bluuebunny/crossref_metadata_2025 huggingface dataset:
Kemandirian Keluarga Berencana (KB) pada Pasangan Usia Subur di Kota Yogyakarta
Authors: Sariyati Susiana , Mulyaningsih Sundari , Hadi Hamam
Published: August 2016

Family planning is part of the needs of the community, todays, by the government has given to the community. This condition was used by BKKBN as a trigger to improve toward independence. Yogyakarta Province (DIY) as the one province in Indonesia which has high number of active acceptors. In 2012, active acceptors has reached 34.373 (73.29%) of 47 339 couples of productive age (BKKBN 2012). This research aimed to know representation of KB independence in couples of childbearing age (EFA) in Yogyakarta 2013. This is a descriptive research with descriptive survey approach. The population of study was an active family planning participants with a sample size of 521. Sampling techniques was done by Probability Proportional to Size (PPS), while respondents were determined with random sampling technique. Data was analyzed using univariate analysis. In this study, contraception was widely obtained by couple of childbearing age with fully paying and health insurance total of 143 (52.2%) with the reason of having KB independence was because of economic factors at 128 respondents (46.7%). In conclusion, Independence KB in Yogyakarta can be represented that mostly KB is provided through paying full as the majority have a health insurance.
Aktivitas Olahraga dengan Kejadian Sindrom Premenstruasi pada Anggota Perempuan UKM INKAI UNS
Authors: Pratiwi Arantika Meidya
Published: August 2016

The purpose of this study is to determine the relationship between sport activies with premenstrual syndrome. Observational research methods using analytic techniques with cross sectional approach. This research was conducted at UKM (Unit of Student Activity) INKAI (Institute Karate Indonesia) UNS, on June 2012. The 36 sample of population from 40 of woman member was taken by simple random sampling. Analysis test with alpha= 0,05 obtained of Spearman rank correlation value at -0,821 that indicated strengthen correlation in negative direction. The signiﬁ cance value are 0,000 smaller than 0,05 that indicated Ho was rejected and Ha was accepted. The conclusion are any negative relationship between sports activities with the premenstrual syndrome, if the value of sports activity was higher the value of premenstrual syndrome was lower.
Tingkat Pengetahuan PUS Tidak Berhubungan dengan Keikutsertaan KB di Desa Argomulyo, Sedayu, Bantul Yogyakarta
Authors: Muslimah Ardhiyani , Indah Rahmawati Nur
Published: August 2016

Family Planning (FP) participation is the most important thing in the family planning program in Indonesia. Based on the baseline study, family planning participations in 6 in Argomulyo village covered 533 couples (59.22 %) of 900 total couple of reproductive age. Knowledge is one of the factors that causes reproductive age couples to join the family planning program. Knowledge is used as the basis of actions to solve problems and this was the result of knowing after the people recognice an object. Knowledge about family planning is expected to cause the participation of reproductive age couples in the family planning program. The purpose of this study was to analyze the relationship between the knowledge level of family planning participation in reproductive age couples in Argomulyo village, Sedayu, Bantul, Yogyakarta 2014. Study design was observational analytic with cross sectional aproach. Technique sampling used was total sampling of reproductive age couples in Argomulyo village, Sedayu, Bantul, Yogyakarta resulted on 907 respondents. Data was colected by interview using the questionnaire. The analysis used was chi-square. The result of chi-square test showed a p-value 0.318>(0.05) and coefficients contingency of 0.05 so knowledge level had no relationship with FP participation. Knowledge level was 71.00% good, while the highest participation of family planning in the majority of with fair level enough was 68.8%, in addition, the highest proportion of couples who did not participate in FP program was 41.8%. In Conclusion, there was no significant relationship between the knowledge level about family planning and the participation of the family planning in reproductive age couples in Argomulyo village, Sedayu, Bantul, Yogyakarta year 2014.
Peran Orang Tua dan Sumber Informasi dalam Pendidikan Seks dengan Perilaku Seksual Remaja pada Masa Pubertas di SMAN 1 Turi
Authors: Sujarwati Sujarwati , Yugistyowati Anafrin , Haryani Kayat
Published: August 2016

Adolescent is transition period or transition from childhood to adulthood. Based on the baseline study, showed that from 268 students about 66 (60%) male students said that they ever doing masturbation and 5 (1.75%) students who take counseling had ever sexual intercourse and in the academic year 2012/2013 there was 1 (0.35%) student was pregnant before marriage. The purpose of this research was to observe role of parents and information resources relationship in sex education with sexual behavior adolescents in puberty at SMAN 1 Turi. Study design was inductive with cross sectional. The samples were adolescents aged 16-19 years. The sampling technique was done by purposive sampling resulted on 73 respondents. The analysis used Multiple Regression and Partial Correlation Test. The results showed that 50 (68.5%) students with role of parents was good, information resources 38 (52.1%) students and sexual behavior of adolescent 53 (72.6%) students was good. Multivariate analysis showed that there was the relationship between role of parent and information resources with sexual behavior period in puberty at SMAN 1 Turi with p=0.000 (p<0.05). In conclusion, there was relationship between role of parents and information resources in sex education with sexual behavior of adolescent in puberty at SMAN 1 Turi.
Pengetahuan Remaja Putri tentang Menstruasi dengan Sikap Menghadapi Dismenore Kelas XI di SMA Muhammadiyah 7, Yogyakarta
Authors: Khotimah Husnul , Kirnantoro Kirnantoro , Endang Cahyawati Fitnaningsih
Published: August 2016

