Studi Kualitatif: Dukungan Sosial dan Pengambilan Keputusan Pemberian Air Susu Ibu (ASI)di Kabupaten Jepara

Latar Belakang : Pemberian air susu ibu (ASI) merupakan cara yang alami untuk memberikan makanan kepada bayi. Data dari Dinkes Propinsi Jawa Tengah tahun 2012 menunjukan cakupan pemberian ASI ekslusif hanya sekitar 25,6 %. Dinas Kesehatan Kabupaten Jepara pada tahun 2012, rata-rata cakupan pemberian ASI eksklusif sekitar 33,4% dari jumlah bayi 4.294, cakupan ini masih belum memenuhi target yang ditetapkan dalam Standar Pelayanan Minimal (SPM) yaitu 80%. Hal ini menunjukkan terdapat kegagalan pemberian ASI eksklusif. Kegagalan pemberian ASI akan menyebabkan kekurangan jumlah sel otak sebanyak 15%–20%, sehingga menghambat perkembangan kecerdasan bayi pada tahap selanjutnya. Sukses atau tidaknya pemberian ASI dipengaruhi oleh dukungan sosial yang didapat selama proses menyusui sehingga ibu mampu mengambil keputusan untuk memberikan ASI kepada bayinya. Metode Penelitian : Penelitian ini adalah penelitian kualitatif dengan metode deskriptif. Jumlah sampel terdapat 5 partisipan menyusui yang memiliki bayi 0-6 bulan di Desa Kawak Kabupaten Jepara. Pengambilan sampel menggunakan purposive sampling. Pengumpulan data menggunakan indepth interview dan observasi. Analisa data menggunakan metode colaizzi. Teknik uji keabsahan data menggunakan teknik triangulasi sumber. Hasil : Hasil penelitian ini menunjukkan adanya dukungan sosial mampu mempengaruhi ibu dalam memutuskan untuk menyusui bayi yang didapatkan dari 3 hal penting yaitu persepsi dan pengalaman ibu dalam menyusui bayi, masalah penting yang mendukung pemberian susu formula pada bayi, dan faktor yang mempengaruhi ibu dalam memutuskan untuk menyusui bayi. Kata kunci : Pemberian ASI, Dukungan Sosial, Pengambilan Keputusa

Tepid sponge and sponge bath to change body temperature children with dengue fever

Dengue Haemorrhagic Fever (DHF) is a viral infection transmitted by mosquitoes causing potentially deadly complications. The typical sign of this case is getting high fever until 3-7 days then it drops quickly. To make a lower body temperature, compress the body with warm water by using tepid sponge and sponge bath techniques. The objective of this study to determine the effect of compresses with tepid sponge and sponge bath techniques on changes in children's body temperature with DHF. This study used quantitative research with quasi-experiment design two group pre-test post-test design approach. The population of 30 children with fever, with purposive sampling technique using the Lemeshow formula. The analysis used was paired T-test, Wilcoxon, and Mann Whitney at a significance level of 0.05. Wilcoxon statistical test results show there is a tepid sponge effect on children body temperature with DHF with a p-value of 0.001. The dependent t-test shows there is an influence of sponge bath in children body temperature with DHF p-value of 0,000. The Mann witney test shows that Sponge bath is more effective than a tepid sponge in reducing fever with a p-value of 0,000. The conclusion of this study can be used as a guide for treating children with fever with the issuance of a standard SPO. Application of this method needs to involve parents to maintain the comfort of children, so it needs to make socialization to parents

