区初级保健诊所工作的30至48岁的助产士。采用非概率有目的抽样方法抽取10名助产士。数据是通过对10名助产士进行深入的个人半结构化访谈收集的。根据Tesch的数据分析方法,采用手工专题分析方法完成数据分析。最后对主题进行了提炼。该研究产生了两个主题,即:结核病筛查方面的挑战;可加强结核病筛查的措施。重要的是,卫生部门应注意助产士面临的挑战,以确保对艾滋病毒阳性孕妇进行充分的结核病筛查。使助产士和社区具备有关孕期结核病筛查的知识,可有利于孕妇及其未出生婴儿的健康。
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引用次数: 0
PENGARUH KONSUMSI PIZZA JANTUNG PISANG TERHADAP PRODUKSI ASI PADA IBU MENYUSUI DI KLINIK PERMATA BUNDA 香蕉心披萨的摄入影响母乳喂养母亲在母石诊所的母乳生产
Pub Date : 2023-01-31 DOI: 10.52299/jks.v14i1.150
Winda Kurniawati, Dr. Hj. Endah Wahyutri, Nursari Abdul Syukur
Data cakupan ASI eksklusif di Kalimantan timur pada tahun 2020 sebesar 76,1%, data cakupan ASI di Puskesmas Tanah Grogot sebesar 78%, masih rendah dibandingkan dengan target ASI Kementrian Kesehatan yaitu 80%, data Puskesmas Tanah Grogot 2020. Metode penelitian ini adalah Quasi Experiment dengan desain penelitian Nonequivalent Control Group Design. Teknik sampling menggunakan Purposive Sampling. Sampel dalam penelitian ini berjumlah 11 orang. Produksi ASI pada ibu menyusui sebelum diberikan Pizza Jantung Pisang rata-rata 99.09 ml, setelah diberikan pizza jantung pisang rata-rata 131.82 ml. Produksi ASI pada ibu menyusui sebelum diberikan pizza jantung pisang rata-rata 91.82 ml dan setelah hari ke 7 rata-rata 114.52 ml. Ada perbedaan produksi ASI sebelum dan sesudah diberikan Pizza Jantung Pisang pada ibu menyusui nilai p value 0,000. Ada perbedaan produksi ASI sebelum dan sesudah diberikan Pizza Jantung Pisang pada ibu menyusui nilai P value 0,000. Ada pengaruh Pizza Jantung Pisang terhadap peningkatan produksi ASI pada ibu menyusui di Klinik Permata Bunda Paser dengan nilai p value 0,000 dimana produksi ASI pada kelompok yang diberikan Pizza Jantung Pisang lebih banyak 17,273 ml dibandingkan dengan kelompok yang tidak diberikan Pizza Jantung Pisang. Jantung pisang memiliki kandungan kalori, protein, lemak, karbohidrat, vitamin A, vitamin B1, vitamin C dan mineral seperti Fosfor, Kalsium dan Fe serta mestimulasi hormone oksitosin dan prolactin yang akan sangat membantu proses produksi ASI. Terdapat pengaruh yang signifikan terhadap produksi ASI sebelum dan sesudah mengkonsumsi Pizza Jantung Pisang. Saran: Tenaga kesehatan sebaiknya memberikan edukasi kepada ibu – ibu menyusui untuk banyak mengkonsumsi jantung pisang dalam menambah asupan gisi dan produksi ASI baik dalam bentuk olahan apapun.
2020年,东加里曼丹的独家报道数据为76.1%,东加里曼丹地区人口普查数据为78%本研究方法是一种采用非equivalent研究设计的试验性质。采用采样技术。这项研究的样本只有11个。香蕉生产母乳母乳喂养的母亲心脏病之前给披萨披萨给心脏后平均99。9毫升,香蕉生产平均131 82 ml。之前对哺乳期母亲母乳的披萨给香蕉的心脏平均91。82 ml,平均一天之后到7 114 52 ml。生产母乳之前和之后是有区别的披萨心脏香蕉给哺乳期母亲p value万的价值。母乳喂养的母亲在香蕉心脏披萨喂养前和喂养后的母乳生产有不同。香蕉心脏披萨对母乳喂养母亲的母乳喂养过程的增加,其价值为p值1万的p值为1的母乳喂养组的产量比不给香蕉心脏披萨的母乳生产更多17.273毫升。香蕉的心脏含有卡路里、蛋白质、脂肪、碳水化合物、维生素A、维生素B1、维生素C和维生素C等矿物质,如磷、钙和硫、维生素和维生素素,这将大大有助于母乳生产。在食用香蕉心脏披萨之前和之后的母乳生产有显著的影响。建议:卫生工作者应该对母亲进行教育——母乳喂养,在增加营养摄入和以任何形式的加工形式生产良好的香蕉心脏方面消耗很大。
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Jurnal Ners dan Kebidanan
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