scholarly journals EFFECT OF MULTI MICRONUTRIENT SUPPLEMENTATION ON HEMOGLOBIN LEVELS IN PREGNANT WOMEN WITH ANEMIA

2017 ◽  
Vol 3 (6) ◽  
pp. 677-685
Author(s):  
Rati Purnama Sari ◽  
Noor Pramono ◽  
Sri Wahyuni ◽  
Muchlis Achsan Udji Sofro ◽  
Melyana Nurul Widyawati

Background: The coverage of 90 Fe tablets in Semarang in 2015 was 26.619 of 29.490 pregnant women (97%) but the incidence of anemia in pregnant women was still quite high. One important factor which influences the levels of hemoglobin is multi micronutrient.Objective: This study aims to analyze the changes in hemoglobin levels with multi micronutrient supplementation in pregnant women with anemia.Methods: A Quasy experimental study with randomized control group pre-post test design. The study samples were 40 pregnant women with gestational age of 20 ± 1 weeks divided into two groups, the intervention group (multi micronutrient supplementation) and the control group (Fe supplementation) for 6 weeks. The study was conducted from November 2016 to January 2017. The levels of hemoglobin were measured using cyanmethohemoglobin. Paired t test and independent t test were used for data analyses.Results: The mean increase in hemoglobin levels after multi micronutrient supplementation was 1.545 (1.292) g/dl, whereas the mean increase in hemoglobin levels after Fe supplementation was 0.757 (0.742) g/dl. The difference in hemoglobin levels before and after multi micronutrient supplementation was significantly different (p=0.049). Cohen’s d effect size test showed value of 0.748.Conclusion: Multi micronutrient supplementation could improve hemoglobin levels. Increase in the levels of hemoglobin with multi micronutrient supplementation was higher than Fe supplementation. 

2016 ◽  
Vol 3 (1) ◽  
pp. 20
Author(s):  
Fatma Siti Fatimah ◽  
Zulkhah Noor

<p>Merapi eruption in 2010 in Yogyakarta caused people losing their homes and triggering traumatic effect. Elderly is one of victims that vulnerable to psychological problem. The common psychological late respons due to disaster is insomnia. The impacts of insomnia are decrease the level of immunity, increase mortality and decrease quality of life, thus it needs to be solved. One of the solution is by listening murotal Al-Qur’an that will give relaxation effect. The study was aimed to know the effectiveness of listening murotal Al-Qur’an to the changing of elderly insomnia level in shelter Dongkelsari, Sleman, Yogyakarta.The design of study was a quasy experimental pre post test with control group. Technique of taking sample was probability sampling and it was found that there were 37 elderly who live in shelter Dongkelsari Sleman Yogyakarta that fulfilled the inclusion criteria. Research instrument which was used to measure insomnia level is KSPBJ questionnaire rating scale and to listen for murotal Al-Qur’an (Ar-Rahmaan) was used laptop and speaker. The duration of listening murotal Al-Qur’an was 8 days with 12 minutes for each day. Data analysis was used paired samples t test and independent samples t test. The level of insomnia for control group pre test and post test is in moderate insomnia by the mean ± SD each of them is 9.3 ± 3.7 and 10.3 ± 3.4 (p&gt;0.05) and for intervention group there was a changing from moderate insomnia to mild insomnia by the mean ± SD each of them is 10.9 ± 3.6 and 8.2 ± 4.2 (p&lt;0.05). There was a significant differences between the intervention group and control group by the mean ± SD each of them is -2.8 ± 3.0 and 0.9 ± 3.5 (p&lt;0.05). In conclusion, listening murotal Al-Qur’an was effective to reduce elderly insomnia level in shelter Dongkelsari Sleman Yogyakarta.</p>


2021 ◽  
Vol 15 (5) ◽  
pp. 1774-1779
Author(s):  
Sanaz Nehbandani ◽  
Hajar Salehi ◽  
Khadije Rezaie Keikhaie ◽  
Hossein Rashki Ghalenow ◽  
Fatemeh Mirzaie ◽  
...  

