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The Effectiveness of Breath Relaxation with Balloon Blowing Technique towards Oxygen Saturation of COPD Patients 球囊吹法呼吸放松对COPD患者血氧饱和度的影响
Pub Date : 2020-10-25 DOI: 10.31290/JPK.V9I2.2031
T. Tunik, Rahayu Niningasih, Edi Yuswantoro
Physiology and psychology are problems which statistically experienced by the patients of COPD and decrease their quality of life. Breathing Relaxation with Balloon Blowing Technique is one the best breathing exercises to regain the function of lungs. The objective of this thesis was to measure the effectiveness of breathing relaxation with balloon blowing technique towards oxygen saturation. The research design used in this thesis was pre experiment with pre post test one design. The sample of the thesis was thirty respondents of COPD patients of Flamboyan room in dr. Soedomo hospital. The sampling technique used in this research was consecutive sampling technique. It was consisted of a group of intervention. Pre test and post test were used to collect the data of the research on the third and seventh day. The result were tested using Repeated ANOVA test. The research showed that there was a significant result to oxygen saturation, before and after doing intervention on the third and seventh day. The result of statistical analysis showed the p value was smaller than 0.05 at the oxygen saturation, on the third and seventh day.  Breathing relaxation with balloon blowing technique can increase the oxygen saturation patient with COPD
生理和心理是慢性阻塞性肺病患者普遍存在的问题,降低了他们的生活质量。呼吸放松吹气球技术是一个最好的呼吸练习,以恢复肺部的功能。本论文的目的是测量呼吸放松对氧饱和度的气球吹法的有效性。本论文采用的研究设计为预实验+前-后测试一种设计。本论文的样本为Soedomo博士医院Flamboyan病房的30名COPD患者。本研究采用的抽样技术为连续抽样技术。它由一组干预组成。在第3天和第7天分别采用前测和后测收集研究数据。结果采用重复方差分析(Repeated ANOVA)检验。研究表明,干预前、干预后第3天和第7天的血氧饱和度均有显著改善。统计分析结果显示,第3天、第7天血氧饱和度p值均小于0.05。采用球囊吹法放松呼吸可提高COPD患者的血氧饱和度
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引用次数: 1
Development Of Forensic Hypnosis Assesment Instrument For PTSD Midwifery Student Of Post Practice Learning Field Maternity 创伤后应激障碍助产专业实习学生法医催眠评估仪的研制
Pub Date : 2020-10-25 DOI: 10.31290/JPK.V9I2.2033
Rita Wahyuni, Aprian Subhananto
Midwives are very susceptible to experiencing PTSD, but STIKES students never admit to experiencing PTSD after completing the Maternity Field Learning Practice because this is a very sensitive matter so that experience and procedures are needed in the approach. If this is allowed, the PTSD will cause the stress to continue to the level of insanity and suicide. For this reason, a Forensic Hypnosis Assessment Instrument For PTSD is needed to detect PTSD experienced by students after the Maternity Field Learning Practice. This research used R dan D research method involving 2 Expert Validator, 1 Practitioner Validator, and 5 postgraduate students who were willing to be sampled on the instrument limited test. Collecting data using interview sheets. The results of the study were a description of the development of the Forensic Hypnosis Assessment Instrument For PTSD for Midwifery Students Post Maternity Field Learning Practice. Forensic Hypnosis Assessment Instrument For PTSD has good criteria from experts and practitioners. It has a huge potential effect on the detection of PTSD after the Field Learning Practice in Maternity. Forensic Hypnosis Assesment Instrument For PTSD is one of product that could give description, knowledge, and new approach for diagnosing candidate of midwives that ever and being PTSD.
