scholarly journals FAKTOR DETERMINAN PELAKSANAAN INISIASI MENYUSU DINI (IMD) OLEH BIDAN DI KABUPATEN BREBES

2021 ◽  
Vol 8 (3) ◽  
pp. 374-383
Author(s):  
Ziyadatul Chusna Almabruroh Yuni Alfi ◽  
Kun Aristiati Susiloretni ◽  
Ngadiyono Ngadiyono ◽  
Mardiyono Mardiyono
Keyword(s):  
Chi Square ◽  
Cross Sectional

LATAR BELAKANG : Salah satu peran dan fungsi bidan adalah sebagai pelaksana, dimana Bidan merupakan petugas kesehatan yang membantu pertolongan persalinan, dan mempunyai peranan penting untuk memfasilitasi ibu dalam keberhasilan pelaksanaan IMD. Pertolongan persalinan di wilayah Kabupaten Brebes sebesar 98,30 % dilakukan oleh bidan. Presentase inisiasi menyusui dini di Brebes 40,39%. TUJUAN : Untuk mengetahui dan menganalisis faktor determinan pelaksanaan inisiasi menyusui dini (IMD) oleh bidan di Puskesmas wilayah kerja Dinas Kesehatan Kabupaten Brebes. METODE : Jenis penelitian observasional dengan metode survey dan pendekatan cross sectional. Instrumen penelitian menggunakan kuesioner terstruktur yang telah diuji validitas dan reliabilitasnya. Menggunakan analisis bivariat dengan uji chi square dan analisis multivariat dengan uji regresi logistik. Jumlah sampel 213 orang responden yaitu bidan desa di wilayah Kabupaten Brebes. HASIL :  Hasil uji regresi logistik menunjukan variabel yang berpengaruh terhadap pelaksanaan inisiasi menyusu dini adalah usia bidan (OR 0.026 CI 95% 0.0050-0.14), pelatihan (OR 2.77 CI 95% 1.29-5.97) dan lama kerja (OR 9.63 CI 95% 3.85-24.1). Sedangkan faktor yang tidak berhubungan dengan pelaksanaan IMD adalah sikap, refreshing pelatihan, dukungan, dan kebijakan atasan. KESIMPULAN : Dapat disimpulkan variabel yang paling berpengaruh terhadap pelaksanaan inisiasi menyusu dini adalah lama kerja (OR 9.63 CI 95% 3.85-24.1).

Personal Audio System: Hearing Symptoms, Habits, and Sound Pressure Levels Measured in Real Ear and a Manikin

2020 ◽  
Vol 63 (6) ◽  
pp. 2016-2026
Author(s):  
Tamara R. Almeida ◽  
Clayton H. Rocha ◽  
Camila M. Rabelo ◽  
Raquel F. Gomes ◽  
Ivone F. Neves-Lobo ◽  
...  
Keyword(s):  
Sound Pressure ◽  
Daily Basis ◽  
Cross Sectional Study ◽  
Normal Hearing ◽  
Chi Square ◽  
Cross Sectional ◽  
The Real ◽  
Significant Difference ◽  
Sound Pressure Levels ◽  
Audio System

Purpose The aims of this study were to characterize hearing symptoms, habits, and sound pressure levels (SPLs) of personal audio system (PAS) used by young adults; estimate the risk of developing hearing loss and assess whether instructions given to users led to behavioral changes; and propose recommendations for PAS users. Method A cross-sectional study was performed in 50 subjects with normal hearing. Procedures included questionnaire and measurement of PAS SPLs (real ear and manikin) through the users' own headphones and devices while they listened to four songs. After 1 year, 30 subjects answered questions about their usage habits. For the statistical analysis, one-way analysis of variance, Tukey's post hoc test, Lin and Spearman coefficients, the chi-square test, and logistic regression were used. Results Most subjects listened to music every day, usually in noisy environments. Sixty percent of the subjects reported hearing symptoms after using a PAS. Substantial variability in the equivalent music listening level (Leq) was noted ( M = 84.7 dBA; min = 65.1 dBA, max = 97.5 dBA). A significant difference was found only in the 4-kHz band when comparing the real-ear and manikin techniques. Based on the Leq, 38% of the individuals exceeded the maximum daily time allowance. Comparison of the subjects according to the maximum allowed daily exposure time revealed a higher number of hearing complaints from people with greater exposure. After 1 year, 43% of the subjects reduced their usage time, and 70% reduced the volume. A volume not exceeding 80% was recommended, and at this volume, the maximum usage time should be 160 min. Conclusions The habit of listening to music at high intensities on a daily basis seems to cause hearing symptoms, even in individuals with normal hearing. The real-ear and manikin techniques produced similar results. Providing instructions on this topic combined with measuring PAS SPLs may be an appropriate strategy for raising the awareness of people who are at risk. Supplemental Material https://doi.org/10.23641/asha.12431435

