Pelatihan Patient Centered Care pada Mahasiswa Kesehatan sebagai Upaya Menurunkan Tingkat Nyeri Perineum Ibu Post Partum

Published: Feb 13, 2025

Abstract:

Purpose: This community service activity aims to improve the knowledge and skills of health students about Patient Centered Care (PCC) as an effort to reduce the level of postpartum maternal pain.

Methodology: This community service activity was carried out on health students who were practicing at RSUD Ibu Fatmawati Soekarno in Surakarta City. This activity was carried out through several stages, namely pretest, education, demonstration, and posttest.

Results: The results of the community service show that students experienced an average increase in knowledge of 85.33% and an average increase in PCC practice of 76.22%.

Limitations: Community service activities are carried out targeting health students in 1 practice area. Health students who were practicing at the time the activity was carried out were the targets of this community service activity, namely midwifery and nursing students. While other health students were not involved because they were not practicing at the time the activity took place

Contribution: This community service activity can be an alternative in improving the knowledge and skills of Patient Centered Care of students who are prospective health service providers in the future.

Keywords:
1. Patient Centered Care
2. students
3. health
4. knowledge
5. skills
6. practice
Authors:
1 . Henri Sulistianto
2 . Megayana Yessy Maretta
https://orcid.org/0000-0002-5529-6350
3 . Yunia Renny Andhikatias
4 . Hutari Puji Astuti
How to Cite
Sulistianto, H., Maretta, M. Y. ., Andhikatias, Y. R. ., & Astuti, H. P. . (2025). Pelatihan Patient Centered Care pada Mahasiswa Kesehatan sebagai Upaya Menurunkan Tingkat Nyeri Perineum Ibu Post Partum . Jurnal Pemberdayaan Umat, 3(2), 81–89. https://doi.org/10.35912/jpu.v3i2.4132

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References

    Alexander, J. (2013). Obstetric Emergencies, An Issue of Obstetrics and Gynecology Clinics (1st ed.). Elsevier Health Science.

    Bejarano, G., Csiernik, B., Young, J. J., Stuber, K., & Zadro, J. R. (2022). Healthcare students’ attitudes towards patient centred care: a systematic review with meta-analysis. BMC Medical Education, 22(1), 1–22. https://doi.org/10.1186/s12909-022-03371-1

    Caratiquit, K., & Pablo, R. (2021). Exploring the practices of secondary school teachers in preparing for classroom observation amidst the new normal of education. Journal of Social, Humanity, and Education, 1(4), 281–296. https://doi.org/10.35912/jshe.v1i4.721

    Dahlen, H. G., Mid, G. C., Priddis, H., Mid, G. D., & Thornton, C. (2015). Severe perineal trauma is rising, but let us not overreact. Midwifery, 31(1), 1–8. https://doi.org/10.1016/j.midw.2014.09.004

    Dewanti, R., & Fajriwati, A. (2020). Metode Demonstrasi Dalam Peningkatan Pembelajaran Fiqih. Jurnal Kajian Islam Kontemporer, 11(1), 88–98.

    Elfiana, & Suryana. (2020). Elfiana , Suryana. Pengaruh Pelatihan Terhadap Peningkatan Pengetahuan Dan Keterampilan Penjamah Makanan Dalam Penyelenggaraan Makanan, 2, 19–24.

    Fathony. (2019). Pengaruh Metode Tanya Jawab Terhadap Hasil Belajar Siswa di SMK Negeri 1 Peranap Kabupaten Indragiri Hulu. Jurnal Pendidikan Tambusai, 3(1), 88–98.

