Jurnal Ners dan Kebidanan最新文献_第9页

The effectiveness of lavender and jasmine aroma therapy towards pain levels 薰衣草和茉莉花香气疗法对疼痛水平的有效性

Jurnal Ners dan Kebidanan

Pub Date : 2022-11-30 DOI: 10.21927/jnki.2022.10(3).240-250

I. Wijayanti, Sri - Handayani, Menik Sri Daryanti, C. Subarto, F. Aryani

Background: The maternal mortality rate in Southeast Asian countries is Indonesia 190 per 100,000 live births, Vietnam 49 per 100,000 live births, Thailand26 per 100,000 live births, Brunei 27 per 100,000 live births, and Malaysia 29 per 100,000 live births (WHO, 2015). Data on maternal mortality in the Special Region of Yogyakarta in 2020 found 40 cases, an increase from the previous year, which was 36 cases. In the Bantul district there are 20 cases of maternal mortality(DIY Health Office, 2020). Labor pain relief methods are divided into non-pharmacological (psychoprophylactic, hypnosis, acupuncture, touch healing therapy, relaxation exercises, massage therapy, music therapy) and pharmacological (systemic drugs, inhalation anesthetics, general anesthesia, regional anesthesia) (Tanvisut et al., 2018).

Objectives:This study aims to determine the effect of lavender and jasmine aromatherapy on pain levels in the first stage of labor at the Bina Sehat Clinic.

Methods: Quasi experimentwith pretest and posttest group design. a sample of 38 respondents using the formula (Lemeshow et al., 1997) in Sastroasmoro and Ismail (2011). Sampling technique with simple random sampling

Results:Shows that jasmine aromatherapy is more effective in reducing pain levels in first-stage mothers than lavender aromatherapy at the Bina Sehat Clinic. There is a significant effect of the level of labor pain in the first stage before and after the lavender and jasmine aromatherapy intervention period.

Conclusions:Jasmine aromatherapy was more effective in reducing pain levels in first-stage labor than lavender aromatherapy at the Bina Sehat Clinic with a Z_Wilcoxon value obtained at -4.001 and a significant value of 0.000 (p<0.000). There was a significant effect on the results of the first stage of labor pain before and after the lavender and jasmine aromatherapy intervention period, which was -4.143 and a significant value of 0.000 (p<0.000).

背景:东南亚国家的孕产妇死亡率为印度尼西亚每10万活产190例，越南每10万活产49例，泰国每10万活产26例，文莱每10万活产27例，马来西亚每10万活产29例(世卫组织，2015年)。2020年日惹特区的孕产妇死亡率数据为40例，比前一年的36例有所增加。在班图尔区，有20例产妇死亡(DIY保健办公室，2020年)。分娩镇痛方法分为非药物(精神预防、催眠、针灸、触摸愈合疗法、放松练习、按摩疗法、音乐疗法)和药物(全身药物、吸入麻醉剂、全身麻醉、区域麻醉)(Tanvisut et al.， 2018)。目的:本研究旨在确定薰衣草和茉莉花芳香疗法对比纳塞哈特诊所分娩第一阶段疼痛水平的影响。方法:采用前测组和后测组设计进行准实验。在Sastroasmoro和Ismail(2011)中使用公式(Lemeshow et al.， 1997)的38名受访者样本。结果:在Bina Sehat诊所，茉莉花芳香疗法比薰衣草芳香疗法更有效地减轻初产母亲的疼痛水平。在薰衣草和茉莉花香薰干预期前后，第一阶段分娩疼痛水平有显著影响。结论:在Bina Sehat诊所，茉莉花香薰疗法比薰衣草香薰疗法更有效地减轻第一阶段分娩的疼痛水平，Z_Wilcoxon值为-4.001，显著值为0.000 (p

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引用次数: 0

Utilization of complementary therapy in midwife services in the City of Surabaya 泗水市助产士服务中补充疗法的使用情况

Jurnal Ners dan Kebidanan

Pub Date : 2022-11-30 DOI: 10.21927/jnki.2022.10(3).190-197

Nova Elok Mardliyana, Irma Maya Puspita, Annisa’ Wigati Wigati Rozifa

Background : Midwifery services are provided by midwives with conditions and licenses by applicable regulations and laws to practice midwifery. Midwife can combine conventional and complementary therapies in providing health services.