Oscillation between identities and Subjective psychological health objectives among an informed audience in therapeutic patient education

2018 ◽  
Vol 10 (1) ◽  
pp. 10202
Author(s):  
Sandrine Roussel ◽  
Alain Deccache ◽  
Mariane Frenay
Keyword(s):  
Patient Education ◽  
Psychological Health ◽  
Healthcare Professionals ◽  
Cross Sectional Survey ◽  
Chi Square ◽  
Cross Sectional ◽  
Therapeutic Patient Education ◽  
French Speaking ◽  
Health Objectives ◽  
Self Administered Questionnaire

Introduction: The implementation of Therapeutic Patient Education (TPE) remains a challenge. An exploratory study highlighted two tendencies among practitioners of TPE, which could hamper this implementation: an oscillation between identities (as caregivers versus as educators) and an inclination towards subjective psychological health objectives. Objectives: To verify whether these tendencies can be observed among an informed audience in TPE. Next, to explore the variables associated with one or other of these tendencies. Method: A quantitative cross-sectional survey by a self-administered questionnaire was carried out among 90 French-speaking healthcare professionals. Statistical analyses (chi-square, logistic regression) were then conducted. Results: Sixty percent of respondents displayed identity oscillation, which was found to be linked to task oscillation, patient curability, scepticism towards medicine and practising in France. Fifty-six percent pursued subjective psychological health objectives, which was found to be associated with health behaviour objectives and a locus of power in the healthcare relationship distinct from those seen in the pre-existing health models (biomedical, global). This tendency seems to constitute an alternative model of TPE. Discussion & conclusion: Identity oscillation and subjective psychological health objectives can be both observed. This study stresses the need to deliberate on the form(s) of TPE that is/are desired.

ADOLESCENT BEHAVIOR IN UNWANTED PREGNANCY PREVENTION

2019 ◽  
Vol 1 (1) ◽  
pp. 41-46
Author(s):  
Arip Ambulan Panjaitan
Keyword(s):  
Sexual Behavior ◽  
Reproductive Health ◽  
Risky Sexual Behavior ◽  
Parental Education ◽  
Unwanted Pregnancy ◽  
Sampling Technique ◽  
Adolescent Behavior ◽  
Cluster Sampling ◽  
Chi Square ◽  
Cross Sectional

Introduction: Adolescent are at high risk of unwanted pragnency, including abortion, STIs, HIV/AIDS. Risky sexual behavior is one of the entrance transmissions of unwanted pregnancy. Such behavior can be influenced by various factors, beyond and within the individual factors. Teens need the support and motivation in deciding not to do risky sexual behavior. The purpose of this study was to investigate the determinants of adolescent behavior in the prevention of unwanted pregnancy.Methods: This research used cross-sectional design. The populations were students of senior high school in District Sintang. The were 123 respondents chosen by cluster sampling technique for this study. All data were collected using questionnaires and then analysed using bivariate (chi square) and multivariate analysis (logistic regression).Results: The results showed that the majority of respondents did not have good knowledge about the prevention of unwanted pregnancy. Related variable is the level of parental education (p=0.001), the support of parents/guardians (p=0.009), support teachers (p=0.005), peer support (p=0.039), residency (p=0.009), a pastime activity (p=0.000), knowledge of adolescents about reproductive health (p=0.016), perception ability of adolescents (p=0.006) and attitude of adolescents (p=0.049). Adolescent self-perception abilities are variables that most influence on the behavior of adolescents in the prevention of unwanted pregnancy.Conclusions: Efforts to improve reproductive health programs should be early and adolescent have responsibilities as well as healthy behaviors.