助产士很容易经历创伤后应激障碍,但STIKES学生在完成产科领域学习实践后从不承认经历过创伤后应激障碍,因为这是一个非常敏感的问题,所以在方法中需要经验和程序。如果这是允许的,创伤后应激障碍将导致压力持续到精神错乱和自杀的水平。因此,需要一种PTSD法医催眠评估工具来检测产妇实地学习实践后学生的PTSD体验。本研究采用r&d研究方法,包括2名专家验证者、1名执业验证者和5名愿意接受仪器有限测试抽样的研究生。使用面试表收集数据。本研究的结果描述了用于助产学生产后实地学习实践的PTSD法医催眠评估工具的开发。《创伤后应激障碍法医催眠评估工具》得到了专家和从业人员的好评。它对产妇实地学习实践后PTSD的检测具有巨大的潜在作用。创伤后应激障碍法医催眠评估仪是一种能够对曾经患有创伤后应激障碍的助产士候选人进行描述、知识和诊断的新方法。
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引用次数: 0
Pengaruh Besaran Pendapatan Terhadap Tingkat Kepatuhan Peserta JKN Mandiri dalam Membayar Iuaran JJK di Kelurahan Pacitan 收入对参与者的自立合规水平的影响,在Pacitan中支付JJK费用
Pub Date : 2020-10-25 DOI: 10.31290/JPK.V9I2.1722
Inten Simbareja, Anak Agung Istri Citra Dewiyani
Jaminan Kesehatan Nasional atau JKN adalah program pemerintah yang dilaksanakan untuk memenuhi kebutuhan masyarakat Indonesia dalam bidang kesehatan. JKN dikelola oleh BPJS Kesehatan yang memiliki banyak masalah, seperti defisit. Salah satu penyebab tingginya angka defisit adalah rendahnya kepatuhan peserta JKN segmen mandiri dalam membayar iuran. Penelitian ini yaitu analitik kuantitatif dengan pendekatan cross sectional. Penelitian ini bertujuan untuk mengetahui gambaran tingkat pendapatan responden dan tingkat kepatuhan responden serta untuk mengetahui adanya hubungan antara pendapatan dan kepatuhan peserta JKN dalam membayar iuran JKN. Jumlah responden didalam penelitian ini sebanyak 89 orang. 60,7 persen dari total responden dikategorikan memiliki tingkat pendapatan yang tergolong tinggi , dan sisanya  39,3 persen memiliki tingkat pendapatan yang tergolong rendah. sedangkan untuk kepatuhan, sebesar 49,4 persen responden mematuhi pembayaran iuran JKN, dan 50,6 persen  tidak patuh membayar iuran JKN. Berdasarkan hasil uji Chi Square ditemukan bahwa p value sama dengan 0,000 lebih rendah p. Jadi H0 ditolak, yang berarti jumlah tingkat pendapatan memiliki hubungan dengan tingkat kepatuhan peserta JKN dalam membayar iuran JKN
国家健康保险或JKN是政府实施的一个项目,以满足印尼人民在卫生方面的需要。JKN是由健康BPJS管理的,它有很多问题,比如赤字。造成这一高赤字的原因之一是参与者在支付会费时缺乏合规。该研究是经分段法的定量方法。本研究的目的是了解应聘者的收入水平和应聘者的合规程度,并了解应聘者在支付JKN会费时的收入和合规之间的关系。这项研究的受访者人数为89人。总受访者中60.7%属于高收入水平,其余39.3%属于低收入水平。至于合规性,49.4%的受访者遵守JKN的会费,50%的受访者不遵守JKN的会费。根据Chi Square的测试结果,p值等于0,所以H0被拒绝,这意味着收入水平与参与者提交JKN的合规性水平有关
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引用次数: 1
Factors Related To The Behavior Of Adolescent Smoking (Secondary Data Analysis at SMAN DKI Jakarta and SMK Kabupat 与青少年吸烟行为相关的因素(在SMAN DKI Jakarta和SMK Kabupat的二次数据分析)
Pub Date : 2020-10-25 DOI: 10.31290/JPK.V9I2.2043
Marwah Berliana Putri, Retno Mardhiati Adiwiryono
The number of smokers in Indonesia continues to increase, especially among teenagers. If this continues, it can be confirmed that 10 million people will die from cigarettes per year by 2020, with 70 percent of cases occurring in developing countries such as Indonesia. The purpose of this study is to find out the factors related to adolescent smoking behavior in SMAN DKI Jakarta and SMK Kabupaten Kuningan 2016, taken from secondary data analysis. This research is quantitative research with cross sectional approach. Sampling techniques use saturated sampling techniques with a sample of 410 respondents. This research uses secondary data through the combination of research conducted in SMAN DKI Jakarta and research conducted in SMK Kabupaten Kuningan in 2016. The analysis used is univariate analysis, bivariate in the form of Chi Square test and multivariate analysis with double logistics regression. Univariate results showed respondents to the non smoking group namely 34.6 percent, adolescents namely 95.6 percent, male gender namely 84.6 percent, low knowledge namely 66.6 percent, bad attitudes namely 67.8 percent, easy access to cigarettes namely 84.9 percent, low cigarette advertising exposure namely 71.0 percent. Bivariate results showed variables related to adolescent smoking behavior, namely age and gender. The most dominant multivariate results associated with adolescent smoking behavior are age variables.