Incidence of dysmenorrhea in the world is high. It was estimated about 50% women in the world suffer from dysmenorrhea in the menstrual cyclus. Incidence of primary dysmenorrhea in Indonesia was 54.89% and the rest of that were sufferers by secondary type. The Study which conducted in Jakarta find 83.5% college student had dysmenorrhea and 58.2% in Palembang. From the reported that dysmenorrhea caused 14% adolescent often did not go to school. The purpose of study was to know the relationship between knowledge of 11th grade adolescent girls about menstruation and attitudes toward dysmenorrhea at Muhammadiyah 7 Senior High School, Yogyakarta. This study used descriptive analytic methode with cross sectional approach. Study was conducted at Muhammadiyah 7 Senior High School, Yogyakarta on 10 September 2011. Samples was obtained by total sampling technique which consisted of 71 adolescent. The knowledge of 43 (60.6%) adolescent girls about menstruation at Muhammadiyah 7 Senior High School, Yogyakarta was good, and about 39 (54.9%) adolescent girls attitudes toward dysmenorrhea at Muhammadiyah 7 Senior High School, Yogyakarta on positive category. In conclusion, there was a significant relationship between knowledge of 11th grade adolescent girls about menstruation and attitudes toward dysmenorrhea at Muhammadiyah 7 Senior High School, Yogyakarta, evidenced by χ2 count>χ2 table (8.005>5.991) and p-value <0.05 (p=0.018< 0.05).

 
Kepatuhan Kunjungan Posyandu dan Status Gizi Balita di Posyandu Karangbendo Banguntapan, Bantul, Yogyakarta
Authors: Sugiyarti Retno , Aprilia Veriani , Suci Hati Febriana
Published: August 2016

Malnutrition infants incidence in Indonesia is high about 17.9%. Karangbendo in the last three years has a case of malnutrition infants. The scope of children weighing affect nutritional status of infants. Attendance of health visits in puskesmas Banguntapan III was 63.9% and Karangbendo was 48%. The purpose of this study was to know relationship between health post visits compliance and nutritional status of infants at Karangbendo Banguntapan Bantul, Yogyakarta 2014. This study used descriptive analytic with cross sectional approach. The samples were 40 infants aged 1-5 years that visit Karangbendo health post on 2nd july 2014. The data of health post compliance and nutritional status were obtained by secondary data from KMS. Data were analyzed by Kendall Tau test. The results showed that most of infants aged was 13-36 months about 70% and infants women was 57.5%. The average of health post visits compliance was 70% and category of nutritional status was 72.5% good. The results of the analysis statistics showed that kendall tau value were 0.614 it means that there was a relationship between health post visits compliance and nutritional status of infants. In conclusion, there was a relationship between health post visits compliance and nutritional status of infants at Karangbendo Banguntapan Bantul, Yogyakarta 2014.
Terapi Bekam dan Akupunktur Terhadap Penurunan Tekanan Darah pada Penderita Hipertensi Primer (Esensial) di Klinik Herbal El Zahra Kota Tarakan
Authors: Ria Santi Yumira , Paratmanitya Yhona , Pratiwi Pratiwi
Published: August 2016

Hypertension is health problems are often happens in society, both of urban and rural community. Prevalence in Indonesia reached was 75.8% quite high, the long term medical treatment make it more difficult to handled properly. Alternative treatment like cupping and acupuncture are patients hypertension efforts to be free from side effects inflicted by chemical medicines. The purpose of this study was to determine the effect of cupping and acupuncture therapy effectiveness in blood pressure reduction among patients with primary hypertension. Study design used in this study was pre experimental designs with pretest–posttest, used statistics of paired t-test and independent t-test. The Results of paired test showed that value of p were 0.003 for systole blood pressure of cupping and 0.000 for systole blood pressure of acupuncture while diastole blood pressure of cupping obtained by value of p were 0.065 and 0.775 for diastole blood pressure of acupuncture, it means that cupping and acupuncture only had an affect on systole blood pressure reduction. Analysis results of independent t-test showed that value of p were 0.051 for systole blood pressure and 0.511 for diastole blood pressure, it means that there was no differences between cupping and acupuncture therapy. Based on average of blood pleasure reduction, acupuncture can reduce of 17 mmHg of systole blood pressure while cupping only 10 mmHg, in acupuncture also reduce of 16 mmHg diastole blood pressure while cupping canl 19 mmHg.
Dukungan Keluarga dalam Keikutsertaan KB pada Pasangan Usia Subur di Desa Argomulyo Sedayu Bantul Yogyakarta
Authors: Puspitasari Dwi , Nurunniyah Siti
Published: August 2016

Family planning (FP) participation in 6 village located in Argomulyo, Sedayu, namely Puluhan, Kemusuk Kidul, Karanglo, Pedes, Surobayan and Kaliberot was 59.22%. The percentage was lower than the average number of Bantul which reached 81.40%. The progress of family planning programs can not be separated from their families since the family support is closely related to encouragement or motivation given to the reproductive age couples to participate in FP. The purpose of this study was to determine the relationship
between family support and the participation of FP of reproductive age couples Argomulyo village Sedayu, Bantul, Yogyakarta. Study design used in this study was cross sectional. The total population of reproductive age couples in Argomulyo village were 916 respondents. The sampling technique was done by total sampling. The research instrument used in the form of questionnaires. Hypothesis testing with chi-square test (α=0.05). From the data analysis between family support and FP participation variables resulted on OR=19.09 (95%CI:12.614-28.875) and contingency coefficient = 0.479 and the FP participation. In conclusion, there was a positive relationship between family support with the FP participation on the spous of reproductive age couples in Argomulyo village, Sedayu, Bantul, Yogyakarta.
Sistem Penghargaan dan Rasio Perawat Pasien dengan Kinerja Perawat di RSUD Panembahan Senopati Bantul
Authors: Rochman Habibur , Sampurno Ridwan Edi , Aﬁfah Effatul
Published: August 2016