Objectives: Complementary therapy in midwifery services is a choice for pregnant women, maternity, postpartum, infants, and toddlers to improve health status with promotive, preventive, curative, rehabilitative efforts with high quality, safety, and effectiveness. In addition, complementary therapies can reduce medical intervention.

Methods: The research method used is a mixture of quantitative and qualitative methods. Data collection was carried out by survey without intervention on research subjects. The survey was carried out in two stages, first by distributing questionnaires to collect quantitative data, then continued with the second stage, namely in-depth interviews with subjects who met the criteria from quantitative data obtained by the researcher.

Results: This study shows that the independent practice of midwives in Surabaya is as much as 54% (44 people) have applied. In comparison, 46% (37 people) have not implemented complementary therapies in their midwifery services. Types of complementary therapies applied were baby massage and SPA 30% (23 people), oxytocin massage 19% (15 people), hypnotherapy (hypnobirthing) 14% (11 people), yoga (prenatal and postnatal) 12% (9 people), massage for pregnant women 10% (7 people), Acupressure 5% (4 people), Aromatherapy 5% (4 people), Herbal Medicines or Traditional Herbs 5% (4 people).

Conclusions: Complementary midwifery services are an option to reduce medical interventions during pregnancy, childbirth, the puerperium, infants, and toddlers.

背景:助产服务是由具有条件和执照的助产士根据适用的法规和法律执业助产。助产士在提供保健服务时可以结合传统疗法和补充疗法。目的:助产服务中的补充治疗是孕妇、产妇、产后、婴幼儿的一种选择，通过高质量、安全、有效的促进、预防、治疗和康复工作来改善健康状况。此外，补充疗法可以减少医疗干预。方法:采用定量与定性相结合的研究方法。数据收集采用问卷调查的方式，对研究对象不进行干预。调查分两个阶段进行，首先通过发放问卷收集定量数据，然后继续进行第二阶段，即对研究人员获得的定量数据中符合标准的受试者进行深度访谈。结果:本研究显示泗水市助产士独立执业申请人数高达54%(44人)。相比之下，46%(37人)没有在助产服务中实施补充疗法。应用的补充疗法类型为婴儿按摩和SPA 30%(23人)，催产素按摩19%(15人)，催眠疗法(催眠分娩)14%(11人)，瑜伽(产前和产后)12%(9人)，孕妇按摩10%(7人)，穴位按压5%(4人)，芳香疗法5%(4人)，草药或传统草药5%(4人)。结论:辅助助产服务是减少妊娠、分娩、产褥期、婴儿和幼儿期间医疗干预的一种选择。

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引用次数: 3

The effect of transcutaneous electrical nerve stimulation (TENS) on decreasing primary dysmenorrhea pain in adolescents 经皮神经电刺激(TENS)减轻青少年原发性痛经疼痛的效果

Jurnal Ners dan Kebidanan

Pub Date : 2022-11-30 DOI: 10.21927/jnki.2022.10(3).251-261

Nur Rahmawati Sholihah, Ratih Kumorojati

Background: Dysmenorrhea is medical condition indicated by an increase of the prostaglandin (PG) F2-alpha hormone and cyclooxygenase (COX-2) causing hypertonic as well as vasoconstriction activity to the myometrium. It leads to ischemia and stimulating pain in the uterine organs. The condition influence quality of life and productivity of majority female patients. Dysmenorrhea incidence in Indonesia is reported by 64.25% and a total of 52% of students in Yogyakarta experienced drop activity during menstruation.

Objectives: This study aimed to evaluate the effect of TENS in reducing primary dysmenorrhea pain among female adolescents in General Ahmad Yani University Yogyakarta

Methods: A quasi experiment study with pretest-posttest control group design was conducted. A total of 24 participants for intervention and control group were recruited. In order to recruit study participants, this research implemented a quota sampling approach. Primary dysmenorrhea pain measured using Numerical Rating Scale (NRS) and bivariate analysis between both groups carried out using T-test.

