Dukungan, Kepercayaan Keluarga dan Peran Suami terhadap Keputusan Pemilihan Penolong Persalinan pada Masyarakat Suku Madura

Safe delivery is the delivery process performed by the skilled birth attendant who provides basic and emergency health care services to women and their newborns during pregnancy, childbirth and the postpartum period. During the delivery process, the women who gives birth requires emotional support, this support is important to minimize the intervention and to help have a succesful delivery. Culturally, Madurese are well known of their obedience to parents. This obedience is considered absolute and inviolable. This study aimed at finding out the correlation of family support and trust, husband’s role, and the decision in choosing the birth attendant among Madurese community This was quantitative study with cross sectional approach. The data were collected by conducting interview and questionnaire to 94 mothers, then analyzed by chi square test.The study indicated that the the mothers who had support from family was 74,5%, the family belief was 43,6, and support from husband was 64,9%. The motherprefered to choose the traditional birth attendant was 70,2%. The results of bivariate analysis revealed that there were significant correlation of family support (p value=0,001, PR=1,560), family belief (p value=0,009, PR=1,459), husband’s support (p value=0,000, PR=1,740) and the decision in choosing the birth attendant. From the findings, the health center of Kuala Mandor B is encouraged to routinely conduct maternal visit and early detection on the maternal health status.Keywords: birth attendant, family support, family belief, husband’s rol

ENHANCING DESCRIPTIVE WRITING ACHIEVEMENT BY APPLYING PROCESS APPROACH THROUGH ENVIRONMENTAL OBSERVATION

This study aimed at finding out whether or not: (1) there was a significant difference in descriptive writing achievement after they were taught by using process approach through environmental observation and (2) there was a significant difference in descriptive writing achievement between the students who were taught by using process approach through environmental observation and those who were not. By employing a quasi-experimental design, the sample of this study was 80 students of tenth graders of SMA Negeri 9 Palembang taken by using purposive sampling method. The data were analyzed by using paired sample and independent sample t-test. The result of this study showed that: (1) there was significant improvement in descriptive writing achievement of the experimental group; mean difference of post-test and pre-test was 7.500 and the significance value was 0.000 (p-value0.128) and the significance value was 0.000 (p-value<0.05). Therefore, process approach through environmental observation is effective to enhance students’ descriptive writing achievement. DOI: doi.org/10.24071/llt.2018.Suppl210

PENGARUH MODEL DISCOVERY LEARNING TERHADAP KEMAMPUAN BERPIKIR KRITIS

The aim of this research was to find out the influence of discovery learning model toward students critical thinking ability. The research design was pretest-posttest non equivalent. The samples of this research were the students of class VIID and VIIA SMP Kartika II-2 Bandar Lampung who were chosen by using purposive sampling. The quantitative data were obtained from the average score of pretest, posttest and N-gain which was tested by using T-test and U-test. The qualitative data were the students learning activities which were analyzed by descriptive analysis had an increase viewed from the average of N-gain of experiment class was 57,08. It is significantly different from control class was 25,33. The average of increase of students activity from the indicator of giving a simple explanation, building the basic creativity, giving further explanation and concluding had high criteria. It could be assumed that the learning using discovery learning model has an influence in increasing students critical thinking ability in the basic competence of the characteristic living creature.Penelitian ini bertujuan untuk mengetahui pengaruh discovery learning terhadap kemampuan berpikir kritis. Desain penelitian adalah pretest-posttest tak ekuivalen. Sampel penelitian adalah siswa kelas VIID dan VIIA SMP Kartika II-2 Bandar Lampung yang dipilih secara purposive sampling. Data kuantitatif berupa rata-rata nilai pretest, posttest dan N-gain yang di uji menggunakan uji-t dan uji U. Data kualitatif berupa aktivitas belajar siswa yang dianalisis secara deskriptif. Hasil penelitian menunjukkan kemampuan berpikir kritis siswa mengalami peningkatan dilihat dari rata-rata N-gain kelas eksperimen sebesar (57,08) berbeda signifikan dengan kelas kontrol (25,33). Rata-rata peningkatan aktivitas siswa pada indikator memberikan penjelasan sederhana, membangun keterampilan dasar, memberikan penjelasan lanjut dan menyimpulkan berkriteria tinggi. Dengan demikian, pembelajaran menggunakan model discovery learning berpengaruh dalam meningkatkan kemampuan berpikir kritis pada materi pokok ciri-ciri makhluk hidup.Kata kunci: berpikir kritis, discovery learning, pengaru

Increasing frailty is associated with higher prevalence and reduced recognition of delirium in older hospitalised inpatients: results of a multi-centre study

Purpose: Delirium is a neuropsychiatric disorder delineated by an acute change in cognition, attention, and consciousness. It is common, particularly in older adults, but poorly recognised. Frailty is the accumulation of deficits conferring an increased risk of adverse outcomes. We set out to determine how severity of frailty, as measured using the CFS, affected delirium rates, and recognition in hospitalised older people in the United Kingdom. Methods: Adults over 65 years were included in an observational multi-centre audit across UK hospitals, two prospective rounds, and one retrospective note review. Clinical Frailty Scale (CFS), delirium status, and 30-day outcomes were recorded. Results: The overall prevalence of delirium was 16.3% (483). Patients with delirium were more frail than patients without delirium (median CFS 6 vs 4). The risk of delirium was greater with increasing frailty [OR 2.9 (1.8–4.6) in CFS 4 vs 1–3; OR 12.4 (6.2–24.5) in CFS 8 vs 1–3]. Higher CFS was associated with reduced recognition of delirium (OR of 0.7 (0.3–1.9) in CFS 4 compared to 0.2 (0.1–0.7) in CFS 8). These risks were both independent of age and dementia. Conclusion: We have demonstrated an incremental increase in risk of delirium with increasing frailty. This has important clinical implications, suggesting that frailty may provide a more nuanced measure of vulnerability to delirium and poor outcomes. However, the most frail patients are least likely to have their delirium diagnosed and there is a significant lack of research into the underlying pathophysiology of both of these common geriatric syndromes