Nursing service is the key of health care service in hospitals. Therefore, it is necessary to restuctre the health service quality related to the adequacy of nurse-patient ratio. The improvement of health services quality is a form of strategy to enhance patient safety. The performance of a nurse is the key of health care service and is very important to address in order to maintain and improve the quality of health services. The award system is one of motivation methods used to increase nurse performance. The purpose of this study was to know the relationship between awards system and nurse-patients ratio with nurse performance at RSUD Panembahan Senopati Bantul. The study design was observational analytic with cross sectional approach. Samples were selected by stratified random sampling, then simple random sampling resulting on 65 nurses. Data analysis was done by using chi-square test. The results showed that there was relationship between award system and the nurse performance with p-value 0.02 (p>0.05). Conversely there was no relationship between award system and nurse patients ratio and the nurse performance with p-value 1.000 (p>0.05). In conclusion, there was a significant relationship between award system and nurse performance, and there was no relationship between the nurse patients ratio and nurse performance.
Agama dengan Keikutsertaan Keluarga Berencana (KB) dan Pemilihan Jenis Alat Kontrasepsi pada Pasangan Usia Subur (PUS) di Desa Argomulyo Sedayu Bantul Yogyakarta
Authors: Dyah Pratiwi Eva , Sariyati Susiana
Published: August 2016

Family Planning (FP) in view of religion is still arise differences of opinion, where there are allow and forbid the recommended types of contraceptives in family planning programs. Based on the interviews with 30 respondents, 10 of them said that religion permits do family planning, 15 of them do not understand what religion does not permit or allow the use of contraceptives, 5 of them said that religion does not allow the use of contraceptives because of their belief in family planning was considered refusing sustenance given (children). The purpose of this study was to determine the relationship between religion in family planning participation and contraceptives selection of reproductive age couples in Argomulyo village, Sedayu, Bantul, Yogyakarta Year 2014. This study was observational with cross sectional design. The Results showed that there was 67.2% of Muslim participated FP, 80% of Christians and 55.6% of Catholics. 71.35% respondents were believing and participated FP and 66.5% respondents does not believe and participate FP. Most of respondents choose injection contraceptives, there was 28.4% in Islam, 20% of Christians, and 44.4% of Catholic. Respondents who believe in FP 31.6% choose injection contraceptive and 27.9% respondents who did not believe in FP also choose injection contraseptive. In conclusion, there was no relationship between religion and family planning participation, there was no correlation between faith and family planning participation, there was no relationship between religion and contraceptive selection, there was a relationship between faith and contraceptive selection.
Senam Lansia dan Tingkat Stres pada Lansia di Dusun Polaman Argorejo Kecamatan Sedayu 2 Kabupaten Bantul Yogyakarta
Authors: Jaka S Raden , Prabowo Tri , Dewi S Wahyu
Published: August 2016

Physical activity of elderly can be a mechanism of dealing with stress. However, older people are rarely engage in the physical activity. The purpose of this study was to know the relationship between elderly gymnastics and level stress in village of Polaman Argorejo, District of Bantul Yogyakarta. This study was an analytic quantitative research with cross sectional design. The population in this study was elderly that lived in Polaman village which totaled 90 respondents. Technique sampling used was total sampling resulted on 90 respondents. The analysis used was chi-square. Results showed that elderly who actively participated in gymnastic and not stress was 16 respondents (76,2%), while elderly who actively participated in gymnastic and stress was 5 respondents (23,8%), there was a signiﬁ cant relationship between gymnastic and the level of elderly stress with value of p=0,000. In conclusion, there was a signiﬁ cant relationship between gymnastics for the elderly and stress level on elderly in Polaman village Argorejo Bantul Yogyakarta.
Mekanisme Koping dengan Tingkat Depresi pada Mahasiswa Tingkat Akhir
Authors: Agung Krisdianto Muhammad , Mulyanti Mulyanti
Published: August 2016

Final year students whose individual maladaptive coping mechanisms would be very easy to get depressed. Less of knowledge about how to prevent and treat depression may result in fatal impact that is suicide. This inductive quantitative research with cross sectional design was aimed to know the relationship between
mechanism koping with the level of depression in the last year student of the level of education ners study program college Alma Ata Yogyakarta. Samples were obtained by total sample technique which consisted of 47 respondents. Analysis test used Chi-Square test. The result of this research showed that there was a signiﬁcant relationship between coping mechanisms at the level of depression (p<0.05) however there was no signiﬁ cant relationship between coping mechanisms with age, gender, and place of residence (p>0.05).
Penyebab Terjadinya Ruptur Perineum pada Persalinan Normal di RSUD Muntilan Kabupaten Magelang
Authors: Prawitasari Eka , Yugistyowati Anafrin , Kartika Sari Dyah
Published: August 2016