    Fauzan, A., & Widodo, H. (2019). Hubungan Pelaksanaan Patient Centered Care Dengan Pengalaman Klien Rawat Inap Rumah Sakit Sari Mulia Banjarmasin. Dinamika Kesehatan Jurnal Kebidanan Dan Keperawatan, 10(2), 505–518. https://doi.org/10.33859/dksm.v10i2.523

    Ferreira, P. H., Ferreira, M. L., Maher, C. G., Refshauge, K. M., Latimer, J., & Adams, R. D. (2013). The therapeutic alliance between clinicians and patients predicts outcome in chronic low back pain. Physical Therapy, 93(4), 470–478. https://doi.org/10.2522/ptj.20120137

    Frolich, Julie?; Kettle, C. (2015). Perineal care. The American Journal of Nursing, 1–23. https://doi.org/10.1097/00000446-194703000-00019

    Fuentes, J., Armijo-Olivo, S., Funabashi, M., Miciak, M., Dick, B., Warren, S., Rashiq, S., Magee, D. J., & Gross, D. P. (2014). Enhanced therapeutic alliance modulates pain intensity and muscle pain sensitivity in patients with chronic low back pain: An experimental controlled study. Physical Therapy, 94(4), 477–489. https://doi.org/10.2522/ptj.20130118

    Grover, C. A., Sughair, J., Stoopes, S., Guillen, F., Tellez, L., Wilson, T. M., Gaccione, C., & Close, R. J. H. (2018). Case management reduces length of stay, charges, and testing in emergency department frequent users. Western Journal of Emergency Medicine, 19(2), 238–244. https://doi.org/10.5811/westjem.2017.9.34710

    Herliman, F.Y., Indrayani, T., & Suralaga, C. (2020). Perbedaan Efektivitas Air Rebusan Daun Binahong Dengan Air Rebusan Daun Sirih Terhadap Penyembuhan Ruptur Perineum Pada Ibu Bersalin Di Puskesmas Saketi Kabupaten Pandeglang Tahun 2020. Asian Research Midwifery Basic Science (ARIMBI), 1(1), 85–95.

    Jumaah. (2018). Peserta Didik Pada Mata Pelajaran Pabp Kelas Xii Ips 1 Sma Negeri 1 Wanasaba Tahun Pelajaran 2017 / 2018. 17.

    Kamila, N. A. (2023). Pengaruh Pelatihan terhadap Pengetahuan dan Kemampuan Psikomotor Kader Kesehatan dalam Melakukan Deteksi Dini Stunting serta Stimulasi Tumbuh Kembang Balita. Jurnal Ilmu Kesehatan Dan Farmasi, 11(2), 56–60. https://doi.org/10.51673/jikf.v11i2.2039

    Keintjem, F., Purwandari, A., & Lantaa, N. A. (2018). Faktor-Faktor Yang Berhubungan Dengan Kejadian Ruptur Perineum Dalam Proses Persalinan Normal. JIDAN (Jurnal Ilmiah Bidan), 5(2), 56–62. https://doi.org/10.47718/jib.v5i2.834

    Kemenkes RI. (2018). Laporan_Nasional_RKD2018_FINAL.pdf. In Badan Penelitian dan Pengembangan Kesehatan (p. 198). http://labdata.litbang.kemkes.go.id/images/download/laporan/RKD/2018/Laporan_Nasional_RKD2018_FINAL.pdf

    Legaspino, D., Yanong, C. G. F., Anino, R. J. C., Wenceslao, N., Tolin, M. C., & Caparas, J. T. S. (2024). Kinesthetic learning approach and process skills in science laboratory activities. 5(1), 1–21.

    Manisa, T., Trisianawati, E., Sari, M., Nawawi, N., & Herditiya, H. (2024). Pelatihan Pembuatan Modul Ajar Berbasis Artificial Intelligence ( AI ) untuk Guru-Guru SMPN 3 Sungai Kakap ( Artificial Intelligence ( AI ) Based Teaching Module Creation Training for SMPN 3 Sungai Kakap Teachers ). 3(2), 61–67.