Results: A significant difference (p<0.05) reported from both groups before and after the intervention. Prior to the treatment, the average pain score for intervention group was 6 (1.70) and ranging from 4-10. After the treatment being delivered, the intervention group experienced lower pain intensity by average 3.42 (1.6) between 1-6 score range. Control group in this study reported average pain score before the intervention by 4 (1.16) with and ranging from 3-6. The treatment decreased control group participants pain level to average 1.50 (0.52) between the range of 1-2. TENS is effective for severe pain management. Effleurage massage suitable for moderate level pain management. TENS intervention effective to lower pain by 3.50%.

Conclusions: TENS and massage intervention potential to decrease pain intensity of primary dysmenorrhea. This study reported lower pain level associated with TENS by 3.50%. TENS had significant effect for reducing dysmenorrhea pain by 3.50%.

背景:痛经是一种以前列腺素(PG) f2 - α激素和环氧化酶(COX-2)升高引起肌层高渗和血管收缩活性为特征的医学疾病。它会导致子宫器官缺血并刺激疼痛。这种情况影响大多数女性患者的生活质量和生产能力。据报告，印度尼西亚痛经发病率为64.25%，日惹市共有52%的学生在月经期间活动下降。目的:本研究旨在评价TENS减轻日惹大学女生原发性痛经疼痛的效果。方法:采用前测后测对照组设计进行准实验研究。干预组和对照组共24人。为了招募研究参与者，本研究采用配额抽样方法。原发性痛经疼痛采用数值评定量表(NRS)测量，两组间采用t检验进行双变量分析。结论:TENS与按摩干预有降低原发性痛经疼痛强度的潜力。该研究报告了与TENS相关的疼痛程度降低3.50%。TENS可显著减轻痛经疼痛3.50%。

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引用次数: 1

Self-Care Behavior and Associated Factors in the Elderly with Hypertension 老年高血压患者的自我护理行为及其相关因素

Jurnal Ners dan Kebidanan

Pub Date : 2022-08-26 DOI: 10.26699/jnk.v9i2.art.p248-254

Raden Roro Dewi Rahmawaty Aktyani Putri, Wimar Anugrah Romadhon

Hypertension is one of the main risk factors for life-threatening cardiovascular disease and is often called the silent killer The results of basic health research in 2018 suffered from hypertension were the most in the elderly aged 55 to 64 years (55.2%). Hypertension in the elderly is a chronic disease that requires disease care management including regular blood pressure control and self-care behavior programs to prevent further complications. This study aims to determine the factors related to self-care behavior in hypertensive elderly in the Integrated Health Care Center of elderly, Srikandi, Turi Sub District, Community Health Centers of Sukorejo, Sukorejo district, Blitar. The method used in this study was an analytical descriptive study with a cross-sectional approach conducted on 38 hypertensive elderly people. The study was conducted from January to February 2022. Analysis data using multiple linear regression analysis to ascertain the possible factors that influence self-care behavior. Based on this study, the Rank Spearman correlation test results, the factor that correlated with self-care behavior was level of education and time living with diagnosed hypertension with a Sig (2-tailed) value of 0.008; 0,000 with a correlation coefficient is positive, the value of 0.427; 0.605. so that the relationship between the two variables is unidirectional. This study recommends that community nurses must understand the factors that influence self-care behavior in hypertensive clients in the community so that they are able to provide appropriate nursing care.

高血压是危及生命的心血管疾病的主要危险因素之一，通常被称为沉默的杀手。2018年的基础健康研究结果显示，55至64岁的老年人中患高血压的人数最多（55.2%）。老年人高血压是一种慢性病，需要疾病护理管理，包括定期控制血压和自我护理行为程序，以防止进一步的并发症。本研究旨在确定图里街道斯里坎迪老年人综合保健中心、布利塔苏科雷霍苏科雷乔社区卫生中心高血压老年人自我保健行为的相关因素。本研究中使用的方法是一项分析描述性研究，采用横断面方法对38名高血压老年人进行研究。该研究于2022年1月至2月进行。使用多元线性回归分析数据，以确定影响自我护理行为的可能因素。基于这项研究，Rank-Spearman相关性检验结果，与自我照顾行为相关的因素是教育水平和被诊断为高血压的生活时间，Sig（2-尾）值为0.008；0000具有正相关系数，其值为0.427；0.605.使得这两个变量之间的关系是单向的。本研究建议社区护士必须了解影响社区高血压患者自我护理行为的因素，以便能够提供适当的护理。

