Hasil Pencarian  ::  Simpan CSV :: Kembali

"Maternity blues (MB) adalah suatu gangguan yang umum ditemukan dan biasanya tidak terdiagnosisis. Studi ini mengidentifikasikan beberapa faktor risiko yang berhubungan dengan MB. Subjek adalah perempuan hamil dengan antenatal dun melalurkan di Rumah Sakit Persahabatan (RSP) Jakarta dari I Nopember 1999 - 15 Agustus 2001. Pengambilan sampel dengan cara konsektitif dan diikuti sampai dengan 2 minggu postpartum. Subjek yang menderita gangguan psikiatri (skizofrenia atau gangguan psikotik lainnya) tidak diikut sertakan. MB dan ante partum depresi (APD) dideteksi dengan Edinburgh Postnatal Depression Scale (EPOS). Status mental suami didasarkan penentuan Symptom Check List-90 (SCL-90). Sebanyak 25% menderita MB di antara 580 sitbjek. Dibandingkan dengan yang subjek yang tidak mengalami APD, yang mengalami APD be risiko 3 kali lipat menderita MB [rasio hazard snaian faHR) = 3,57; 95% innerval kepercayaan (CI) ~ 2.54;5,03]. Perempuan yang mernpunyai bayi tidak sehat pada 5 hari perrama pasca persalinan berisiko lebih dari 2 kali lipat mendeita MB dibandingkan dengan yang mempunyai bayi sehat (aHR = 2,21; 95% CI = 1,34 : 3.66). Istri yang suaminya mengalami masalah kesehalan mental berisiko hanpir dua kali lipat menderita MB (aHR = 1,91; 95% CI = 1,36 ; 2,68). Serla istri yang mengalami stres dalam masa hamil berisiko 1,6 kali mendeita MB (aHR = 1,59; 95% CI = 1, 14 : 2,25). Untiik mencegah timbulnya MB perlu diberikan penanganan khusus pada mereka yang mempunyai riwayat APD, kondisi bayinya tidak sehat pada 5 hari pertama pasca persalinan dan suami mengalami masalah pada kesehatan mental, serta istri yang mengalami sires dalam masa hamil. (MedJ Indones 2006; 15:74-80).

---

Maternity blues disorder (MB) is common, and it is usually undiagnoscd. This study to identify several risk factors related to MB. Subjects were pregnant women who had antenatal and delivery a! the Persahabatan Hospital (RSP) Jakarta from ! November 1999 to 15 August 2001. Consecutive sampling and was followed-up until two-week postpartum. Those who ever had psychiatric disorders (schizophrenia or other psychotic disorders) were excluded. MB and ante partum depression (APD) detected by using Edinburgh Postnatal Depression Scale (EPDS). Husband's mental status based on Symptom Check List-90 (SCL-90) respectively. Among 580 subjects, 25% suffering from MB. Compared with those who did not have APD, those who experienced it had more than three-fold increased risk to be MB [adjusted hazard ratio (aHR) = 3.57; 95% confidence inten>al (CI) - 2.54;5,()3]. Those who had not healthy baby on the first 5 days afterbirth than who had healthy baby had twice increased risk to be MB (aHR = 2.21 ; 95% CI = 1.34 ; 3.66). Who had husband with problem in mental health had 1.9 increased risk to be MB (aHR = 1.91 ; 95% CI = 1.36 ; 2.68) . Stress during pregnancy had 1.6 increased risk To be MB (aHR = 1.59; 95% CI -~ 1. 14 ; 2.25). To control MB, special attention should be paid to women who had APD history, who had unhealthy baby on 5 first days afterbirth, who had husbands' mental health problems, and who had stress during pregnancy. (Med J Indones 2006; 15:74-80)."