HUBUNGAN HIPEREMESIS GRAVIDARUM TERHADAP MATERNAL ANTENATAL ATTACHMENT DI RS BHAYANGKARA SEMARANG

ABSTRACTIntroduction: Maternal and child health is one indicator of achieving Sustainable Development Goals (SDGs). WHO (2016) shows that 585,000 women died during pregnancy and childbirth. Nausea and vomiting (NPV) are common symptoms during early pregnancy, affecting as many as 80% of pregnant women. Studies at Bhayangkara Hospital Semarang shows that in 2017 there were 67 patients experiencing HG, and 2018 there was 1 fetus died from HG, this shows the seriously of the problem of pregnant women who have HG. Purpose: Knowing the relationship of HG to Maternal Antenatal Attachment at Bhayangkara Hospital. Method: Quantitative research method with descriptive correlative design and cross sectional research design. The sample was 32 respondents with inclusion criteria for mothers of pregnant women aged 20-35 years who had HG. Sampling by accidental sampling. The data used questionnaires and analysis of results using chi square. Result: the results of statistical tests using the chi square test, ρ value 0,031 0,668 (≥ 0,005). The result was no significant relationship between hyperemesis gravidarum and maternal antenatal attachment. Keywords : hiperemesis gravidarum, maternal antenatal attachment

PENGARUH PIJAT TUINA TERHADAP TINGKAT NAFSU MAKAN BALITA GIZI KURANG

Malnutrition is the biggest nutritional problem found in Indonesia. The cause of malnutrition is not only the amount of consumption but also in the overall dietary pattern of under-five children who are not sufficiently needed. To determine the effect of tuina massage on appetite in toddlers. This research is quantitative using a Quasy Experimental design with the One Group Pre-Test-Post-Test Design approach. The population in this study was underfives with malnutrition in Public Health Center Kedungmundu with a total of 57 children under five. The sampling technique used in this study was purposive sampling. The appetite of toddlers before the massage tuina had an average of 5,812, standart of deviation was 0.655, and the lowest score was 5 and the highest score was 7, while after massage it was carried out on toddlers it had an average of 8,187 deviation standart of 0.910, and the lowest score was 7, the highest score was 10. The results of statistical tests showed that there was an effect of tuina massage on the increase in appetite for under-nutrition children with a p value of 0.000. The result of this study is that there is an effect of tuina massage on the increased appetite of toddlers after and before the tuina massage. Keywords: Tuina massage, Appetite, Toddler.Malnutrition is the biggest nutritional problem found in Indonesia. The cause of malnutrition is not only the amount of consumption but also in the overall dietary pattern of under-five children who are not sufficiently needed. To determine the effect of tuina massage on appetite in toddlers. This research is quantitative using a Quasy Experimental design with the One Group Pre-Test-Post-Test Design approach. The population in this study was underfives with malnutrition in Public Health Center Kedungmundu with a total of 57 children under five. The sampling technique used in this study was purposive sampling. The appetite of toddlers before the massage tuina had an average of 5,812, standart of deviation was 0.655, and the lowest score was 5 and the highest score was 7, while after massage it was carried out on toddlers it had an average of 8,187 deviation standart of 0.910, and the lowest score was 7, the highest score was 10. The results of statistical tests showed that there was an effect of tuina massage on the increase in appetite for under-nutrition children with a p value of 0.000. The result of this study is that there is an effect of tuina massage on the increased appetite of toddlers after and before the tuina massage. Keywords: Tuina massage, Appetite, Toddler

Pengembangan Kawasan Bokoharjo Dan Sambirejo Sebagai Objek Wisata Budaya dan alam Sekaligus Upaya Penciptaan Lapangan Kerja

