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All Journal Jurnal Kesehatan Budi Luhur: Jurnal Ilmu-Ilmu Kesehatan Masyarakat, Keperawatan, dan Kebidanan
Ryka Juaeriah
STIKes Budhi Luhur Cimahi
Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences

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A Comparison of The Effectiveness of The Tera Gymnastics Breathing Technique with Deep Breathing Techniques on Reducing Labor Pain Ryka Juaeriah; Yuliana; Gemilang Rahma Annisa
Jurnal Kesehatan Budi Luhur: Jurnal Ilmu-Ilmu Kesehatan Masyarakat, Keperawatan, dan Kebidanan Vol. 18 No. 2 (2025): July 2025
Publisher : STIKes Budi Luhur Cimahi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62817/jkbl.v18i2.423

Abstract

The most common problem that arises in maternity mothers is labor pain. Pain during labor accompanied by fear will slow down the labor process. Labor pain will cause hyperventilation, increase oxygen consumption, cause respiratory alkalosis, vasoconstriction of blood vessels in the uterus and acidosis in the fetus. Increasing noradrenaline will lower blood to the placenta and decrease uterine contractions, thereby interfering with the safety of the mother and fetus and the success of vaginal partus. Tera gymnastics can stimulate the heart's ability to pump blood to meet oxygen needs so that the heart works with relaxation, resting pulse, and blood pressure becomes stable. The purpose of this study was to determine the comparison of the effectiveness of deep breathing and tera gymnastics breathing techniques on pain reduction during the first childbirth. This study uses a quasi-experimental design with two groups pretest-posttest design. The research was carried out at TPMB "P" Cimahi City which was carried out in February – September 2024. The sample in this study is maternity mothers during the active phase 1 who meet the inclusion and exclusion criteria. The sampling technique used was non-random sampling by purposive sampling totaling 40 mothers. The sample in this study was divided into 2 groups, namely the intervention group and the comparison group. Data analysis using the Mann-Whitney test. Based on the findings from the pain scale measurements, the tera gymnastics breathing technique demonstrated a greater reduction in pain with a delta value of 4.4, compared to 2.8 in the deep breathing technique. This indicates that tera gymnastics breathing is more effective in alleviating pain among laboring women during the active phase of the first stage of labor. It is recommended that expectant mothers and healthcare providers implement tera gymnastics and deep breathing techniques during labor to help ease pain and enhance maternal comfort.
The Relationship Between Prolanis Participation and Blood Sugar Control Among Type 2 Diabetes Mellitus Patients at Puskesmas Sindangkerta Sri Wahyuni; Moch Rezha Alfiqri; Sri Atun; Ryka Juaeriah
Jurnal Kesehatan Budi Luhur: Jurnal Ilmu-Ilmu Kesehatan Masyarakat, Keperawatan, dan Kebidanan Vol. 19 No. 2 (2026): July 2026
Publisher : STIKes Budi Luhur Cimahi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62817/jkbl.v19i2.527

Abstract

Outpatient visits for Type 2 Diabetes Mellitus at Puskesmas Sindangkerta increased from 122 to 269 patients from February 2024 to January 2025, with Diabetes Mellitus service coverage reaching 186.69% of the estimated target. The Chronic Disease Management Program (Prolanis) was designed to improve the quality of life of patients with chronic diseases; however, empirical evidence on its association with blood sugar control in primary care settings in West Bandung Regency remains limited. This study aimed to analyze the relationship between Prolanis participation and blood sugar control among patients with Type 2 Diabetes Mellitus at Puskesmas Sindangkerta. A quantitative cross-sectional study was conducted using secondary data from the Prolanis register and medical records of patients with Type 2 Diabetes Mellitus for the period from February 2025 to January 2026. The sample consisted of 55 respondents selected through total sampling and analyzed using the Chi-square test (α = 0.05). The results showed that 37 respondents (67.3%) actively participated in Prolanis, and 39 respondents (70.9%) had controlled fasting blood sugar levels. The Chi-square test showed a significant association (p < 0.001), with an odds ratio (OR) of 10.057 (95% CI: 2.643–38.276) and a prevalence ratio (PR) of 2.22 (95% CI: 1.23–4.03). Active Prolanis participants had a 2.22-fold higher prevalence of controlled blood sugar levels than inactive participants (PR = 2.22; 95% CI: 1.23–4.03). Optimization of Prolanis through digital technology and continuous education is needed to support Diabetes Mellitus control in primary care settings. These findings provide an empirical basis for strengthening Prolanis through active monitoring and continuous education to improve blood sugar control among patients with Type 2 Diabetes Mellitus in primary care settings
Co-Authors Gemilang Rahma Annisa Moch Rezha Alfiqri Sri Atun Sri Wahyuni Yuliana