Pengaruh merokok terhadap hasil clotting time dan bleeding time pada populasi laki-laki Fakultas Kedokteran UMSU

2019 ◽  
Vol 2 (1) ◽  
pp. 217-222
Author(s):  
Dhio Emerko Ginting ◽  
Fani Ade Irma ◽  
Sri Rezeki Arbaningsih ◽  
Siti Hajar
Keyword(s):  
Bleeding Time ◽  
Clotting Time ◽  
Time Data ◽  
Chi Square ◽  
Cross Sectional

WHO telah menetapkan Indonesia sebagai negara dengan jumlah perokok terbesar ketiga. Ada tiga zat kimia yang paling sangat berbahaya, yaitu tar, nikotin, karbon monoksida yang terkandung dalam rokok. Hasil penelitian di Inggris menunjukkan kepada kita bahwa kurang lebih 50% perokok yang merokok sejak remaja mengalami kematian akibat penyakit yang berhubungan dengan kebiasaan merokok mereka. Penelitian ini bertujuan untuk mengetahui tentang pengaruh asap rokok dengan proses kaskade clotting time. Jenis penelitian ini adalah penelitian analitik dengan menggunakan desain cross-sectional. Penelitian ini menggunakan sampel populasi laki-laki di Fakultas Kedokteran di UMSU yang diwawancara untuk mengetahui bahwa mereka merokok atau tidak, setelah itu, sampel diperiksa clotting time dan bleeding time. Data yang terkumpul dianalisis dengan uji chi-square. Hasil penelitian menunjukkan p = 0,000 bahwa ada hubungan merokok dengan clotting time dan bleeding time pada perokok berat dan sedang. Pada perokok berat dan moderat terdapat hubungan bermakna antara penurunan bleeding time dan peningkatan clotting time dengan merokok. Tidak ada hubungan antara clotting time dan merokok pada perokok ringan.

Hubungan Sikap dan Karakteristik Pasangan Usia Subur (PUS) dengan Keikutsertaan dalam Program KB di Wilayah Kerja UPT Puskesmas Sungai Raya Kecamatan Sungai Raya Kabupaten Aceh Timur

2020 ◽  
Vol 8 (2) ◽  
pp. 105-114
Author(s):  
Ainul Mardhiah ◽  
Nova Hasbani Prima Dewi ◽  
Aminy Aminy
Keyword(s):  
Family Planning ◽  
Family Planning Program ◽  
The Elderly ◽  
P Value ◽  
Planning Program ◽  
Elderly Age ◽  
Chi Square ◽  
Cross Sectional ◽  
The Family ◽  
Relationship Of

