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GERAKAN IBU SUKSES ASI EKSKLUSIF MELALUI PELATIHAN PIJAT OKSITOSIN DAN AROMATERAPI LAVENDER DI POSYANDU Yanti Rosmiyanti; Sumitro Sumitro; Desty Lismayanti; Sarini Sarini; Okti Rahayu Asih; Cindy Desrianti; Debi Novita
J-ABDI: Jurnal Pengabdian kepada Masyarakat Vol. 5 No. 2: Juli 2025
Publisher : Bajang Institute

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Abstract

Exclusive breastfeeding remains one of the most effective strategies for improving infant health and reducing neonatal morbidity and mortality. However, many postpartum mothers, particularly those who undergo cesarean section, experience delayed lactogenesis and inadequate breast milk production caused by postoperative pain, psychological stress, fatigue, and insufficient breastfeeding support. These conditions often result in the early introduction of formula feeding and decrease the success rate of exclusive breastfeeding. Community-based interventions involving health cadres and mothers are therefore essential to strengthen breastfeeding support at the primary healthcare level. This community service program aimed to improve the knowledge and practical skills of breastfeeding mothers and Posyandu cadres through oxytocin massage training combined with lavender aromatherapy to enhance breast milk production and promote exclusive breastfeeding. The program employed a Participatory Learning and Action (PLA) approach involving education sessions, demonstrations, hands-on practice, mentoring, and program evaluation. Participants consisted of breastfeeding mothers and community health volunteers who attended Posyandu activities. Program evaluation was conducted using pretest–posttest questionnaires and observation checklists to assess participants' knowledge and practical competence. The results demonstrated significant improvements in participants' understanding of lactation management, oxytocin massage techniques, and the appropriate use of lavender aromatherapy. Most participants were able to correctly perform oxytocin massage independently and expressed greater confidence in supporting successful breastfeeding practices. Furthermore, community health volunteers became more competent in providing breastfeeding education and practical assistance to postpartum mothers. This community empowerment program indicates that integrating oxytocin massage training with lavender aromatherapy at the Posyandu level is a feasible, low-cost, and sustainable strategy to strengthen breastfeeding promotion, improve maternal self-efficacy, and support the national exclusive breastfeeding program.
PEMBERDAYAAN KELUARGA DAN KADER KESEHATAN MELALUI PELATIHAN ACTIVE CYCLE BREATHING TECHNIQUE (ACBT) UNTUK MENINGKATKAN BERSIHAN JALAN NAPAS PADA PENDERITA TUBERKULOSIS PARU BERBASIS KOMUNITAS Sumitro Sumitro; Okti Rahayu Asih; Desty Lismayanti; Sarini Sarini; Yanti Rosmiyanti; Cindy Desriant
J-ABDI: Jurnal Pengabdian kepada Masyarakat Vol. 5 No. 2: Juli 2025
Publisher : Bajang Institute

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Abstract

Pulmonary tuberculosis (TB) remains a major public health challenge in Indonesia, requiring not only pharmacological treatment but also community-based supportive interventions to improve patient recovery. One of the non-pharmacological interventions that can be implemented is the Active Cycle Breathing Technique (ACBT), which helps enhance airway clearance, facilitate sputum expectoration, and improve respiratory function. This community service program aimed to empower family members and community health volunteers (cadres) through education and hands-on training on the implementation of ACBT to support home-based care for pulmonary TB patients. The program adopted a Participatory Learning and Action (PLA) approach involving 30 participants consisting of family caregivers and community health cadres. Activities included health education, demonstrations, supervised practice, simulation sessions, home-based mentoring, and program evaluation using pretest–posttest assessments and practical skill observations. The results demonstrated a substantial improvement in participants' knowledge and practical skills regarding ACBT implementation. Most participants were able to perform the breathing exercises correctly and confidently assist TB patients in conducting regular respiratory rehabilitation at home. Furthermore, the involvement of community health cadres strengthened community participation and promoted sustainable patient support beyond healthcare facilities. The program also increased participants' awareness of the importance of family involvement in tuberculosis management and reinforced collaboration between families, health workers, and local communities. Therefore, empowering families and community health cadres through ACBT training represents an effective community-based strategy to complement medical treatment, improve respiratory rehabilitation, enhance patients' quality of life, and support national tuberculosis control efforts
PENERAPAN ACTIVE CYCLE BREATHING TECHNIQUE (ACBT) TERHADAP BERSIHAN JALAN NAFAS PADA PASIEN TUBERCULOSIS PARU DI RUMAH SAKIT UMUM DAERAH JATISARI Sumitro Sumitro; Yanti Rosmiyanti; Desty Lismayanti; Sarini Sarini; Okti Rahayu Asih; Cindy Desrianti
Journal of Innovation Research and Knowledge Vol. 5 No. 1: Juni 2025
Publisher : Bajang Institute

