iii 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
iv 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), there 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.