Perineal Rupture is a laceration on perineum when delivering a baby. Perineal rupture is one of lacerations on birth canal which can cause complication which is dangerous for mother. The danger and complication of perineal rupture are bleeding, hematoma, ﬁ stula, and infection. Based on the baseline study in RSUD Muntilan Magelang District, the number of normal deliveries in November 2013 to June 2014 found 612 people with normal delivery (spontaneous), as many as 243 people with a rupture perineum and the majority occur in women primiparous total of 37 people (15.22%), at a birth spacing >2 years as many as 87 people (35.80%), maternal aged 20-35 years as many as 46 people (18.93%), and 2.500-4.000 grams birth weight as much as 73 people (30.04%). The purposes of this study were to know the frequency distribution of perineal rupture on normal delivery and to know the relationship between perineal rupture and partum, birth spacing, mothers’ age, birth weight on normal delivery in RSUD Muntilan Magelang District of 2015. This study was observational analytics with cross sectional design. The research samples were 41 women of spontaneous vaginal delivery in RSUD Muntilan. The data were collected by using checklist. Based on the statistical test, there were no signiﬁ cant relationship between perineal rupture and partum (p-value=0.893), birth spacing (p-value=0.682), and mothers age (p-value=0.434); while on birth weight there was a signiﬁ cant relationship with the occurrence of rupture perineum (p-value=0.000). In conclusion, there was no inﬂ uence between partum, birth spacing, and mothers’ age on perineal rupture. In this study, the factor that inﬂ uences perineal rupture was the birth weight.
Kesejahteraan Spiritual Keluarga Pasien Stroke dan Kaitannya dengan Depresi
Authors: Zulfatul A’la Muhamad , Komarudin Komarudin , Efendi Defi
Published: August 2016

Stroke is a one of major problem in palliative care. Spiritual and depression assessment of the family is an important element in the process of palliative care for stroke survivors. The purpose of this study was to know the description of the spiritual well-being among stroke family caregiver family and its relationship with depression. This study used cross-sectional design. Spiritual well-being scale (SWBS) was used to see the spiritual well-being of the family and the Center for Epidemiologycal Studies Depression Scale (CES-D) to measure depression and was filled in by 44 Stroke families. The results of the study reported that the spiritual well-being of stroke family caregiver was in the high category and depression in the medium category. There was a relationship between the spiritual well-being of the family and depression in stroke patients (p=0.000). This study suggest a comprehensive assessment of the spiritual well-being and depression in stroke family and the need for future research about family interventions to decrease depression and increase spiritual well-being.
Pelaksanaan Antenatal Care Berhubungan dengan Anemia pada Kehamilan Trimester III di Puskesmas Sedayu I Yogyakarta
Authors: Fatimah Fatimah , Ernawati Susi
Published: August 2016

Anemia is one of the problems in Indonesia that important to examine, especially for pregnant women. This research used quantitative with explanatory design. Population were 44 pregnant women in 3 trimester selected by the total sampling technique. The independent variable were implementation of the antenatal care by midwives and dependent variable is anemia in 3 trimester of pregnancy at Puskesmas Sedayu I Yogyakarta. Data was collected using questionnaire. The analysis used was chi-square. The results of study showed that there was 33 (75%) of antenatal care in good category, with no anemia were 32 (72.7%) respondents, and there was a significant relationship between antenatal care and anemia in the third trimester of pregnancy with p-value=0.004. In conclusion, there was a significant relationship between antenatal care and anemia in the third trimester of pregnancy. Suggestions were needed to maintain and improve the care of midwives in antenatal care to improve the health of pregnant women, especially anemia in pregnancy.
Tingkat Pengetahuan Ibu Nifas tentang Kolostrum dengan Motivasi Pemberian Kolostrum di Rumah Sakit Panembahan Senopati Bantul, Yogyakarta
Authors: Astuti Desti , Yugistyowati Anafrin , Maharani Oktaviana
Published: August 2016

In 2012 the scope of exclusive breastfeeding in DIY were 48%, while in Bantul district as much as 62.05% in 2013. Breastfed which is first out after delivery called colostrum and very important given to infants, but many of postpartum mothers are less or not knowing about the importance of colostrum. The purpose of study was to know relationship between the knowledge level of postpartum mothers about colostrum and motivation of giving colostrum in Panembahan Senopati Bantul hospital, Yogyakarta. This study was an observational analytic with cross sectional design. Samples were 54 of postpartum mothers days 0 to 4 at Panembahan Senopati Bantul hospital, Yogyakarta which obtained by accidental sampling technique. Instruments used was closed questionnaire. Data analysis used Kendal Tau test. The data were analyzed by statistical correlation kendall tau obtained p-value were 0.000<α (0.05). The value of a correlation coefficient were 0.632. it mean that the connection was strong. In conclusions, there was a relationship between knowledge level of pospartum mothers about colostrum and motivation of giving colostrum in Panembahan Senopati Bantul hospital, Yogyakarta 2015.
Evaluasi Penerapan Patient Safety dalam Pemberian Obat di Wilayah Kerja Puskesmas Kasihan II Kabupaten Bantul Yogyakarta
Authors: Anggraini Anggi Napida , Fatimah Fatma Siti
Published: August 2016

Patient safety is the absence of the danger posed to the patient can be prevented during the process of health care. One of the indicators of patient safety in pharmacy practice is the principle of the drug, this using the 6 principles of drug administration. Research using a mix method, this research occured in Puskesmas of Kasihan II on October 5-28, 2015. The respondents in this study were 2 pharmacists, patient and the head of the health center. Application of patient safety in drug delivery based on 6 principles correctly, showing 100% true with principles and expired, 78,5% true principles patient, 63,7% right drug, right dose of 94,1% and 25,5% correct information. Based on qualitative analysis, the application of patient safety based on 6 principles of drug administration were obtained, the officer checks the identity of the patient, adjust the dose, adjusting the recipe, provide drug-related information provided to the patient. Problems derived from the application of the 6 principles of drug delivery was 6 reciper identified were given much more than the actual dose, no places to store drugs that have expired, an imbalance between the number of patients pharmacist. Advice and hope that can be given is the addition of human resources in pharmacy and provide room for storing medicines that have expired.
Indeks Massa Tubuh (IMT) Pra Hamil dan Kenaikan Berat Badan Ibu Selama Hamil Berhubungan dengan Berat Badan Bayi Lahir
Authors: Nurhayati Eka
Published: August 2016