    Muliarini, P., Azalia, N. N., & Ashila, M. N. (2021). Artikel Penelitian Kerangka Hukum Pelayanan Kesehatan yang Berbasis pada Patient-Centered Care. Journal of Hospital Accreditation, 03(1), 10–16. http://jha.mutupelayanankesehatan.net/index.php/JHA/article/view/83

    Oswald, A., Czupryn, J., Wiseman, J., & Snell, L. (2014). Patient-centred education: What do students think? Medical Education, 48(2), 170–180. https://doi.org/10.1111/medu.12287

    Pirhonen, L., Gyllensten, H., Olofsson, E. H., Fors, A., Ali, L., Ekman, I., & Bolin, K. (2020). The cost-effectiveness of person-centred care provided to patients with chronic heart failure and/or chronic obstructive pulmonary disease. Health Policy OPEN, 1, 100005. https://doi.org/10.1016/j.hpopen.2020.100005

    Rahmawati, M. A. (2023). Pengaruh Berat Badan Bayi Baru Lahir Dengan Kejadian Ruptur Perinium Pada Persalinan Normal Di Tpmb Eni Musfirotun Desa Pendem Kecematan Junrejo Kota Batu. Indonesian Journal of Health Development, 5(1), 17–23. https://doi.org/10.52021/ijhd.v5i1.112

    Rahmawati, S. M., Meilinasari, & Marbun, R. (2022). Pengaruh Pelatihan dengan Pendampingan terhadap Perilaku Konseling Pemberian Makan Bayi dan Anak (PMBA) Mahasiswa Jurusan Gizi Poltelles Jakarta II. Jurnal Kesehatan, 16(47), 21–30. https://doi.org/10.36082/qjk.v16i1.418

    Rantika, R., & Susanti, A. (2020). He Effect of Sitz Bath Therapy on Intensity of Perinealwound Pain in Postpartum Mother At Pmb Dince Safrina of Pekanbaru …. Jurnal Ibu Dan Anak, 8(2), 15–20. https://jurnal.pkr.ac.id/index.php/JIA/article/download/278/182

    Risnawati; Fajriani, A. (2018). Description of Perineum Rupture Events on Mothers in Public Health Tanete. Jurnal Life Birth, 2, 78–85.

    Rusmilawati, R., Adhani, R., & Adenan, A. (2017). Pengaruh Pelatihan Terhadap Pengetahuan Sikap Dan Ketidakrasionalan Pengobatan Diare Non Spesifik Sesuai Mtbs Pada Balita. Jurnal Berkala Kesehatan, 1(2), 52. Https://Doi.Org/10.20527/Jbk.V1i2.3143

    Salakory, J. A. (2018). Pengaruh Pelatihan Terhadap Pengetahuan, Sikap, Dan Praktik Kader Tentang Penyuluhan Pencegahan HIV/AIDS di Puskesmas HATIVE KECIL. JKT, 9(1), 32–44. https://doi.org/10.54639/mhj.v1i2.48

    Schwenkglenks, M., Gerbershagen, H. J., Taylor, R. S., Pogatzki-Zahn, E., Komann, M., Rothaug, J., Volk, T., Yahiaoui-Doktor, M., Zaslansky, R., Brill, S., Ullrich, K., Gordon, D. B., & Meissner, W. (2014). Correlates of satisfaction with pain treatment in the acute postoperative period: Results from the international PAIN OUT registry. Pain, 155(7), 1401–1411. https://doi.org/10.1016/j.pain.2014.04.021

    Siri, Gloppen; Langford, Malcolm; Yamin, Alicia; Iunes, Robert; Cubillio, Leonardo; Luisa Escobar, M. (2016). Operationalizing a Rights-Based Approach to Health Service Delivery. CHR.Michelsen Institute. https://www.cmi.no/projects/1791-operationalizing-a-rights-based-approach-to-health

    Soemarti, L., & Kundrat, K. (2022). Faktor yang Mempengaruhi Perubahan Perilaku Masyarakat dalam Pemanfaatan Sampah Domestik untuk Bahan Baku Pembuatan (MOL) Sebagai Upaya Meningkatkan Sanitasi Lingkungan dalam Mendukung Gerakan Indonesia Bersih. Jurnal Pengabdian Kepada Masyarakat, 12(2), 141–154. https://doi.org/10.30999/jpkm.v12i2.2183

