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Effectiveness of Providing Self-Management Education to Deal With Emesis Gravidarum on Decreasing Nausea Vomiting Pregnancy (NVP) at Private Practice Midwives Puskesmas IV Denpasar Selatan Work Area


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1 Politeknik Kesehatan Kartini Bali, Jalan Piranha No 2 Pegok Sesetan Denpasar Bali Indonesia, Indonesia
     

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Data shows that 50-90% of pregnant women experience nausea in the first trimester. Excessive gravida emesis will gain weight into hyperemesis gravidarum and can disrupt the mother’s metabolism including dehydration, weight loss, alkalosis, and hypokalemia. Non-pharmacological therapy is a type of complementary therapy that can be used as an intervention to treat nausea including hypnotherapy, acupressure, acupuncture, relaxation, and therapy. Self-management is regulating personal activities to live a better and healthier life. Emesis gravidarum self-management education adopts the concept of Corbin and Straus in Kate and Halsted (2003), which is outlined in a module that aims to enable pregnant women to educate themselves to be able to regulate their own lives, set goals, and provide self-reinforcement in dealing with nausea, vomiting experienced. The purpose of this study was to determine the effectiveness of providing self-management education to deal with emesis gravidarum on decreasing Nausea Vomiting Pregnancy (NVP). This is an analytical study with a pre-experimental research design (quasi-experiment design) with one group pre-test-post test design. This study was conducted at Private Practice Midwives (hereafter: PMB) Puskesmas IV Denpasar Selatan Work Area. The population of this study was pregnant women who came to PMB in the work area of Puskesmas IV Denpasar Selatan. The sample of this study was pregnant women who experienced nausea and vomiting in the first trimester who met the inclusion criteria where the sampling technique in this study was accidental sampling. Analysis of the data in this study was conducted t-test to test the differences between the two pre and post-test distributions before self-management education was given and after the providing of self-management education was faced with emesis gravidarum. The results of the study showed that the average value of PUQE 24 hours before the self-management module was given was 9.5, the standard deviation value was 2.591, the minimum and maximum values were 6.0-14.0. The average value of PUQE-24 hours after the self-management module was given was 7.1, the standard deviation value was 2,273 with minimum and maximum values of 3.0-12.0. The conclusion of giving self-management module is effective to decrease nausea and vomiting in first-trimester pregnant women.

Keywords

First-trimester Pregnant Women, Emesis Gravidarum, Self-Management Education.
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  • Effectiveness of Providing Self-Management Education to Deal With Emesis Gravidarum on Decreasing Nausea Vomiting Pregnancy (NVP) at Private Practice Midwives Puskesmas IV Denpasar Selatan Work Area

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Authors

Ni Nyoman Deni Witari
Politeknik Kesehatan Kartini Bali, Jalan Piranha No 2 Pegok Sesetan Denpasar Bali Indonesia, Indonesia
Ni Made Dewianti
Politeknik Kesehatan Kartini Bali, Jalan Piranha No 2 Pegok Sesetan Denpasar Bali Indonesia, Indonesia

Abstract


Data shows that 50-90% of pregnant women experience nausea in the first trimester. Excessive gravida emesis will gain weight into hyperemesis gravidarum and can disrupt the mother’s metabolism including dehydration, weight loss, alkalosis, and hypokalemia. Non-pharmacological therapy is a type of complementary therapy that can be used as an intervention to treat nausea including hypnotherapy, acupressure, acupuncture, relaxation, and therapy. Self-management is regulating personal activities to live a better and healthier life. Emesis gravidarum self-management education adopts the concept of Corbin and Straus in Kate and Halsted (2003), which is outlined in a module that aims to enable pregnant women to educate themselves to be able to regulate their own lives, set goals, and provide self-reinforcement in dealing with nausea, vomiting experienced. The purpose of this study was to determine the effectiveness of providing self-management education to deal with emesis gravidarum on decreasing Nausea Vomiting Pregnancy (NVP). This is an analytical study with a pre-experimental research design (quasi-experiment design) with one group pre-test-post test design. This study was conducted at Private Practice Midwives (hereafter: PMB) Puskesmas IV Denpasar Selatan Work Area. The population of this study was pregnant women who came to PMB in the work area of Puskesmas IV Denpasar Selatan. The sample of this study was pregnant women who experienced nausea and vomiting in the first trimester who met the inclusion criteria where the sampling technique in this study was accidental sampling. Analysis of the data in this study was conducted t-test to test the differences between the two pre and post-test distributions before self-management education was given and after the providing of self-management education was faced with emesis gravidarum. The results of the study showed that the average value of PUQE 24 hours before the self-management module was given was 9.5, the standard deviation value was 2.591, the minimum and maximum values were 6.0-14.0. The average value of PUQE-24 hours after the self-management module was given was 7.1, the standard deviation value was 2,273 with minimum and maximum values of 3.0-12.0. The conclusion of giving self-management module is effective to decrease nausea and vomiting in first-trimester pregnant women.

Keywords


First-trimester Pregnant Women, Emesis Gravidarum, Self-Management Education.



DOI: https://doi.org/10.37506/v11%2Fi2%2F2020%2Fijphrd%2F195073