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引用次数: 0

Overview of The Burnout Potential of Employee Staff during Pandemic Times at UNITRI 大流行时期研训所员工的职业倦怠潜力概述

Jurnal Ners dan Kebidanan

Pub Date : 2022-08-26 DOI: 10.26699/jnk.v9i2.art.p255-260

Sirli Mardianna Trishinta, W. R. Hastutiningtyas, Yanti Rosdiana

With the Covid-19 pandemic, the central government has given policies for all local governments so that the activity process is carried out from home. However, burnout can occur because this is a psychological symptom such as physical, emotional, mental fatigue and depression that can occur in worker. The purpose of the study was to determine the description of the potential for burnout of workers in employee at UNITRI during the pandemic. The research design used a quantitative description. The population of this study were all 35 employee staff at UNITRI with purposive sampling, in order to obtain a research sample of 18 respondents. The data collection technique used an instrument in the form of a questionnaire. The data analysis method used is descriptive test. The results showed that almost all 15 respondents (83.3%) had moderate burnout potential. Future researchers are expected to conduct similar research by exploring the determinant factors of the potential for worker Burnouts.

随着新冠肺炎疫情的爆发，中央政府为所有地方政府制定了政策，以便在家中开展活动。然而，职业倦怠可能发生，因为这是一种心理症状，如身体、情绪、精神疲劳和抑郁，可能发生在工人身上。该研究的目的是确定大流行期间训研所员工职业倦怠的可能性。研究设计采用定量描述。本研究的研究对象为研训所所有35名员工，目的是为了获得18名受访者的研究样本。数据收集技术使用问卷形式的工具。使用的数据分析方法是描述性检验。结果显示，15名被调查者几乎全部(83.3%)具有中等职业倦怠潜能。未来的研究人员希望通过探索潜在的员工倦怠的决定因素来进行类似的研究。

引用次数: 0

The Effect of Health Education on Mandiri Nutrition Management DM Patients at Tamangapa Puskesmas Kelurahan Tamangapa Kecamatan Manggala Tamangapa Puskesmas Kelurahan Tamangapa Kecamatan Manggala医院健康教育对糖尿病患者曼迪利营养管理的影响

Jurnal Ners dan Kebidanan

Pub Date : 2022-08-26 DOI: 10.26699/jnk.v9i2.art.p168-177

Amriati Mutmainna, I. Dewi

Diabetes mellitus is a metabolic disease that can result in pancreatic beta cells unable to produce insulin effectively, resulting in a buildup of blood glucose levels Diabetes is the third largest cause of death in Indonesia with a percentage of 6.7%, after stroke (21.1%) and coronary heart disease (12.9%). One of the control efforts is health education which aims to increase the knowledge of DM patients about independent nutritional management of DM patients. This study aims to develop nursing science, namely information about the effect of health education on independent nutrition management of DM patients at Tamangapa Puskesmas, Tamangapa Village, Manggala District, Makassar City. This type of research used a quasi-experimental research design with a pre-post test design approach. The research has been conducted at the Tamangapa Puskesmas, Tamangapa Village, Manggala District, Makassar City. The population in this study were all patients with Diabetes Mellitus who were undergoing treatment on the day of the study. The samples in this study were 51 people and used total sampling. The results obtained are that there is an effect of health education on independent nutritional management of DM patients at Tamangapa Public Health Center, Tamangapa Village, Manggala District, Makassar City.

