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All Journal International Journal of Public Health Science (IJPHS) Jurnal Kesehatan Jurnal Cakrawala Keperawatan
Ratih Kumala Dewi
STIKES ESTU UTOMO
Computer Science & IT Health Professions Medicine & Pharmacology Nursing Public Health

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Efektivitas Aromaterapi Geranium terhadap Penurunan Nyeri dan Percepatan Penyembuhan Luka Perineum pada Ibu Nifas Ratih Kumala Dewi; Evita Aurilia Nardina
Jurnal Kesehatan Vol 13 No 3 (2025): Desember
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-kes.v13i3.616

Abstract

Perineal pain and lacerations are common postpartum conditions that can disrupt maternal comfort, mobility, and the healing process. Aromatherapy has gained attention as a safe non-pharmacological option to support postpartum recovery. This study examined the effectiveness of geranium aromatherapy in reducing perineal pain and enhancing wound healing among postpartum mothers. A quasi-experimental pretest–posttest design with a control group was used. Forty postpartum mothers with first- or second-degree perineal tears were selected through purposive sampling and allocated to intervention or control groups. Pain intensity was measured using the Visual Analog Scale (VAS), and wound healing was assessed through a structured observation checklist. Statistical analyses included paired t-test, independent t-test, and chi-square test. The intervention group showed a significant reduction in pain scores (p < 0.001) and a higher wound healing rate than the control group (90% vs 50%, p = 0.007). Geranium aromatherapy effectively decreased perineal pain and promoted faster healing, supporting its integration into holistic postpartum care.  Keywords: geranium aromatherapy, perineal pain, wound healing, postpartum.
EFFECT OF A BREASTFEEDING SUPPORT PACKAGE ON BREASTFEEDING SELF-EFFICACY AMONG POSTPARTUM MOTHERS IN PRIMARY HEALTHCARE: A QUASI-EXPERIMENTAL STUDY Ratih Kumala Dewi; Evita Aurilia Nardina; Wahyuningsih Wahyuningsih
Jurnal Cakrawala Keperawatan Jurnal Cakrawala Keperawatan Vol.03 No.02 Juli 2026
Publisher : STIKES Estu Utomo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35872/jck.v3i02.1043

Abstract

Background: Exclusive breastfeeding remains a major public health challenge despite its well-documented benefits for infant growth, development, and disease prevention. Low breastfeeding self-efficacy is recognized as one of the key determinants contributing to unsuccessful exclusive breastfeeding, highlighting the need for comprehensive breastfeeding support interventions. Purpose: This study aimed to examine the effect of a comprehensive breastfeeding support package on breastfeeding self-efficacy among postpartum mothers at Boyolali I Community Health Center, Central Java, Indonesia. Methods: A quasi-experimental study with a non-equivalent pretest–posttest control group design was conducted among 34 postpartum mothers, who were allocated into intervention (n = 17) and control (n = 17) groups using consecutive sampling. The intervention group received a comprehensive breastfeeding support package consisting of breastfeeding education, practical breastfeeding assistance, emotional support, and motivational reinforcement, whereas the control group received routine postpartum care. Breastfeeding self-efficacy was assessed using the Breastfeeding Self-Efficacy Scale–Short Form (BSES-SF), while breastfeeding effectiveness was evaluated using the LATCH Assessment Tool. Data were analyzed using paired t-tests, independent t-tests, and Spearman's rank correlation with a significance level of p < 0.05. Results: Baseline characteristics were comparable between groups (p > 0.05). Following the intervention, the breastfeeding self-efficacy score increased significantly in the intervention group from 43.71 ± 6.15 to 60.24 ± 4.82 (p < 0.001), whereas the control group showed no significant improvement (44.18 ± 5.92 vs. 47.53 ± 5.41; p = 0.084). The mean improvement in breastfeeding self-efficacy was significantly greater in the intervention group than in the control group (16.53 ± 5.12 vs. 3.35 ± 4.26; p < 0.001). Furthermore, breastfeeding self-efficacy was positively correlated with breastfeeding effectiveness (r = 0.612, p < 0.001). Conclusion: A comprehensive breastfeeding support package effectively improved breastfeeding self-efficacy among postpartum mothers and was associated with better breastfeeding effectiveness. Integrating structured breastfeeding support into routine postpartum care may enhance maternal confidence and contribute to improving exclusive breastfeeding outcomes in primary healthcare settings.
Multimodal non-hormonal intervention with phytoestrogen nutrition and Damask rose aromatherapy improves quality of life in early menopausal women: a quasi-experimental study Putri Dewi Anggraini; Ratih Kumala Dewi; Luluk Khusnul Dwihestie; Benedicta Audrey Putri Trisnadewi; Ratih Paramastuti
International Journal of Public Health Science (IJPHS) Vol 15, No 3: September 2026
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v15i3.27078

Abstract

Early menopause and perimenopause are increasingly recognized as critical women’s health issues due to their substantial hormonal instability, heightened symptom burden, and negative impact on quality of life. Safe non-hormonal interventions remain limited, particularly in community settings, despite growing evidence supporting phytoestrogens and mind body therapies. This study aimed to evaluate the effectiveness of a 12-week holistic intervention integrating phytoestrogen nutrition, Damask rose aromatherapy, and guided relaxation on hormonal regulation, metabolic markers, menopausal symptoms, and quality of life among early menopausal and perimenopausal women. Using a quasi-experimental design, 44 participants received soy-based dietary supplementation, nightly aromatherapy, and structured relaxation practices, with pre-post assessments of estradiol, lipid profile, fasting glucose, Menopausal Rating Scale (MRS), and Menopause-Specific Quality of Life Questionnaire (MENQOL). The intervention produced significant improvements across all domains, including increased estradiol (p < 0.001), reduced low-density lipoprotein (LDL) and fasting glucose (p = 0.001-0.003), and substantial reductions in menopausal symptoms and psychological distress (p < 0.001). Early menopausal women exhibited greater improvements, reflecting their higher biological sensitivity to multimodal interventions. These findings demonstrate the potential of integrated, non-hormonal strategies to address complex menopausal changes, with practical implications for community-based women’s health programs. Study limitations include the modest sample size and quasi-experimental design, highlighting the need for larger controlled trials.
Co-Authors Benedicta Audrey Putri Trisnadewi Evita Aurilia Nardina Luluk Khusnul Dwihestie Putri Dewi Anggraini Ratih Paramastuti Wahyuningsih Wahyuningsih