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The Effect of Classical Music Therapy and Expressive Writing Combination on Anxiety Scores of Primigravid Pregnant Women in the Third Trimester at Cibeureum Public Health Center in Tasikmalaya City Selvia Dewi, Selvia Dewi; Peni Cahyati, Peni Cahyati; Ridwan Kustiawa, Ridwan Kustiawan; Dudi Hartono, Dudi Hartono
Jurnal Medika Cendikia Vol 12 No 02 (2025): Jurnal Medika Cendikia
Publisher : Karsa Husada Health Institute Garut

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33482/jmc.v12i02.373

Abstract

Primigravida pregnant women in the third trimester are prone to anxiety triggered by uncertainty before giving birth and adapting to the new role as parents. Excessive anxiety risks causing negative impacts on maternal and fetal health, such as sleep disorders, preeclampsia, premature birth, and low birth weight. Therefore, effective non-pharmacological interventions are needed to help reduce anxiety levels in pregnant women. This study aims to determine the effect of a combination of classical music therapy and expressive writing on anxiety scores of primigravida pregnant women in the third trimester at the Cibeureum Health Center, Tasikmalaya City. This study used a quantitative approach with a pre-experimental design and a one group pretest-posttest approach. The research sample consisted of 26 respondents selected by purposive sampling. The intervention in the form of classical music therapy and expressive writing was given for three consecutive days with a duration of 20–30 minutes per session. Anxiety scores were measured using the Hamilton Anxiety Rating Scale (HARS) before and after the intervention. Data analysis used the paired sample t-test statistical test. The results showed a significant decrease in anxiety scores after being given a combination of classical music therapy and expressive writing. The p value obtained was 0.000 (p <0.05), which indicated that the difference before and after the intervention was statistically significant. The combination of classical music therapy and expressive writing has been proven effective in reducing anxiety scores in primigravida pregnant women in the third trimester. This intervention is recommended as a non-pharmacological alternative that can be applied in primary health services to support the mental health of pregnant women.
Penerapan Terapi Meditasi Mindfulness Islami untuk Mengurangi Tingkat Kecemasan pada Ibu Hamil Trimester III di Puskesmas Purbaratu Tasikmalaya Dina Novita Utami; Dudi Hartono; Peni Cahyati
NAJ Nursing Applied Journal Vol. 3 No. 3 (2025): July : Nursing Applied Journal
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/naj.v3i3.797

Abstract

Anxiety often arises during pregnancy due to both physical and psychological changes that can negatively impact the health of both the mother and the fetus. These changes may include hormonal fluctuations, fear of labor, and concerns about the baby’s wellbeing. In Indonesia, approximately 28.7% of 373,000 pregnant women in their third trimester experience anxiety as they approach labor. If left untreated, anxiety during pregnancy can lead to complications such as prolonged labor, low birth weight, and postpartum depression. Therefore, early and appropriate intervention is crucial. This study aims to describe the application of Islamic mindfulness meditation therapy as a non-pharmacological intervention to reduce anxiety in pregnant women at Puskesmas Purbaratu, Tasikmalaya. Anxiety is a condition in which an individual feels uneasy, worried, or uncomfortable. Islamic mindfulness meditation therapy is a relaxation technique that integrates spiritual practices with mental focus through meditation, allowing the soul and mind to be calm, centered, and connected with God. It includes dhikr (remembrance of Allah), controlled breathing, and contemplation of positive thoughts. The method used in this study is a case study involving two primigravida pregnant clients experiencing moderate anxiety. Data were collected through interviews, observations, and measurements using the Hamilton Anxiety Rating Scale (HARS). The results indicate that Islamic mindfulness meditation therapy significantly reduced anxiety levels from moderate to mild after five consecutive days of implementation. This was achieved through a combination of breathing exercises, spiritual reflection, and relaxation. This study concludes that Islamic mindfulness meditation can be an effective, affordable, and spiritually enriching alternative therapy to reduce anxiety in pregnant women, especially during the vulnerable third trimester. It is recommended that health workers consider incorporating this method into antenatal care programs.
Pemberdayaan Tokoh Agama dalam Pengendalian Hipertensi di Kota Tasikmalaya Yanyan Bahtiar; Dudi Hartono; Ridwan Kustiawan; Peni Cahyati
Jurnal Abdimas Kesehatan (JAK) Vol. 8 No. 1 (2026): Januari
Publisher : Universitas Baiturrahim