The family planning program also aims to improve the quality of the family in order to generate a sense of security, peace and hope of a better future in realizing the prosperity of birth and inner happiness. Allegedly the factor causing EFA participation in the family planning program is characteristic. The purpose of this research is to know the relationship of attitude and characteristic of Elderly Age Couple (PUS) with participation in family planning program at UPT Puskesmas Sungai Raya Sungai Raya District, East Aceh regency 2018. The research design used was analytic survey with cross sectional design. The population of this study is all Pairs Age of Fertile located in Work Area UPT Sungai Raya Public Health Service Center in January to December 2017 which amounted to 1897 people. Sampling using Slovin formula, obtained as many as 95 samples. The study was conducted from 7-17 July 2018 using questionnaires by interview. Statistical test using chi-square test. Result of research indicate that majority of fertile couple couples (PUS) participate in family planning program as much as 67 respondents (70,5%). Statistically there is relationship of attitude and characteristic of Elderly Age Couple (EFA) with non participation in family planning program in Working Area of UPT Puskesmas Sungai Raya Sungai Raya District of East Aceh Regency 2018 with p value <0,1. It is recommended that the family planning program holders in UPT Puskesmas Sungai Raya Sungai Raya District of East Aceh District to invite cross-sectoral figures to hold meetings to create mini workshop plans at least once a month to increase the participation of the Elderly Age Couple (PUS) in family planning programs. Keyword : Family Planning Program, Attitudes, CharacteristicsABSTRAKProgram KB juga bertujuan untuk meningkatkan kualitas keluarga agar dapat timbul rasa aman, tentram, dan harapan masa depan yang lebih baik dalam mewujudkan kesejahteraan lahir dan kebahagiaan batin. Diduga faktor yang menyebabkan ketidakikutsertaan PUS dalam program KB adalah karakteristik. Tujuan penelitian ini untuk mengetahui hubungan sikap dan karakteristik Pasangan Usia Subur (PUS) dengan keikutsertaan dalam program KB di Wilayah Kerja UPT Puskesmas Sungai Raya Kecamatan Sungai Raya Kabupaten Aceh Timur tahun 2018. Desain penelitian yang digunakan adalah survei analitik dengan rancangan bedah lintang. Populasi dari penelitian ini adalah seluruh Pasangan Usia Subur yang berada di Wilayah Kerja UPT Puskesmas Sungai Raya pada bulan Januari sampai dengan Desember tahun 2017 yang berjumlah 1.897 orang. Pengambilan sampel menggunakan rumus Slovin, didapatkan sebanyak 95 sampel. Penelitian dilaksanakan dari tanggal 7-17 Juli tahun 2018 menggunakan kuesioner dengan cara wawancara. Uji statistik menggunakan uji chi-square. Hasil penelitian menunjukkan bahwa mayoritas Pasangan Usia Subur (PUS) ikut serta dalam program KB yaitu sebanyak 67 responden (70,5%). Secara statistik ada hubungan sikap dan karakteristik Pasangan Usia Subur (PUS) dengan ketidakikutsertaan dalam program KB di Wilayah Kerja UPT Puskesmas Sungai Raya Kecamatan Sungai Raya Kabupaten Aceh Timur tahun 2018 dengan p value < 0,1. Sebaiknya pemegang program KB di UPT Puskesmas Sungai Raya Kecamatan Sungai Raya Kabupaten Aceh Timur agar mengajak tokoh lintas sektor agar mengadakan pertemuan untuk membuat rencana loka karya mini setidaknya satu bulan sekali untuk meningkatkan keikutsertaan Pasangan Usia Subur (PUS) dalam program KB.Kata Kunci : Program KB, Sikap, Karakteristik

Hubungan Antara Menyusui Dengan Involusi Uterus Pada Ibu Nifas Fisiologis Di RSIA Aura Syifa Kabupaten Kediri

1970 ◽  
Vol 5 (2) ◽  
pp. 64
Author(s):  
Eny Sendra ◽  
Dewi Indriani
Keyword(s):  
Breast Feeding ◽  
Sampling Technique ◽  
Chi Square ◽  
Cross Sectional ◽  
Fisher Test ◽  
Key Word ◽  
Chi Square Test ◽  
The Moment

Breast feeding is giving milk to be drunk to the baby from the breast. Uterus involution is a process how the uterus return to the condition back, before pregnanting after bearing. At the moment of suckling, happens a stimulus and brings the hormones out, such as oksitosin uses not only to stimulate some muscles constraction but also to stimulate the uterus, so that the process of uterus involution happens foster. According to the explanations above, the research aimed to know about the correlation between breast feeding and uterus involution. This research’s design was, cross sectional by the population of all childbirth mothers approximately 50 persons / month. By using accidental sampling technique we got 21 sample respondents. The place of research in RSIA Aura Syifa in Kediri Regency on 16th until 22nd of June 2009. From this research’s result, we got 14 persons (66,67%) with normal uterus involution, suckled in a good way, one person (4,67%) with normal uterus involution, suckled in a wrong way, 2 persons (9,52%) with abnormal uterus involution, suckled in a good way and 4 persons (19,05%) with abnormal uterus involution, suckled in a wrong way. Statistic test which used chi-square test, counted the probability frequency in advance, from that we got 3 columns with the score, less than 5, so that chi-square can not be continued and by doing exact fisher test, the score was 0,001. Because P with the grade mistake 0,05 smaller, so the conclusion was “Ho” is rejected, it meant “there was correlation between suckling and uterus involution”. Key Word : Breast feeding, uterus involution

Faktor Predisposisi Dan Pemungkin Perilaku Penggunaan Kondom Padapelanggan WPS Di Semampir Kediri