"Telah dilakukan penelitian tentang keanekaragaman tumbuhan obat pascapersalinan di pekarangan masyarakat Sunda Desa Ciburial, Banten. Tujuan pertama penelitian yaitu untuk mengetahui keanekaragaman tumbuhan obat pascapersalinan, berdasarkan pengetahuan lokal masyarakat Sunda Desa Ciburial. Metode penelitian dilakukan dengan pendekatan etnobotani melalui wawancara. Tujuan kedua yaitu mengetahui Indeks Nilai Penting tumbuhan obat pascapersalinan di pekarangan masyarakat Sunda Desa Ciburial. Metode penelitian yang dilakukan yaitu analisis vegetasi dengan kuadrat ganda. Tumbuhan obat yang dimanfaatkan masyarakat Sunda Desa Ciburial untuk pengobatan pascapersalinan mencapai 46 spesies. Terdapat tiga spesies tumbuhan obat yang memiliki intensitas pemanfaatan tertinggi yaitu Jahe Zingiber officinale, Cikur Kaempferia galanga dan Koneng Curcuma domestica. Hasil analisis vegetasi menunjukan bahwa sebanyak 36 spesies tumbuhan obat pascapersalinan diperoleh dari pekarangan. Tumbuhan obat di pekarangan yang memiliki Indeks Nilai Penting INP tertinggi pada kelompok liana yaitu areuy hatta Lygodium circinatum , terna yaitu nampong Siegesbeckia orientalis , perdu yaitu harendong Melastoma malabathricum , dan pohon yaitu kalapa Cocos nucifera.

---

Research regarding plants diversity on post partum recovery medical used in sundanese community forecourts in ciburial village, Banten has been conducted. This research was aimed to find out plants diversity on post partum recovery medical used, based on sundanese community perspectives. Research methods used ethnobotany perspectives interview. Another aim is to find out importance value indeks of plants used to post partum recovery medical in sundanese community forecourts. Research methods used vegetation analysis with double quadrate. Medicinal plants used by the sundanese community to reach up to 46 species. These three medicinal plants have the highest intensity in utilization, ginger Zingiber officinale , cikur Kaempferia galanga and koneng Curcuma domestica . Vegetation analysis results showed that 36 medicinal plant species obtained from forecourts. Medicinal plants in forecourts which had highest importance value index in liana group was areuy hatta Lygodium circinatum , in terna group was nampong Siegesbeckia orientalis , in perdu group was harendong Melastoma malabathricum and in tree group was kalapa Cocos nucifera."

"Maternity nurses are authorized health workers that provide antenatal care, but their roles and function in antenatal care services are not recognized by the public. This research aims to reveal the experience of pregnant women during antenatal visits in private clinic maternity nursing. Six pregnant women selected using purposive sampling underwent an in-depth interview in this descriptive phenomenological study. Data were analyzed through thematic content analysis with Moustakas approach. Three themes were identified in this study: 1) women experience good communication with maternity nurses; 2) women receive family-centered nursing care; 3) the schedule, cost, facility, and types of service meet the participants’ needs. This study suggests for nurses to improve their competencies in delivering antenatal care according to clients’ needs."

"ABSTRAK Tingginya angka kematian ibu saat ini salah satunya disebabkan oleh adanya komplikasi pada saat kehamilan dan persalinan Ners spesialis keperawatan maternitas mempunyai peran penting dalam mencegah kematian baik ibu maupun janin Laporan ini bertujuan untuk memberikan gambaran pelaksanaan praktik ners spesialis keperawatan maternitas meliputi asuhan keperawatan pada masa prenatal intranatal postnatal dan bayi baru lahir normal dan berisiko serta mengenai masalah kesehatan reproduksi perempuan Residen juga memberikan asuhan keperawatan dengan focus penerapan teori need for help dari Wiedenbach pada ibu dengan terminasi kehamilan karena preeklamsia berat Hasil menunjukkan bahwa penanganan segera dan terminasi kehamilan sesuai dengan indikasi dapat mencegah komplikasi dan kegawatan pada ibu dan bayi serta mencegah terjadinya Sindrom HELLP dan Eklamsia Penerapan teori model keperawatan Need For Help efektif untuk diaplikasikan pada kasus terminasi kehamilan karena preeklamsia berat Pencapaian kompetensi perawat spesialis keperawatan maternitas dilakukan dengan penerapan peran perawat secara komprehensif.ABSTRACT One of the causes of high maternal mortality rate is the complications of pregnancy and labor A maternity nursing specialist has an important role to prevent maternal and fetal death This report aimed to provide an overview of the implementation of maternity nursing specialist practice including nursing care of normal and high risk prenatal intranatal postnatal and newborn as well as women rsquo s health Resident also provided nursing care focused on the application of Wiedenbach Need for Help Theory on mothers with pregnancy termination due to severe preeclampsia Results showed that the immediate management and pregnancy termination as indicated could prevent complications and maternal and infant distress as well as prevent HELLP Syndrome and eclampsia The application of Wiedenbach Need for Help Model Theory was effective to be applied on cases of pregnancy termination due to severe preeclampsia The maternity nursing specialist competencies were achieved by applying a nurse rsquo s roles comprehensively."