印度尼西亚的吸烟者数量持续增加,尤其是在青少年中。如果这种情况继续下去,可以肯定的是,到2020年,每年将有1000万人死于香烟,其中70%的病例发生在印度尼西亚等发展中国家。本研究的目的是通过二手数据分析,找出SMAN DKI Jakarta和SMK Kabupaten Kuningan 2016中青少年吸烟行为的相关因素。本研究采用横断面方法进行定量研究。抽样技术采用饱和抽样技术,样本为410名受访者。本研究使用了二手数据,通过结合在SMAN DKI雅加达进行的研究和2016年在SMK Kabupaten Kuningan进行的研究。采用单因素分析、卡方检验形式的双因素分析和双logistic回归的多因素分析。单因素结果显示,受访者中不吸烟的占34.6%,青少年占95.6%,男性占84.6%,对吸烟知识不了解的占66.6%,态度不好的占67.8%,容易接触到香烟的占84.9%,低香烟广告接触的占71.0%。双变量结果显示了与青少年吸烟行为相关的变量,即年龄和性别。与青少年吸烟行为相关的最主要的多变量结果是年龄变量。
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引用次数: 0
Hubungan Pendidikan Kesehatan Metode Ceramah Dengan Pengetahuan Ibu Nifas Primipara Tentang Perawatan Tali Pusat Bayi Baru Lahir Di PMB Ngadillah Pakis 健康教育关系讲座方法与Nifas Primipara母亲对PMB Di Ngadillah的新生儿中央产带护理的了解
Pub Date : 2020-10-25 DOI: 10.31290/JPK.V9I2.1984
Afriza Syahbana Destamega, Surachmindari Surachmindari, Asworoningrum Yulindahwati
Kematian bayi salah satunya disebabkan oleh infeksi. Infeksi tersebut terjadi dapat karena kurangnya pengetahuan ibu dalam melakukan perawatan tali pusar pada hari hari pertama kehidupan bayi pada. Upaya peneliti untuk meningkatkan pengetahuan perawatan tali pusat yaitu melalui metode ceramah. Pemilihan metode ini selain karena murah dari segi biaya, juga mudah untuk diulang kembali jika terdapat materi kurang dipahami oleh responden. Penelitian ini bertujuan untuk mengetahui hubungan pendidikan kesehatan metode ceramah dengan pengetahuan ibu nifas tentang perawatan tali pusat bayi baru lahir di PMB Ngadillah Pakis. Desain Penelitian menggunakan Pre Eksperimental dengan rancangan pre dan post test terhadap pengetahuan ibu nifas primipara. Sampel penelitian adalah seluruh  ibu nifas primipara yang memenuhi kriteria inklusi sejumlah 28 orang dengan teknik Sampling berupa Total Sampling. Data  penelitian dikumpulkan melalui kuesioner dan dianalisis  dengan  Wilcockson Signed Rank Test. Hasil penelitian menunjukkan 89,3 persen pengetahuan ibu nifas dalam kategori kurang sebelum dilakukan perlakuan, dan 96,4 persen pengetahuan dalam kategori baik setelah dilakukan perlakuan dengan p value 0,000. Artinya ada hubungan antara pendidikan kesehatan metode ceramah dengan pengetahuan ibu nifas primipara tentang perawatan tali pusat bayi baru lahir. Pendidikan Kesehatan dengan metode ceramah dapat dilakukan sebagai metode terpilih untuk menambah pengetahuan ibu nifas primipara dalam melakukan perawatan tali pusat.