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36565/jak.v8i1.1039

Abstract

Hypertension is a major health problem with a high prevalence in Indonesia. The role of religious leaders as agents of community change is considered strategic in disseminating health information, particularly regarding the prevention and control of hypertension. This community service activity aims to improve the knowledge and skills of religious leaders regarding hypertension risk factors, hypertension management, and Islamic spiritual therapy, Spiritual Emotional Freedom Technique (SEFT). The implementation method included health education and SEFT training for 25 religious leaders at the Ummulquro Islamic Community Service Center (DKM) in Tasikmalaya City. The evaluation results showed a significant increase in knowledge about the risks of hypertension (from an average of 46.40 to 66.00; p<0.05), knowledge of hypertension management (43.60 to 64.80; p<0.05), and SEFT skills (22.00 to 62.80; p<0.05). The integration of medical theory in hypertension control with Islamic values, is reflected in the message of the Prophet Muhammad SAW about eating moderately, exercising diligently, and being patient in managing emotions. Spiritual-based health education effectively increases the capacity of religious leaders as health promoters. After participating in this community service, religious leaders can integrate health messages into religious sermons in the community.
OPTIMIZATION OF LEAFLET MEDIA IN DIABETES EDUCATION FOR ADOLESCENTS AS A PREVENTION STRATEGY IN THE SETIARATU VILLAGE OF TASIKMALAYA CITY Peni Cahyati Peni Cahyati; Dudi Hartono Dudi Hartono; Dewi Aryanti Dewi Aryanti; Yudi Triguna Yudi Triguna; Tetet Kartilah Tetet Kartilah; Kusmiyati Kusmiyati; Sofia Februanti Sofia Februanti; Novia Indriani Novia Indriani; Novi Enis Rosuliana Novi Enis Rosuliana; Syaukia Andini Syaukia Andini
Jurnal Pengabdian Masyarakat DEDIKASI Vol 6 No 2 (2025): Community Service Journal DEDIKASI
Publisher : LP4M STIKes Karsa Husada Garut

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33482/jdk.v6i2.129

Abstract

Diabetes mellitus (DM) is a non-communicable disease whose prevalence continues to increase, including among adolescents. Lack of knowledge and awareness among adolescents about risk factors and prevention of DM can increase the likelihood of developing DM in adulthood. This community service activity aims to optimize the use of leaflets in educating adolescents about diabetes mellitus as an early prevention strategy. The method of implementation includes providing health education using leaflets containing information about DM, risk factors, signs and symptoms, and prevention efforts through the application of a healthy lifestyle. The target of this activity is adolescents living in the Setiaratu Village, Cibeureum District, Tasikmalaya City. This activity was carried out as part of the Tasikmalaya Health Polytechnic's IPTEKS community service program for the community (IbM). The activity was carried out in October 2025. The training results showed that adolescents' knowledge scores about diabetes mellitus increased by 30 points compared to before. Statistically, using the Wilcoxon test, the results showed a difference in the average knowledge scores before and after training, with a significance level of ρ = 0.0001 (ρ < 0.05). It is hoped that after receiving this training, adolescents will contribute to increasing public knowledge about Diabetes Mellitus. Thus, the optimization of leaflets has proven effective as a health education tool in increasing adolescents' awareness and knowledge about Diabetes Mellitus as an early prevention effort.
SOCIALIZATION AND ASSISTANCE OF THE HEALTHY LIVING COMMUNITY MOVEMENT PROGRAM FOR HEALTH CADRES AND DIABETES MELLITUS SUFFERERS IN THE in the PURBARATU PUSKESMAS AREA, TASIKMALAYA CITY Asep Riyana Asep Riyana; Unang Arifin Hidayat Unang Arifin hidayat; Dudi Hartono Dudi Hartono; Asep Kuswandi Asep Kuswandi; Arip Rahman Arip Rahman
Jurnal Pengabdian Masyarakat DEDIKASI Vol 5 No 2 (2024): Community Service Journal DEDIKASI
Publisher : LP4M STIKes Karsa Husada Garut

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33482/jdk.v5i2.141

Abstract

The Healthy Living Community Movement (GERMAS) is a systematic and planned action carried out jointly by all components of the nation with awareness, willingness and ability to behave healthily to improve the quality of life. The implementation of GERMAS must start from the family, because the family is the smallest part of society that forms personality. GERMAS can be done by: Doing physical activity, consuming vegetables and fruit, not smoking, not consuming alcohol, checking your health regularly, cleaning the environment, and using a toilet. In the initial stage, GERMAS nationally started by focusing on three activities, namely: 1) Carrying out 30 minutes of physical activity per day, 2) Consuming fruit and vegetables; and 3) Check your health regularly. GERMAS is a national movement initiated by the President of the Republic of Indonesia which prioritizes promotive and preventive efforts, without neglecting curative-rehabilitative efforts by involving all components of the nation in promoting the healthy paradigm. To make GERMAS a success, you cannot only rely on the role of the health sector alone. The aim of this community service activity is to socialize the program that has been created by the government so that good habits can be achieved in society with healthy community living habits. Local Community Health Center... Based on this, the DIII Nursing Study Program feels it is necessary to socialize the Community Healthy Living Movement by carrying out regional guidance, especially for health cadres and DM patients in the Purbaratu Community Health Center Area, Tasikmalaya City.