1970 ◽  
Vol 5 (1) ◽  
pp. 09
Author(s):  
Shinta Kristianti
Keyword(s):  
Sexual Behavior ◽  
Condom Use ◽  
Risky Sexual Behavior ◽  
Sex Workers ◽  
Quantitative Methods ◽  
Group Discussion ◽  
Chi Square ◽  
Cross Sectional ◽  
Influential Variable ◽  
Use Behavior

Transmission of HIV-AIDS in Indonesia is growing fast, one of the triggers are due to risky sexual behavior, including sexual behavior in FSW’s clients. This study aimed to analyze the factors that influence the behavior of condom use on the FSW’s clients in Semampir Kediri. This study used quantitative methods to the design of explanatory research with cross sectional approach. A triangulation of qualitative data used to support the results of quantitative analysis were excavated from WPS and pimps as a cross check answers FSW’s clients, the means used was to in-depth interviews and FGDs (Focus Group Discussion) on the FSW and pimps. Sample size was 66 people. Univariate data analysis, with chi-square bivariate and multivariate logistic regression. Results showed most respondents (71.2%) behave consistent in using condoms.Variables related to condom use behavior in FSW were knowledge, perception of vulnerability, severity perceived, benefits perceived, barriers perceived and perceived ability to self (self-efficacy), the availability of condoms, condom regulation, support of friends and support of FSW. Support of friend was the most influential variable on the practice of using condoms to FSW’s clients and the OR value was 19.218.; Key words: female sex workers (FSW), FSW’s clients, condom, consistent 

Hubungan Kenyamanan, Pengetahuan Dan Sikap Petani Dengan Penggunaan Alat Pelindung Diri Pestisida Pada Petani Jeruk

2017 ◽  
Vol 2 (3) ◽  
Author(s):  
Dina Dinaediana
Keyword(s):  
Chi Square ◽  
Cross Sectional

<p class="Default">Penggunaan bahan-bahan kimia pertanian seperti pestisida tersebut dapat membahayakan kehidupan manusia dan hewan, Petani merupakan pekerja yang sering terpapar dengan pestisida sehingga rentan terhadap bahaya pestisida khususnya pestisida semprot. Hasil survei pendahuluan yang dilakukan terhadap 20 petani jeruk di Sungai Dadok Nagari Koto Tinggi Tahun 2017, didapatkan  bahwa  50%  petani  tidak  memakai  baju  lengan  panjang,  50%  petani  tidak memakai masker, 65% petani tidak memakai sarung tangan, 75% petani tidak memakai sepatu boot, 75% petani tidak pakai kacamata, 50% petani tidak memakai celana panjang. Penelitian ini bertujuan untuk mengetahui Hubungan Kenyamanan, Pengetahuan dan Sikap Petani dengan Penggunaan Alat Pelindung Diri Pestisida pada petani jeruk, yang dilakukan pada tanggal 22 - 29 September 2017.Penelitian ini menggunakan pendekatan kuantitatif dengan metode <em>cross sectional </em>dengan sampel sebanyak 70 responden yang diambil secara   <em>total sampling</em>. Menggunakan Uji statistik dengan <em>chi square</em>. Data diperoleh melalui kuesioner.Didapatkan 61,4% respondenyang tidak nyaman menggunakan APD pestisida, 54,3% responden yang memiliki pengetahuan rendah, dan 52,9% responden yang memiliki sikap negatif. Hasil analis bivariat menunjukkan terdapat hubungan antara kenyamanan (p <em>value </em>=0,00 ; OR =21,583), pengetahuan(p <em>value </em>= 0,028 ; OR = 3,554) dan sikap (p <em>value </em>= 0,000 ; OR = 9,042) responden terhadap penggunaan APD pestisida.Kesimpulan dari penelitian ini bahwa yang paling signifikan mempengaruhi penggunaan APD pestisida pada petani adalah kenyamanan petani dalam penggunaan APD pestisida. Disarankan Instansi atau dinas terkait, sebaiknya menyediakan APD pestisida yang tepat guna dan nyaman, sehingga tidakk ada alasan bagi petani untuk tidak menggunakan alat pelindung diri.</p>

FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN PERILAKU MEROKOK DI DALAM RUMAH DI KELURAHAN TAROK

2016 ◽  
Vol 1 (1) ◽  
Author(s):  
Dina Athanmika
Keyword(s):  
Random Sampling ◽  
Simple Random Sampling ◽  
Chi Square ◽  
Cross Sectional

<p>Merokok adalah perilaku penggunaan .Wabah tembakau atau rokok telah meracuni dan membunuh 4 juta penduduk dunia setiap tahunnya.  Berdasarkan laporan WHO tahun 2008 ditemukan 24,1% remaja pria Indonesia adalah perokok. Konsumsi rokok di Indonesia meningkat lebih cepat dibandingkan negara-negara lain. Pada kelompok umur 10-14 tahun, jumlah perokok meningkat dari 0.3% menjadi 1.4% dalam kurun waktu 18 tahun (1995-2013), dan pada kelompok umur 15-19 tahun terjadi peningkatan dari 7,1% ke 18,3%.  Hasil Riskesdas 2013, menunjukkan bahwa terdapat 30,3% perokok aktif di Sumatera Barat. Tujuan dari penelitian ini adalah untuk melihat faktor-faktor yang mempengaruhi perilaku merokok didalam rumah Kelurahan Tarok Kecamatan Payakumbuh Utara Tahun 2014.Penelitian menggunakan desain <em>cross sectional</em>. Populasi dalam penelitian ini adalah kepala keluarga  perokok yang berada di Kelurahan Tarok Kecamatan Payakumbuh   Utara   dengan   jumlah   sampel   162   responden   dan   dipilih menggunakan teknik Simple Random Sampling. Pengolahan data menggunakan analisis univariat dan bivariat (Uji Chi-Square).Hasil analisis univariat didapatkan sebagian besar (89,5 %)  responden mempunyai perilaku merokok, 62,3% responden memiliki sikap negatif, terdapat 51,2% responden memiliki <em>perceive behavioral </em>yang tinggi, dan 56,8 % responden memiliki peran ibu rumah tangga yang tidak optimal. Hasil analisis bivariat menunjukkan bahwa terdapat hubungan yang signifikan antara peran ibu rumah tangga (p = 0,032 ; OR = 3,6), tidak ada hubungan sikap (p = 0,958 ; OR =1,18) dan <em>perceive behavioral </em>(p = 0,152 ; OR = 2,5) dengan perilaku merokok didalam rumah.penelitian ini disimpulkan bahwa ada hubungan peran ibu rumah tangga terhadap perilaku merokok. menjalin kerjasama dengan tokoh masyarakat   dalam memberikan informasi dan pengetahuan kepada warga berupa penyuluhan kesehatan tentang merokok agar dapat menghentikan kebisaan merokok didalam rumah.</p>

FAKTOR PERSONAL YANG BERHUBUNGAN DENGAN KOMITMEN ORGANISASI PERAWAT RSUD EMBUNG FATIMAH BATAM

2020 ◽  
Vol 5 (3) ◽  
pp. 875
Author(s):  
Asfri Sri Rahmadeni
Keyword(s):  
Organizational Commitment ◽  
Turnover Rate ◽  
Sampling Technique ◽  
Hospital Nurses ◽  
Test Results ◽  
Personal Factors ◽  
High Turnover ◽  
Chi Square ◽  
Cross Sectional ◽  
Chi Square Test

<p class="Normal1"><em>Commitment is the attitude or behavior of likes or dislikes shown by someone against the organization at work. Indonesia is recorded as a nurse who has a low organizational commitment (76%) so it harms services. This phenomenon in the hospital can be seen from the indicator of the high turnover rate of nurses which reaches 30.9% which exceeds the standard &lt;5%. Many factors affect organizational commitment. The purpose of this study was to analyze the Personal Factors Associated with Organizational Commitment of Hospital Nurses. This study is a cross-sectional analytic study and purposive sampling technique with a sample of 59 nurses. Chi-Square test results obtained personal factors that have a relationship with organizational commitment Nurse Hospital is age with p = 0,000 and education with p = 0,000, personal factors not related to organizational commitment are gender p = 1,053 and years of service with p = 1,147. Hospitals should conduct research/surveys on Organizational Commitment periodically as an evaluation material in the context of the organization's development and development in the future</em>.</p>

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