Prepregnancy BMI (Body Mass Index) is used as a guide to the nutritional status of the mother before pregnancy and also determine the optimal weight gain in pregnancy. Meanwhile, weight gain during pregnancy is a decisive indicator of the nutritional status of the mother. This retrospective study design aimed to determine the relationship of pre-pregnant BMI and maternal weight gain during pregnancy with birth weight babies. The sample was 71 mothers with children aged 0-6 months were selected by purposive sampling. The results showed 67.6% most respondents in this study had pre-pregnant BMI normal and 62% of respondents experienced weight gain during pregnancy, according to the recommendations. There is a significant relationship between pre-pregnant BMI birth weight (p=0.006), as well as weight gain during pregnancy had no significant relationship with birth weight, with p=0.024.
Riwayat Mendapat Konseling Tentang IVA Berhubungan dengan Keikutsertaan IVA pada Wanita Usia Subur di Puskesmas Sedayu I dan Sedayu II Bantul
Authors: Pratiwi Arantika Meidya
Published: August 2016

Cervical cancer is a health problem that hit countries in the world. WHO estimates there are 460,000 new cases worldwide and 75% are in developing countries. The incidence of cervical cancer in Indonesia according to the Indonesia Departement of Public Health in 2010 reached 100 per 100,000 population per year. In contrast to the developed countries, the incidence and mortality from cervical cancer has decreased due to cervical cancer screening program that can be done with a pap smear or VIA (Visual Inspection of the Uterine Cervix with Acetic Acid). Based on the results of a survey conducted among women of childbearing age in Sedayu I and II Bantul Local Government Clinic in the last 3 years, it was found that the amount of data women of childbearing age inspecting VIA continues to decrease each year. The aim of research to determine the relationship between a history of getting counseling about VIA and VIA participation in women of childbearing age in Sedayu I and II Bantul Local Government Clinic. This study uses an analytical survey. The design of this study using cross sectional. The population in this study are all of women of childbearing age at Sedayu I and Sedayu II Local Government Clinic. The number of samples taken by counting the estimated number of samples obtained 102 women of childbearing age. The results showed that most of women of childbearing age ever get counseling from midwife/health workers about VIA as many as 65 people (63.7%) and the remaining 37 (36.3%). A total of 60 women of childbearing age (58.8%) has audited women of childbearing age VIA test and 42 (41.2%) have never done VIA test. The conclusion there was signiﬁ cance correlation between a history of getting counseling about VIA and the VIA participation in women of childbearing age in Sedayu I and II Bantul Local Government Clinic with value of p=0.000.
Komunikasi Terapeutik Perawat Berhubungan dengan Kepuasan Pasien
Authors: Siti Misi , Zulpahiyana Zulpahiyana , Indrayana Sofyan
Published: August 2016

Terapeutic communications is an important component in nursing, communication between nurses and patients have a therapeutic relationship that aims to cure the patient. The establishment of good therapeutic communication creates a relationship of trust between nurses and patients. Thus, the patient felt satisﬁed and comfortable with the services provided by nurses to improve the eagerness and motivation of the patient to recover. The aim of this research was to understand the nurse’a therapeutic communication with patient’s satisfaction in Pringgodani inpatient ward in Rajawali Citra Hospital Bantul, Yogyakarta. A total sample of 57 respondents were obtained by accidental sampling and used cross sectional design. Analysis in thia study used kendall tau test. The result of this research showed that 49.1% nurse’s therapeutic communication were good and 68,4% respondents felt satisﬁ ed and kendall tau test showed p=0.003 and correlation value is r=0.37. In conclusion, there was signiﬁ cant correlation between nurse’s therapeutic communication and patient’s satisfaction.
Tingkat Pengetahuan Berhubungan dengan Sikap Ibu dalam Toilet Training pada Toddler
Authors: Elsera Chori
Published: August 2016

The number of children under ﬁ ve in Indonesia is estimated to reach 30% of the 250 million population of Indonesia. Toddlers who have difﬁ culty in bowel and bladder control (wetting) at preschool age to reach 75 million children. One of the factors that affect toilet training in children under ﬁ ve is mother knowledge about toilet training. Less pengeathuan mothers and families about toilet training can hinder a child’s development in the control of bladder and bowel patterns. The aim of research to know the correlation between knowledge with attitude in toilet training in children ages toddler in the village Glodogan Southern District of Klaten. Descriptive quantitative research with cross sectional approach. Subjects were mothers who have toddler children in the village Glodogan with a total population of 204 people while the study sample as many as 41 respondents using purposive sampling technique. The research was conducted on 28 July-2 August 2012 in the village Glodogan Southern District of Klaten. The research instrument was a questionnaire. Processing data using bivariate analysis using chi square. The results obtained from this study is a good level of knowledge. The attitude of most of the respondents supporting toilet training. There is a relationship between knowledge with attitude mother in toilet training in children ages toddler in the village Glodogan Southern District of Klaten. Conclusion no relationship between the level of knowledge of the attitude of the mother in toilet training in children ages toddler in the village Glodogan Southern District of Klaten.
Pengetahuan Ibu Menopause tentang Gizi Seimbang pada Masa Menopause di Wilayah Kerja Puskesmas Awang Besar, Barabai, Hulu Sungai Tengah
Authors: Pebrianti Riska , Lestiani Ika
Published: August 2016