婴儿的死亡是由感染引起的。感染的发生可能是由于母亲在婴儿出生的第一天缺乏对脐带治疗的知识。研究人员试图通过演讲的方法来增加脐带治疗的知识。选择这些方法不仅因为成本低,而且当材料缺乏被受访者理解时,很容易重复。本研究旨在了解mfas母亲对新生儿产带治疗的知识,以了解PMB蕨类植物中新生儿的产带治疗。研究设计采用的是预测和后测设计,对母亲nifas primipara知识进行测试。研究样本是nifas primipara的所有母亲,他们都具备28个具有完整抽样技术的融合标准。研究数据通过问卷收集并通过Wilcockson Signed Rank测试进行分析。研究表明,nifas母亲在治疗前的知识少于89.3%,而在治疗后的知识少于96.4%。这意味着演讲方法的健康教育与母亲对新生儿脐带护理的了解之间存在联系。以谈话方式进行健康教育可能是首选的手段,以增加母亲对脐带护理的了解。
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引用次数: 1
Overview Of Mother's Knowledge After Health Education About DPT Immunization 母亲接受百白破免疫健康教育后的知识概况
Pub Date : 2020-10-25 DOI: 10.31290/JPK.V9I2.1754
M. Putri, Goretti Maria Sindarti
Health education is an experience that is useful in influencing the habits, attitudes and knowledge of a person or society. Health education is given by extension methods and given repeatedly to remember and so that the subject is more familiar with the material that has been provided by the researcher. This will increase the knowledge of the first subject and the second subject to be very well proven by delivering their children immunizations, but only the provision of health education is different, for the first subject it is done four times and for the second subject it is done three times because of the perception and mindset that are not the same. The purpose of this study was to describe the knowledge of mothers after being given health education about DPT immunization. Data collection techniques using interviews and documentation with the instruments that have been prepared. The data analysis technique is presented in a narrative form. The results of the study were obtained from the two research subjects. After health education was carried out, the knowledge was better. The conclusion of the two research subjects with the provision of health education can increase knowledge and change bad behavior to be good. Recommendations for future researchers are expected to be able to take more subjects and provide health education with other immunization topics.
健康教育是一种有助于影响个人或社会的习惯、态度和知识的经验。健康教育是通过延伸的方法进行的,反复进行以记忆,使受试者更熟悉研究人员提供的材料。这将增加第一个主题和第二个主题的知识,通过为他们的孩子提供免疫接种得到很好的证明,但只有提供健康教育是不同的,对第一个主题进行了四次,对第二个主题进行了三次,因为感知和心态是不一样的。本研究的目的是描述母亲在接受百白破免疫健康教育后的知识。使用已准备好的工具进行访谈和记录的数据收集技术。数据分析技术以叙述的形式呈现。研究结果来自于两个研究对象。开展健康教育后,知识水平有所提高。两个研究对象的结论是,提供健康教育可以增加知识,改变不良行为。建议未来的研究人员能够采取更多的主题,并提供其他免疫主题的健康教育。
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引用次数: 0
Strategic Steps To Prevent And Control Tuberculosis In The Technical Implementing Unit 技术实施单位预防和控制结核病的战略步骤
Pub Date : 2020-10-25 DOI: 10.31290/JPK.V9I2.1927
Rafi Rizaldi, Padmono Wibowo
Tuberculosis or TB is a major global health and public health problem including the correctional UPT environment. The condition of overcapacity and inadequate infrastructure are urgent for taking strategic steps to control and prevent TB in the correctional UPT. The results showed that the Ministry of Law and Human Rights took steps to control and prevent TB through the Four Pillars of Control, namely the managerial pillar, administrative control pillars, environmental control pillars and pillars of control with personal protective equipment. In addition, several steps were taken by the Correctional UPT, namely contact investigations for TB suspects and cases as well as prevention of transmission through family and community members by prisoners or correctional officers
结核病或结核是一个主要的全球卫生和公共卫生问题,包括惩教UPT环境。产能过剩和基础设施不足的状况迫切需要采取战略步骤,以控制和预防结核。结果表明,法律和人权部通过控制的四大支柱,即管理支柱、行政控制支柱、环境控制支柱和配备个人防护装备的控制支柱,采取措施控制和预防结核病。此外,惩教部门还采取了若干步骤,即对结核病嫌疑人和病例进行接触调查,以及预防囚犯或惩教人员通过家庭和社区成员进行传播
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引用次数: 0
Overview Of Perineal Care In Baby With Diaper Rash at PMB Santi Rahayu Jabung Kabupaten Malang Santi Rahayu Jabung Kabupaten Malang医院婴儿尿布疹会阴护理综述