糖尿病是一种代谢性疾病，可导致胰腺β细胞无法有效产生胰岛素，导致血糖水平升高。糖尿病是印度尼西亚第三大死亡原因，占6.7%，控制措施之一是健康教育，旨在提高糖尿病患者对糖尿病患者独立营养管理的认识。本研究旨在发展护理科学，即关于健康教育对望加锡市芒加拉区Tamangapa村TamangapaPuskesmas糖尿病患者独立营养管理的影响的信息。这类研究采用了准实验研究设计和测试前-测试后设计方法。这项研究是在望加锡市芒加拉区Tamangapa村的TamangapaPuskesmas进行的。本研究中的人群均为研究当天正在接受治疗的糖尿病患者。本研究中的样本为51人，采用总抽样法。结果表明，在望加锡市芒加拉区塔曼加帕村塔曼加巴公共卫生中心，健康教育对糖尿病患者的独立营养管理有影响。

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引用次数: 0

Multilevel Analysis of Determinants of Stunting Incidence in Children Under 5 Years in Malaka Regency, East Nusa Tenggara 东努沙登加拉马拉卡县5岁以下儿童发育迟缓发生率的多因素分析

Jurnal Ners dan Kebidanan

Pub Date : 2022-08-26 DOI: 10.26699/jnk.v9i2.art.p241-247

Yosefa Sarlince Atok, R. Sormin, Nabilah Nurul Ilma

Stunting is still a global nutritional problem. Stunting is a picture of the occurrence of chronic nutritional problems. Stunting caused by multiple factors, especially if it occurs in the first 1000 days of birth. Malaka Regency is one of the regions in NTT that recorded an increase in the percentage of stunting, from the previous 25% to 30% with the number of children experiencing stunting in Malaka currently reaching 4,909 people. With this number, Malaka is in 11th place with stunting in NTT (Malaka District Health Office, 2020). The purpose of the study was to determine the determinants of stunting in children under five in Malaka Regency. Research design. This research is analytic observational. This research is an observational analytic. The approach is case control and using a multilevel model which is one of the analytical techniques to determine the relationship between various variables in health with the Stata-13 program. This research was conducted by simple random sampling. The sampling technique used in this study. The sampling technique used in this study was stratified random sampling. The method used at the first level was to randomly select 10 villages in the district of Malaka, the second level to randomly select 25 integrated health care (IHC). Eight research subjects will be taken from each integrated service post so that the sample studied is 200 research subjects. Data was collected using a questionnaire and height measurement using a microtoise measuring instrument. The results of this study indicate that the factors causing stunting are exclusive breastfeeding (55.5%), Basic Sanitation (61.5%), Parenting (67.5%), and early marriage (32.0%). The results of this study indicate that the causes of stunting based on these variables have a significant difference (p < 0.05). Recommendations for health workers conduct socialization and counseling about exclusive breastfeeding, the importance of hygiene practices in daily life including caring for children, maximizing the community-based total sanitation program and conducting socialization related to the influence of early marriage.

眩晕仍然是一个全球性的营养问题。眩晕是慢性营养问题的一种表现。由多种因素引起的眩晕，尤其是在出生后的前1000天。马拉卡县是NTT发育迟缓率有所上升的地区之一，从之前的25%上升到30%，马拉卡经历发育迟缓的儿童人数目前达到4909人。根据这一数字，马拉卡在NTT中发育迟缓排名第11（马拉卡地区卫生办公室，2020）。该研究的目的是确定马拉卡县五岁以下儿童发育迟缓的决定因素。研究设计。这项研究是分析观察的。这项研究是一项观察分析。该方法是病例控制，并使用多级模型，这是通过Stata-13程序确定健康中各种变量之间关系的分析技术之一。这项研究是通过简单的随机抽样进行的。本研究中使用的抽样技术。本研究中使用的抽样技术为分层随机抽样。第一级使用的方法是随机选择马拉卡区的10个村庄，第二级随机选择25个综合医疗保健（IHC）。每个综合服务职位将抽取8个研究科目，因此所研究的样本为200个研究科目。数据采用问卷调查法收集，身高采用微声测量仪测量。研究结果表明，造成发育迟缓的因素有纯母乳喂养（55.5%）、基本卫生（61.5%）、育儿（67.5%）、，以及早婚（32.0%）。本研究结果表明，基于这些变量的发育迟缓原因有显著差异（p<0.05）。建议卫生工作者进行关于纯母乳喂养、日常生活中卫生习惯的重要性（包括照顾孩子）、，最大限度地实施以社区为基础的全面卫生计划，并进行与早婚影响相关的社会化。

