Faktor – Faktor Yang Berhubungan Dengan Tindakan Bidan Dalam Pencegahan Infeksi Pada Ibu Bersalin Dengan Persalinan Normal Di RSU Imelda Pekerja Indonesia Medan Tahun 2015
ABSTRAK
Pencegahan infeksi merupakan tindakan melindungi ibu, bayi baru lahir,
keluarga, penolong persalinan dan tenaga kesehatan lainnya dengan
meminimalkan infeksi karena mikroorganisme. Penyebab angka kematian ibu di
Provinsi Sumatera Utara tahun 2014 disebabkan oleh perdarahan 33 %, eklampsia
28%, lainnya 27%, infeksi 6,6%, partus macet 3,3 %, dan abortus 2%. Infeksi
persalinan dapat dicegah apabila bidan dapat melakukan tindakan pencegahan
infeksi sesuai dengan standar operasional prosedur dengan baik dan aman. Ibu
bersalin periode tahun 2013-2014 yang melahirkan secara normal yang ditolong
oleh bidan adalah 745 orang ibu bersalin diantaranya ditemukan 25 orang ibu
bersalin yang mengalami infeksi paska persalinan di RSU Imelda. Berdasarkan
survey awal yang dilakukan di RSU Imelda Pekerja Indonesia Medan masih ada
bidan yang belum melakukan tindakan pencegahan infeksi sesuai standar
operasional prosedur dengan baik dan aman pada ibu bersalin dengan persalinan
normal.
Jenis penelitian ini penelitian deskriptif analitik dengan menggunakan
metode survei dengan pendekatan cross sectional. Sampel penelitian sebanyak 40
orang. Pengumpulan data menggunakan kuesioner. Analisis data secara univariat,
dan bivariat menggunakan uji chi square dengan alternatif uji fisher’s exact test.
Hasil penelitian menunjukkan bahwa tidak ada hubungan yang signifikan
antara pengawasan dengan tindakan bidan (ρ=0,650), terdapat hubungan yang
signifikan antara sikap bidan dengan tindakan bidan (ρ=0,003), terdapat hubungan
yang signifikan antara motivasi bidan dengan tindakan bidan (ρ=0,001), terdapat
hubungan yang signifikan antara dukungan teman sejawat bidan dengan tindakan
bidan (ρ=0,007).
Bidan perlu meningkatkan pengetahuannya melalui pendidikan formal
maupun non formal, semakin tinggi pendidikan bidan akan menambah
pengetahuan bidan menjadi lebih baik sehingga sikap, motivasi dan tindakan
bidan akan menjadi lebih baik. Bagi pihak Rumah Sakit diharapkan membuat
suatu kebijakan tentang pelaksanaan pencegahan infeksi yang sesuai standar
operasional prosedur serta membuat sanksi (punishment) bagi bidan yang tidak
melaksanakan prosedur pencegahan infeksi dan mengadakan pelatihan dan
seminar bagi bidan yang berkaitan dengan pencegahan infeksi khususnya untuk
menambah wawasan bagi bidan.
Kata Kunci : tindakan bidan, pencegahan infeksi, ibu bersalin dengan
normal
iii
Universitas Sumatera Utara
ABSTRACT
In dealing with infection is done in order to protect maternal, new-birth,
family, the helper in delivery and other health personnel, aimed at minimizing
infection on micro-organism. It was noted causes of maternal mortality rate on
Province of Sumatera Utara for 2014 on bleeding 33%, eclampsia 28%, the
others 27%, infection 6.6%, obstructed delivery 3.3% and aborting 2%. Infection
in delivery is avoidable when a midwife may conduct to infection refers to
standard operational procedures properly and safety. Maternal rate for period
2013-2014 in delivery normally than midwifes handles noted 745 patients, found
25 patients in delivery got infection post delivery on RSU Imelda Hospital. Based
on an early survey that has been conducted on the Hospital, there was found some
midwifes has not conducted a preventive act to infection yet according to standard
procedure.
This study is an analytical descriptive research, adopted survey method
with cross sectional approach. Sample involved 40 patients. In collecting the da ta,
used questionnaire. In data analysis is uni-variant, and its bi-variant used chi
square test with fisher’s exact test alternative.
The study indicated that there is no significant correlation between
supervision with action by midwives (ρ=0.650), the re is found significant
correlation between behave of midwife with her action (ρ=0.003), there is found a
significant correlation between motivation of midwife with their action (ρ=0.001),
there is found a significant correlation between supportive by midwife fellow with
their action (ρ=0.007).
Midwives is need to improve their knowledge by a formal or non-formal
education, means more higher education rate of midwives shall improve their
knowledge and their behave in motivation and their action become be better
however. It is noted also to the management of Hospital make a newly policy
about the method in avoiding infection according to standard procedures and also
provide also with punishment to those midwives who can not do the standard
procedure in avoid the infection, recommended to attend some trainings and
seminar related with avoiding of infection particularly to improve their insight.
