The 1st East Borneo Health International Conference (EBHIC)

HOME VISIT BY COMMUNITY HEALTH WORKERS TO IMPROVE DETECTION OF NEW CASES OF TUBERCULOSIS

Joko Sapto Pramono, Edi Purwanto, Asnah Asnah — Thu, 20 Oct 2022 08:10:07 +0800

Abstract
One of the problems in controlling tuberculosis is the delay in diagnosis, this is at risk of increasing the possibility of transmission in the household and community. Community-based Active Case Finding (ACF) is an effective method for detecting new cases of tuberculosis by empowering Community Health Workers (CHWs). The purpose of this study is analyze the relationship between home visit with detection of new cases tuberculosis among household contacts by CHWs. The design of this study was cross-sectional descriptive survey, using a quantitative approach, carried out from July to September 2021 at 26 Public Health Centers in Samarinda. The research sample were 304 CHWs using purposive sampling. Bivariate analysis test using chi square showed a significant relationship between home visits and detection of new cases of tuberculosis in household contacts (p-value = 0.000) and OR = 3.685 (95% CI). ACF by CHWs through home visits is very effective in finding new cases tuberculosis of household contacts. It is necessary to increase CHWs participation, improve coordination among CHWs and Health Center Personnel, certified training and adequate facilities.
Keywords: Home visit, active case finding, tuberculosis, Community Health Workers (CHWs)

PEMPEK FROM CHANA STRIATA FISHSKIN AS AN ALTERNATIVE FOOD SUPPLEMANTARYFOR CHRONIC ENERGY DEFICIENCY (CED) PREGNANT WOMEN

Rosyati Pastuty, Wilma Wilma, Heni Sumastri, Nurul Komariah — Thu, 20 Oct 2022 09:58:16 +0800

Abstract
The government launched the Supplementary Feeding Program based on local food ingredients with regional specialties as a way toone of the efforts to overcome the problem of Chronic Energy Deficiency in pregnant women. One of the typical foods of the city of Palembang is fish cake. This study was to determine the effectiveness of giving Channa Striata skin fish cake on weight gain and upper arm circumference for pregnant women with Chronic Energy Deficiency. This research used Quasi Experiment with Non-equivalent Control Group Design. The sample of this study was 38 people in the intervention and control groups. Statistical test used Independent t-test. Analysis of administration of fish cake for 30 days showed that there was an increase in body weight and size of upper arm circumference. There was no difference in weight and size of the upper arm circumference in the group given Chana Striata skinfish cake with the control group (p-value >0.05), meaning that giving fish cake and giving biscuits could increase the weight and size of the upper arm circumference. Consumption of fish cake can increase body weight and size of upper arm circumference in pregnant women with chronic energy deficiency.
Keywords: Fish cake, pregnant women, Chronic energy Deficiency

THE RELATIONSHIP BETWEEN HISTORY OF EXCLUSIVE BREASTFEEDING WITH STUNTING INCIDENCE IN TODDLERS AGES 1-3 YEARS

Nursari Abdul Syukur, Eka Puspita Sari, Joko Sapto Pramono — Thu, 20 Oct 2022 09:59:45 +0800

Abstract
Stunting in toddlers aged 1-3 years is of particular concern because it enters 1000 HPK which is a critical period, this can cause physical and mental development delays in children. Exclusive breastfeeding is one of the factors that can affect stunting. This study was to determine the relationship between a history of exclusive breastfeeding and the incidence of stunting in toddlers aged 1-3 years. The research method used was analytic observational with a case control research design. The population of all toddlers aged 1-3 years at the Wonorejo Health Center is 425 toddlers. The results showed that there was a relationship between a history of exclusive breastfeeding and the incidence of stunting in toddlers aged 1-3 years in the Wonorejo Health Center working area (p-value = 0,000 <= 0,05) with a value (Odds Ratio = 24,000). There is a relationship between a history of exclusive breastfeeding and the incidence of stunting in toddlers aged 1-3 years. This study suggests the Puskesmas to increase promotion to mothers regarding the importance of exclusive breastfeeding, prevention and the dangers of stunting.
Keywords: Stunting, history of exclusive breastfeeding, toddlers 1-3 years

