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Students Perception on Lecture’s Implementation of Learning Teaching Midwifery

Implementation of learning teaching with test results of askeb I in DIII midwifery. The study design used in this research WA’s analytic survey with cross sectional approach. The population in this study were all second level students of fourth semester at the Academy of Obstetrics totaling 40 students, with a sampling technique using the total population is the entire population sampled as many as 40 students at the Academy of Midwifery. From the research results with a confidence level of 95% with the title student’s perception on lecture’s implementation of learning teaching with test results of askeb I obtained from 40 respondents there were 16 students who assumes the implementation of good learning as many as 16 respondents (40.0%), assumes the implementation of learning that is enough as many as 13 respondents (32.5%) and less assuming implementation of learning as much as 11 respondents (27.5%) with a statistical test of chi-square p value = 0.012 <? = 0.05 means there is relationship of students perception on lecture’s implementation of learning teaching with test results of askeb I in DIII midwifery. In this study, researchers concluded that there is relationship of student’s perception on lecture’s implementation of learning teaching with test results of askeb I in DIII midwifery. Advice from researchers to the respondents in order to further improve the quality of learning that is better for the future.

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The Effect of Red Beans on Increasing HB Levels of Pregnant Women

Hemoglobin level is a measure to find out whether a person has anemia or not. According to Basic Health Research (Riskesdas) (2021) 48.9% of pregnant women in East Java Province experience anemia with an average prevalence of anemia still below the national target of 28%. Low Hb in pregnant women can cause miscarriage, bleeding, birth defects and others. Red bean is one of the foods that contain minerals that are useful in increasing hemoglobin levels in pregnant women. The purpose of the study was to analyze the effect of red beans on increasing HB levels of pregnant women at the Bubakan Pacitan Health Center. The esearch method used is quantitative using the One Group Pretest-Postest Design. The subjects of this study were pregnant women in the first to third trimesters and met the criteria. The sample using Nonprobability Sampling obtained 32 respondents. Data analysis used univariate analysis and bivariate analysis with the Paired Sampel T-Test. The results of this research indicate that is a difference before and after consuming red beans on the increase in hemoglobin levels of pregnant women based on the results of the Paired sampel t-test, a significant probability value of 0.000 is obtained where the probability (Asymp.sig <0.05) means the hypothesis is accepted. There is a difference before and after consuming red beans on the increase in hemoglobin levels of pregnant women at the Bubakan Pacitan Health Center.

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The experiences of family members witnessing the diminishing drinking of a dying relative in hospital: A narrative inquiry

Background: The optimal management of diminishing drinking at the end of life is contentious. Clinicians and family members may understand the phenomenon differently and hold divergent priorities regarding care. Family members can be distressed by diminishing drinking and its management, particularly when in a hospital environment. Aim: To explore the experiences of family members when witnessing the diminishing drinking of a dying relative. Design: A narrative inquiry methodology, derived from pragmatism. Setting and participants: Thirteen recently bereaved family members were recruited through the bereavement services of three UK hospitals. Inclusion criteria included having an adult relative who died in hospital of any diagnosis more than 48 hours from admission and who had had noticeable diminishing drinking. Findings: Participants experienced diminishing drinking as an unfolding process that was part of overall decline. They all believed it to be detrimental. Three groups of responses were identified: promoting, accepting and ameliorating. Supportive measures included offering equipment to support drinking, staff being present and communicating about expectations and care management aims. Conclusions: There is potential to improve family members’ experiences through re-conceptualisation of diminishing drinking aligned to their experiences, supporting family members by listening to their experiences with insight and strengthening their agency within the management of their relatives with diminishing drinking.

