ABSTRAKLatar Belakang: Bedah Sesar adalah suatu persalinan buatan, dimana janin dilahirkan melalui suatu insisi pada dinding perut dan dinding rahim serta berat janin di atas 500 gram. Dampak yang terjadi setelah bedah sesar adalah nyeri dan gangguan tidur. Tujuan: Untuk mengetahui hubungan intensitas nyeri dengan kualitas tidur pada ibu pasca bedah sesar. Metode: Menggunakan pendekatan cross sectional. Sampel penelitian berjumlah 42 ibu pasca bedah sesar yang diambil dengan teknik accidental sampling. Pengambilan data dilakukan di RS TK II Dustira Cimahi, menggunakan lembar kuesioner Maternal Pain Questionnaire (MPQ) untuk pengukuran intensitas nyeri dan The Pittsburgh Sleep Quality Index (PSQI) untuk pengukuran kualitas tidur. Data dikumpulkan pada bulan Mei 2017. Analisis data menggunakan uji Chi-Square. Hasil penelitian: Intensitas nyeri yang tertinggi terjadi pada klien pasca bedah sesar yaitu intensitas nyeri hebat dengan 22 responden (52,4%) dan tidak nyaman terdapat 20 responden (47,6%). Lebih dari setengah responden mengalami kualitas tidur yang buruk yaitu 28 responden (66,7%). Ada hubungan antara intensitas nyeri dengan kualitas tidur pada pasien pasca bedah sesar. Diskusi: Faktor yang memengaruhi kualitas tidur pasien adalah sakit yang disebabkan oleh nyeri. Nyeri pasien setelah seksio sesaria karena terputusnya kontinuitas jaringan (trauma pembedahan) sehingga terjadi gangguan kualitas tidur. Semakin berat nyeri, maka semakin terganggu kualitas tidur pasien. Kesimpulan: Terdapat hubungan yang bermakna antara intensitas nyeri dengan kualitas tidur pada pasien pasca bedah sesar. Pelayanan kesehatan diharapkan melibatkan peran aktif keluarga untuk mengatasi penanganan nyeri pasien pasca bedah sesar, sehingga pasien memiliki kualitas tidur baik.Kata Kunci: Bedah sesar, nyeri, kualitas tidurRelationship Between Pain Intensity With Sleep Quality of Patient Post Caesarean SectionABSTRACTBackground: Cesarean section is an artificial birth, in which the fetus is born through an incision in the abdominal wall and uterine wall and the weight of the fetus is above 500 grams. Impacts that occur after caesarean section are pain and sleep disorders. Aim: To know the relation of pain intensity with sleep quality of mothers post cesarean section. Method: Using cross sectional approach. The sample of the study were 42 post-cesarean mothers taken by accidental sampling technique. The data was collected at RS TK. II Dustira Cimahi using Maternal Pain Questionnaire (MPQ) questionnaire for pain intensity measurement and The Sleep Sleep Quality Index (PSQI) for sleep quality measurement, in May 2017. The MPQ and PSQI questionnaires in this study were not tested for validity and reliability because this questionnaire was standard. Data analysis using Chi-Square test. Results: The highest intensity of pain occurred in the client after cesarean section with severe pain intensity with 22 respondents (52,4%) and uncomfortable there were 20 respondents (47,6%) and more than most client experience poor sleep quality that is 28 respondents ( 66.7%) but there are still clients who experienced good sleep quality 14 respondents (33.3%). The result of the study is that there is a correlation between pain intensity and sleep quality in post cesarean patients. Discussion: The factor that influences the patient’s sleep quality is pain caused by pain. Post sectio caesaria pain due to tissue continuity (trauma from surgery) is interrupted resulting in sleep quality disruption. The more severe the pain, the more disturbed the patient’s sleep quality. Conclusion: There was a significant relationship between the intensity of pain and sleep quality in post-caesarean section patients. Health services are expected to involve the active role of the family to overcome the pain management of post-cesarean patients, so that patients have good quality sleep.Keywords: Cesarean section, pain, sleep quality

This study aims to determine the effect of buteyko breathing technique on asthma control test.The quasi experimental study with the pretest and post test one group design approach involved 14 patients with asthma selected from the Lung Polyclinic of Dr. Hasan Sadikin Bandung with consecutive sampling. Asthma control was collected using time series ACT. The collected data were analyzed descriptively and inferentially with the scale of significance p smaller than 0.05.The results showed a significantly higher mean difference between ACT scores after buteyko breathing technique 19.79 more or less 1.47 with ACT score at week III 17.50 moe or less 1.78 week II 12.64 more or less 1.82, week I 9.57 more or less 1.95, and pretest 7.64 more or less 1.82. Post hoc analysis found the fourth week post test score 19.79 more or less 1.47 significantly better than post test week III 17.50 more or less 1.78, week II 12.64 more or less 1.82, week I 9.57 more or less 1.95, and pretest 7.64 more or less 1.82 in improving asthma control. It was concluded that there was an effect of buteyko breathing technique on asthma control test. Thus, the results of this study become important as a study material for nurses at the Hospital in an effort to increase asthma control test. Keywords: ACT, Breathing Technique, Bronchial Asthma, Buteyko