TRAINING INTERVENTION PROGRAM FOR CADRES INCREASING KNOWLEDGE AND SKILLS ABOUT FOOT CARE OF DIABETES MELLITUS PATIENTS

Tini Tini, Rizky Setiadi, Andi Parellangi — Thu, 20 Oct 2022 10:01:19 +0800

Abstract
The prevalence of diabetic foot as a complication of diabetes mellitus is increasing. This requires an alternative approach to overcome obstacles in health services for patients with diabetes mellitus, one of which is through cadres as partners in health services. However, the role of cadres has not been much focused on the area of non-communicable diseases in the community. So there needs to be an intervention strategy to increase the empowerment of cadres. This study aims to develop a cadre intervention program training on the knowledge and skills of cadres in foot care for diabetes mellitus patients. This study used a pre posttest one group design on 24 cadres in the working area of the Lempake Health Center. The variables measured included the knowledge and skills of cadres regarding foot care for diabetes mellitus patients using questionnaires and observation sheets. The results of the analysis with Wilcoxon showed that there was a difference in about the knowledge and skills of cadres regarding foot care for patients with diabetes mellitus (p value <0.05). Therefore, it is necessary to develop and refresh cadres related to the prevention of complications of non-communicable diseases and can be used as a program in the Primary Health Care.
Keywords: Cadre intervention program training, knowledge, skills

THE EFFECT PROVISION OF MORINGA OLEIFERA, SAUROPUS ANDROGYNUS AND CARICA PAPAYA LEAF ON THE PRODUCTION OF BREAST MILK (ASI)

Ega Ersya Urnia, Dini Indo Virawati — Thu, 20 Oct 2022 10:02:31 +0800

Abstract
There are several plants that can stimulate breast milk production, including moringa leaves, katuk leaves and papaya leaves.The purpose of the study was to explain the analysis of the article on the effect of giving moringa oleifera, sauropus androgynus and carica papaya leaf on the production of breast milk (ASI) in postpartum mothers.The research design used was a meta-analysis with a group contrast experimental meta-analysis research design. Statistical data analysis was carried out in a computerized manner by using the metamar program to analyze the data. Standardized mean difference (️and) on the effect size. The results obtained a p-value of 0,0000 (<0,005), the effect of giving sauropus androgynus on breast milk production in postpartum mothers obtained a p-value of 0,0017 (<0,005) , the effect of giving carica papaya leaf on breast milk production in postpartum mothers obtained a p-value of 0,0000 (<0,005) which means that there is a significant effect between moringa oleifera, sauropus androgynus and carica papaya leaf on the production of breast milk (ASI) in postpartum mothers.
Keywords: Breast milk, postpartum mother, moringa oleifera, sauropus androgynus, carica papaya leaf

EXPERIENTIAL LEARNING METHODS TO IMPROVE KNOWLEDGE AND COMPETENCY OF NURSING STUDENT: ADULT LEARNING IMPLICATION

Thu, 20 Oct 2022 10:03:52 +0800

Abstract
The learning methods used at each age will be different. When in college, students must face the transition of roles as adult learners. The experiential learning method is one of the implications that can be offered in adult learning to facilitate knowledge construction and learning through interaction with an authentic environment. This literature review design aims to describe adult learning implication through three experiential learning methods, consist of problem-based learning, case-based learning, and simulation-based learning in nursing education. Data source was performed through Scopus, ScienceDirect, Google Scholar and PubMed. PCC approach was used (Population=Nursing student; Concept= Adult learning; Content= Nursing education) for searching keyword. Article selection based on year (2015-2021), full text, English, and original research. Of the 308 articles identified, 10 articles were eligible for analysis, consisting of 5 randomized controlled trials and 5 quasi-experimental studies. Problem-based learning (PBL) focuses on the process of problem solving and exploration of a case. Case-based learning (CBL) refers to the decision making and solution of a case. Simulation-based learning facilitates student skills according to the reality in clinical practice. Problem-based learning, case-based learning and simulation-based learning methods in nursing education are effective in increasing the knowledge, skills, and competency development of nursing students.
Keywords: Adult learning, experiential learning, problem-based learning, case-based learning, and simulation-based learning

