Model Pelaksanaan Imd (Inisiasi Menyusu Dini) Pada Ibu Bersalin Di RSUD Prof.Dr.Soekandar Mojosari Mojokerto

This research is aimed to analyze the implementation of the Early BreastFeeding Initiation, to analyze the obstacles in the implementation and to develop an implementation model of Early Breast-Feeding Initiation on mothers who gave birth. This study is a qualitative research, which lasted from December 2012 until July 2013. The informants were midwives and mothers who delivered baby. The method of the research made use of observation, thorough interviews, and Focus Group Discussion (FGD). The analysis was descriptive in nature, which included the data collecting stage, reduction and data presentation. The result of the observation to mothers who delivered baby showed that they abided immediately by the midwives' instruction to hold the baby, however the mothers felt very tired and hungry, after delivery most mothers only had information about pregnant mothers' nutrition, and only a few knew of the information about Early BreastFeeding Initiation. The result of the FGD showed that mothers who delivered baby were hoping that the information about Early Breast-Feeding Initiation would be given to them when ante natal care, they were also hoping that a member of the family would be allowed to stay with the mothers in the labour ward. The result of observation to the midwives showed that like they were in a hurry and not in accordance with the Standard Operational Procedure of the hospital. The result of the thorough interview showed that every midwife was able to explain the implementation correctly. The obstacle which occurred was that there were not enough midwives to do the program. The result of the FGD showed that the midwives suggested the hospital employed additional midwives. A model which involved the husband or other member of the family was developed. The hospital socialized the implementation guide at the Standard Operational Procedure and the facilities used had a standard determined by the hospital. The hospital supervised and reminded all the midwives to note down the Early Breast-Feeding Initiation activities

Dukungan Suami Dalam Keberhasilan Pemberian ASI Eksklusif di Ponkesdes Awang-Awang Kecamatan Mojosari Kabupaten Mojokerto

Fenomena yang terjadi saat ini adalah masih rendahnya dukungan suami dalam pemberian ASI eksklusif karena anggapan bahwa menyusui menyebabkan ibu menjadi jelek, tidak menarik dan dapat menghambat atau meninggalkan hubungan seks antara suami dan isteri. Tujuan penelitian ini adakah hubungan dukungan suami dalam keberhasilan pemberian ASI Eksklusif di Ponkesdes Awang-awang Kecamatan Mojosari Kabupaten Mojokerto. Jenis penelitian ini adalah analitik observasional dengan rancang bangun penelitian cross sectional. Variabel independen adalah dukungan suami dan variabel dependen adalah pemberian ASI eksklusif. Populasi dalam penelitian ini semua ibu yang mempunyai bayi usia 6-12 bulan sebanyak 50 orang dan sampel sebanyak 44 responden. Teknik sampling yang digunakan adalah probability sampling tipe cluster random sampling. Penelitian ini dilakukan di Ponkesdes Awang-awang Kecamatan Mojosari Kabupaten Mojokerto pada bulan Maret – Agustus 2018. Pengumpulan data dengan menggunakan lembar kuesioner. Pengolahan data dengan cara editing, coding, scoring, tabulating dilakukan dengan uji fisher exact. Hasil penelitian menunjukkan antara hubungan dukungan suami dengan keberhasilan pemberian ASI Eksklusif di Ponkesdes Awang-awang Kecamatan Mojosari Kabupaten Mojokerto didapatkan bahwa responden yang mendapat dukungan dari suami dan ibu memberikan ASI eksklusif yaitu sebanyak 15 responden (34,1%), sedangkan responden yang tidak mendapat dukungan dari suami dan ibu tidak memberikan ASI Eksklusif yaitu sebanyak 23 responden (52,3%). Berdasarkan uji fisher exact diperoleh hasil perhitungan dengan nilai = 0,020 dengan tingkat kemaknaan yang ditetapkan adalah pada α = 0,05. Berdasarkan hasil yang diperoleh maka nilai < α sehingga H1 diterima, yang artinya ada hubungan dukungan suami dengan keberhasilan pemberian ASI Eksklusif. Berdasarkan hasil penelitian disimpulkan bahwa kebanyakan responden atau suami tidak memberikan dukuangan kepada ibu dalam pemberian ASI eksklusif, padahal dukungan suami mempunyai hubungan dengan suksesnya pemberian ASI Eksklusif kepada bayi. Dengan penelitian ini diharapkan tenaga kesehatan lebih aktif dalam mengadakan penyuluhan tentang pentingnya pemberian ASI eksklusif. Oleh karena itu, suami sebaiknya jadi salah satu kelompok sasaran dalam tercapainya peningkatan pemberian ASI Eksklusif. Kata kunci : Dukungan, Suami, ASI Eksklusi