Introduction & Objective: Nausea and vomiting during pregnancy is one of the most common gastrointestinal disorders that more than 85% of pregnant women experience. However, controlling and treating this complication is still one of the most important issues in antenatal care. Therefore, the aim of this study was to investigate the effect of ear acupressure at Shen Men point on relieving nausea, vomiting and retching during pregnancy. Materials and Methods: In this quasi-experimental study, 100 pregnant women with a gestational age of less than 16 weeks attending the health clinics of Zabol city during 2019-2020 were studied in two control and intervention groups (n = 50 in each group). The samples in the intervention group were trained to apply pressure on their ears’ Shen Men point with the thumb for three minutes three times a day (morning, noon, and night), for a duration of one month. At the end of second and fourth weeks, the data were collected using the Rhodes index form and then, were analyzed by SPSS software version 22. Results: According to the results, there was no significant difference between the two groups in terms of age, gestational age, occupation and education. The difference in the mean scores of nausea, vomiting and retching was not statistically significant between the control and intervention groups before the study. But four weeks after the study, a significant difference was observed in the mean scores of vomiting, nausea and retching between the two groups, so that the mean scores of vomiting, nausea and retching were significantly lower in the intervention group than in the control group. Conclusion: The ear acupressure medicine at the Shen men point can be used as a non-invasive, safe and inexpensive method to relieve nausea, vomiting and retching during pregnancy. Keywords: Acupressure medicine, Shen Men, Vomiting, Pregnancy, Nausea, Retching, Rhodosis


2019 ◽  
Vol 12 (4) ◽  
pp. 85 ◽  
Author(s):  
Samah Mohammed Fahim El Sakka

The purpose of the present study is to investigate the effect of explicit affective strategy instruction on the speaking performance of Freshmen English majors at Faculty of Education, Suez University, Egypt. The design of the study is a pre-post quasi experimental one. The instrument is a pre/post speaking performance test (designed by the researcher). Participants were eighty Freshmen English majors, randomly divided into two groups: a control group (N=40) and an experimental one (N=40). During the experiment, the experimental group was explicitly taught some affective strategies (lowering anxiety, encouraging yourself and monitoring emotions) while the control group was taught using the traditional method. All participants were tested using the pre/post speaking performance test before and after the intervention. The difference between the post test&rsquo;s mean scores of the control and experimental groups were calculated using Independent Samples t-test and the difference in the mean scores between the pre- and post tests of speaking performance was calculated for each group separately using Paired Samples t-test. A significant difference was found between the post test&rsquo;s mean scores of the control and the experimental groups in favor of the experimental group. Moreover, a significant difference was found between the mean scores of the pre and post test of the experimental group in favor of the post test. It was concluded that participants&rsquo; level of speaking performance significantly improved after receiving the explicit affective strategy instruction.


2018 ◽  
Vol 7 (2) ◽  
pp. 60-65
Author(s):  
Ichtiarfi Waryanuarita ◽  
Induniasih Induniasih ◽  
Yustiana Olfah

Pre operative anxiety occur in patients that undergoing anesthesia procedure and elective surgery. Music therapy is one of distraction technique , because music can reduce physiological pain, stress, and anxiety. Music therapy pushed down sympathy nerve system that reduce body stress respons. Music cause the brain release endorphine, increase dopamine level, and help rise up safety feeling. Find out the effect of music therapy to anxiety in pre general anesthesia patients in PKU Muhammadiyah Yogyakarta Hospital. This study uses a quasy experimental which aims to see the difference in pre anesthesia anxiety before and after given music therapy in intervention and control group. This study uses quasy experimental design here takes group pre test and post test with control sort design. Patients is given pre test and post test with APAIS scale, in intervention group with treatment. Samples in this study amounted to 20 respondents of control group and 20 respondents of intervension group. Data collection is done on May to June 2017. The result of collected data were processed using Wilcoxon test with significant α = 0,05. There is a difference of anxiety before and after in the intervention group using music therapy. Wilcoxon test results obtained Sig. 0,000 (<0.05) so that H1 is accepted or rejected H0. There is a significant effect of music therapy to anxiety on pre general anesthesia patients in PKU Muhammadiyah Yogyakarta Hospital.


2020 ◽  
Vol 21 (2) ◽  
pp. 206-219
Author(s):  
Zahra Kiyani ◽  
◽  
Hoshang Mirzai ◽  
Seyed Ali Hosseini ◽  
Hossein Sourtiji ◽  
...  