THE EFFECTIVENESS OF SPIRITUAL EMOTIONAL FREEDOM TECHNIQUE (SEFT) AND ABDOMINAL STRETCHING EXERCISE ON PRIMARY DYSMENORRHEA

Nilam Noorma, Edi Purwanto, Indah Nur Imamah — Thu, 20 Oct 2022 10:05:10 +0800

Abstract
Non-pharmacological methods that can reduce dysmenorrhea pain are Spiritual Emotional Freedom Technique (SEFT) and Abdominal Stretching Exercise. The purpose of this study was to determine the differences in the effectiveness of Spiritual Emotional Freedom Technique (SEFT) and Abdominal Stretching Exercise on the intensity of dysmenorrhea pain in adolescent girls. This research method uses a quasi-experimental research design using a non-equivalent pretest-posttest design. The total population is 132 female students and a sample of 30 respondents with sampling using non-probability sampling technique by means of consecutive sampling. Data analysis using Paired T-test, the normality test is obtained the data is not normally distributed, then the test used is the Wilcoxon Test. The results showed can be concluded that there is no significant difference between Spiritual Emotional Freedom Technique (SEFT) and Abdominal Stretching Exercise on the intensity of primary dysmenorrhea in adolescents. The results of the comparison test of the two techniques show that at Mann Whitney Test there was a difference between the 2 interventions, in which the SEFT intervention was more effective. It is expected that adolescents can perform Spiritual Emotional Freedom Technique (SEFT) and Abdominal Stretching Exercise to reduce dysmenorrhea pain.
Keywords: Spiritual Emotional Freedom Technique (SEFT), Abdominal Stretching Exercise, dysmenorrhea

STUDY ON RECOVERY IN PEOPLE WITH SCHIZOPHRENIA (ODS) IN SAMARINDA CITY EAST KALIMANTAN

Gajali Rahman, Siti Nuryanti — Thu, 20 Oct 2022 10:07:00 +0800

Abstract
People with schizophrenia (ODS) withdraw from other people and reality, often entering into a fantasy life full of delusions and hallucinations. The present study is to find out the description of their recovery particularly those with residual type. This study was conducted in a mixed method using a descriptive design. Sample collection was conducted through purposive sampling, equipped with criteria of Residual Type PWS with age above 18 years old. Previously, testing of the Recovery Assessment Scale (RAS) measuring instrument was conducted to 30 PWS, who were all outpatients. The result of this study reveals that using the method, PWS outpatients has a deemed high recovery rate, yet they still have constraints in dominant symptom factors.
Keywords: People with Schizophrenia (PWS), Recovery, Schizophrenia

RELATIONSHIP BETWEEN FAMILY SUPPORT AND SELF-ACCEPTANCE OF MOTHERS OF AUTISTIC CHILDREN TREATED

Nehru Nugroho, Andra Saferi — Thu, 20 Oct 2022 10:08:52 +0800

Abstract
Acceptance of parents, especially mothers in healing children with autism is very important. Mothers as parents of children with autism play an important role in knowing the child's development. When self-acceptance is low, mothers of autistic children need support from their families so that self-acceptance is good. Knowing the Relationship between Family Support and the self-acceptance of mothers of autistic children who are treated at the Bengkulu Autism Center. This type of research is a descriptive correlation study with a cross sectional approach. The purpose of this study was to determine the relationship between family support and self-acceptance of mothers of autistic children who were treated at the Bengkulu Autism Center.
The results of this study showed that most of the 14 (70.0%) family support was in good category. Most of the 17 (85%) self-acceptance of mothers were in the Positive category from mothers of autistic children who received therapy at the Autism Clinic Center Bengkulu. There is a relationship between family support and the self-acceptance of mothers from autistic children who are treated at the Bengkulu Autism Center. recognize the importance of family support for self-acceptance of mothers of children with autism.
Keywords: Acceptance, Support, Autism

