Abstract in English KIA dea riskha fitriliana
Universitas Diponegoro
Fakultas Kesehatan Masyarakat
Program Studi Magister Ilmu Kesehatan Masyarakat
Konsentrasi Kesehatan Ibu dan Anak
2015
ABSTRAK
Dea Riskha Fitriliana
Proses Penatalaksanaan Preeklamsi oleh Bidan di Puskesmas PONED
Kabupaten Brebes
xiii + 79 halaman + 21 tabel + 3 gambar + 10 lampiran
Preeklamsi masih menjadi penyebab utama kematian ibu di
Kabupaten Brebes dengan 26 kasus (42%). Hal ini dapat disebabkan Bidan
Puskesmas PONED yang terlatih masih kurang dan untuk aplikasi pasca
pelatihannya belum maksimal. Penelitian ini bertujuan untuk menganalisis
proses penatalaksanaan preeklamsi oleh bidan di Puskesmas PONED.
Metode penelitian yang digunakan adalah kuantitatif analitik
observasional dengan pendekatan cross sectional. Pengumpulan data
dilakukan secara angket dengan kuesioner terstruktur. Wawancara mendalam
tentang penatalaksanaan preeklamsi dilakukan kepada pasien sebagai
triangulasi, untuk melengkapi data kuantitatif. Jumlah responden kuantitatif 61
bidan yang dipilih secara purposive pada 10 Puskesmas PONED. Analisis
bivariat menggunakan uji chi square dan analisis multivariat dengan regresi
logistik.
Hasil penelitian menunjukkan penatalaksanaan preeklamsi masih
kurang dalam hal konseling. Persentase responden dengan penatalaksanaan
preeklamsi baik 63,9%, pengetahuan baik 60,7%, persepsi tentang supervisi
baik 54,1%, sarana prasarana baik 59,0% dan motivasi tinggi 63,9%. Variabel
yang berhubungan dengan penatalaksanaan preeklamsi adalah pengetahuan
(p=0,036), motivasi (p=0,048) dan sarana prasarana (p=0,031). Variabel yang
tidak berhubungan dengan penatalaksanaan preeklamsi yaitu persepsi
tentang supervisi (p=0,309).
Disimpulkan bahwa penatalaksanaan preeklamsi oleh bidan di
Puskesmas PONED dipengaruhi oleh pengetahuan dan motivasi. Disarankan
kepada Dinas Kesehatan Kabupaten Brebes untuk melakukan pelatihan
penatalaksanaan preeklamsi lebih sering dan memotivasi bidan untuk
melakukan konseling kepada setiap pasien preeklamsi.
Kunci kunci
: Preeklampsi, Penatalaksanaan, PONED (pelayanan Obstetri
neonatal emergency dasar), Bidan, Puskesmas
Kepustakaan : 50 (1992-2012)
Diponegoro University
Faculty of Public Health
Master’s Study Program in Public Health
Majoring in Maternal and Child Health
2015
ABSTRACT
Dea Riskha Fitriliana
Process of Preeclampsia Management by Midwives at PONED Health
Centres in District of Brebes
xiii + 79 pages + 21 tables + 3 figures + 10 appendices
Preeclampsia was being a main cause of maternal mortality in District of
Brebes with 26 cases (42%). This was due to lack of trained midwives at
PONED health centres and non-optimal implementation after being trained.
The aim of this study was to analyse a process of preeclampsia management
by midwives at PONED health centres.
This was a quantitative-analytic-observational study using a crosssectional approach. Data were collected using a structured questionnaire. In
addition, indepth interview to find out the information of preeclampsia
management was conducted to patients as a triangulation method to complete
quantitative data. Number of respondents involved in a quantitative study were
61 midwives selected purposively from 10 PONED health centres. Data were
analysed using tests of Chi-Square and Logistic Regression.
The results of this research showed that there was lack of counselling.
More than half of the respondents had good preeclampsia management
(63.9%), good knowledge (60.7%), good perception of supervision (54.1%),
good means (59.0%), and high motivation (63.9%). Variables of knowledge
(p=0.036), motivation (p=0.048), and means (p=0.031) statistically significantly
related to preeclampsia management. In contrast, perception of supervision
was not significant (p=0.309).
The preeclampsia management by midwives at PONED health centres
was influenced by knowledge and motivation. Brebes District Health Office
needs to conduct training of the preeclampsia management periodically and to
motivate midwives to provide counselling for preeclampsia patients.