    Sulistianto, H., Maretta, M. Y., & Andhikatias, Y. R. (2023). Pelatihan Patient Centered Care pada Mahasiswa Bidan Meningkatkan Kesejahteraan Pasien Post SC. Yumary: Jurnal Pengabdian Kepada Masyarakat, 4(2), 231–238. https://doi.org/10.35912/yumary.v4i2.2484

    Wang, M., & Fang, H. (2020). The effect of health education on knowledge and behavior toward respiratory infectious diseases among students in Gansu, China: A quasi-natural experiment. BMC Public Health, 20(1), 1–13. https://doi.org/10.1186/s12889-020-08813-3

    Yahaya, A. M., Dutsinma, A. L., Suleiman, S., & Ahmed, A. (2021). The impact of teaching methods on the performance of geography students in some selected public secondary schools in Zaria local government area, Kaduna State, Nigeria. Journal of Social, Humanity, and Education, 1(2), 143–155. https://doi.org/10.35912/jshe.v1i2.36

  1. Alexander, J. (2013). Obstetric Emergencies, An Issue of Obstetrics and Gynecology Clinics (1st ed.). Elsevier Health Science.
  2. Bejarano, G., Csiernik, B., Young, J. J., Stuber, K., & Zadro, J. R. (2022). Healthcare students’ attitudes towards patient centred care: a systematic review with meta-analysis. BMC Medical Education, 22(1), 1–22. https://doi.org/10.1186/s12909-022-03371-1
  3. Caratiquit, K., & Pablo, R. (2021). Exploring the practices of secondary school teachers in preparing for classroom observation amidst the new normal of education. Journal of Social, Humanity, and Education, 1(4), 281–296. https://doi.org/10.35912/jshe.v1i4.721
  4. Dahlen, H. G., Mid, G. C., Priddis, H., Mid, G. D., & Thornton, C. (2015). Severe perineal trauma is rising, but let us not overreact. Midwifery, 31(1), 1–8. https://doi.org/10.1016/j.midw.2014.09.004
  5. Dewanti, R., & Fajriwati, A. (2020). Metode Demonstrasi Dalam Peningkatan Pembelajaran Fiqih. Jurnal Kajian Islam Kontemporer, 11(1), 88–98.
  6. Elfiana, & Suryana. (2020). Elfiana , Suryana. Pengaruh Pelatihan Terhadap Peningkatan Pengetahuan Dan Keterampilan Penjamah Makanan Dalam Penyelenggaraan Makanan, 2, 19–24.
  7. Fathony. (2019). Pengaruh Metode Tanya Jawab Terhadap Hasil Belajar Siswa di SMK Negeri 1 Peranap Kabupaten Indragiri Hulu. Jurnal Pendidikan Tambusai, 3(1), 88–98.
  8. Fauzan, A., & Widodo, H. (2019). Hubungan Pelaksanaan Patient Centered Care Dengan Pengalaman Klien Rawat Inap Rumah Sakit Sari Mulia Banjarmasin. Dinamika Kesehatan Jurnal Kebidanan Dan Keperawatan, 10(2), 505–518. https://doi.org/10.33859/dksm.v10i2.523
  9. Ferreira, P. H., Ferreira, M. L., Maher, C. G., Refshauge, K. M., Latimer, J., & Adams, R. D. (2013). The therapeutic alliance between clinicians and patients predicts outcome in chronic low back pain. Physical Therapy, 93(4), 470–478. https://doi.org/10.2522/ptj.20120137
  10. Frolich, Julie?; Kettle, C. (2015). Perineal care. The American Journal of Nursing, 1–23. https://doi.org/10.1097/00000446-194703000-00019
  11. Fuentes, J., Armijo-Olivo, S., Funabashi, M., Miciak, M., Dick, B., Warren, S., Rashiq, S., Magee, D. J., & Gross, D. P. (2014). Enhanced therapeutic alliance modulates pain intensity and muscle pain sensitivity in patients with chronic low back pain: An experimental controlled study. Physical Therapy, 94(4), 477–489. https://doi.org/10.2522/ptj.20130118