SPIRITUALITY AND SELF ESTEEM IN HEMODIALYSIS PATIENTS

Dwi Prihatin Era, Muhammad Imaduddin, Frana Andrianur — Thu, 20 Oct 2022 10:10:14 +0800

Abstract
Chronic kidney disease (CKD) is an end stage disease that requires kidney replacement therapy and causes changes in physical conditions that are not good, that it can affect patient's psychological condition, one of that is self-esteem. Activities related to spirituality are proven to affect individual health and feelings of well-being so that they can increase self-esteem. The purpose to determine the relationship between spirituality and self-esteem of CKD patients undergoing hemodialysis at the Pupuk Kaltim Bontang Hospital in 2021. Method this study is quantitative with analytic study and cross sectional design. The sampling technique was total with a sample of 44 respondents. Data collection interviews using a questionnaire in the form of a Likert scale consisting of 28 statement items. Data analysis using Spearman correlation test with a significance level of 0.05. There was a significant relationship between spirituality and self-esteem (p value = 0.000; r = 0.757). There is a strong and positive relationship between spirituality and self-esteem in patients undergoing hemodialysis. It is hoped that families and communities can maintain the provision of spiritual support to increase the self-esteem of CKD patients.
Keywords: Chronic kidney disease, hemodialysis, self esteem

CONTINUITY OF MIDWIFERY CARE AS AN EFFORT TO PREVENT PREMATURE BIRTH: SYSTEMATIC REVIEW

Faridah Hariyani — Thu, 20 Oct 2022 10:35:19 +0800

Abstract
Premature birth is associated with poor quality of life for babies and increased cost of care. The continuity model of midwifery care supports a woman during antenatal, intranatal, and postnatal times and provides healthy parenting practices to all women both low and high risk. The purpose of this paper is to verify evidence of the effectiveness of continuity of obstetric care in preventing preterm birth. This research method is systematic review, article search using pubmed, science direct and proquest from 2016-2020, for assessment of the quality and substance of articles using PRISMA. A total of 10 articles meet the inclusion criteria. There were differences in outcomes in the continuity model of care, the rate of preterm birth was lower in the model of midwifery continuity compared to standard care. The conclusion in this systematic review is that continuity of midwifery care decreases premature birth. Decreased preterm birth can improve a baby's quality of life, reduce care in intensive care units (NICU), reduce hospital and social costs.
Keywords: Continuity, midwifery care, premature

THE EFFECTIVENESS OF CERIA BABY MASSAGE VIDEO ON BABY WEIGHT GAIN IMPROVEMENT IN 1-2 MONTHS

Asti Yunita Rahmasari, Dini Indo Virawati, Gajali Rahman — Thu, 20 Oct 2022 10:37:30 +0800

Abstract
One of the mechanisms to increase the volume of breast milk production is by giving exclusive breastfeeding on a regular basis and babies will breastfeed more often if they are stimulated through baby massage stimulation. The purpose of this study to analyze the effectiveness of a ceria baby massage video on increasing baby weight at the age of 1-2 months. The research method used in this study is a quantitative study with a quasi-experimental approach with a two-group pretest-posttest research design. Samples were taken by purposive sampling of as many as 30 people. The results of this study showed that ceria baby massage videos were effective in increasing infant weight at the age of 1-2 months (p-value = 0,000) with a value of = 0,05. The touch and movement of baby massage activate the vagus nerve so that food absorption is better. The video for Ceria baby massage has an abbreviation for Mother and Child Bonding Story was made by the researcher herself. Contains stages of baby massage according to operational standards accompanied by songs as a source for baby's parents to do baby massage according to the stages taught.
Keywords: Ceria baby massage video, weight gain, baby of 1-2 month

PARENTING SKILL TRAINING IMPROVES PARENTS KNOWLEDGE HOW TO MONITOR GROWTH AND DEVELOPMENT OF PRESCHOOL CHILDREN

Andi Lis Garming, Joko Sapto Pramono, Emmy Putri Wahyuni — Thu, 20 Oct 2022 10:39:13 +0800