Women were considered menopausal if the woman does not menstruate again within 12 months without any particular intervention. Data from the working area of health centers Awang Besar Hulu Sungai Tengah in 2014 there are 463 menopausal womens. The purposes of this study was to know knowledge of menopause woman about balanced nutrition in menopause period at the regional of Puskesmas Awang Besar, Barabai, Hulu Sungai Tengah. This study was used descriptive with cross-sectional design. The population are menopause women who willing to become respondents in Puskesmas Awang Besar, Barabai, Hulu Sungai Tengah. Samples was obtained by simple random sampling technique which consisted of 83 respondents. The results showed that majority of respondents in the range aged 48-55 years and have less knowledge about nutrition balanced during menopause were 47 respondents (57.32%). In conclusion, there was less of knowledge about balanced nutrition in menopause period toward menopause woman in Puskesmas Awang Besar, Barabai, Hulu Sungai Tengah.
Tingkat Pengetahuan dan Motivasi Ibu Berhubungan dengan Pemberian ASI Eksklusif pada Ibu Bekerja
Authors: Listyaningrum Tri Utami , Vidayanti Venny
Published: August 2016

One of the most problem related to successful exclusive breastfeeding is returning to work after maternity leave. Work and other factors might influence exclusive breastfeeding. It is still found that working mothers do not breastfeed even though their family and their working environment support them. This research is to find out the correlations between mother’s level of knowledge, mother’s motivation and the exclusive breastfeeding among working mothers in PT. Globalindo Intimates Klaten. This research was a quantitative one with a descriptive analytic design. A total sampling method was used to collect the data from as many as 37 working mothers having six-month-old to two-year-old babies. The data were collected in May 2015. The result is indicate that there was a positive correlation between mother’s knowledge of exclusive breastfeeding and the practice of exclusive breastfeeding. The Fisher’s Exact Test with the confidence level of 95% and α 0.05 data analysis indicate that the p-value is 0.022. The result also indicate that indicate that there was a positive correlation between mother’s motivation and exclusive breastfeeding with p-value of 0.003. Conclussion, there was a positive correlation between mother’s knowledge of exclusive breastfeeding and mother’s motivation with practice of exclusive breastfeeding among working mothers in PT. Globalindo Intimates Klaten.
Pengetahuan Berhubungan dengan Sikap Ibu dalam Kemampuan Menstimulasi Pertumbuhan dan Perkembangan Anak Balita dengan Gizi Kurang
Authors: Sulistyawati Sulistyawati , Mistyca M Ros
Published: August 2016

Nutrition is an important factor in determining the level of health. The state of malnutrition in children results in impaired growth and development of children. Knowledge or cognitive domain is very important for the formation of maternal attitudes and actions in stimulating the growth and development of children.
Children who are directed stimulation will grow faster than children who did not receive stimulation. The purpose of study is to know the relationship of knowledge with mother attitude in the ability to stimulating growth and development of young children with less nutrition in Banaran village work area Galur II Health Centers Kulon Progo Yogyakarta. This type of research is an analytic survey, with the cross sectional approach. The sampling technique is purposive sampling, with 43 respondents. Bivariate analysis used Spearman Rank correlation. The results showed the knowledge of mothers with 25.6% in good category category, 67.4% in enough category, and 7,0% in less category. While the mother’s attitude showed 18.6% in good categories, and 81.4% in enough category. The results of the statistical test showed r=0.467 with a significance level of correlation coefficient 0.002. Conclusion, the research indicated that significant relationship between knowledge with mother attitude in the ability to stimulating growth and development of young children with less nutrition in Banaran village work area Galur II Health Centers Kulon Progo Yogyakarta.
Pengaruh Lama Pemasangan Infus dengan Kejadian Flebitis pada Pasien Rawat Inap di Bangsal Penyakit Dalam dan Syaraf Rumah Sakit Nur Hidayah Bantul
Authors: Rimba Putri Imram Radne
Published: August 2016

Infusion is one invasive procedure performed in a hospital. Inpatient therapy and intravenous fluids are given continuously in the long term will increase the likelihood of complications from infusion, one of which is the occurrence of phlebitis. The purpose of this study was to determine the effect of treatment duration infusion with the incidence of phlebitis in patients on the ward and neurological disease in the Nur Hidayah hospital in Bantul. This research is an analytic observational study with cross sectional approach, the number of samples is determined by calculation slovin as many as 133 people, with the sampling technique used purposive sampling. Data results from this study showed that respondents with a longer infusion <3 days a total of 37 respondents (32.8%) who did not have phlebitis 31 respondents (10.8%) and those with phlebitis 6 respondents (26.2%). As for respondents with a longer infusion ≥3 days as many as 76 respondents (67.2%) who experienced phlebitis 74 respondents (53.8%) and who had not had phlebitis 2 respondents (22.2%). Based on the results of data analysis using chi-square test values obtained p-value of 0.000, which means the value significantly smaller than the significance level α: 0.05, it means that the research hypothesis is accepted. In conclusion, that there is a long infusion influence on the incidence of phlebitis. Therefore, it may be advisable for the health care team in a hospital for treatment of patients infusion according to the procedure, especially for patients with infusion of more than 3 days, to avoid the occurrence of phlebitis.
Головокружение в клинической практике: общность методологии и патогенетически обоснованные дифференцированные подходы к лечению
Authors: Dziak L.A. , Tsurkalenko O.S.
Published: August 2016