  12. Grover, C. A., Sughair, J., Stoopes, S., Guillen, F., Tellez, L., Wilson, T. M., Gaccione, C., & Close, R. J. H. (2018). Case management reduces length of stay, charges, and testing in emergency department frequent users. Western Journal of Emergency Medicine, 19(2), 238–244. https://doi.org/10.5811/westjem.2017.9.34710
  13. Herliman, F.Y., Indrayani, T., & Suralaga, C. (2020). Perbedaan Efektivitas Air Rebusan Daun Binahong Dengan Air Rebusan Daun Sirih Terhadap Penyembuhan Ruptur Perineum Pada Ibu Bersalin Di Puskesmas Saketi Kabupaten Pandeglang Tahun 2020. Asian Research Midwifery Basic Science (ARIMBI), 1(1), 85–95.
  14. Jumaah. (2018). Peserta Didik Pada Mata Pelajaran Pabp Kelas Xii Ips 1 Sma Negeri 1 Wanasaba Tahun Pelajaran 2017 / 2018. 17.
  15. Kamila, N. A. (2023). Pengaruh Pelatihan terhadap Pengetahuan dan Kemampuan Psikomotor Kader Kesehatan dalam Melakukan Deteksi Dini Stunting serta Stimulasi Tumbuh Kembang Balita. Jurnal Ilmu Kesehatan Dan Farmasi, 11(2), 56–60. https://doi.org/10.51673/jikf.v11i2.2039
  16. Keintjem, F., Purwandari, A., & Lantaa, N. A. (2018). Faktor-Faktor Yang Berhubungan Dengan Kejadian Ruptur Perineum Dalam Proses Persalinan Normal. JIDAN (Jurnal Ilmiah Bidan), 5(2), 56–62. https://doi.org/10.47718/jib.v5i2.834
  17. Kemenkes RI. (2018). Laporan_Nasional_RKD2018_FINAL.pdf. In Badan Penelitian dan Pengembangan Kesehatan (p. 198). http://labdata.litbang.kemkes.go.id/images/download/laporan/RKD/2018/Laporan_Nasional_RKD2018_FINAL.pdf
  18. Legaspino, D., Yanong, C. G. F., Anino, R. J. C., Wenceslao, N., Tolin, M. C., & Caparas, J. T. S. (2024). Kinesthetic learning approach and process skills in science laboratory activities. 5(1), 1–21.
  19. Manisa, T., Trisianawati, E., Sari, M., Nawawi, N., & Herditiya, H. (2024). Pelatihan Pembuatan Modul Ajar Berbasis Artificial Intelligence ( AI ) untuk Guru-Guru SMPN 3 Sungai Kakap ( Artificial Intelligence ( AI ) Based Teaching Module Creation Training for SMPN 3 Sungai Kakap Teachers ). 3(2), 61–67.
  20. Muliarini, P., Azalia, N. N., & Ashila, M. N. (2021). Artikel Penelitian Kerangka Hukum Pelayanan Kesehatan yang Berbasis pada Patient-Centered Care. Journal of Hospital Accreditation, 03(1), 10–16. http://jha.mutupelayanankesehatan.net/index.php/JHA/article/view/83
  21. Oswald, A., Czupryn, J., Wiseman, J., & Snell, L. (2014). Patient-centred education: What do students think? Medical Education, 48(2), 170–180. https://doi.org/10.1111/medu.12287
  22. Pirhonen, L., Gyllensten, H., Olofsson, E. H., Fors, A., Ali, L., Ekman, I., & Bolin, K. (2020). The cost-effectiveness of person-centred care provided to patients with chronic heart failure and/or chronic obstructive pulmonary disease. Health Policy OPEN, 1, 100005. https://doi.org/10.1016/j.hpopen.2020.100005
  23. Rahmawati, M. A. (2023). Pengaruh Berat Badan Bayi Baru Lahir Dengan Kejadian Ruptur Perinium Pada Persalinan Normal Di Tpmb Eni Musfirotun Desa Pendem Kecematan Junrejo Kota Batu. Indonesian Journal of Health Development, 5(1), 17–23. https://doi.org/10.52021/ijhd.v5i1.112