Objective: Autism Spectrum Disorder (ASD) is a neurodevelopmental disorder that affects the person’ life. The prevalence of ASD in Iran is increasing. The complicated nature of this disorder disrupts the balance and work routines in the family, which puts a lot of stress on the entire family, especially mothers. Mental health of the mother affects all family members, including a child with ASD. On the other hand, mothers’ confusion and failure in relation to their ASD child causes more stress and discomfort for them. In this study, we aimed to investigate the effect of filial therapy, as a play therapy, on the parenting stress of mothers with ASD children. Materials & Methods: In this experimental study, participants were the mothers of 32 children with ASD (9 girls and 23 boys) aged 4-12 years referred to autism centers and occupational therapy clinics in Isfahan, Iran who were selected using a convenience sampling method. After obtaining an ethical approval from the Research Ethics Committee of the University of Social Welfare and Rehabilitation Sciences (code: IR.USWR.REC.1396.97), and necessary permissions, researchers referred to the clinics and after explaining the purpose of the study to the mothers, an informed consent was obtained from them. Then, they completed a demographic form, Gilliam Autism Rating Scale-2 (GARS-2), and Abidin’s Parenting Stress Index-Short Form (PSI-SF). Participants were randomly divided into two intervention and control groups after matching for the child’s age, GARS score, and the education of children and mothers. The intervention group received 10 sessions of filial therapy, once a week, each for two hours, while the control group continued routine treatment. After intervention, PSI-SF was completed by all mothers again. The collected data were analyzed by using ANCOVA, paired t-test and independent t-test. Shapiro-Wilk test was used to determine the normality of PSI-SF data distribution at Pre-test and Post-test phases. Results: Paired t-test results showed that there was no statistically significant difference in the mean total parenting stress score between the two groups in the Pre-test phase (P= 0.679) but it was significant in the Post-test phase (P=0.010). The results of independent t-test showed that the difference between the mean Pre-test and Post-test scores of total parenting stress in the control group was not significant (P= 0.268) but it was significant in the intervention group (P=0.001). ANCOVA results showed that the Pre-test score of parenting stress had an effect on the total parenting stress score after intervention such that it could explain 82% of variations in this variable. After controlling the Pre-test score, the total parenting stress was significantly different in two groups (P=0.001). Eta squared value indicated that the intervention could explain 54% of changes in total parenting stress of mothers. Conclusion: Filial therapy can help better acceptance of the ASD children by their parents and reduce parenting stress by improving child-parent relationships. This method can be taught as a complementary intervention to the mothers of ASD children.


2019 ◽  
Vol 5 (1) ◽  
pp. e000584 ◽  
Author(s):  
Sabine Hoja ◽  
Petra Jansen

ObjectivesMindfulness-based interventions in the context of sports have been shown to result in higher mindfulness scores and improved physiological and psychological parameters. The goal of this pilot study was to investigate the effects of a newly developed seven-session mindfulness-based intervention, mindful emotions, on German tennis players.MethodsThe study was conducted in a pre–post test design with an intervention and a control group. Before and after the mindfulness-based stress reduction training the following dependent measurements were assessed: athletic performance (serve accuracy) and psychological performance indicators (mindfulness, stress and competition anxiety).ResultsThe results indicate a better performance of the intervention group for the difference scores between post-test and pre-test in one of the sport-related anxiety factors, the concentration disturbances index.ConclusionIn order to further investigate the effects of this mindfulness-based intervention in competitive sports, additional studies with a larger number of participants have to follow.


2018 ◽  
Vol 3 (2) ◽  
Author(s):  
Neneng Siti Latifah ◽  
Sunarsih Sunarsih ◽  
Tias Susianah

Abstract Background : Postpartum maternal health services are health services for postpartum mothers according to standards. Based on the results of the preliminary survey conducted at BPM Tias Susianah on average every month, the number of deliveries was 95 people and from the results of the prasurvey conducted on 25-27 February 2018 of 10 post partum mothers there were 7 post partum mothers who said mothers had not ever consumed pineapple juice both from pregnancy to the puerperium. The purpose of the study was to know the difference in the decline of Fundus Uteri height in postpartum mothers who performed Early Breastfeeding Initiation (IMD) and IMD and given Pineapple Juice at Tias Susianah BPM North Lampung in 2018. Method: This type of quantitative research with Quasi Experimental design is nonequivalent control group Design. The study population of all primiparous postpartum mothers was 946 postpartum mothers who gave birth normally with an average of 78 postpartum mothers per month, with a sample of 34 purposive sampling techniques. Data is taken with an observation sheet. Univariate data analysis and bivariate t test (t-test). Result: The results of the study showed a decrease in TFU before and after being given intervention in the case group with a significance value of P = 0.000 (<0.05) and t = 44.1. There was a decrease in TFU before and after the intervention was given to the control group with a significance value of P = 0,000 (<0,05) and t = 57,176. There was a difference in the difference in TFU reduction between the experimental and control groups as seen from the average difference in TFU decline in the two groups. The mean TFU reduction in the experimental group was 7.78 cm and the mean TFU reduction in the control group was 6.95cm with a mean value of 0.83 significance P = 0.000 so it can be concluded that there were differences in TFU reduction in the experimental group and the control group. Conclusion: It is expected that Puskesmas can participate in providing counseling to post partum mothers to consume pineapple juice as an alternative to accelerate the healing or recovery process and minimize consumption ofpharmacological drugs