Актуальность головокружения в клинической практике определяется высоким уровнем распространенности и значительным ухудшением качества жизни пациентов с этой патологией. В статье рассмотрено и проанализировано головокружение, его причины и патогенетически обоснованные дифференцированные подходы к лечению. Целью данной работы явилось изучение эффективности применения препарата Тагиста (бетагистин) в сравнении с плацебо у пациентов с поражениями вестибулярной системы на разных уровнях, вызванными различными причинами. Материалы и методы. В исследование было включено 200 человек, 105 из них были рандомизированы в группу изучаемого препарата, 95 — в группу плацебо. Все больные основной группы, кроме стандартной терапии, получали курс лечения препаратом Тагиста (24 мг 2 раза в день) в течение 14 дней. Параллельно с оценкой эффективности препарата Тагиста выполнена сравнительная оценка его безопасности. К первичным критериям эффективности были отнесены: оценка выраженности и длительности головокружения (Dizziness Handicap Inventory), определение двигательной активности (шкала Тинетти), оценка по шкале качества жизни (SF-36, EQ-5D). Результаты и выводы. Статистически значимых различий в эффективности препарата Тагиста при центральном и периферическом вестибулярных синдромах выявлено не было. Анализ действия препарата Тагиста свидетельствует о его разностороннем влиянии на различные патогенетические механизмы головокружения и, следовательно, о патогенетической обоснованности применения препарата при разных типах вестибулярного головокружения. Статистически достоверная положительная динамика при терапии препаратом Тагиста в дозировке 48 мг в сутки у больных основной группы сопровождалась минимальным количеством побочных эффектов.
К вопросу дифференциальной диагностики, классификации и дифференцированного лечения гидроцефалии и гидроцефальных синдромов у детей
Authors: Bitterlikh L.R.
Published: August 2016

Целью исследования было определение соотношения двух основных механизмов гидроцефалии и гидроцефальных синдромов — внутричерепной гипертензии и церебральной атрофии (гипотрофии) в структуре различных болезненных состояний у детей. Методом комплексного динамического определения структурно-органического внутричерепного дефекта у детей проведена дифференциальная диагностика двух основных патогенетических типов гидроцефалии и гидроцефальных синдромов у 483 детей, пролеченных в отделении для детей с поражением центральной нервной системы и психики в 2011–2014 годах. В результате исследования установлено значительное преобладание церебральной гипотрофии. Ликворная гипертензия была достоверной причиной расширения ликворных пространств только в 5,1 % случаев у больных с детским церебральным параличом в 19 % случаев в группе детей с последствиями пре-, перинатальной патологии нервной системы.Обсуждение результатов исследования позволило определить пути совершенствования методов диагностики и классификации гидроцефалии и гидроцефальных синдромов для проведения их адекватной дифференцированной терапии.Выводы. Учитывая вторичный характер расширения ликворных пространств при гипотрофии мозга предложено использовать термин «гипотрофически-гидроцефальный синдром» в структуре диагноза первичного заболевания, вызвавшего гипотрофию головного мозга.
Практические аспекты применения мемантина в лечении альцгеймеровской деменции
Authors: Kholin V.A. , Bachinskaya N.Yu.
Published: August 2016

Статья посвящена вопросам оказания помощи пациентам с деменцией. Для рутинной фармакотерапии деменции в настоящее время доступно два основных класса препаратов: ингибиторы ацетилхолинэстеразы и антагонисты NMDA (N-метил-D-аспартат) рецепторов. К представителям последней группы относят мемантин. Мемантин рекомендован в качестве препарата для терапии деменции при болезни Альцгеймера Европейским медицинским агентством (ЕМЕА) и Американской федеральной администрацией по контролю за продуктами и лекарственными средствами (US FDA). В статье приведены рекомендации относительно доз и схем назначения мемантина, дана характеристика психометрических шкал и специально разработанных для деменции и болезни Альцгеймера оценочных инструментов, которые позволяют проводить оценку эффективности лечения больного, переходя от уровня исключительно субъективного впечатления до уровня стандартизованной и унифицированной комплексной оценки.
Лечение тревожно-депрессивных расстройств в соматической практике: назначение комбинации экстрактов зверобоя и валерианы
Authors: Romanenko V.I. , Romanenko Yu.I. , Romanenko I.V.
Published: August 2016

Обзор посвящен результатам клинических исследований по изучению эффективности и безопасности применения комбинированного препарата экстрактов зверобоя и валерианы у пациентов с тревожно-депрессивными расстройствами.
Застосування внутрішньосфінктерної електростимуляції при функціональних енкопрезах у дітей
Authors: Koshelevskyi R.Y. , Yavorska O.L. , Horodna I.V. , Shundikova N.V. , Kostyk M.M.
Published: August 2016

У статті показано ефективність застосування внутрішньосфінктерної електростимуляції при функціональних енкопрезах у дітей за допомогою спеціального електрода. Відзначено значно більшу ефективність її застосування при істинному енкопрезі порівняно з несправжнім енкопрезом.
Сосудистые и другие клинические эффекты пентоксифиллина (научный обзор)
Authors: Dubenko O.Ye.
Published: August 2016

