JURNAL MEDICAL P-ISSN : 2685-7960 e-ISSN : 2685-7979

STUDI KASUS PADA IBU NIFAS DENGAN GANGGUAN RASA NYERI (AFTERPAIN) 6 JAM POST PARTUM DI WILAYAH DAS UPTD PUSKESMAS PAHANDUT KOTA PALANGKA RAYA

Stefanicia Stefanicia — 2025-04-12

Background: The postpartum period is the time experienced by mothers after childbirth. Changes that occur during the postpartum period include physical changes, uterine involution, changes in the mother's body systems, and psychological changes.The maternal mortality rate in Indonesia in 2020 was 4,627 cases.The number increased compared to 2019, which had 4,221 cases (Kemenkes RI, 2021).Objective: To Provide Midwifery Care to Postpartum Mothers with Pain Disorders (Afterpain)Mrs. M P3 A0 6 Hours PostpartumMethodology:The type of research used is qualitative descriptive with a case study approach method.The design uses field observation.The data collection method involves interviews and analysis of midwifery documentation.Data analysis was obtained from case study research by creating narratives from the results of observations and descriptions of midwifery care analysis, assessment, diagnosis formulation, planning, implementation, and evaluation of midwifery care.The research was conducted in December 2023.Results: Ms. M has practiced the provided complementary methods and has felt their benefits, where the complaints of pain and cramps in the lower abdomen gradually decreased after applying the warm compress method and the relaxation techniques taught.

Peran Ayah Dalam Keberhasiln Pemberian ASI Ekslusif Pada Bayi : Literature Review

Vita Natalia — 2025-04-12

Ayah memiliki peranan yang penting untuk mencapai keberhasilan pemberia ASI Ekslusi pada bayi. Ayah bias memberikan dukungan emosional agar produksi ASI lancar. Sehingga pengetahuan dan keterlibatan ayah serta pembagian peran merupakan faktor yang mendukung keberhasilan ASI eksklusif. Keberhasilan ASI Ekslusif memberikan manfaat bada Bayi dan Ibu. Manfaat bagi bayi yaitu memperoleh nutrisi yang optimal untuk mendukung pertumbuhan dan perkembangannya. Manfaat bagi ibu adalah terjaganya kondisi kesehatan fisik maupun psikis khususnya pada masa adaptasi perubahan kehidupan sebelum dan setelah melahirkan. Manfaat bagi ayah adalah memaksimalkan perannya sebagai breastfeeding father dan membangun kelekatan yang lebih baik bersama keluarga. Penelitian ini bertujuan untuk mengetahui peran ayah dalam keberhasilan pemberian ASI Ekslusif pada bayi. Penelitian ini menggunakan metode literature review, meliputi studi pencarian sistematis data base komputerisasi Google Scholar 10 tahun terakhir dan ditemukan 5 artikel yang relevan. Hasil penelitian literature review ini menunjukkan

STUDI KASUS MENGURANGI KECEMASAN PADA CALON AKSEPTOR KONTRASEPSI IUD DENGAN TERAPI NON FARMAKOLOGI SLOW DEEP BREATHING

Dessy Hertati — 2025-04-12

The use of intrauterine contraceptive devices (IUD) still faces several obstacles, one of which is the anxiety that arises related to the insertion procedure.This anxiety can affect the decision of potential acceptors in choosing the IUD as a contraceptive method. To reduce the level of anxiety, one technique that can be applied is Slow Deep Breathing, which is a method of breathing done slowly and deeply.

The goal is to provide midwifery care to a new IUD contraceptive acceptor, Mrs. Y, P3 A0, 39 years old, at the UPTD Puskesmas Pahandut, Palangka Raya City.The type of research used is qualitative descriptive with a case study approach method.

The design uses field observation.The data collection method used was through interviews and analysis of midwifery care documentation. Data analysis is obtained from case study research by creating narratives from observation results and descriptions of midwifery care analysis, assessment, formulating diagnoses, planning, implementing, and conducting evaluations.This research was conducted in August 2024. The result is that Mrs. Y felt calmer and more comfortable after practicing the Slow Deep Breathing technique.

The results of this study are expected to help clients who will undergo IUD contraceptive insertion to feel more at ease, achieve peace of mind, and reduce anxiety.

HUBUNGAN TINGKAT PENGETAHUAN DENGAN PERILAKU PENCEGAHAN TERJADINYA KOMPLIKASI HIPERTENSI DI PUSKESMAS GONDOKUSUMAN II KOTA YOGYAKARTA

Firmina Theresia — 2025-03-17

Background: Untreated hypertension and poor management can cause complications, therefore you must comply with hypertension treatment. Treatment compliance is influenced by many factors, one of which is knowledge and behavior.

Research Objective: To determine the relationship between level of knowledge and behavior to prevent hypertension complications in the Gondokusman II Community Health Center Work Area, Yogyakarta City.

Research Method: This research is associative research, causal associative or causal relationships. The population in this study were all hypertensive patients registered at the Community Health Center in the Gondokusman II Community Health Center Working Area, Yogyakarta City in 2023 with a sample of 83 people. The sampling technique is quota sampling. The research instrument used a questionnaire. The data analysis technique uses the Somers'd test.

