The Role of Health Workers in Realizing Community Independence to Prevent Non-Communicable Diseases in Campurejo Community Health Center, Kediri City

This study aimed to determine the understanding of health care towards social phenomena related to the dominance of non-communicable diseases which were increased in the community and to identify what efforts were made by health workers in preventing non-communicable diseases. The long-term goal of this study was to control the risk factors for PTM in Indonesia, especially in Campurejo Health Center, Mojoroto District, Kediri City. This study used a qualitative method with 72 populations and 10 samples. The data was collected through purposive sampling and in-depth interviews. The study informants were health workers from Kediri city health office, health workers at the Campurejo Health Center, community leaders and health cadres. The data analysis used interactive qualitative methods (Milles and Hebberman) and the instrument was recorder. The results of the study showed the concept of objectivation in opposing the flow of public understanding of PTM could be seen from the results of the socialization conducted by health workers. This new fact could be seen from one of the efforts of health workers in disseminating PTM in society. Other forms of socialization that were still general in nature could be seen in a variety of activity formats, for example: early detection, health promotion, counseling, mobile Posbindu, and door to door systems. The five micro activities were derived from the grand design of socialization in the perspective of social construction theory as a form of externalization by health workers

Risk Factors of Breast Cancer based on Case-Control Study in Women of Child-Bearing Age (WEBA) at Gambiran Hospital Kediri

Breast cancer is a type of cancer that starts in the breast tissue and spreads throughout the body. Every year more than 185,000 women are diagnosed with breast cancer. This incidence is increasing in developed countries (Kemenkes RI, 2015). In Indonesia, a high rate of breast cancer, especially in Kediri, makes breast cancer the number one position of cancer in women, followed by cervical cancer. Based on research by Harrianto et al. at Dr. Cipto Mangunkusumo Hospital in the Journal of Public Health 8 (2) (2013) 121-126, breast cancer risk factors include a family history of breast cancer patients (15.79%), early menarche (8.77%), nullipara (7.02 %), and long-term use of pills containing estrogen (42.11%). In addition, there are also incidences of breast cancer, namely late menopause, history of breastfeeding, and obesity. From the description above, the purpose of this study is to determine and analyze the risk factors for breast cancer based on a case-control analysis in women at Gambiran Hospital, Kediri. This study uses data collection sheets and field studies, then processed for hypothesis testing so that the objectives of this research can be carried out. This study indicates a significant relationship between the risk factors for a breast cancer history with a p-value of 0.0000 OR 9.837. For women who have families with cancer should be aware of the onset of breast cancer. If they have reached puberty, it is recommended for early detection (screening test) through breast self-examination (BSE), IVA method, and mammography testing

RESIKO TERJADINYA MIOMA UTERI ANTARA USIA MENIKAH DAN PARITAS

Penelitian ini didasarkan oleh adanya perbedaan resiko terjadinya mioma uteri berdasarkan usia menikah dan paritas di Rumah Sakit TK IV Kota Kediri Tahun 2019. Metode penelitian yang digunakan adalah analitik komparasi. Penelitian ini bertujuan untuk mengidentifikasi dan menganalisa perbedaan resiko terjadinya mioma uteri berdasarkan usia menikah dan paritas. Akibat yang dapat ditimbulkan dari mioma uteri  adalah terjadinya perdarahan, anemia, dan infeksi, selain itu juga dapat meningkatkan Angka Kematian Ibu (AKI), dengan populasi 117 ibu yang berkunjung ke Poli Kandungan Rumah Sakit TK IV Kota Kediri tahun 2019. Besar sampel adalah 98 ibu yang berkunjung ke Poli Kandungan Rumah Sakit TK IV Kota Kediri, teknik sampel yang digunakan adalah Simpel Random Sampling. Cara pengukuran variable dengan menggunakan lembar pengumpul data. Nilai setiap subyek dikumpulkan dari lembar pengumpul data tersebut dalam bentuk angka dan prosentase. Uji Analisis yang digunakan adalah Chi –Square dengan menggunakan aplikasi SPSS. Hasil pada penelitian ini bahwa terdapat perbedaan resiko terjadinya mioma uteri antara faktor usia menikah dengan faktor paritas di Poli Kandungan Rumah Sakit TK IV Kota Kediri dengan hasil p value α < 0,005 yaitu sebesar 0,000. Kata kunci : Resiko mioma uteri, usia menikah, dan paritas

PERBEDAAN LAMA PERSALINAN KALA I FASE AKTIF ANTARA POSISI PERSALINAN MERANGKAK DAN MIRING PADA PRIMIPARA DI RUANG BERSALIN RS DKT KOTA KEDIRI

Penelitian ini didasari oleh rendahnya posisi merangkak dari pada posisi miring yang dilakukan oleh ibu bersalin primipara di Ruang Bersalin Rumah Sakit DKT Kota Kediri. Metode penelitian yang digunakan adalah analitik komparasi Penelitian ini bertujuan untuk mengidentifikasi dan menganalisa perbedaan lama persalinan kala I fase aktif antara posisi merangkak dan miring. Akibat yang dapat ditimbulkan dari tingginya kejadian asfiksia yang disebabkan oleh persalinan kala I fase aktif memanjang adalah semakin tingginya angka kematian ibu (AKI) dan angka kematian bayi (AKB). Dengan populasi 38 ibu bersalin di Ruang Bersalin Rumah Sakit DKT Kota Kediri. Cara pengukuran variabel dengan menggunakan lembar observasi. Teknik sampling menggunakan teknik Consecutiv Sampling. Uji yang digunakan dalam penelitian ini adalah uji Chi-Square. Berdasarkan pengolahan data tersebut diketahui bahwa ada perbedaan lama persalinan kala I fase aktif antara posisi persalinan merangkak dan miring pada ibu bersalin primipara di Ruang Bersalin Rumah Sakit DKT Kediri Kota Kediri

Analisis faktor Penyebab Kejadian Asfiksia Pada Bayi Baru Lahir di RS Aura Syifa Kabupaten Kediri

Neonatal asphyxia is a state in which the baby can not breathe spontaneously and regularly after birth. This is caused by hypoxia fetus in the uterus, and result in high morbidity and mortality in newborns. The incidence of neonatal asphyxia in Indonesia is still around 37% in 2013. The trend improvement happen asphyxia in newborns of 0.5 to 1.3% in 2012 to 2014 in the Aura Syifa Hospital Kediri. The purpose of this study to prove the causes of maternal, umbilical cord factors, infant factors, and other factors related to asphyxia. The study design was cross-sectional. Sample study of 200 newborns asphyxia, taken by systematic random sampling, data was collected from medical record documentation study. Data were analyzed using univariate, bivariate with chi square test and multivariate logistic regression test. Variables influencing the asphyxia in this study are variable placental abruption, winding umbilikal cord, knot umbilikal cord, parity, and low birth weight, abnormalities location variable layout is a dominant factor against asphyxia with OR 1.772. This means that mothers with the disorder lies the risk 1.7 times more likely to give birth asphyxia compared with women who did not experience abnormal location after controlling for variables low birth weight, placental abruption, and knot umbilikal cord