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引用次数: 2

Literature Review: The Effect of Acupressure on Menstrual Pain in Adolescents 文献综述:穴位按压对青少年经期疼痛的影响

Jurnal Ners dan Kebidanan

Pub Date : 2022-08-26 DOI: 10.26699/jnk.v9i2.art.p270-275

Niken Firda, K. Kiswati, Ira Titisari, Finta Isti Kundarti

Menstrual pain is a condition that bothers most women regardless of age, with the highest percentage being in their teens. Menstrual pain is categorized into mild, moderate, severe and very severe pain. Women who experience menstrual pain can interfere with their activities ranging from daily activities, school to work. One way to reduce menstrual pain non-pharmacologically is to use acupressure. This study aimed to determine the effect of acupressure on menstrual pain in adolescents. This was a literature Review with Systematic Mapping Study (Scoping Study) design. This study used journals published in the last 5 years. The ten journals used were obtained from the Google Schoolar, PubMed and Sciencedirect databases. The journals obtained had passed the selection based on the year of publication, the suitability of the title with keywords, the feasibility of the journal, the ability to access, duplication and inclusion criteria. The journal was then analyzed using the instrument of presenting the results of a literature review. The most widely used acupressure point was sanyinjiao (Sp 6) by pressing or massaging. The intensity of menstrual pain after being given acupressure was decreased, the average pain intensity decreased between before and after being given acupressure starting from a scale of 0.86 to 6.7. The results of the analysis of all journals show P value < a, which meant that there was a significant effect of giving acupressure on decreasing the intensity of menstrual pain in adolescents. Giving acupressure by pressing or massaging certain meridians can increase the levels of endorphins that are useful for reducing the intensity of menstrual pain in adolescents. Education about proper massage techniques will help reduce the level of pain that occurs during menstruation.

月经疼痛是困扰大多数女性的一种疾病，无论年龄大小，其中青少年的比例最高。月经疼痛分为轻度、中度、重度和极重度。经历月经疼痛的女性会干扰她们的日常活动、上学和工作。一种非药物性减轻月经疼痛的方法是使用指压法。本研究旨在确定穴位按压对青少年月经疼痛的影响。这是一篇系统制图研究（范围界定研究）设计的文献综述。这项研究使用了过去5年发表的期刊。所使用的十种期刊来自Google Schoolar、PubMed和Sciencedirect数据库。获得的期刊通过了基于出版年份、标题与关键词的适合性、期刊的可行性、访问能力、重复和收录标准的评选。然后使用文献综述结果的工具对该期刊进行分析。使用最广泛的穴位是三阴交（Sp6），通过按压或按摩。给予穴位按压后的月经疼痛强度降低，给予穴位按压前后的平均疼痛强度从0.86到6.7开始降低。所有期刊的分析结果均显示P值

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引用次数: 0

The Relationship of Knowledge to The Attitudes of Class VII Teenage Girls in Readiness to Face Menarche 知识与七班少女应对初潮态度的关系

Jurnal Ners dan Kebidanan

Pub Date : 2022-08-26 DOI: 10.26699/jnk.v9i2.art.p232-240

Mulazimah Mulazimah, Dhewi Nurahmawati, Indri Hapsari Trishastuti

Menstruation is one of the things that many girls or teenage girls fear. Those who are not aware of the occurrence of changes in the body and its reproductive processes, can suppose that menstruation is one of the diseases that occurs on her that affects physical and mental health. It happens to girls who are not given the knowledge and understanding of the correct menstruation, that menstruation is as a normal function. teenage girls who are not ready to face menarche will experience fear, anxiety, surprise, sadness, disappointment, shame, worry and confusion that will arise the desire to reject the physiological process. Adolescence feels that menstruation as something cruel and threatening, this can also continue in a more negative direction. Teenage girls who are ready to face menarche, will feel happy and proud, because they consider themselves biologically mature. Analytical observational research with cross sectional design. The subjects in this study were teenage girls in grade VII of SMPN 1 Gampeng Rejo Kediri who were aged 12-14 years and were willing to become respondents, who had not or who had menstruated and wanted to fill out the questionnaires included in the inclusion questionnaire totaling 40 people. Most of the 29 respondents (72.5%) had an attitude of accepting criteria to face menarche, namely 2 respondents (5%) with criteria not ready to face menarche, 16 respondents (40%) with criteria of being sufficiently prepared and 11 respondents (27.5%) with ready criteria. The results of the correlation test showed there is a significant relationship between the Menarche Knowledge and Attitudes of Class VII Teenage Girls in Menarche Readiness. D gets a value of ρvalue = 0.000 < α 0.05.