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Efektifitas Terapi Musik Terhadap Penurunan Rasa Nyeri Pada Ibu Post Sectio Caesarea

Sectio caesarea is the removal of the fetus through the abdominal wall incision (laparotomy) and uterine wall (hysterectomy). During the postoperative period, the nursing process is directed to stabilize the patient's physiological balance and relieve pain. Physiological reactions to pain include autonomic nerve responses such as breathing speed, increased pulse and increased heart rate. Musik therapy as a nonpharmacological therapy can relieve pain because when given musik, the midbrain releases beta endorphin hormone which can eliminate pain neurotransmitters. This study aims to examine the literature, articles and documents of research findings that identify the effectiveness of musik therapy for pain reduction in post sectio cesarean mothers. This study used a qualitative descriptive approach and type of literature study research. Data collection by literature review was obtained through Google Scholar by typing keywords, sources published in 2011 to 2018. 13900 research articles were obtained, identification, screening, eligibility. 10 relevant research articles were obtained. Journal review results found that from 10 journals that have been analyzed show the influence of musik therapy on pain management in Sectio Caesarea postoperative patients with strong asymp sig correlation. In accordance with the journal analysis, respondents' pain reduction was assessed based on the NRS pain scale so as to produce homogeneous data. It is recommended that musik therapy as an independent intervention in nursing and maternity obstetrics can be implemented to reduce pain in post-sectional Caesarean patients.

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Follow-up after gestational diabetes: a qualitative study of perspectives from general practices.

Women whose pregnancies are complicated by gestational diabetes mellitus (GDM) are approximately eight times more likely to develop type 2 diabetes mellitus (T2DM). Although regular participation in follow-up screening increases the chance of early detection of diabetes, participation rates are often suboptimal. A better understanding of general practice as a key contextual setting for screening could help inform the development and adoption of, for example, electronic reminder interventions to support women's participation. To explore the perspectives of GPs and relevant staff members engaged in early detection of diabetes after gestational diabetes in order to identify barriers to and facilitators of follow-up screening. A qualitative interview study undertaken in general practices in the North Denmark Region. Based on a purposive sample strategy, 18 semi-structured interviews of 12 GPs and six staff members, who were either nurses or midwives, were analysed using a reflexive thematic analytical approach. The following three main themes were formulated: (1) challenges of addressing women's risk; (2) prioritisation of early detection of diabetes; and (3) system influence on clinical procedures. Follow-up screening was facilitated by knowledge of guidelines. Professional collaboration and adaptation support were found to lead to successful implementation of guidelines in general practice. Supporting GPs and their staff's reflection and discussion of ways to engage in communication and decisionmaking processes with women is, however, important; it was found to create an important barrier to follow-up screening. Overall, the findings can help inform the future development of interventions to increase uptake.

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PENGARUH TERAPI RELAKSASI TARIK NAFAS DALAM TERHADAP PENURUNAN TEKANAN DARAH PADA LANSIA PENDERITA HIPERTENSI DI DESA TIHINGAN BANJARANGKAN KLUNGKUNG.

This study was conducted to determine the effect of deep breathing relaxation therapy on reducing blood pressure in the elderly with hypertension. Hypertension or high blood pressure disease is a chronic condition characterized by increased blood pressure in the arteries, causing the heart to pump and work harder to circulate blood throughout the body. Elderly (elderly) is someone who has entered the final stages of the phase of life, the elderly is the final process of aging. Relaxation technique is one of the non-pharmacological therapies used in pain management. The purpose of this study was to determine the effect of deep breathing relaxation therapy on reducing blood pressure in the elderly with hypertension in Tihingan Village, Banjarangkan Klungkung. The design of this study used a pre-experimental method with a one group pre-posttest design approach, this sample consisted of 18 respondents, using a purposive sampling technique and measuring instruments used were blood pressure meters, stethoscopes, observation sheets, SOPs for deep breathing techniques. Data analysis using Wilcoxson test. The results showed that the systolic and diastolic blood pressure before being given deep breath relaxation therapy had an average systolic blood pressure of 160 mmHg and diastolic blood pressure more than 97.7 mmHg, after being given deep breath relaxation therapy the average systolic blood pressure was 148, 88. mmHg and diastolic of 90.55 mmHg. The results of the analysis of this study obtained a systolic p value = 0.001 (a = 0.05) and a diastolic p value = 0.002 (a = 0.05) which means that the p value < 0.05, so the hypothesis in this study is accepted, which is statistically there is an effect of deep breathing on the decrease in diastolic blood pressure.

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