ABSTRAK Pembangunan kepariwisataan seharusnya tetap menjaga terpeliharanya kepribadian bangsa, kelestarian fungsi dan linglcungan hidup. Bokoharjo dan Sambirejo memiliki banyak potensi budaya yang merupakan cermin kepribadian bangsa Indonesia di masa lampau. Hal ini perlu dikembangkan sebagai objek wisata, karena pengembangan potensi budaya, khususnya candi, memiliki tujuan ganda, yakni pelestarian budaya dan objek wisata. Keletakan candi-candi di kawasan Bokoharjo dan Sambirejo relatif terpencar-pencar dan berada di lahan areal perbukitan. Lokasi perbukitan tersebut memiliki potensi keindahan alam dan budaya, maka pengembangan wisata di kawasan itu memerlukan penataan ruang/zona kosong. Pengembangan kawasan Bokoharjo dan Sambilegi kiranya juga harus diperhatikan karakteristik candi, bentang topografi, kondisi sosial budaya dan keadaan sosial ekonomi yang berhubungan dengan mata pencaharian penduduk setempat. Potensi alam sebagai sumber penghidupan masyarakat di kawasan tersebut berupa sawah, tegalan, dan penambangan batu putih. Dengan pengembangan kawasan wisata diharapkan bisa menambah peluang lapangan kerja baru. Program pengembangan hendaknya bisa menjembatani ketiga faktor tersebut. Berdasarkan hasil penelitian melalui kuesioner terbukti bahwa masyarakat di kawasan itu memberikan tanggapan positif apabila diadakan pengembangan kawasan wisata. Dengan demikian penelitian ini direncakan mendapatkan hasil berupa altematif pengembangan kawasan Bokoharjo dan Sambirejo sebagai berikut: 1) Paket wisata2) tempat penginapan tradisional3) sarana transportasi wisata menggunakan kuda seperti di Gedong Songo4) tempat penjualan cindera mata5) mengaktifkan potensi kesenian rakyat6) membangun arena bermain dan \u27camping ground\u277) sarana pos dan telekomunikasi8) promosi wisata. Perkiraan wilayah-wilayah yang potensial untuk penempatan sarana-sarana yang mendukung pengembangan objek wisata budaya dan alam di kawasan itu hendaknya didasarkan pada hasil pemetaan sebaran candi-candi dan pets topograf

FAKTOR DETERMINAN PELAYANAN MEDIS TERHADAP KEPUASAN PASIEN SERTA IMPLIKASI TERHADAP PELAYANAN KESEHATAN PRIMA

Penelitian ini menganalisis faktor determinan pelayanan medis terhadap kepuasan pasien dan implikasinya terhadap pelayanan kesehatan prima di Dokter Praktek Mandiri (DPM) Pasir Impun, Bandung. Survei dilakukan dengan purposive sampling pada 100 pasien DPM dr. Titiek. Data dianalisis menggunakan analisis jalur dan pengujian hipotesis. Meskipun pelayanan kesehatan secara umum dianggap baik, terutama dalam memahami kebutuhan pasien, ruang tunggu pasien mendapat penilaian rendah. Meski begitu, kepuasan pasien secara keseluruhan sangat puas, terutama dalam dimensi tangible seperti kebersihan dan kenyamanan ruangan. Faktor-faktor determinan kepuasan pasien meliputi kualitas pelayanan medis, kepercayaan pada dokter, dan kualitas fasilitas kesehatan. Implikasi penelitian ini menyoroti pentingnya peningkatan kualitas pelayanan medis dan fasilitas untuk mencapai kepuasan pasien dan pelayanan kesehatan prima. Disarankan bagi DPM dr. Titiek untuk meningkatkan kualitas ruang tunggu dan memberikan pelatihan kepada staf medis untuk meningkatkan keterampilan mereka

Dukungan Suami Terhadap Pemberian Asi Eksklusif Pada Ibu Menyusui

Background: Breast milk is a liquid formed from a mixture of two substances, namely fat and water contained in a solution of protein, lactose and inorganic salts produced by the mother's breast glands and is useful as baby food and breastfeeding for six months without drinking or drinking. any food, including clear water, vitamins and medicine without the addition of any fluids. A good and correct feeding pattern for babies is to exclusively breastfeed babies from birth to 6 months of age and continue until the baby is 24 months old. Husband's support is a vital part in the success or failure of breastfeeding.Research Objectives: to find out the relationship between husband's support for exclusive breastfeeding for breastfeeding mothers in Batursari Village, Batangan District, Pati Regency.Methods: The type of research used is quantitative with a cross sectional approach. The population studied were breastfeeding mothers in Batursari Village, Batangan District, Pati Regency as many as 40 breastfeeding mothers. Chi-square was used to analize the data.Results: breastfeeding mothers in Batursari Village, Batangan District, Pati Regency, mostly had good husband support as many as 24 respondents (66.7%) and gave exclusive breastfeeding as many as 21 respondents (58.3%). There is a relationship between husband's support for exclusive breastfeeding for breastfeeding mothers in Batursari Village, Batangan District, Pati Regency.Conclusion: Husband’s support is very important to help mother sucseed in breastfeeding