В статье приведен анализ современных исследований, посвященных фармакологическим и клиническим эффектам пентоксифиллина. Освещены исследования по применению пентоксифиллина при перемежающейся хромоте, ишемической болезни сердца, разных формах цереброваскулярной патологии, а также в онкологии. Показан потенциал пентоксифиллина как препарата, влияющего на мозговой кровоток, восстановление неврологических функций, а также обладающего противовоспалительными и иммуномодулирующими свойствами.
Наследственные дисхромии кожи, протекающие с поражением нервной системы: два случая из практики и обзор литературы
Authors: Lysovskyi Ye.V. , Khan L.A. , Zhanataieva D.Zh. , Zhilkibaiev H.L.
Published: August 2016

В работе представлено описание 2 пациентов с синдромом Блоха — Сульцбергера и гипомеланоза Ито, пролеченных на базе АО «Республиканский детский реабилитационный центр» в 2015 г. Оба заболевания в дерматологии относятся к группе генодерматозов с дисхромиями кожи, а в неврологии — к группе факоматозов. Генетическая природа заболевания однозначно расшифрована при синдроме Блоха — Сульцбергера: заболевание развивается вследствие мутации NEMO/IKK-γ-гена, расположенного на хромосоме Xq28; гипомеланоз Ито считается проявлением хромосомного мозаицизма, хромосомная патология обнаруживается не во всех случаях заболевания. Оба заболевания проявляются типичными кожными изменениями, которые при синдроме Блоха — Сульцбергера дебютируют в период новорожденности и претерпевают 4 стадии изменений; при гипомеланозе Ито участки гипопигментации появляются в возрасте до 2 лет. Представленные нами пациенты помимо характерных кожных проявлений заболеваний имели симптомы поражения нервной системы.
Орфанні захворювання: синдром Сотоса з розладом аутистичного спектра
Authors: Kyrylova L.H. , Tkachuk L.I. , Miroshnykov O.O. , Yuzva O.O.
Published: August 2016

Стаття присвячена проблемі орфанних (рідкісних) захворювань у нейропедіатричній практиці, а саме синдрому Сотоса. На підставі аналізу сучасної літератури подано детальний опис клінічної картини, підходів до діагностики і лікування цього захворювання. Особливу увагу в статті приділено питанню поєднання синдрому Сотоса із розладами аутистичного спектра в дітей. У наш час ця проблема мало представлена как у зарубіжній, так і у вітчизняній літературі. При обстеженні пацієнтів із розладами аутистичного спектра або затримкою психомовленнєвого розвитку у спеціалістів повинна бути настороженість щодо генетичних синдромів, які можуть лежати в основі захворювання.
Патогенез и клинические проявления ювенильной и сенильной форм болезни Фара (научный обзор)
Authors: Yevtushenko S.K. , Yevtushenko I.A.
Published: August 2016

В научном обзоре на основе анализа литературных источников представлен сложный патогенез развития неатеросклеротического симметричного обызвествления базальных ядер (болезнь Фара). Представлена оригинальная таблица основных причин кальцификации вещества головного мозга. Приведены основные направления в лечении описываемой патологии.
Эффективность высокодозовой внутривенной иммуноглобулинотерапии у детей с расстройствами аутистического спектра, ассоциированными с генетическим дефицитом ферментов фолатного цикла
Authors: Maltsev D.V. , Yevtushenko S.K.
Published: August 2016

Обоснование. Ранее неоднократно сообщали об эффективности внутривенной иммуноглобулинотерапии у некоторых детей с расстройствами спектра аутизма без уточнения критерия отбора потенциальных ответчиков на иммунотерапию. Цель исследования: оценить эффективность и безопасность высокодозовой иммуноглобулинотерапии при расстройствах аутистического спектра у детей с генетическим дефицитом фолатного цикла. Материалы и методы. Исследуемую группу составили 78 детей в возрасте от 2 до 10 лет, которые принимали в/в иммуноглобулин в дозе 2 г/кг/мес на протяжении 6 месяцев. В контрольную группу вошли дети аналогичного возрастного и гендерного распределения, которые получали лишь немедикаментозную реабилитационную поддержку. Выявляли замены нуклеотидов MTHFR677 С > Т, MTHFR1298 А > С, MTRR A/G и MTR A/G в различных комбинациях методом полимеразной цепной реакции. Динамику психических симптомов оценивали при помощи шкалы Aberrant Behavior Checklist. Результаты и обсуждение. Достигнуто полное устранение фенотипа расстройств аутистического спектра у 21 пациента и выраженная положительная динамика еще у 33 детей исследуемой группы (p < 0,05; Z < Z0,05). Параллельно отмечалась положительная динамика со стороны других клинических проявлений фенотипа дефицита фолатного цикла: PANDAS (у 19 из 21), эпилептического (у 29 из 36) и кишечного (у 49 из 68 детей) синдромов (p < 0,05; Z < Z0,05). Не отмечено положительной динамики со стороны симптомов поражения пирамидных путей (p > 0,05; Z > Z0,05). Отмечено снижение суммарной вирусной нагрузки и повышение количества естественных киллеров в крови (p < 0,05; Z < Z0,05). Почти полное устранение симптомов лейкоэнцефалопатии в исследуемой группе отмечалось у 29 пациентов, а выраженная положительная динамика — еще в 24 случаях (p < 0,05; Z < Z0,05). Выводы. Внутривенный иммуноглобулин оказывает комплексное положительное воздействие на проявления генетического дефицита фолатного цикла, включая расстройства спектра аутизма, экстрапирамидные нарушения, кишечный синдром, эпилептиформную активность мозга, иммунодефицит и лейкоэнцефалопатию.