Pub Date : 2020-10-25 DOI: 10.31290/JPK.V9I2.1852
Sera Dea Permata, Tarsikah Tarsikah, Ita Yuliani
Diaper Rash is one of the problems that arise in the baby skin due to the incorrect treatment of the perineal area. The worst impact of incorrect treatment perineal care can disrupt the growth process, so it is necessary to give an intens good treatment, especially the perineal area of the baby in order to avoid problems such as Diaper Rash. The purpose of this study was to determined the description of perineal care in infants with diaper rash at PMB Santi Rahayu Jabung Malang Regency. This study using Qualitative descriptive research method with a case study approach. The method of geting respondens with a purposive sample of 4 mothers who have babies with diaper rash, 3 baby grandmothers, and 1 baby aunt who lives together as familly and involved in daily care of the baby. The validity of the data uses source triangulate method. The instrument that used in this study is the guideline for in depth interviews and the results from mobile voice recordings as documentation in the study. The result of this study showed that mothers treated their perineal babies before Diaper Rash by using pampers diapers longer than cloth diapers, changing brands of pampers, using fragrance softeners when washing diapers and baby clothes, changing pampers more than four hours, does not dry the perineal area after cleaning, use powder to the perineal area, change the brand of bath soap
尿布疹是婴儿皮肤出现的问题之一,由于不正确的治疗会阴区。不正确的会阴护理最坏的影响是会扰乱生长过程,所以有必要给予强烈的良好治疗,特别是宝宝的会阴区域,以避免出现尿布疹等问题。本研究的目的是确定Santi Rahayu Jabung Malang Regency PMB婴儿尿布疹的会阴护理描述。本研究采用定性描述性研究方法,结合个案研究方法。调查对象为4位有尿布疹婴儿的母亲,3位婴儿祖母和1位婴儿阿姨她们作为家庭生活在一起并参与婴儿的日常护理。数据的有效性采用源三角法。本研究中使用的工具是深度访谈的指导方针,并将移动语音记录的结果作为研究中的文件。本研究结果显示,母亲在治疗会阴部婴儿尿布疹前使用帮宝适尿布的时间比布尿布长,更换帮宝适品牌,在洗尿布和婴儿衣服时使用芳香软性剂,更换帮宝适超过4小时,清洗后不擦干会阴区域,使用散粉到会阴区域,更换沐浴皂品牌
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引用次数: 0
The Effect Of Deep Breathing Exercise On The Level Of Answer In Pre Operation Sectio Caesarea Patients In Lavalette Hospital, Malang City 马琅市拉瓦莱特医院剖宫产术前深呼吸练习对患者回答水平的影响
Pub Date : 2020-10-25 DOI: 10.31290/JPK.V9I2.2049
Hidayat Abdul Azis, E. Retnaningtyas, Goretti Maria Sindarti
Deep Breathing Exercise is one of the nonpharmacological management that is an effective method of reducing anxiety in patients undergoing surgery. The purpose of this study is to determine the effect of Deep Breathing Exercise on anxiety levels in patients pre surgery Sectio Caesarea at Lavalette Hospital of Malang. The research design used was pre experimental design with one group pretest postest design. The sample in this research is 26 respondents. Sampling using purposive sampling, data collection using questionnaires and interviews using the HARS scale. The result of this research was obtained pretest data of Deep Breathing Exercise of anxious patient very heavy 4 people namely 15,38 percent, worried weight 17 people namely 65,38 percent, anxious being 5 people namely 19,24 percent. Posttest Deep Breathing Exercise patient anxious weight 12 people namely 46,15 percent, anxious being 11 people namely 42,31 percent, mild anxious 3 people namely 11,54 percent. Based on the results of the research analysis using Wilcoxon Sign Rank Test, the results showed that p value equal 0.001 is smaller than p equal 0.05, it can be concluded that there is influence of Deep Breathing Exercise on anxiety level in patient pre operation of Sectio Caesarea at Lavalette Hospital of Malang. The researcher recommendation is then expected to use more samples and longer treatment. So that will cause a greater effect on decreasing anxiety levels of patients preoperative Sectio Caesarea.