Keywords
: Preeclampsia, Management, PONED (Basic Emergency
Neonatal Obstetric Services), Midwife, Health Centre
Bibliography: 50 (1992-2012)
Fakultas Kesehatan Masyarakat
Program Studi Magister Ilmu Kesehatan Masyarakat
Konsentrasi Kesehatan Ibu dan Anak
2015
ABSTRAK
Dea Riskha Fitriliana
Proses Penatalaksanaan Preeklamsi oleh Bidan di Puskesmas PONED
Kabupaten Brebes
xiii + 79 halaman + 21 tabel + 3 gambar + 10 lampiran
Preeklamsi masih menjadi penyebab utama kematian ibu di
Kabupaten Brebes dengan 26 kasus (42%). Hal ini dapat disebabkan Bidan
Puskesmas PONED yang terlatih masih kurang dan untuk aplikasi pasca
pelatihannya belum maksimal. Penelitian ini bertujuan untuk menganalisis
proses penatalaksanaan preeklamsi oleh bidan di Puskesmas PONED.
Metode penelitian yang digunakan adalah kuantitatif analitik
observasional dengan pendekatan cross sectional. Pengumpulan data
dilakukan secara angket dengan kuesioner terstruktur. Wawancara mendalam
tentang penatalaksanaan preeklamsi dilakukan kepada pasien sebagai
triangulasi, untuk melengkapi data kuantitatif. Jumlah responden kuantitatif 61
bidan yang dipilih secara purposive pada 10 Puskesmas PONED. Analisis
bivariat menggunakan uji chi square dan analisis multivariat dengan regresi
logistik.
Hasil penelitian menunjukkan penatalaksanaan preeklamsi masih
kurang dalam hal konseling. Persentase responden dengan penatalaksanaan
preeklamsi baik 63,9%, pengetahuan baik 60,7%, persepsi tentang supervisi
baik 54,1%, sarana prasarana baik 59,0% dan motivasi tinggi 63,9%. Variabel
yang berhubungan dengan penatalaksanaan preeklamsi adalah pengetahuan
(p=0,036), motivasi (p=0,048) dan sarana prasarana (p=0,031). Variabel yang
tidak berhubungan dengan penatalaksanaan preeklamsi yaitu persepsi
tentang supervisi (p=0,309).
Disimpulkan bahwa penatalaksanaan preeklamsi oleh bidan di
Puskesmas PONED dipengaruhi oleh pengetahuan dan motivasi. Disarankan
kepada Dinas Kesehatan Kabupaten Brebes untuk melakukan pelatihan
penatalaksanaan preeklamsi lebih sering dan memotivasi bidan untuk
melakukan konseling kepada setiap pasien preeklamsi.
Kunci kunci
: Preeklampsi, Penatalaksanaan, PONED (pelayanan Obstetri
neonatal emergency dasar), Bidan, Puskesmas
Kepustakaan : 50 (1992-2012)
Diponegoro University
Faculty of Public Health
Master’s Study Program in Public Health
Majoring in Maternal and Child Health
2015
ABSTRACT
Dea Riskha Fitriliana
Process of Preeclampsia Management by Midwives at PONED Health
Centres in District of Brebes
xiii + 79 pages + 21 tables + 3 figures + 10 appendices
Preeclampsia was being a main cause of maternal mortality in District of
Brebes with 26 cases (42%). This was due to lack of trained midwives at
PONED health centres and non-optimal implementation after being trained.
The aim of this study was to analyse a process of preeclampsia management
by midwives at PONED health centres.
This was a quantitative-analytic-observational study using a crosssectional approach. Data were collected using a structured questionnaire. In
addition, indepth interview to find out the information of preeclampsia
management was conducted to patients as a triangulation method to complete
quantitative data. Number of respondents involved in a quantitative study were
61 midwives selected purposively from 10 PONED health centres. Data were
analysed using tests of Chi-Square and Logistic Regression.
The results of this research showed that there was lack of counselling.
More than half of the respondents had good preeclampsia management
(63.9%), good knowledge (60.7%), good perception of supervision (54.1%),
good means (59.0%), and high motivation (63.9%). Variables of knowledge
(p=0.036), motivation (p=0.048), and means (p=0.031) statistically significantly
related to preeclampsia management. In contrast, perception of supervision
was not significant (p=0.309).
The preeclampsia management by midwives at PONED health centres
was influenced by knowledge and motivation. Brebes District Health Office
needs to conduct training of the preeclampsia management periodically and to
motivate midwives to provide counselling for preeclampsia patients.
Keywords
: Preeclampsia, Management, PONED (Basic Emergency
Neonatal Obstetric Services), Midwife, Health Centre
Bibliography: 50 (1992-2012)