Maternal Knowledge, Husband's Support, Cultural Support and Role of Health Workers in the Exclusive Breastfeeding Program at Mojosari Health Center

Exclusive breastfeeding is very necessary until the baby is 6 months old. But until now only about 13% of mothers who give exclusive breastfeeding to their babies. The purpose of this study was to determine the factors that influence exclusive breastfeeding for breastfeeding mothers in the working area of the Mojosari Health Center. This research is quantitative analytic research with the cross-sectional approach. Factors identified include the mother's knowledge, husband's support, health worker support, and social culture. Data collection is done by questionnaire. The number of respondents was 37 mothers who had babies less than 6 months old with a simple random sampling technique. The data obtained were processed statistically using logistic regression tests to determine the factors that influence exclusive breastfeeding. Statistical test results show that variables that significantly influence exclusive breastfeeding are maternal knowledge (p-value = 0.01; OR 15.332 (95% CI (5,242 - 33,334)), husband's support (p-value = 0.03; OR 9,838 (95% CI (95% CI) 4,452 - 19,433)), cultural support (p value = 0.002; OR of 21,442 (95% CI (7,739 - 42,347)) and support of health workers (p value = 0.01; 11,453 (95% CI (3,533 - 29,452)). The success factor of exclusive breastfeeding in addition to knowledge is certainly accompanied by the mother's own will. The role of health workers is the biggest influence on mothers in the exclusive breastfeeding process. The success of exclusive breastfeeding also does not escape from family support because the family is the closest person who can encourage mothers to continue to give exclusive breastfeeding and also the culture around that encourages exclusive breastfeeding

PENGARUH TERAPI RELAKSASI OTOT PROGRESIF TERHADAP KEKUATAN OTOT DAN KUALITAS TIDUR LANJUT USIA

Physiological changes in the elderly can cause a change in the neural system that is a disorder towards sleep quality while changes in the musculoskeletal system are the occurrence of muscle strength decline. Progressive Muscle Relaxation Therapy is a therapy which can improve sleep quality and muscle strength. The purpose of this research is to analyze the effect of progressive muscle relaxation therapy towards muscle strength and sleep quality of the elderly at House Technical Implementation. The research type used is quasi-experiment design with pretest and posttest nonequivalent control group design. The population in this research were all elderly as many as 40 elderly people. The sampling technique used was Total Sampling which was then divided into intervention group which consists of 20 respondents and control group which consists of 20 respondents. The measurement tool used was PSQI (Pittsburgh Sleep Quality Index) questionnaire for sleep quality and the MMT (Manual Muscle Testing) observation sheet for muscle strength. The data were analyzed using Paired T-test and Independent T-test. Based on Paired T-test, it was obtained that p value = 0.000 (

Pengaruh Terapi Relaksasi Otot Progresif Terhadap Kekuatan Otot Dan Kualitas Tidur Lanjut Usia

Physiological changes in the elderly can cause a change in the neural system that is a disorder towards sleep quality while changes in the musculoskeletal system are the occurrence of muscle strength decline. Progressive Muscle Relaxation Therapy is a therapy which can improve sleep quality and muscle strength. The purpose of this research is to analyze the effect of progressive muscle relaxation therapy towards muscle strength and sleep quality of the elderly at House Technical Implementation. The research type used is quasi-experiment design with pretest and posttest nonequivalent control group design. The population in this research were all elderly as many as 40 elderly people. The sampling technique used was Total Sampling which was then divided into intervention group which consists of 20 respondents and control group which consists of 20 respondents. The measurement tool used was PSQI (Pittsburgh Sleep Quality Index) questionnaire for sleep quality and the MMT (Manual Muscle Testing) observation sheet for muscle strength. The data were analyzed using Paired T-test and Independent T-test. Based on Paired T-test, it was obtained that p value = 0.000 (p <0,05) for muscle strength and p value = 0,000 (p <0,05) for sleep quality which indicated significant difference. While according to the independent T-test results, it was obtained that p value = 0.000 (p <0.05) which indicated that there was an effect of progressive muscle relaxation therapy towards muscle strength and sleep quality of elderly people at House Technical Implementation. Therapy can be used as an alternative method for elderly people to improve muscle strength and sleep quality so that nurses working in the elderly special service order can integrate this therapy in the nursing care