Abstract
Monitoring Growth and development is very important, ideally every child should receive growth and development monitoring from trained health personnel on a regular basis to find out if there is a delay, this is to prevent further growth and development disorders and consequently difficult to treat. However, the unbalanced ratio of the number of health workers and children in Indonesia causes growth and development monitoring activities to be not optimal. This type of research is quantitative with a quasi-experimental method and a pre-test and post-test control group design. This study was randomly divided into two groups. The sample size in this study was 50 respondents who met the inclusion and exclusion criteria. Both groups were conducted pre-test and post-test. Then the data was analyzed by using the Wilcoxon test, a p-value of 0,000 was obtained, so that Parenting Skill Training increases parents' knowledge about how to monitor Child Growth and Development. In this case, it is necessary to provide assistance to parents to monitor the growth and development of children every month.
Keywords: Growth, development, parenting skills, preschool children

EFFECTIVENESS OF ACT-M APPLICATION IN IMPROVING SCHOOL-AGE CHILDREN'S KNOWLEDGE OF HAND WASHING

Sumiati Sinaga, Lintang Nurcahya, Wahyu Dewi Sulistyorini, Chrisyen Damanik — Thu, 20 Oct 2022 10:40:41 +0800

Abstract
The spread of the covid-19 virus can be done with the implementation of health protocols, one of which is proper hand washing. Children are the age at which they actively explore their environment regardless of the cleanliness of the surrounding environment. Therefore, proper education is needed on how to wash your hands properly using the right media, one of which is audiovisual provided through android-based applications. This study aims to find out the effectiveness of act-M (Let's Wash Hands-Mobile) applications against proper hand washing knowledge in school-age children. Method this study used Quasi experiments with the one group pretest and posttest design approach with the number of sampel as many as 13 people selected with purposive sampling techniques. The instruments used are mobile applications and questionnaires. Act-M applications can increase school-age children's knowledge of handwashing by average grades before intervention (65,3) and after intervention (96,5) with a p (0,001). Act-M application is effective as an educational medium to let school-age children know about how to proper hand washing measures, which is needed to prevent children from contracting the covid-19 virus.
Keywords: ACT-M Application, Knowledge, Child, Hand Washing

CUSTOMER SERVICE IN THE ACADEMIC DEPARTMENT OF POLTEKKES MINISTRY OF HEALTH KALTIM TIME OF COVID PANDEMIC 19 YEAR 2020

Widyarto Widyarto, Noorhidayah Noorhidayah, Indar Indar — Thu, 20 Oct 2022 10:42:07 +0800

Abstract
Measuring the success of the service provided, it is better to use the point of view of the
service user. The main problem as an educational service during the COVID-19 pandemic is
whether the services provided are in line with expectations. The purpose of this study was to
analyze the quality of services consisting of physical evidence, reliability, responsiveness,
assurance and empathy for customer satisfaction in the academic subsection of the East
Kalimantan Health Polytechnic during the COVID-19 pandemic. Quantitative method with
Cluster Random Sampling technique. Results based on reliability: Very Satisfied 34 people
23, 8%, Satisfied 61 people 42,7%, Moderately Satisfied 37 people 25.9%, Dissatisfied 8
people 5,6%, Dissatisfied 3 people 2,1%. Responsiveness Very Satisfied 35 people 24,5%,
Satisfied 61 people 42,7%, Fairly Satisfied 37 people 25,9%, Unsatisfied 8 people 5.6%
Dissatisfied 2 people 1,4%. Guarantee Very Satisfied 48 people 33,6%, Satisfied 60 people
42%, Quite Satisfied 24 people 16,8%, Dissatisfied 9 people 6,3%, Dissatisfied 2 people
1,4%. Attention: Very Satisfied 44 people 30,8%, Satisfied 58 people 40,6%, Quite Satisfied
32 People 22.4%, Less Satisfied 5 people 3,5% Dissatisfied 4 people or 2,8% Conclusion
There is a relationship between 5 variables reliability, responsiveness, assurance, attention,
physical evidence of customer satisfaction. For each variable, it is necessary to improve the
quality of service, especially the smiles of the officers who do not appear to be replaced using
props.
Keywords: Reliability, responsiveness, assurance, attention, physical evidence of customer
satisfaction smile