Keywords : midwives action, infection, maternal in delivery, normal.
iv
Universitas Sumatera Utara
Pencegahan infeksi merupakan tindakan melindungi ibu, bayi baru lahir,
keluarga, penolong persalinan dan tenaga kesehatan lainnya dengan
meminimalkan infeksi karena mikroorganisme. Penyebab angka kematian ibu di
Provinsi Sumatera Utara tahun 2014 disebabkan oleh perdarahan 33 %, eklampsia
28%, lainnya 27%, infeksi 6,6%, partus macet 3,3 %, dan abortus 2%. Infeksi
persalinan dapat dicegah apabila bidan dapat melakukan tindakan pencegahan
infeksi sesuai dengan standar operasional prosedur dengan baik dan aman. Ibu
bersalin periode tahun 2013-2014 yang melahirkan secara normal yang ditolong
oleh bidan adalah 745 orang ibu bersalin diantaranya ditemukan 25 orang ibu
bersalin yang mengalami infeksi paska persalinan di RSU Imelda. Berdasarkan
survey awal yang dilakukan di RSU Imelda Pekerja Indonesia Medan masih ada
bidan yang belum melakukan tindakan pencegahan infeksi sesuai standar
operasional prosedur dengan baik dan aman pada ibu bersalin dengan persalinan
normal.
Jenis penelitian ini penelitian deskriptif analitik dengan menggunakan
metode survei dengan pendekatan cross sectional. Sampel penelitian sebanyak 40
orang. Pengumpulan data menggunakan kuesioner. Analisis data secara univariat,
dan bivariat menggunakan uji chi square dengan alternatif uji fisher’s exact test.
Hasil penelitian menunjukkan bahwa tidak ada hubungan yang signifikan
antara pengawasan dengan tindakan bidan (ρ=0,650), terdapat hubungan yang
signifikan antara sikap bidan dengan tindakan bidan (ρ=0,003), terdapat hubungan
yang signifikan antara motivasi bidan dengan tindakan bidan (ρ=0,001), terdapat
hubungan yang signifikan antara dukungan teman sejawat bidan dengan tindakan
bidan (ρ=0,007).
Bidan perlu meningkatkan pengetahuannya melalui pendidikan formal
maupun non formal, semakin tinggi pendidikan bidan akan menambah
pengetahuan bidan menjadi lebih baik sehingga sikap, motivasi dan tindakan
bidan akan menjadi lebih baik. Bagi pihak Rumah Sakit diharapkan membuat
suatu kebijakan tentang pelaksanaan pencegahan infeksi yang sesuai standar
operasional prosedur serta membuat sanksi (punishment) bagi bidan yang tidak
melaksanakan prosedur pencegahan infeksi dan mengadakan pelatihan dan
seminar bagi bidan yang berkaitan dengan pencegahan infeksi khususnya untuk
menambah wawasan bagi bidan.
Kata Kunci : tindakan bidan, pencegahan infeksi, ibu bersalin dengan
normal
iii
Universitas Sumatera Utara
ABSTRACT
In dealing with infection is done in order to protect maternal, new-birth,
family, the helper in delivery and other health personnel, aimed at minimizing
infection on micro-organism. It was noted causes of maternal mortality rate on
Province of Sumatera Utara for 2014 on bleeding 33%, eclampsia 28%, the
others 27%, infection 6.6%, obstructed delivery 3.3% and aborting 2%. Infection
in delivery is avoidable when a midwife may conduct to infection refers to
standard operational procedures properly and safety. Maternal rate for period
2013-2014 in delivery normally than midwifes handles noted 745 patients, found
25 patients in delivery got infection post delivery on RSU Imelda Hospital. Based
on an early survey that has been conducted on the Hospital, there was found some
midwifes has not conducted a preventive act to infection yet according to standard
procedure.
This study is an analytical descriptive research, adopted survey method
with cross sectional approach. Sample involved 40 patients. In collecting the da ta,
used questionnaire. In data analysis is uni-variant, and its bi-variant used chi
square test with fisher’s exact test alternative.
The study indicated that there is no significant correlation between
supervision with action by midwives (ρ=0.650), the re is found significant
correlation between behave of midwife with her action (ρ=0.003), there is found a
significant correlation between motivation of midwife with their action (ρ=0.001),
there is found a significant correlation between supportive by midwife fellow with
their action (ρ=0.007).
Midwives is need to improve their knowledge by a formal or non-formal
education, means more higher education rate of midwives shall improve their
knowledge and their behave in motivation and their action become be better
however. It is noted also to the management of Hospital make a newly policy
about the method in avoiding infection according to standard procedures and also
provide also with punishment to those midwives who can not do the standard
procedure in avoid the infection, recommended to attend some trainings and
seminar related with avoiding of infection particularly to improve their insight.
Keywords : midwives action, infection, maternal in delivery, normal.
iv
Universitas Sumatera Utara