2020 ◽  
Vol 9 (2) ◽  
pp. 893-899
Author(s):  
Hilma Triana ◽  
Suharyo Hadisaputro ◽  
Masrifan Djamil

This research was Quasy Experiment with a pre-test-post-test with control group design. Sample this research was 30 pregnant women, that were divided into 2 groups :  the intervention group who were given beet with Fe supplementation (n = 15) and the control group was given Fe tablets (n = 15). Supplementation of beetroot to a pregnant women with anemia who were recieived Fe supplementation could increase hemoglobin levels (p = 0,000), hematocrit levels (p = 0,000), number of erythrocytes (p = 0.001), so there were significant differences in mean delta hemoglobin levels, hematocrit, and erythrocyte counts. There were differences in hemoglobin and erythrocyte levels in the intervention and control groups before and after treatment. Supplementation of 8 gram beetroot powder for 14 days to pregnant mother with anemia who were receive Fe tablets could increase hemoglobin and hematocrit levels, and number of erythrocytes


2019 ◽  
Vol 10 (2) ◽  
pp. 307
Author(s):  
Dwi Astuti ◽  
Dewi Hartinah ◽  
David Reveindra Afif Permana

Abstrak Latar belakang:Di Indonesia dalam Riset Kesehatan Dasar tahun 2013 proporsi persalinan dengan bedah sesar menunjukkan sebesar 9,8% Provinsi Jawa Tengah sendiri untuk metode persalinan Caesar sebesar 10%. Bedah caesar merupakan bedah yang bukan tanpa resiko, risiko dari bedah Caesar ini merupakan potensi stressor yang dapat menyebabkan pasien operasi SC mengalami kecemasan.  Dunia kesehatan Islam, memasukkan dzikir sebagai salah satu upaya untuk mengatasi kecemasan. Tujuan: mengetahui pengaruh pemberian terapi dzikir terhadap penurunan tingkat kecemasan pada pasien post SC. Metode: Penelitian ini menggunakan quasy experiment dengan desain pre-post test design with control group. Sampel sebanyak 24 orang yang diambil secara sampel jenuh. Statistik yang digunakan adalah paired t test, wilcoxon test dan independent t test. Hasil uji Paired t Test diperoleh ada perbedaan (perubahan) tingkat kecemasan pasien post SC sebelum dan sesudah diberikan terapi dzikir pada kelompok intervensi nilai p = 0,000 > α = 0,05, terjadi penurunan rata-rata sebesar 9,917.  Hasil uji Wilcoxon diperoleh tidak ada perbedaan (perubahan) tingkat kecemasan pasien post SC sebelum dan sesudah diberikan komunikasi terapeutik pada kelompok kontrol nilai p = 0,636 > α = 0,05, penurunan yang terjadi yaitu hanya 0,83. Hasil uji Independent t Test diperoleh tidak ada perbedaan (perubahan) tingkat kecemasan pasien post SC sebelum dan sesudah diberikan perlakuan pada kelompok intervensi dan kelompok kontrol dengan nilai p = 0,211 > α = 0,05. Kesimpulan: ada pengaruh pemberian terapi dzikir terhadap penurunan tingkat kecemasan pasien post operasi SC Kata kunci      : Kecemasan, Post SC, Dzikir AbstractBackground: In Indonesia in 2013 Basic Health Research the proportion of deliveries with cesarean section showed 9.8% of Central Java Province alone for the method of caesarean delivery by 10%. Caesarean section is a surgery that is not without risk, the risk of a C-section is a potential stressor that can cause SC surgery patients to experience anxiety. The world of Islamic health, incorporating dzikir as an effort to overcome anxiety. Objective: to determine the effect of dzikir therapy on reducing anxiety levels in post SC patients. Method: This study uses a quasy experiment with a pre-post test design with control group design. A sample of 24 people were taken in a saturated sample. The statistics used were paired t test, Wilcoxon test and independent t test. Results: Paired t Test results obtained there were differences (changes) in the anxiety level of post SC patients before and after given dzikir therapy in the intervention group the value of p = 0,000> α = 0.05, there was an average decrease of 9,917. The results of the Wilcoxon test obtained no difference (change) in the anxiety level of post SC patients before and after therapeutic communication in the control group p = 0.636> α = 0.05, the decrease that occurred was only 0.83. The results of the Independent t Test obtained no difference (change) in the anxiety level of post SC patients before and after treatment in the intervention group and the control group with a value of p = 0.211> α = 0.05. Conclusion: there is an effect of giving dzikir therapy to decrease anxiety level of postoperative SC patients Keywords: Anxiety, Post SC, Dzikir


