<pre>Perineal rupture in postpartum mothers causes bleeding, pain, and high dependency on others after the birth. The preliminary study results showed that 68.81% of postpartum mothers experienced perineal rupture. The aim of this study was to determine the effect of perineal massage on perineal status and length of labor. It was quasi-experimental research with control group post-test only design. The population were all expectant mothers in the Yogyakarta Community Health Center. A sample of 60 respondents were divided into control and intervention groups using a random sampling method. The inclusion criteria were 20-35 years old, singleton pregnancy, spontaneous labor, and gestational age of 34-36 weeks. The study instrument used was an observation sheet. Data were analyzed using descriptive, t-test independent, Mann-Whitney’s, and linear regression test. Results. The results showed that perineal massage affects perineal status (p &lt; 0.001) and the duration of stage I and  stage II of labor (p &lt; 0.001). Perineal massage affects perineal status and the duration of labor in the Yogyakarta City Community Health Center.</pre>

ABSTRAKLatar belakang : Efek kemoterapi diantaranya adalah ekstravasasi, yaitu obat sitotoksik terinfiltrasi ke jaringan subdermal yang menyebabkan edema sampai dengan terjadinya nekrosis. Terdapat dua kejadian ekstravasasi kemoterapi di ruang Elisabeth 2. Tujuan : Mengetahui gambaran edukasi ekstravasasi kemoterapi pada pasien kanker payudara menjalani kemoterapi di ruang Elisabeth 2 Rumah Sakit Panti Rapih Yogyakarta tahun 2019. Metode : Penelitian kualitatif dengan pendekatan fenomenologi, sampel penelitian sebanyak enam perawat, menggunakan tehnik purposive sampling. Pengumpulan data menggunakan wawancara semi terstruktur, observasi pada 5 pasien, dan trianggulasi pada 2 sumber. Analisa menggunakan transkriping, koding dan kategorisasi.Hasil : Sebanyak 6 perawat dalam persipan kemoterapi melakukan persiapan alat, pasien, lingkungan sesuai dengan prosedur, 6 perawat memberikan edukasi ekstravasasi tentang tanda dan gejala, semua perawat belum memberikan pengertian dan penanganan ekstravasasi, pasien belum mengerti tentang ekstravasasi. Kesimpulan: Perawat dalam memberikan edukasi ekstravasasi kemoterapi belum secara menyeluruh, edukasi yang diberikan berisi tentang tanda dan gejala ekstravasasi, pengertian dan penanganan belum dijelaskan. Saran : Pembuatan SPO edukasi ekstravasasi kemoterapi, media edukasi menggunakan leaflet. ABSTRACT Background: The effects of chemotherapy include extravasation, which means cytotoxic drugs infiltrated into subdermal tissue which cause edema until necrosis occurs. There were two cases of extravasation of chemotherapy in Elisabeth Ward 2. Objective: To find out about the description of nurse education of extravasation of chemotherapy in patient with breast cancer and chemotherapy in Elisabeth Ward 2 at Panti Rapih Hospital Yogyakarta in 2019. Method: Qualitative research with phenomenology approach, six sample nurses, using purposive sampling technique. Data collection used semi-structured interviews, observations on 5 patients, and questionnaire sources. Analysis used translation, coding and categorization. Result: At a total of 6 nurses have prepared the equipment patient, environmental setting according to procedures. Six nurses have educated the patients regarding extravasation about sign and symptoms. All of the nurses have not given any educations related to definition of extravasation and how to handle it. Patients have not understood what extravasation is. Conclusion: Nurses have not given comprehensive extravasation chemotherapy education. It is only about sign and symptoms of extravasation. They have not explained about the definition and how to handle it. Suggestions: Making education extravasation of chemotherapy based on SOP, education media use a leaflet.

ABSTRAKLatar belakang: lansia yang ada di wilayah puskesmas Talen berjumlah 229 orang, terdapat 75 (32,75%) lansia mengalami nyeri punggung bawah. Kompres hangat basah dan kering merupakan salah satu terapi nonfarmakologi dalam mengurangi nyeri namun belum diketahui efektivitas diantara dua terapi tersebut. Tujuan: untuk mengetahui efektivitas antara kompres hangat basah dan kering terhadap nyeri punggung bawah pada lansia di wilayah kerja Puskesmas Telen. Metode penelitian: Quasy eksperiment dengan pre and post test without control. Pengambilan sampel dilakukan dengan tehnik Quota Sampling, jumlah sampel sebanyak 32 responden yang dibagi menjadi 2 kelompok. Instrumen Numeric Rating Scale. Uji statistik Mann Whitney. Hasil: Rata-rata penurunan skala nyeri kompres hangat kering 1,94 dan basah 0,19 dengan P value 0,000 ≤ 0,05. Uji beda kompres hangat kering dan basah P value 0,48. Kesimpulan: Tidak ada perbedaan efektivitas kompres hangat basah dan kering terhadap nyeri punggung bawah pada lansia di wilayah kerja Puskesmas Telen. Saran: Untuk peneliti selanjutnya teknik pengambilan sampel menggunakan random agar memberi kesempatan yang sama.Kata kunci : Nyeri Punggung Bawah -Lansia -Kompres hangat basah dan kering ABSTRACT Background: the elderly in the area of Talen health center with 229 people, there are 75 (32.75%) elderly suffer from low back pain.Wet and dry warm compress are nonpharmacological therapy in reducing pain. However the effectiveness between the two therapies is unknown. Objective: To determine the effectiveness of wet and dry warm compress on lower back pain in elderly at working area of Puskesmas Telen. Research Method: It was a quasy experiment with pre and post test without control. Sampling was done by quota sampling technique, and the number of sample was 32 respondents divided into 2 groups. Data collection used Numeric Rating Scale. Mann Whitney statistical test. Results: The decrease in pain scale of warm dry compress 1,94 and wet 0,19 with P value 0,000 ≤ 0,05. Mann Whitney statistic test shows p value 0,481 ≥ 0,05. Conclusions: There is no difference in the effectiveness of warm and dry wet compress on lower back pain in elderly at working area of Puskesmas Telen. Suggestion: Further researchers may consider sampling technique using random to give equal opportunity for all respondents.

After labor, mothers need good physiological and psychological adjustments. The inability to adapt to a new situation can result in mothers' psychological stress, eventually leading to postpartum crises and depression. If this incident is not handled, it can lead to serious mental health problems, especially postpartum psychosis to bipolar disorder. In depressed and anxious people, the body will secrete adrenal hormones, which cause vital signs such as blood pressure, body temperature, respiration, and pulse. This study aims to find the relationship between anxiety, depression, and vital signs of postpartum mothers. This study used qualitative with correlation cross-sectional design. The respondents were 60 postpartum mothers at 0-6 months postpartum in Yogyakarta recruited using purposive sampling techniques. The instrument used to measure postpartum maternal depression was The Back Depression Inventory version II and State Anxiety Inventory (STAI) to measure anxiety. Data analysis used Pearson to find the relationship between anxiety, depression, and vital signs. The t-test analysis shows there were relationship between state and trait anxiety with a pulse (p-value = 0.00), respiration (p-value = 0.00), depression with a pulse (the p-value = 0.00) and respiration (p-value 0.00). Anxiety and depression can be detected from the changes in the vital signs of postpartum mothers so that early detection by health workers can prevent anxiety and depression