"Persalinan kala dua memanjang merupakan kondisi yang memerlukan penanganan perawat agar tidak terjadi dehidrasi atau kelelahan pada ibu dan mencegah gawat janin. Penatalaksanaan keperawatan pada ibu yang mengalami persalinan kala dua memanjang dengan memberikan asuhan keperawatan secara fisik dan psikologis. Metode yang digunakan adalah studi kasus dengan fokus penerapan teori need for help Wiedenbach dan comfort Kolcaba pada asuhan keperawatan ibu yang mengalami persalinan kala dua memanjang. Aplikasi teori need for help Wiedenbach dan comfort Kolcaba efektif diterapkan pada kelima kasus yang berfokus pada masa intranatal baik secara fisik dan psikologis, mencegah dampak persalinan kala dua memanjang terhadap kondisi ibu dan janin serta mengkaji pernyataan klien tentang bantuan yang dibutuhkan kepada perawat. Dengan intervensi keperawatan yang sesuai dengan bantuan yang dibutuhkan klien maka masalah klien dalam keadaan emergency teratasi dan kebutuhan rasa nyaman dapat terpenuhi.

---

Prolonged second stage of labor is a condition requiring nurse handling to avoid dehydration or fatigue of the mother and prevent fetal distress. Management of nursing in mother who experience prolonged labor by giving physical and psychological nursing care. The method used is case study with focus on the application of the theory of need for help Wiedenbach and comfort Kolcaba on nursing care in mother who experienced prolonged second stage of labor. The application of need for help Wiedenbach and comfort Kolcaba theories effectively applied to the five cases that focused on intranatal phase both physically and psychological, prevent the impact of prolonged second stage of labor in mother and fetus condition, as well as reviewing the clients statement about the assistance needed to the nurse. Appropriate nursing interventions can address client problems in an emergency and comfort needs can be met."

"

Retensi urin postpartum merupakan ketidakmampuan mengosongkan kandung kemih secara spontan setelah melahirkan dengan residu urin lebih dari 200 ml. Komplikasi yang dapat terjadi yaitu distensi kandung kemih, kontraksi uterus terhambat, perdarahan, otot detrusor melemah, kateterisasi intermiten dan disfungsi berkemih permanen. Penatalaksanaan keperawatan pada retensi urin postpartum dengan memberikan asuhan keperawatan secara holistik menggunakan studi kasus dan penerapan teori keperawatan. Penerapan teori self care Orem dan comfort Kolcaba pada lima kasus retensi urin postpartum dengan membahas permasalahan yang dialami dan menguraikan peran perawat pada kasus tersebut, dengan tujuan kebutuhan kenyamanan dan kemandirian pasien dapat terpenuhi. Kejadian retensi urin dapat diatasi dengan menerapkan evidence based nursing practice kegel excercise dan bladder training. Studi kasus yang dilakukan pada lima ibu postpartum yang mengalami retensi urin didapatkan bahwa kegel exercise dan bladder training mampu mengatasi retensi urin secara signifikan, menurunkan tingkat nyeri, dan meningkatkan self care.