月经是许多女孩或十几岁女孩害怕的事情之一。那些没有意识到身体及其生殖过程发生变化的人，可以认为月经是她身上发生的影响身心健康的疾病之一。对于那些没有正确月经知识和理解的女孩来说，月经是一种正常的功能。未准备好面对月经初潮的少女会经历恐惧、焦虑、惊讶、悲伤、失望、羞耻、担忧和困惑，从而产生拒绝生理过程的欲望。青春期觉得月经是一种残酷和威胁，这也会朝着更消极的方向继续下去。准备好面对月经初潮的十几岁女孩会感到快乐和自豪，因为她们认为自己在生理上已经成熟。采用横断面设计的分析观测研究。本研究的受试者是SMPN 1 Gampeng Rejo Kediri七年级的少女，她们年龄在12-14岁之间，愿意成为受访者，她们没有或曾经来过月经，想要填写纳入问卷中的问卷，共40人。29名受访者中，大多数（72.5%）对接受面对初潮的标准持态度，即2名（5%）不准备面对初潮，16名（40%）准备充分，11名（27.5%）准备就绪。相关检验结果表明，初七班女生的初潮知识与初潮准备态度之间存在显著的相关性。D的ρ值=0.000<α0.05。

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引用次数: 0

Literature Review: Analysis to Reduce Maternal Mortality 文献综述:降低产妇死亡率的分析

Jurnal Ners dan Kebidanan

Pub Date : 2022-08-26 DOI: 10.26699/jnk.v9i2.art.p261-269

Indah Lestari, Noer Saudah, Catur Prasastia Lukita Dewi

The maternal mortality rate in Indonesia is still high. Hard efforts are needed so that the Sustainable Development Goals target of 70 per 100,000 live births in 2030 can be achieved. The purpose of the study was to identify aspects related to the trend issue of maternal mortality, the determinants of causes, strategic efforts and the role of family planning in reducing maternal mortality. This literature review describes sixteen peer-reviewed journals based on inclusion criteria. The results of the analysis of the literature review found that aspects of findings related to maternal mortality were as follows: trends issue maternal mortality (Maternal mortality is more common in developing countries), causative factors (Status health (nutrition, comorbidities and maternal complications), reproductive status (age, parity, gestational distance), access to health services and policies/regulations, health behavior (contraception use, socioeconomic)), strategic efforts (maternal and neonatal health management, Quality antenatal services, safe delivery and family planning) and family plans (Support system (women's status, family and community status)). The review analysis provides directions and patterns of strategic work steps, collaboration of various support systems ranging from the role of individuals, families, communities, health services and the government in ensuring maternal and child health.

印度尼西亚的产妇死亡率仍然很高。需要作出艰苦努力，才能实现可持续发展目标中到2030年每10万例活产死亡70人的具体目标。这项研究的目的是查明与产妇死亡率趋势问题、原因的决定因素、战略努力和计划生育在降低产妇死亡率方面的作用有关的各个方面。本文献综述基于纳入标准描述了16份同行评议期刊。文献审查的分析结果发现，与产妇死亡率有关的调查结果的各个方面如下:趋势问题包括孕产妇死亡率(孕产妇死亡率在发展中国家更为常见)、致病因素(健康状况(营养、合共病和孕产妇并发症)、生殖状况(年龄、胎次、妊娠距离)、获得保健服务和政策/法规的机会、健康行为(使用避孕药具、社会经济)、战略努力(孕产妇和新生儿健康管理、优质产前服务、安全分娩和计划生育)和计划生育(支持系统(妇女地位、家庭和社区地位))。审查分析提供了战略工作步骤的方向和模式，以及从个人、家庭、社区、卫生服务和政府在确保孕产妇和儿童健康方面的作用等各种支持系统的协作。

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引用次数: 0

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