  24. Rahmawati, S. M., Meilinasari, & Marbun, R. (2022). Pengaruh Pelatihan dengan Pendampingan terhadap Perilaku Konseling Pemberian Makan Bayi dan Anak (PMBA) Mahasiswa Jurusan Gizi Poltelles Jakarta II. Jurnal Kesehatan, 16(47), 21–30. https://doi.org/10.36082/qjk.v16i1.418
  25. Rantika, R., & Susanti, A. (2020). He Effect of Sitz Bath Therapy on Intensity of Perinealwound Pain in Postpartum Mother At Pmb Dince Safrina of Pekanbaru …. Jurnal Ibu Dan Anak, 8(2), 15–20. https://jurnal.pkr.ac.id/index.php/JIA/article/download/278/182
  26. Risnawati; Fajriani, A. (2018). Description of Perineum Rupture Events on Mothers in Public Health Tanete. Jurnal Life Birth, 2, 78–85.
  27. Rusmilawati, R., Adhani, R., & Adenan, A. (2017). Pengaruh Pelatihan Terhadap Pengetahuan Sikap Dan Ketidakrasionalan Pengobatan Diare Non Spesifik Sesuai Mtbs Pada Balita. Jurnal Berkala Kesehatan, 1(2), 52. Https://Doi.Org/10.20527/Jbk.V1i2.3143
  28. Salakory, J. A. (2018). Pengaruh Pelatihan Terhadap Pengetahuan, Sikap, Dan Praktik Kader Tentang Penyuluhan Pencegahan HIV/AIDS di Puskesmas HATIVE KECIL. JKT, 9(1), 32–44. https://doi.org/10.54639/mhj.v1i2.48
  29. Schwenkglenks, M., Gerbershagen, H. J., Taylor, R. S., Pogatzki-Zahn, E., Komann, M., Rothaug, J., Volk, T., Yahiaoui-Doktor, M., Zaslansky, R., Brill, S., Ullrich, K., Gordon, D. B., & Meissner, W. (2014). Correlates of satisfaction with pain treatment in the acute postoperative period: Results from the international PAIN OUT registry. Pain, 155(7), 1401–1411. https://doi.org/10.1016/j.pain.2014.04.021
  30. Siri, Gloppen; Langford, Malcolm; Yamin, Alicia; Iunes, Robert; Cubillio, Leonardo; Luisa Escobar, M. (2016). Operationalizing a Rights-Based Approach to Health Service Delivery. CHR.Michelsen Institute. https://www.cmi.no/projects/1791-operationalizing-a-rights-based-approach-to-health
  31. Soemarti, L., & Kundrat, K. (2022). Faktor yang Mempengaruhi Perubahan Perilaku Masyarakat dalam Pemanfaatan Sampah Domestik untuk Bahan Baku Pembuatan (MOL) Sebagai Upaya Meningkatkan Sanitasi Lingkungan dalam Mendukung Gerakan Indonesia Bersih. Jurnal Pengabdian Kepada Masyarakat, 12(2), 141–154. https://doi.org/10.30999/jpkm.v12i2.2183
  32. Sulistianto, H., Maretta, M. Y., & Andhikatias, Y. R. (2023). Pelatihan Patient Centered Care pada Mahasiswa Bidan Meningkatkan Kesejahteraan Pasien Post SC. Yumary: Jurnal Pengabdian Kepada Masyarakat, 4(2), 231–238. https://doi.org/10.35912/yumary.v4i2.2484
  33. Wang, M., & Fang, H. (2020). The effect of health education on knowledge and behavior toward respiratory infectious diseases among students in Gansu, China: A quasi-natural experiment. BMC Public Health, 20(1), 1–13. https://doi.org/10.1186/s12889-020-08813-3
  34. Yahaya, A. M., Dutsinma, A. L., Suleiman, S., & Ahmed, A. (2021). The impact of teaching methods on the performance of geography students in some selected public secondary schools in Zaria local government area, Kaduna State, Nigeria. Journal of Social, Humanity, and Education, 1(2), 143–155. https://doi.org/10.35912/jshe.v1i2.36