Asma bronchial merupakan masalah kesehatan yang serius dengan tingkat kekambuhan yang tinggi.Terapi farmakologi jangka panjang berpotensi menimbulkan efek samping seperti peningkatan enzimhati, sakit kepala, mual, supresi adrenal, osteopenia, dan kematian. Di sisi lain teknik pernapasanbuteyko dapat memperbaiki fungsi paru, meningkatkan oksida nitrat, melembabkan danmenghangatkan udara yang berpotensi menurunkan gejala asma dan konsumsi obat-obatan. Penelitianini bertujuan untuk mengetahui pengaruh teknik pernapasan buteyko terhadap kontrol asma.Penelitian quasi eksperimental dengan pendekatan pretest and post test one group design inimelibatkan 14 pasien asma yang dipilih dari Poli Paru RSUP Dr. Hasan Sadikin Bandung denganconsecutive sampling. Kontrol asma dikumpulkan dengan menggunakan Asthma Control Test (ACT)secara time series dan pemeriksaan spirometri (nilai FEV1) pada pretest dan post test minggu keempat. Data yang terkumpul dianalisis secara deskriptif dan inferensial dengan skala signifikansip<0,05. Uji paired t-test menunjukkan terdapat perbedaan yang signifikan (p=0,00) antara nilai FEV1setelah diberikan teknik pernapasan buteyko (69,57±6,836) dengan nilai FEV1 sebelum diberikanteknik pernapasan buteyko (37,43±6,513). Uji Repeated ANOVA menunjukkan adanya perbedaanyang signifikan (p=0,00) antara skor ACT setelah diberikan teknik pernapasan buteyko (19,79±1,47)dengan skor ACT pada minggu III (17,50±1,78), minggu II (12,64±1,82), minggu I (9,57±1,95), danpretest (7,64±1,82). Post hoc analisis menemukan skor post test minggu ke empat (19,79±1,47)signifikan lebih tinggi daripada posttest minggu III (17,50±1,78), minggu II (12,64±1,82), minggu I(9,57±1,95), dan pretest (7,64±1,82). Disimpulkan bahwa ada pengaruh yang positif teknikpernapasan buteyko terhadap kontrol asma. Dengan demikian, penting menjadikan hasil penelitian inisebagai bahan telaah bagi petugas kesehatan di Rumah Sakit dalam upaya peningkatan kontrol asma.

Vega M. Tusyanawati1, Marlin Sutrisna2, Tonika Tohri3  Sekolah Tinggi Ilmu Kesehatan Rajawali Bandung IndonesiaEmail : vegatusyanawati@gmail.comBackground: Appendicitis is one of the emergency  cases in the abdominal area with a major complaint of persistent lower abdominal pain that develops and increased pain. An appendectomy is a surgical intervention that has the purpose of ablative surgery or removal of body parts that contain problems or have disease. One of the postoperative treatments of apendectomy is with wound care. The current wound care treatment is modern and conventional wound care. Objective: This study was to investigate the effect of treatment of postoperative wound healing apendectomy. Methodology: The design used in this research is Quasi Experiment, with posttest-only design approach. The number of samples taken is 18 respondent. Taking sampling with accidental sampling technique. Result: The result shows that p-value 0.001, with mean value in intervention group was 5.50 and in control group 13.50. Conclusion: There is a significant difference in the wound healing process using conventional and modern wound care.Keywords                    : type of wound care, post operative apendectomy

Background: Sexual violence and sexual deviations that afflict children in their own environment are caused by a lack of sex education for children. The purpose of this community service is to increase mother's knowledge about preventing sexual violence in children. The method of implementation is counseling about the prevention of sexual violence in children. This Community Service activity was carried out at PAUD Muslifa Bengkulu. Implementation time in May 2022. Participants of this community service activity are mothers who have children aged 3-6 years at PAUD Muslifa Bengkulu with a total of 30 people. The activity is carried out in stages (1) providing an explanation of the prevention of sexual violence against children and the purpose of the activity; (2) provide knowledge about the prevention of sexual violence in children. The results of the activity showed that there was an increase in mother's knowledge about preventing sexual violence in children. After participating in this activity, mothers can apply knowledge about preventing sexual violence against children. Keywords: children, sexual violence, knowledge.