Klaim Moisturizer terhadap Xerosis Cutis

Penelitian ini bertujuan untuk meninjau dan menyintesis berbagai literatur terkait klaim moisturizer dalam mengatasi xerosis cutis, yang merupakan kondisi kulit kering yang umum dihadapi oleh banyak individu. Metode studi yang digunakan adalah sistem review literatur, yang mencakup pencarian berbagai sumber informasi dari jurnal ilmiah, publikasi terverifikasi, dan buku-buku teks terkait topik tersebut. Hasil dari analisis literatur menunjukkan bahwa klaim moisturizer sebagai terapi untuk xerosis cutis didukung oleh banyak penelitian dan pengalaman klinis. Penggunaan moisturizer telah terbukti efektif dalam meningkatkan kelembaban kulit, mengurangi kekeringan, dan meningkatkan fungsi pelindung kulit. Beberapa studi juga menyoroti manfaat tambahan seperti peningkatan elastisitas kulit dan penundaan proses penuaan kulit. Dalam konteks ini, ditemukan bahwa pemilihan jenis moisturizer yang sesuai dan tepat adalah kunci kesuksesan terapi. Beberapa produk dengan kandungan bahan aktif tertentu, seperti humektan, emolien, dan ceramide, telah menunjukkan keefektifan dalam meningkatkan kondisi kulit yang kering dan mengurangi gejala xerosis cutis. Meskipun klaim positif terkait moisturizer dalam mengatasi xerosis cutis telah banyak dilaporkan, penting untuk diingat bahwa respons individual terhadap produk dapat bervariasi. Beberapa faktor seperti jenis kulit, kondisi medis tambahan, dan lingkungan dapat mempengaruhi hasil terapi. Secara keseluruhan, berdasarkan analisis literatur dalam studi sistem review ini, moisturizer telah terbukti sebagai terapi yang efektif dalam mengatasi xerosis cutis dan meningkatkan kesehatan kulit secara keseluruhan. Namun, perlu adanya penelitian lebih lanjut dan studi klinis yang lebih mendalam untuk mendukung temuan ini dan mengidentifikasi solusi yang lebih spesifik dan disesuaikan dengan kebutuhan individu.This study aims to review and synthesize various literature related to claims of moisturizers in treating xerosis cutis, which is a common dry skin condition faced by many individuals. The study method used is a literature review system, which includes searching for various sources of information from scientific journals, verified publications, and text books related to the topic. The results of the literature analysis show that the claim of moisturizer as a therapy for xerosis cutis is supported by many studies and clinical experiences. The use of a moisturizer has been proven effective in increasing skin moisture, reducing dryness, and increasing the skin's protective function. Several studies have also highlighted additional benefits such as increased skin elasticity and delayed skin aging process. In this context, it was found that selecting the appropriate and appropriate type of moisturizer is the key to successful therapy. Several products containing certain active ingredients, such as humectants, emollients, and ceramides, have shown effectiveness in improving dry skin conditions and reducing the symptoms of xerosis cutis. Although many positive claims regarding moisturizer in treating xerosis cutis have been reported, it is important to remember that individual responses to products may vary. Several factors such as skin type, additional medical conditions, and environment can affect the outcome of therapy. Overall, based on the analysis of the literature in this review system study, moisturizer has been proven to be an effective therapy in treating xerosis cutis and improving overall skin health. However, further research and in-depth clinical studies are needed to support these findings and identify more specific and individualized solutions