MANAGEMENT OF CHEMOTHERAPY-INDUCED NAUSEA AND VOMITING USING GINGER AROMATHERAPY IN CANCER PATIENTS: CASE STUDY AND LITERATURE REVIEW

Wahyu Dewi Sulistyarini, Fibrian Norma Handayani, Tarsisius Emen Astobudi — Thu, 20 Oct 2022 10:43:34 +0800

Abstract
Nausea and vomiting are prevalent symptoms of antineoplastic chemotherapy. More than 50% of patients with cancer have reported that chemotherapy-induced nausea-vomiting (CINV). One of the complementary therapies that can reduce nausea and vomiting in patients undergoing chemotherapy is ginger aromatherapy that able to change the mood, reduce psychological symptoms such as stress and also provide a comfortable feeling that can reduce nausea and vomiting in patients undergoing chemotherapy. The purpose this study to evaluate the effect of ginger aromatherapy in breast cancer patients undergoing chemotherapy. Method used case study of 2 respondents with a ginger aromatherapy intervention by giving 5-10 drops of inhaler stick by inhalation for 5-10 minutes and repeated every 30 minutes for 4 times then, evaluate 12 hours later. It is also used review of research journals by Google Scholar, PubMed, Ebscho, and NCBI with the keywords. After intervention before and after giving ginger aromatherapy there was a decrease in nausea and vomiting scores according to the Rhodes Index of Nausea Vomiting and Retching (RINVR). The use of ginger aromatherapy yielded positive results to reduce nausea and vomiting complaints in breast cancer patients undergoing chemotherapy.
Keywords: Ginger aromatherapy, nausea, vomiting, chemotherapy

THE EFFECTIVENESS OF BALANCE EXERCISE ON CHANGES IN THE FUNCTIONAL STATUS OF THE ELDERLY

Lukman Nulhakim, Badar Badar, Amiruddin Amiruddin — Thu, 20 Oct 2022 10:45:19 +0800

Abstract
The increasing life expectancy is in line with the increasing number of elderly people that causing the elderly to be a risk group (At Risk). The risks that arise in the elderly are changes in functional status in daily activities. This study aims to determine the effectiveness of balance training on changes in the functional status of the elderly at the Tresna Werdha Nirwana Puri Social Home Samarinda. The method used in this study is a quasi-experimental research with a pre and post approach with control group design. Meanwhile the research samplers were 40 elderly people. The samplers were divided into 20 elderly as intervention group and 20 elderly as control group. The intervention group was given balance exercises 3 times in a week for 3 consecutive weeks. The instrument used in assessing functional status is the Barthel Index. The results of the study based on the Wilcoxon test in the control group, the Asym value. Sig (2-tailed) was obtained P value 0.428, or P value > 0.005, meaning that there was no difference in functional status scores between pre and post in the elderly in the control group. While in the intervention group with the Asym value. Sig (2-tailed), was obtained P value 0.000, or P value < 0.05, meaning that there was a difference in functional status scores between before and after balance exercise. Finally, balance training is effective in improving the functional status of the elderly.
Keywords: Elderly, functional status, balance exercise

THE RELATIONSHIP BETWEEN THE IMPLEMENTATION OF CLINICAL RISK MANAGEMENT AND PATIENT SAFETY INCIDENT IN INPATIENT PUBLIC HEALTH CENTER

Adelina Ayuningtyas, Hilda Hilda — Thu, 20 Oct 2022 10:46:46 +0800

Abstract
The high number of patient safety incidents is the basis for the importance of patient safety efforts in health care facilities. Unfortunately, there are no clear details for the implementation of patient safety in public health facilities. This study aims to determine the relationship of clinical risk management implementation with patient safety incidents. This type of quantitative research is an analytic study with cross sectional design. The population consisted of 266 people from 6 Inpatient Public Health Centers. A sample of 78 people using consecutive sampling techniques. The research instrument uses clinical risk management questionnaires and patient safety incident questionnaires that have been tested for validity. The data were analyzed univariately and bivariately with the Spearman rank test. The result is Significant value (sig. 2-tailed) = 0,001 was obtained <α value = 0.05 which means that Ho was rejected and Ha was accepted. Correlation Coefficient value of -0.839, which means the relationship between variables is very strong. The value of correlation Coefficient is negative, which means the relationship between two variables is not unidirectional. If the implementation of clinical risk management is improved the patient safety incident rates will decrease. There is a significant relationship between the implementation of clinical risk management and patient safety incidents in inpatient Public Health Center of Samarinda. Implementation of clinical risk management needs to be improved to minimize the number of patient safety incidents.
Keywords: Clinical risk management, patient safety incident