Author(s):  
Renny - Sinaga ◽  
Vera Renta Siahaan

ABSTRACT   Research background breastfeeding is the foundation of life. Breast milk is the best intake for babies. Unfortunately, until now, there are still a few mothers who provide exclusive breastfeeding for six months and continued for up to two years with complementary foods with breast milk for children. Data from the Ministry of Health noted that the rate of early breastfeeding initiation in Indonesia increased from 51.8 percent in 2016 to 57.8 percent in 2017 and 71.34% in 2019. Although the increase, this figure is said to be still far from the target of 90 percent. RI health profile, 2017). Health promotion techniques using emotional demonstration (emo demo) methods are thought to be able to increase the knowledge of pregnant women about the initiation of early breastfeeding and exclusive breast milk and are willing to do so after they give birth.The purpose of this study was to analyze the effectiveness of the emotional demonstration method as an effort to increase the implementation of early breastfeeding initiation and exclusive breastfeeding for breastfeeding mothers in Tanjung Tongah village, P.siantar.Method of quasi-experimental studies with pre-test and post-test approaches. The intervention group. The population was 45 pregnant women in the 3rd trimester of Tanjung Tongah and the entire population that met the inclusion and exclusion criteria were used as the study sample. Data collection through questionnaires and observation sheets. Data analysis used by t-test and chi-square.The results showed that there were differences in the mean knowledge of respondents about early initiation of breastfeeding and exclusive breastfeeding before and after the emo demo and p <0.00. And there is a relationship between knowledge of initiation of early breastfeeding and exclusive breast milk and exclusive breast milk.   Keywords: Emo demo, (;) IMD(;) exclusive breastfeeding(;)3rd-trimester pregnant women ABSTRAK   Latar belakang penelitian menyusui adalah dasar kehidupan. Air susu ibu (ASI) adalah asupan terbaik untuk bayi. Sayangnya, sampai saat ini, masih sedikit ibu yang memberikan ASI eksklusif selama enam bulan dan dilanjutkan hingga dua tahun dengan makanan pendamping ASI (MPASI) pada anak. Data Kementerian Kesehatan mencatat, angka inisiasi menyusui dini (IMD) di Indonesia meningkat dari 51,8 persen pada 2016 menjadi 57,8 persen pada 2017 dan 71,34 % pada tahun 2019. Kendati meningkat, angka itu disebut masih jauh dari target sebesar 90 persen.(1). Teknik promosi kesehatan dengan metode emotional demonstration (emo demo) diduga mampu menambah pengetahuan ibu hamil tentang IMD dan Asi Ekslusif, dan bersedia melakukan setelah mereka melahirkan. Tujuan penelitian ini adalah Menganalisis Efektifitas Metode Emotional Demonstration Sebagai Upaya Peningkatan Pelaksanaan IMD Dan Pemberian Asi Ekslusif Pada Ibu menyusui di Kelurahan Tanjung Tongah Kota P.Siantar. Metode quasi eksperimen studies dengan pendekatan pre test dan post test. Kelompok intervensi.  Populasi adalah ibu hamil trimester III yang ada dikelurahan Tanjung Tongah sebanyak  45 ibu dan seluruh populasi yang memenuhi kriteria inklusi dan ekslusi dijadikan sampel Penelitian. Pengumpulan data melalaui kuesioner dan lembar observasi. Analisa data yang digunakan dengan T-Test dan Chisquare.Hasil penelitian menunjukkan ada perbedaan rata-rata pengetahuan responden tentang IMD dan ASIeklusif sebelum dan sesudah dilakukan emo demo dan p<0,00. Dan terdapat  hubungan antara pengetahuan IMD dan ASI eklusif setelah emo demo dengan tindakan responden melakukan IMD dan Asi Eklusif.   Kata Kunci : Emo demo(;)IMD(;) ASI Eksklusif(;)Bumil trimester III


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