Klaim Moisturizer terhadap Xerosis Cutis

Penelitian ini bertujuan untuk meninjau dan menyintesis berbagai literatur terkait klaim moisturizer dalam mengatasi xerosis cutis, yang merupakan kondisi kulit kering yang umum dihadapi oleh banyak individu. Metode studi yang digunakan adalah sistem review literatur, yang mencakup pencarian berbagai sumber informasi dari jurnal ilmiah, publikasi terverifikasi, dan buku-buku teks terkait topik tersebut. Hasil dari analisis literatur menunjukkan bahwa klaim moisturizer sebagai terapi untuk xerosis cutis didukung oleh banyak penelitian dan pengalaman klinis. Penggunaan moisturizer telah terbukti efektif dalam meningkatkan kelembaban kulit, mengurangi kekeringan, dan meningkatkan fungsi pelindung kulit. Beberapa studi juga menyoroti manfaat tambahan seperti peningkatan elastisitas kulit dan penundaan proses penuaan kulit. Dalam konteks ini, ditemukan bahwa pemilihan jenis moisturizer yang sesuai dan tepat adalah kunci kesuksesan terapi. Beberapa produk dengan kandungan bahan aktif tertentu, seperti humektan, emolien, dan ceramide, telah menunjukkan keefektifan dalam meningkatkan kondisi kulit yang kering dan mengurangi gejala xerosis cutis. Meskipun klaim positif terkait moisturizer dalam mengatasi xerosis cutis telah banyak dilaporkan, penting untuk diingat bahwa respons individual terhadap produk dapat bervariasi. Beberapa faktor seperti jenis kulit, kondisi medis tambahan, dan lingkungan dapat mempengaruhi hasil terapi. Secara keseluruhan, berdasarkan analisis literatur dalam studi sistem review ini, moisturizer telah terbukti sebagai terapi yang efektif dalam mengatasi xerosis cutis dan meningkatkan kesehatan kulit secara keseluruhan. Namun, perlu adanya penelitian lebih lanjut dan studi klinis yang lebih mendalam untuk mendukung temuan ini dan mengidentifikasi solusi yang lebih spesifik dan disesuaikan dengan kebutuhan individu.This study aims to review and synthesize various literature related to claims of moisturizers in treating xerosis cutis, which is a common dry skin condition faced by many individuals. The study method used is a literature review system, which includes searching for various sources of information from scientific journals, verified publications, and text books related to the topic. The results of the literature analysis show that the claim of moisturizer as a therapy for xerosis cutis is supported by many studies and clinical experiences. The use of a moisturizer has been proven effective in increasing skin moisture, reducing dryness, and increasing the skin's protective function. Several studies have also highlighted additional benefits such as increased skin elasticity and delayed skin aging process. In this context, it was found that selecting the appropriate and appropriate type of moisturizer is the key to successful therapy. Several products containing certain active ingredients, such as humectants, emollients, and ceramides, have shown effectiveness in improving dry skin conditions and reducing the symptoms of xerosis cutis. Although many positive claims regarding moisturizer in treating xerosis cutis have been reported, it is important to remember that individual responses to products may vary. Several factors such as skin type, additional medical conditions, and environment can affect the outcome of therapy. Overall, based on the analysis of the literature in this review system study, moisturizer has been proven to be an effective therapy in treating xerosis cutis and improving overall skin health. However, further research and in-depth clinical studies are needed to support these findings and identify more specific and individualized solutions

LIFE EXPERIENCE IBU HAMIL DENGAN DIABETES MELLITUS GESTATIONAL DALAM PENCAPAIAN PERAN IBU DI YOGYAKARTA

Introduction: Diabetes Mellitus is a disorder of the blood glucose levels or hyperglycemia. On physiological changes of pregnant women who have an effect on carbohydrate metabolism of hormone the placenta is owing to resistance to insulin. A study on the prelude with DMG there were mother statements who fear the maternal role attainment because suffering DM during pregnant. It shown any influences of mother experience when suffer DMG towards maternal role attainment. According to Medical Record Department, Sardjito hospital Yogyakarta, In Indonesia, the prevalence of DMG is approximately 1,9-3,6 on Inpatient disease index of DMG in the last 10 years from 2012-2013. This hospital treat 94 patients of hyperglycemia0. Objective: To explore Yogyakartanese Moms� experiences coping DMG. Methods: This research was a phenomenological approach qualitative research. Participants in this research was the mother who gave birth to a maximum of 1 year with a history of DMG. The number of participants in this study was 12 peoples. Purposive sampling technique with sampling were the sampling criterion. Data analysis using the method of Colaizzi (2011). Data was collected between December 2013 and February 2014. Research ethics included an informed concent and ethics committe�s approval. Nursing theory of maternal role attainment (Mercer, 2011) used as a reference to analyze life experience of mother with DMG. Results: There were 8 categories i.e the experience of the mother while in diabetes mellitus gestational diagnos