CONSTRAINT-INDUCED MOVEMENT THERAPY (CIMT) WITH FIVE DAILY ACTIVITIES FOR SEVEN DAYS OF EXERCISE INCREASES MUSCLE STRENGTH ON PATIENTS HEMIPARESIS POST ISCHEMIC STROKE

Frana Andrianur, Cecep Eli Kosasih, Urip Rahayu — Thu, 20 Oct 2022 10:47:56 +0800

Abstract
Stroke make an impact on disturbing activities day living and can cause impaired muscle strength. constraint-induced movement therapy (CIMT) will stimulate the brain to form new neurons. This research aimed to know the effect of CIMT combination with everyday equipment on muscle strength in patient's hemiparesis post-ischemic stroke. Design of quasi-experiment research with one group pretest-posttest. Respondents were taken by consecutive sampling as much as 17 respondents in inpatient ward Hospital, Cimahi. Data were collected using sheet instruments and a manual muscle test. Analyzed by the Wilcoxon test. The results showed that there was a difference score of muscle strength pretest and posttest (p=0,000). Instruments used for measuring differences in the study of normative, valid, and reliable is a manual muscle test. CIMT combined with five daily equipment activities proved to affect increasing muscle strength in a patient's hemiparesis post-ischemic stroke. CIMT combination with five daily equipment a day these days can be applied in hospital intervention to improve muscle strength in patients with hemiparesis post-ischemic strokes.
Keywords: Activities day living, constraint-induced movement therapy (CIMT), hemiparesis, ischemic stroke, range of motion

THE EFFECT OF HEALTH PROMOTION AND MATERNAL HEALTH EDUCATION IN THE POSTPARTUM AND NEWBORN BABIES IN BALIKPAPAN CITY

Grace Carol Sipasulta, Sri Hazanah — Thu, 20 Oct 2022 10:49:05 +0800

Abstr act
Quality maternal and newborn services, is the most important period of delivery to save the maximum
number of lives to prevent maternal and infant deaths. WHO describes the global visit of every pregnant
woman and newborn to get quality services from the period of pregnancy, the postpartum period, according
to Universal Health Quality Coverage in 2030. Maternal Health Promotion and Health Education
Interventions for mothers by health workers during prenatal care prepare for childbirth, the postpartum
period and healthy newborns, prevent disturbances during pregnancy, and postpartum. The purpose of the
effect of the implementation of health promotion and health education for postpartum mothers and
newborns.
Cross Sectional Design Research Analytical Observation. The design examines the independent variables of
promotion and health education of pregnant women in trimesters I to III when pregnant women have ANC
from Health Workers with the assessment variable, the state of welfare of mothers and newborns.
Consecutive samples of 60 postpartum mothers at the "Maternity Love Mother" Hospital. Data collection
using MCH handbook instrument, univariate frequency distribution data analysis, bivariate maneuver test
and multivariate multiple linear regression. Health promotion affects newborns; Maternal education has an
effect on newborns and postpartum mothers. Husband and family support has an effect on postpartum
mothers. R Square 0.244 Variables can explain newborns the remaining 24% are independent of other
variables. Postpartum mothers R Square 0.308 against six independent variables can explain postpartum
mothers 31%. New Infant Prediction Test Determined by Maternal Health Promotion and Education;
postpartum mothers are influenced by maternal education and support from husbands and families. Health
promotion and maternal health education from pregnancy to puerperium have not been implemented
properly. carry out promotion and education of maternal health in adolescents, prospective brides and first
trimester pregnant women.
Keywords: Health Promotion, Maternal Health Education, Newborns and Postpartum Mothers