深呼吸运动是一种非药物治疗方法,是减少手术患者焦虑的有效方法。本研究的目的是确定深呼吸运动对玛琅拉瓦莱特医院剖腹产术前患者焦虑水平的影响。本研究采用实验前设计和一组前测后设计。本研究的样本为26名受访者。抽样采用目的性抽样,数据收集采用问卷调查和访谈采用HARS量表。本研究的结果得到了焦虑患者重度4人即15.38%,焦虑体重17人即65.38%,焦虑5人即19.24%的深呼吸练习前测试数据。后测深呼吸运动患者焦虑体重12人即46、15%,焦虑11人即42、31%,轻度焦虑3人即11、54%。采用Wilcoxon Sign Rank检验对研究结果进行分析,结果显示p值= 0.001小于p = 0.05,可以得出结论,在马朗Lavalette医院剖腹剖腹手术中,深呼吸运动对患者术前焦虑水平有影响。研究人员建议使用更多的样本和更长时间的治疗。这将对减少术前剖腹产患者的焦虑水平产生更大的影响。
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引用次数: 0
Hubungan Lamanya Penggunaan Kontrasepsi Suntik DMPA (Depo Medroxyprogesterone Acetate) dengan Kadar Glukosa Darah Puasa di PMB Yulida Ti’ani 长期使用DMPA注射器的关系
Pub Date : 2020-10-25 DOI: 10.31290/JPK.V9I2.1445
Dika Tri Muzayana, Ari Kusmiwiyati, A. Annisa
Penggunaan kontrasepsi tidak terlepas dari berbagai efek samping, terutama pada penggunaan jangka panjang. Salah satu efek samping pada penggunaan DMPA jangka panjang adalah gangguan toleransi glukosa darah. Penelitian ini bertujuan untuk menganalisis hubungan lamanya penggunaan kontrasepsi suntik DMPA dengan kadar glukosa darah puasa. Ini adalah penelitian kuantitatif dengan desain cross sectional. Populasi pada penelitian ini adalah ibu akseptor kontrasepsi suntik DMPA di PMB Yulida Tiani sebanyak 48 responden. Sampel berjumlah 30 responden diambil dengan menggunakan teknik purposive sampling dengan memperhatikan kriteria inklusi dan eksklusi. Metode pengumpulan data menggunakan pedoman wawancara dan pemeriksaan laboratorium glukosa darah puasa. Hasil analisis dengan menggunakan Spearman Ranked dengan p sama dengan 0.1 dan p tabel 0,306 diperoleh nilai p value lebih besar dari p tabel yaitu 0,522 lebih besar dari 0.306, yang berarti H0 diterima atau tidak terdapat hubungan yang bermakna antara lama penggunaan kontrasepsi suntik Depo Medroxyprogesterone Acetate dengan kadar glukosa darah puasa. Hasil penelitian ini menunjukkan bahwa 54,8 persen telah menggunakan kontrasepsi DMPA selama 24 sampai dengan 65 bulan dan 77,4 persen memiliki kadar glukosa darah antara 60 sampai dengan 100 gr per dL atau dalam batas normal. Oleh karena itu, kontrasepsi DMPA aman digunakan pada jangka panjang selama akseptor tidak memiliki faktor resiko terhadap Diabetes Mellitus.
避孕措施的使用并不是副作用,尤其是长期使用。长期使用DMPA的副作用之一是葡萄糖耐受性障碍。本研究旨在分析过去使用DMPA注射器与快速血糖水平之间的关系。这是定量研究的横截面设计。这项研究的人口是PMB Yulida Tiani的DMPA注射器拔塞器,共48名受访者。该样本由30名受访者采用采样技术,以符合夹杂物和排泄物的标准进行采样。数据收集方法采用指南采访和快速葡萄糖测试实验室。用Spearman Ranked分析表p等于0。1和p p值获得0,306价值大于p表即0.522 0.306的更大,意味着豪接受与否之间有意义的关系长期避孕注射醋酸Medroxyprogesterone Depo通过血液葡萄糖含量禁食。这项研究结果表明,百分之54.8避孕使用DMPA已有24到百分之65个月和77.4有血液葡萄糖水平60至100克/ dL或在可接受的范围内。因此,DMPA安全避孕方法用于长期对糖尿病Mellitus只要akseptor没有风险因素。
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引用次数: 0
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