Research Results: The level of knowledge of preventing hypertension complications was mostly good, as many as 52 people (62,7%). The preventive behavior carried out by patients as an effort to prevent hypertension complications was mostly good, as many as 49 people (59,0%). There was a relationship between the level of knowledge of hypertensive patients and the behavior to prevent the occurrence of hypertension complications in patients with a p value of 0,003.

Conclusion: There is a relationship between the level of knowledge of hypertensive patients and the behavior of preventing hypertension complications in patients in the Gondokusuman II Health Center Working Area, Yogyakarta City.

HUBUNGAN LINGKUNGAN KERJA DENGAN KEPUASAN KERJA PERAWAT DI RUMAH SAKIT UNIVERSITAS ISLAM INDONESIA YOGYAKARTA

Istichomah Istichomah — 2025-04-15

Background: Nursing services are a determining factor in the success of health services in hospitals, because in almost every country up to 80% of health services are provided by nurses. As many as 40% of health service providers in Indonesia are nursing staff

Objective: The purpose of this study was to determine whether there is a relationship between the Work Environment and job satisfaction of nurses at UII Bantul Hospital, Yogyakarta.

Method: This study was conducted cross-sectionally using the entire sample. This study involved 160 nurses working in the outpatient and inpatient departments of UII Bantul Hospital, Yogyakarta. Data collection through surveys can be accessed via a link to Google Forms.

Results: Data analysis was carried out using Spearman rank test analysis. The results of the study showed a good work environment. As many as 76 respondents stated that they were satisfied with their jobs, and 10 (6.3%) stated that they were dissatisfied with their jobs. The results showed a Spearman Rho correlation value of 0.332 and a p-value of 0.000 less than 0.05. This indicates that both are positive or heading in the same direction, although at a weaker level.

Conclusion: There is a significant and unidirectional relationship between the work environment and the satisfaction of nursing staff in the outpatient and inpatient rooms of UII Bantul Hospital, Yogyakarta.

Analisis Luaran Perinatal Berdasarkan Peningkatan Berat Badan Ibu Selama Kehamilan

NURUN NIKMAH — 2025-04-15

Setiap ibu hamil mengalami kenaikan berat badan yang berbeda-beda, tergantung dari tinggi badan (TB) dan berat badan (BB) sebelum hamil. Bertambahnya berat badan pada ibu hamil haruslah diperhatikan agar tidak melebihi batas maksimal kenaikan berat badan dikarenakan hal ini akan berdampak pada kesehatan ibu dan juga janin. Tujuan penelitian ini untuk menganalisis luaran perinatal berdasarkan penambahan BB ibu hamil. Desain penelitain ini analitik dengan pendekatan retrospektif. Variabel independen yaitu penambahan berat badan ibu hamil. Sementara variable dependennya adalah Luaran perinatal mencakup bayi yang lahir dengan berat rendah serta mengalami asfiksia. Populasi dalam studi ini terdiri dari ibu yang melahirkan di Kabupaten Bangkalan. Metode pengambilan sampel yang digunakan adalah total sampling, dengan melibatkan 95 responden. Hasil analisis statistik menggunakan Sperman Rank menunjukkan p-value sebesar 0,031(<0,05) dan nilai r = 0,222, dapat diambil kesimpulan bahwa terdapat hubungan yang tidak kuat antara peningkatan Berat Badan dengan berat bayi saat lahir. Hasil uji Sperman Rank dimana nilai p-value 0,015 (<0,05) dan r = 0,250, yang berarti terdapat hubungan yang lemah antara keseuaian peningkatan Berat Badan dengan nilai APGAR score bayi.

PENGARUH DIMENSI MUTU PELAYANAN TERHADAP KEPUASAN PASIEN RAWAT JALAN DI PUSKESMAS JADDIH BANGKALAN

Eka Suci Daniyanti — 2025-04-22

Latar Belakang: Mutu pelayanan menjadi indikator penting dalam menentukan kepuasan pasien, khususnya di puskesmas sebagai fasilitas pelayanan kesehatan tingkat pertama. Dimensi mutu seperti tangible, assurance, reliability, empathy, dan responsiveness berperan penting dalam membentuk persepsi pasien terhadap kualitas layanan.

Tujuan: Menganalisis pengaruh dimensi mutu pelayanan terhadap kepuasan pasien rawat jalan di Puskesmas Jaddih, Bangkalan

Metode: Penelitian ini menggunakan pendekatan kuantitatif dengan desain cross-sectional. Sampel sebanyak 82 responden diperoleh melalui teknik quota sampling. Data dikumpulkan menggunakan kuesioner dan dianalisis secara deskriptif dan inferensial dengan uji Spearman menggunakan SPSS 25

Hasil: Sebanyak 75,6% responden menilai mutu pelayanan sebagai baik, dan 74,3% pasien menyatakan puas hingga sangat puas terhadap layanan yang diterima. Hasil uji Spearman menunjukkan adanya hubungan yang signifikan antara mutu pelayanan dengan kepuasan pasien (p = 0,002)

Simpulan: Terdapat pengaruh yang signifikan antara mutu pelayanan dengan tingkat kepuasan pasien. Peningkatan kualitas layanan pada berbagai dimensi mutu sangat diperlukan untuk menjaga dan meningkatkan kepuasan pasien di Puskesmas Jaddih