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Abstract

Pulmonary tuberculosis (pulmonary TB) is an infectious disease caused by infection with the bacterium Mycobacteria tuberculosis (M.TB) which attacks the lung tissue and results in impaired ventilation and increased secretion production due to chronic inflammatory processes. Patients with Pulmonary TB often experience in the respiratory tract, this disorder can inhibit daily activities and even have the potential to be life-threatening if not treated appropriately. One non-pharmacological approach that can help improve ineffective road clearance in pulmonary TB patients is the Active Cycle of Breathing Technique (ACBT). This study aims to determine the effect of the application of Active Cycle of Breathing Technique (ACBT) therapy on airway cleaning. The research method used a descriptive design with a case study approach on two patients with pulmonary TB with ineffective airway clearance nursing problems. . Data collection was carried out through interviews, observations, physical examinations, respiratory measurements, oxygen saturation and additional breathing sounds before and after the intervention. The intervention was carried out 3 times a day in 3 days with a duration of 15-20 minutes. The results of this study showed clinical improvements, including a decrease in breathing frequency and an increase in oxygen saturation as well as an improvement in the auscultation of the sound of breath, from heavy ronkhi to ringa ronkhi. The results of these findings show that the application of Active Cycle of Breathing Technique (ACBT) therapy has been proven to be effective in overcoming airway clearance problems in pulmonary TB patients
PENERAPAN TERAPI KOMPLEMENTER PIJAT OKSITOSIN DENGAN MINYAK ESENSIAL LAVENDER UNTUK MENINGKATKAN PRODUKSI ASI PADA PASIEN POST OPERASI SECTIO CAESAREA DI RS DEWI SRI KARAWANG Yanti Rosmiyanti; Sumitro Sumitro; Desty Lismayanti; Sarini Sarini; Okti Rahayu Asih; Cindy Desrianti; Debi Novita
Journal of Innovation Research and Knowledge Vol. 5 No. 1: Juni 2025
Publisher : Bajang Institute

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Abstract

Suboptimal breast milk production frequently occurs in post-cesarean mothers due to pain, stress, and delayed lactogenesis. This condition may hinder the success of exclusive breastfeeding. One non-pharmacological intervention that can be used to improve breast milk production is oxytocin massage combined with lavender essential oil. This study aimed to determine the application of complementary oxytocin massage therapy using lavender essential oil to increase breast milk production in post-cesarean mothers at Dewi Sri Karawang Hospital. This study employed a descriptive design with a case study approach involving two post-cesarean postpartum mothers experiencing inadequate breast milk production. The intervention was administered once daily for 10–15 minutes over three consecutive days. Breast milk production was assessed using an observation sheet based on breast condition, milk secretion, and infant responses after breastfeeding. The results showed that before the intervention, the breast milk production scores were 2 (poor) for Subject 1 and 4 (fair) for Subject 2. After the intervention, the scores increased to 7 and 8, respectively. The improvement was indicated by increased milk secretion, softer breasts after breastfeeding, and calmer, more satisfied infants. It can be concluded that oxytocin massage using lavender essential oil may help improve breast milk production and secretion in post-cesarean mothers.