---

Postpartum urinary retention is the inability to empty the bladder spontaneously after giving birth with more than 200 ml urine residue. Complications that can occur are distention of the bladder, obstructed uterine contractions, bleeding, weak detrusor muscles, intermittent catheterization and permanent voiding dysfunction. Nursing management in postpartum urinary retention by providing nursing care holistically uses case studies and the application of nursing theory. Application of self care Orem and Comfort Kolcaba theory in five cases of postpartum urine retention by discussing the problems experienced and outlining the role of nurses in the case, with the aim of comfort and independence of patients can be fulfilled. Urinary retention can be overcome by applying evidence based nursing practice kegel excercise and bladder training. Case studies conducted on five postpartum mothers who experienced urinary retention found that kegel exercise and bladder training were able to overcome urinary retention significantly, reduce pain levels, and improve self care.

"

"Perawat spesialis maternitas berperan dalam menurunkan Angka Kematian Ibu AKI akibat komplikasi kehamilan dan persalinan. Salah satu peran perawat adalah memberikan asuhan keperawatan yang komprehensif dengan mengidentifikasi dan mengatasi masalah pasien perdarahan post partum dengan pedekatan teori keperawatan. Penerapan model need for help Wiedenbach diterapkan pada fase akut untuk mefasilitasi ibu mengatasi masalah perdarahan yang dialami dan teori self care Orem diterapkan pada fase pemulihan untuk memfasilitasi pasien meningkatkan kemampuan dalam merawat dirinya. Lima kasus kelolaan pasien memiliki masalah yang berbeda beda sesuai hasil pengkajian model need for help Wiedenbach dan self care Orem. Kasus yang dilaporkan adalah pasien perdarahan post partum akibat retensio plasenta dengan keluhan perdarahan aktif, lemas, pusing. Masalah keperawatan yang ditemukan pada fase akut adalah perdarahan, kurang volume cairan, resiko gangguan perfusi jaringan, kecemasan, sedangkan masalah keperawatan pada fase pemeliharaan adalah defisit perawatan diri, risiko cidera, nyeri, kecemasan, dan berduka. Intervensi keperawatan yang dilakukan pada fase akut adalah untuk mengatasi masalah kegawatan dengan menghentikan perdarahan dan resusitasi cairan. Sedangkan intervensi keperawatan pada fase pemulihan adalah untuk meningkatkan kemandirian pasien dalam melakukan perawatan dirinya. Evaluasi yang didapatkan adalah perdarahan teratasi dan pasien mandiri dalam melakukan perawatan dirinya

---

The Final Report of residential of Maternity Nursing Specialist which focus on application Theori of need for Help Wiedenbach and Self Care orem of Women with Post Partum Haemorhagae AbstrackMaternity nursing specialists have role in reducing maternal mortality due to complication of pregnancy and childbirth. One of the nurses 39 roles is to provide comprehensive nursing care by identifying and resolving patient problems with postpartum hemorrhage using nursing theories. The application of "the need for help" Wiedenbach theory in the acute phase is to facilitate mother in overcoming the bleeding problem and "the self care" Orem theory is applied in the recovery phase to facilitate patient having self care. Five cases of postpartum hemorrhage patients have different problems according to the results of "the need for help" theory of Wiedenbach and "self care" theory of Orem.

Reported cases were postpartum hemorrhage patients due to placental retention with active bleeding, weakness and dizziness complaints. Nursing problems found in the acute phase are bleeding, lack of fluid volume and risk of tissue perfusion disorders, while the problems in the recovery phase are self care deficits, risk of injury, pain, anxiety and grief. In the acute phase, nursing interventions is conducted to overcome emergency problem by stopping bleeding and fluid resusitation. While in the recovery phase, the nursing interventions is conducted to facilitate patients in doing self care. Evaluation obtained is bleeding resolved and having self care patients. "